Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Tradjenta (linagliptin) and metformin (formerly glucophage) are both prescription oral medications used to treat Type 2 diabetes, but they work in different ways and belong to different drug classes. Tradjenta is a DPP-4 inhibitor that helps your body produce more insulin and make less sugar by blocking a protein called DPP-4. It's taken once daily and can be taken with or without food. Metformin, on the other hand, lowers the amount of sugar your body makes and absorbs, and helps you use your body's natural insulin better. It's usually taken once or twice daily with food to prevent stomach upset. Metformin is known for causing stomach issues like diarrhea and nausea, but it doesn't cause weight gain and rarely leads to low blood sugar. Tradjenta is less likely to cause stomach side effects but can cause joint pain and has a risk of pancreatitis. A healthcare professional may recommend you take Tradjenta along with other diabetes medications, such as metformin to help control your blood sugar. Lipagliptin and metformin can be taken separately or as a combination medication (Jentadueto) for added convenience. Metformin is also available in a generic form, making it more affordable, while Tradjenta does not have a generic version.
Tradjenta (linagliptin)
Metformin
Tradjenta (linagliptin)
Metformin
Summary of Tradjenta vs. Glucophage
Summary for DDP-4 inhibitor
Prescription only
Tradjenta (linagliptin) is a prescription medication that's used along with a balanced diet and exercise to manage blood sugar levels in adults with Type 2 diabetes. It's a type of diabetes medication called a dipeptidyl peptidase-4 (DPP-4) inhibitor. The dose is 5 mg (1 tablet) that's taken by mouth once per day. Tradjenta (linagliptin) doesn't cause many side effects but can sometimes include runny nose, sneezing, and diarrhea. As of 2024, Tradjenta (linagliptin) is available as a brand-name medication only; there's no generic version yet.
Summary for Biguanide
Prescription only
Immediate-release metformin is an oral diabetes medication. It's approved for people 10 years of age and older with Type 2 diabetes. The medication belongs to the drug class called biguanides. It works best to lower blood sugar levels with a diabetes-friendly diet and exercise plan. Immediate-release metformin comes as a tablet and an oral solution. You take this medication by mouth usually two to three times a day. It's recommended to take each dosage with food to help lessen side effects like diarrhea and nausea.