DPP-4 inhibitor (antidiabetic)
Last reviewed June 2026
Who is this for?
Saxagliptin (sold as Onglyza in Nigeria) is a diabetes medicine that works by helping your body release more insulin after meals and reducing the amount of sugar your liver produces, so your blood sugar stays at a healthy level.
Inhibits dipeptidyl peptidase-4 (DPP-4) enzyme, preventing degradation of incretin hormones (GLP-1 and GIP) and thereby increasing insulin secretion and decreasing glucagon release in response to elevated blood glucose levels.
Prescription Required
You need a doctor's prescription to buy this drug.
Explore this drug
Take one tablet (usually 5 mg) once a day, with or without food, at the same time each day. Swallow the tablet whole with water — do not crush or chew it. Your doctor may reduce your dose to 2.5 mg if you have kidney problems or are taking certain other medicines.
If you miss a dose, take it as soon as you remember. But if it is almost time for your next dose, skip the missed one and continue your normal schedule. Do not take two tablets at once to make up for a missed dose.
Only buy Onglyza from reputable pharmacies — avoid roadside or unregistered sellers, as fake diabetes medicines are dangerous. Monitor your blood sugar regularly as your doctor advises. Do not share your diabetes medicine with anyone else, even if they also have sugar disease — dosages differ from person to person.
Ketoconazole and other strong antifungal medicines can increase saxagliptin levels in your body, so your doctor may lower your dose. Some HIV medicines (like ritonavir) can also interact with it. If you take insulin or sulfonylureas (like glimepiride), combining them with saxagliptin can cause your blood sugar to drop too low, so watch for dizziness and sweating.
Check your specific combination
Is it safe to take Saxagliptin with your other drugs?
Saxagliptin is not recommended during pregnancy or breastfeeding — consult your doctor for a safer alternative if you are pregnant, planning to become pregnant, or nursing a baby.
Store at room temperature, away from direct sunlight and heat. Nigerian weather can be very hot, so do not leave it in a car or near a window. Keep it in a cool, dry place and always out of reach of children.
For information only — not medical advice. Always talk to a doctor or pharmacist before changing your medication.
Names this drug is sold under — especially in Nigerian and West African pharmacies
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Counterfeit Drug Warning
Fake drugs are a serious problem in Nigeria. Always buy from a registered pharmacy. If the packaging looks different from what is described above, do not use it.
Dispensing Saxagliptin?
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