País: Indonésia
Língua: indonésio
Origem: Badan Pengawas Obat dan Makanan RI - Indonesian Food and Drug Supervisory Agency
DUS, 2 BLISTER @ 14 TABLET SALUT SELAPUT
2022-12-31
3 Sep 2022 1 SITAGLIPTIN HYDROCHLORIDE MONOHYDRATE FILM COATED TABLET COMPOSITIONS : SITAGLIPTIN HYDROCHLORIDE MONOHYDRATE Film coated tablet 50 mg, each film coated tablet contains : Sitagliptin hydrochloride monohydrate 56.687 mg equivalent with Sitagliptin 50 mg. SITAGLIPTIN HYDROCHLORIDE MONOHYDRATE Film coated tablet 100 mg, each film coated tablet contains : Sitagliptin hydrochloride monohydrate 113.374 mg equivalent with Sitagliptin 100 mg. PHARMACOLOGY : _MECHANISM OF ACTION_ : Sitagliptin is a DPP-4 inhibitor, which is believed to exert its action in patients with type 2 diabetes by slowing the inactivation of incretin hormones. Concentrations of the active intact hormones are increased by Sitagliptin Hydrochloride Monohydrate, thereby increasing and prolonging the action of these hormones. Incretin hormones, including glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), are released by the intestine throughout the day, and levels are increased in response to a meal. These hormones are rapidly inactivated by the enzyme, DPP-4. The incretins are part of an endogenous system involved in the physiologic regulation of glucose homeostasis. When blood glucose concentrations are normal or elevated, GLP-1 and GIP increase insulin synthesis and release from pancreatic beta cells by intracellular signaling pathways involving cyclic AMP. GLP-1 also lowers glucagon secretion from pancreatic alpha cells, leading to reduced hepatic glucose production. By increasing and prolonging active incretin levels, Sitagliptin hydrochloride monohydrate increases insulin release and decreases glucagon levels in the circulation in a glucose-dependent manner. Sitagliptin demonstrates selectively for DPP-4 and does not inhibit DPP-8 or DPP-9 activity in vitro at concentrations approximating those from therapeutic doses. PHARMACOKINETIC : This study was conducted using open label, randomized, two-periods, two-treatment, crossover study in fasting conditions with 7 (seven) days washed-out period betwe Leia o documento completo