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DISCLAIMER: The following information is presented for educational purposes for consumers of Nesina. Always seek a physician’s advice regarding your medications and treatment plan. This information is not a substitute for professional medical advice and should not be used as such. This information does not indicate that Nesina is the right product for you or that it is recommended or safe for you to use it.

Nesina (alogliptin) is an oral diabetes medication that is used to help control blood sugar levels. It works to regulate the levels of insulin your body produces after eating. 

Nesina is used in combination with proper diet and exercise, to improve the control of blood sugar in adults who have type 2 diabetes mellitus. Nesina is not made to treat type 1 diabetes. 

Nesina can sometimes be used in combination with other medications for diabetes.

Your Canada Drug Store sells Nesina from Canada. We offer our customers the lowest available price for Nesina. You can purchase Nesina online through our licensed pharmacy partners world-wide with a legitimate prescription from your doctor. We can help you save on essential medications from Canada such as Nesina. Your Canada Drug Store is the most trustworthy source for your medications online! 

Here are some reasons for you to purchase from us:

  1. We are verified by Pharmacy Checker and CIPA (the Canadian International Pharmacy Association).
  2. We have a 5 star commitment to customer satisfaction. This means that you have access to the widest and best selection of brand and generic medicines.
  3. Our friendly and knowledgeable Customer Care Team is available for extended business hours. We are always happy to aid you with any of your prescription needs.
  4. We offer our patients peace of mind. You can trust you will get safe, reliable medicine from our certified pharmacy partners worldwide.

Our commitment to customer service doesn’t stop once you’ve placed your order. We guarantee you will pay the lowest price for Nesina online. If for any reason you’re unhappy with your Nesina, you can make use of our return policy to get your money back.

Take Nesina exactly as your doctor has prescribed to you. Follow the directions on your prescription. Your doctor may change your dose from time to time. Do not use this medication in small amounts, larger amounts, or for longer than instructed. 

You can take Nesina with or without food, however your doctor advises. 

You will need to check your blood sugar often. You may also need other blood tests from your doctor’s office. 

Hypoglycemia (low blood sugar) can happen to anybody who has diabetes. Symptoms of hypoglycemia include: 

  • Headache
  • Sweating 
  • Hunger
  • Nausea 
  • Irritability 
  • Feeling anxious or shaky
  • Fast heart rate
  • Dizziness 

To treat low blood sugar quickly, keep a fast-acting sugar source with you such as non-diet soda, hard candy, raisins, fruit juice, or crackers. 

You can also have your doctor prescribe a glucagon emergency injection kit to use in case you get severe hypoglycemia and are unable to eat or drink. Ensure those close to you know how to use this injection in an emergency. 

Blood sugar levels may be affected by illness, surgery, stress, alcohol use, exercise, or if you skip meals. Talk to your doctor before you change your dose or medication schedule. 

Nesina is only one part of a treatment plan that can also include exercise, diet, weight control, special medical care, and blood sugar testing. Closely follow your doctor’s instructions.

Drug interactions can affect how your medications work or increase your risk of negative side effects.  Some drug interactions can be avoided by changing the dosage or timing of your medications. In other cases, drug interactions are too severe and must be avoided at all costs. 

The following drugs may interact with Nesina: 

This is not an exhaustive list of drug interactions. Other interactions may occur, so you should ensure that your doctor has a complete list of all medications you take. This medication should include all prescription and non-prescription drugs, vitamins, and herbal products you are taking. This will allow your doctor to watch out for drug interactions and help you avoid them. If you have additional questions about drug interactions you can call us at 1-844-416-4282 and ask to speak to a pharmacist for counselling.

Along with the intended effects of alogliptin (the active ingredient in Nesina) you may encounter unwanted side effects as well. Though you will not experience all of these side effects, if you encounter some of them, they may require medical attention. 

If the following side effects occur when you start Nesina, talk to your doctor right away:

More Common

  • Anxiety 
  • Blurred vision
  • Chills 
  • Cold sweats
  • Coma 
  • Confusion 
  • Cool, pale skin
  • Depression 
  • Dizziness 
  • Fast heartbeat
  • Headache 
  • Increased hunger
  • Nausea 
  • Nightmares 
  • Seizures 
  • Shakiness 
  • Slurred speech
  • Unusual tiredness or weakness

Less Common

  • Chest pain
  • Decreased urine output
  • Dilated neck veins
  • Extreme fatigue
  • Irregular breathing
  • Irregular heartbeat
  • Swelling of the face, fingers, feet, or lower legs
  • Tightness in chest
  • Troubled breathing
  • Weight gain


  • Blistering, peeling, or loosening of the skin
  • Bloating 
  • Constipation 
  • Cough 
  • Dark-colored urine
  • Diarrhea 
  • Difficulty with swallowing
  • Feeling of discomfort
  • Fever 
  • General feeling of tiredness or weakness
  • Headache 
  • Hives, itching, or rash
  • Indigestion 
  • Inflammation of the joints
  • Joint or muscle pain
  • Large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  • Light-colored stools
  • Loss of appetite
  • Muscle aches
  • Pains in the stomach, side, or abdomen, possibly radiating to the back
  • Puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  • Red skin lesions, often with a purple center
  • Red, irritated eyes
  • Sore throat
  • Sores, ulcers, or white spots in the mouth or on the lips
  • Stomach pain, continuing
  • Swollen lymph glands
  • Tightness in the chest
  • Vomiting 
  • Yellow eyes or skin

Incidence Not Known

  • Redness of the skin
  • Severe joint pain

You will likely encounter some side effects that do not usually require medical attention. These side effects will usually go away during treatment when your body adjusts to the medication. Your doctor might also be able to inform you of ways to lessen or avoid these side effects. If any of the following side effects continue or are bothersome, or if you have any questions about them let your doctor know: 

Less Common

  • Body aches or pain
  • Ear congestion
  • Loss of voice
  • Sneezing 
  • Stuffy or runny nose

If you have any further questions about side effects call your doctor or reach out to us at 1-844-416-4282 to talk to a pharmacist for counselling!