Vildalog contains Vildagliptin. Vildalog uses:

Vildalog is indicated as an adjunct to diet and exercise to improve glycemic control in patients with type 2 diabetes mellitus.

  • As monotherapy
  • In dual combination with Metformin, a Sulphonylurea, a Thiazolidinedione, or Insulin when diet, exercise and a single antidiabetic agent do not result in adequate glycemic control.
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Brand Name: Vildalog
Generic: Vildagliptin
Weight: 50.0 Mg
Type: Tablet
Therapeutic Class: Dipeptidyl Peptidase-4 (DPP-4) inhibitor
Manufacturer: WOCKHARDT LIMITED
Price: 135.15
Last Updated: 2020-11-21 18:15:00

Doses

Vildalog contains Vildagliptin 50.0 Mg. Vildalog doses

The recommended dose of Vildalog is-

  • 50 mg or 100 mg daily for monotherapy.
  • 50 mg twice daily (morning and evening) when used in dual combination with Metformin or a Thiazolidinedione;
  • 50 mg once daily in the morning when used in dual combination with a Sulphonylurea.

Vildalog may be taken with or without a meal. No dosage adjustment is required in the elderly, or in patients with mild renal impairment.

 

Side Effects

The majority of adverse reactions were mild and transient, not requiring treatment discontinuations. Rare case of hepatic dysfunction is seen. Clinical trials of up to and more than 2 years’ duration did not show any additional safety signals or unforeseen risks when use this drug.

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Introduction

Vildalog is a dipeptidyl peptidase-4 (DPP-4) inhibitor, which is believed to exert its actions in patients with type 2 diabetes by slowing the inactivation of incretin hormones. Incretin hormones, including glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), are released by the intestine throughout the day, and levels are increased in response to a meal. These hormones are rapidly inactivated by the enzyme, DPP-4. The incretins are part of an endogenous system involved in the physiologic regulation of glucose homeostasis. When blood glucose concentrations are normal or elevated, GLP-1 and GIP increase insulin synthesis and release from pancreatic beta cells by intracellular signaling pathways involving cyclic AMP. GLP-1 also lowers glucagon secretion from pancreatic alpha cells, leading to reduced hepatic glucose production. By increasing and prolonging active incretin levels, Vildalog increases insulin release and decreases glucagon levels in the circulation in a glucose-dependent manner.

Precaution

Caution should be exercised in patients aged 75 years and older due to limited clinical experience. It is recommended that Liver Function Tests (LFTs) are monitored prior to initiation of Vildalog, at three monthly intervals in the first year and periodically thereafter. If transaminase levels are increased, patients should be monitored with a second liver function evaluation to confirm the finding and be followed thereafter with frequent liver function tests until the abnormality (ies) return(s) to normal. If AST or ALT persist at 3 x ULN, Vildalog treatment should be stopped. Patients who develop jaundice or other signs of liver dysfunction should discontinue Vildalog. Following withdrawal of treatment with Vildalog and LFT normalization, treatment with Vildalog should not be reinitiated. Due to limited clinical experience, use with caution in patients with congestive heart failure of New York Heart Association (NYHA) functional class I–II, and do not use in patients with NYHA functional class III-IV. Vildalog is not recommended in patients with moderate to severe renal impairment.

Interaction

In pharmacokinetic studies, no interactions were seen with pioglitazone, metformin, glibenclamide, digoxin, warfarin, amlodipine, ramipril, valsartan or simvastatin. As with other oral antidiabetic medicinal products the glucose-lowering effect of Vildalog may be reduced by certain active substances, including thiazides, corticosteroids, thyroid products and sympathomimetics.

Pregnancy Lactation use

Pregnancy: There are no adequate data on the use of Vildalog in pregnant women; hence the potential risk for human is unknown.Lactation: It is not known whether Vildalog is excreted in human milk. Due to lack of human data, Vildalog should not be used during lactation.

Contraindication

Vildalog is contraindicated in patients with:

  • Hypersensitivity to the active substance or to any of the excipients
  • Patients with type 1 diabetes or for the treatment of diabetic ketoacidosis
Special Warning

Paediatric use: Vildalog is not recommended in patients 18 years of age

Acute Overdose

 

Interaction with other Medicine

 

Storage Condition

Store in a cool and dry place. Protect from light and moisture. Keep out of the reach of the children.

Vildalog Tablet price in India 135.15

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