PlainMeds provides educational information only. This is not medical advice. Always consult your doctor or pharmacist.

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

CARDIAC FAILURE CONGESTIVE
428
BLOOD GLUCOSE INCREASED
401
CARDIAC FAILURE
400
NAUSEA
372
DRUG INEFFECTIVE
333
DIARRHOEA
328
FATIGUE
261
DIZZINESS
260
HEADACHE
253
WEIGHT DECREASED
244
DEATH
233
VOMITING
227
RASH
217
ACUTE KIDNEY INJURY
213
DYSPNOEA
204
PANCREATITIS
197
ASTHENIA
195
PNEUMONIA
186
PRURITUS
166
CARDIOVASCULAR DISORDER
162

Who Reports Side Effects

Gender Distribution

Female 3,751 (51%)
Male 3,610 (49%)
Unknown 12

Age Distribution

0-17 111 (2%)
18-44 208 (4%)
45-64 1,860 (38%)
65-74 1,503 (31%)
75+ 1,177 (24%)

Reporting Trend by Year

2007 2025

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

Compare saxagliptin vs acarbose →

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.