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Metaglip vs. Onglyza

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

Key takeaways

Glipizide/metformin (Metaglip) and saxagliptin (Onglyza) are both used to treat Type 2 diabetes, but they a few differences between them. Glipizide/metformin is a combination of two medications: glipizide, which helps your pancreas release insulin, and metformin, which lowers the amount of sugar your body makes and absorbs. It's best take it with meals to avoid low blood sugar. Saxagliptin helps insulin stay in your body longer by blocking a protein that breaks it down. You can take it once daily, with or without food. While glipizide/metformin can cause side effects like diarrhea and low blood sugar, saxagliptin is less likely to cause low blood sugar but may increase your risk of heart failure and pancreatitis. Both medications are available in generic forms, making them more affordable options.

Glipizide/metformin

 

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Saxagliptin

(Onglyza)

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Summary for Metaglip

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.

Indications for Metaglip

Pros and Cons for Metaglip

Pros

  • Taken by mouth
  • Combination medication, so more convenient to take
  • Available as a lower-cost generic

Cons

  • Need to take with meals
  • Can't take during pregnancy
  • Not an option for children

Common Side Effects for Metaglip

  • Diarrhea (18%)
  • Headache (13%)
  • Cold or flu infection (10%)
  • Low blood sugar levels (9%)
  • Muscle pain (8%)
  • Nausea, vomiting (8%)
  • Stomach pain (6%)
  • Dizziness (5%)

Warnings for Metaglip

  • Lactic acidosis
  • Possible risk of serious heart problems
  • Low blood sugar levels
  • Low vitamin B12 levels

Summary for Onglyza

Prescription only

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 for Onglyza

Pros and Cons for Onglyza

Pros

Cons

Common Side Effects for Onglyza

Warnings for Onglyza

  • Pancreas problems
  • Heart failure
  • Low blood sugar (hypoglycemia)
  • Joint pain
  • Large blisters
  • Risk of allergic reaction

Prices with our coupons for Metaglip vs. Onglyza

Price Card Drug Icon
Glipizide/Metformin180 tablets / 5mg/500mg
$41.98$91.97
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Price Card Drug Icon
Saxagliptin30 tablets / 5mg
$48.24$523.99
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