Product image of Metformina + Vildagliptina Krka (Metformin Hydrochloride, Vildagliptin) supplied by GNH India

Metformina + Vildagliptina Krka

Active Ingredient:
Metformin Hydrochloride, Vildagliptin
Origin:
EU

Metformina + Vildagliptina Krka (Metformin Hydrochloride, Vildagliptin)

Metformin Hydrochloride, the active ingredient in Metformina + Vildagliptina Krka, is a biguanide/DPP‑4 inhibitor combination presented as an oral tablet for oral use. It is indicated for the management of type 2 diabetes mellitus in adult patients, helping to control blood glucose levels when used as part of a comprehensive diabetes care plan.

GNH India supplies Metformina + Vildagliptina Krka as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring EU‑grade quality and reliable global logistics.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Metformina + Vildagliptina is used in the treatment of type 2 diabetes mellitus and related oral‑therapy strategies.

  • Type 2 diabetes mellitus: lowers fasting and post‑prandial glucose levels.
  • Patients inadequately controlled on metformin alone: adds DPP‑4 inhibition to improve overall glycemic control.
  • Adults requiring combination oral therapy: offers a single‑pill regimen to simplify treatment.

How It Works

  • Metformin decreases hepatic gluconeogenesis and improves peripheral insulin sensitivity, while Vildagliptin inhibits the enzyme dipeptidyl peptidase‑4 (DPP‑4), leading to increased endogenous incretin hormones (GLP‑1 and GIP). The elevated incretins enhance glucose‑dependent insulin secretion and suppress glucagon release, together producing better glycaemic control.

Side Effects

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Diarrhea: frequent loose stools, usually transient.
  • Headache: mild tension‑type headache.
  • Dizziness: occasional light‑headedness.
  • Hypoglycaemia (when combined with insulin or sulfonylureas): low blood sugar episodes.

Serious or Rare Side Effects

  • Lactic acidosis: rare but life‑threatening metabolic disturbance.
  • Severe skin reactions (e.g., Stevens‑Johnson syndrome): requires immediate medical attention.
  • Pancreatitis: acute inflammation of the pancreas.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.
  • Anaphylactic reactions: rare systemic allergic response.

Precautions & Warnings

Metformina + Vildagliptina should be used with caution and appropriate monitoring.

  • Renal function assessment: evaluate creatinine clearance before initiation and periodically.
  • Hepatic function monitoring: check liver enzymes in patients with liver disease.
  • Risk of lactic acidosis: avoid in severe renal impairment or acute heart failure.
  • Concomitant hypoglycaemic agents: adjust dose of insulin or sulfonylureas to prevent low blood sugar.
  • Pregnancy and lactation: use only if potential benefit justifies potential risk; consult a physician.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Metformina + Vildagliptina may interact with several medicines.

Major Interactions (Avoid)

  • Insulin secretagogues (e.g., sulfonylureas): increased risk of hypoglycaemia.
  • IV contrast agents: may precipitate renal impairment affecting metformin clearance.
  • Cimetidine: can raise metformin plasma concentrations.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole): increase vildagliptin exposure.

Moderate Interactions (Monitor Closely)

  • Diuretics: may affect renal function and metformin elimination.
  • ACE inhibitors or ARBs: monitor renal function and serum potassium.
  • Beta‑blockers: may mask symptoms of hypoglycaemia.

Frequently Asked Questions

Metformina + Vildagliptina is an oral antidiabetic medication indicated for the treatment of type 2 diabetes mellitus in adults. It helps lower both fasting and post‑prandial blood glucose levels when used together with diet, exercise and other prescribed diabetes therapies.

Metformin Hydrochloride reduces hepatic glucose production and improves peripheral insulin sensitivity. By decreasing the amount of glucose released by the liver and enhancing the response of muscle and fat cells to insulin, it contributes to lower blood glucose concentrations.

The dosage of Metformina + Vildagliptina is individualized by the prescribing healthcare professional based on the patient’s clinical condition, renal function, and response to therapy. The prescriber determines the appropriate strength and frequency according to current treatment guidelines.

Safety in pregnancy and lactation has not been fully established. The medication should only be used if the potential benefit outweighs any possible risk to the fetus or infant, and it must be prescribed by a qualified clinician after careful assessment.

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 the necessary import documentation.

Metformina + Vildagliptina combines a biguanide (metformin) with a DPP‑4 inhibitor (vildagliptin), offering complementary mechanisms: reduced hepatic glucose output and enhanced incretin‑mediated insulin secretion. Compared with metformin alone, the combo provides greater HbA1c reduction, while avoiding the weight gain often seen with sulfonylureas or insulin.

Store the tablets at ambient temperature, preferably below 25 °C, in the original blister pack or container. Protect them from moisture, excessive heat and direct sunlight to maintain product stability throughout its shelf life.

The medication is taken orally, usually with meals, using a full glass of water. Patients should follow the dosing schedule prescribed by their healthcare provider and should not crush or chew the tablets unless specifically instructed.

The most serious adverse events include lactic acidosis (particularly in patients with renal or hepatic impairment), severe hypoglycaemia when combined with insulin or sulfonylureas, acute pancreatitis, and rare but severe skin reactions such as Stevens‑Johnson syndrome. Prompt medical attention is required if any of these occur.

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

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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