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Onglyza
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Onglyza is a prescription medication containing the active ingredient saxagliptin, used to improve glycaemic control in adults living with type 2 diabetes mellitus as part of a comprehensive management plan.
- Prescriptions fulfilled by a GPhC-registered pharmacy
- Simple online consultation for new and repeat treatments
- Helps manage blood sugar levels in adults with type 2 diabetes
- Secure and private shipping direct to your door across the UK
More information
"Onglyza is a dipeptidyl peptidase-4 (DPP-4) inhibitor commonly prescribed to help patients with type 2 diabetes achieve their target blood glucose levels. By increasing the body's natural insulin response after meals and reducing excess sugar production in the liver, it provides a stable approach to metabolic health when combined with diet and exercise." - Rachael Clarke MRCPharm MFRPSI FRSPH (GPHC Number: 2061366)
You can buy Onglyza through our streamlined online consultation process which is reviewed by a registered prescriber to ensure the treatment is suitable for your specific health needs. Once your consultation is approved, your medication is dispensed and shipped from our pharmacy (GPHC Number: 9011560) using discreet packaging to maintain your privacy.
The cost of your medication will depend on whether you are fulfilling an NHS prescription or opting for a private prescription through our service. While we offer competitive pricing for private patients, those with a valid NHS exemption or a pre-payment certificate will find the standard prescription charges apply.
We provide a range of reliable delivery services to ensure your chronic condition remains well-managed without interruption. Patients can choose from several tracked shipping methods at checkout to receive their medication at a time and location that fits their schedule.
Onglyza is an oral antihyperglycemic medicine used to treat type 2 diabetes by helping the pancreas produce more insulin when blood sugar levels are high. It is specifically designed for adults whose glucose levels are not adequately controlled by diet and exercise alone, or for those who cannot take other common medications like metformin.
The active substance in this medication is saxagliptin, which belongs to the pharmacological class known as gliptins or DPP-4 inhibitors. Saxagliptin works by protecting natural hormones called incretins from being broken down, allowing them to effectively regulate blood sugar following a meal.
This treatment works by inhibiting the DPP-4 enzyme, which in turn increases the levels of active incretin hormones in the bloodstream. These hormones stimulate the release of insulin from the pancreas and signal the liver to stop producing excess glucose, ensuring your blood sugar remains within a healthy range.
You should take this medication exactly as directed by your healthcare provider to ensure the best results for your glycaemic control. The tablets must be swallowed whole with water and should not be crushed, split or chewed, as this can affect how the medicine is absorbed into your system.
The standard recommended dose for most adults is 5mg taken once daily, though your prescriber may adjust this based on your medical history. If you have certain underlying conditions, such as reduced kidney function, a lower daily dose of 2.5mg is typically prescribed to ensure the treatment remains safe and effective.
Like all medicines, this treatment can cause side effects, although not everyone will experience them. Common reports include upper respiratory tract infections, urinary tract infections and headaches, while some patients may experience digestive upset or localized swelling.
| Side Effect | Frequency |
|---|---|
| Upper respiratory infection | Common |
| Headache | Common |
| Urinary tract infection | Common |
Before starting treatment, you must inform your prescriber if you have a history of pancreatitis, heart failure or significant kidney problems. This medication is not suitable for individuals with type 1 diabetes or diabetic ketoacidosis, and its use should be monitored closely if you are also taking insulin or sulphonylureas due to the increased risk of low blood sugar.
Compared to other treatments like metformin or SGLT2 inhibitors, saxagliptin is often favoured for its weight-neutral profile and low risk of causing hypoglycaemia when used alone. While medications like Januvia (sitagliptin) work in a similar way, your clinician will choose the specific gliptin that best aligns with your overall health profile and existing drug regimen.
Many patients report that this daily tablet is easy to incorporate into their routine because it can be taken with or without food at any time of the day. Feedback often highlights the benefit of improved HbA1c levels without the significant weight gain sometimes associated with older classes of diabetes medication.
It is vital to read the Patient Information Leaflet (PIL) included in your medication box for a full list of ingredients, contraindications and usage instructions. You can also access digital versions of the leaflet through the electronic Medicines Compendium (eMC) to stay informed about your treatment.
Can I take Onglyza with food?
Yes, you can take your daily tablet either with a meal or on an empty stomach as food does not significantly affect how the active ingredient is absorbed.
What should I do if I miss a dose?
If you forget a dose, take it as soon as you remember, but do not take a double dose on the same day to make up for a forgotten tablet.
Is this treatment suitable during pregnancy?
This medication is generally not recommended for use during pregnancy or breastfeeding. You should consult your doctor for alternative options if you are planning a family.
The information provided on this page is for general informational purposes only and should not replace seeking advice from a medical professional. Always consult with your doctor or a qualified healthcare provider for personalised medical advice regarding your condition and treatment options.
Our content is regularly reviewed by our team of medical experts to ensure it is up to date and accurate. We strive to provide reliable information that reflects the latest UK clinical guidelines and pharmaceutical standards.

