Product image of Maysiglu (Sitagliptin) supplied by GNH India

Maysiglu

Active Ingredient:
Sitagliptin
Origin:
EU

Maysiglu (Sitagliptin)

Sitagliptin, the active ingredient in Maysiglu, is a DPP-4 inhibitor presented as an oral tablet for oral use. It is indicated for the management of type 2 diabetes mellitus in adults when diet and exercise alone are insufficient.

GNH India supplies Maysiglu as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Maysiglu (sitagliptin) is used within the antidiabetic therapeutic pathway to improve glycaemic control in patients with type 2 diabetes.

  • Type 2 diabetes mellitus: lowers fasting and post‑prandial blood glucose as monotherapy or in combination with other agents.
  • Adjunct to diet and exercise: helps patients achieve target HbA1c levels when lifestyle measures are inadequate.
  • Combination therapy with metformin: provides additional glucose reduction for patients requiring dual oral therapy.

How It Works

  • Sitagliptin selectively inhibits the dipeptidyl peptidase‑4 (DPP‑4) enzyme, preventing the breakdown of endogenous incretin hormones such as GLP‑1 and GIP. Elevated incretin levels enhance glucose‑dependent insulin secretion from pancreatic beta cells and suppress glucagon release from alpha cells, resulting in improved post‑prandial and overall glycaemic control.

Side Effects

Sitagliptin is generally well tolerated, but adverse reactions can occur.

Common Side Effects

  • Nasopharyngitis: mild upper‑respiratory tract infection symptoms.
  • Headache: transient mild to moderate headache.
  • Upper respiratory tract infection: cough, sore throat.
  • Gastrointestinal upset: nausea, abdominal discomfort.
  • Dizziness: occasional light‑headedness.

Serious or Rare Side Effects

  • Pancreatitis: severe abdominal pain requiring immediate medical attention.
  • Severe hypersensitivity: rash, angioedema, or anaphylaxis.
  • Bullous pemphigoid: blistering skin disorder.
  • Hepatic injury: elevated liver enzymes or hepatitis.
  • Severe joint pain: arthralgia with swelling.

Precautions & Warnings

When prescribing sitagliptin, clinicians should consider patient‑specific factors and safety measures.

  • Renal impairment: assess kidney function and adjust dose if needed.
  • Hepatic impairment: use with caution in patients with liver disease.
  • History of pancreatitis: monitor closely for recurrent episodes.
  • Concomitant insulin or sulfonylureas: increased risk of hypoglycaemia; adjust co‑therapy accordingly.
  • Allergic reactions: discontinue if severe rash or anaphylaxis occurs.
  • Store at ambient temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Sitagliptin may interact with other medicines, influencing its efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may raise sitagliptin plasma levels.
  • Strong CYP2C8 inhibitors (e.g., gemfibrozil): can increase exposure and risk of adverse effects.

Moderate Interactions (Monitor Closely)

  • Insulin or sulfonylureas: additive glucose‑lowering effect may cause hypoglycaemia.
  • Rifampin: enzyme induction may reduce sitagliptin effectiveness.
  • Diuretics: may affect glucose control and require monitoring.

Frequently Asked Questions

Maysiglu contains sitagliptin, a DPP‑4 inhibitor that is prescribed to improve blood‑sugar control in adults with type 2 diabetes mellitus, either alone or together with other oral antidiabetic agents.

Sitagliptin blocks the DPP‑4 enzyme, which normally degrades incretin hormones. By preserving incretins, it enhances insulin release after meals and reduces glucagon secretion, leading to lower blood glucose levels.

The appropriate dose of sitagliptin is determined by the prescribing healthcare professional based on the patient’s renal function, glycaemic targets and any concomitant medications. Patients should follow the prescriber’s instructions.

Safety of sitagliptin in pregnancy and lactation has not been fully established. It should only be used if the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified clinician.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Compared with sulfonylureas, sitagliptin has a lower risk of causing hypoglycaemia because its glucose‑dependent mechanism requires elevated blood sugar to act. Unlike metformin, it does not affect gastrointestinal absorption, making it an alternative for patients intolerant to metformin.

Maysiglu tablets should be stored at ambient temperature, below 25 °C, in the original blister pack. Keep them away from moisture, heat and direct sunlight to maintain product stability.

Maysiglu is taken orally, usually once daily with or without food, as directed by the prescriber. The tablet should be swallowed whole with water and not crushed or chewed.

Serious adverse events include pancreatitis, severe hypersensitivity reactions such as anaphylaxis, and rare skin disorders like bullous pemphigoid. Patients should seek immediate medical attention if they experience persistent abdominal pain, rash, or swelling.

Maysiglu is contraindicated in patients with a known hypersensitivity to sitagliptin or any component of the formulation. Caution is advised for individuals with severe renal impairment, a history of pancreatitis, or those taking strong CYP3A4 or CYP2C8 inhibitors.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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