saxagliptin Side Effects
Also known as: Onglyza
Analysis of 8,141 adverse event reports submitted to the FDA from 2007 to 2025.
Total Reports
8,141
Death-Related
648
8.0% of reports
Hospitalizations
2,815
34.6% of reports
Top Indication
Type 2 Diabetes Mellitus
Most Reported Adverse Reactions
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
Reactions in Death Reports
Top reactions reported in 648 reports where death was an outcome. These are voluntarily reported and do not establish causation.
| Reaction | Reports |
|---|---|
| DEATH | 233 |
| CARDIAC FAILURE CONGESTIVE | 66 |
| CARDIAC FAILURE | 58 |
| PNEUMONIA | 41 |
| PANCREATIC CARCINOMA | 39 |
| ACUTE KIDNEY INJURY | 27 |
| RENAL FAILURE | 22 |
| SEPSIS | 21 |
| CHRONIC KIDNEY DISEASE | 19 |
| PANCREATIC CARCINOMA METASTATIC | 19 |
| CARDIAC ARREST | 18 |
| ASTHENIA | 17 |
| CORONARY ARTERY DISEASE | 17 |
| DIARRHOEA | 17 |
| MYOCARDIAL INFARCTION | 17 |
| ANAEMIA | 16 |
| RENAL DISORDER | 16 |
| RESPIRATORY FAILURE | 16 |
| BLADDER CANCER | 15 |
| CARDIO-RESPIRATORY ARREST | 15 |
Reactions in Hospitalization Reports
Top reactions in 2,815 reports where hospitalization was an outcome.
| Reaction | Reports |
|---|---|
| CARDIAC FAILURE CONGESTIVE | 208 |
| CARDIAC FAILURE | 183 |
| PNEUMONIA | 139 |
| NAUSEA | 137 |
| VOMITING | 133 |
| ACUTE KIDNEY INJURY | 124 |
| DIARRHOEA | 123 |
| DYSPNOEA | 118 |
| DEHYDRATION | 108 |
| PANCREATITIS | 106 |
| WEIGHT DECREASED | 104 |
| ASTHENIA | 101 |
| FALL | 95 |
| MYOCARDIAL INFARCTION | 95 |
| DIZZINESS | 90 |
| ABDOMINAL PAIN | 88 |
| ANAEMIA | 86 |
| FATIGUE | 81 |
| DECREASED APPETITE | 79 |
| BLOOD GLUCOSE INCREASED | 77 |
Nearby — Related Medications
What the FAERS Data Reveals About saxagliptin Side Effects
The FDA Adverse Event Reporting System (FAERS) contains 8,141 voluntary reports linked to saxagliptin and its brand equivalents (Onglyza), spanning 2007 through 2025. Of those, 648 (8.0%) listed death as an outcome and 2,815 (34.6%) involved hospitalization. The most common indication reported alongside adverse events was Type 2 Diabetes Mellitus.
Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 51% were female and 49% male; age distribution skews toward 45-64, with 1,860 reports in that bracket. The single most reported reaction is cardiac failure congestive with 428 submissions, followed by blood glucose increased and cardiac failure.
FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.
Read our methodology — how this data is sourced, computed, and verified.