Description
Citanorm tablets
Sitagliptin, in the form of phosphate monohydrate, is an oral medication used in the treatment of type 2 diabetes as a monotherapy and combination therapy. At Kish Medipharm Pharmaceutical Company, Citanorum tablets or sitagliptin 25 mg, 50 mg and 100 mg are produced and supplied in the form of coated tablets. The mechanism of action of Citanorum tablets is that it works by inhibiting the enzyme DPP-4 (dipeptidyl peptidase-4) and helps increase the amount of incretins in the human body. Incretins are actually the same hormones that increase insulin production and reduce glucagon release, both of which also help reduce blood sugar.
Sitagliptin tablets are prescribed as an adjunct to diet and exercise to improve blood sugar control in adults with type 2 diabetes.
Uses of Citanorm tablets
As mentioned, Citanorum (sitagliptin) tablets are a therapeutic solution for controlling and improving type 2 diabetes. This pharmaceutical product is also prescribed by a specialist doctor as an adjunct to treatment. Below, we have examined some of the uses of sitagliptin tablets:
Monotherapy use of Citanorum tablets for the treatment of type 2 diabetes
Medicine Sitagliptin is prescribed to treat type 2 diabetes. Type 2 diabetes is a serious condition in which the body does not use insulin properly or does not produce enough of it. By inhibiting the enzyme DPP-4, SitaNorm increases the levels of incretins. Incretins are hormones that are produced after eating and increase insulin production and decrease glucagon production. This mechanism of action also helps reduce blood sugar levels and provides better control over type 2 diabetes.
Reducing fasting and post-meal blood sugar levels
Another use of Citanorum tablets is to reduce fasting blood sugar levels. In fact, sitagliptin reduces blood sugar levels in the body by increasing the levels of incretin hormones, which stimulate insulin secretion in response to meals. Citanorum tablets help improve fasting blood sugar control and also reduce blood sugar peaks after meals. By reducing these fluctuations, the patient can have better control over diabetes and reduce the risks of high blood sugar. This control is especially important for avoiding long-term complications of diabetes such as heart, kidney and nerve problems. The benefits of Citanorum tablets include: effective reduction of blood sugar, improved control of hemoglobin A1c, good safety and good tolerability. Also, taking this pharmaceutical product will be effective in improving blood sugar control in people who do not respond well to diet and exercise.
Blood sugar control with a combination of sitagliptin and metformin or sulfonylureas
Sometimes, at the discretion of the treating physician, if metformin or sulfonylureas do not provide adequate control of blood sugar levels, Citalopram or sitagliptin tablets can be used as a combination therapy. The synergy and combination of these types of drugs can have complementary effects and help to better control blood sugar. Citalopram helps to improve blood sugar control by increasing insulin production and reducing glucagon production, and metformin helps to reduce glucose production in the liver and increase insulin sensitivity. This combination therapy is often useful and effective in patients who do not respond to monotherapy.
The miracle of insulin with Citanorm tablets
The synergy of sitagliptin and insulin tablets is recommended for patients who cannot achieve adequate blood sugar levels with insulin alone. Citalopram increases insulin secretion and increases the amount of insulin in the blood, reducing the dose of insulin and reducing the risk of diabetic complications. Remember that the simultaneous use of these two medicinal products requires careful adjustment of the insulin dose to prevent severe drops in blood sugar (hypoglycemia). The attending physician may adjust the insulin dose based on the patient's response to Citalopram tablets and blood sugar control. Also, routine monitoring of blood sugar levels is very important to ensure proper control and prevent hypoglycemia.
Contraindications for using Citanorum tablets | Sitagliptin
Although medicines are produced to treat and improve specific diseases, they are not suitable for everyone and are recommended by the treating physician depending on the individual's health conditions, age, gender, severity of the disease, medications used, and individual sensitivities. Taking Citanorum is no exception to this rule and is not suitable for everyone. Below are some contraindications for using sitagliptin tablets:
- Due to the need to adjust the dosage based on renal function, it is recommended that renal function be monitored in patients with mild, moderate, and severe renal failure before taking the drug and periodically during the treatment period.
- Patients with a history of severe hypersensitivity to sitagliptin, such as anaphylaxis and angioedema, should be closely monitored by a physician when taking this medication.
- Severe skin peeling, including Stevens-Johnson syndrome, is another contraindication to the use of sitagliptin tablets.
- Acute or chronic metabolic acidosis, including diabetic ketoacidosis, is a specific condition that can cause problems when taken with Citalopram.
- Heart attacks, severe infections, or heart attacks can have unwanted and irreversible complications if taken simultaneously with sitagliptin tablets.
- Patients with type 1 diabetes or diabetic ketoacidosis, people who have had surgery, or people with acute pancreatitis should use an alternative medication instead of Citalopram, as determined by their doctor.
Side effects of sitagliptin | Citanorum tablets
Side effects usually occur for various reasons and are mild, moderate, and severe. It is very important to pay attention to the symptoms that occur after taking the medication, and failure to address these issues may lead to irreparable risks. The most common side effects of taking Citalopram or sitagliptin include the following:
- Headache
- Peripheral edema
- Nasopharyngitis
- Indigestion
- Hypoglycemia
- Fungal skin infection
- Nausea and vomiting
- Bloating, diarrhea, and abdominal pain
- Upper respiratory tract infection
- Severe apathy and loss of appetite
- Recurrence or worsening of kidney function and pancreatitis
Drug interactions of Citanorm tablets
One of the most important things to remember when visiting any doctor is to disclose your current health conditions and medications. Drug interactions usually result in changes in drug metabolism, changes in absorption and excretion of the drug, effects on electrolyte balance, and pharmacokinetic and pharmacodynamic interactions. Citanorm tablets may also interact with the following medications:
- Selective serotonin reuptake inhibitor (SSRI) antidepressants such as fluoxetine, paroxetine, sertraline, and escitalopram
- Selective serotonin-norepinephrine reuptake inhibitor (SNRI) antidepressants, such as venlafaxine and doxepin
- Tricyclic antidepressants (TCAs) such as imipramine, clomipramine, amitriptyline
- Medicines Anti Inflammatory Non Steroid (NSAIDs) Such as ibuprofen, naproxen, diclofenac
- Medicines Anti Coagulation Blood Such as warfarin, rivaroxaban, apixaban
- Medicines Anti Fungal such as ketoconazole, itraconazole, voriconazole
- Corticosteroids such as prednisolone and dexamethasone
- Liver enzyme inhibitors (CYP3A4/5)
- Diuretics (water pills)
- Grapefruit and grapefruit juice
- Other antidiabetic drugs
- Birth control pills
- Alcohol and its derivatives
- Digoxin
- Insulin
Important points about Citanorum
Remember, although some medications may seem safe and harmless, it is important to read the box and leaflet carefully before taking any medication. Below are some important points to keep in mind before and while taking sitagliptin tablets:
- If you have liver disease, kidney dysfunction, cardiovascular disease, a history of alcohol and its derivatives, high triglycerides, pancreatitis, gallstones, and a history of angioedema, consult your doctor about how to take Citanorm tablets.
- If you are simultaneously using other blood sugar-lowering medications, including sulfonylureas and insulin, be sure to inform your doctor.
- Citalopram tablets can be taken with or without food. Do not chew sitagliptin tablets. Taking them with food may help reduce digestive side effects.
- The use of this medicinal product is not recommended for persons under the age of 18, and a doctor can recommend an alternative to Citanorm.
- If you plan to lose weight through dieting, be sure to do so under the supervision of a specialist, given the impact on blood sugar levels.
- If you miss a dose of Citanorm, take it as soon as you remember and do not double the dose. If it is almost time for your next dose, skip the missed dose and wait until it is time to take it.
- People who use Citanorm tablets should routinely and regularly monitor and check their blood sugar levels. They should share the results of their blood sugar status with their doctor. This will help the treating specialist to adjust the treatment in the best way.
- Drinking alcohol and its derivatives can increase the risk of hypoglycemia and make it more difficult to control blood sugar. It is best to avoid alcohol altogether or minimize it. Symptoms of severe low blood sugar include headache, weakness, excessive sweating, tremors, and confusion. If you experience these symptoms, you should take immediate action and go to the emergency room.
- Do not stop taking Citanorm tablets without consulting your doctor.
- Citanorm tablets should be stored below 30°C out of the reach of children.
Conclusion
One way to treat and control type 2 diabetes is to take Citanorum tablets, or sitagliptin tablets, which are also produced by Kish Medipharm. Sitagliptin tablets are produced in 25 mg, 50 mg, and 100 mg and are available in pharmacies across the country. It should be noted that this medicinal product is prescribed only upon the diagnosis of a specialist physician and can be considered as an adjunctive treatment. Remember that routine control of your blood sugar using a glucometer can help control and improve your treatment.
In addition to taking Citanorm tablets, having a healthy lifestyle, exercising, eating properly, quitting smoking and alcohol have a great impact on increasing your health and controlling blood sugar.
It should be noted that the above information is only intended to introduce the Citanorm tablet product and its important points, and should not be considered a substitute for the advice of a physician.
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