Thursday , November 23 2017
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It’s Never Too Much

When sitagliptin (Januvia) first came out, I was called by our legal affairs department about a patient of another MD at the University of Penn whose house staff had ordered 1000 mg sitagliptin instead of 100mg. As the drug had just come out, the staff was not very familiar with the drug and its dosage. So, when reviewing a prescription, a nurse who was fairly new, did not recognize that it was 10 times the correct dose and they administered 1000mg of the drug….

Our legal department got very upset when the incident was reported and they called me because they were worried of their ‘exposure’ to a law suit. They were wonderfully surprised when I told them that the safety profile is such with sitagliptin that a patient gets no undue side-effects or low sugar with even ten times the recommended dose.

Lesson Learned:

Whenever prescribing or dispensing a new drug or one that you are not familiar with, you need to check its package insert or get more information about the recommended dosages, contraindications with other medications or disease states and side effects.

Dr. Stanley Schwartz (Board Member for Diabetesincontrol.com) has been awarded the honor of being a TOP DOC by Philadelphia Magazine many times over the years, including 2009, 2010, 2011, 2012 for the treatment of diabetes and metabolic syndrome. For over 32 years, Dr. Schwartz was an Associate Professor at the University of Pennsylvania, most recently directing the Diabetes Program at the Philadelphia Heart Institute, becoming Emeritus Associate Professor in 2011. Now Dr. Schwartz is seeing patients at a new private practice in Ardmore, PA.

Copyright © 2014 Diabetes In Control, Inc.

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