DAPAGLIFLOZIN

78/100 · Elevated

Manufactured by AstraZeneca Pharmaceuticals LP

Dapagliflozin Adverse Events: High Serious Reaction Rate and Renal Concerns

89,435 FDA adverse event reports analyzed

Last updated: 2026-05-12

About DAPAGLIFLOZIN

DAPAGLIFLOZIN is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by AstraZeneca Pharmaceuticals LP. Based on analysis of 89,435 FDA adverse event reports, DAPAGLIFLOZIN has a safety score of 78 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for DAPAGLIFLOZIN include DEATH, FATIGUE, NAUSEA, DIZZINESS, DIARRHOEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for DAPAGLIFLOZIN.

AI Safety Analysis

Dapagliflozin has a safety concern score of 78 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 89,435 adverse event reports for this medication, which is primarily manufactured by Astrazeneca Pharmaceuticals Lp.

The most commonly reported adverse events include Death, Fatigue, Nausea. Of classified reports, 75.7% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Serious adverse events such as death, acute kidney injury, and diabetic ketoacidosis are common.

Renal issues, including renal impairment and renal failure, are frequent and concerning. Cardiovascular events like myocardial infarction and cardiac failure are also reported.

Patients taking Dapagliflozin should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Dapagliflozin is contraindicated in patients with severe renal impairment or end-stage renal disease. It may also interact with other drugs, such as potassium-sparing diuretics, which can lead to hyperkalemia. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 78/100

Dapagliflozin received a safety concern score of 78/100 (high concern). This is based on a 75.7% serious event ratio across 50,468 classified reports. The score accounts for 89,435 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DEATH7,017 reports
FATIGUE2,250 reports
NAUSEA2,218 reports
DIZZINESS2,096 reports
DIARRHOEA2,074 reports
DYSPNOEA1,969 reports
BLOOD GLUCOSE INCREASED1,861 reports
WEIGHT DECREASED1,827 reports
OFF LABEL USE1,716 reports
ACUTE KIDNEY INJURY1,699 reports
VOMITING1,621 reports
DIABETIC KETOACIDOSIS1,524 reports
HEADACHE1,479 reports
PAIN1,372 reports
MALAISE1,368 reports
FUNGAL INFECTION1,352 reports
DEHYDRATION1,320 reports
DRUG INEFFECTIVE1,289 reports
URINARY TRACT INFECTION1,265 reports
PRURITUS1,201 reports
ASTHENIA1,144 reports
HYPOTENSION1,110 reports
MYOCARDIAL INFARCTION1,069 reports
CARDIAC FAILURE1,056 reports
ARTHRALGIA1,041 reports
RASH1,032 reports
COVID 191,004 reports
CEREBROVASCULAR ACCIDENT942 reports
ABDOMINAL DISCOMFORT924 reports
BACK PAIN903 reports
FEELING ABNORMAL882 reports
PYREXIA880 reports
CHEST PAIN861 reports
PERIPHERAL SWELLING846 reports
RENAL IMPAIRMENT822 reports
PRODUCT DOSE OMISSION ISSUE821 reports
FALL819 reports
ABDOMINAL PAIN UPPER805 reports
DECREASED APPETITE798 reports
PALPITATIONS791 reports
INSOMNIA780 reports
ANXIETY695 reports
RENAL FAILURE689 reports
PNEUMONIA688 reports
VISUAL IMPAIRMENT668 reports
HYPERTENSION664 reports
MEMORY IMPAIRMENT657 reports
PAIN IN EXTREMITY657 reports
HYPERHIDROSIS650 reports
COUGH638 reports
BLINDNESS625 reports
GLYCOSYLATED HAEMOGLOBIN INCREASED624 reports
EUGLYCAEMIC DIABETIC KETOACIDOSIS623 reports
POLLAKIURIA608 reports
CONDITION AGGRAVATED606 reports
HEART RATE INCREASED605 reports
ALOPECIA601 reports
CONSTIPATION588 reports
INTENTIONAL PRODUCT MISUSE588 reports
WEIGHT INCREASED587 reports
PRODUCT USE ISSUE586 reports
ABDOMINAL PAIN583 reports
DIABETES MELLITUS583 reports
MIGRAINE580 reports
HYPERKALAEMIA573 reports
DRUG INTERACTION569 reports
MUSCULAR WEAKNESS562 reports
CONFUSIONAL STATE559 reports
TINNITUS557 reports
ATRIAL FIBRILLATION542 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION542 reports
INTENTIONAL PRODUCT USE ISSUE540 reports
DRY SKIN537 reports
KETOACIDOSIS520 reports
GLOMERULAR FILTRATION RATE DECREASED514 reports
METABOLIC ACIDOSIS498 reports
SOMNOLENCE490 reports
TACHYCARDIA490 reports
ILLNESS479 reports
HYPOGLYCAEMIA477 reports
PRURITUS GENITAL465 reports
VENTRICULAR TACHYCARDIA462 reports
BLOOD CREATININE INCREASED461 reports
HALLUCINATION457 reports
AMNESIA456 reports
DEPRESSION450 reports
CARDIAC DISORDER447 reports
CHRONIC KIDNEY DISEASE447 reports
DISTURBANCE IN ATTENTION438 reports
LIP SWELLING436 reports
ANGIOEDEMA435 reports
SEPSIS435 reports
MUSCLE SPASMS429 reports
LACTIC ACIDOSIS426 reports
COGNITIVE DISORDER425 reports
OEDEMA PERIPHERAL425 reports
GAIT DISTURBANCE423 reports
TRANSIENT ISCHAEMIC ATTACK423 reports
VASCULITIS404 reports
BLOOD PRESSURE INCREASED401 reports

Key Safety Signals

  • Acute kidney injury and renal failure are key safety signals.
  • Cardiovascular events, including myocardial infarction and cardiac failure, are significant.
  • Diabetic ketoacidosis and euglycemic diabetic ketoacidosis are notable.

Patient Demographics

Adverse event reports by sex: Male: 24,261, Female: 20,350, Unknown: 54. The most frequently reported age groups are age 64 (766 reports), age 70 (735 reports), age 65 (729 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 50,468 classified reports for DAPAGLIFLOZIN:

  • Serious: 38,221 reports (75.7%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 12,247 reports (24.3%)
Serious 75.7%Non-Serious 24.3%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male24,261 (54.3%)
Female20,350 (45.6%)
Unknown54 (0.1%)

Reports by Age

Age 64766 reports
Age 70735 reports
Age 65729 reports
Age 72707 reports
Age 75698 reports
Age 60683 reports
Age 71682 reports
Age 74680 reports
Age 69677 reports
Age 68668 reports
Age 76661 reports
Age 73660 reports
Age 66649 reports
Age 63626 reports
Age 78625 reports
Age 62624 reports
Age 61607 reports
Age 67607 reports
Age 58603 reports
Age 79583 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Dapagliflozin is contraindicated in patients with severe renal impairment or end-stage renal disease. It may also interact with other drugs, such as potassium-sparing diuretics, which can lead to hyperkalemia.

What You Should Know

If you are taking Dapagliflozin, here are important things to know. The most commonly reported side effects include death, fatigue, nausea, dizziness, diarrhoea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor patients for signs of renal impairment and adjust dosing accordingly. Closely monitor for cardiovascular events, especially in patients with pre-existing conditions. Educate patients about the importance of proper hydration and signs of dehydration. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor the safety of dapagliflozin, particularly for renal and cardiovascular outcomes. Healthcare providers should be vigilant and consider alternative therapies for patients with renal impairment.

Frequently Asked Questions

How many adverse event reports has the FDA received for Dapagliflozin?

The FDA has received approximately 89,435 adverse event reports associated with Dapagliflozin. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Dapagliflozin?

The most frequently reported adverse events for Dapagliflozin include Death, Fatigue, Nausea, Dizziness, Diarrhoea. By volume, the top reported reactions are: Death (7,017 reports), Fatigue (2,250 reports), Nausea (2,218 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Dapagliflozin.

What percentage of Dapagliflozin adverse event reports are serious?

Out of 50,468 classified reports, 38,221 (75.7%) were classified as serious and 12,247 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Dapagliflozin (by sex)?

Adverse event reports for Dapagliflozin break down by patient sex as follows: Male: 24,261, Female: 20,350, Unknown: 54. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Dapagliflozin?

The most frequently reported age groups for Dapagliflozin adverse events are: age 64: 766 reports, age 70: 735 reports, age 65: 729 reports, age 72: 707 reports, age 75: 698 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Dapagliflozin?

The primary manufacturer associated with Dapagliflozin adverse event reports is Astrazeneca Pharmaceuticals Lp. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Dapagliflozin?

Beyond the most common reactions, other reported adverse events for Dapagliflozin include: Dyspnoea, Blood Glucose Increased, Weight Decreased, Off Label Use, Acute Kidney Injury. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Dapagliflozin?

You can report adverse events from Dapagliflozin to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Dapagliflozin's safety score and what does it mean?

Dapagliflozin has a safety concern score of 78 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Serious adverse events such as death, acute kidney injury, and diabetic ketoacidosis are common.

What are the key safety signals for Dapagliflozin?

Key safety signals identified in Dapagliflozin's adverse event data include: Acute kidney injury and renal failure are key safety signals.. Cardiovascular events, including myocardial infarction and cardiac failure, are significant.. Diabetic ketoacidosis and euglycemic diabetic ketoacidosis are notable.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Dapagliflozin interact with other drugs?

Dapagliflozin is contraindicated in patients with severe renal impairment or end-stage renal disease. It may also interact with other drugs, such as potassium-sparing diuretics, which can lead to hyperkalemia. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Dapagliflozin.

What should patients know before taking Dapagliflozin?

Monitor patients for signs of renal impairment and adjust dosing accordingly. Closely monitor for cardiovascular events, especially in patients with pre-existing conditions. Educate patients about the importance of proper hydration and signs of dehydration.

Are Dapagliflozin side effects well-documented?

Dapagliflozin has 89,435 adverse event reports on file with the FDA. Renal issues, including renal impairment and renal failure, are frequent and concerning. The volume of reports for Dapagliflozin reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Dapagliflozin?

The FDA continues to monitor the safety of dapagliflozin, particularly for renal and cardiovascular outcomes. Healthcare providers should be vigilant and consider alternative therapies for patients with renal impairment. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to DAPAGLIFLOZIN based on therapeutic use, drug class, or shared indications:

Potassium-sparing diureticsACE inhibitorsARBs
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.