Product image of Metformax Sr Combi (Metformin Hydrochloride, Sitagliptin) supplied by GNH India

Metformax Sr Combi

Active Ingredient:
Metformin Hydrochloride, Sitagliptin
Origin:
EU

Metformax Sr Combi (Metformin Hydrochloride, Sitagliptin)

Metformin Hydrochloride and Sitagliptin, the active ingredient in Metformax Sr Combi, is a biguanide and DPP‑4 inhibitor presented as a tablet for oral use. It is prescribed to improve blood glucose control in adults with chronic type 2 diabetes mellitus.

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

Manufacturer / TM Owner

Teva Pharmaceuticals Polska Sp. Z O.O.

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Indications & Clinical Uses

Metformax Sr Combi, containing metformin and sitagliptin, is indicated for the management of type 2 diabetes mellitus, a chronic metabolic disorder.

  • Type 2 diabetes mellitus: improves glycemic control when diet and exercise alone are insufficient.
  • Combination therapy with other oral antidiabetics: enhances overall glucose‑lowering effect.
  • Adjunct to lifestyle modification: supports weight management and metabolic health.
  • Monotherapy in patients intolerant to single agents: provides dual mechanism in a single pill.

How It Works

  • Metformin reduces hepatic gluconeogenesis and increases peripheral insulin sensitivity, thereby lowering basal glucose production. Sitagliptin blocks the enzyme dipeptidyl peptidase‑4 (DPP‑4), which prolongs the activity of endogenous incretin hormones such as GLP‑1 and GIP, leading to glucose‑dependent insulin secretion and suppressed glucagon release. Together they provide complementary pathways to achieve tighter glycaemic regulation.

Side Effects

Metformax Sr Combi may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Nausea
  • Diarrhea
  • Abdominal discomfort

Serious or Rare Side Effects

  • Lactic acidosis
  • Severe hypoglycemia (especially with insulin or sulfonylureas)
  • Acute pancreatitis

Precautions & Warnings

When prescribing Metformax Sr Combi, several safety considerations should be observed.

  • Renal function: assess creatinine clearance before initiation and periodically thereafter.
  • Hepatic function: avoid use in patients with significant liver disease.
  • Lactic acidosis risk: contraindicated in severe renal impairment, heart failure, or hypoxia.
  • Pregnancy and lactation: use only if potential benefit justifies potential risk to fetus or infant.
  • Drug interactions: review concomitant medications that affect renal clearance or glucose levels.
  • Store at ambient temperature: keep in original packaging, protect from moisture and heat.

Avoid Interactions

Metformax Sr Combi can interact with other medicines, influencing its efficacy or safety.

Major Interactions (Avoid)

  • Concomitant insulin or sulfonylureas: increased risk of severe hypoglycemia.
  • Iodinated contrast agents: may precipitate renal dysfunction and lactic acidosis.
  • Cimetidine: can raise metformin plasma concentrations.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or ARBs: monitor renal function and potassium levels.
  • Loop or thiazide diuretics: may affect renal clearance of metformin.
  • Alcohol consumption: can increase risk of lactic acidosis.

Frequently Asked Questions

Metformax Sr Combi is prescribed to improve blood glucose control in adults with type 2 diabetes mellitus. It combines two complementary mechanisms—metformin’s reduction of hepatic glucose output and sitagliptin’s enhancement of insulin secretion—to help achieve target glycaemic levels when diet, exercise, or single‑agent therapy are insufficient.

Metformin Hydrochloride lowers glucose production by the liver and increases the body’s sensitivity to insulin, while Sitagliptin inhibits the enzyme DPP‑4, prolonging the activity of incretin hormones that stimulate insulin release and suppress glucagon. Together they provide a dual approach that reduces fasting and post‑prandial blood sugar.

The dosage of Metformax Sr Combi is individualized by the prescribing healthcare professional based on factors such as the patient’s renal function, glycaemic targets, and concomitant medications. Patients should follow the exact dosing instructions provided by their prescriber and not adjust the dose without medical guidance.

Safety in pregnancy and lactation has not been fully established. The product should be used only if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Healthcare providers typically evaluate alternative treatments and closely monitor pregnant or nursing patients.

To place an order, submit an enquiry on the Metformax Sr Combi 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 metformin or sitagliptin alone, the combination offers dual‑mechanism glucose control in a single tablet, which can improve adherence and provide greater HbA1c reduction. Relative to other fixed‑dose combinations, it shares a similar safety profile but may differ in dosing flexibility and specific contraindications.

Store the tablets at ambient temperature, preferably below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and do not use it after the expiry date printed on the packaging.

Metformax Sr Combi is taken orally, usually with meals to reduce gastrointestinal discomfort. The tablet should be swallowed whole with a glass of water and not crushed, chewed, or split unless specifically instructed by a healthcare professional.

The most serious adverse events include lactic acidosis, which can be life‑threatening, severe hypoglycaemia (especially when combined with insulin or sulfonylureas), and acute pancreatitis. Patients should be educated to recognize early symptoms and seek immediate medical attention if they occur.

Metformax Sr Combi is contraindicated in patients with severe renal impairment (eGFR < 30 mL/min/1.73 m²), known hypersensitivity to metformin or sitagliptin, acute or chronic metabolic acidosis, and those with a history of lactic acidosis. Caution is also advised for individuals with significant liver disease or heart failure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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