Dapagliflozin (By mouth)
Treats type 2 diabetes. Used to lower risk of hospitalization for heart failure in patients with type 2 diabetes and cardiovascular (heart or blood vessel) disease. Also used to lower the risk of worsening of kidney disease, end stage kidney disease, cardiovascular death, and hospitalization in patients with chronic kidney disease or heart failure when the heart is weak and cannot pump enough blood.
FarxigaThere may be other brand names for this medicine.
When This Medicine Should Not Be Used:This medicine is not right for everyone. Do not use it if you had an allergic reaction to dapagliflozin, or if you have severe kidney disease (including patients receiving dialysis).
How to Use This Medicine:
- Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.
- This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.
- Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.
- Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- Do not use this medicine if you are also using or have recently received medicine that weakens your immune system to treat kidney disease.
- Some medicines can affect how dapagliflozin works. Tell your doctor if you are using any of the following:
- Blood pressure medicine (including valsartan)
- Diuretic (water pill)
- Insulin or other diabetes medicine
- NSAID pain medicine (including mefenamic acid)
Warnings While Using This Medicine:
- Tell your doctor if you are pregnant or planning to become pregnant, or if you have kidney disease, liver disease, heart failure, vitamin B12 deficiency, or a history of pancreas problems, or genital yeast or urinary tract infections. Tell your doctor if you are on a low-salt diet, if you drink alcohol, or if you are having a surgery or other procedures.
- Do not breastfeed while taking this medicine.
- This medicine may cause the following problems:
- Low blood pressure
- Ketoacidosis (high ketones and acid in the blood)
- Kidney problems
- Increased risk of genital yeast or urinary tract infections
- Low blood sugar, when used with other diabetes medicines
- Fournier's gangrene (skin or tissue damage of the area between the anus and genitals)
- Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.
- Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
- Keep all medicine out of the reach of children. Never share your medicine with anyone.
Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Change in how much or how often you urinate, bloody urine, painful or difficult urination, lower back or side pain, chills
- Fast or trouble breathing, tiredness, stomach pain, nausea, vomiting
- Increased hunger, headache, confusion, shaking, trembling, sweating
- Lightheadedness, dizziness, fainting
- Pain, tenderness, redness, or swelling of the area between the anus and genitals, fever
- Rapid weight gain, swelling in your hands, ankles, or feet
- Unusual bleeding, bruising, or weakness
If you notice these less serious side effects, talk with your doctor:
- Redness, itching, pain, or swelling of the penis, bad-smelling discharge from the penis
- Stuffy or runny nose, sore throat
- White or yellow vaginal discharge, vaginal itching or odor
If you notice other side effects that you think are caused by this medicine, tell your doctor
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088
Last Updated: 11/16/2021