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DPP-4 inhibitor

Saxagliptin

Brand names: Onglyza

Adult dose

Dose: 5mg PO OD (2.5mg if eGFR <50)
Route: PO
Frequency: OD

Dose adjustments

Renal

Reduce to 2.5mg if eGFR <50

Clinical pearls

  • T2DM 2nd-line per NICE NG28; weight-neutral
  • Avoid in HFrEF where possible

Contraindications

  • Type 1 DM
  • DKA
  • Severe hypersensitivity
  • Pancreatitis history
  • Severe hepatic impairment

Side effects

  • URTI
  • Pancreatitis
  • Hypersensitivity
  • Severe arthralgia
  • Hypoglycaemia (with sulfonylurea/insulin)
  • HF hospitalisation (signal in SAVOR-TIMI)

Interactions

  • Strong CYP3A4 inducers
  • Insulin/sulfonylureas (hypoglycaemia)

Monitoring

  • HbA1c
  • Renal function
  • Pancreatic enzymes if symptomatic

Reference: BNF; NICE NG28; https://bnf.nice.org.uk/drugs/saxagliptin/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.