{"id":49475,"date":"2022-03-07T08:55:57","date_gmt":"2022-03-07T13:55:57","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=49475"},"modified":"2026-01-30T15:05:03","modified_gmt":"2026-01-30T20:05:03","slug":"januvia-alternatives","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/januvia-alternatives\/","title":{"rendered":"Januvia alternatives: What can I take instead of Januvia?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/januvia\"><span style=\"font-weight: 400;\">Januvia<\/span><\/a><span style=\"font-weight: 400;\"> (sitagliptin)<\/span><span style=\"font-weight: 400;\"> is a brand-name medication made by the pharmaceutical company <\/span><span style=\"font-weight: 400;\">Merck Sharp &amp; Dohme. This prescription drug is part of a class of medicines called <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/dpp-4-inhibitors\"><span style=\"font-weight: 400;\">dipeptidyl peptidase-4 (DPP-4) inhibitors<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/januvia\/what-is\"><span style=\"font-weight: 400;\">Januvia<\/span><\/a><span style=\"font-weight: 400;\"> is approved by the United States Food and Drug Administration (FDA) to improve <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/normal-blood-glucose-levels\/\"><span style=\"font-weight: 400;\">blood sugar<\/span><\/a><span style=\"font-weight: 400;\"> control in adults with <\/span><a href=\"https:\/\/www.singlecare.com\/resources\/diabetes\"><span style=\"font-weight: 400;\">Type 2 diabetes mellitus<\/span><\/a><span style=\"font-weight: 400;\">. In some cases, the price of Januvia may be high, even with insurance coverage. Some people cannot take Januvia, or may experience unpleasant <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/januvia-side-effects\/\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\">. If you are thinking about exploring alternatives to Januvia, there are many other drugs you can discuss with your healthcare provider.<\/span><\/p>\n\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Januvia with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tJanuvia 100 mg (30 Tablets)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-kroger.svg\" alt=\"Kroger Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$324.74<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/januvia#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/januvia#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-harristeeter.svg\" alt=\"Harris Teeter Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$324.74<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/januvia#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/januvia#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/januvia#blog-cta\" class=\"coupon-see-all-btn\">See Januvia prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n<h2 id=\"what-can-i-take-instead-of-januvia\"><span style=\"font-weight: 400;\">What can I take instead of Januvia<\/span><span style=\"font-weight: 400;\">?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In the table below, we look at <\/span><span style=\"font-weight: 400;\">Januvia<\/span><span style=\"font-weight: 400;\"> and common alternatives to <\/span><span style=\"font-weight: 400;\">Januvia<\/span><span style=\"font-weight: 400;\">. All drugs listed are prescription <\/span><span style=\"font-weight: 400;\">diabetes medications<\/span><span style=\"font-weight: 400;\"> approved by the <\/span><span style=\"font-weight: 400;\">FDA<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><span class=\"title\">Compare Januvia alternatives<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Price without insurance<\/b><\/td>\n<td><b>SingleCare price<\/b><\/td>\n<td><b>Savings options<\/b><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/januvia\/what-is\"><span style=\"font-weight: 400;\">Januvia<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">sitagliptin<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$709 for 30, 100 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$286 for 30, 100 mg tablets of brand-name Januvia at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/januvia\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.singlecare.com\/prescription\/actos\/dosage\">Actos<\/a> (pioglitazone)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$2,111 for 90, 30 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$27 for 90, 30 mg tablets of generic pioglitazone at Publix<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/actos\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/farxiga\/what-is\"><span style=\"font-weight: 400;\">Farxiga<\/span><\/a><span style=\"font-weight: 400;\"> (dapagliflozin)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$802 for 30, 10 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$405 for 30, 10 mg tablets of generic dapagliflozin at CVS<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/farxiga\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Amaryl (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/glimepiride\/what-is\"><span style=\"font-weight: 400;\">glimepiride<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$23 for 30, 2 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$6 for 30, 2 mg tablets of generic glimepiride at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/amaryl\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/glipizide\/what-is\"><span style=\"font-weight: 400;\">Glipizide<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">$46 for 180, 10 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$17 for 180, 10 mg tablets of generic glipizide at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/glipizide\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/metformin\/what-is\"><span style=\"font-weight: 400;\">Metformin<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$131 for 60, 500 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$5 for 60, 500 mg tablets of generic metformin at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/metformin\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Invokana (canagliflozin)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$821 for 30, 300 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$587 for 30, 300 mg tablets of brand-name Invokana at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/invokana\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/janumet\/what-is\"><span style=\"font-weight: 400;\">Janumet<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">sitagliptin<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">metformin<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$685 for 60, 50\/1,000 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$325 for 60, 50\/1,000 mg tablets of brand-name Janumet at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/janumet\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/jardiance\/what-is\"><span style=\"font-weight: 400;\">Jardiance<\/span><\/a><span style=\"font-weight: 400;\"> (empagliflozin)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$848 for 30, 25 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$255 for 30, 25 mg tablets of brand-name Jardiance at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/jardiance\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro\/what-is\"><span style=\"font-weight: 400;\">Mounjaro<\/span><\/a><span style=\"font-weight: 400;\"> (tirzepatide)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$1,504 for 4, 0.5 mL of 5 mg\/0.5mL pens<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$895 for <\/span><span style=\"font-weight: 400;\">4, 0.5 mL of 5 mg\/0.5 mL pens of brand-name Mounjaro at Publix<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Nesina (alogliptin)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$152 for 14, 25 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$91 for 14, 25 mg tablets of generic alogliptin at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/alogliptin-benzoate\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/ozempic\/what-is\"><span style=\"font-weight: 400;\">Ozempic<\/span><\/a><span style=\"font-weight: 400;\"> (semaglutide)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$1,399 for 1, 3 mL of 2 mg\/3mL pen<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$844 for 1, 3 mL of 2 mg\/3 mL pen of brand-name Ozempic at Publix<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/ozempic-0-25-or-0-5-mg-dose\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/rybelsus\/what-is\"><span style=\"font-weight: 400;\">Rybelsus<\/span><\/a><span style=\"font-weight: 400;\"> (semaglutide)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$1,367 for 30, 14 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$903 for 30, 14 mg tablets of brand-name Rybelsus at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/rybelsus\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Saxagliptin<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$468 for 30, 5 mg tablets\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$74 for 30, 5 mg tablets of generic saxagliptin at Walmart<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/saxagliptin-hcl\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Tradjenta<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">linagliptin<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$725 for 30, 5 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$516 for 30, 5 mg tablets of brand-name Tradjenta at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/tradjenta\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/trulicity\/what-is\"><span style=\"font-weight: 400;\">Trulicity<\/span><\/a><span style=\"font-weight: 400;\"> (dulaglutide)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$1,392 for 4, 0.5 mL of 1.5 mg\/0.5 mL pens<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$825 for 4, 0.5 mL of 1.5 mg\/0.5 mL pens of brand-name Trulicity at Walmart<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/trulicity\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/victoza\/what-is\"><span style=\"font-weight: 400;\">Victoza<\/span><\/a><span style=\"font-weight: 400;\"> (liraglutide)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$1,438 for 3, 3 mL of 18 mg\/3mL pens<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$221 for 3, 3 mL of 18 mg\/3 mL pens of generic liraglutide at CVS<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/victoza\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><small><em>Prescription drug prices often change. These are the most accurate medication prices at the time of publishing in ZIP code 23666 as of Jan. 30, 2026. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs if available.<\/em><small><\/small><\/small><\/p>\n<h2 id=\"top-5-januvia-alternatives\"><span style=\"font-weight: 400;\">Top 5 Januvia alternatives<\/span><\/h2>\n<h3 id=\"1-tradjenta\"><span style=\"font-weight: 400;\">1. Tradjenta<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Like <\/span><span style=\"font-weight: 400;\">Januvia<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">Tradjenta<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">linagliptin<\/span><span style=\"font-weight: 400;\">) is in the <\/span><span style=\"font-weight: 400;\">DPP-4 inhibitor<\/span><span style=\"font-weight: 400;\"> class of <\/span><span style=\"font-weight: 400;\">diabetes drugs<\/span><span style=\"font-weight: 400;\">. If the reason you are looking for a <\/span><span style=\"font-weight: 400;\">Januvia<\/span><span style=\"font-weight: 400;\"> alternative is due to <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> or an <\/span><span style=\"font-weight: 400;\">allergic reaction<\/span><span style=\"font-weight: 400;\">, then <\/span><span style=\"font-weight: 400;\">Tradjenta<\/span><span style=\"font-weight: 400;\"> would not be a good alternative, because it is very similar to <\/span><span style=\"font-weight: 400;\">Januvia,<\/span><span style=\"font-weight: 400;\"> and you would likely have the same reaction. <\/span><span style=\"font-weight: 400;\">Tradjenta<\/span><span style=\"font-weight: 400;\"> is used along with diet and exercise to improve <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> control in adults with Type 2 diabetes. It is not approved for use in children. The typical dose of <\/span><span style=\"font-weight: 400;\">Tradjenta<\/span><span style=\"font-weight: 400;\"> is 5 mg by mouth daily.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most <\/span><span style=\"font-weight: 400;\">common side effects<\/span><span style=\"font-weight: 400;\"> are cough, cold, <\/span><span style=\"font-weight: 400;\">low blood sugar<\/span><span style=\"font-weight: 400;\">, and diarrhea. Serious <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> can include heart or kidney failure, <\/span><span style=\"font-weight: 400;\">pancreatitis<\/span><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.fda.gov\/drugs\/drug-safety-and-availability\/fda-drug-safety-communication-fda-warns-dpp-4-inhibitors-type-2-diabetes-may-cause-severe-joint-pain\"><span style=\"font-weight: 400;\">joint pain<\/span><\/a><span style=\"font-weight: 400;\"> (which may be severe), or a severe skin or <\/span><span style=\"font-weight: 400;\">allergic reaction<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Tradjenta<\/span><span style=\"font-weight: 400;\"> should be used with caution in patients at risk of <\/span><span style=\"font-weight: 400;\">heart failure<\/span><span style=\"font-weight: 400;\"> or <\/span><span style=\"font-weight: 400;\">pancreatitis<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h3 id=\"2-metformin\"><span style=\"font-weight: 400;\">2. Metformin<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Metformin<\/span><span style=\"font-weight: 400;\"> is in a <\/span><span style=\"font-weight: 400;\">class of drugs<\/span><span style=\"font-weight: 400;\"> called <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/biguanides\/\"><span style=\"font-weight: 400;\">biguanides<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Metformin<\/span><span style=\"font-weight: 400;\"> is a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/metformin\/what-is\"><span style=\"font-weight: 400;\">generic drug<\/span><\/a><span style=\"font-weight: 400;\">. The <\/span><span style=\"font-weight: 400;\">brand name<\/span><span style=\"font-weight: 400;\"> is called <\/span><span style=\"font-weight: 400;\">Glucophage, but Glucophage is no longer available in the U.S<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Metformin<\/span> <a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a696005.html\"><span style=\"font-weight: 400;\">works by<\/span><\/a><span style=\"font-weight: 400;\"> decreasing the amount of sugar you absorb from food. It also decreases <\/span><span style=\"font-weight: 400;\">glucose<\/span><span style=\"font-weight: 400;\"> (sugar) production in the liver and increases the body\u2019s response to insulin (insulin helps control <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\">). <\/span><span style=\"font-weight: 400;\">Metformin<\/span><span style=\"font-weight: 400;\"> i<\/span><span style=\"font-weight: 400;\">s used along with diet and exercise to improve <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> control in adults and children 10 years and older with Type 2 diabetes. After slowly increasing the dose over several weeks, a typical daily dosage of <\/span><span style=\"font-weight: 400;\">metformin<\/span><span style=\"font-weight: 400;\"> for adults is 850 mg or 1,000 mg twice daily with meals. Metformin is inexpensive, effective, and is <\/span><a href=\"https:\/\/diabetesjournals.org\/care\/article\/45\/Supplement_1\/S125\/138908\/9-Pharmacologic-Approaches-to-Glycemic-Treatment\"><span style=\"font-weight: 400;\">often a first choice<\/span><\/a><span style=\"font-weight: 400;\"> for blood sugar control.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most <\/span><span style=\"font-weight: 400;\">common <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/metformin-side-effects\/\"><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> of <\/span><span style=\"font-weight: 400;\">metformin<\/span><\/a><span style=\"font-weight: 400;\"> are stomach-related and can include nausea, vomiting, diarrhea, gas, stomach discomfort, and indigestion. Patients taking <\/span><span style=\"font-weight: 400;\">metformin<\/span><span style=\"font-weight: 400;\"> should be aware of a rare but serious <\/span><span style=\"font-weight: 400;\">side effect<\/span><span style=\"font-weight: 400;\"> called <\/span><span style=\"font-weight: 400;\">lactic acidosis<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Lactic acidosis<\/span><span style=\"font-weight: 400;\"> is an emergency, and patients having symptoms should seek emergency treatment in the hospital right away. Symptoms may include feeling unwell, muscle pain, difficulty breathing, stomach pain, and sleepiness.<\/span><\/p>\n<h3 id=\"3-jardiance\"><span style=\"font-weight: 400;\">3. Jardiance<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/jardiance-vs-januvia\/\"><span style=\"font-weight: 400;\">Jardiance<\/span><\/a><span style=\"font-weight: 400;\"> (empagliflozin) is in a drug class called <\/span><span style=\"font-weight: 400;\">sodium <\/span><span style=\"font-weight: 400;\">glucose<\/span><span style=\"font-weight: 400;\"> co-transporter 2 (SGLT2) <\/span><span style=\"font-weight: 400;\">inhibitors<\/span><span style=\"font-weight: 400;\">. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/sglt2-inhibitors\/\"><span style=\"font-weight: 400;\">SGLT2 <\/span><span style=\"font-weight: 400;\">inhibitors<\/span><\/a><span style=\"font-weight: 400;\"> work by helping the kidneys remove sugar from the body through the urine. Jardiance is approved for the following indications:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">To improve <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> control (along with diet and exercise) in adults and children 10 years and older with <\/span><span style=\"font-weight: 400;\">Type 2 diabetes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">To lower the risk of cardiovascular death in adults with <\/span><span style=\"font-weight: 400;\">Type 2 diabetes<\/span><span style=\"font-weight: 400;\"> and heart disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">To lower the risk of cardiovascular death or hospitalization for <\/span><span style=\"font-weight: 400;\">heart failure<\/span><span style=\"font-weight: 400;\"> in adults with <\/span><span style=\"font-weight: 400;\">heart failure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">To lower the risk of worsening kidney problems, cardiovascular death, and hospitalization in adults with chronic kidney disease<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The typical dose of Jardiance is 10 mg or 25 mg by mouth daily in the morning.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Common <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/jardiance-side-effects\/\"><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> of Jardiance<\/span><\/a><span style=\"font-weight: 400;\"> include upper respiratory infection, urinary tract infection (UTI)\/increased urination, genital fungal infection, high cholesterol, <\/span><span style=\"font-weight: 400;\">joint pain<\/span><span style=\"font-weight: 400;\">, and nausea. Severe <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> can include an <\/span><span style=\"font-weight: 400;\">allergic reaction<\/span><span style=\"font-weight: 400;\">, kidney injury, serious UTI, and ketoacidosis. Orthostatic hypotension, a drop in blood pressure when standing up, is also a potentially serious <\/span><span style=\"font-weight: 400;\">side effect<\/span><span style=\"font-weight: 400;\">. Another serious <\/span><span style=\"font-weight: 400;\">side effect<\/span><span style=\"font-weight: 400;\"> is called <\/span><a href=\"https:\/\/emedicine.medscape.com\/article\/2028899-overview\"><span style=\"font-weight: 400;\">Fournier gangrene<\/span><\/a><span style=\"font-weight: 400;\">, which can be life-threatening. <\/span><span style=\"font-weight: 400;\">Diabetes patients<\/span><span style=\"font-weight: 400;\"> taking an SGLT2 <\/span><span style=\"font-weight: 400;\">inhibitor<\/span><span style=\"font-weight: 400;\"> with symptoms of pain or tenderness, redness, or swelling in the genital or perianal area, as well as fever and feeling unwell, should seek emergency medical treatment.\u00a0<\/span><\/p>\n<p><b>RELATED:<\/b><a href=\"https:\/\/www.singlecare.com\/blog\/januvia-and-jardiance\/\"> <b>Is it safe to take Januvia and Jardiance together?<\/b><\/a><\/p>\n<h3 id=\"4-ozempic\"><span style=\"font-weight: 400;\">4. Ozempic<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Ozempic (semaglutide) is an injectable drug in the <\/span><span style=\"font-weight: 400;\">glucagon<\/span><span style=\"font-weight: 400;\">-like peptide-1 agonists (<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/glp-1-agonists\/\"><span style=\"font-weight: 400;\">GLP-1<\/span><span style=\"font-weight: 400;\"> agonists<\/span><\/a><span style=\"font-weight: 400;\">) class of drugs. It is not insulin. Ozempic works by helping prevent the liver from making too much sugar, helping the <\/span><span style=\"font-weight: 400;\">pancreas<\/span><span style=\"font-weight: 400;\"> make more insulin when <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> is high, and slowing food from leaving the stomach, which helps control <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> after eating.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ozempic is used to improve <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> control in adults with Type 2 diabetes and can also be used to lower the risk of major heart events in adults with Type 2 diabetes and heart disease. Ozempic is also FDA-approved to reduce the risk of cardiovascular death and worsening kidney disease in adults with Type 2 diabetes and chronic kidney disease. <\/span><span style=\"font-weight: 400;\">Sometimes, it is prescribed <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/off-label-prescription-drugs\/\"><span style=\"font-weight: 400;\">off-label<\/span><\/a><span style=\"font-weight: 400;\"> for <\/span><span style=\"font-weight: 400;\">weight loss<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">Healthcare providers prescribe Ozempic to start at the lowest dose and gradually increase the dose to an effective dose.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Common Ozempic side effects<\/span><span style=\"font-weight: 400;\"> include <\/span><span style=\"font-weight: 400;\">nausea, vomiting, diarrhea, constipation, and stomach pain<\/span><span style=\"font-weight: 400;\">. Serious <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> can include <\/span><span style=\"font-weight: 400;\">allergic reactions<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">pancreatitis<\/span><span style=\"font-weight: 400;\">, low blood sugar, gallstones, gallbladder inflammation, severe stomach problems, and dehydration, leading to kidney problems.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The ingredient in Ozempic, semaglutide, has caused thyroid C-cell tumors in animal studies. It is not known if Ozempic causes thyroid cancer in humans. Ozempic has a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/black-box-warning\/\"><span style=\"font-weight: 400;\">black box warning<\/span><\/a><span style=\"font-weight: 400;\">, which is the most serious warning required by the FDA. This drug should not be used in patients with a history or family history of medullary thyroid carcinoma (MTC) or patients with multiple endocrine neoplasia syndrome type 2 (MEN 2).<\/span><\/p>\n<h3 id=\"5-mounjaro\"><span style=\"font-weight: 400;\">5. Mounjaro\u00a0<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro\"><span style=\"font-weight: 400;\">Mounjaro<\/span><\/a><span style=\"font-weight: 400;\"> (tirzepatide) is similar to Ozempic, but not exactly the same. Mounjaro is classified as a glucose-dependent insulinotropic polypeptide (GIP) receptor and glucagon-like peptide-1 (GLP-1) receptor agonist, or dual GIP\/GLP-1 receptor agonist. On the other hand, Ozempic is a GLP-1 receptor agonist, so Mounjaro works on an additional pathway.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro\/what-is\"><span style=\"font-weight: 400;\">Mounjaro<\/span><\/a><span style=\"font-weight: 400;\"> is FDA-approved to help control blood sugar in adults with Type 2 diabetes. It is sometimes prescribed <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/off-label-prescription-drugs\/\"><span style=\"font-weight: 400;\">off-label<\/span><\/a><span style=\"font-weight: 400;\"> for weight loss. Mounjaro treatment is started at the <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/mounjaro\/dosage\"><span style=\"font-weight: 400;\">lowest dose<\/span><\/a><span style=\"font-weight: 400;\"> and gradually increased to an effective dose.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Common <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/mounjaro-side-effects\/\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\"> of Mounjaro include nausea, vomiting, diarrhea or constipation, stomach pain, indigestion, and decreased appetite. As with Ozempic, serious side effects of Mounjaro can include allergic reactions, inflammation of the pancreas, low blood sugar, gallstones, gallbladder inflammation, severe stomach problems, and dehydration leading to kidney problems. Mounjaro has the same black box warning as Ozempic and should not be used in people with a history or family history of MTC or people with MEN 2.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">RELATED: <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/ozempic-vs-victoza\/\"><span style=\"font-weight: 400;\">Ozempic vs. Victoza<\/span><\/a><\/p>\n<h2 id=\"natural-alternatives-to-januvia\"><span style=\"font-weight: 400;\">Natural alternatives to <\/span><span style=\"font-weight: 400;\">Januvia<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It may be tempting to look at <\/span><span style=\"font-weight: 400;\">over-the-counter<\/span><span style=\"font-weight: 400;\"> drugs or check the vitamin aisle for a solution to help your <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\">. However, according to the <\/span><a href=\"https:\/\/www.diabetes.org\/healthy-living\/recipes-nutrition\/vitamins-diabetes\"><span style=\"font-weight: 400;\">American Diabetes Association<\/span><\/a><span style=\"font-weight: 400;\"> (ADA), when considering a vitamin or <\/span><span style=\"font-weight: 400;\">supplement<\/span><span style=\"font-weight: 400;\">, it is important to consider <\/span><span style=\"font-weight: 400;\">drug interactions and<\/span><span style=\"font-weight: 400;\"> potential effects on your <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\">. Certain <\/span><span style=\"font-weight: 400;\">supplements<\/span><span style=\"font-weight: 400;\"> can cause bothersome <\/span><span style=\"font-weight: 400;\">side effects<\/span><span style=\"font-weight: 400;\"> or can have <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\">. What\u2019s more, the ADA notes that \u201csupplements are not proven as an effective option for lowering your blood glucose (blood sugar) or supporting diabetes management,\u201d although some people may benefit from a multivitamin.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Talk to your provider before adding any vitamins or <\/span><span style=\"font-weight: 400;\">supplements<\/span><span style=\"font-weight: 400;\"> to your regimen.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Changing your diet and lifestyle can help control <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\">. However, it is not a replacement for <\/span><span style=\"font-weight: 400;\">prescription medications<\/span><span style=\"font-weight: 400;\">. Discuss with your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> which <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/diabetes-diet\/\"><span style=\"font-weight: 400;\">diet plan<\/span><\/a><span style=\"font-weight: 400;\"> is best for you. Be sure to include plenty of fruits and vegetables, lean protein, whole grains, and low-fat dairy. You may also want to consult a registered dietitian for help with your daily diet.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/diabetes-and-exercise\/\"><span style=\"font-weight: 400;\">Exercise<\/span><\/a><span style=\"font-weight: 400;\"> also helps control <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\">. Talk to your provider to determine what exercise will be safe and effective for you. Also, be sure to discuss when to test <\/span><span style=\"font-weight: 400;\">blood sugar<\/span><span style=\"font-weight: 400;\"> in relation to exercise and how to avoid and treat <\/span><span style=\"font-weight: 400;\">hypoglycemia<\/span><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">low blood sugar<\/span><span style=\"font-weight: 400;\">). You can use <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2021\/11\/111221_Exercise_diabetes.pdf\"><span style=\"font-weight: 400;\">this chart<\/span><\/a><span style=\"font-weight: 400;\"> as a guideline, but show it to your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> to make sure it is appropriate for you.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-to-lower-blood-sugar\/\"><span style=\"font-weight: 400;\">lifestyle modifications<\/span><\/a><span style=\"font-weight: 400;\">, such as managing weight, reducing stress, and getting enough quality sleep, can help control your blood sugar. All of these can be helpful, but they do not replace the medication your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> ordered for you. Always consult your provider for <\/span><span style=\"font-weight: 400;\">medical advice<\/span><span style=\"font-weight: 400;\">, questions, or concerns about your health.<\/span><\/p>\n<h2 id=\"how-to-switch-to-a-januvia-alternative\"><span style=\"font-weight: 400;\">How to switch to a <\/span><span style=\"font-weight: 400;\">Januvia<\/span><span style=\"font-weight: 400;\"> alternative<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you are interested in switching to a <\/span><span style=\"font-weight: 400;\">Januvia<\/span><span style=\"font-weight: 400;\"> alternative, you can:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Contact your insurance provider if the price is a concern. Ask which <\/span><span style=\"font-weight: 400;\">Januvia<\/span><span style=\"font-weight: 400;\"> alternatives are covered, and what the copay would be. Consider the deductible as a factor as well.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Contact your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\">. Your provider may want you to make an appointment before switching your medication. Discuss your medical conditions and history, alternative medications, potential <\/span><span style=\"font-weight: 400;\">drug interactions<\/span><span style=\"font-weight: 400;\">, and side effects with your provider. If your <\/span><span style=\"font-weight: 400;\">healthcare provider<\/span><span style=\"font-weight: 400;\"> decides to prescribe a <\/span><span style=\"font-weight: 400;\">Januvia<\/span><span style=\"font-weight: 400;\"> alternative, have them send the prescription to your pharmacy. Let the pharmacist know that you are switching from <\/span><span style=\"font-weight: 400;\">Januvia<\/span><span style=\"font-weight: 400;\"> to the new medication so your file can be updated properly.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Search <\/span><a href=\"https:\/\/www.singlecare.com\/\"><span style=\"font-weight: 400;\">SingleCare<\/span><\/a><span style=\"font-weight: 400;\"> for discount coupons. Our customers save up to 80% on drug prices at <\/span><a href=\"https:\/\/www.singlecare.com\/pharmacy-near-me\"><span style=\"font-weight: 400;\">participating pharmacies<\/span><\/a><span style=\"font-weight: 400;\"> in your area.\u00a0<\/span><\/li>\n<\/ul>\n<h2 id=\"choosing-the-right-path-for-diabetes-treatment\"><span style=\"font-weight: 400;\">Choosing the right path for diabetes treatment<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you are interested in changing your medicine because Januvia is not the best drug for you, there are many different diabetes medications to consider. In addition to drugs in the same class as Januvia, there are medicines in other classes that work in different ways to control blood sugar. Many people need more than one medicine to manage blood sugar effectively, which may require taking a combination medicine or more than one single-ingredient medicine. There are both oral and injectable options for diabetes treatment, with injectable options that are dosed either once daily or once weekly. Consult your healthcare provider, who can consider your medical history and other individual considerations, to find the best treatment. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Januvia (sitagliptin) is a brand-name medication made by the pharmaceutical company Merck Sharp &amp; Dohme. This prescription drug is part of a class of medicines called dipeptidyl peptidase-4 (DPP-4) inhibitors. Januvia is approved by the United States Food and Drug Administration (FDA) to improve blood sugar control in adults with Type 2 diabetes mellitus. In [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":49677,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589,8029],"tags":[790,10298,4350],"coauthors":[10668],"class_list":["post-49475","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","category-health-education","tag-chronic-disease","tag-diabetes","tag-prescription-savings","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Top 5 Januvia alternatives and how to switch your Rx<\/title>\n<meta name=\"description\" content=\"Tradjenta, metformin, Jardiance, Mounjaro, and Ozempic are some Januvia alternatives. 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