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Invokana vs. Glyburide

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

Key takeaways

Invokana (canagliflozin) and Glyburide (Glynase) are both medications used to manage Type 2 diabetes, but they work in different ways and have distinct characteristics. Invokana is an SGLT2 inhibitor that helps lower blood sugar by preventing the kidneys from reabsorbing sugar, which is then excreted through urine. It also has benefits for heart and kidney health. Glyburide, on the other hand, is a sulfonylurea that lowers blood sugar by stimulating the pancreas to release more insulin. Invokana is taken once daily before the first meal, while Glyburide can be taken once or twice daily with meals. Invokana is only available as a brand-name medication, whereas Glyburide is available in both brand and generic forms. Invokana may cause side effects like yeast infections and increased urination, while Glyburide can lead to low blood sugar and weight gain. Additionally, Invokana has a risk of causing leg and foot amputations, whereas Glyburide has a potential risk of heart problems and hemolytic anemia in people with G6PD deficiency.

Invokana

(canagliflozin)

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Glyburide

 

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Summary for Invokana

Prescription only

Invokana (canagliflozin) is a medication that's used together with a healthy diet and exercise to lower blood sugar levels in adults with Type 2 diabetes. It can also lessen the chance of worsening heart and kidney problems in some people with Type 2 diabetes. This medication is taken by mouth once a day.

Indications for Invokana

  • Type 2 diabetes
  • Lowering the risk of major heart events (e.g., heart attack, stroke) in adults with Type 2 diabetes and heart disease
  • Lowering 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 for Invokana

Pros

  • Only taken once a day
  • Can use alone or together with other diabetes medications
  • Dose can be adjusted based on how well the medication is working for you

Cons

  • Only available as brand only
  • Might raise the risk of genital infections or bone fracture
  • Not recommended in second and third trimesters of pregnancy
  • Unknown if safe or works well in people on dialysis

Common Side Effects for Invokana

  • Vaginal yeast infection in females (11-12%)
  • Urinary tract infections (UTIs; 4-6%)
  • More urination (5%)

Warnings for Invokana

  • Leg and foot amputations
  • Ketoacidosis
  • Low fluids in the body (leading to low blood pressure or dehydration)
  • Genital and urinary tract infections
  • Low blood sugar (hypoglycemia) when used with certain other diabetes medications
  • Severe allergic reactions
  • Bone fractures

Summary for Glyburide

Prescription only

Glyburide is taken by mouth to lower blood sugar levels for people who have Type 2 diabetes. This medication isn't meant to be taken alone, but in addition to eating a healthy diet and engaging in regular exercise. Glyburide is typically taken once or twice daily, depending on your dose.

Indications for Glyburide

  • Type 2 diabetes

Pros and Cons for Glyburide

Pros

  • Usually taken only once daily with largest meal
  • Can lower A1C levels by 1.5%
  • Taken by mouth, so good option for people who don't like injections
  • Can be taken with some other blood sugar medications, such as metformin

Cons

  • Risk of low blood sugar (hypoglycemia), especially if you have kidney or liver problems
  • More likely to cause low blood sugar than other blood sugar medications, such as metformin
  • Can cause some weight gain
  • Not approved for Type 1 diabetes

Common Side Effects for Glyburide

  • Feeling bloated
  • Nausea
  • Heartburn

Warnings for Glyburide

  • Low blood sugar (hypoglycemia)
  • Possible risk of heart problems
  • Breakdown of red blood cells

Prices with our coupons for Invokana vs. Glyburide

Price Card Drug Icon
Invokana90 tablets / 100mg
$1,734.98$2,143.42
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Glyburide180 tablets / 5mg
$25.93$30.71
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