Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Invokana (canagliflozin) and Victoza (liraglutide) are both medications used to manage Type 2 diabetes, but they work in different ways and have different forms. Invokana is an oral medication that belongs to the sodium glucose transporter 2 (SGLT2) inhibitor class, which helps lower blood sugar by causing your body to excrete excess sugar through urine. It also helps reduce the risk of heart and kidney problems. On the other hand, Victoza is an injectable GLP-1 agonist that lowers blood sugar by increasing insulin release, reducing sugar production, and slowing digestion. While Invokana is taken once daily before the first meal, Victoza is injected once daily at any time, with or without food. Both Invokana and Victoza are only available as a brand-name medication. Common side effects of Invokana include yeast infections and urinary tract infections, while Victoza often causes nausea and diarrhea. Additionally, Invokana carries a risk of leg and foot amputations, whereas Victoza has a warning for potential thyroid cancer and pancreatitis.
Invokana (canagliflozin)
Victoza (liraglutide)
Invokana (canagliflozin)
Victoza (liraglutide)
Summary of Invokana vs. Victoza
Summary for SGLT2 inhibitor
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.
Summary for GLP-1 agonist
Prescription only
Victoza (liraglutide) is a medication that's injected once a day. It helps lower blood sugar levels in people 10 years and older with Type 2 diabetes when used with a nutritious diet and regular exercise. It can also help lower the risk of heart-related problems in adults with Type 2 diabetes and heart disease. Victoza (liraglutide) belongs to the drug class called GLP-1 agonists. The medication comes as single-dose prefilled pens and is injected under the skin. It can cause side effects like nausea, vomiting, diarrhea, and constipation. Victoza (liraglutide) is available as both a brand-name and generic medication.
Indications of Invokana vs. Victoza
Indications for
•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
Indications for
•Type 2 diabetes in people age 10 and older, together with a balanced diet and exercise
•Lowering the risk of serious heart-related problems in adults with Type 2 diabetes and heart disease
Pros and Cons of Invokana vs. Victoza
Pros and Const for SGLT2 inhibitor
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