Question

A primary care provider should prescribe a lower dose of sitagliptin (Januvia) for a patient who has type 2 diabetes mellitus and who also has which of the following?

A. thyroid disease
B. bronchitis
C. heart failure
D. renal impairment

Answer 1

A primary care provider should prescribe a lower dose of sitagliptin (Januvia) for a patient who has type 2 diabetes mellitus and who also has heart failure.

Step-by-step explanation:

A primary care provider should prescribe a lower dose of sitagliptin (Januvia) for a patient who has type 2 diabetes mellitus and who also has heart failure. Sitagliptin is primarily eliminated by the kidneys, and patients with impaired renal function may have difficulty clearing the drug from their system. Heart failure can often lead to renal impairment, making it necessary to adjust the dosage of sitagliptin to prevent potential side effects or complications.