"Miriam E. Tucker
Medscape Medical News
The US Food and Drug Administration has approved the empagliflozin/linagliptin combination Glyxambi (Boehringer Ingelheim/Eli Lilly) as adjunctive treatment to diet and "...
What is the most important information I should know about FARXIGA?
FARXIGA can cause serious side effects, including:
- Dehydration. FARXIGA can cause some people to have
dehydration (the loss of body water and salt). Dehydration may cause you to
feel dizzy, faint, lightheaded, or weak, especially when you stand up
(orthostatic hypotension). You may be at a higher risk of dehydration if you:
- have low blood pressure
- take medicines to lower your blood pressure, including water pills (diuretics)
- are 65 years of age or older
- are on a low salt diet
- have kidney problems
- Vaginal yeast infection. Women who take FARXIGA may get vaginal yeast infections. Symptoms of a vaginal yeast infection include:
- Yeast infection of the penis (balanitis). Men who
take FARXIGA may get a yeast infection of the skin around the penis. Certain
men who are not circumcised may have swelling of the penis that makes it
difficult to pull back the skin around the tip of the penis. Other symptoms of
yeast infection of the penis include:
- redness, itching, or swelling of the penis
- rash of the penis
- foul smelling discharge from the penis
- pain in the skin around the penis
Talk to your healthcare provider about what to do if you get symptoms of a yeast infection of the vagina or penis. Your healthcare provider may suggest you use an over-the-counter antifungal medicine. Talk to your healthcare provider right away if you use an over-the-counter antifungal medication and your symptoms do not go away.
- Bladder cancer. In studies of FARXIGA in people
with diabetes, bladder cancer occurred in a few more people who were taking
FARXIGA than in people who were taking other diabetes medications. There were
too few cases to know if bladder cancer was related to FARXIGA. You should not
take FARXIGA if you have bladder cancer. Tell your healthcare provider right
away if you have any of the following symptoms:
- blood or a red color in your urine
- pain while you urinate
What is FARXIGA?
FARXIGA is a prescription medicine used along with diet and exercise to lower blood sugar in adults with type 2 diabetes.
FARXIGA is not for people with type 1 diabetes.
FARXIGA is not for people with diabetic ketoacidosis (increased ketones in your blood or urine).
It is not known if FARXIGA is safe and effective in children younger than 18 years of age.
Who should not take FARXIGA?
Do not take FARXIGA if you:
- are allergic to dapagliflozin or any of the ingredients
in FARXIGA. See the end of this Medication Guide for a list of ingredients in
FARXIGA. Symptoms of a serious allergic reaction to FARXIGA may include:
- skin rash
- raised red patches on your skin (hives)
- swelling of the face, lips, tongue, and throat that may
cause difficulty in breathing or swallowing
If you have any of these symptoms, stop taking FARXIGA and contact your healthcare provider or go to the nearest hospital emergency room right away.
- have severe kidney problems or are on dialysis.
What should I tell my healthcare provider before taking FARXIGA?
Before you take FARXIGA, tell your healthcare provider if you:
- have type 1 diabetes or have had diabetic ketoacidosis.
- have kidney problems.
- have or have had bladder cancer.
- are pregnant or plan to become pregnant. FARXIGA may harm your unborn baby. If you are pregnant or plan to become pregnant, talk to your healthcare provider about the best way to control your blood sugar.
- are breastfeeding or plan to breastfeed. It is not known if FARXIGA passes into your breast milk. Talk with your healthcare provider about the best way to feed your baby if you are taking FARXIGA.
Tell your healthcare provider about all the medicines you take, including prescription and over-thecounter medicines, vitamins, and herbal supplements.
How should I take FARXIGA?
- Take FARXIGA exactly as your healthcare provider tells you to take it.
- Do not change your dose of FARXIGA without talking to your healthcare provider.
- Take FARXIGA by mouth 1 time each day, with or without food.
- When your body is under some types of stress, such as fever, trauma (such as a car accident), infection, or surgery, the amount of diabetes medicine you need may change. Tell your healthcare provider right away if you have any of these conditions and follow your healthcare provider's instructions.
- Stay on your prescribed diet and exercise program while taking FARXIGA.
- Your healthcare provider may do certain blood tests before you start FARXIGA and during your treatment.
- Your healthcare provider will check your diabetes with regular blood tests, including your blood sugar levels and your A1c.
- Follow your healthcare provider's instructions for treating low blood sugar (hypoglycemia). Talk to your healthcare provider if low blood sugar is a problem for you.
- If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take 2 doses of FARXIGA at the same time.
- If you take too much FARXIGA, call your healthcare provider or go to the nearest emergency room right away.
What are the possible side effects of FARXIGA?
FARXIGA may cause serious side effects, including:
See “What is the most important information I should know about FARXIGA?”
- Low blood sugar (hypoglycemia). If you take
FARXIGA with another medicine that can cause low blood sugar, such as a
sulfonylurea or insulin, your risk of getting low blood sugar is higher. The
dose of your sulfonylurea medicine or insulin may need to be lowered while you
take FARXIGA. Signs and symptoms of low blood sugar may include:
- shaking or feeling jittery
- fast heartbeat
- Kidney problems
- Increased fats in your blood (bad cholesterol or LDL)
The most common side effects of FARXIGA include:
- vaginal yeast infections and yeast infections of the penis
- stuffy or runny nose and sore throat
- urinary tract infections
- changes in urination, including urgent need to urinate more often, in larger amounts, or at night
These are not all the possible side effects of FARXIGA. For more information, ask your healthcare provider or pharmacist.
Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How should I store FARXIGA?
Store FARXIGA at room temperature between 68°F and 77°F (20°C and 25°C).
General information about the safe and effective use of FARXIGA
This Medication Guide summarizes the most important information about FARXIGA. If you would like more information, talk to your healthcare provider. You can ask your pharmacist or healthcare provider for information about FARXIGA that is written for healthcare professionals.
For more information about FARXIGA, go to www.farxiga.com or call 1-800-236-9933.
What are the ingredients in FARXIGA?
Active ingredient: dapagliflozin.
Inactive ingredients: microcrystalline cellulose, anhydrous lactose, crospovidone, silicon dioxide, and magnesium stearate. The film coating contains: polyvinyl alcohol, titanium dioxide, polyethylene glycol, talc, and yellow iron oxide.
Last reviewed on RxList: 3/27/2015
This monograph has been modified to include the generic and brand name in many instances.
Additional Farxiga Information
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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