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Safety and Tolerability of<br> <br>Empagliflozin<br>(Jardiance)
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. Safety and Tolerability of Empagliflozin (Jardiance) Anwer Ghani FIBMS Iraq
. Empagliflozin is a sodium–glucose cotransporter (linked transporter) 2 inhibitor: (SGLT2) inhibitor.It inhibits glucose reabsorption in renal tubules and increase urinary glucose excretion. The glycosuria is dose dependent.
. SGLT2 demonstrated significant cardiovascular benefits making them attractive options for the management of Type 2 diabetes mellitus (T2DM).
. The incidence of any AEs, AEs leading to treatment discontinuation, severe AEs, and serious AEs was similar to other treatment. A study.
. The empagliflozin 10/25 mg group was not associated with a higher rate of confirmed hypoglycemia versus placebo. A study.
. The incidence of events consistent with urinary tract infections (UTI) was also similar for the empagliflozin 10/25 mg group versus placebo (9.27 vs. 9.70/100 patient-years, respectively). Many studies.
. History of UTI was identified as a risk factor for UTI during treatment.
. Events consistent with genital infections occurred more frequently with empagliflozin 10/25 mg than placebo (3.54 vs. 0.95/100 patient-years, respectively).
. The frequency of AEs consistent with volume depletion was similar across groups, but higher with empagliflozin 10/25 mg than placebo in patients aged 75 years and those on loop diuretics at baseline. A study.
. Compared with DPP-4 inhibitors and GLP-1 agonists, SGLT-2 inhibitors were not associated with excess risk for severe UTIs (defined as hospitalization for UTI, sepsis with UTI, or pyelonephritis) or for outpatient UTIs. A very big study.
. Sodium–glucose cotransporter 2 inhibitors reduce the risk of hospitalization for heart failure in patients with heart failure ( reduced or preserved ejection fraction).