Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Alogliptin (Nesina) and glyburide (Glynase) are both medications used to treat Type 2 diabetes, but they work in different ways and have distinct characteristics. Alogliptin is a dipeptidyl peptidase-4 (DPP-4) inhibitor that helps lower blood sugar by allowing insulin to stay in your body longer and reducing sugar production. It is typically taken once daily and is available in a lower-cost generic form. Glyburide is a sulfonylurea that lowers blood sugar by signaling your pancreas to release more insulin. It can be taken once or twice daily, depending on your dose, and also has a generic version. While alogliptin isn't a first-choice treatment and doesn't significantly affect weight, glyburide can lower A1C levels more effectively but carries a higher risk of causing low blood sugar and potential weight gain. Serious side effects of glyburide include severe low blood sugar (hypoglycemia) and possible heart problems, while taking alogliptin may cause issues like severe joint pain and pancreatitis.
Alogliptin (Nesina)
Glyburide
Alogliptin (Nesina)
Glyburide
Summary of Nesina vs. Glyburide
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.
Summary for Sulfonylurea
Prescription only
Glyburide is taken by mouth to lower blood sugar levels for people who have Type 2 diabetes. This medication isn't meant to be taken alone, but in addition to eating a healthy diet and engaging in regular exercise. Glyburide is typically taken once or twice daily, depending on your dose.
Indications of Nesina vs. Glyburide
Indications for
•Type 2 diabetes
Indications for
•Type 2 diabetes
Pros and Cons of Nesina vs. Glyburide
Pros and Const for DDP-4 inhibitor
Pros
•Taken once daily by mouth
•Can be taken with or without food
•Is available as a lower-cost generic
Cons
•Dose may change if you have kidney problems, while other similar medications, like Tradjenta (linagliptin), don't need dose changes