EMPAGLIFLOZIN

72/100 · Elevated

Manufactured by Boehringer Ingelheim Pharmaceuticals, Inc.

Empagliflozin Adverse Events: High Serious Reaction Rate

100,203 FDA adverse event reports analyzed

Last updated: 2026-05-12

About EMPAGLIFLOZIN

EMPAGLIFLOZIN is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Boehringer Ingelheim Pharmaceuticals, Inc.. Based on analysis of 100,203 FDA adverse event reports, EMPAGLIFLOZIN has a safety score of 72 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 EMPAGLIFLOZIN include DIABETIC KETOACIDOSIS, NAUSEA, BLOOD GLUCOSE INCREASED, DIARRHOEA, WEIGHT DECREASED. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for EMPAGLIFLOZIN.

AI Safety Analysis

Empagliflozin has a safety concern score of 72 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 100,203 adverse event reports for this medication, which is primarily manufactured by Boehringer Ingelheim Pharmaceuticals, Inc..

The most commonly reported adverse events include Diabetic Ketoacidosis, Nausea, Blood Glucose Increased. Of classified reports, 60.7% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Empagliflozin reports include a high percentage of serious adverse events, particularly diabetic ketoacidosis and euglycaemic diabetic ketoacidosis.

Weight loss and nausea are common side effects, but do not significantly impact the overall safety score. The drug is associated with a range of cardiovascular and renal issues, including acute kidney injury and cardiac failure.

Patients taking Empagliflozin should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Empagliflozin can cause diabetic ketoacidosis, particularly in patients with type 1 diabetes or those who are not well-controlled on insulin. It is contraindicated in patients with severe renal impairment (GFR <30 mL/min/1.73 m²). This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 72/100

Empagliflozin received a safety concern score of 72/100 (elevated concern). This is based on a 60.7% serious event ratio across 61,481 classified reports. The score accounts for 100,203 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

DIABETIC KETOACIDOSIS3,773 reports
NAUSEA3,212 reports
BLOOD GLUCOSE INCREASED3,043 reports
DIARRHOEA2,806 reports
WEIGHT DECREASED2,749 reports
FATIGUE2,590 reports
DIZZINESS2,417 reports
OFF LABEL USE2,407 reports
VOMITING2,399 reports
DRUG INEFFECTIVE2,181 reports
DYSPNOEA2,076 reports
FUNGAL INFECTION2,057 reports
EUGLYCAEMIC DIABETIC KETOACIDOSIS1,935 reports
URINARY TRACT INFECTION1,814 reports
HEADACHE1,680 reports
ACUTE KIDNEY INJURY1,599 reports
ASTHENIA1,483 reports
KETOACIDOSIS1,470 reports
DEHYDRATION1,433 reports
DEATH1,409 reports
MALAISE1,372 reports
DECREASED APPETITE1,329 reports
PAIN1,291 reports
HYPOTENSION1,287 reports
FALL1,233 reports
PRURITUS1,172 reports
GLYCOSYLATED HAEMOGLOBIN INCREASED1,161 reports
COUGH1,157 reports
COVID 191,138 reports
RASH1,124 reports
ARTHRALGIA1,113 reports
POLLAKIURIA1,045 reports
FOURNIER^S GANGRENE1,036 reports
CONSTIPATION1,019 reports
PNEUMONIA1,002 reports
PRODUCT DOSE OMISSION ISSUE994 reports
ABDOMINAL PAIN991 reports
PAIN IN EXTREMITY988 reports
CARDIAC FAILURE953 reports
CEREBROVASCULAR ACCIDENT888 reports
ABDOMINAL DISCOMFORT850 reports
ABDOMINAL PAIN UPPER849 reports
PYREXIA834 reports
MYOCARDIAL INFARCTION802 reports
WEIGHT INCREASED777 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION776 reports
SEPSIS761 reports
CONDITION AGGRAVATED750 reports
BACK PAIN744 reports
METABOLIC ACIDOSIS705 reports
FEELING ABNORMAL682 reports
PERIPHERAL SWELLING680 reports
INJECTION SITE PAIN678 reports
HYPERTENSION656 reports
LACTIC ACIDOSIS641 reports
ATRIAL FIBRILLATION639 reports
BLOOD GLUCOSE DECREASED623 reports
SOMNOLENCE623 reports
ILLNESS616 reports
INCORRECT DOSE ADMINISTERED613 reports
BLOOD GLUCOSE ABNORMAL600 reports
HYPOGLYCAEMIA594 reports
CHEST PAIN582 reports
BLOOD PRESSURE INCREASED579 reports
RENAL IMPAIRMENT578 reports
DEPRESSION561 reports
PANCREATITIS546 reports
CONFUSIONAL STATE542 reports
INSOMNIA540 reports
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS540 reports
INTENTIONAL PRODUCT USE ISSUE538 reports
DIABETES MELLITUS530 reports
PRODUCT USE IN UNAPPROVED INDICATION528 reports
GAIT DISTURBANCE519 reports
RENAL FAILURE493 reports
NASOPHARYNGITIS482 reports
ANXIETY481 reports
HYPERGLYCAEMIA477 reports
VISUAL IMPAIRMENT476 reports
PALPITATIONS471 reports
IMPAIRED GASTRIC EMPTYING470 reports
DYSPEPSIA469 reports
MYALGIA467 reports
MUSCLE SPASMS461 reports
ANAEMIA441 reports
MEMORY IMPAIRMENT427 reports
CARDIAC DISORDER424 reports
DRUG INTERACTION419 reports
HYPERHIDROSIS419 reports
BLOOD CREATININE INCREASED417 reports
OEDEMA PERIPHERAL415 reports
LOSS OF CONSCIOUSNESS409 reports
HYPERKALAEMIA407 reports
INFECTION402 reports
TREMOR399 reports
DYSURIA397 reports
BLOOD PRESSURE DECREASED396 reports
GENERAL PHYSICAL HEALTH DETERIORATION396 reports
ABDOMINAL DISTENSION395 reports
VISION BLURRED391 reports

Key Safety Signals

  • Diabetic ketoacidosis and euglycaemic diabetic ketoacidosis are key safety signals, with a high count of serious reports.
  • Renal impairment and acute kidney injury are also significant safety signals, especially in older patients.
  • Cardiovascular events, including myocardial infarction and atrial fibrillation, are notable safety concerns.

Patient Demographics

Adverse event reports by sex: Male: 29,221, Female: 25,426, Unknown: 82. The most frequently reported age groups are age 70 (1,328 reports), age 75 (1,241 reports), age 65 (1,213 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 61,481 classified reports for EMPAGLIFLOZIN:

  • Serious: 37,333 reports (60.7%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 24,148 reports (39.3%)
Serious 60.7%Non-Serious 39.3%

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

Male29,221 (53.4%)
Female25,426 (46.5%)
Unknown82 (0.1%)

Reports by Age

Age 701,328 reports
Age 751,241 reports
Age 651,213 reports
Age 671,190 reports
Age 681,187 reports
Age 691,178 reports
Age 661,171 reports
Age 721,138 reports
Age 711,136 reports
Age 731,120 reports
Age 741,093 reports
Age 631,088 reports
Age 621,077 reports
Age 601,076 reports
Age 641,061 reports
Age 611,006 reports
Age 59927 reports
Age 76900 reports
Age 58838 reports
Age 78824 reports

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

Drug Interactions & Warnings

Empagliflozin can cause diabetic ketoacidosis, particularly in patients with type 1 diabetes or those who are not well-controlled on insulin. It is contraindicated in patients with severe renal impairment (GFR <30 mL/min/1.73 m²).

What You Should Know

If you are taking Empagliflozin, here are important things to know. The most commonly reported side effects include diabetic ketoacidosis, nausea, blood glucose increased, diarrhoea, weight decreased. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor blood glucose levels regularly, especially in the first few months of treatment. Be aware of signs of diabetic ketoacidosis, such as nausea, vomiting, and abdominal pain, and seek medical attention immediately if they occur. 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 Empagliflozin for safety, particularly for serious adverse events like diabetic ketoacidosis and renal impairment. Regular monitoring of blood glucose and renal function is recommended.

Frequently Asked Questions

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

The FDA has received approximately 100,203 adverse event reports associated with Empagliflozin. 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 Empagliflozin?

The most frequently reported adverse events for Empagliflozin include Diabetic Ketoacidosis, Nausea, Blood Glucose Increased, Diarrhoea, Weight Decreased. By volume, the top reported reactions are: Diabetic Ketoacidosis (3,773 reports), Nausea (3,212 reports), Blood Glucose Increased (3,043 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Empagliflozin.

What percentage of Empagliflozin adverse event reports are serious?

Out of 61,481 classified reports, 37,333 (60.7%) were classified as serious and 24,148 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 Empagliflozin (by sex)?

Adverse event reports for Empagliflozin break down by patient sex as follows: Male: 29,221, Female: 25,426, Unknown: 82. 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 Empagliflozin?

The most frequently reported age groups for Empagliflozin adverse events are: age 70: 1,328 reports, age 75: 1,241 reports, age 65: 1,213 reports, age 67: 1,190 reports, age 68: 1,187 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 Empagliflozin?

The primary manufacturer associated with Empagliflozin adverse event reports is Boehringer Ingelheim Pharmaceuticals, Inc.. 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 Empagliflozin?

Beyond the most common reactions, other reported adverse events for Empagliflozin include: Fatigue, Dizziness, Off Label Use, Vomiting, Drug Ineffective. 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 Empagliflozin?

You can report adverse events from Empagliflozin 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 Empagliflozin's safety score and what does it mean?

Empagliflozin has a safety concern score of 72 out of 100 (elevated 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. Empagliflozin reports include a high percentage of serious adverse events, particularly diabetic ketoacidosis and euglycaemic diabetic ketoacidosis.

What are the key safety signals for Empagliflozin?

Key safety signals identified in Empagliflozin's adverse event data include: Diabetic ketoacidosis and euglycaemic diabetic ketoacidosis are key safety signals, with a high count of serious reports.. Renal impairment and acute kidney injury are also significant safety signals, especially in older patients.. Cardiovascular events, including myocardial infarction and atrial fibrillation, are notable safety concerns.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Empagliflozin interact with other drugs?

Empagliflozin can cause diabetic ketoacidosis, particularly in patients with type 1 diabetes or those who are not well-controlled on insulin. It is contraindicated in patients with severe renal impairment (GFR <30 mL/min/1.73 m²). Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Empagliflozin.

What should patients know before taking Empagliflozin?

Monitor blood glucose levels regularly, especially in the first few months of treatment. Be aware of signs of diabetic ketoacidosis, such as nausea, vomiting, and abdominal pain, and seek medical attention immediately if they occur.

Are Empagliflozin side effects well-documented?

Empagliflozin has 100,203 adverse event reports on file with the FDA. Weight loss and nausea are common side effects, but do not significantly impact the overall safety score. The volume of reports for Empagliflozin reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Empagliflozin?

The FDA continues to monitor Empagliflozin for safety, particularly for serious adverse events like diabetic ketoacidosis and renal impairment. Regular monitoring of blood glucose and renal function is recommended. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Drugs Also Linked to DIABETIC KETOACIDOSIS

The following drugs share commonly reported adverse reactions with EMPAGLIFLOZIN:

CANAGLIFLOZIN (82/100)DAPAGLIFLOZIN (78/100)MICONAZOLE NITRATE 2% (25/100)

View all drugs reporting DIABETIC KETOACIDOSIS →

Related Drugs

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

CanagliflozinSotagliflozinDapagliflozin
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.