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Trulicity vs. Januvia

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

Key takeaways

Trulicity (dulaglutide) and Januvia (sitagliptin) are both prescription medications used to treat Type 2 diabetes, but they work in different ways and are taken differently. Trulicity is a GLP-1 agonist that you inject once a week. It helps your body release more insulin, slows down digestion, and stops the release of extra sugar into your bloodstream. Trulicity also lowers the risk of major heart events in adults with Type 2 diabetes who have heart disease or risk factors for heart disease. On the other hand, Januvia is a DPP-4 inhibitor taken by mouth once daily. It works by blocking a protein that breaks down hormones responsible for insulin production, allowing insulin to stay in your body longer and reducing sugar production. Trulicity can cause side effects like nausea and stomach pain, while Januvia might cause a runny nose, sore throat, and headache. Trulicity is also linked to a risk of thyroid cancer and pancreatitis, whereas Januvia has warnings about potential kidney problems and severe joint pain.

Trulicity

(dulaglutide)

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Januvia

(sitagliptin)

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Summary for Trulicity

Prescription only

Trulicity (dulaglutide) is a glucagon-like peptide-1 (GLP-1) agonist that helps control blood sugar in people 10 years and older with Type 2 diabetes. It's also approved to lower the risk of heart problems like heart attacks, strokes, and heart-related death in certain adults with Type 2 diabetes. The medication is injected under the skin once a week. Common side effects include nausea, vomiting, diarrhea, and stomach pain. When taken with certain diabetes medications like insulin, there's a higher risk of low blood sugar (hypoglycemia).

Indications for Trulicity

  • Manage Type 2 diabetes in people 10 years and older, along with diet and exercise
  • Lower the risk of heart problems like heart attack, stroke, or death in adults with Type 2 diabetes who have heart disease or heart-related risk factors

Pros and Cons for Trulicity

Pros

  • Works well at lowering A1C
  • Comes as a ready-to-use injectable pen
  • Only used once a week
  • Helps with weight loss

Cons

  • Commonly causes nausea, vomiting, diarrhea, and stomach pain
  • Potential risk for thyroid tumors
  • Can cause problems in the pancreas, kidney, and gallbladder
  • Not recommended for people with stomach problems

Common Side Effects for Trulicity

  • Nausea (12-21%)
  • Diarrhea (7-13%)
  • Vomiting (6-13%)
  • Stomach pain (7-9%)
  • Low appetite (5-9%)
  • Fatigue (4-6%)
  • Indigestion (3-6%)

Warnings for Trulicity

  • Thyroid cancer
  • Inflammation of the pancreas (pancreatitis)
  • Low blood sugar when used with certain diabetes medications
  • Severe allergic reactions
  • Kidney damage
  • Severe stomach-related side effects
  • Worsening eye problems in people with diabetic retinopathy
  • Gallbladder problems
  • Breathing fluid into your lungs during anesthesia or deep sedation

Summary for Januvia

Prescription only

Januvia (sitagliptin) is a prescription medication that helps lower blood sugar in adults with Type 2 diabetes. It works best when you also follow a balanced diet and exercise regularly. It belongs to the drug class called dipeptidyl peptidase-4 (DPP-4) inhibitors, or gliptins. Januvia (sitagliptin) comes as a tablet you take by mouth once a day. Side effects include stuffy or runny nose and headache. Januvia (sitagliptin) is a brand-name medication only; the generic version isn't available yet.

Indications for Januvia

Pros and Cons for Januvia

Pros

Cons

Common Side Effects for Januvia

Warnings for Januvia

  • Inflammation of the pancreas (pancreatitis)
  • Risk of heart failure
  • Sudden kidney problems
  • Low blood sugar when taken with other diabetes medications
  • Serious allergic reactions
  • Joint pain
  • Severe skin reactions

Prices with our coupons for Trulicity vs. Januvia

Price Card Drug Icon
Trulicity1 carton / 4 pens of 0.75mg/0.5ml
$1,024.04$1,158.55
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Januvia90 tablets / 100mg
$976.41$1,250.48
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