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Starlix vs. Prandimet

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

Key takeaways

Nateglinide (Starlix) and Prandimet (metformin/repaglinide) are both used to manage blood sugar levels in people with Type 2 diabetes. They share a similarity in that they both contain a meglitinide, which helps the pancreas release more insulin. However, they have some important differences. Nateglinide contains only a meglitinide medication. Prandimet contained a combination of metformin and repaglinide, but it's no longer available in the U.S. Nateglinide is taken as a tablet three times a day before meals and is available as a generic. Common side effects of nateglinide include upper respiratory infections and dizziness. Nateglinide can cause low blood sugar, especially if meals are skipped, and should be used with caution if combined with other diabetes medications.

Nateglinide

 

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Prandimet

(metformin / repaglinide)

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Summary for Starlix

Prescription only

Nateglinide is an add-on medication to diet and exercise to control blood sugar in people with Type 2 diabetes. This medication comes as a tablet that's taken by mouth. It must be taken three times a day, which might be inconvenient for some people.

Indications for Starlix

  • Type 2 diabetes

Pros and Cons for Starlix

Pros

  • Helps release insulin into the body within 20 minutes of taking
  • Lowers A1C levels by around 0.75%
  • Good option if you can't take metformin because of side effects or poor kidney function
  • Lower-cost generic available

Cons

  • Need to take 1 to 30 minutes before each meal
  • Must take 3 times a day, which can be inconvenient
  • Might be more likely to cause weight gain than other diabetes medications
  • Not for people with Type 1 diabetes

Common Side Effects for Starlix

  • Upper respiratory tract infection (11%)
  • Back pain (4%)
  • Flu symptoms (4%)
  • Dizziness (4%)
  • Joint problems (3%)
  • Diarrhea (3%)
  • Accidental trauma (3%)
  • Bronchitis (3%)

Warnings for Starlix

  • Low blood sugar (hypoglycemia)

Summary for Prandimet

Discontinued

Prandimet (metformin / repaglinide) is a combination of two medications used to control blood sugar in people with type 2 diabetes. Both brand and generic versions of this medication have been discontinued and are no longer available in the United States.

Indications for Prandimet

  • Type 2 diabetes

Pros and Cons for Prandimet

Pros

Cons

Prices with our coupons for Starlix vs. Prandimet

Price Card Drug Icon
Nateglinide90 tablets / 120mg
$31.87$158.30
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Price Card Drug Icon
Prandimet30 tablets / 2mg/500mg
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