Which drugs are DPP-4 inhibitors?

Medicines in the DPP-4 inhibitor class include sitagliptin, saxagliptin, linagliptin, and alogliptin. They are available as single-ingredient products and in combination with other diabetes medicines such as metformin (see Table 1 in the Safety Announcement section for a complete list of FDA-approved DPP-4 inhibitors).

Which is the best DPP-4 inhibitor?

“Of the three DPP-4 inhibitors, sitagliptin appears to have the safest cardiovascular profile,” states Dr Scirica.

What is the function of DPP-4?

DPP4 is a multifunctional enzyme, which serves as a binding partner for numerous peptides, among which are adenosine deaminase (ADA) and extracellular matrix proteins (2, 6, 7). Moreover, as a serine protease, DPP4 cleaves numerous substrates, which further amplifies its complexity of action.

What do DPP-4 inhibitors do?

DPP-4 inhibitors lower blood sugar by helping the body increase the level of the hormone insulin after meals. Insulin helps move sugar from the blood into the tissues so the body can use the sugar to produce energy and keep blood sugar levels stable.

Which Gliptin is safe in renal failure?

Present evidence suggests that linagliptin and teneligliptin can be used safely without dose adjustments in patients with T2DM with renal impairment, including End Stage Renal Disease (ESRD). There is a limited data about teneligliptin particularly in T2DM patients with renal impairment.

How does DPP-4 inhibitors work?

DPP-4 inhibitors work by blocking the action of DPP-4, an enzyme which destroys the hormone incretin. Incretins help the body produce more insulin only when it is needed and reduce the amount of glucose being produced by the liver when it is not needed.

Can GLP-1 be used with an DPP-4?

Conclusions: Concomitant use of once-weekly GLP-1 RAs and DPP-4 inhibitors provides only modest improvement in glycemic control with minimal weight loss benefits, which is similar to monotherapy with either agent. The combination is unlikely to provide synergistic effects and is not cost effective.

When do you use DPP-4 inhibitors?

All the DPP-4 inhibitors are administered orally, once daily, before or after meals.

Which is better vildagliptin or linagliptin?

Moreover, as far as we know, this study is the first to compare vildagliptin, sitagliptin, and linagliptin as add-on therapy for T2DM patients with background insulin treatment. And what is more, our results indicate that vildagliptin is more effective in decreasing HbA1c.

Which one is better sitagliptin or vildagliptin?

The reason for the differences in drug efficacy (mean blood glucose level and MAGE) observed in this study is considered to be that sitagliptin 50 mg daily results in less than 70% suppression of DPP-4 activity over 24 h [20] whereas vildagliptin 50 mg twice daily results in 80% or greater suppression of DPP-4 activity …