Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/19/2025

Dosing of Vildagliptina in Advanced Renal Insufficiency

Comparison with Other DPP-4 Inhibitors

  • The American Journal of Kidney Diseases notes that most DPP-4 inhibitors require dose adjustments in advanced renal insufficiency, including sitagliptina, saxagliptina, and alogliptina 1, 2
  • The American Journal of Kidney Diseases also states that linagliptina, similar to vildagliptina, does not require additional dose adjustments in patients with impaired renal function 1, 2
  • The American Journal of Kidney Diseases recommends that DPP-4 inhibitors, including vildagliptina, are suitable options for patients with chronic kidney disease due to their low risk of hypoglycemia 2

REFERENCES

1

Teneligliptin Dosing in Impaired Renal Function [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025