Siglimet Sitagliptin + Metformin Hydrochloride Levothyroxine Sodium
ModerateTaking levothyroxine together with sitagliptin and metformin can make the blood sugar lowering effect of metformin weaker. So your blood sugar may not come down as much as expected.
These medicines are often taken together with some care. Your doctor may change a dose, space them apart or check on you more often. Make sure your doctor and pharmacist know you take both.