PMID- 35702931 OWN - NLM STAT- MEDLINE DCOM- 20231115 LR - 20231115 IS - 1531-1937 (Electronic) IS - 0897-1900 (Linking) VI - 36 IP - 6 DP - 2023 Dec TI - Alogliptin Induced Stomatitis: An Adverse Drug Event Case Report. PG - 1516-1518 LID - 10.1177/08971900221108721 [doi] AB - Background: Dipeptidyl peptidase (DPP)-4 inhibitors are commonly used agents to treat type 2 diabetes mellitus (T2DM). Although generally well tolerated, stomatitis has been previously reported as an adverse event with sitagliptin and linagliptin. Stomatitis with alogliptin has not been reported in post-marketing data to date. Objective: To report a case of suspected drug-induced stomatitis in a patient who received alogliptin for T2DM which resolved upon discontinuation of the offending agent. Summary: A 60-year-old male with T2DM began treatment with a DPP-4 inhibitor, alogliptin. After 4 doses of alogliptin, the patient reported inflammation and irritation along the lateral borders of his tongue, along with open fissures and oral ulcerations on the dorsal surface of the mucosa. He was subsequently diagnosed with stomatitis. Patient discontinued alogliptin and reported improvement in symptoms within 48 hours. Lesions re-epithelialized within 4 weeks after cessation of alogliptin. The Naranjo Algorithm was used to assess causality. The total score was 7, which when interpreted, implicates alogliptin as a "probable" cause of the reaction. Conclusion: A causality assessment determined alogliptin was a "probable" cause of stomatitis experienced by this patient. This adverse effect has not been reported with alogliptin to the authors' knowledge. FAU - Terry, Danielle AU - Terry D AD - Veterans Health Care System of the Ozarks, Fayetteville, AR, USA. RINGGOLD: 19964 FAU - Eads, Andrea V AU - Eads AV AUID- ORCID: 0000-0002-8760-0038 AD - Veterans Health Care System of the Ozarks, Fayetteville, AR, USA. RINGGOLD: 19964 LA - eng PT - Case Reports PT - Journal Article DEP - 20220615 PL - United States TA - J Pharm Pract JT - Journal of pharmacy practice JID - 8900945 RN - JHC049LO86 (alogliptin) RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 56HH86ZVCT (Uracil) SB - IM MH - Humans MH - Male MH - Middle Aged MH - *Diabetes Mellitus, Type 2/drug therapy MH - *Dipeptidyl-Peptidase IV Inhibitors/adverse effects MH - *Stomatitis/chemically induced MH - *Uracil/adverse effects OTO - NOTNLM OT - adverse drug reaction OT - alogliptin OT - diabetes mellitus OT - oral ulceration OT - stomatitis COIS- Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Neither author has any conflict of interest to report. This material is the result of work supported with resources at the Veterans Health Care System of the Ozarks. The contents do not represent the views of the U.S. Department of Veterans Affairs or the United States Government. EDAT- 2022/06/16 06:00 MHDA- 2023/11/08 06:43 CRDT- 2022/06/15 03:35 PHST- 2023/11/08 06:43 [medline] PHST- 2022/06/16 06:00 [pubmed] PHST- 2022/06/15 03:35 [entrez] AID - 10.1177/08971900221108721 [doi] PST - ppublish SO - J Pharm Pract. 2023 Dec;36(6):1516-1518. doi: 10.1177/08971900221108721. Epub 2022 Jun 15.