Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Glyxambi (empagliflozin/linagliptin) and Invokamet (canagliflozin/metformin) are both combination medications used to treat Type 2 diabetes, but they have some key differences. Glyxambi combines an SGLT2 inhibitor (empagliflozin) and a DPP-4 inhibitor (linagliptin), while Invokamet combines an SGLT2 inhibitor (canagliflozin) and a biguanide (metformin). Glyxambi is taken once daily, whereas Invokamet is available in both immediate-release (taken twice daily) and extended-release (taken once daily) forms. Glyxambi can lower the risk of death from heart disease in people with Type 2 diabetes and heart disease, which Invokamet is also approved for. Invokamet can also lower the risk of major heart events and hospitalization for heart failure and worsening kidney problems in adults with type 2 diabetes and kidney disease. Both medications can cause urinary tract infections and genital infections, but Invokamet also raises the risk of bone fractures and low vitamin B12 levels. Additionally, Invokamet is only available as a brand-name medication, while Glyxambi does not have a generic form either.
Invokamet (canagliflozin / metformin) is a combination medication used along with diet and exercise to lower blood sugar levels in adults with Type 2 diabetes. It's available as immediate-release tablets that are taken twice daily, as well as extended-release tablets that are taken once daily. This medication raises the risk of urinary tract infections (UTIs) and genital infections.
•Lowers risk of death from heart problems in adults with Type 2 diabetes and heart disease
Indications for
•Type 2 diabetes
•To lower the risk of major heart events (e.g., heart attack, stroke) in adults with Type 2 diabetes and heart disease
•To lower the risk of hospitalization for heart failure, death due to heart problems, and worsening of kidney problems in certain adults with Type 2 diabetes and diabetic kidney disease
Pros and Cons of Glyxambi vs. Invokamet
Pros and Const for SGLT2 inhibitor / DPP-4 inhibitor
Pros
•Combines two medications into one pill for convenience
•Can lower the risk of death from heart attack or stroke in people with Type 2 diabetes and heart disease
•Only taken once a day in the morning with or without food
•Available as an extended-release tablet that lasts throughout the day (Invokamet XR)
•Can lower A1C (a blood test that measures your average sugar level over time) by up to 1.8% in people who aren't already taking either Invokana (canagliflozin) or metformin
•Dose can be adjusted based on how well the medication is working for you