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Onglyza
Onglyza (saxagliptin) is a prescription medication for managing Type 2 diabetes mellitus. It comes from the DPP-4 inhibitor class, increasing insulin production and decreasing glucagon release to regulate blood sugar levels. Available in 2.5 mg and 5 mg tablets, it is typically taken once daily, with or without food. Common side effects include respiratory and urinary tract infections, headache, and joint pain. Serious risks include pancreatitis and heart failure. Dosage adjustments may be needed for renal impairment or specific drug interactions. Consult a healthcare provider for personalized advice and follow safety guidelines.
Product Overview
Onglyza (saxagliptin) is a prescription medication used to manage Type 2 diabetes mellitus. It belongs to a class of drugs known as dipeptidyl peptidase-4 (DPP-4) inhibitors, which increases levels of incretin hormones to enhance insulin production and decrease glucagon release, thereby regulating blood sugar levels. Onglyza is available in tablet form with strengths of 2.5 mg and 5 mg and is usually taken once daily, with or without food.
The medication is generally well-tolerated, but common side effects include upper respiratory and urinary tract infections, headache, and joint pain. Serious side effects may include pancreatitis, heart failure, hypoglycemia, severe joint pain, and bullous pemphigoid. It is contraindicated in patients with a history of severe allergic reactions to saxagliptin and those with diabetic ketoacidosis.
Dosage adjustments may be necessary for patients with renal impairment or when coadministered with strong CYP450 3A4/5 blockers. Onglyza should be used with caution in patients with a history of pancreatitis, heart disease, or gallstones. Stored this medication at room temperature, away from light and moisture, and out of reach of children and pets. Follow the prescribed dosage and safety guidelines.
Uses of Onglyza
- Used to treat type 2 diabetes mellitus
- Sometimes used in combination with other diabetic medications
How to Use Onglyza?
Dosage
Strengths and Forms
tablet
- 2.5mg
- 5mg
Recommended Dosage for Different Patients
Type 2 Diabetes Mellitus:
- Take 2.5-5 mg by mouth once daily.
Dosage Adjustments:
- The dosage might require reduction if taken alongside sulfonylurea or other insulin-secreting medicine.
- When taken with strong CYP450 3A4/5 inhibitors, please do not exceed 2.5 mg by mouth once daily.
Renal Impairment:
- If creatinine clearance (CrCl) is 50 mL/min or higher: No dosage adjustment is
needed.
- If CrCl is less than 50 mL/min: Do not exceed 2.5 mg by mouth once daily.
- If undergoing hemodialysis for end-stage renal disease (ESRD): Do not exceed 2.5 mg by mouth once daily, taken after dialysis.
- If undergoing peritoneal dialysis for ESRD: Not studied, so dosage is not specified.
For those under 18 years old: The safety and effectiveness of this medication have not been determined.
[Note: Remember these recommendations may vary depending on person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]
How to Take It?
Follow your doctor’s instructions: Take Onglyza precisely as prescribed by your healthcare provider. Do not change your dose or stop taking the medication without consulting your doctor.
Dosage: The typical dose of Onglyza is 2.5 mg or 5 mg, taken once daily. Your doctor will determine the correct dose for you based on your medical condition and response to treatment.
Take with or without food: You can take Onglyza with or without food. Choose a convenient time to take the medication daily to help you remember.
Swallow the tablet whole: Do not crush, chew, or break the tablet. Swallow it whole with a glass of water.
Regular monitoring: Your doctor may regularly check your blood sugar levels and adjust your medication as needed to ensure optimal control of your diabetes.
[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]
How Does Onglyza Work?
Onglyza (saxagliptin) works by blocking an enzyme known as dipeptidyl peptidase-4 (DPP-4). This enzyme is responsible for breaking down incretin hormones, such as glucagon-like peptide-1 (GLP-1) & glucose-dependent insulinotropic polypeptide (GIP), which are released by the intestines following food consumption.
By inhibiting DPP-4, Onglyza increases the levels of these incretin hormones in the body. GLP-1 and GIP enhance the production and release of insulin from the pancreas when blood sugar levels are high. They also decrease the release of glucagon, a hormone that raises blood sugar levels. The combined effect of increased insulin and reduced glucagon leads to a reduction in blood sugar levels.
Important Safety Information
Side Effects
Common Side Effects
- Upper respiratory tract infections (such as the common cold or sinusitis)
- Urinary tract infections
- Headache
- Joint pain
Adverse/Serious Side Effects
Pancreatitis (inflammation of the pancreas):
- Symptoms may include abdominal pain or tenderness, abdominal swelling, fever, upset stomach, and nausea or vomiting.
Heart Failure (a condition where the heart doesn’t pump blood effectively):
- Symptoms may include coughing, fatigue, shortness of breath, swelling in the abdomen, feet, or legs, ankles, and abrupt weight gain.
Hypoglycemia (low blood sugar), mainly when Onglyza is used with insulin or sulfonylureas like glipizide (Glucotrol XL):
- Symptoms may include dizziness, confusion, sweating, and headaches.
Severe Joint Pain:
- Symptoms may include joint pain that affects daily activities and difficulty moving or bending joints.
Bullous Pemphigoid (a severe skin condition):
- Symptoms may include itchiness, rash, and large blisters.
[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]
Warnings
Heart Failure
- Risk factors: History of heart failure or kidney problems.
- Clinical trials have shown a connection between DPP-4 inhibitor treatment and heart failure. Symptoms to watch for include shortness of breath, rapid or irregular heartbeat, fluid retention, weight gain, and chest pain. Contact your healthcare provider if you experience any heart failure symptoms while taking Onglyza.
Low Blood Sugar (Hypoglycemia)
- Risk factors: Changes in diet or exercise, alcohol consumption, other diabetes medications, being over 65, and liver or kidney issues.
- Onglyza, alone or with other diabetes medications, can lead to low blood sugar, which can be life-threatening. Symptoms include shakiness, nervousness, fast heartbeat, sweating, chills, confusion, drowsiness, weakness, and hunger. If you’re worried about low blood sugar, speak with your healthcare provider or pharmacist.
Joint Pain
- Onglyza contains a DPP-4 inhibitor, which can cause severe and disabling joint pain, occurring from one day to years after starting the medication. Contact your healthcare provider immediately if you experience joint discomfort.
Precautions
- Do not take Onglyza if you have a history of serious allergic reactions from saxagliptin or you find yourself experiencing diabetic ketoacidosis (seek medical treatment from your doctor).
- Before taking Onglyza, inform your doctor if you have:
- Gallstones
- Heart disease
- A history of alcoholism
- A history of pancreatitis
- High triglycerides (a type of fat in the blood)
- Kidney disease or are undergoing dialysis
- If you are pregnant or planning to become pregnant, follow your doctor’s advice on using Onglyza, as controlling diabetes is crucial during pregnancy to avoid complications for both the mother and the baby.
- Breastfeeding while using Onglyza may not be safe. Discuss any potential risks with your doctor.
- Onglyza is not approved for use in individuals under 18 years of age.
Onglyza Contraindications
Onglyza is contraindicated in patients who have had a severe allergic reaction to the medication, including anaphylaxis, swelling (angioedema), or severe skin reactions.
Missed Dose
If you have missed a dose of Onglyza, take it as soon as you remember. However, if it’s close to the time for your next dose, skip the missed medication dose and continue with your routine dosing schedule. Do not take a double dose of Onglyza to make up for the missed dose.
[Note: If you have missed a dose of your medication and are unsure about when to take the next one, immediately consult your doctor or pharmacist.]
Overdose
Signs of low blood sugar can include severe weakness, confusion, shaking, sweating, rapid heartbeat, difficulty speaking, nausea, vomiting, fast breathing, fainting, and seizures.
[Note: If you consumed more than recommended dose, get medical help right away, or call the Poison Help line at 1-800-222-1222.]
Storage
- Store Onglyza at room temperature in a dark and moisture-free space.
- Do not store it in the bathroom.
- Store your medicines away or hide from children and pets.
- Do not flush your medicine down the drain unless asked to.
- Properly dispose expired or unneeded medication. Consult your pharmacist or local waste disposal company for guidance.
[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]
Onglyza Interactions
- Insulin and Insulin Secretagogues (e.g., sulfonylureas like glipizide or glyburide): Using Onglyza with these medications can increase the risk of hypoglycemia (low blood sugar).
- Cytochrome P450 3A4/5 (CYP3A4/5) Inhibitors (e.g., ketoconazole, itraconazole, ritonavir, clarithromycin): These medications can increase the concentration of saxagliptin in the blood, potentially increasing the risk of side effects.
- Cytochrome P450 3A4/5 (CYP3A4/5) Inducers (e.g., rifampin, phenytoin, carbamazepine, St. John’s Wort): These medications can decrease the concentration of saxagliptin in the blood, potentially reducing its effectiveness.
- Thiazolidinediones (e.g., pioglitazone, rosiglitazone): When used with Onglyza, there may be an increased risk of heart failure.
- Beta-Blockers (e.g., metoprolol, propranolol): These medications can mask the symptoms of hypoglycemia, making them harder to recognize.
- Digoxin: Onglyza may slightly increase the levels of digoxin in the blood.
[Note: This isn’t a complete list, and there could be other drugs that interact with Onglyza. Make sure to tell your doctor any prescription, over-the-counter medicines, and herbal products you’re taking.]
Onglyza Alternatives
- Januvia (sitagliptin)
- Tradjenta (linagliptin)
- Invokana (canagliflozin)
- Farxiga (dapagliflozin)
- Jardiance (empagliflozin)
- Ozempic (semaglutide)
- Bydureon BCise, Byetta (exenatide)
- Victoza (liraglutide)
- Trulicity (dulaglutide)
- Glucotrol XL (glipizide)
- Amaryl (glimepiride)
- Levemir (insulin detemir)
- Tresiba (insulin degludec)
- Basaglar, Lantus, Toujeo (insulin glargine)
[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]
Frequently Asked Questions
How quickly does Onglyza (saxagliptin) begin to take effect?
Onglyza starts to take effect as soon as you take a dose. However, it might take several weeks to notice a significant change in your blood sugar levels. This delay is because Onglyza works best when combined with a proper diet and exercise regimen. It takes time for your body to adapt to these lifestyle changes and for the medication to enhance insulin release effectively.
Can you consume alcohol while taking Onglyza (saxagliptin)?
Consult with your healthcare provider before consuming alcohol while on Onglyza (saxagliptin). Alcohol can impact blood sugar levels in individuals with diabetes. To reduce the risk of low blood sugar, avoid drinking alcohol on an empty stomach or after physical activity.
Can I share Onglyza (Saxagliptin) Tablets with others?
It is crucial not to share this medication with others. Each prescription is tailored to an individual’s specific condition and needs. Sharing drugs can lead to serious health risks for the person who is not prescribed. It is essential to strictly adhere to the prescribed dosage and usage guidelines provided by your healthcare professional.
Is it safe to buy Onglyza online from Canada?
Yes, it is safe to buy Onglyza online from Canada. The FDA allows consumers to purchase medications from Canadian online pharmacies and import them into the U.S. under the same regulations that govern bringing drugs across the border. When considering the cost of Onglyza 5 mg or Onglyza 2.5 mg tablet price, it’s essential to ensure you are using a reputable online pharmacy to guarantee the authenticity and quality of the medication. Always prioritize licensed and verified sources like Polar Bear meds to maintain your health and safety while purchasing.
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