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Januvia vs. Ozempic

Januvia (sitagliptin) is a prescription medication that helps lower blood sugar in adults with Type 2 diabetes. It works best when you also follow a balanced diet and exercise regularly. It belongs to the drug class called dipeptidyl peptidase-4 (DPP-4) inhibitors, or gliptins. Januvia (sitagliptin) comes as a tablet you take by mouth once a day. Side effects include stuffy or runny nose and headache. Januvia (sitagliptin) is a brand-name medication only; the generic version isn't available yet.

• Type 2 diabetes in adults

• Runny or stuffy nose and other symptoms of the common cold (5%)

• Inflammation of the pancreas (pancreatitis)
• Risk of heart failure
• Sudden kidney problems
• Low blood sugar when taken with other diabetes medications
• Serious allergic reactions
• Joint pain
• Severe skin reactions

Ozempic (semaglutide) is a GLP-1 agonist used with diet and exercise to help adults manage Type 2 diabetes. It can also lower the risk of heart attack, stroke, and heart-related death in some people with Type 2 diabetes. It comes as a once-weekly injection under the skin and as a tablet taken by mouth once a day. The injection is also approved to help slow worsening kidney problems in people with Type 2 diabetes and chronic kidney disease (CKD). Common side effects include nausea, vomiting, and diarrhea.

Injection:

• Type 2 diabetes
• Lower the risk of heart attack, stroke, and heart-related death in adults with Type 2 diabetes and heart disease
• Lower the risk of worsening kidney problems and heart-related death in adults with Type 2 diabetes and chronic kidney disease (CKD)

Tablets:

• Type 2 diabetes
• Lower the risk of heart attack, stroke, and heart-related death in adults with Type 2 diabetes at high risk for these events

• Nausea (16-20%)
• Diarrhea (9%)
• Vomiting (5-9%)
• Stomach pain (6-7%)
• Constipation (3-5%)

Note: Side effects listed above are for Ozempic (semaglutide) injection

• Risk of thyroid tumors
• Inflammation of the pancreas (pancreatitis)
• Eye problems
• Low blood sugar (hypoglycemia) when taken with certain diabetes medications
• Kidney damage
• Severe stomach problems
• Severe allergic reactions
• Gallbladder problems
• Lung problems during anesthesia or deep sedation