Product image of Metformina + Sitagliptina Bluepharma (Metformin Hydrochloride, Sitagliptin) supplied by GNH India

Metformina + Sitagliptina Bluepharma

Active Ingredient:
Metformin Hydrochloride, Sitagliptin
Origin:
EU

Metformina + Sitagliptina Bluepharma (Metformin Hydrochloride, Sitagliptin)

Metformin Hydrochloride, the active ingredient in Metformina + Sitagliptina, is a biguanide presented as an oral tablet for oral use. It is combined with sitagliptin, a DPP‑4 inhibitor, to treat type 2 diabetes mellitus in adult patients requiring additional glycemic control.

GNH India supplies Metformina + Sitagliptina as a licensed, GDP‑compliant international pharmaceutical supplier, providing the product to hospitals, pharmacies and clinics worldwide under strict quality‑assurance standards and regulatory oversight. Our distribution network ensures timely delivery and supports local regulatory requirements. We also offer technical assistance for product handling.

Manufacturer / TM Owner

Bluepharma Genéricos - Comércio De Medicamentos, S.A.

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Indications & Clinical Uses

Metformina + Sitagliptina is used in the management of type 2 diabetes mellitus, an endocrine disorder characterized by elevated blood glucose.

  • Type 2 diabetes mellitus (adult): improves overall glycemic control when metformin alone is insufficient.
  • Type 2 diabetes mellitus (fasting glucose): lowers fasting plasma glucose levels.
  • Type 2 diabetes mellitus (post‑prandial glucose): reduces post‑prandial glucose excursions.
  • Type 2 diabetes mellitus (HbA1c): decreases glycated hemoglobin (HbA1c) values.

How It Works

  • Metformin Hydrochloride reduces hepatic gluconeogenesis and enhances peripheral insulin sensitivity, thereby decreasing endogenous glucose production. Sitagliptin selectively inhibits the enzyme dipeptidyl peptidase‑4 (DPP‑4), which prolongs the activity of incretin hormones GLP‑1 and GIP, leading to glucose‑dependent insulin secretion and suppressed glucagon release. The combined effect results in improved glycemic control without causing hypoglycemia when used alone in patients with type 2 diabetes.

Side Effects

Metformina + Sitagliptina may be associated with several adverse reactions, ranging from mild to serious.

Common Side Effects

  • Nausea: mild stomach upset.
  • Diarrhea: loose stools.
  • Headache: transient cranial pain.
  • Upper respiratory tract infection: mild cold‑like symptoms.

Serious or Rare Side Effects

  • Lactic acidosis: rare but life‑threatening metabolic condition.
  • Pancreatitis: inflammation of the pancreas presenting with abdominal pain.
  • Severe hypersensitivity reactions: including skin rash, angioedema, or anaphylaxis.

Precautions & Warnings

Before initiating Metformina + Sitagliptina, several precautions should be considered to ensure safe use.

  • Renal function assessment: evaluate creatinine clearance before and during therapy.
  • Hepatic function monitoring: avoid use in patients with significant liver disease.
  • Risk of hypoglycemia: caution when combined with insulin or sulfonylureas.
  • Elderly patients: start at lower dose and monitor for tolerance.
  • Cardiovascular status: contraindicated in severe heart failure (NYHA Class IV).
  • Store at room temperature: keep in original packaging, protect from moisture and heat.

Avoid Interactions

Metformina + Sitagliptina can interact with other medicines, affecting efficacy or safety.

Major Interactions (Avoid)

  • Concomitant insulin secretagogues (e.g., sulfonylureas): may cause severe hypoglycemia.
  • Iodinated contrast agents: can precipitate metformin‑associated lactic acidosis in renal impairment.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may increase sitagliptin exposure.

Moderate Interactions (Monitor Closely)

  • Diuretics (thiazides): may enhance metformin’s glucose‑lowering effect.
  • ACE inhibitors or ARBs: monitor renal function and potassium levels.
  • Warfarin: may require INR monitoring due to potential interaction.
  • Oral corticosteroids: may reduce antidiabetic efficacy.

Frequently Asked Questions

Metformina + Sitagliptina is indicated for the treatment of type 2 diabetes mellitus in adult patients. The combination helps lower blood glucose by improving insulin sensitivity and enhancing insulin secretion in response to meals, providing better overall glycemic control when monotherapy is insufficient.

Metformin Hydrochloride primarily reduces hepatic glucose production and increases peripheral insulin sensitivity, which lowers circulating glucose levels. Sitagliptin, the second component, blocks the DPP‑4 enzyme, prolonging the action of incretin hormones that stimulate insulin release and suppress glucagon, together achieving tighter glucose regulation.

The dosage of Metformina + Sitagliptina is determined by the prescribing healthcare professional based on individual patient factors such as renal function, age, and glycemic targets. Physicians tailor the strength and frequency to achieve optimal blood‑sugar control while minimizing adverse effects.

Safety in pregnancy and lactation has not been fully established for this combination. Generally, metformin may be continued if benefits outweigh risks, whereas sitagliptin is usually avoided. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

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 (including any cold‑chain requirements) and necessary import documentation.

Compared with metformin alone, the addition of sitagliptin offers greater reduction in HbA1c and better post‑prandial glucose control without a substantial increase in hypoglycemia risk. Relative to other DPP‑4 inhibitors, sitagliptin has a well‑characterised safety profile and once‑daily dosing, making the combination convenient for many patients.

Store the tablets at room temperature, ideally below 25 °C, in the original blister pack or container. Protect them from excess moisture, direct sunlight and heat. Do not refrigerate or freeze the product, and keep it out of reach of children.

Metformina + Sitagliptina is taken orally, usually with a glass of water. It can be taken with or without food, but consistent timing with meals may help reduce gastrointestinal discomfort. Patients should follow the dosing schedule prescribed by their clinician.

The most critical adverse events to monitor are lactic acidosis (rare but potentially fatal), acute pancreatitis, and severe hypersensitivity reactions such as anaphylaxis or angioedema. Prompt medical attention is required if patients experience unexplained abdominal pain, rapid breathing, or signs of an allergic reaction.

The combination is contraindicated in patients with severe renal impairment (eGFR < 30 mL/min/1.73 m²), significant hepatic disease, or in those with a history of lactic acidosis. It should also be avoided in individuals with known hypersensitivity to metformin, sitagliptin, or any excipients in the formulation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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