Adjunct to diet & exercise to improve glycemic control in adults w/ type 2 DM. Monotherapy or in combination w/ metformin as initial therapy in treatment-naive patients w/ inadequate glycemic control by diet & exercise; in patients w/ inadequate glycemic control w/ max tolerated metformin dose alone. In combination w/ metformin & sulfonylurea in patients w/ inadequate glycemic control w/ max tolerated metformin dose & sulfonylurea dual therapy; w/ insulin (w/ or w/o metformin) in patients w/ inadequate glycemic control w/ insulin alone or insulin & metformin dual therapy; w/ dapagliflozin & metformin in patients w/ inadequate glycemic control w/ dapagliflozin & metformin dual therapy.
View Zemiglo overdosage for action to be taken in the event of an overdose.
Administration
May be taken with or without food.
Contraindications
History of serious hypersensitivity reactions ie, angioedema or anaphylaxis to another dipeptidyl peptidase-4 (DPP-4) inhibitor. Type 1 diabetes or diabetic ketoacidosis.
Discontinue use if severe hypersensitivity reaction occurs; pancreatitis, bullous pemphigoid are suspected. Not recommended in patients w/ NYHA class II-IV cardiac status. History of pancreatitis; severe & disabling arthralgia; NYHA class I cardiac status. May cause allergic reactions due to sunset yellow FCF. Hypoglycemia w/ sulfonylurea or insulin. May affect ability to drive & use machines. Severe hepatic impairment. Not recommended during pregnancy. Not to be used during lactation. Childn & adolescents <18 yr. Elderly.