Product image of Mifoglame (Sitagliptin) supplied by GNH India

Mifoglame

Active Ingredient:
Sitagliptin
Origin:
EU

Mifoglame (Sitagliptin)

Sitagliptin, the active ingredient in Mifoglame, is a dipeptidyl peptidase‑4 (DPP‑4) inhibitor presented as a tablet for oral use. It improves glycaemic control by enhancing insulin secretion in adults diagnosed with type 2 diabetes mellitus.

GNH India supplies Mifoglame as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved products to healthcare providers across multiple regions. Mifoglame is manufactured under GMP conditions and is available for bulk and unit‑dose distribution.

Manufacturer / TM Owner

Bausch Health Ireland Limited

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Indications & Clinical Uses

  • Sitagliptin is a DPP‑4 inhibitor used in the management of type 2 diabetes mellitus.
  • Type 2 diabetes mellitus: lowers HbA1c and fasting glucose when combined with diet and exercise.
  • Adjunct therapy: used alongside metformin or other antidiabetics to achieve target glucose levels.
  • Monotherapy: may be prescribed alone in patients intolerant to other agents.

How It Works

  • Sitagliptin selectively inhibits the enzyme dipeptidyl peptidase‑4 (DPP‑4), which degrades the incretin hormones glucagon‑like peptide‑1 (GLP‑1) and glucose‑dependent insulinotropic polypeptide (GIP). By blocking DPP‑4, sitagliptin raises circulating levels of GLP‑1 and GIP, leading to glucose‑dependent stimulation of insulin secretion, suppression of glucagon release, and delayed gastric emptying, thereby improving post‑prandial and overall glycaemic control.

Side Effects

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

Common Side Effects

  • Nasopharyngitis: mild inflammation of the upper airway.
  • Headache: transient pain in the head region.
  • Upper respiratory tract infection: symptoms of common cold.
  • Gastrointestinal upset: nausea, diarrhea or abdominal discomfort.

Serious or Rare Side Effects

  • Pancreatitis: severe abdominal pain requiring immediate medical attention.
  • Severe allergic reactions: angio‑edema, Stevens‑Johnson syndrome or anaphylaxis.
  • Arthralgia: intense joint pain that may be disabling.

Precautions & Warnings

  • When prescribing or dispensing sitagliptin, consider the following precautions.
  • Renal function: dose adjustment may be required in patients with impaired renal function.
  • Hypersensitivity: discontinue if signs of allergic reaction appear.
  • Pancreatitis: monitor for persistent abdominal pain.
  • Heart failure: use with caution in patients with a history of heart failure.
  • Pregnancy and lactation: safety not established; avoid unless benefits outweigh risks.
  • Store at ambient temperature: keep below 25 °C, protect from moisture and light in original packaging.

Avoid Interactions

Sitagliptin can interact with several drug classes, requiring attention to avoid reduced efficacy or increased toxicity.

Major Interactions (Avoid)

  • Insulin secretagogues (e.g., sulfonylureas): increased risk of hypoglycaemia.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may increase sitagliptin exposure.
  • Strong CYP3A4 inducers (e.g., rifampin): may reduce sitagliptin efficacy.

Moderate Interactions (Monitor Closely)

  • Diuretics: may affect blood glucose control.
  • ACE inhibitors/ARBs: monitor renal function when combined.
  • Warfarin: occasional changes in INR reported; monitor coagulation parameters.

Frequently Asked Questions

Mifoglame contains sitagliptin, a DPP‑4 inhibitor indicated for improving glycaemic control in adults with type 2 diabetes mellitus, usually as part of a comprehensive treatment plan that includes diet and exercise.

Sitagliptin selectively blocks the enzyme dipeptidyl peptidase‑4, which normally degrades the incretin hormones GLP‑1 and GIP. By preventing this breakdown, the drug raises circulating incretin levels, which in turn stimulate insulin release and suppress glucagon in a glucose‑dependent manner, helping to lower blood glucose after meals and overall.

The prescribed dose of Mifoglame is determined by the treating physician based on the patient’s renal function, glycaemic targets, and concomitant therapies. The prescriber will specify the exact strength and frequency, and patients should follow the written instructions without alteration.

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

To place an order, visit the product page on gnhindia.com, enter the required quantity, and submit the enquiry form. 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 insulin‑stimulating effect is glucose‑dependent. Unlike insulin, it is administered orally and does not require injection. It is often used as an add‑on therapy to metformin or other agents when glycaemic control remains suboptimal.

Mifoglame tablets should be stored at ambient temperature, preferably below 25 °C, in their original blister pack or bottle. Protect them from excess moisture, heat and direct sunlight to maintain potency throughout the shelf‑life.

Mifoglame is taken by mouth, usually once daily, with or without food, as directed by the prescribing clinician. The tablet should be swallowed whole with a glass of water and not chewed or crushed unless specifically advised.

The most serious adverse events linked to sitagliptin include acute pancreatitis, severe allergic reactions such as angio‑edema or Stevens‑Johnson syndrome, and joint pain that may be disabling. Patients should seek immediate medical attention if they experience persistent abdominal pain, swelling of the face or throat, or unexplained severe arthralgia.

Mifoglame is contraindicated in individuals with a known hypersensitivity to sitagliptin or any component of the formulation. Caution is also advised for patients with severe renal impairment, a history of pancreatitis, or those who are pregnant or breastfeeding unless the benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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