Ertugliflozin and sitagliptin (Oral)
Medically reviewed on September 3, 2018
Commonly used brand name(s)
In the U.S.
Available Dosage Forms:
Therapeutic Class: Antidiabetic
Pharmacologic Class: Sodium Glucose Co-Transporter 2 Inhibitor
Uses For ertugliflozin and sitagliptin
Ertugliflozin and sitagliptin combination is used with proper diet and exercise to treat high blood sugar levels caused by type 2 diabetes.
Ertugliflozin works in the kidney to prevent absorption of glucose (blood sugar). This helps lower the blood sugar level. Sitagliptin helps to control blood sugar levels by increasing substances in the body that make the pancreas release more insulin. It also signals the liver to stop producing sugar (glucose) when there is too much sugar in the blood. Ertugliflozin and sitagliptin does not help patients who have insulin-dependent or type 1 diabetes. Type 1 diabetic patients must use insulin injections.
Ertugliflozin and sitagliptin is available only with your doctor's prescription.
Before Using ertugliflozin and sitagliptin
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For ertugliflozin and sitagliptin, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic reaction to ertugliflozin and sitagliptin or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Appropriate studies have not been performed on the relationship of age to the effects of ertugliflozin and sitagliptin combination in the pediatric population. Safety and efficacy have not been established.
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of ertugliflozin and sitagliptin combination in the elderly. However, elderly patients are more likely to have kidney problems, which may require caution in the dose for patients receiving ertugliflozin and sitagliptin combination.
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Interactions with Medicines
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking ertugliflozin and sitagliptin, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using ertugliflozin and sitagliptin with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Thioctic Acid
Using ertugliflozin and sitagliptin with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Interactions with Food/Tobacco/Alcohol
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other Medical Problems
The presence of other medical problems may affect the use of ertugliflozin and sitagliptin. Make sure you tell your doctor if you have any other medical problems, especially:
- Alcohol abuse, history of or
- Congestive heart failure, history of or
- Dehydration, severe or
- Pancreatic insulin deficiency, history of or
- Decrease in eating due to illness, surgery or
- Weakened physical condition—Use with caution. May cause side effects to become worse.
- Blood vessel disease or
- Diabetic foot ulcer or
- Leg amputation (leg removal surgery), history of or
- Neuropathy (nerve problem) of the leg—May increase the risk of leg amputations.
- Dehydration or
- Genital yeast (fungus) infection (eg, balanitis, balanoposthitis, vulvovaginitis), history of or
- Hypercholesteremia (high levels of cholesterol) or
- Hypotension (low blood pressure) or
- Hypovolemia (low blood volume) or
- Kidney disease or
- Pancreatitis, history of or
- Urinary tract infections (eg, pyelonephritis, urosepsis), history of—Use with caution. May make these conditions worse.
- Diabetic ketoacidosis or metabolic acidosis (high ketones and acid in the blood) or
- Kidney disease, moderate to severe or
- Patients receiving dialysis or
- Type I diabetes—Should not be used in patients with these conditions.
- Fever or
- Infection or
- Surgery or
- Trauma—Use with caution. These conditions may cause problems with blood sugar control.
Proper Use of ertugliflozin and sitagliptin
Take ertugliflozin and sitagliptin only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.
Ertugliflozin and sitagliptin should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor if you have any questions.
You may take ertugliflozin and sitagliptin with or without food.
Tell your doctor if you are on a low-salt or sodium diet.
Carefully follow the special meal plan your doctor gave you. This is the most important part of controlling your diabetes, and will help the medicine work properly. Exercise regularly and check your blood sugar as directed.
The dose of ertugliflozin and sitagliptin will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of ertugliflozin and sitagliptin. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
- For oral dosage form (tablets):
- For type 2 diabetes:
- Adults—At first, 1 tablet once a day, in the morning. Your doctor may increase your dose as needed and tolerated. However, the dose is usually not more than 15 milligrams (mg) of ertugliflozin and 100 mg of sitagliptin once a day.
- Children—Use and dose must be determined by your doctor.
- For type 2 diabetes:
If you miss a dose of ertugliflozin and sitagliptin, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Keep the medicine dry and in its original container.
Precautions While Using ertugliflozin and sitagliptin
It is very important that your doctor check your progress at regular visits, especially during the first few weeks that you take ertugliflozin and sitagliptin. Blood and urine tests may be needed to check for unwanted effects.
Using ertugliflozin and sitagliptin during the second and later part of a pregnancy can harm your unborn baby. If you think you have become pregnant while using ertugliflozin and sitagliptin, tell your doctor right away.
It is very important to follow carefully any instructions from your doctor about:
- Alcohol—Drinking alcohol may cause severe high blood sugar. Discuss this with your doctor.
- Other medicines—Do not take other medicines unless they have been discussed with your doctor. This especially includes nonprescription medicines such as aspirin, and medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems.
- Counseling—Other family members need to learn how to prevent side effects or help with side effects if they occur. Also, patients with diabetes may need special counseling about the changes in the dosing of their diabetes medicine that might occur because of lifestyle changes, such as changes in exercise, diet, and illness. Furthermore, counseling on contraception and pregnancy may be needed because of the problems that can occur in patients with diabetes during pregnancy.
- Travel—Keep a recent prescription and your medical history with you. Be prepared for an emergency as you would normally. Make allowances for changing time zones and keep your meal times as close as possible to your usual meal times.
- In case of emergency—There may be a time when you need emergency help for a problem caused by your diabetes. You need to be prepared for these emergencies. It is a good idea to wear a medical identification (ID) bracelet or neck chain at all times. Also, carry an ID card in your wallet or purse that says that you have diabetes and a list of all of your medicines.
Pancreatitis may occur while you are using ertugliflozin and sitagliptin. Check with your doctor right away if you have a sudden and severe stomach pain, chills, constipation, nausea, vomiting, loss of appetite, fever, or lightheadedness.
Dizziness, lightheadedness, or fainting may occur with ertugliflozin and sitagliptin. This is more common if you have kidney disease, low blood pressure, or if you are taking a diuretic (water pill). Drinking plenty of fluids each day may help. Drink plenty of water during exercise or in hot weather. Check with your doctor if you have severe nausea, vomiting, or diarrhea that does not stop. This may cause you to lose too much water.
Ketoacidosis (high ketones and acid in the blood) may occur while you are using ertugliflozin and sitagliptin. This can be life-threatening and requires immediate medical attention. Your doctor may give you insulin, fluid, and carbohydrate replacement to treat this condition. Tell your doctor right away if you have nausea, vomiting, trouble breathing, increased thirst or urination.
Check with your doctor right away if you have bloody urine, decrease in how much or how often you urinate, an increase in blood pressure, increased thirst, loss of appetite, lower back or side pain, nausea, swelling of the face, fingers, or lower legs, trouble breathing, unusual tiredness or weakness, vomiting, or weight gain. These could be symptoms of a serious kidney problem.
Ertugliflozin and sitagliptin may increase your risk of having urinary tract infections, including pyelonephritis or urosepsis. Check with your doctor right away if you have bladder pain, bloody or cloudy urine, difficult, burning, or painful urination, or lower back or side pain.
Ertugliflozin and sitagliptin may increase your risk of having lower leg or toe amputation (leg removal surgery). Check with your doctor right away if you have pain, tenderness, sores or ulcers, or infections on your leg or foot.
Check with your doctor right away if you have more than one of these symptoms: chest pain, decreased urine output, dilated neck veins, extreme fatigue, irregular breathing, irregular heartbeat, shortness of breath, swelling of the face, fingers, feet, or lower legs, tightness in the chest, trouble breathing, or weight gain. These may be signs of heart failure.
Ertugliflozin and sitagliptin may cause hypoglycemia (low blood sugar). This is more common when ertugliflozin and sitagliptin is taken together with other diabetes medicines (eg, insulin, glipizide, or glyburide). Low blood sugar must be treated before it causes you to pass out (unconsciousness). People feel different symptoms of low blood sugar. It is important that you learn which symptoms you usually have so you can treat it quickly. Talk to your doctor about the best way to treat low blood sugar.
Hyperglycemia (high blood sugar) may occur if you do not take enough or skip a dose of your diabetes medicine, overeat or do not follow your diet plan, have a fever or infection, or do not exercise as much as usual. Some symptoms of high blood sugar include blurred vision, drowsiness, dry mouth, flushed and dry skin, a fruit-like breath odor, increased frequency and amount of urination, ketones in the urine, loss of appetite, nausea or vomiting, rapid and deep breathing, tiredness, or unusual thirst. If symptoms of high blood sugar occur, check your blood sugar level and call your doctor for instructions.
Ertugliflozin and sitagliptin may cause vaginal yeast infections in women and yeast infections of the penis in men. This is more common in patients who have a history of genital yeast infections or in men who are not circumcised. Women may have a vaginal discharge, itching, or odor. Men may have redness, itching, swelling, or pain around the penis, or a discharge with a strong odor from the penis. Check with your doctor right away if you have any of these symptoms.
Ertugliflozin and sitagliptin may cause serious allergic reactions, including anaphylaxis, angioedema, or certain skin conditions (Stevens-Johnson syndrome). These reactions can be life-threatening and require immediate medical attention. Call your doctor right away if you have a rash, itching, blistering, peeling, or loosening of the skin, fever or chills, trouble breathing or swallowing, or any swelling of your hands, face, mouth, or throat while you are using ertugliflozin and sitagliptin.
Ertugliflozin and sitagliptin may cause severe and disabling joint pain. Call your doctor right away if you have severe joint pain while using ertugliflozin and sitagliptin.
Ertugliflozin and sitagliptin may cause bullous pemphigoid. Tell your doctor if you have large, hard skin blisters while using ertugliflozin and sitagliptin.
Make sure any doctor or dentist who treats you knows that you are using ertugliflozin and sitagliptin. Ertugliflozin and sitagliptin may affect the results of certain medical tests (eg, urine glucose tests may not be accurate).
Limit the amount of alcohol you drink while you are using ertugliflozin and sitagliptin. Heavy alcohol use or binge drinking can increase your chances of serious side effects.
Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.
Ertugliflozin and sitagliptin Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
- blurred vision
- cold sweats
- cool, pale skin
- fast heartbeat
- increased hunger
- itching of the vagina or outside of the genitals
- loss of consciousness
- slurred speech
- unusual tiredness or weakness
- vaginal discharge without odor or with mild odor
- Bladder pain
- bloody or cloudy urine
- blurred vision
- decreased frequency or amount of urine
- difficult, burning, or painful urination
- discharge with a strong odor from the penis
- dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
- dry mouth
- frequent urge to urinate
- increase in heart rate
- increased blood pressure
- increased thirst
- increased urination
- loss of appetite
- lower back or side pain
- pain in the skin around the penis
- rapid breathing
- redness, itching, or swelling of the penis
- sunken eyes
- swelling of face, fingers, or lower legs
- troubled breathing
- weight gain
- Flushed, dry skin
- fruit-like breath odor
- stomach pain
- unexplained weight loss
Incidence not known
- blistering, peeling, or loosening of skin
- darkened urine
- decreased awareness or responsiveness
- decreased urine output
- difficulty in moving
- difficulty swallowing
- hives, itching, skin rash
- joint or muscle pain
- large, hard skin blisters
- large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
- loss of appetite
- muscle aching or cramping
- muscle pain, stiffness, or twitching
- pains in the stomach, side, or abdomen, possibly radiating to the back
- puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
- rapid weight gain
- red, irritated eyes
- red skin lesions, often with a purple center
- severe joint pain
- severe sleepiness
- sore throat
- sores, ulcers, or white spots in the mouth or on the lips
- swelling of the face, ankles, or hands
- swollen joints
- tightness in the chest
- unusual drowsiness, dullness, or feeling of sluggishness
- yellow eyes or skin
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
- Back pain
- decreased weight
- stuffy or runny nose
Incidence not known
- Pain in the arms or legs
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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More about ertugliflozin/sitagliptin
- Ertugliflozin/sitagliptin Side Effects
- During Pregnancy
- Dosage Information
- Drug Interactions
- En Español
- Drug class: antidiabetic combinations
Other brands: Steglujan