Antidiabetic Class
Canagliflozin
Brand: Invokana (US/EU) / Cana (IN/BD)
Subclass: SGLT2 inhibitor
PK:
t½ 12 hours | Clearance: mixed
Max Dose: 300 day
Max Dose: 300 day
moderate
AE: Genital mycotic infection, polyuria, volume depletion, euglycemic DKA (rare), ↑fracture/amputation signal
AE: Genital mycotic infection, polyuria, volume depletion, euglycemic DKA (rare), ↑fracture/amputation signal
Dapagliflozin
Brand: Farxiga (US/EU) / Forxiga (EU) / Dapa (IN/BD)
Subclass: SGLT2 inhibitor
PK:
t½ 12 hours | Clearance: mixed
Max Dose: 10 day
Max Dose: 10 day
moderate
AE: Genital mycotic infections, polyuria, volume depletion, rare euglycemic DKA
AE: Genital mycotic infections, polyuria, volume depletion, rare euglycemic DKA
Dulaglutide
Brand: Trulicity
Subclass: GLP-1 receptor agonist (once-weekly)
PK:
t½ 5 days | Clearance: other
Max Dose: 4.5 week
Max Dose: 4.5 week
moderate
AE: Nausea, vomiting, diarrhea, abdominal pain, decreased appetite
AE: Nausea, vomiting, diarrhea, abdominal pain, decreased appetite
Empagliflozin
Brand: Jardiance (US/EU) / Empa (IN) / Empaglo (BD)
Subclass: SGLT2 inhibitor
PK:
t½ 12 hours | Clearance: mixed
Max Dose: 25 day
Max Dose: 25 day
moderate
AE: Genital mycotic infections, polyuria, volume depletion, rare euglycemic DKA
AE: Genital mycotic infections, polyuria, volume depletion, rare euglycemic DKA
Ertugliflozin
Brand: Steglatro (US/EU)
Subclass: SGLT2 inhibitor
PK:
t½ 17 hours | Clearance: mixed
Max Dose: 15 day
Max Dose: 15 day
moderate
AE: Genital infections, polyuria, dehydration, euglycemic DKA (rare)
AE: Genital infections, polyuria, dehydration, euglycemic DKA (rare)
Exenatide
Brand: Byetta (BID) / Bydureon (weekly ER)
Subclass: GLP-1 receptor agonist
PK:
t½ 2.4 hours | Clearance: renal
Max Dose: 20 day
Max Dose: 20 day
moderate
AE: Nausea, vomiting, diarrhea, headache; injection-site reactions (ER)
AE: Nausea, vomiting, diarrhea, headache; injection-site reactions (ER)
Glibenclamide
Brand: Glynase (US) / Daonil (IN) / Glybenta (BD)
Subclass: Sulfonylurea (insulin secretagogue)
PK:
t½ 10 hours | Clearance: hepatic
Max Dose: 10 day
Max Dose: 10 day
severe
AE: Severe hypoglycemia, weight gain, dizziness
AE: Severe hypoglycemia, weight gain, dizziness
Gliclazide
Brand: Diamicron (US/EU) / Glynase (IN) / Gliclade (BD)
Subclass: Sulfonylurea (insulin secretagogue)
PK:
t½ 12 hours | Clearance: hepatic
Max Dose: 320 day
Max Dose: 320 day
moderate
AE: Hypoglycemia, weight gain, rash (rare)
AE: Hypoglycemia, weight gain, rash (rare)
Glipizide
Brand: Glucotrol (US) / Glip (IN) / Gliplon (BD)
Subclass: Sulfonylurea (insulin secretagogue)
PK:
t½ 2.5 hours | Clearance: hepatic
Max Dose: 40 day
Max Dose: 40 day
moderate
AE: Hypoglycemia, weight gain, dizziness, rash
AE: Hypoglycemia, weight gain, dizziness, rash
Insulin Degludec
Brand: Tresiba (US/EU)
Subclass: Ultra-long basal insulin
PK:
t½ 25 hours | Clearance: other
severe
AE: Hypoglycemia, weight gain, injection-site reactions
AE: Hypoglycemia, weight gain, injection-site reactions
Insulin Detemir U100
Brand: Levemir (US/EU)
Subclass: Basal insulin (long-acting)
PK:
t½ 12 hours | Clearance: other
severe
AE: Hypoglycemia, weight gain, injection-site reactions
AE: Hypoglycemia, weight gain, injection-site reactions
Insulin Glargine U100
Brand: Lantus (US/EU) / Basalog (IN) / Basugine (BD)
Subclass: Basal insulin (long-acting)
PK:
t½ 12 hours | Clearance: other
severe
AE: Hypoglycemia, weight gain, lipodystrophy at injection site
AE: Hypoglycemia, weight gain, lipodystrophy at injection site
Linagliptin
Brand: Tradjenta (US/EU) / Trajenta (IN) / Linapta (BD)
Subclass: DPP-4 inhibitor
PK:
t½ 12 hours | Clearance: hepatic
Max Dose: 5 day
Max Dose: 5 day
mild
AE: Nasopharyngitis, cough, rare pancreatitis, joint pain
AE: Nasopharyngitis, cough, rare pancreatitis, joint pain
Liraglutide
Brand: Victoza (T2DM) / Saxenda (Weight loss)
Subclass: GLP-1 receptor agonist
PK:
t½ 13 hours | Clearance: other
Max Dose: 1.8 day
Max Dose: 1.8 day
moderate
AE: Nausea, vomiting, diarrhea/constipation, decreased appetite, injection-site reactions
AE: Nausea, vomiting, diarrhea/constipation, decreased appetite, injection-site reactions
Lixisenatide
Brand: Adlyxin / Lyxumia
Subclass: GLP-1 receptor agonist (once-daily)
PK:
t½ 3 hours | Clearance: renal
Max Dose: 20 day
Max Dose: 20 day
moderate
AE: Nausea, vomiting, diarrhea, dizziness, headache
AE: Nausea, vomiting, diarrhea, dizziness, headache
Metformin
Brand: Glucophage / Glycomet (IN) / Diabetmin (BD)
Subclass: Biguanide
PK:
t½ 6 hours | Clearance: renal
Max Dose: 2550 day
Max Dose: 2550 day
moderate
AE: Gastrointestinal upset (nausea, diarrhea, metallic taste), B12 deficiency with long-term use, RARE: lactic acidosis (risk in renal/hepatic/cardiac failure)
AE: Gastrointestinal upset (nausea, diarrhea, metallic taste), B12 deficiency with long-term use, RARE: lactic acidosis (risk in renal/hepatic/cardiac failure)
Pioglitazone
Brand: Actos (US/EU) / Pioz (IN) / Piobet (BD)
Subclass: Thiazolidinedione (PPAR-γ agonist)
PK:
t½ 7 hours | Clearance: hepatic
Max Dose: 45 day
Max Dose: 45 day
moderate
AE: Weight gain, edema, fractures in women, rare bladder cancer risk
AE: Weight gain, edema, fractures in women, rare bladder cancer risk
Semaglutide
Brand: Ozempic (US/EU) / Rybelsus (oral) / Semaglu (IN/BD)
Subclass: GLP-1 receptor agonist (incretin mimetic)
PK:
t½ 160 hours | Clearance: other
Max Dose: 2 week
Max Dose: 2 week
moderate
AE: Nausea, vomiting, diarrhea, risk of gallbladder disease; rare pancreatitis
AE: Nausea, vomiting, diarrhea, risk of gallbladder disease; rare pancreatitis
Sitagliptin
Brand: Januvia (US/EU) / Istavel (IN) / Sitazid (BD)
Subclass: DPP-4 inhibitor
PK:
t½ 12 hours | Clearance: renal
Max Dose: 100 day
Max Dose: 100 day
mild
AE: Nasopharyngitis, headache, rare pancreatitis, joint pain
AE: Nasopharyngitis, headache, rare pancreatitis, joint pain
Teneligliptin
Brand: Tenepure/Tenepride (IN/BD)
Subclass: DPP-4 inhibitor
PK:
t½ 24 hours | Clearance: hepatic
Max Dose: 40 day
Max Dose: 40 day
mild
AE: Nasopharyngitis, mild GI upset, rare hepatic enzyme elevation
AE: Nasopharyngitis, mild GI upset, rare hepatic enzyme elevation
Tirzepatide
Brand: Mounjaro (US/EU) / Zepbound (US)
Subclass: Dual GIP and GLP-1 receptor agonist
PK:
t½ 120 hours | Clearance: other
Max Dose: 15 week
Max Dose: 15 week
moderate
AE: Nausea, vomiting, diarrhea, decreased appetite, delayed gastric emptying
AE: Nausea, vomiting, diarrhea, decreased appetite, delayed gastric emptying
Vildagliptin
Brand: Galvus (EU/IN) / Vilda (BD)
Subclass: DPP-4 inhibitor
PK:
t½ 3 hours | Clearance: mixed
Max Dose: 100 day
Max Dose: 100 day
mild
AE: Nasopharyngitis, headache, rare hepatic enzyme rise
AE: Nasopharyngitis, headache, rare hepatic enzyme rise