Tradjenta: An alternative to GLP1 for Type 2 Diabetes

We take a look at one of the alternatives to GLP1s that has been on the market a long time -- Tradjenta.

GLP1 Receptor Agonists were originally developed and most effective as drugs that help people with type 2 diabetes. While they have other effects (weight loss in particular), the original purpose and widespread use was for diabetes.

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Don't know what a GLP1 Receptor Agonist is, or how drugs like Ozempic, Mounjaro, Wegovy, or Zepbound work?

Check out our quick explainer

GLP1s aren't the only choice, and sometimes don't work for people so it's important to consider other solutions that are out there as well, for those who are looking to treat type 2 diabetes.

While Tradjenta isn't for weight loss, it's a well known alternative to GLP1 for treating with type 2 diabetes.

What is Tradjenta?

The active ingredient in Tradjenta is Linagliptin:

Linagliptin - Wikipedia

It's main specialty is treating Type 2 Diabetes, and in particular in combination with diet and exercise (which most primary care physicians will recommend).

Tradjenta was invented by Boehringer Ingelheim, a large german Pharmaceutical company in partnership with Eli Lilly:

Boehringer Ingelheim - Wikipedia
Tradjenta Webpage

Unlike most GLP1s (other than Novo Nordisk's Rybelsus), Tradenta is delivered orally – it's taken as a tablet, once a day.

Tradjenta image (source:

What are the side effects of Tradjenta compared to other GLP1s?

We've covered the side effects of GLP1s in the past:

Are GLP1 side effects all the same?
Do some GLP1s have less negative side effects? They work the same, but can affect you differently -- let’s look at the research.

And here we lean on Drugs.com's coverage of Tradjenta to see side effects for Tradjenta:

The more common, lighter side effects are:

  • Runny or stuffy nose, sore throat
  • Cough
  • Diarrhea

The more serious side effects are much worse (or more alarming at least) than GLP1s:

  • Life-threatening pancreatitis
  • Severe or ongoing pain in your joints;
  • Severe autoimmune reaction - itching, blisters, breakdown of the outer layer of skin; or
  • Symptoms of heart failure - shortness of breath (even while lying down), swelling in your legs or feet, rapid weight gain.

With the effectiveness of GLP1s in reducing Hba1c and helping with Type 2 diabetes, it's clear that the risks of gastrointestinal problems (which can be severe) not only don't go away with Tradjenta, but also add on a few more unwanted side effects: auto-immune reactions, heart failure, and the possibility of rapid weight gain.

How well known is Tradjenta?

Tradjenta has been out on the market for a long time, with great coverage on sites like GoodRx:

Tradjenta coverage on GoodRx

Insurers like Kaiser Permanente cover it, and information is quite easy to find:

Tradjenta 5 mg tablet | Kaiser Permanente
Linagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used by people with

While it's clearly got some downsides that are not common to GLP1s, for those who GLP1 is not an option, Tradjenta may be worth looking into, after consulting with a primary healthcare provider.

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