Short answer: Ertugliflozin has a half-life of about 16.6 hours. Levels peak about 1 hour (fasting) after a dose. People vary, so treat these as estimates.
Ertugliflozin is an SGLT2 inhibitor: it makes the kidneys pass more sugar into the urine. It is sold as Steglatro tablets for type 2 diabetes, and combined with metformin (Segluromet) or sitagliptin (Steglujan).
Also known as: Steglatro, Segluromet, Steglujan.
Steglatro comes as 5 mg and 15 mg tablets.
The Steglatro label approves ertugliflozin, with diet and exercise, to improve blood sugar control in adults with type 2 diabetes; it is not recommended for type 1 diabetes. Label dosing: 5 mg once a day in the morning, with or without food, which may go up to 15 mg. Kidney function and fluid status are checked before starting, and it is not recommended with an eGFR under 45. A missed dose is taken as soon as possible, without doubling the next one.
The label has no boxed warning. Its warnings are ketoacidosis (which can happen with blood sugar below 250 mg/dL), lower-limb amputations (more frequent on Steglatro in the long-term heart study), fluid loss and kidney injury, genital and urinary infections including Fournier's gangrene, and low blood sugar when used with insulin or a sulfonylurea. In 26-week trials, genital yeast infections affected 9.1% (5 mg) and 12.2% (15 mg) of women vs 3.0% on placebo. See Steglatro side effects, Steglatro dosing schedule, missed Steglatro dose, how to store SGLT2 tablets, and Steglatro vs Jardiance, Steglatro vs Farxiga and Steglatro vs Segluromet.
The Steglatro label says peak levels come at a median of 1 hour after a dose when fasting; a high-fat meal delays this by 1 hour without changing total exposure. Nearly all of a 15 mg dose is absorbed. The mean elimination half-life in people with type 2 diabetes and normal kidney function was 16.6 hours, and steady state is reached after 4 to 6 days. It is cleared mainly by glucuronidation (UGT1A9 and UGT2B7).
Numbers shown are taken from the source above. Half-life varies from person to person.
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