Prusogliptin

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A pharmaceutical drug used in the treatment of type 2 diabetes


Chemical structure of Prusogliptin

Prusogliptin is a pharmaceutical drug that belongs to the class of medications known as DPP-4 inhibitors. It is primarily used in the management of type 2 diabetes mellitus, a chronic condition characterized by insulin resistance and impaired insulin secretion.

Mechanism of Action[edit | edit source]

Prusogliptin functions by inhibiting the enzyme DPP-4, which is responsible for the degradation of incretin hormones such as glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). These hormones play a crucial role in the regulation of glucose metabolism by enhancing insulin secretion and inhibiting glucagon release in response to meals. By preventing the breakdown of incretin hormones, Prusogliptin increases their levels in the bloodstream, thereby improving glycemic control in patients with type 2 diabetes.

Pharmacokinetics[edit | edit source]

Prusogliptin is administered orally and is absorbed into the bloodstream, where it exerts its effects on the DPP-4 enzyme. The drug has a favorable pharmacokinetic profile, with a long half-life that allows for once-daily dosing. It is metabolized in the liver and excreted primarily via the kidneys.

Clinical Use[edit | edit source]

Prusogliptin is indicated for the treatment of type 2 diabetes in adults. It is often used in combination with other antidiabetic agents such as metformin or sulfonylureas to achieve better glycemic control. The drug is particularly beneficial for patients who are unable to achieve adequate blood sugar levels with lifestyle modifications and other medications alone.

Side Effects[edit | edit source]

Common side effects of Prusogliptin include nasopharyngitis, headache, and upper respiratory tract infection. Like other DPP-4 inhibitors, it is generally well-tolerated, but there is a potential risk of pancreatitis and hypersensitivity reactions. Patients should be monitored for signs of these adverse effects during treatment.

Contraindications[edit | edit source]

Prusogliptin is contraindicated in patients with a history of serious hypersensitivity to the drug or any of its components. Caution is advised in patients with severe renal impairment or a history of pancreatitis.

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Contributors: Prab R. Tumpati, MD