Mr. Ibrahem/Alogliptin
Clinical data
Trade namesNesina, Vipidia
Kazano, Vipidomet (with metformin)
Oseni, Incresync (with pioglitazone)
Other namesAlogliptin benzoate, SYR-322
AHFS/Drugs.comMonograph
MedlinePlusa613026
License data
Pregnancy
category
  • AU: B3
Routes of
administration
By mouth
Drug classDPP-4 inhibitor (gliptin)[1]
Legal status
Legal status
  • AU: S4 (Prescription only)
  • US: ℞-only
  • EU: Rx-only
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability100%
Protein binding20%
MetabolismLimited, liver (CYP2D6- and 3A4-mediated)
Elimination half-life12–21 hours
ExcretionKidney (major) and fecal (minor)
Identifiers
  • 2-({6-[(3R)-3-Aminopiperidin-1-yl]-3-methyl-2,4-dioxo-3,4-dihydropyrimidin-1(2H)-yl}methyl)benzonitrile
Chemical and physical data
FormulaC18H21N5O2
Molar mass339.399 g·mol−1
3D model (JSmol)
  • N#Cc3ccccc3CN\1C(=O)N(C)C(=O)/C=C/1N2CCC[C@@H](N)C2
  • InChI=1S/C18H21N5O2/c1-21-17(24)9-16(22-8-4-7-15(20)12-22)23(18(21)25)11-14-6-3-2-5-13(14)10-19/h2-3,5-6,9,15H,4,7-8,11-12,20H2,1H3/t15-/m1/s1 checkY
  • Key:ZSBOMTDTBDDKMP-OAHLLOKOSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Alogliptin, sold under the brand names Nesina and Vipidia among others, is a medication used to treat type 2 diabetes.[1] It is a second line treatment used together with diet and exercise.[3] Effects on the risk of heart disease are unclear.[1] It is taken by mouth.[2]

Common side effects include runny nose, headache, and upper respiratory tract infection.[1] Other side effects may include pancreatitis, heart failure, anaphylaxis, liver problems, and low blood sugar.[1] Safety in pregnancy is unclear.[1] It is a DPP-4 inhibitor (gliptin), which works by increasing insulin secretion from the pancreas.[1][2]

Alogliptin was approved for medical use in the United States and Europe in 2013.[1][4] In the United Kingdom 4 weeks costs the NHS about £27 as of 2021.[2] This amount in the United States is about 90 USD.[5] It is also available as a combination medication with metformin or pioglitazone.[3]

References

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  1. ^ a b c d e f g h i j "DailyMed - ALOGLIPTIN tablet, film coated". dailymed.nlm.nih.gov. Archived from the original on 10 November 2021. Retrieved 14 January 2022.
  2. ^ a b c d BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 734. ISBN 978-0857114105.
  3. ^ a b "Alogliptin Monograph for Professionals". Drugs.com. Archived from the original on 28 January 2021. Retrieved 14 January 2022.
  4. ^ "Vipidia". Archived from the original on 16 November 2021. Retrieved 14 January 2022.
  5. ^ "Alogliptin Prices, Coupons & Savings Tips - GoodRx". GoodRx. Retrieved 14 January 2022.