How should I take SITAWOK?

• SITAWOK is administered one time each day as your doctor prescribes you.
• You may take SITAWOK with or without food.
• Your doctor will do blood tests to check how well your kidneys are working before and during your treatment with SITAWOK.
• Your doctor may tell you to take SITAWOK along with other diabetes medicines. Low blood sugar can happen more often when SITAWOK is taken with certain other diabetes medicines.

What should be done if I miss or take extra dose of SITAWOK?

• If you miss a dose, take it as soon as you remember. If you do not remember until it is time for your next dose, skip the missed dose and go back to your regular schedule. Do not take two doses of SITAWOK at the same time.
• If you take too much SITAWOK, call your doctor right away.

What are signs and symptoms I can get if my blood sugar level decreases?

Signs and symptoms of low blood sugar (hypoglycemia) you should look into are:

• Headache
• Drowsiness
• Irritability
• Hunger
• Dizziness
• Confusion
• Sweating
• Feeling jittery
• Weakness
• Fast heart beat

Talk to your doctor about how to prevent, recognize and manage low blood sugar (hypoglycemia).

What are the possible side-effects can occur to me if I take SITAWOK?

SITAWOK may cause serious side effects, including:

1. Kidney problems, sometimes requiring dialysis
2. Low blood sugar (hypoglycemia): If you take SITAWOK with another medicine that can cause low blood sugar, such as a sulfonylurea or insulin, your risk of getting low blood sugar is higher. The dose of your sulfonylurea medicine or insulin may need to be lowered while you use SITAWOK.
3. Serious allergic reactions
4. Joint pain
5. Skin reaction
6. upper respiratory infection, stuffy or runny nose and sore throat, and headache
7. Stomach upset and diarrhea, swelling of the hands or legs, when SITAWOK is used with metformin and rosiglitazone. Rosiglitazone is another type of diabetes medicine.

Can SITAWOK can be used by pregnant female or female who are breast feeding?

• It is not known if SITAWOK will harm your unborn baby if you are pregnant or plan to get pregnant. Talk with your doctor about the best way to control your blood sugar if you are pregnant.
• If you are breastfeeding or plan to breastfeed, it is not known if SITAWOK will pass into your breast milk. Talk with your doctor about the best way to feed your baby if you are taking SITAWOK.

Can I drive or work with machines if I am prescribed with SITAWOK?

• This medicine has no or negligible influence on the ability to drive and use machines. However, dizziness and drowsiness have been reported, which may affect your ability to drive or use machines.
• Taking this medicine in combination with medicines called sulphonylureas or with insulin can cause hypoglycemia, which may affect your ability to drive and use machines or work without safe foothold.

What should I do if I develop serious allergic reactions or skin reactions?

• If you have any symptoms of a serious allergic reaction, stop taking SITAWOK and call your doctor right away or get emergency medical help.
• Your doctor may give you a medicine for your allergic reaction and prescribe a different medicine for your diabetes.
• Some people who take medicines called DPP-4 inhibitors like SITAWOK may develop a skin reaction called bullous pemphigoid that can require treatment in a hospital. Tell your doctor right away if you develop blisters or the breakdown of the outer layer of your skin (erosion). Your doctor may tell you to stop taking SITAWOK.

Can SITAWOK cause my blood sugar level to go too low (hypoglycemia)?

• SITAWOK, by itself, is not likely to cause hypoglycemia because it works less when your blood sugar is low.
• If you take SITAWOK with another medicine that can cause low blood sugar, such as a sulfonylurea or insulin, your risk of getting 2 | Page low blood sugar is higher. The dose of your sulfonylurea medicine or insulin may need to be lowered while you use SITAWOK.

When should I not take SITAWOK?

Do not take SITAWOK if:

• You are allergic to any of the ingredients in SITAWOK.
• See the end of the questions for a complete list of ingredients in SITAWOK.
• Symptoms of a serious allergic reaction to SITAWOK may include rash, raised red patches on your skin (hives), or swelling of the face, lips, tongue, and throat that may cause difficulty in breathing or swallowing.
• If you are suffering from type I diabetes and you have had pancreatitis (inflammation of the pancreas)

What should I tell my doctor before taking SITAWOK?

Before you take SITAWOK, tell your doctor about all of your medical conditions, including if you:

• have or had inflammation of your pancreas (pancreatitis). Gallstones, alcohol dependence or very high levels of triglycerides (a form of fat) in your blood. These medical conditions can increase your chance of getting pancreatitis
• kidney problems
• heart failure
• type 1 diabetes
• diabetic ketoacidosis (a complication of diabetes with high blood sugar, rapid weight loss, nausea or vomiting)

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Know the medicines you take. Keep a list of your medicines and show it to your doctor and pharmacist when you get a new medicine.

Can SITAWOK medicine be given to children and adolescents?

Children and adolescents below 18 years should not use this medicine. It is not effective in children and adolescents between the ages of 10 and 17 years. It is not known if this medicine is safe and effective when used in children younger than 10 years.

How should I store SITAWOK at home?

• You should store SITAWOK below 30°C, protect it from moisture.
• Keep SITAWOK and all medicines out of the reach of children.
• Do not use this medicine after the expiry date which is stated on the blister and the carton after 'EXP'. The expiry date refers to the last day of that month.
• Do not throw away medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.