Drug General Information (ID: DDICK6LIHD)
Drug Name			Sitagliptin		Drug Info		Turmeric		Drug Info
Drug Type		Small molecule				Small molecule
Therapeutic Class		Antidiabetic Agents				Herbal Products
Structure

Mechanism of Sitagliptin-Turmeric Interaction (Severity Level: Moderate)
Increased risk of hypoglycemia Click to Show/Hide Mechanism Graph
Drug Name		Sitagliptin				Turmeric
Mechanism		Antidiabetic agent				Increase the risk of hypoglycemia combined with antidiabetic agent
Key Mechanism Factor 1
		Factor Name		Hypoglycemia
		Factor Description		Hypoglycemia is a condition in which your blood sugar (glucose) level is below the standard range. It causes irregular or rapid heartbeat, pale skin, numbness of the lips, tongue or cheeks, and sweating.
Mechanism Description		Increased risk of hypoglycemia by the combination of Sitagliptin and Turmeric

Recommended Action
Management		Blood glucose should be monitored, and patients should be educated on the potential signs and symptoms of hypoglycemia (e.g., headache, dizziness, drowsiness, nervousness, confusion, tremor, hunger, weakness, perspiration, palpitation, and tachycardia) and appropriate remedial actions to take if it occurs. Patients should also be advised to take precautions to avoid hypoglycemia while driving or operating hazardous machinery.

References
1	Neerati R, Devde R, Gangi AK "Evaluation of the effects of curcumin capsules on glyburide therapy in patients with type-2 diabetes mellitus." Phytother Res 28 (2014): 1796-1800
2	Chuengsamarn S, Rattanamongkolgul s, Luechapudiporn R, Phisalaphong C, Jirawatnotai S "Curcumin extract for prevention of type 2 diabetes." Diabetes Care 35 (2012): 2121-7
3	Hodaei H, Adibian M, Nikpayam O, Hedayati M, Sohrab G "The effect of curcumin supplementation on anthropometric indices, insulin resistance and oxidative stress in patients with type 2 diabetes: a randomized, double-blind clinical trial." Diabet Metab Syndr 11 (2019): e-collection 2019