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Nesina vs. Precose

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

Key takeaways

Alogliptin (Nesina) and acarbose (Precose) are both medications used to treat Type 2 diabetes, but they work in different ways and have different usage patterns. Alogliptin is a DPP-4 inhibitor that helps your body keep insulin around longer and reduce sugar production, and it's typically taken once a day. On the other hand, acarbose is an oral medication that slows down the digestion of carbohydrates, and it's taken with each main meal, usually three times a day. Alogliptin is available as a brand or generic, while acarbose is only available as a generic since the brand name has been discontinued. Alogliptin can cause side effects like headaches and cold symptoms, whereas acarbose often leads to gas and diarrhea. Additionally, acarbose is less likely to cause low blood sugar when used alone compared to alogliptin, which can cause low blood sugar when combined with other diabetes medications. Both medications are not first-choice treatments for Type 2 diabetes and are typically used alongside diet and exercise.

Alogliptin

(Nesina)

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Acarbose

 

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Summary for Nesina

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.

Indications for Nesina

  • Type 2 diabetes

Pros and Cons for Nesina

Pros

  • Taken once daily by mouth
  • Can be taken with or without food
  • Is available as a lower-cost generic

Cons

Common Side Effects for Nesina

  • Upper respiratory tract infection (5%)
  • Common cold (5%)
  • Headache (4%)

Warnings for Nesina

  • Heart failure
  • Severe joint pain
  • Inflammation of the pancreas
  • Liver problems
  • Severe itching rash

Summary for Precose

Prescription only

Acarbose is a medication that's used together with a healthy diet and exercise to help control blood sugar in adults with Type 2 diabetes. It isn't as commonly used as other diabetes medications since it can lead to some unpleasant side effects like gas and diarrhea. But acarbose is less likely to cause hypoglycemia compared to other diabetes medications when used on its own. This medication is only available as the generic name acarbose since the brand name Precose has been discontinued.

Indications for Precose

  • Type 2 diabetes

Pros and Cons for Precose

Pros

  • Not likely to cause weight gain, instead it might cause weight loss
  • Helps control blood sugar levels after you're eating
  • Low risk of low blood sugar when used alone
  • Can be used with other diabetes medications
  • Available as a lower-cost generic

Cons

  • Must be taken multiple times a day
  • Needs to be taken with meals
  • Side effects include excessive gas and diarrhea
  • Not recommended for people with severe kidney problems
  • Typically not considered a first-choice treatment option

Common Side Effects for Precose

  • Excessive gas (74%)
  • Diarrhea (31%)
  • Stomach pain (19%)

Warnings for Precose

  • Low blood sugar when taken together with other diabetes medications
  • Changes in liver labs
  • Losing control of blood sugar

Prices with our coupons for Nesina vs. Precose

Price Card Drug Icon
Alogliptin30 tablets / 25mg
$124.80$209.01
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Price Card Drug Icon
Acarbose90 tablets / 25mg
$23.68$70.10
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