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Glucotrol vs. Amaryl

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Glipizide (Glucotrol XL) and Glimepiride (Amaryl) are sulfonylurea medications used to treat Type 2 diabetes. Both work by helping your pancreas release more insulin but they also have some differences between the two medications. Unlike glimepiride, glipizide is available in both immediate-release and extended-release forms. Glipizide can be taken once or twice daily depending on the dose, whereas glimepiride is only taken once daily. Both medications can cause low blood sugar and weight gain, but glimepiride is more likely to cause weight gain compared to some other diabetes medications. Common side effects of glipizide include dizziness and diarrhea, while glimepiride commonly causes headaches and flu-like symptoms. Both medications are available as lower-cost generics, making them more affordable options for managing diabetes.

Glipizide

 

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Glimepiride

(Amaryl)

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Summary for Glucotrol

Prescription only

Glipizide is a sulfonylurea medication used to treat Type 2 diabetes in adults. It lowers blood sugar levels by telling your pancreas to release more insulin. Glipizide is taken by mouth, typically once or twice daily. Some side effects of this medication include dizziness and diarrhea. Taking glipizide can also put you at risk for dangerously low blood sugar, so it's important to take this medication with meals.

Indications for Glucotrol

Pros and Cons for Glucotrol

Pros

  • Taken by mouth
  • Extended-release tablets taken once daily
  • Available as a lower-cost generic medication

Cons

  • Raises your risk for low blood sugar levels (hypoglycemia)
  • Need to take with meals or 30 minutes before a meal
  • Can cause some weight gain as a side effect

Common Side Effects for Glucotrol

  • Dizziness (7%)
  • Diarrhea (5%)
  • Nervousness (4%)
  • Tremor (4%)
  • Passing gas (3%)
  • Low blood sugar levels (3%)

Note: Side effects were reported by people who took glipizide ER (Glucotrol XL) in clinical studies.

Warnings for Glucotrol

  • Low blood sugar levels
  • Risk of low red blood cell count (hemolytic anemia)
  • Possible risk of serious heart problems
  • Risk of harm in people with certain stomach problems (extended-release tablets)

Summary for Amaryl

Prescription only

Glimepiride (Amaryl) is a medication used to treat type 2 diabetes along with healthy diet and exercise. It's part of the medication class called sulfonylureas. This medication is taken by mouth, typically once daily with the first main meal. Some common side effects of glimepiride (Amaryl) include headaches and low blood sugar. Like other medications in its class, it can also cause weight gain. Glimepiride (Amaryl) is available as both a brand name (Amaryl) and generic tablet.

Indications for Amaryl

  • Type 2 diabetes in adults

Pros and Cons for Amaryl

Pros

  • Available as a lower-cost generic medication
  • Only taken once a day
  • Taken by mouth

Cons

  • Need to take with the biggest meal of the day
  • More likely to cause weight gain compared to some other medications for diabetes
  • Might cause low blood sugar in breastfed babies and people ages 65 years and older

Common Side Effects for Amaryl

  • Shakiness, anxiety, and other symptoms of low blood sugar levels (up to 20%)
  • Headache (8%)
  • Fever, cough, and other flu-like symptoms (5%)
  • Nausea (5%)
  • Dizziness (5%)

Warnings for Amaryl

  • Low blood sugar
  • Serious allergic reactions
  • Risk of low red blood cell count (hemolytic anemia)
  • Possible risk of serious heart problems

Prices with our coupons for Glucotrol vs. Amaryl

Price Card Drug Icon
Glipizide90 tablets / 10mg
$12.83$12.83
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Glimepiride180 tablets / 4mg
$19.00$19.00
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