I got a cortizone shot today and my blood sugar has risen over 12 hours from 120 to 284. They told me it might raise glucose. I don't take insulin. I found that max dose of glipizide is 15 mg twice a day. I usually take 2.5mg once a day with Januvia 100mg once a day. I want to know if anyone out there takes a higher dose of glipizide with Januvia as I would like to take some more to lower my glucose. Please don't tell me to go to a doc. i will do that if I do not find someone who does this. thanks in advance, jan
Checked on the Interactions Checker & found that:
Applies to: GlipiZIDE XL (glipizide), Januvia (sitagliptin)
ADJUST DOSE: Coadministration of a dipeptidyl peptidase-4 inhibitor with an insulin secretagogue (e.g., sulfonylurea, meglitinide) may potentiate the risk of hypoglycemia.
MANAGEMENT: A lower dosage of the insulin secretagogue may be required when used in combination with a dipeptidyl peptidase-4 inhibitor.
Regular tablets are available in two strengths: Glipizide 5mg & Glipizide 10mg.
Extended-release tablets are available in three strengths: Glipizide extended-release 2.5 mg; Glipizide extended-release 5 mg; Glipizide extended-release 10 mg.
I guess that you would have to seek medical advice, you could talk to the doc to adjust the dose or prescribe an alternate, I am diabetic to & on insulin, hope the info is of use to yourself?
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