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empagliflozin vs metformin/empagliflozin

Side-by-side comparison of empagliflozin and metformin/empagliflozin. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

moderate Known Drug Interaction

7 DRUG INTERACTIONS See Table 4 for clinically relevant interactions with SYNJARDY or SYNJARDY XR. Table 4 Clinically Relevant Interactions with SYNJARDY or SYNJARDY XR Carbonic Anhydrase Inhibitors Clinical Impact Topiramate or other carbonic anhydrase inhibitors (e.g., zonisamide, acetazolamide or dichlorphenamide) frequently causes a decrease in serum bicarbonate and induce non-anion gap, hyperchloremic metabolic acidosis. Concomitant use of these drugs with SYNJARDY or SYNJARDY XR may increase the risk of lactic acidosis.

Recommendation: Your doctor should monitor your blood work closely to check for signs of too much acid.

Drug Class
empagliflozin SGLT2 Inhibitor
metformin/empagliflozin Biguanide / SGLT2 Combination
Type
empagliflozin Prescription
metformin/empagliflozin Prescription
Summary
empagliflozin

No summary available.

metformin/empagliflozin

Synjardy is a drug that combines empagliflozin and metformin. It helps lower blood sugar in people with type 2 diabetes, along with diet and exercise.

What It Treats
empagliflozin

Information not available.

metformin/empagliflozin

Synjardy is used to treat type 2 diabetes in adults and children 10 years and older. It helps control blood sugar levels when used with diet and exercise. Empagliflozin, one of the drugs in Synjardy, can also lower the risk of heart-related death in adults with heart disease. It can also lower the risk of heart failure and kidney problems in adults with heart failure or chronic kidney disease.

How It Works
empagliflozin

Information not available.

metformin/empagliflozin

Synjardy contains two medicines that work in different ways. Empagliflozin helps your kidneys remove sugar from your blood through urine. Metformin lowers the amount of sugar your liver makes and helps your body use insulin better.

Common Side Effects
empagliflozin
  • Urinary tract infection
  • Yeast infection (in women)
  • Diarrhea
  • Nausea
  • Vomiting
metformin/empagliflozin
  • Urinary tract infections
  • Yeast infections of the vagina
  • Diarrhea
  • Nausea
  • Vomiting
FAERS Reports
empagliflozin
  • Diabetic ketoacidosis 3,773
  • Feeling sick to your stomach 3,212
  • High blood sugar 3,043
  • Diarrhea 2,806
  • Weight loss 2,749
metformin/empagliflozin
  • Feeling sick to your stomach 21,946
  • Loose or watery stools 21,887
  • High blood sugar 18,329
  • Feeling tired 17,252
  • Sudden damage to the kidneys 16,440
Serious Warnings
empagliflozin

No specific warnings noted.

metformin/empagliflozin

Metformin can cause a serious side effect called lactic acidosis. This is a buildup of lactic acid in your blood. It can be life-threatening. Get medical help right away if you have symptoms like feeling very weak, muscle pain, trouble breathing, stomach pain, dizziness, or a slow or irregular heartbeat.

Pregnancy
empagliflozin

No pregnancy information available.

metformin/empagliflozin

Synjardy may harm your unborn baby, especially during the second and third trimesters. Talk to your doctor if you are pregnant or plan to become pregnant. It is not recommended to breastfeed while taking Synjardy.

Also Compare, Nearby Drugs

How to Read This empagliflozin vs metformin/empagliflozin Comparison

empagliflozin is classified in the SGLT2 Inhibitor drug class, while metformin/empagliflozin sits within the Biguanide / SGLT2 Combination class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, empagliflozin has 15,583 submissions while metformin/empagliflozin has 95,854. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known moderate interaction flagged in FDA labeling, attributed to taking certain medications like topiramate along with your diabetes medicine can lower your blood's ability to balance acid. this increases the risk of a serious condition called lactic acidosis.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between empagliflozin and metformin/empagliflozin - always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.