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ertugliflozin vs metformin

Side-by-side comparison of ertugliflozin and metformin. 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 Table 3: Clinically Significant Drug Interactions with SEGLUROMET Carbonic Anhydrase Inhibitors Clinical Impact: The risk of lactic acidosis may increase due to concomitant use of Topiramate or other carbonic anhydrase inhibitors (e.g., zonisamide, acetazolamide or dichlorphenamide) with metformin. Drugs that Reduce Metformin Clearance Clinical Impact: The risk of lactic acidosis may increase due to concomitant use of drugs that interfere with common renal tubular transport systems involved in the renal elimination of metformin (e.g., organic cationic transporter-2...

Recommendation: Your doctor should monitor your kidney function and check for signs of acid buildup in your blood regularly.

Drug Class
ertugliflozin SGLT2 Inhibitor
metformin Biguanide
Type
ertugliflozin Prescription
metformin Prescription
Summary
ertugliflozin

No summary available.

metformin

No summary available.

What It Treats
ertugliflozin

Information not available.

metformin

Information not available.

How It Works
ertugliflozin

Information not available.

metformin

Information not available.

Common Side Effects
ertugliflozin
  • Diarrhea
  • Nausea
  • Vomiting
  • Gas
  • Stomach discomfort
metformin
  • Diarrhea
  • Upper respiratory tract infection (like a cold)
  • Headache
FAERS Reports
ertugliflozin
  • Feeling sick to your stomach 86
  • Urinary tract infection 62
  • Throwing up 59
  • Fungal infection 58
  • Diabetic ketoacidosis 51
metformin
  • Feeling sick to your stomach 21,946
  • Loose or watery stools 21,887
  • High blood sugar 18,329
  • Feeling tired 17,252
  • Sudden kidney damage 16,440
Serious Warnings
ertugliflozin

No specific warnings noted.

metformin

No specific warnings noted.

Pregnancy
ertugliflozin

No pregnancy information available.

metformin

No pregnancy information available.

Also Compare, Nearby Drugs

How to Read This ertugliflozin vs metformin Comparison

ertugliflozin is classified in the SGLT2 Inhibitor drug class, while metformin sits within the Biguanide 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, ertugliflozin has 316 submissions while metformin 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 these drugs together can increase the risk of a dangerous buildup of lactic acid in the blood, especially if the kidneys are not clearing the medicine properly.. 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 ertugliflozin and metformin - 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.