Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Glipizide/metformin (generic) and Alogliptin (Nesina) are both medications used to treat Type 2 diabetes, but they have some differences between them. Glipizide/metformin is a combination of two medications: glipizide, which stimulates insulin release, and metformin, which reduces sugar production and absorption. Alogliptin helps insulin stay in your body longer and reduces sugar production. Glipizide/metformin must be taken with meals to avoid low blood sugar, while alogliptin can be taken with or without food. Both are available as lower-cost generic medications. Alogliptin is not a first-choice treatment for Type 2 diabetes and is typically added to other medications, while metformin, part of the glipizide/metformin combination, is a first-choice treatment. Both medications can cause side effects, but glipizide/metformin can cause diarrhea and low blood sugar, while taking alogliptin can cause upper respiratory infections and headaches.
Glipizide/metformin
Alogliptin (Nesina)
Glipizide/metformin
Alogliptin (Nesina)
Summary of Metaglip vs. Nesina
Summary for Sulfonylurea / Biguanide
Prescription only
Glipizide/metformin combines two diabetes medications into one tablet: glipizide (a sulfonylurea) and metformin (a biguanide). It's approved to treat Type 2 diabetes in adults along with diet and exercise. This medication is typically taken by mouth once or twice a day. Some common side effects of glipizide/metformin can include diarrhea and headache; it isn't likely to cause weight gain or weight loss.
Summary for DDP-4 inhibitor
Prescription only
Alogliptin (Nesina) is a medication that treats Type 2 diabetes. It's added to diet and exercise to help lower your blood sugar levels. But it isn't a first-choice treatment for this condition. Alogliptin (Nesina) is typically taken by mouth once a day. Some people may experience certain side effects, such as headaches or symptoms of the common cold (e.g., sore throat or runny nose), after starting this medication.