Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Jardiance (empagliflozin) and Onglyza (saxagliptin) are both medications used to manage Type 2 diabetes, but they belong to different drug classes and work in distinct ways. Jardiance is a sodium-glucose co-transporter 2 (SGLT2) inhibitor that helps lower blood sugar by causing your body to excrete excess sugar through urine. It also has benefits for heart failure and chronic kidney disease. Onglyza, on the other hand, is a DPP-4 inhibitor that works by blocking a protein that breaks down hormones responsible for insulin production, thus helping insulin stay in your body longer. Jardiance is taken once daily in the morning, while Onglyza can be taken at any time of day. Jardiance is currently only available as a brand-name medication, with generics expected in 2025, whereas Onglyza is available in a lower-cost generic form. Common side effects of Jardiance include urinary tract infections and yeast infections, while Onglyza may cause upper respiratory infections and headaches. Additionally, Jardiance can lead to weight loss, whereas Onglyza does not significantly affect weight.
Saxagliptin (Onglyza) is an add-on medication to exercise and a balanced, nutritious diet to improve blood sugar control in adults with Type 2 diabetes. It belongs to the drug class called dipeptidyl peptidase-4 (DPP-4) inhibitors. The saxagliptin (Onglyza) dosage is taken by mouth once daily. Possible side effects include certain infections and headaches. The brand name, Onglyza, is no longer available. But the lower-cost generic version is still available.
Indications of Jardiance vs. Onglyza
Indications for
•Type 2 diabetes (in addition to diet and exercise) in people age 10 years and older
•Lowering the risk of death due to heart problems in adults with Type 2 diabetes and heart disease
•Lowering the risk of hospitalization and death due to heart problems in adults with heart failure
•Lowering the risk of worsening kidney problems, hospitalization, and death due to heart problems in adults with chronic kidney disease (CKD)