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Metformin + Saxagliptin

Uses of Metformin + Saxagliptin

  • Metformin + Saxagliptin is primarily used to improve blood sugar control in adults with type 2 diabetes. This medication belongs to the class of antidiabetic medicines.

Side effects of Metformin + Saxagliptin

  • Upper respiratory tract infection

  • Urinary tract infection

  • Headache

  • Diarrhea

  • Nausea

How Metformin + Saxagliptin works

  • Metformin + Saxagliptin is an antidiabetic combination used for managing type 2 diabetes.

  • Metformin is a biguanide. It works by curtailing the production of glucose in the liver, reducing the absorption of glucose from food in the intestine, and boosting insulin sensitivity to enhance glucose uptake and use in the body.

  • Saxagliptin is a dipeptidyl peptidase-4 (DPP-4) inhibitor. It works by selectively blocking the DPP-4 enzyme, which breaks down incretin hormones. By preventing this breakdown, saxagliptin boosts insulin release from the pancreas when blood sugar levels rise and reduces glucagon secretion.

  • These components, when combined, aid in efficiently lowering blood glucose levels in individuals with type 2 diabetes.

Certified content

Written By

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Dr Nikita LoboMedical Editor & Reviewer| 7 Years

BDS, MDS

Reviewed By

Dr. Chhavi Rosha
Dr. Chhavi Rosha Health & Medical Content Writer| 8 Years

BMS, FMC, MD Resident

Expert Advice

Dosage Forms Available

  • Metformin + Saxagliptin is available as an oral combination in the form of a tablet.

Age and Dose Restrictions

  • This combination is intended for use in adults only.

Contraindications

  • Metformin + Saxagliptin is contraindicated for patients with severe renal impairment.

  • It should not be used by those with acute or chronic metabolic acidosis, including diabetic ketoacidosis.

  • Individuals with a history of significant hypersensitivity reactions to either of the components should avoid this medication.

  • Patients with hepatic impairment are also advised against using this combination.

Other Medications to Avoid

  • This combination may interact with strong inhibitors of CYP3A4/5 enzymes (such as ketoconazole), strong inducers of CYP3A4/5 (such as rifampin), and cationic medicines that are eliminated by renal tubular secretion (such as digoxin, procainamide, and vancomycin).

Overdose and Missed Dose

  • In cases of overdose, patients might experience symptoms such as nausea, vomiting, diarrhea, abdominal pain, or lactic acidosis. Immediate medical attention should be sought if an overdose is suspected.

  • If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dose schedule. Do not take a double dose to make up for a missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this combination. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

  • To manage gastrointestinal side effects such as nausea or diarrhea, consider taking it with meals.

  • Drinking plenty of water may help alleviate dehydration risks associated with this combination.

Use in Driving and Operating Machinery

  • Metformin + Saxagliptin may cause dizziness or fatigue in some individuals. If you experience these symptoms, it is advised to avoid driving or operating heavy machinery until you know how this medication affects you.

Use in Pregnancy and Lactation

  • The safety of this combination in pregnant women has not been established. Use during pregnancy only if the potential benefit justifies the potential risk to the fetus.

  • It is unknown whether Saxagliptin is excreted in human milk; however, metformin does appear in low concentrations. Consult your doctor before using this medicine during breastfeeding.

Caution in Other Conditions

  • Patients with a history of pancreatitis should also use this combination cautiously.

Special Dietary and Lifestyle Recommendations

  • Adhering to a balanced diet low in simple sugars and high in fiber can enhance the effectiveness of Metformin + Saxagliptin in managing type 2 diabetes.

  • Monitoring carbohydrate intake and maintaining a consistent meal schedule can prevent spikes in blood sugar levels.

  • Regular monitoring of blood sugar levels, as recommended by your doctor will help tailor dietary choices and lifestyle habits accordingly.

Frequently asked questions

No, there is no evidence to suggest that this combination can cause changes in the menstrual cycle. However, if you notice any unusual changes in your cycle, please consult your doctor.

There is no known evidence to suggest that it can affect mood or behavior directly. If you experience any changes in mood or behavior, it could be related to your overall health condition and not specifically due to this combination.

Please consult your doctor before planning for conception if you are taking this combination. There are no adequate studies of this medicine in pregnant women. Hence, use only if clearly needed and if the potential benefit justifies the potential risk to the fetus.

Long-term use of Metformin may lead to Vitamin B12 malabsorption and deficiency. Periodic monitoring of Vitamin B12 levels is recommended.

Metformin + Saxagliptin is typically used as a long-term medication for managing type 2 diabetes, along with diet and exercise. The exact duration will depend on the patient's condition and the doctor's prescription.

Elderly patients may need to have their renal function assessed more frequently when taking this combination because it is excreted by the kidney, and the risk of adverse reactions is greater in patients with impaired renal function.

Weight gain is not a commonly reported side effect of this combination. However, individual responses may vary, and if you notice any significant weight changes, consult your doctor.

Terms & Conditions


Available medicines for METFORMIN + SAXAGLIPTIN
Riaxm Xr 5/1000 MG Tablet 7
Riaxm Xr 5/1000 MG Tablet 7
Dr. Reddys Laboratories Ltd
Pack of 7 Units
₹292.74
MRP ₹357.00
18.00% OFF
Glisaxapin M 2.5/500 Tablet 10
Glisaxapin M 2.5/500 Tablet 10
Steris Healthcare
Pack of 10 Units
₹143.50
MRP ₹175.00
18.00% OFF
Glisaxapin M 5/500 Tablet 10
Glisaxapin M 5/500 Tablet 10
Steris Healthcare
Pack of 10 Units
₹100.08
MRP ₹194.50
48.55% OFF
Zaxaglit M 5/500 Tablet 10
Zaxaglit M 5/500 Tablet 10
Chemo Health Care Pvt Ltd
Pack of 10 Units
₹282.00
MRP ₹470.00
40.00% OFF
Zaxaglit M 5/1000 MG Tablet 10
Zaxaglit M 5/1000 MG Tablet 10
Chemo Health Care Pvt Ltd
Pack of 10 Units
₹418.20
MRP ₹510.00
18.00% OFF
Kombiglyze Xr 5mg/500mg Tablet 7
Kombiglyze Xr 5mg/500mg Tablet 7
Astrazeneca Pharma India Ltd
Pack of 7 Units
₹321.96
MRP ₹396.50
18.80% OFF
Kombiglyze Xr 5mg/1000mg Tablet 7
Kombiglyze Xr 5mg/1000mg Tablet 7
Astrazeneca Pharma India Ltd
Pack of 7 Units
₹353.42
MRP ₹431.00
18.00% OFF
Riaxm Xr 5/500 MG Tablet 7
Riaxm Xr 5/500 MG Tablet 7
Dr. Reddys Laboratories Ltd
Pack of 7 Units
₹269.78
MRP ₹329.00
18.00% OFF

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