|
3. What Is GLYSIT 10mg and What Is It Used
For? |
What Is GLYSIT 10mg?
Glysit 10mg contains
Dapagliflozin at the 10mg strength, the standard maintenance dose of this
SGLT-2 inhibitor. It works in a uniquely simple way: it tells your kidneys to
stop reabsorbing excess glucose and instead pass it out through your urine.
This lowers blood sugar without triggering insulin release, which means it
carries a very low risk of causing hypoglycaemia on its own.
Beyond blood sugar,
Dapagliflozin has demonstrated impressive benefits for the heart and kidneys, reducing
hospitalisation for heart failure and slowing the decline of kidney function in
patients with chronic kidney disease.
What Is It Used For?
Glysit 10mg is used in adults
with Type 2 Diabetes to lower blood sugar and HbA1c as part of a comprehensive
diabetes management plan. At the 10mg dose, it also provides its full cardiovascular
and renal protective benefits, making it the preferred strength for patients
with established heart disease, heart failure, or chronic kidney disease.
Glysit 10mg is used alongside
lifestyle changes and other diabetes medicines such as Metformin, or as
monotherapy when Metformin is not tolerated. In Kenya, Glysit 10mg is
increasingly prescribed for the triple benefit, blood sugar, heart, and kidney
protection, especially in the growing population with diabetes and
hypertension.
|
4. How to Take This Medicine |
Usual Dose
1 tablet (10mg) once daily,
preferably in the morning, with or without food.
Timing
Morning dosing is preferred to
avoid increased night-time urination.
Before Surgery / Illness
Stop Glysit at least 3 days
before any planned surgery or during serious illness, prolonged fasting, or
inability to eat. Resume only when your doctor confirms it is safe.
Missed Dose
Take as soon as remembered. If
nearly time for the next dose, skip the missed one. Do not double up.
Renal Monitoring
eGFR must be checked before
starting and regularly during treatment.
|
5. Side Effects |
Common Side Effects
· Increased
urination
· Genital
fungal infections (thrush, especially in women)
· Urinary
tract infections
· Mild
dizziness or light-headedness (from fluid loss)
Uncommon Side Effects
· Back
pain
· Nausea
· Elevated
cholesterol levels
Serious Side Effects, Seek Immediate Medical Attention
· Diabetic
Ketoacidosis (DKA), can occur even with near-normal blood sugar (euglycaemic
DKA)
· Fournier's
Gangrene (rare but serious infection of the genitals/perineum, seek emergency
care)
· Acute
kidney injury (especially if dehydrated)
· Lower
limb complications (monitor circulation in feet)
|
6. Contraindications |
|
⚠ The following
patients should NOT use this medication: • Type 1 Diabetes • Diabetic ketoacidosis • Severe renal impairment (eGFR < 25 ml/min for glycaemic use) • Hypersensitivity to dapagliflozin • Pregnancy and breastfeeding
|
|
7. Safety Warnings and Special Precautions |
· DKA
RISK: Stop Glysit before elective surgery, prolonged fasting, or serious acute
illness. Euglycaemic DKA can develop with near-normal glucose levels, symptoms
include nausea, vomiting, abdominal pain, confusion.
· HYDRATION:
Maintain good fluid intake, especially in hot weather, SGLT-2 inhibitors have a
diuretic effect.
· FOOT
CARE: Inspect feet daily. Report any sores, ulcers, or infections promptly.
· GENITAL
HYGIENE: Maintain good genital hygiene to reduce risk of fungal infections.
· RENAL:
Monitor kidney function regularly. Efficacy for blood sugar lowering is reduced
in significant kidney impairment.
|
8. Drug Interactions |
Insulin
/ Sulphonylureas: Increased hypoglycaemia risk, dose
reduction may be needed.
Diuretics:
Additive fluid and electrolyte loss, monitor
for dehydration.
NSAIDs:
Increased renal risk.
Rifampicin:
Reduces dapagliflozin efficacy.
|
9. Storage Instructions |
· Store
below 30°C in a cool, dry place.
· Keep
in original blister packaging.
· Protect
from moisture and light.
· Keep
out of reach of children.
|
10. Prescription Status in Kenya |
Glysit 10mg is a
prescription-only medicine (POM) in Kenya. Available at Pharmily with a valid
prescription from a physician, diabetologist, cardiologist, or nephrologist.
|
11. Patient Guidance |
|
💊 Key Points
for Patients: ✔ Take your Glysit tablet every morning
at the same time, with or without food. ✔ Drink enough water throughout the day
to stay well hydrated. ✔ Stop Glysit and contact your doctor if
you are about to have an operation, are seriously ill, or cannot eat for an
extended period. ✔ Check your feet daily for any sores or
skin changes; report them to your doctor promptly. ✔ Maintain good genital hygiene to
reduce infection risk. ✔ Do not stop this medicine without
medical advice; it is protecting your heart and kidneys as well as your blood
sugar.
|
|
12. Pharmacist / Prescriber Notes |
Glysit 10mg is the therapeutic
maintenance dose of Dapagliflozin, providing maximum glycaemic, cardiovascular,
and renal benefit. Confirm eGFR at baseline; glycaemic efficacy diminishes
below eGFR 45 ml/min, though the cardiorenal benefit extends to eGFR 25 ml/min.
Pre-surgical cessation counselling (minimum 3 days) and euglycaemic DKA awareness are the critical safety messages. The 28-tablet pack provides a 4-week supply; plan refill proactively to avoid treatment gaps.
For female patients, pre-emptive genital
candidiasis counselling and hygiene advice improves adherence. Dapagliflozin at
10mg is the dose validated in the DAPA-HF and DAPA-CKD trials; confirm
indication with prescriber if used for heart failure or CKD.
|
13. Frequently Asked Questions (FAQs) |
Q1: What is Glysit 10mg used for?
A: Glysit 10mg lowers blood
sugar in Type 2 Diabetes and also protects the heart and kidneys. It is
particularly recommended for people with both diabetes and heart or kidney
disease.
Q2: Why does Glysit make me urinate more?
A: Glysit works by causing
your kidneys to excrete excess glucose in urine, and extra water goes with it.
This increased urination is normal and how the medicine works. Stay well
hydrated.
Q3: What is euglycaemic DKA and why should I know about it?
A: It is a rare but serious
condition where your blood becomes acidic even though blood sugar looks normal.
Stop Glysit and seek emergency care if you have unexplained nausea, vomiting,
stomach pain, or extreme fatigue.
Q4: Can Glysit 10mg protect my kidneys?
A: Yes, clinical trials
(DAPA-CKD) showed that Dapagliflozin significantly slows the progression of
chronic kidney disease, even in non-diabetic patients with kidney disease.
There are no product reviews yet.