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Diabetic And Have High Blood Pressure. Taking Januvia And Metformin. What Dosage Can Be Taken?

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Posted on Wed, 26 Jun 2013
Question: I am diabetic type 2 and high blood pressure. I'm taking Januvia 100 mg, Metformin 1000 mg twice a day, Glipizide 20 mg twice a day. I want to change the metformin 1000 at night to Janumet 50/1000. is that Ok. The januvia will be 150 mg per day instead of 100mg
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Answered by Dr. Dr. Basheer Ahamed (8 hours later)
Hello,

Welcome to XXXXXXX Thanks for the query.

The usual recommended dose of Sitagliptin is 100 mg/day.

You're an elderly diabetic and Sitagliptin on 150 mg/day is not advisable for you.

Sitagliptin needs renal dose adjustment.
Based on the creatinine clearance the dose of sitagliptin is decided.

For patient on Sitagliptin like you periodic assessment of renal function is recommended.

Hope the answer helps you.
Pleased to answer other queries.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Basheer Ahamed

Pathologist and Microbiologist

Practicing since :2006

Answered : 1584 Questions

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Diabetic And Have High Blood Pressure. Taking Januvia And Metformin. What Dosage Can Be Taken?

Hello,

Welcome to XXXXXXX Thanks for the query.

The usual recommended dose of Sitagliptin is 100 mg/day.

You're an elderly diabetic and Sitagliptin on 150 mg/day is not advisable for you.

Sitagliptin needs renal dose adjustment.
Based on the creatinine clearance the dose of sitagliptin is decided.

For patient on Sitagliptin like you periodic assessment of renal function is recommended.

Hope the answer helps you.
Pleased to answer other queries.