Adjunct to diet & exercise or in combination w/ metformin, sulfonylurea, PPARγ agonist, metformin & sulfonylurea, metformin & PPARγ agonist, & insulin, to improve glycemic control in patients w/ type 2 DM.
Monotherapy or combination therapy 100 mg once daily. Patient w/ mild renal impairment (eGFR ≥60 mL/min/1.73 m2 to <90 mL/min/1.73 m2) 100 mg once daily. Patient w/ moderate renal impairment (eGFR ≥45 mL/min/1.73 m2 to <60 mL/min/1.73 m2) 100 mg once daily, (eGFR ≥30 mL/min/1.73 m2 to <45 mL/min/1.73 m2) 50 mg once daily. Patient w/ severe renal impairment (eGFR ≥15 mL/min/1.73 m2 to <30 mL/min/1.73 m2) or ESRD (eGFR <15 mL/min/1.73 m2), including those requiring hemodialysis or peritoneal dialysis 25 mg once daily & may be administered w/o regard to timing of dialysis.
Discontinue use if hypersensitivity occurs; pancreatitis or bullous pemphigoid is suspected. Not to be used in patients w/ type 1 diabetes or for diabetic ketoacidosis. Reports of acute pancreatitis including fatal & non-fatal hemorrhagic or necrotizing pancreatitis. Hypoglycemia in combination w/ sulfonylurea or w/ insulin. Patients w/ renal impairment. Not recommended in pregnancy. Not to be used by nursing woman. Safety & effectiveness in ped patients <18 yr have not been established. Elderly.