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Other medications that help reduce blood sugar are also possible alternatives, including: DPP-4 inhibitors like linagliptin (Tradjenta) and sitagliptin (Januvia) SGLT2 inhibitors like empagliflozin (Jardiance) and dapagliflozin (Farxiga) Sulfonylureas like glimepiride (Amaryl) and glyburide (Diabeta) TZDs like rosiglitazone (Avandia) and pioglitazone (Actos) Mounjaro warnings and precautions According to the FDA, some rare but serious issues have occurred in clinical trial participants, and those include: Pancreatitis Hypoglycemia Hypersensitivity reactions Acute kidney injury Severe gastrointestinal disease Diabetic retinopathy complications Acute gallbladder disease Talk to your provider to ensure you arent at a higher risk for those possible complications