Please note: a valid prescription is required for all prescription medication.
Jentadueto® is a prescription combination of linagliptin and metformin for adults with type 2 diabetes. It helps improve blood sugar alongside diet and exercise. Buy Jentadueto online with US delivery from Canada and take advantage of Canadian pricing, including options that may help even without insurance.
Every CanadianInsulin order is prescription-checked with your clinic and dispensed by a licensed Canadian pharmacy.
What Jentadueto Is and How It Works
Jentadueto® pairs two well-studied diabetes medicines in one tablet. Linagliptin is a DPP-4 inhibitor that boosts incretin activity, which supports glucose-dependent insulin release and reduces glucagon. Metformin is a biguanide that decreases hepatic glucose production and improves insulin sensitivity in peripheral tissues. Together, these actions help lower fasting and post-meal glucose without promoting weight gain.
The fixed-dose combination can simplify a regimen by reducing pill burden. Canadian pricing and US shipping from Canada can make continuing therapy more affordable, including for some who pay without insurance. For an overview of key points, see Jentadueto uses.
Who Jentadueto Is For
Jentadueto is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes. It may be considered when both a DPP-4 inhibitor and metformin are appropriate or when switching from separate components to a single-tablet option.
It is not for type 1 diabetes or for treatment of diabetic ketoacidosis. Metformin-containing products are contraindicated in severe renal impairment (eGFR below 30 mL/min/1.73 m2) and generally not recommended to initiate if eGFR is between 30 and 45. Use caution in hepatic impairment, with conditions predisposing to hypoxia, or with excessive alcohol intake due to lactic acidosis risk.
History of pancreatitis warrants caution with DPP-4 inhibitors. Severe joint pain has been reported with the DPP-4 class. Hypoglycemia risk is low with Jentadueto alone, but increases if used with insulin or sulfonylureas.
Dosage and Usage
Jentadueto tablets are taken twice daily with meals. The starting dose should reflect the current regimen. For patients already taking metformin, switch to the nearest comparable metformin strength while adding linagliptin 2.5 mg twice daily. For those on linagliptin alone or treatment-naïve, start at a low metformin strength and titrate as tolerated to reduce gastrointestinal effects.
The usual total daily linagliptin dose is 5 mg (given as 2.5 mg twice daily). Metformin total daily dose commonly ranges up to 2000 mg in divided doses, depending on tolerability and clinical response. Swallow tablets whole with food. Defer to the prescribing information and clinician guidance for individualized dosing decisions.
Strengths and Forms
Jentadueto tablets are available in multiple fixed-dose strengths of linagliptin/metformin. Common presentations include 2.5/500 mg, 2.5/850 mg, and 2.5/1000 mg tablets. Availability may vary by pharmacy and market.
Missed Dose and Timing
If a dose is missed, take it when remembered unless it is close to the next scheduled dose. Do not take two doses at once. Regular, twice-daily dosing with meals supports stable glucose control and minimizes gastrointestinal side effects from metformin.
Storage and Travel Basics
Store tablets at room temperature in a dry place, away from moisture and excessive heat. Keep medication in the original labeled container. When traveling, keep medicine in carry-on luggage with a copy of the prescription. Maintain consistent timing relative to meals when crossing time zones, adjusting schedules gradually as advised by a clinician.
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Benefits
Key benefits of Jentadueto include:
- Two mechanisms of action in one tablet for comprehensive glycemic support
- Low intrinsic hypoglycemia risk when not combined with insulin or sulfonylureas
- Weight neutrality in clinical trials
- Convenience versus taking two separate medicines
- Broad experience with both components across diverse patient populations
For comparisons with similar options, review Janumet vs Jentadueto.
Side Effects and Safety
- Common: nausea, diarrhea, stomach upset, gas, decreased appetite, headache, nasopharyngitis, cough
- Less common: taste changes, mild rash, dizziness
Serious but rare risks include lactic acidosis with metformin (higher risk in significant renal or hepatic impairment, hypoxia, or heavy alcohol use), pancreatitis, severe joint pain, allergic reactions including angioedema, and bullous skin reactions. Hypoglycemia can occur when Jentadueto is used with insulin or sulfonylureas; dose reduction of the concomitant agent may be considered by the prescriber. Learn more in Metformin Side Effects.
Drug Interactions and Cautions
Important interactions include:
- Iodinated contrast imaging procedures: temporarily stop metformin-containing products and reassess renal function before restarting
- Excessive alcohol intake: increases lactic acidosis risk
- Carbonic anhydrase inhibitors (e.g., topiramate): may elevate acidosis risk
- Strong enzyme inducers (e.g., rifampin): may reduce linagliptin exposure
- Insulin and sulfonylureas: increased risk of hypoglycemia; clinical monitoring is needed
See additional background on alcohol considerations in Metformin and Alcohol, and review hypoglycemia basics in Metformin Hypoglycemia.
What to Expect Over Time
Glucose measures often improve progressively as the dose is titrated and as lifestyle measures are maintained. Many patients see reductions in fasting and postprandial glucose and a meaningful A1C decrease over time. Tolerability typically improves after the first weeks as the body adjusts to metformin. Consistent use, meal timing, and regular clinician follow-up support durable outcomes.
Compare With Alternatives
Other approved options that combine mechanisms or support metformin-based therapy include:
- Invokamet (canagliflozin/metformin), which pairs an SGLT2 inhibitor with metformin for additional urinary glucose excretion
- Glumetza (metformin extended-release), which may help patients who need metformin with a different release profile
Broader context on treatment choices is available in Type 2 Diabetes and Oral Insulin Medications categories.
Pricing and Access
Many patients find meaningful savings by using Canadian pricing with US delivery. Transparent checkout and pharmacy dispensing provide added reassurance. If cost is a barrier, consider discussing multi-month supply options and strength consolidation with the prescriber to reduce refill frequency.
For occasional offers, see our promotions. Explore background details in Jentadueto uses and broader therapy guides within our Type 2 Diabetes section.
Availability and Substitutions
Availability can vary by strength. If a requested presentation is not in stock, a prescriber may recommend a clinically suitable alternative or separate components when appropriate. For comparisons, read Janumet vs Jentadueto.
Patient Suitability and Cost-Saving Tips
Good candidates include adults with type 2 diabetes who would benefit from both a DPP-4 inhibitor and metformin in one tablet, particularly when pill burden or adherence are concerns. Those with severe renal impairment, active or high-risk lactic acidosis conditions, or a history of serious hypersensitivity to the components should avoid therapy.
- Ask about a supply that aligns with travel or work schedules to minimize gaps
- Use reminder tools for refills to maintain continuous therapy
- Review lifestyle measures regularly to optimize effectiveness
- Discuss whether metformin extended-release, separate components, or other classes might better fit individual tolerability and goals
- Compare options within our Oral Insulin Medications category
Questions to Ask Your Clinician
- Is my kidney function appropriate for metformin, and how often should it be monitored?
- What starting strength is most appropriate, and how should titration proceed?
- How should other diabetes medicines be adjusted to reduce hypoglycemia risk?
- What signs suggest pancreatitis or lactic acidosis and warrant urgent evaluation?
- Would a different formulation, such as metformin extended-release, be a better fit?
- How should doses be timed when traveling across time zones?
Authoritative Sources
Ready to continue therapy with Canadian pricing and US delivery from Canada? Place an order with prompt, express, cold-chain shipping handled as appropriate. Prescription required; professional guidance should direct all treatment decisions.
This information is educational and not a substitute for professional medical advice. Always refer to the approved label and a licensed clinician for individualized recommendations.
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- What is Jentadueto used for?- Jentadueto is a prescription combination of linagliptin and metformin used with diet and exercise to improve glycemic control in adults with type 2 diabetes. It is not for type 1 diabetes or diabetic ketoacidosis. 
- How is Jentadueto taken?- Tablets are taken twice daily with meals. The total daily linagliptin dose is 5 mg (2.5 mg twice daily). The metformin component is titrated to effect and tolerability. Follow the prescribing clinician’s directions and the product label. 
- Can Jentadueto cause low blood sugar?- Jentadueto alone has a low risk of hypoglycemia. The risk increases when used with insulin or sulfonylureas. Clinicians may adjust doses of those agents to reduce hypoglycemia risk. 
- How does Jentadueto compare with Janumet?- Both combine a DPP-4 inhibitor with metformin but use different DPP-4 agents (linagliptin vs sitagliptin). Choice depends on clinical factors and tolerability. See the article Janumet vs Jentadueto for details. 
- What should be done if a dose is missed?- If a dose is missed, take it when remembered unless it is close to the next scheduled dose. Do not take two doses at the same time. Resume the regular schedule with the next dose. 
- Can Jentadueto be used with insulin?- Yes, it may be combined with insulin under clinician supervision. However, adding Jentadueto to insulin or sulfonylureas can increase hypoglycemia risk, so careful monitoring and dose adjustments of the other agent may be needed. 
- Where can I buy Jentadueto online?- Buy Jentadueto online through CanadianInsulin for US delivery from Canada. Orders require a valid prescription and are dispensed by licensed Canadian pharmacies. 
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