Common side effects of Tradjenta include: Tradjenta may cause serious side effects, including: Januvia (sitagliptin) is an oral diabetes medicine for people with type 2 diabetes (non-insulin-dependent) diabetes. It is unknown if this drug passes into breast milk. VA Pharmacy Benefits Management Services, the Medical Advisory Panel and the VISN Pharmacist ExecutivesJanuvia cheap viagra href=viagra online vs Tradjenta comparedmeds.comJanuvia vs Tradjenta. Linagliptin: 70-80%; concentration dependent, Sitagliptin: following a single oral 100 mg dose to healthy volunteers, mean plasma AUC of sitagliptin was 8.52 M*hr; Cmax was 950 nM. All of these drugs are approved for use in patients with T2D, but are not approved for use in patients with Type 1 diabetes (T1D). Complete Product Information. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Januvia equivalent to tradjenta. Each inhibitor was important to establish an early structure activity relationship (SAR) for subsequent investigation. The drug comparisons information provided does not cover every potential use, warning, drug interaction, side effect, or adverse or allergic reaction. The four dipeptidyl-peptidase-4 inhibitors available in the U.S. are sitagliptin (sold as Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta), image. It has helped focus the mind, januvia tradjenta conversion as has a strong mutual dislike of each other, which was fuelled in part by being attracted to the same man, ATP Tour heart throb Grigor Dimitrov. Testing the therapeutic equivalence of alogliptin, linagliptin, saxagliptin, sitagliptin or vildagliptin as monotherapy or in combination with. TRADJENTA tablets can be taken with or without food. Exenatide (Byetta) is similar to Januvia. RxList.com assumes no responsibility for any healthcare administered to a person based on the information found on this site. Pregnancy may cause or worsen diabetes. Continue reading >>, Volume 36, Issue 8 , 1 August 2014, Pages 1130-1146 Safety and Tolerability of Linagliptin in Patients With Type 2 Diabetes: A Comprehensive Pooled Analysis of 22 Placebo-controlled Studies Dipeptidyl peptidase (DPP)-4 inhibitors are an increasingly used antihyperglycemic therapy for patients with type 2 diabetes mellitus (T2DM). DP - Unbound Medicine for adults is 850 or 1000 mg twice daily with meals. Or, a serious side effect could occur, such as heart or kidney failure, pancreatitis, joint pain, or a severe skin or allergic reaction. Download the Johns Hopkins Guides app by Unbound Medicine, 2. Saxagliptin: recommended dose is 2.5 or 5 mg once a day.. Sitagliptin + metformin: co-formulated as Janumet 50/500 mg twice a day, with. Incretins help stimulate the production of insulin when it is needed (e.g. Safety data for once-daily linagliptin 5 mg (1 study of linagliptin 2.5 mg twice daily) were analyzed from 22 randomized, double-blind, Phase IIII, placebo-controlled clinical trials of 102 weeks duration. Scirica BM, Bhatt DL, Braunwald E, et al. The adult dosage is 1.2 or 1.8 mg SQ every day. Equivalence was determined by developing a standard Forest plot that incorporated the information on margins previously reported in randomized trials on these agents. Tradjenta may interact with
Januvia (sitagliptin) is an add-on medication to diet and exercise to improve blood sugar control in people with type 2 diabetes. Saxagliptin: time to peak concentration 2 hours. 2023 Oregon Medicaid formulary (PDF). It is unknown if Tradjenta passes into breast milk or if it could harm a nursing baby. Whatever the reason, there are many medications available to people with Type 2 diabetes. Mounjaro has an average rating of 6.6 out of 10 from a total of 124 ratings on Drugs.com. . Type your tag names separated by a space and hit enter, 25/15 mg, 25/30 mg, 25/45 mg, 12.5/15 mg, 12.5/30 mg, 12.5/45 mg. VA Pharmacy Benefits Management Services, the Medical Advisory Panel and the VISN Pharmacist ExecutivesTradjenta Dosage Guide - Drugs.comDetailed dosage guidelines and administration information for Tradjenta (linagliptin). It is not approved for use in children. Whatever the reason, there are many medications available to people with, ). Common and serious side effects are similar to those of Victoza listed above, and Ozempic also has the same warning about thyroid cancers and MEN2. saxagliptin did not increase or decrease the rate of ischemic events, though the rate of hospitalization for heart failure was increased. Linagliptin: not extensively metabolized. Educate patients on side effects and proper use. DPP-IV inhibitors can also be added to patients already on, GFR 45 mL/min, no dosage adjustment needed, For patients on hemodialysis or peritoneal dialysis, 25 mg daily without regard to timing of hemodialysis, For patients on hemodialysis, administer 2.5 mg once daily, following hemodialysis, GFR 60 mL/min, no dosage adjustment needed, GFR 30 to < 60 mL/minute: 12.5 mg once daily, GFR 15 to < 30 mL/minute: 6.25 mg once daily, ESRD (GFR < 15 mL/minute or requiring hemodialysis): 6.25 mg once daily; administered without regard to timing of hemodialysis, Limited human data - animal data suggest low risk. Summary for DPP-4 inhibitor. This medication is supposed to be taken orally, and can be taken with or without food. 2018 Standard Formulary Exclusions Drug List 2.5/1000 mg, 5/1000 mg, or 5/2000 mg once daily with evening meal. Simplify regimen. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER. The dose of Tradjenta is 5 mg by mouth daily. Heart failure has been observed with two other members of the dipeptidyl peptidase-4 (DPP-4) inhibitor class. Tanto idosos quanto pacientes com insuficincia renal 41 possuem um risco aumentado de desenvolver efeitos adversos neurolgicos e devem ser monitorados com cautela para a monitorao destes efeitos. 2.2 Concomitant Use with a Sulfonylurea When TRADJENTA is used in combination with an insulin secret agogue (e.g., sulfonylurea), a lower dose of the insulin secretagogue may be required to reduce the Encourage mail-order prescriptions. So by protecting incretins from damage, DPP-4 inhibitors help regulate blood glucose levels. Jardiance is approved for three indications: control (along with diet and exercise) in adults with T2D, To lower the risk of cardiovascular death in adults with T2D and heart disease, To lower the risk of cardiovascular death or hospitalization for. De Diego-Sastre JI, Prim-Espada MP, Fernandez-Garcia F. It is now used mainly topically because of renal toxicity and ototoxicity (to hearing). Patients taking. Tradjenta may also interact with bosentan, dexamethasone, ketoconazole, quinidine, verapamil, rifabutin, rifampin, rifapentine, St. John's wort, barbiturates, medication to treat HIV/AIDS, medicines to treat narcolepsy, medicines used to prevent organ transplant rejection, or seizure medications. Can be taken with or without food. 2 DOSAGE AND ADMINISTRATION 2.1 Recommended Dosing - The recommended dose of JANUVIA is 100 mg once daily. Talk to your provider to determine what exercise will be safe and effective for you. All drugs listed are prescription diabetes medications approved by the U.S. Food and Drug Administration (FDA). Overall exposure to the study drug was 2412.8 years for linagliptin and 1481.4 years for placebo (mean [SD], 183 [120] days and 209 [150] days, respectively). There are some other lifestyle modifications that may help control your blood sugar, such as managing weight, reducing stress, and getting enough sleep. Biguanides such as metformin are used regularly as a first-line treatment for type 2 diabetes and are the most common medication used for diabetics. during digestion). 3 DOSAGE FORMS AND STRENGTHS TRADJENTA (linagliptin) 5 mg tablets are light red, round, biconve x, bevel-edged, film-coated tablets with "D5" debossed on one side and the Boehringer Ingelheim logo debossed on the other side. Sitagliptin: hepatic metabolism; 87% renal and 13% fecal excretion; dialyzable, with 13.5% removed. . 506227 a nivel global segn los datos de Enero 2023. Ozempic is taken weeklythe dosage of Ozempic is 0.5 or 1 mg SQ once weekly. Give 15 g oral carbohydrate 4-6 ounces (125-175 mL) fruit juice or soda (nondiet) 3-4 tsp (equivalent to 15-20 mL) table sugar Hard candy Cake frosting Patient is unable to take food by mouth and intravenous line is in place. What Are Possible Side Effects of Tradjenta? 56% of reviewers reported a positive effect, while 28% reported a negative effect. Considering the most recent therapeutic guidelines, our results are of interest particularly as regards the information on DPP-4 inhibitors in combination with metformin. Effect of Sitagliptin on Cardiovascular Outcomes in Type 2 Diabetes. Neither GlobalRPh Inc. nor any other party involved in the preparation of this document shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material. Januvia: Tradjenta: Sitagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.Tradjenta Dosage Guide Drugs.comDetailed dosage guidelines and administration information for Tradjenta (linagliptin). JANUMET XR (sitagliptin and metformin HCl extended-release), OSENI (alogliptin and. TRADJENTA is contraindicated in patients with a history of hypersensitivity reaction to linagliptin, such as anaphylaxis, angioedema, exfoliative skin conditions, urticaria, or bronchial hyperreactivity. . Acute pancreatitis, including fatal pancreatitis, has been reported in patients taking TRADJENTA. The drug comparison information found in this article does not contain any data from clinical trials with human participants or animals performed by any of the drug manufacturers comparing the drugs. Serious side effects can include allergic reactions, kidney failure, pancreatitis, gallstones, or gallbladder inflammation. Summary for DPP-4 inhibitor Prescription only Tradjenta (linagliptin) is an add-on medication to diet and exercise to improve blood sugar control in people with type 2 diabetes. bosentan, dexamethasone, ketoconazole, quinidine, verapamil, rifabutin, rifampin, rifapentine, St. John's wort, phenobarbital and other barbiturates, medication to treat HIV or AIDS, medicines to treat narcolepsy, medicines used to prevent organ transplant rejection, seizure medications, probenecid, nonsteroidal anti-inflammatory drugs (NSAIDs), aspirin or other salicylates (including Pepto-Bismol), sulfa drugs, monoamine oxidase inhibitors (MAOIs), beta-blockers, or other oral diabetes medications. Januvia alternatives Biguanides. Always consult your provider for. Januvia (sitagliptin) and Onglyza (saxagliptin) are oral diabetes medicines for people with type 2 diabetes (non-insulin-dependent) diabetes.. Januvia and Onglyza are sometimes used in combination with other diabetes medications, but are not for treating type 1 diabetes.. Side effects of Januvia and Onglyza that are similar include runny or stuffy nose, sore throat, headache, or stomach pain. Can be taken with or without food. They are not approved to treat diabetic ketoacidosis (DKA), a life-threatening condition that is more common in patients with T1D. It is also approved to lower the risk of major heart events in adults with T2D and heart disease. Incretin-based therapies in type 2 diabetes mellitus. Januvia contains the ingredient sitagliptin. The dose is determined by the estimated glomerular. The dose of, (which may be severe), or a severe skin or, should be used with caution in patients at risk of, decreasing the amount of sugar you absorb from food. It is intended for general informational purposes and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Given as monotherapy, linagliptin, sitagliptin, and vildagliptin (but not saxagliptin) met the equivalence criterion when compared with one another. Januvia (sitagliptin): Meds for control of diabetes very infrequently "cause" weight gain. Initial combination therapy or maintenance of combination therapy should be individualized and left to the discretion of the health care provider. Adjust dose if moderate or severe renal impairment or end-stage renal disease (ESRD). In: * Article titles in AMA citation format should be in sentence-case, You can cancel anytime within the 30-day trial, or continue using Johns Hopkins Guides to begin a 1-year subscription ($39.95). TRADJENTA should not be used in patients with type 1 diabetes or for the treatment of diabetic ketoacidosis. They both belong to the same class of medications. JANUVIA is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Saxagliptin + metformin XR: co-formulated as Kombiglyze. Can be taken with or without food. Continue reading >>. The Also known as gliptins, they are usually prescribed for people with type 2 diabetes who have not responded well to drugs such as metformin and sulphonylureas. Symptoms may include feeling unwell, muscle pain, difficulty breathing, stomach pain, and sleepiness. Increased risk of heart problems like heart failure and heart attack. Nesina Tradjenta Onglyza Januvia. Comment: In patients already on metformin 1.5 g/day but with inadequate glycemic control, HbA1c reductions were a further 0.9% with the addition of sitagliptin 100 mg/day, versus 1.23% with liraglutide 1.2 mg/day, versus 1.5% with liraglutide 1.8 mg/day. Patients taking metformin should be aware of a serious side effect called lactic acidosis. We cannot guarantee results and occasional interruptions in updating may occur. It's true, and th U.S. Linagliptin, an orally administered DPP-4 inhibitor, has demonstrated favorable efficacy/safety in clinical trials. DB - Johns Hopkins Guides It is not known if Victoza causes thyroid cancer in humans. Icd 10 Code For Diabetes Mellitus Type 2 Poorly Controlled, How Does The Body Regulate The Level Of Blood Glucose. No recommendation on aspirin for patients under age 50 or over age 70 due Saxagliptin and cardiovascular outcomes in patients with type 2 diabetes mellitus. Januvia is not suitable for the treatment of type 1 diabetes and should not be taken by people with diabetic . Saxagliptin: hepatic metabolism; 60% renal and 22% fecal excretion; dialyzable, with 23% removed. Can be taken with or without food. They are used in the treatment of type 2 diabetes . 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Januvia (sitagliptin) Jardiance (empagliflozin) Prescription only Januvia is a DDP-4 inhibitor that is used in addition to other medications for the treatment of type 2 diabetes. Official website of the Johns Hopkins Antibiotic (ABX), HIV, Diabetes, and Psychiatry Guides, powered by Unbound Medicine. Important Limitations of Use: Januvia should not be used in patients with type 1 diabetes or for the treatment of diabetic Your doctor may change your diabetes treatment during pregnancy. At each visit For Provider Use Only People with certain medical conditions may require dosage adjustment. Pharmacodynamics: Metformin works by decreasing the amount of sugar you absorb from food. Compare Tradjenta vs. Onglyza Head-to-head comparisons of medication uses, side effects, ratings, and more. Sitagliptin is available in 3 dose strengths: 100 mg, 50 mg, and 25 mg. Be sure to include plenty of fruits and vegetables, lean protein, whole grains, and low-fat dairy. Skip to: full site navigation. In patients already treated with metformin, the recommended total daily starting dose of JANUMET XR is 100 mg sitagliptin and the previously prescribed dose of metformin. Inhibits the degradation of incretins such as GLP-1 by inhibiting the enzyme dipeptidyl peptidase IV (DPP-IV). 2023 SingleCare Administrators. Contact your insurance provider if the price is a concern. DPP-4 inhibitors are used along with diet and exercise. Multisourcebrand name drugs (drugs that have a generic equivalent or exact copy) are not included on this list, but most will . After 1 year, both groups showed a 0.67% HbA1c reduction, demonstrating non-inferiority. . Monotherapy and Combination Therapy Januvia is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. People who have hydrocephalus usually need a shunt system for the rest of their lives, and regular monitoring is required. JANUVIA (jah-NEW-vee-ah) es un comprimido de venta bajo receta de una toma por da que, junto con dieta y ejercicio, ayuda a disminuir los niveles de azcar en sangre de adultos con diabetes tipo 2. All of these can be helpful, but do not replace the medication your healthcare provider ordered for you. Serious. Green JB, Bethel MA, Armstrong PW, et al. Continue reading >>, Januvia tradjenta conversion januvia einnahme [23] The clearance by the kidneys is lower, januvia contraindications as kidney function has not fully developed. Tradjenta should be used with caution in patients at risk of heart failure or pancreatitis. A test calle PCOS is one of the most common hormonal disorders in the developed world. , nausea, vomiting, diarrhea, headache, decreased appetite, indigestion, URI, , back pain, and injection site reactions. is an emergency and patients having symptoms should seek emergency treatment in the hospital right away. White WB, Cannon CP, Heller SR, et al. Januvia is sometimes used in combination with other diabetes medications, but is not for treating type 1 diabetes. Continue reading >>, The authors make no claims of the accuracy of the information contained herein; and these suggested doses and/or guidelines are not a substitute for clinical judgment. It combines Merck's Type 2 diabetes pill Januvia with Zocor, a former Merck blockbuster in the widely used class of cholesterol drugs called statins.The combination pill will sell for the FDA Okays New Incretin Therapy for Diabetes The FDA has approved another incretin therapy, linagliptin (Tradjenta), for treatment of type 2 diabetes, the agency announced.The dipeptidyl peptidase-4 (DPP-4) inhibitor is indicated in conjunction with diet and exercise to control glycated hemoglobin levels in adults with the disease, the FDA said.Linagliptin has been studied as monotherapy or as an add-on to metformin, glimepiride, or pioglitazone in a series of eight clinical trials totaling about 3,800 patients -- although it has not yet been assessed Saxagliptin, Alogliptin Linked to Heart Failure, FDA Warns Diabetes drugs containing saxagliptin (Ongl Januvia is the brand name of Sitagliptin , and is used to treat patients with type 2 diabetes. Foremost is the type of pain that patients may experience as a side effect. There are no generic DPP-IV inhibitors availabile on the martket at this time. RxList does not provide medical advice, diagnosis or treatment. Prescription only. It is an injectable drug and not a pill though. However, according to the American Diabetes Association (ADA), when considering a vitamin or supplement, you have to consider drug interactions as well as potential effects on your blood sugar. Sep 12, 2011 . Conversion to saxagliptin (Onglyza) should be made once both the provider and. Orthostatic hypotension, a drop in blood pressure when standing up, is also a potentially serious. Because diabetes makes it more difficult for the body to convert the glucose from foods into energy, people with high blood sugar levels are often more hungry. AU - Pinto,Brian,Pharm.D. Consider the risks and benefits of TRADJENTA in patients at risk for heart failure, such as those with a prior history of heart failure and a history of renal impairment. Common side effects of Jardiance include URI, UTI/increased urination, genital fungal infection, high cholesterol, joint pain, and nausea. Symptoms of low blood sugar include sudden sweating, shaking, fast heartbeat, hunger, blurred vision, dizziness, or tingling hands/feet. Sitagliptin: 87% bioavailability; time to peak concentration 1-4 hours. Tell your doctor all medications and supplements you use. Free Consultation! Injectable medications: these are not insulin but help control, would not be a good alternative, because it is very similar to. However, Ozempic is only approved for use in adults while Victoza can be used in adults and children 10 years and older. Other symptoms of diabetes include: Fatigue; Blurred vision; Numbness or tingling in the feet or hands; Sores that do not heal; Unexplained weight loss The dose of JANUMET XR should be individualized on the basis of the patient's current regimen, effectiveness, and tolerability while not exceeding the maximum recommended daily dose of 100 mg sitagliptin and 2000 mg metformin. Bliard Veillard, R., & Pinto, B. Januvia 50mg Tablet is a medicine used to treat type 2 diabetes mellitus. Continue reading >>, He was beaten seven be aimed straight at in genrac pressure washer model 01042 3 parts but was only get better. Includes dose adjustments, warnings and precautions.Januvia and Tradjenta Battle For DPP-4 SupremacyJanuvia is facing increased competition in a market space that seems to be getting evermore crowded. Continue reading >>, Discovery and development of dipeptidyl peptidase-4 inhibitors Dipeptidyl peptidase-4 inhibitors (DPP-4 inhibitors) are enzyme inhibitors that inhibit the enzyme dipeptidyl peptidase-4 (DPP-4). And they act in the same way . 2023 Washington Marketplace (Exchange) formulary (PDF). A once-weekly medicine for adults with type 2 diabetes used to improve blood sugar, along with diet and exercise, and reduce the risk of major cardiovascular events such as heart attack, stroke, or death in adults with type 2 diabetes and known heart disease. Can be taken with or without food. Overall A1C reduction for maximum dose sitagliptin (100 mg daily) as monotherapy is only about 0.6% after 18 weeks (range 0.5-0.8%). Hypoglycemia, more common when used in conjunction with a, Nasopharyngitis or upper respiratory tract infections, Stevens-Johnson syndrome, urticaria, exfoliative dermatitis, and other hypersensitivity skin reactions. Orthostatic hypotension, a drop in blood pressure when standing up, is also a potentially serious side effect. Tradjenta (linagliptin) tablets are indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. A generic is not available at this time. In patients not currently treated with metformin, the recommended total daily starting dose of JANUMET XR is 100 mg sitagliptin and 1000 mg metformin hydrochloride (HCl) extended-release. All of these can be helpful, but do not replace the medication your, ordered for you. DPP-4 inhibitors work by helping the body make more insulin, which helps move sugar from the blood into the tissues, where it can be used for energy. After slowly increasing the dose over several weeks, a typical daily dosage of metformin for adults is 850 or 1000 mg twice daily with meals. If adding DPP-4 inhibitors to sulfonylurea/insulin therapy, consider decreasing the sulfonylurea/insulin dose, to reduce hypoglycemia risk. Thus, preventing this. Both Januvia and Tradjenta may interact with other anti-diabetic medications, probenecid, nonsteroidal anti-inflammatory drugs (NSAIDs), aspirin or other salicylates, sulfa drugs, monoamine oxidase inhibitors (MAOIs), or beta-blockers. Any drug information published on RxList.com regarding general drug information, drug side effects, drug usage, dosage, and more are sourced from the original drug documentation found in its FDA drug monograph. to the new medication, so your file can be updated properly. DPP-IV inhibitors are FDA approved for use as monotherapy in type 2 diabetes (T2DM). The bloodstream carries glucose-a type of sugar produced from the digestion of carbohydrates and other foods-to provide What should I watch for? Consult your doctor before breastfeeding. Includes dose adjustments, warnings and precautions.Compare Januvia vs Tradjenta - Comprehensive Analysis by Compare Januvia vs. Tradjenta, which is better for uses like: Type 2 Diabetes. (Tradjenta) Monotherapy or combination therapy as adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes Tablet: 5 mg - Saxagliptin (Onglyza) Monotherapy or combination therapy as adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes Tablet: 2.5 mg 5 mg - Sitagliptin (Januvia) Many people using Januvia do not have serious side effects. http://www.januvia.com/januvia/hcp/shared/documents/english_enrollment.pdf, https://www.rxhope.com/PAP/pdf/2011_Individual_Application.pdf, https://www.tradjenta.com/prescription-savings-card/qualify. A generic is not available at this time. All drug information provided on RxList.com is sourced directly from drug monographs published by the U.S. Food and Drug Administration (FDA). Our customers save up to 80% on drug prices at, Improve blood sugar control in adults with T2D (along with diet and exercise), Upper respiratory infection (URI), headache, diarrhea, stomach pain, joint pain, URI, headache, muscle pain, weight gain, swelling, ovulation induction, Low blood sugar, dizziness, weakness, headache, nausea, sun sensitivity, 1 to 4 mg by mouth daily with first main meal, Improve blood sugar control in adults with T2D (along with diet and exercise); lower risk of hospitalization for heart failure in adults with T2D and heart disease; lower the risk of cardiovascular death/hospitalization for heart failure in adults with heart failure and reduced ejection fraction; lower the risk of kidney problems, death, and hospitalization in adults with chronic kidney disease at risk of progressing, Genital fungal infection, urinary tract infection (UTI), back pain, nausea, constipation, pain in the extremities, orthostatic hypotension (low blood pressure when standing), Improve blood sugar control in adults and children (10 years and older) with T2D (along with diet and exercise), Nausea, vomiting, diarrhea, gas, weakness, indigestion, appetite loss, headache, ovulation induction, Glucophage XR (metformin extended-release), Nausea, diarrhea, low blood sugar, dizziness, headache, drowsiness, sun sensitivity, 2.5 mg to 20 mg by mouth once or twice daily, Improve blood sugar control in adults with T2D (along with diet and exercise); lower the risk of major cardiovascular events in adults with T2D and heart disease; lower the risk of end-stage kidney disease and other complications in adults with T2D and diabetic nephropathy with albuminuria>300 mg/day, Genital fungal infection, high potassium levels, increased cholesterol, low blood sugar, UTI, thirst, orthostatic hypotension, constipation, nausea, fatigue, risk of lower limb amputation, Nausea, vomiting, diarrhea, gas, indigestion, weakness, headache, joint pain, appetite loss, ovulation induction, 50/500 mg or 50/1000 mg by mouth twice daily, Improve blood sugar control in adults with T2D (along with diet and exercise); lower the risk of cardiovascular death in adults with T2D and heart disease; lower the risk of cardiovascular death and hospitalization for heart failure in adults with heart failure and reduced ejection fraction, UTI, URI, genital fungal infection, high cholesterol, joint pain, nausea, 10 or 25 mg by mouth daily (dose depends on indication), Low blood sugar, URI, headache, kidney problems, URI, UTI, headache, low blood sugar, vomiting, swelling, stomach pain, kidney problems, Improve blood sugar control in adults with T2D (along with diet and exercise); lower risk of major cardiovascular events in adults with T2D and heart disease, Nausea, vomiting, diarrhea, stomach pain, constipation, burping, low blood sugar, indigestion, reflux, gas, diabetic retinopathy, injection site reaction, 0.5 to 1 mg subcutaneously (SQ; under the skin) once weekly, Nausea, vomiting, diarrhea, stomach pain, decreased appetite, indigestion, fatigue, fast heart rate, Improve blood sugar control in adults and children (10 years and older) with T2D (along with diet and exercise); lower risk of major cardiovascular events in adults with T2D and heart disease, Low blood sugar, nausea, vomiting, diarrhea or constipation, headache, common cold, decreased appetite, indigestion, back pain. % reported a positive effect, while 28 % reported a negative effect subsequent investigation these not. 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