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The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse effects (risks) as well as efficacies (benefits). It is important to minimize adverse effects and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
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Brand name :
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NESINA Tablets 25mg
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Dosage form:
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yellow oval tablets, major axis 10.1 mm, minor axis 5.1 mm, thickness about 3.4 mm
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Print on wrapping:
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(Face) ネシーナ 25mg 387, (Back) ネシーナ 25
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Effects of this medicine
This medicine inhibits the enzyme (DPP-4) which catalyzes decomposition of incretin, a hormone acting to maintain constant blood glucose level.
It stimulates insulin secretion when blood glucose level is elevated and suppresses glucagon secretion to improve blood glucose control.
Usually, used for treatment of type II diabetes mellitus.
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Before using this medicine, be sure to tell your doctor and pharmacist
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If you ever experienced any allergic reaction (itch, rash etc.) to any medicine.
If you have severe ketosis, diabetic coma or precoma, insulin-dependent diabetes mellitus, or severe infection; are in a pre- or post-operative state; have a serious injury, renal disorder, heart failure, pituitary abnormality, adrenal disorder, or inadequate food intake; or are debilitated, doing strenuous physical exercises, or a heavy drinker.
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If you are pregnant or breastfeeding.
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If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)
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Dosing schedule (How to take this medicine)
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Your dosing schedule prescribed by your doctor is << to be written by a healthcare professional>>
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General dosage regimen: for adults, take 1 tablet (25 mg of alogliptin) at a time, once a day. The dosage is to be reduced according to degree of existing renal function in patients with moderate or severer renal dysfunction. Strictly follow the instructions of your doctor/pharmacist.
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If you missed a dose, take the missed dose as soon as possible. If it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. DO NOT take double doses to make up for the missed dose.
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If you took too much of the medicine (more than ordered), check with your doctor/pharmacist.
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Do not stop taking the medicine without the instructions of your doctor.
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Precautions while taking this medicine
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Strictly adhere to dietary instructions given and to kinesitherapy prescribed.
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Much caution should be exercised as hypoglycemia may occur.
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When hypoglycemia symptoms occur, take an adequate amount of sugar (e.g., sugar, glucose,
soft drinks). If you are taking the medicine concomitantly with an α-glucosidase inhibitor (drugs which delay absorption of sugar such as voglibose and acarbose), ingest glucose in case of any hypoglycemic symptoms.
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Possible adverse effects of this medicine
Common side effects are reported as below. If any of them occurs, check with your doctor/pharmacist: rash, enlarged feeling of abdomen, abdominal pain, gastroenteritis, constipation, headache, dizziness, numbness of hands/feet, malaise, nasopharyngitis, swelling, palpitation, arthralgia, muscle pain, etc.
The symptoms described below are rarely seen as initial symptoms of the adverse effects indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
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cold sweat, hungry feeling, tremor in hands/feet[hypoglycemia]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.
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Storage conditions and other information
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Keep out of the reach of children. Store away from direct sunlight, heat and humidity.
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Discard the remainder. Do not store them.
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