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Nateglinide Tablet — prescription drug image

Nateglinide

Nateglinide 120MG

What is Nateglinide?

Starlix is a generic drug used to treat patients diagnosed with type 2 diabetes. Starlix costs around $343 for a supply of 90, 120 mg tablets, but luckily there are ways to save money. You can use our Rx.com Starlix savings card to save significantly on the retail price at participating pharmacies near you.

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What is Nateglinide ?

Starlix is a generic drug used to treat patients diagnosed with type 2 diabetes. Starlix costs around $343 for a supply of 90, 120 mg tablets, but luckily there are ways to save money. You can use our Rx.com Starlix savings card to save significantly on the retail price at participating pharmacies near you.
  • Stuffy or runny nose, cough, sneezing, or sore throat.
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Fever, chills, cough, runny or stuffy nose, sore throat, body aches
  • Shaking, trembling, sweating, fast or pounding heartbeat, faintness or lightheadedness, hunger, confusion
  • Swelling in your hands, ankles, or feet.
  • Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
  • Tell your doctor if you are pregnant or if you have kidney disease, liver disease, or nerve problems (including diabetic neuropathy).
  • Do not breastfeed during treatment with this medicine.
  • This medicine may cause low blood sugar, when used with other diabetes medicine.
  • This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
What is nateglinide used for?
Nateglinide is FDA-approved, along with diet and exercise, to improve blood sugar control in adults with type 2 diabetes. It is not used for type 1 diabetes or diabetic ketoacidosis.
How does nateglinide differ from repaglinide?
Both are meglitinides that trigger a fast, short-acting release of insulin around mealtime, but they are different drugs with different metabolism and dosing. Your provider will decide which fits your situation, especially if you have liver or kidney issues or take other medications.
What is the difference between nateglinide and metformin?
Nateglinide is taken before meals to blunt the after-meal blood sugar spike by prompting a quick burst of insulin. Metformin is usually a first-line background therapy that lowers glucose production by the liver and improves insulin sensitivity, and isn't timed to individual meals. They work differently and are sometimes prescribed together.
When should you take nateglinide relative to meals?
Nateglinide is typically taken 1 to 30 minutes before a meal. If you skip a meal, you should skip that dose, since taking it without eating raises the risk of low blood sugar. Follow your prescriber's specific instructions.
Can nateglinide cause low blood sugar (hypoglycemia)?
Yes, hypoglycemia is the main risk with nateglinide, particularly if you skip a meal after dosing or combine it with alcohol or other glucose-lowering medications. Talk to your provider about how to recognize and manage low blood sugar symptoms.
How much does Nateglinide cost without insurance?
The price of Nateglinide without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you. Many people save up to 60% off retail prices with a free Rx.com coupon.
What are the common side effects of Nateglinide?
Common side effects of Nateglinide may include: Stuffy or runny nose, cough, sneezing, or sore throat., Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Fever, chills, cough, runny or stuffy nose, sore throat, body aches, Shaking, trembling, sweating, fast or pounding heartbeat, faintness or lightheadedness, hunger, confusion, Swelling in your hands, ankles, or feet.. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Nateglinide?
Generic versions may be available for Nateglinide. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Nateglinide on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Nateglinide?
The cheapest pharmacy for Nateglinide depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Nateglinide near you.

Nateglinide Coupons & Prices

Nateglinide 120MG

Nateglinide Tablet — prescription drug image
Prescription
Nateglinide 120mg (30)
your area ·

Looking for a nateglinide coupon? Nateglinide is the generic form of a type 2 diabetes medicine (the brand Starlix has been discontinued in the US, so generic nateglinide is what pharmacies now stock), but the price you're quoted can still vary widely from one pharmacy to the next. Rx.com compares pricing across 60,000+ pharmacies so you can enter your ZIP above and see today's price near you before you fill.

What Is Nateglinide and How Does It Work?

Nateglinide is a meglitinide (glinide), a non-sulfonylurea insulin secretagogue. It's FDA-approved as an add-on to diet and exercise to improve blood sugar control in adults with type 2 diabetes. It is not approved for type 1 diabetes or diabetic ketoacidosis.

Nateglinide works fast: it triggers a quick, short-acting release of insulin from the pancreas, which is why it's typically taken 1 to 30 minutes before a meal. This targets the blood sugar spike that happens right after eating (postprandial glucose), rather than providing all-day background control.

Nateglinide Cost: Why Comparing Pharmacies Still Matters

Nateglinide is only available as a generic in the US, since the brand Starlix has been discontinued. Even though it's generic, cash prices for the same medication can differ significantly from pharmacy to pharmacy in the same town, so it's worth comparing before you fill. There is no manufacturer savings card for nateglinide, but discount coupons can still lower what you pay at the register.

Enter your ZIP code above to compare nateglinide prices at pharmacies near you and see today's price at each one, rather than assuming any single pharmacy has the best deal.

Nateglinide vs. Other Diabetes Medications

Nateglinide is often compared to other options used for type 2 diabetes:

  • Repaglinide is the other meglitinide on the market. Both drugs work the same way (rapid, meal-triggered insulin release), but they're metabolized differently and dosed differently, so your provider will choose based on your kidney/liver function and other medications.
  • Metformin works very differently: it's typically a first-line, background therapy that reduces liver glucose production and improves insulin sensitivity, taken independent of individual meals. Nateglinide instead targets the after-meal spike and is dosed around eating. The two are sometimes used together.
  • Glipizide and glyburide are sulfonylureas, an older, longer-acting class of insulin secretagogues, compared with nateglinide's short, meal-timed action.
  • Sitagliptin works through a different mechanism (a DPP-4 inhibitor) and is usually taken once daily regardless of meal timing.

Your provider chooses your regimen based on your overall health, kidney and liver function, and other medications, not on price alone.

Nateglinide Safety Information

Nateglinide does not carry an FDA boxed warning. Its main risk is hypoglycemia (low blood sugar), which is more likely if you skip a meal after taking a dose. If you're not going to eat, skip that dose. Combining nateglinide with alcohol or other glucose-lowering medications can further raise hypoglycemia risk.

Use with caution if you have liver impairment, are elderly, malnourished, have reduced kidney function, or are breastfeeding. Nateglinide is not for type 1 diabetes or diabetic ketoacidosis. This is general information, not medical advice — talk with your doctor or pharmacist about whether nateglinide is right for you.

Sources & accuracy

This Nateglinide information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Nateglinide on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.