Product image of Meliglix (Sitagliptin) supplied by GNH India

Meliglix

Active Ingredient:
Sitagliptin
Origin:
EU

Meliglix (Sitagliptin)

Sitagliptin, the active ingredient in Meliglix, is a DPP‑4 inhibitor presented as a tablet for oral use. It is indicated for the treatment of type 2 diabetes mellitus in adults, helping to improve blood glucose control when used with diet and exercise.

GNH India supplies Meliglix as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company follows stringent quality standards and provides regulatory documentation to support global distribution. Customers benefit from reliable lead times and comprehensive technical support.

Manufacturer / TM Owner

Pharmazac Sa

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Indications & Clinical Uses

  • Sitagliptin, a DPP‑4 inhibitor, is used in the management of type 2 diabetes mellitus.
  • Type 2 diabetes mellitus: lowers fasting and post‑prandial blood glucose levels.
  • Adjunct to diet and exercise: enhances glycemic control when combined with lifestyle measures.
  • Combination therapy: can be co‑prescribed with metformin or other antidiabetic agents to improve overall glucose management.

How It Works

  • Sitagliptin selectively inhibits the enzyme dipeptidyl peptidase‑4 (DPP‑4), which degrades the incretin hormones GLP‑1 and GIP. By blocking DPP‑4, sitagliptin raises endogenous GLP‑1 and GIP concentrations, leading to glucose‑dependent enhancement of insulin secretion from pancreatic β‑cells and suppression of glucagon release from α‑cells, thereby reducing hepatic glucose production and improving post‑prandial glucose excursions.

Side Effects

Sitagliptin may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Nasopharyngitis
  • Headache
  • Nausea

Serious or Rare Side Effects

  • Pancreatitis
  • Severe allergic reactions (e.g., Stevens‑Johnson syndrome)
  • Acute kidney injury in susceptible patients

Precautions & Warnings

  • When prescribing sitagliptin, clinicians should consider several safety aspects.
  • Renal function: assess baseline and monitor periodically, dose may need adjustment in renal impairment.
  • Hypoglycemia risk: caution when used with insulin or sulfonylureas, monitor blood glucose closely.
  • Pancreatitis: discontinue if patient develops persistent abdominal pain, nausea, or vomiting.
  • Hypersensitivity: discontinue at first sign of rash, angioedema, or severe skin reactions.
  • Pregnancy and lactation: use only if potential benefit justifies potential risk; consult healthcare provider.
  • Store at room temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Sitagliptin can interact with several medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Insulin secretagogues (e.g., sulfonylureas): increased risk of hypoglycemia.
  • Strong diuretics (e.g., furosemide): may reduce renal clearance of sitagliptin, raising exposure.
  • CYP2C8 inhibitors (e.g., gemfibrozil): can increase sitagliptin plasma levels.

Moderate Interactions (Monitor Closely)

  • Rifampin: may lower sitagliptin concentrations.
  • ACE inhibitors: additive effect on blood pressure may occur.
  • Warfarin: monitor INR as sitagliptin may affect anticoagulation control.

Frequently Asked Questions

Meliglix contains sitagliptin, which is prescribed to improve blood glucose control in adults with type 2 diabetes mellitus. It is used as part of a comprehensive treatment plan that includes diet, exercise, and possibly other antidiabetic medicines.

Sitagliptin blocks the enzyme dipeptidyl peptidase‑4 (DPP‑4). This inhibition raises levels of the incretin hormones GLP‑1 and GIP, which stimulate insulin release and suppress glucagon when blood glucose is elevated, thereby lowering overall glucose concentrations.

The dose of sitagliptin is individualized by the prescribing healthcare professional based on the patient’s renal function, glycemic targets, and concomitant therapies. The prescriber determines the appropriate strength and dosing schedule for each patient.

Safety data for sitagliptin in pregnancy and lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and this decision must be made by a qualified healthcare provider.

To request Meliglix, 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.

Sitagliptin belongs to the DPP‑4 inhibitor class, which generally offers a lower risk of hypoglycemia compared with sulfonylureas and does not cause weight gain. Compared with GLP‑1 receptor agonists, it is oral rather than injectable but provides a modest reduction in HbA1c.

Meliglix tablets should be stored at room temperature, below 25 °C, in their original packaging. Protect them from excess moisture, direct sunlight and heat to maintain potency throughout the shelf life.

Meliglix is taken orally, usually once daily, with or without food. The tablet should be swallowed whole with a glass of water and not crushed or chewed unless otherwise instructed by a healthcare professional.

The most serious adverse events linked to sitagliptin include acute pancreatitis, severe allergic reactions such as Stevens‑Johnson syndrome, and acute kidney injury, particularly in patients with pre‑existing renal impairment. Prompt medical attention is required if these symptoms appear.

Meliglix is contraindicated in patients with a known hypersensitivity to sitagliptin or any component of the formulation. Caution is also advised for individuals with severe renal impairment, a history of pancreatitis, or those taking medications that may significantly increase sitagliptin exposure.

Medically reviewed by

Dr. Shweta Ashok More

M.Pharm (Quality Assurance), Ph.D. (Medicinal Chemistry), GNH India Pharmaceuticals Limited · Reviewed 9 Sep 2026

Published by GNH India Pharmaceuticals Limited · Last updated

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