Short answer: Section 2.4 of the Steglujan label says a missed dose is taken as soon as possible, without doubling up the next dose. The Medication Guide adds: if it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Steglujan is one tablet once daily in the morning.
| Situation | What the label says |
|---|---|
| Schedule | 5 mg ertugliflozin/100 mg sitagliptin once daily in the morning, with or without food; up to 15 mg/100 mg (2.2) |
| Missed a dose | Take it as soon as possible (2.4) |
| Almost time for the next dose | Skip the missed dose; take the next at the regular time (Medication Guide) |
| Doubling up | Do not double up the next dose (2.4); do not take 2 doses at the same time (Medication Guide) |
| Planned pause | Held at least 4 days, if possible, before surgery or procedures with long fasting (2.3) |
Section 2.4, Recommendations Regarding Missed Dose: "If a dose is missed, instruct patients to take the dose as soon as possible. Advise patients not to double up the next dose."
Section 17 says: "If a dose is missed, it should be taken as soon as the patient remembers. Advise patients not to double their next dose."
The Medication Guide says: "If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take 2 doses of STEGLUJAN at the same time. Talk with your healthcare provider if you have questions about a missed dose."
No. Section 2.3 says Steglujan is held for at least 4 days, if possible, before surgery or procedures with long fasting. That pause is set by the prescriber, not a missed dose.
Steglujan holds ertugliflozin (the Steglatro ingredient) and sitagliptin (the Januvia ingredient) in one tablet, with one missed-dose rule. The Steglatro label uses the same wording. The Januvia Patient Information says take it when you remember and skip it if it is time for the next one.
This page summarizes FDA labeling. It is not personalized medical advice; confirm what to do with your prescriber or pharmacist.