Vildagliptin
ТаблеткиHypoglycaemic agent. Vildagliptin is a representative of the class of stimulators of pancreatic islet apparatus, selectively inhibits the enzyme dipeptidyl peptidase-4 (DPP-4).
Important
Indications
The medicinal product Vildagliptin is indicated for use in adult patients with type 2 diabetes mellitus (in combination with diet therapy and exercise):
- as monotherapy in case of ineffectiveness of diet therapy and exercise in patients with contraindications to use/intolerance to metformin or in case of ineffectiveness of metformin;
- in combination with metformin as initial drug therapy in case of insufficient effectiveness of diet therapy and exercise;
- as part of two-component combination therapy: with metformin or thiazolidinedione, or with insulin in case of ineffectiveness of diet therapy, exercise and monotherapy with these drugs;
- as part of two-component combination therapy with sulfonylurea derivatives in patients with insufficient glycaemic control against the maximum tolerated dose of a sulfonylurea derivative or in the presence of contraindications to the use/intolerance of metformin;
- as part of triple combination therapy: in combination with sulfonylurea derivatives and metformin, in patients who have previously received therapy with sulfonylurea derivatives and metformin against the background of diet therapy and exercise and have not achieved adequate glycaemic control;
- as part of triple combination therapy: in combination with insulin and metformin, in patients who previously received insulin in a stable dose and metformin on the background of diet therapy and exercise, and have not achieved adequate glycaemic control.
Contraindications
Do not take Vildagliptin in the following cases:
- If you are allergic to vildagliptin or other excipients listed in subsection 6.1;
- If you have type 1 diabetes mellitus;
- if you have acute or chronic metabolic acidosis (including diabetic ketoacidosis - a complication accompanied by rapid weight loss, nausea or vomiting and/or lactoacidosis - excessive accumulation of lactic acid in the blood);
- if you have liver dysfunction with increased activity of "liver" enzymes - alanine aminotransferase (ALT) or aspartate aminotransferase (AST)) 3 or more times higher than normal);
- If you have New York Heart Association (NYHA) class IV functional class (FC) chronic heart failure;
- if you are under 18 years of age.
Usage
Type 2 diabetes mellitus is a condition in which the pancreas does not produce enough insulin or the body loses its sensitivity to it, resulting in high blood sugar (hyperglycaemia). The production of large amounts of glucagon can also lead to the development of this condition. Insulin is a substance (hormone) that helps lower blood glucose levels, especially after a meal, glucagon is a substance (hormone) that has the opposite effect (both of these hormones are produced by cells in the pancreas). Vildagliptin works by helping the pancreas to produce more insulin and less glucagon. The drug Vildagliptin helps to control blood glucose levels. It is important to take the drug against the background of recommended dietary therapy and exercise.
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Drugs in the category Gastroenterology
Has contraindications. Needs specialist overview.