How to Store Nesina, Kazano, Jentadueto, Jentadueto XR
[Storage · Nesina, Kazano, Jentadueto and Jentadueto XR]

How to store Nesina, Kazano, Jentadueto and Jentadueto XR

Quoted from the US label · Unopened vs in use · Travel · Sources · Reviewed

Short answer: Nesina and Kazano: section 16 says store at 25°C (77°F) with excursions to 59° to 86°F, while the Medication Guide says 68°F to 77°F; Kazano adds keep the container tightly closed. Jentadueto and Jentadueto XR: 68°F to 77°F with excursions to 59°F to 86°F, protected from high humidity, and the leaflet says keep tablets dry. None gives a fridge instruction.

What do the four labels say?

Nesina (alogliptin) is a DPP-4 inhibitor tablet, and Kazano combines alogliptin with metformin; both are Takeda labels. Jentadueto and Jentadueto XR (Boehringer Ingelheim) combine linagliptin, the drug in Tradjenta, with metformin.

Nesina, Kazano, Jentadueto and Jentadueto XR US prescribing information, section 16, and Medication Guides.
ProductSection 16Medication GuideMoisture, light, container
Nesina25°C (77°F); excursions 15° to 30°C (59° to 86°F)Room temperature between 68°F to 77°F (20°C to 25°C)Not stated
Kazano25°C (77°F); excursions 15° to 30°C (59° to 86°F). Keep container tightly closed.Room temperature between 68°F to 77°F (20°C to 25°C). Keep the container tightly closed.Tightly closed container; light not stated
Jentadueto20°C to 25°C (68°F to 77°F); excursions 15°C to 30°C (59°F to 86°F). Protect from exposure to high humidity.Room temperature between 68°F and 77°F (20°C and 25°C). Keep tablets dry.Dry; light and container not stated
Jentadueto XR20°C to 25°C (68°F to 77°F); excursions 15°C to 30°C (59°F to 86°F). Protect from exposure to high humidity.Room temperature between 68°F and 77°F (20°C and 25°C). Keep tablets dry.Dry; light and container not stated

Why do Nesina and Kazano give two temperatures?

The two parts of each Takeda label are worded differently. Nesina section 16: “Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature].” The Nesina Medication Guide: “Store NESINA at room temperature between 68°F to 77°F (20°C to 25°C).”

Kazano section 16 is the same line plus “Keep container tightly closed.” The Kazano Medication Guide says “Store KAZANO at room temperature between 68°F to 77°F (20°C to 25°C)” and “Keep the container of KAZANO tightly closed.”

Both are shown here as printed. Neither label mentions the refrigerator or light, and Nesina says nothing about moisture.

Do Jentadueto and Jentadueto XR need to be kept dry?

Yes. Section 16 of both labels: “Store at 20°C to 25°C (68°F to 77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Protect from exposure to high humidity.” Both Medication Guides add “Keep tablets dry.” A closed bottle away from a steamy bathroom covers both.

Neither label says anything about light or about keeping the tablets in the original bottle. Plain linagliptin is on the metformin, Januvia, Janumet and Tradjenta page.

Dosing and comparisons

Dosing: Nesina, Kazano, Jentadueto and Jentadueto XR. Missed a dose: Nesina, Kazano, Jentadueto, Jentadueto XR. Comparisons: Nesina vs Januvia, Kazano vs Janumet and Jentadueto vs Janumet.

How do you travel with them?

No ice pack is needed. Keep tablets in the closed bottle in your carry-on, within the excursion range of 59°F to 86°F (15°C to 30°C), and out of a hot car.

Quoted from the current US label on DailyMed, not personalized advice. Labels change; the leaflet in your own carton, your pharmacist and your prescriber are the final word on how to store it.

Frequently asked questions

Does Nesina need to be refrigerated?+
The label gives no fridge instruction. Section 16 says store at 25°C (77°F) with excursions permitted to 15° to 30°C (59° to 86°F); the Medication Guide says room temperature between 68°F to 77°F (20°C to 25°C).
Why does the Kazano label give two storage temperatures?+
Section 16 says 25°C (77°F) with excursions to 15° to 30°C (59° to 86°F), and the Medication Guide says 68°F to 77°F (20°C to 25°C). Both parts say keep the container tightly closed.
How should Jentadueto be stored?+
At 20°C to 25°C (68°F to 77°F), with excursions permitted to 15°C to 30°C (59°F to 86°F), protected from exposure to high humidity. The Medication Guide says keep tablets dry. Jentadueto XR has the same wording.