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FDA warns severe joint pain may be caused by Gliptins – DPP-4 inhibitors

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Updated 1 min read

DPP-4 inhibitors used to treat type 2 diabetes, this class includes different brands in single molecule or combined with other molecules like metformin.

DPP-4 inhibitors brands:

 Brand name  Active ingredient(s)
Januvia sitagliptin
Janumet sitagliptin and metformin
Janumet XR sitagliptin and metformin extended release
Onglyza saxagliptin
Kombiglyze XR saxagliptin and metformin extended release
Tradjenta linagliptin
Glyxambi linagliptin and empagliflozin
Jentadueto linagliptin and metformin
Nesina alogliptin
Kazano alogliptin and metformin
Oseni alogliptin and pioglitazone

According to FDA, 33 cases of severe arthralgia have been reported with the use of dipeptidyl peptidase-4 (DPP-4) inhibitors from October 16, 2006, approval date of the first DPP-4 inhibitor, through December 31, 2013.

Sitagliptin was the most frequently reported with 28 cases , followed by saxagliptin 5 cases , linagliptin 2 cases , alogliptin only 1 case and vildagliptin two cases.

Although the number of reported cases is very low compared to the patients who use DPP-4 inhibitors, you should report any severe joint pain or any other related symptoms to your health care professional.

To download the full FDA safety warning please follow this link :

http://www.fda.gov/downloads/Drugs/DrugSafety/UCM460038.pdf

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