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Vildagliptin is an antidiabetic agent belonging to the class of dipeptidyl peptidase-4 inhibitors, used for the treatment of type 2 diabetes mellitus. Its effects are based on the inhibition of the enzyme dipeptidyl peptidase-4, which is responsible for the degradation of endogenous incretins. The tablets are taken once or twice daily regardless of meals. The most common possible adverse effects include dizziness, tremor, and nausea. Vildagliptin does not interact with CYP450.
Vildagliptin (ATC A10BH02) has antidiabetic properties. Its actions are based on the selective inhibition of dipeptidyl peptidase-4 (DPP-4). Vildagliptin promotes insulin synthesis and release from pancreatic beta cells, improves beta-cell sensitivity to glucose, and increases glucose uptake into tissues. It reduces glucagon secretion from alpha cells, thereby leading to decreased hepatic glucose production.
Mechanism of action of gliptins, click to enlarge. Illustration © PharmaWiki