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METFORMIN+SITAGLIPTIN is a combination drug of Sitagliptin (DPP4 inhibitors) and Metformin (Biguanides), belonging to the class of anti-diabetic. Type 2 diabetes is a condition in which either the body stops producing enough insulin (the hormone which helps to decrease sugar levels in the blood), or there is resistance to the action of insulin. As a result, insulin is produced in large amounts, but it cannot act on the body's organs.

Sitagliptin belongs to the class of dipeptidyl peptidase-4 (DPP-4) inhibitors that work by increasing the amounts of certain natural substances that lower blood sugar when it is high. Another medicine, Metformin, belongs to the class of biguanides that lower glucose production in the liver, delay glucose absorption from the intestines, and increase the body's sensitivity to insulin. Thus METFORMIN+SITAGLIPTIN controls blood glucose levels from rising to very high after meals.

METFORMIN+SITAGLIPTIN should be taken with food to avoid an upset stomach. METFORMIN+SITAGLIPTIN should be taken at the same time of the day each time for best results. For better advice, your doctor will decide what dose should be taken, and it can change in time depending on your condition. The most common side effect of METFORMIN+SITAGLIPTIN is hypoglycemia (low blood glucose levels) characterised by dizziness, sweating, palpitations, hunger pangs, dry mouth and skin etc. So, to avoid hypoglycemia, you should not miss meals and also should carry some form of sugar along with you. Other side effects include taste change, nausea, diarrhoea, stomach pain, headache, and upper respiratory symptoms.

METFORMIN+SITAGLIPTIN should not be stopped even if you feel better, without consulting the doctor as your sugar level keeps changing. If you stop taking METFORMIN+SITAGLIPTIN abruptly, it may increase your sugar levels, which could further increase the risk of eyesight loss (retinopathy), kidney (nephropathy) and nerve damage (neuropathy). METFORMIN+SITAGLIPTIN should not be taken if you have type 1 diabetes mellitus or severe kidney or liver disease. Please inform your doctor if you have any type of heart disease, are planning to get pregnant or are breastfeeding.


Type 2 Diabetes Mellitus

Medicinal Benefits

METFORMIN+SITAGLIPTIN helps the pancreas produce more insulin, effectively utilise insulin, and decrease the excess sugar the liver makes. It helps control the rise of blood sugar levels after a meal. Besides this, it does not cause weight gain in the prolonged use. METFORMIN+SITAGLIPTIN plays a vital role in controlling blood sugar levels. It prevents serious complications of diabetes like eyesight loss (retinopathy), kidney (nephropathy), nerve damage (neuropathy), diabetic foot ulcer and delayed wound healing.

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it.


Store in a cool and dry place away from sunlight


  • Low blood sugar

  • Runny nose

  • Sore throat

  • Upper lung infection

  • Diarrhoea

  • Nausea

  • Vomiting

  • Gas

  • Stomach upset

  • Indigestion

  • General weakness

  • Headache

In-Depth Precautions and Warning

Drug Warnings

METFORMIN+SITAGLIPTIN should not be used in patients with type 1 diabetes or with diabetic ketoacidosis. Some diabetic patients, while taking METFORMIN+SITAGLIPTIN, might develop a rare but serious condition called lactic acidosis. In this condition, too much lactic acid is accumulated in the blood, which can damage the working of your liver and kidneys, which are required to eliminate excess lactic acid from the blood. Before you start taking METFORMIN+SITAGLIPTIN, tell your doctor if you’ve ever had pancreatitis (inflammation of the pancreas), kidney disease, and low vitamin B12 levels. METFORMIN+SITAGLIPTIN, when used with insulin, METFORMIN+SITAGLIPTIN may lower the blood sugar level, leading to hypoglycaemia, which can be fatal. In this case, your doctor may adjust the dose by lowering the insulin dose or METFORMIN+SITAGLIPTIN. Prolonged intake of METFORMIN+SITAGLIPTIN may lower your thyroid-stimulating hormone (TSH); hence, an annual check-up of TSH is recommended. In rare cases, you may also develop a serious skin reaction known as bullous pemphigoid that requires immediate medical attention. Tell your doctor if you will have a diagnostic test with an injection of dye or X-ray contrast agent. You should stop using METFORMIN+SITAGLIPTIN briefly before an X-ray procedure.

Drug Interactions

Drug-Drug Interactions: METFORMIN+SITAGLIPTIN interacts with an anti-depressant (bupropion), drugs used to treat glaucoma, antibiotics (cephalexin, ciprofloxacin), anti-acidity drugs (cimetidine), heart condition drugs (digoxin), anti-HIV drugs (dolutegravir), ethanol, saliva reducing drugs (glycopyrrolate), iodinated X-ray contrast agents, anti-epileptic drugs (topiramate, lamotrigine), heart-related chest medicine (ranolazine). Other drug interactions can contribute to increased low blood sugar, including sex hormones (androgens), anti-oxidants (alpha-lipoic acid), pain killers (aspirin), anti-TB drugs (prothionamide), growth hormones (pegvisomant), and other antidiabetic medicines.

Drug-Food Interactions: Intake of excessive alcoholic beverages may increase the chance of a life-threatening condition known as Lactic Acidosis. So, avoid intake of alcoholic beverages with METFORMIN+SITAGLIPTIN.

Drug-Disease Interactions: People affected with heart diseases (like congestive heart failure and myocardial infarction), Vitamin B12 deficiency, and alcoholism should avoid intake of METFORMIN+SITAGLIPTIN.

Drug-Drug Interactions Checker List:

  • Safety Advice

    • Safety Warning



      Avoid consumption of alcohol while on treatment with METFORMIN+SITAGLIPTIN.

    • Safety Warning



      METFORMIN+SITAGLIPTIN is only recommended during pregnancy when the benefit outweighs the risk. Please consult your doctor before starting METFORMIN+SITAGLIPTIN if you are pregnant or planning to conceive.

    • Safety Warning

      Breast Feeding


      Consult your doctor; METFORMIN+SITAGLIPTIN should be used in breastfeeding mothers only if the benefits outweigh the risks.

    • Safety Warning



      Drive only if you are physically stable and mentally focussed, If you experience drowsiness after taking these medications you should not drive or operate any machinery or vehicles.

    • Safety Warning



      If you have or have a history or evidence of any liver-related diseases, please consult the doctor before taking medicine.

    • Safety Warning



      If you have or had a history or evidence of any kidney-related diseases, please consult the doctor before taking medicine.

    • Safety Warning



      It is advisable to consult a doctor before using it.

    Habit Forming


    Diet & Lifestyle Advise

    • Include starchy veggies, proteins, and whole grains in your diet.
    • Eat at regular intervals. Do not take a long gap between a meal or snack.
    • Monitor your blood sugar level regularly.
    • In case you feel that your blood sugar level is going down and you are feeling weak, immediately eat sugar candies or drink sugary beverages. It will help to balance the blood sugar level in your body. So, it is advisable to keep sugar candies with you.
    • Invest in at least 150 min of moderate-intensity physical activity or one hour and 15 minutes of high-intensity exercise every week.
    • Lose weight gradually to achieve a healthy body mass index (18.5 to 24.9).
    • Replace refined carbohydrate-containing foods with whole grain foods and increase the intake of fruits, veggies, and other fibre-enriched foods.
    • Reduce intake of saturated fat (or hidden fats) in food like chips, crisps, pastries, biscuits, and samosas. Choose omega-3 fatty acid-containing oils for daily cooking. For frying, you can use palm oil, mustard oil, groundnut oil, rice bran oil, and safflower oil.
    • Do not take stress as it may elevate your blood sugar level. You can adopt stress management techniques like mindfulness to control stress-related blood sugar changes.
    • Opt for low-fat dairy products (low-fat yoghurt, fat-free milk, cheese, etc.).
    • Keep your blood pressure as normal (140/90) as possible. As it reduces the risk of cardiovascular diseases in diabetes patients.

    Patients Concern

    Disease/Condition Glossary

    Type 2 diabetes is a condition where the body cannot make sufficient insulin, or the insulin it makes doesn't work properly or is utilized by our body. This can cause high blood sugar levels (hyperglycaemia). Symptoms of type 2 diabetes include increased thirst, frequent urination at night, slow wound healing, increased hunger, fatigue, and blurred vision. In some cases, there may be weight gain, while in rare cases, weight loss may be observed. The complication of type 2 diabetes also includes neuropathy (nerve problems), nephropathy (kidney problems), retinopathy (damaged retina of eyes or blindness), loss of limbs, sexual dysfunction, and an increase in the chance of heart attack or stroke.



    Sitagliptin belongs to the class of dipeptidyl peptidase-4 (DPP-4) inhibitors, which increase the amounts of certain natural substances that lower blood sugar when it is high. Another medicine, Metformin, belongs to the class of biguanides, which lowers glucose production in the liver, delays glucose absorption from the intestines and increases the body's sensitivity to insulin. Together, it prevent blood glucose levels from rising to very high after meals.

    What are the signs of diabetes?

    Increased hunger, increased thirst, frequent urination (usually at night), unexplained weight loss, fatigue, blurred vision, slow wound/sores healing, and frequent infections are the signs of type 2 diabetes. Please consult your doctor if you notice such symptoms.

    Is METFORMIN+SITAGLIPTIN used for the treatment of type 1 diabetes?

    No. METFORMIN+SITAGLIPTIN is only prescribed for the treatment of type 2 diabetes, also called 'non-insulin-dependent diabetes'.

    Available Medicines for