DRUG STUDY
Generic Name           Classification and        Indication         Mechanism of         Contraindications          Side effects       Nursing Considerations
     Linagliptin           Category                                    action
Brand Name                                                                                                                              Observe patient for
      Trajenta         A. Chemical:            Indicated for the   Linagliptin in is    contraindicated      in   severe          or     signs and symptoms of
                          dipeptidyl           treatment      of   an inhibitor of      patients with a history   ongoing pain in        hypoglycemic reactions
                          peptidase-4 (DPP-    type II diabetes    DPP-4,          an   of hypersensitivity to    your joints;           (abdominal           pain,
Available dosage
                          4) inhibitor         in addition to      enzyme        that   linagliptin, such as      a          severe      sweating,         hunger,
 5mgOD                                        diet         and    degrade s the        anaphylaxis, urticaria,   autoimmune             weakness,       dizziness,
                       B. Therapeutic: anti-   exercise.           incretin             angioedema,               reaction--             headache,         tremor,
                          hyperglycemic                            hormones             exfoliative dermatitis    itching, blisters,     tachycardia, anxiety).
                          drugs                                    glucagon-like        or     other    serious   breakdown of          Monitor for signs of
                                                                   peptide-1 (GLP-      allergic           skin   the outer layer        pancreatitis     (nausea,
                                                                   1) and glucose       condition      (serious   of skin; or.           vomiting,       anorexia,
                                                                   depend         ent   rash), or bronchial       symptoms        of     persistent         severe
                                                                   insulino    tropic   hypersensitivity.         heart failure--        abdominal            pain,
                                                                   polypep       tide                             shortness       of     sometimes radiating to
Route        PO                                                    (GIP).                                         breath      (even      the     back)      during
Frequency    OD                                                                                                   while        lying     therapy. If pancreatitis
                                                                                                                  down), swelling        occurs,       discontinue
Pharmacokinetics                                                                                                  in your legs or        linagliptin and monitor
 Onset: 1 hour                                                                                                   feet,        rapid     serum      and       urine
 Peak: 1.5 hours                                                                                                 weight gain.           amylase,
 Duration: 12 hours                                                                                                                     amylase/creatinine
 Half Life: 100-155                                                                                                                     clearance            ratio,
   hours                                                                                                                                 electrolytes,       serum
                                                                                                                                         calcium, glucose, and
                                                                                                                                         lipase