Linagliptin is an inhibitor of DPP-4, an enzyme that degrades the incretin hormones glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide(GIP). Thus, linagliptin increases the concentrations of active incretin hormones, stimulating the release of insulin in a glucose-dependent manner and decreasing the levels of glucagon in the circulation.
in patients with a history of a hypersensitivity reaction to linagliptin, such as urticaria, angioedema, or bronchial hyper-reactivity.
懷孕分類
B
哺乳分類
Excretion in breast milk unknown/use caution
副作用
Hypoglycemia (combined with metformin and/or sulfonylurea [15% to 23%]; monotherapy [<1% to 7%]; metformin [<1%], pioglitazone [<1%]);Nasopharyngitis, arthralgia, back pain, headache, and hypersensitivity.
劑量和給藥方法
Adults: 5 mg once daily (with or without food). Children: Safety and effectiveness have not been established. In Elderly, Renal function impairment, or Hepatic function impairment patients: No dose adjustment is recommended.