What is the dosing for Saxagliptin (DPP-4 inhibitor) and Metformin (biguanide) combination therapy?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: April 11, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the FDA Drug Label

Saxagliptin 2.5 mg and 5 mg add-on to metformin HCl provided significant improvements in A1C, FPG, and PPG compared with placebo add-on to metformin HCl (Table 5). To qualify for enrollment, patients were required to be on a stable dose of metformin HCl (1,500 to 2,550 mg daily) for at least 8 weeks. Following the lead-in period, eligible patients were randomized to 2.5 mg, 5 mg, or 10 mg of saxagliptin or placebo in addition to their current dose of open-label metformin HCl.

The recommended dosing for Saxagliptin and Metformin is:

  • Saxagliptin: 2.5 mg or 5 mg daily
  • Metformin: 1,500 to 2,550 mg daily, with patients required to be on a stable dose for at least 8 weeks prior to enrollment 1 Key points:
  • Saxagliptin can be added to metformin HCl for patients with inadequate glycemic control
  • The dose of saxagliptin can be either 2.5 mg or 5 mg daily
  • Metformin HCl should be at a stable dose of 1,500 to 2,550 mg daily for at least 8 weeks prior to adding saxagliptin.

From the Research

Saxagliptin-metformin combination therapy should be dosed once daily with meals, with a typical starting dose of 2.5 mg saxagliptin/500 mg metformin, which can be titrated up based on glycemic control and tolerability, as saxagliptin has been shown to be effective in combination with metformin in reducing HbA1c levels, with a low risk of hypoglycemia and a favorable cardiovascular profile 2, 3.

Key Considerations

  • The maximum recommended daily dose is 5 mg saxagliptin/2000 mg metformin, given as 2.5 mg/1000 mg twice daily is not supported by the most recent evidence, instead, saxagliptin can be given once daily 4, 5.
  • Patients should take the medication with food to reduce gastrointestinal side effects from metformin.
  • Dose adjustments are necessary for patients with renal impairment; saxagliptin-metformin is not recommended when eGFR is below 45 mL/min/1.73m².
  • For patients transitioning from separate tablets, match the current total daily doses of each component.

Mechanism of Action

  • Saxagliptin inhibits DPP-4 to increase incretin hormones that stimulate insulin secretion, while metformin decreases hepatic glucose production and improves insulin sensitivity.

Side Effects and Monitoring

  • Common side effects include headache, diarrhea, and upper respiratory infections.
  • Patients should be monitored for hypoglycemia, especially when used with other glucose-lowering medications.

Evidence Summary

  • The clinical efficacy of saxagliptin 5 mg/day in combination with metformin has been demonstrated in several randomized, double-blind, placebo-controlled, multicentre, phase III trials, with significant reductions in HbA1c levels and a low risk of hypoglycemia 2, 3.
  • Saxagliptin has been shown to be well tolerated, with a favorable cardiovascular profile, and may have additional non-glycemic benefits, such as reducing the risk of major adverse cardiovascular events 3, 6.

References

Research

Saxagliptin: a dipeptidyl peptidase-4 inhibitor for the treatment of type 2 diabetes mellitus.

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2010

Research

New treatments in the management of type 2 diabetes: a critical appraisal of saxagliptin.

Diabetes, metabolic syndrome and obesity : targets and therapy, 2010

Research

Saxagliptin: A Selective DPP-4 Inhibitor for the Treatment of Type 2 Diabetes Mellitus.

Clinical medicine insights. Endocrinology and diabetes, 2011

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.