Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : November | Volume : 11 | Issue : 11 | Page : OD01 - OD02

A Case of Janumet Poisoning

Arun Bahulikar, Vihita Kulkarni, Deepak Phalgune

1. Consultant, Department of Medicine, Poona Hospital and Research Centre, Pune, Maharashtra, India. 2. Consultant, Department of Medicine, Poona Hospital and Research Centre, Pune, Maharashtra, India. 3. Consultant, Department of Research, Poona Hospital and Research Centre, Pune, Maharashtra, India.

Correspondence Address :
Dr. Deepak Phalgune,
18/27, Bharat Kunj-1, Erandawane, Pune-411038, Maharashtra, India.
E-mail: dphalgune@gmail.com

Abstract

Janumet, an anti-diabetic drug is being increasingly used. Each tablet contains 50 mg of sitagliptin + 500/1000 mg of metformin. Metformin works by decreasing glucose production in the liver and decreasing absorption of glucose by the intestines. Sitagliptin works by regulating the levels of insulin the body produces after eating (sugar dependant insulin release). A previously healthy 17-year-old female was found to be unconscious and had an alleged history of consumption of eight to nine tablets of Janumet. Patient had seizures on admission and evidence of hypoglycaemia. Patient remained drowsy for two days. Gradually her clinical condition improved and she was diagnosed with an adjustment disorder with disturbance of emotion and conduct. She was discharged from the hospital on the seventh day with normal clinical parameters.

Keywords

Hypoglycaemia, Metformin, Sitagliptin

How to cite this article :

Arun Bahulikar, Vihita Kulkarni, Deepak Phalgune. A CASE OF JANUMET POISONING. Journal of Clinical and Diagnostic Research [serial online] 2017 November [cited: 2018 Jan 16 ]; 11:OD01-OD02. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=November&volume=11&issue=11&page=OD01-OD02&id=10829

DOI and Others

DOI: 10.7860/JCDR/2017/30291.10829

Date of Submission: May 23, 2017
Date of Peer Review: Jun 19, 2017
Date of Acceptance: Oct 12, 2017
Date of Publishing: Nov 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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