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Empagliflozin/linagliptin

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(Redirected fromGlyxambi)
Pharmaceutical drug

Pharmaceutical compound
Empagliflozin/linagliptin
Combination of
EmpagliflozinSGLT2 inhibitor
LinagliptinDPP-4 inhibitor
Clinical data
Trade namesGlyxambi
AHFS/Drugs.comProfessional Drug Facts
License data
Pregnancy
category
Routes of
administration
By mouth
ATC code
Legal status
Legal status
Identifiers
CAS Number
PubChemCID
UNII
KEGG
Chemical and physical data
FormulaC48H55ClN8O9
Molar mass923.47 g·mol−1
3D model (JSmol)
  • CC#CCN1C2=C(N=C1N3CCCC(C3)N)N(C(=O)N(C2=O)CC4=NC5=CC=CC=C5C(=N4)C)C.COC1C(C(C(C(O1)C2=CC(=C(C=C2)Cl)CC3=CC=C(C=C3)OC4CCOC4)O)O)O
  • InChI=1S/C25H28N8O2.C23H27ClO7/c1-4-5-13-32-21-22(29-24(32)31-12-8-9-17(26)14-31)30(3)25(35)33(23(21)34)15-20-27-16(2)18-10-6-7-11-19(18)28-20;1-28-23-21(27)19(25)20(26)22(31-23)14-4-7-18(24)15(11-14)10-13-2-5-16(6-3-13)30-17-8-9-29-12-17/h6-7,10-11,17H,8-9,12-15,26H2,1-3H3;2-7,11,17,19-23,25-27H,8-10,12H2,1H3/t17-;17-,19+,20+,21-,22-,23-/m10/s1
  • Key:POMOOZUJAXCEKG-QPVQWCQSSA-N
  (verify)

Empagliflozin/linagliptin, sold under the brand nameGlyxambi, is afixed-dose combinationanti-diabetic medication used to treattype 2 diabetes.[5][6] It is a combination ofempagliflozin andlinagliptin.[5][6] It is takenby mouth.[5][6]

The most common side effects include urinary infections, nasopharyngitis, and upper respiratory tract infections .[5][6]

It was approved for use in the United States in January 2015,[7][8] for use in the European Union in November 2016,[6] and for use in Australia in December 2016.[2]

Medical uses

[edit]

In the United States empagliflozin/linagliptin is indicated as an adjunct to diet and exercise to improve glycemic control in adults withtype 2 diabetes mellitus and to reduce the risk of cardiovascular death in adults with type 2 diabetes mellitus and establishedcardiovascular disease.[5]

In the European Union empagliflozin/linagliptin is indicated in adults aged 18 years and older with type 2 diabetes mellitus:[6]

Adverse effects

[edit]

The most common side effects include urinary infections, nasopharyngitis, and upper respiratory tract infections .[5][6] The most serious side effects include ketoacidosis (high blood levels of acids called ‘ketoacids’),pancreatitis (inflammation of the pancreas),hypersensitivity (allergic reactions) andhypoglycaemia (low blood sugar levels).[6]

History

[edit]

The combination preparation was developed and is marketed byBoehringer Ingelheim andEli Lilly and Company under the brand nameGlyxambi.[9]

References

[edit]
  1. ^"Empagliflozin / linagliptin (Glyxambi) Use During Pregnancy".Drugs.com. 29 November 2018. Retrieved10 February 2020.
  2. ^ab"Summary for ARTG Entry: 263557 Glyxambi 25 mg/5 mg empagliflozin/linagliptin 25mg/5mg film coated tablet blister pack".Therapeutic Goods Administration (TGA).
  3. ^"Glyxambi 10 mg/5 mg Film-coated Tablets - Summary of Product Characteristics (SmPC)".(emc). 18 December 2019. Retrieved10 February 2020.
  4. ^"Glyxambi 25 mg/5 mg Film-coated Tablets - Summary of Product Characteristics (SmPC)".(emc). 18 December 2019. Retrieved10 February 2020.
  5. ^abcdefg"Glyxambi- empagliflozin and linagliptin tablet, film coated".DailyMed. 22 January 2020. Retrieved3 April 2020.
  6. ^abcdefghijk"Glyxambi EPAR".European Medicines Agency (EMA). 17 September 2018. Retrieved3 April 2020. Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  7. ^"Glyxambi (empagliflozin and linagliptin) tablets".U.S.Food and Drug Administration (FDA). 11 April 2016. Retrieved10 February 2020.
  8. ^"Glyxambi: FDA-Approved Drugs".U.S.Food and Drug Administration (FDA). Retrieved10 February 2020.
  9. ^Raedler LA (March 2015)."Glyxambi (Empagliflozin/Linagliptin): A Dual-Acting Oral Medication Approved for the Treatment of Patients with Type 2 Diabetes".Am Health Drug Benefits.8 (Spec Feature):171–5.PMC 4665058.PMID 26629285.

Further reading

[edit]
Oraldiabetes medication,insulins andinsulin analogues, and other drugs used in diabetes (A10)
fast-acting
short-acting
long-acting
ultra-long-acting
inhalable
  • Exubera
  • Afrezza
Oral
Non-insulins
Insulin sensitizers
Biguanides
TZDs/"glitazones" (PPAR)
Dual PPAR agonists
Amylin analogues andDACRAs
Secretagogues
K+ATP
Sulfonylureas
Meglitinides/"glinides"
GLP-1 receptor agonists
GLP1 poly-agonist peptides
DPP-4 inhibitors/"gliptins"
Other
Aldose reductase inhibitors
Alpha-glucosidase inhibitors
SGLT2 inhibitors/"gliflozins"
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