Nota: se requiere una receta válida para todos los medicamentos con receta.
Jentadueto is a prescription combination medicine for adults with type 2 diabetes. It contains linagliptin and metformin to help improve blood sugar control alongside diet and exercise. This page explains how it works, who it suits, and how to access it with US shipping from Canada, including options without insurance.
CanadianInsulin.com is a prescription referral platform. We verify prescriptions with your prescriber when required, and licensed Canadian pharmacies dispense your order.
What Jentadueto Is and How It Works
Jentadueto® combines two agents. Linagliptin is a DPP-4 inhibitor that increases incretin hormones, which can enhance glucose-dependent insulin release and reduce glucagon levels. Metformin is a biguanide that can lower hepatic glucose production and improve peripheral insulin sensitivity. Together, the treatment helps reduce fasting and post-meal glucose.
This medicine is indicated as an adjunct to diet and exercise for adults with type 2 diabetes. It is not for type 1 diabetes or diabetic ketoacidosis. For background reading on the class, see Puede Esperar Tomar Inhibidores Dpp 4 y Puede Esperar Tomando Medicamentos Biguanidas. You can also review our Diabetes de tipo 2 hub for condition basics.
Some patients may be prescribed Jentadueto 2.5 mg/1000 mg tablets when an additional agent is needed alongside metformin. Your prescriber selects a regimen based on prior therapy and tolerability. Always follow the official label and your clinician’s directions.
Who It’s For
This combination is for adults with type 2 diabetes who require dual therapy to improve glycemic control. It may be considered when metformin alone does not achieve targets or when combination therapy is appropriate.
Do not use if you have type 1 diabetes or active ketoacidosis. It is generally avoided in severe renal impairment. The metformin component carries a risk of lactic acidosis, especially with significant kidney disease, hypoxic states, or heavy alcohol use. Safety and effectiveness are not established in pediatric patients. Discuss pregnancy and breastfeeding considerations with your healthcare professional.
Posología y utilización
Dosing is individualized. Clinicians often consider a patient’s current regimen and tolerability to metformin. Tablets are typically taken with meals to help reduce stomach-side effects. Swallow tablets whole with water. Do not crush or split unless directed on the label.
If you are switching from metformin alone, a healthcare professional may start the combination at doses matching or close to your existing metformin regimen. The linagliptin daily dose target is usually 5 mg total per day. To minimize gastrointestinal symptoms, prescribers may titrate the metformin component gradually as tolerated. Always consult the official prescribing information for complete instructions.
Extended-release options exist for some combination products. For a once-daily alternative in a related class, review Janumet XR y la visión general Common Diabetes Medications And How They Work.
Fortalezas y formas
Immediate-release tablets are commonly available in:
- 2,5 mg/500 mg
- 2,5 mg/850 mg
- 2,5 mg/1000 mg
Extended-release presentations vary by market and may include once-daily combinations such as 2.5 mg/1000 mg and 5 mg/1000 mg. Availability can differ by country and dispensing pharmacy. Some markets offer Jentadueto XR 2.5/1000 mg tablets for specific dosing needs. Check current listings for what is in stock.
Dosis omitida y momento oportuno
If you miss a dose, take it as soon as you remember with food. If it is almost time for your next dose, skip the missed dose and return to your regular schedule. Do not take two doses at once. Establishing consistent meal-time dosing can help maintain steady control and reduce stomach upset.
Almacenamiento y viaje
Store tablets at room temperature away from excess heat and moisture, and keep the bottle tightly closed. Protect from light. Keep out of reach of children and pets. For travel, carry this medicine in your hand luggage with the original labeled container. Bring a copy of your prescription and a medication list. If crossing time zones, aim to take doses with meals at roughly similar intervals. Do not store tablets in a hot car or a steamy bathroom.
When flying, pack an extra small supply in a separate carry-on compartment in case one bag is misplaced. If your regimen includes a glucose meter, bring spare batteries and strips. For questions on meal timing during travel, consult your prescriber or pharmacist. See practical metformin-specific points in Dosis de metformina.
Manipulación de bolígrafos y eliminación de objetos punzantes
This therapy comes as oral tablets. No pen priming, needles, or sharps containers are required. If you use separate diabetes supplies like lancets, follow local rules for sharps disposal.
Beneficios
This combination can support A1C reduction through two complementary mechanisms. It may help lower both fasting and post-meal glucose when used with diet and exercise. Compared with some agents, the class has a low risk of hypoglycemia when used without insulin or sulfonylureas. The tablet format may simplify routines for people who need more than one mechanism of action.
Efectos secundarios y seguridad
- Stomach upset, diarrhea, or nausea
- Gases o molestias abdominales
- Headache or nasopharyngitis
- Cough or sore throat
- Reduced vitamin B12 levels with long-term metformin
Serious but less common risks include lactic acidosis associated with metformin, pancreatitis, severe hypersensitivity reactions, and bullous pemphigoid reported with DPP-4 inhibitors. Hypoglycemia can occur if used with insulin or a sulfonylurea. Stop the medicine and seek urgent care for symptoms of severe abdominal pain, difficulty breathing, confusion, or a widespread blistering rash.
Interacciones medicamentosas y precauciones
Tell your prescriber about all medicines and supplements you use. Strong inducers of P-gp/CYP3A4 such as rifampin can lower linagliptin exposure. Carbonic anhydrase inhibitors and excessive alcohol use may raise the risk of lactic acidosis with metformin. Iodinated contrast can affect kidney function; temporary interruption of metformin may be needed around imaging procedures per label. Cationic drugs eliminated by renal tubular secretion (for example, cimetidine) may increase metformin levels. Review the label and consult your healthcare professional for full interaction details.
Qué esperar con el tiempo
With regular use and consistent meals, many patients see gradual improvements in daily glucose patterns. Gastrointestinal side effects often lessen as the body adapts and with dose titration guided by the prescriber. Periodic A1C checks and kidney function monitoring are common. Sustained benefits depend on adherence, meal planning, and routine activity. If your readings change or symptoms arise, contact your clinician for guidance.
Comparar con alternativas
Other options in this therapeutic space include sitagliptin plus metformin products such as Janumet XR. For background on how these two combinations differ in components and schedules, see Janumet Vs Jentadueto. Some patients may also use metformin alone or a DPP-4 inhibitor alone when appropriate per label.
Precios y acceso
You can check Jentadueto price in your cart and compare Canadian pricing before you finalize. We also list any active Jentadueto coupon when available. For additional site-wide offers, visit our promociones page. Orders are fulfilled by licensed pharmacies, and items Ships from Canada to US with prescription verification. If you prefer to view class-based options, browse our Dpp 4 Inhibitors categoría.
Many shoppers compare cash-pay options for linagliptin and metformin combinations. If you are evaluating total out-of-pocket amounts, review any employer or plan requirements and keep an eye on refills to avoid last-minute gaps. Our checkout uses encrypted checkout to protect your information.
Disponibilidad y sustituciones
Availability can vary by strength and pack size. If a specific tablet is out of stock, your prescriber may recommend a therapeutically appropriate alternative in the same class or a different class based on your history. We cannot guarantee restock dates. Always use the exact product and strength written on your prescription unless your clinician authorizes a change.
Adecuación al paciente y consejos para ahorrar costes
You may be a candidate if you are an adult with type 2 diabetes who needs more than one mechanism to reach targets and you can use metformin safely. You may not be a candidate if you have significant kidney disease, metabolic acidosis, heavy alcohol use, or a history of pancreatitis without careful evaluation. Discuss risks and monitoring with your healthcare professional before starting.
To manage spending, consider multi-month fills if appropriate. Align refills with routine lab visits to simplify scheduling. Use reminders for dosing and refill dates. Review plan formularies each year. If metformin causes stomach upset, ask your prescriber about administration with meals and whether a slower titration plan is suitable per label. For additional background on metformin scheduling, see Dosis de metformina.
Preguntas para su médico
- Is this combination appropriate given my A1C and prior therapies?
- Which starting dose aligns with my current metformin regimen?
- What labs should I complete before and after starting?
- How should I time doses with meals during travel or shift work?
- What side effects mean I should call the office promptly?
- Could my other medicines raise the risk of lactic acidosis?
- If I develop stomach upset, what label-guided strategies can help?
Fuentes autorizadas
Ready to proceed with CanadianInsulin? Place your order for US delivery from Canada and choose prompt, express, temperature-controlled handling when required. This information is educational and not a substitute for professional medical advice. Use only as directed by your prescriber and the official label.
Envío urgente - desde $25.00
El envío con este método tarda entre 3 y 5 días
Los precios:
- Productos envasados en seco $25.00
- Productos envasados en frío $35.00
Envío estándar - $15.00
El envío con este método tarda entre 5 y 10 días
Los precios:
- Productos envasados en seco $15.00
- No disponible para productos envasados en frío
How does this combination differ from metformin alone?
Metformin decreases liver glucose production and improves insulin sensitivity. Adding a DPP-4 inhibitor provides an incretin effect, which can enhance glucose-dependent insulin release and reduce glucagon. In practice, the combination may help further reduce fasting and post-meal glucose compared with metformin alone. Your clinician considers your labs, kidney function, and tolerance when deciding whether to use one agent or a combination.
Can I take it with other diabetes medicines?
Many patients use this therapy alone or with other agents, but combinations should be clinician-directed. Using insulin or a sulfonylurea together can raise hypoglycemia risk, so your prescriber may monitor more closely. Avoid starting new medicines, including over-the-counter products, without discussing interactions and kidney function considerations tied to metformin. Follow the official label and your care plan.
What are common side effects and how long do they last?
Stomach upset, diarrhea, and nausea are the most common, largely related to the metformin component. Upper respiratory symptoms or headache can occur. Gastrointestinal effects often ease with food and as your body adjusts. Severe or persistent symptoms need medical attention. Rare but serious issues include lactic acidosis, pancreatitis, severe rash, or allergic reactions. Read the Medication Guide and call your clinician with concerns.
Is it safe with kidney problems?
The metformin component requires adequate kidney function. People with severe renal impairment should not use it, and caution is advised with moderate impairment per label. Your clinician may check eGFR before starting and periodically thereafter. Some procedures, like contrast imaging, may require temporary interruption of metformin. Never change therapy without consulting your healthcare professional.
How should I take it if I have a sensitive stomach?
Take doses with meals and water. Your prescriber may begin at a lower metformin amount and adjust gradually, which can improve tolerance. Avoid excessive alcohol, which increases risk of lactic acidosis. Do not crush or split tablets unless the label permits. If symptoms persist or worsen, contact your healthcare professional for guidance based on the official label.
Can I drink alcohol while using it?
Alcohol can increase the risk of lactic acidosis with metformin, especially with heavy intake or in those with liver disease or reduced kidney function. If you drink, keep it moderate and discuss safe limits with your clinician. For more context on this topic, see our educational overview on metformin and alcohol interaction on the site.
What if I miss a dose while traveling?
If you miss a dose, take it when remembered unless it is close to the next scheduled dose, in which case skip and resume your usual timing. Do not double up. Keep tablets in original packaging in your carry-on and bring your prescription. Aim to anchor doses to meals at your destination. If unsure how to adjust across time zones, ask your clinician for individualized advice.
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