Vol 6, No 6 (2017)
Case report
Published online: 2018-01-26

open access

Page views 1118
Article views/downloads 1288
Get Citation

Connect on Social Media

Connect on Social Media

Sitagliptin induced splenic infarcts

Raiz Ahmad Misgar1, Javaid Ahmad Bhat2, Arshad Iqbal Wani1, Mir Iftikhar Bashir1
Clin Diabetol 2017;6(6):215-217.

Abstract

  Sitagliptin belongs to the class of dipeptidyl pepti­dase-4 (DPP-4) inhibitors. DPP-4 inhibitors are remark­ably well tolerated oral antihyperglycemic drugs with an adverse effect profile similar to that of placebo. No adverse effects have been reported even with overdose of sitagliptin in suicide attempts. We present here case summary of a 35-year-old female with type 2 diabetes mellitus and major depressive disorder who presented with multiple splenic infarcts after ingestion of sitag­liptin 700 mg and metformin 14 g with suicidal intent. To the best of our knowledge, there are no published reports of splenic infarcts as an adverse event of sit­agliptin. (Clin Diabetol 2017; 6, 6: 215–217)

Article available in PDF format

View PDF Download PDF file

References

  1. Deacon CF, Lebovitz HE, Deacon CF. Dipeptidyl peptidase-4 inhibitors in the treatment of type 2 diabetes: a comparative review. Diabetes Obes Metab. 2011; 13(1): 7–18.
  2. Ussher JR, Drucker DJ. Cardiovascular actions of incretin-based therapies. Circ Res. 2014; 114(11): 1788–1803.
  3. Furukawa S, Kumagi T, Miyake T, et al. Suicide attempt by an overdose of sitagliptin, an oral hypoglycemic agent: a case report and a review of the literature. Endocr J. 2012; 59(4): 329–333.
  4. Sehra S, Jaggi S, Sehra D, et al. Management of Sitagliptin and Metformin Combination Toxic Overdose. J Assoc Physicians India. 2016; 64(11): 80–81.
  5. Januvia and Splenic infarction- from FDA reports. http://www.ehealthme.com/ds/januvia/splenic-infarction/;25th July 2017 (30th July 2017).
  6. Gorrell MD. Dipeptidyl peptidase IV and related enzymes in cell biology and liver disorders. Clin Sci (Lond). 2005; 108(4): 277–292.
  7. Koyama T, Gao M, Ueda T, et al. Different enzyme activities in coronary capillary endothelial cells. Adv Exp Med Biol. 1997; 411: 359–364.
  8. Heymann E, Mentlein R. A negative blood-clotting factor lining the vessels. Naturwissenschaften. 1982; 69(4): 189–191.
  9. Mentlein R, Heymann E. Dipeptidyl peptidase IV inhibits the polymerization of fibrin monomers. Arch Biochem Biophys. 1982; 217(2): 748–750.
  10. Krijnen PAJ, Hahn NE, Kholová I, et al. Loss of DPP4 activity is related to a prothrombogenic status of endothelial cells: implications for the coronary microvasculature of myocardial infarction patients. Basic Res Cardiol. 2012; 107(1): 233.