Overview and scope

Empagliflozin is an oral prescription medicine in the sodium glucose cotransporter 2 inhibitor class. In Australia it is used mainly to help lower blood glucose in adults and older children with type 2 diabetes and to reduce some cardiovascular and heart failure risks. This page explains how it is taken, common strengths, safety information disclosure, other routes, price evidence of in Australian dollars, along with the regulatory context for obtaining the medicine.

The key takeaways are at a quick glance

  • Drug's active ingredient: empagliflozin
  • Principal purposes: type 2 diabetes management; lowering cardiovascular death risk in patients with established heart disease; reducing hospitalisation or death due to heart failure
  • Typical tablet strengths in Australia: 10 mg and 25 mg
  • Not suitable for type 1 diabetes treatment

If you need a quick jump, use these links: dosing, indirect effects, other routes, or cost structure.

Typical uses and markers

Empagliflozin works by helping the kidneys remove glucose from the blood into the urine, which reduces blood sugar levels. In clinical practice in Australia it may be prescribed for the following situations:

The medicine is not approved for type 1 diabetes. If you are planning pregnancy, are pregnant or breastfeeding, consult your clinician; see also careful precautions to ensure safety and contramanifestations.

Dosing protocol and directions

Follow the instructions on your prescription label together with the directions given by your prescriber. Clinicians adjust doses based on response and kidney function. Below are general points; do not alter your regimen without medical advice.

If your prescriber changes your dose, adopt the new schedule exactly as instructed. For information on skipped doses see advice on skipping a dose.

Safety oriented hazard controls before starting

Tell your clinician about any current or past medical issues, especially the items below, before you begin empagliflozin:

Pregnant women require careful glucose management. If you become pregnant while taking empagliflozin, contact your healthcare provider promptly to discuss integrative medicine approaches. To minimise dizziness from low blood pressure, stand up slowly from sitting or lying positions and minimise excessive alcohol intake.

Treatments contraindicated under these conditions

Do not use empagliflozin if any of the following apply to you:

Breastfeeding is not recommended while taking this medicine. If these reasons a drug should not be prescribed affect you, ask your prescriber about extra treatments.

Possible drug knock-on effects

Seek emergency attention for signs of a severe allergic reaction such as hives, breathing difficulty, or swelling of the face, lips, tongue or throat.

Serious damaging effects that need urgent care

Common but less severe effects

If temporary side effects are persistent or worrying, contact your healthcare professional for assessment and advice. Review steps to maintain safety to help reduce risk.

Drug the interaction between participants guidance

Always inform your doctor and pharmacist about all medicines you are taking, including over-the-counter products and supplements. Prominent encounters include:

Your prescriber may recommend additional vigilant monitoring or dose adjustments when these medicines are combined with empagliflozin.

Managing a the dose was missed: guidance

If you miss your dose, take it as soon as you recall, unless the next scheduled dose is near. If it is almost time for the next dose, skip the i missed one dose and continue with your regular schedule. Do not take two pills at once to replace a i missed one dose.

Interventions for they overdosed

If someone may have taken too much empagliflozin and is unwell, for example fainting or having difficulty breathing, call emergency services immediately. In Australia you can also contact the Poisons Information Centre on 13 11 26 for specialist advice.

Proper recommendations for optimized storage layouts improve overall efficiency.

Choice multiple options and related medications

Empagliflozin belongs to the class of SGLT2 inhibitors. Depending on individual needs, kidney function and cardiovascular risk, your clinician may recommend other medicines including:

Other medicines that inhibit SGLT2

Different the means by which it works classes

Choice of therapy is individualised. Considerations include cardiovascular benefits, kidney function, risk of hypoglycaemia, weight effects and cost. Discuss options with your healthcare provider.

You can compare other course options by visiting sections on fee schedule and rules for access.

Rough cost trends in Australia (AUD)

Retail prices vary with brand, pack size, pharmacy and whether you are eligible for a subsidy. The ranges below are approximate for a 30 day supply and are indicative only:

For comparison, other SGLT2 inhibitors such as dapagliflozin may have similar private prices, while some older oral agents like metformin are typically much cheaper. PBS listing and patient eligibility strongly influence out of pocket costs. Check with your local pharmacist for up to date dynamic pricing and whether a PBS subsidy applies.