Nesina vs Januvia
Nesina (alogliptin) and Januvia (sitagliptin) are prescription medications that lower blood sugar. Both medications are dipeptidyl peptidase-4 (DPP-4) inhibitors.
What are these medications used for?
Though there are differences between alogliptin and sitagliptin, they are both used to treat type 2 diabetes. They are ideal as add-on medications for patients having difficulty controlling their blood sugar levels. Though not as effective as insulin, Nesina and Januvia help to keep insulin levels stable. For the most effective results, Nesina and Januvia should be used in combination with a regulated diet and exercise.
How to take these drugs
Unlike many other diabetes medications, alogliptin and sitagliptin are taken as oral pills once daily instead of via injection. Each may be taken with or without food.
Nesina and Januvia side effects
While Nesina and Januvia are both safe and effective medications, patients may experience side effects. Patients experiencing severe side effects should contact a doctor immediately.
Common side effects
- Upper respiratory tract infection
- Nasopharyngitis
- Headache
Severe side effects
- Seizures
- Blurred vision
- Dizziness
Dosage
When it comes to alogliptin vs sitagliptin, the biggest difference is the dosage. Though the instructions for taking the medications are the same, the dosage varies. The recommended dose of Nesina is 25 mg taken once daily, while the recommended dosage of Januvia is 100 mg taken once daily.
Doctor’s Recommendation
Due to the fact that both DPP4 inhibitors are able to reduce HBA1C by .5-.8% and have a similar side-effect profile, the drug of choice should be based on which one the patient’s health insurance covers better.
