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Vildagliptin

Vildagliptin is an oral anti-hyperglycemic agent of the new dipeptidyl peptidase-4 inhibitor class of drugs More

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Description

Vildagliptin is an oral anti-hyperglycemic agent of the new dipeptidyl peptidase-4 inhibitor class of drugs

Generic Name

Vildagliptin

Chemical names

Vildagliptin; Galvus; Xiliarx; Jalra

Brand names

Galvus, Galvusmet, Jalra, Jalra-M, Zomelis, Zomelis-Met

IUPAC name

(2S)-1-{2-[(3-hydroxyadamantan-1-yl)amino]acetyl}pyrrolidine-2-carbonitrile

Pharmacokinetics

Absorbed by oral, >90% oral bioavailability.

Actions

It is an oral antidiabetic agent, appears to be safe, very well tolerated, and efficacious. Following a meal, gut incretin hormones are released. The most important incretion hormones are GLP-1 and glucose-dependent insulinotropic polypeptide (GIP). These hormones, secreted in the human small intestine, are responsible for insulin release due to increased glucose levels. This drug enhance the ability of GLP-1's to produce insulin in response to elevated concentrations of blood glucose, slow the rate of nutrient absorption into the bloodstream, inhibit the release of glucagon following meals, slow the rate of gastric emptying, and reduce food intake. Vildagliptin inhibits dipeptidyl peptidase-4 (DPP-4). This in turn inhibits the inactivation of GLP-1 by DPP-4, allowing GLP-1 to potentiate the secretion of insulin in the beta cells. 

Dosage/Dosage form

50mg twice daily-PO

Therapeutic uses

Used to reduce hyperglycemia in type 2 diabetes mellitus

Adverse effects/Side effects

Hypoglycemia, weight gain, fatigue, risk of foot ulcers, headache, skin blisters, tremors, dizziness, and fluid retention. 

Interaction

This drug interacts with thyroid hormones, ACE inhibitors, sulphonylureas, thiazide-like diuretics, corticosteroids and sympathomimetic drugs.

Contraindications

This is contraindicated in patients with type-1 diabetes, severe hepatic disorders, dialysis-dependent severe renal disorders and diabetic ketoacidosis. 

Storage

Store at 25 to 30°C

Information

Molecular weight

303.3993

Molecular formula

C17H25N3O2

CAS number

274901-16-5

Precautions

  • Monitor LFTs and blood glucose levels while taking Vildagliptin.
  • Do not operate heavy machineries and do not drive vehicles while taking Vildagliptin, this may cause serious dizziness or fatigue.
  • Renal impairment.