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sitagliptin Side Effects

Also known as: Januvia

Analysis of 70,292 adverse event reports submitted to the FDA from 2006 to 2025.

Total Reports

70,292

Death-Related

6,655

9.5% of reports

Hospitalizations

24,338

34.6% of reports

Top Indication

Diabetes Mellitus

Most Reported Adverse Reactions

BLOOD GLUCOSE INCREASED
4,453
NAUSEA
3,790
DIARRHOEA
3,470
DRUG INEFFECTIVE
3,469
FATIGUE
2,885
HEADACHE
2,508
DIZZINESS
2,435
DYSPNOEA
2,340
VOMITING
2,317
PANCREATITIS
2,205
DEATH
2,160
ACUTE KIDNEY INJURY
2,158
ASTHENIA
2,077
MALAISE
1,898
WEIGHT DECREASED
1,893
PAIN
1,867
FALL
1,791
PNEUMONIA
1,725
ARTHRALGIA
1,710
PANCREATIC CARCINOMA
1,667

Who Reports Side Effects

Gender Distribution

Female 33,274 (52%)
Male 30,469 (47%)
Unknown 734

Age Distribution

0-17 346 (1%)
18-44 2,099 (5%)
45-64 15,124 (35%)
65-74 13,434 (31%)
75+ 12,620 (29%)

Reporting Trend by Year

2006 2025

Reactions in Death Reports

Top reactions reported in 6,655 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 2,153
PANCREATIC CARCINOMA 960
PANCREATIC CARCINOMA METASTATIC 442
PNEUMONIA 393
METASTASES TO LIVER 381
ACUTE KIDNEY INJURY 372
HYPERTENSION 347
RENAL FAILURE 304
ANAEMIA 294
DIARRHOEA 271
DYSPNOEA 261
MYOCARDIAL INFARCTION 249
PANCREATITIS 223
CARDIAC ARREST 220
CONSTIPATION 213
CHRONIC KIDNEY DISEASE 205
ASTHENIA 203
URINARY TRACT INFECTION 201
DEHYDRATION 196
SEPSIS 196

Reactions in Hospitalization Reports

Top reactions in 24,338 reports where hospitalization was an outcome.

Reaction Reports
NAUSEA 1,541
ACUTE KIDNEY INJURY 1,529
PNEUMONIA 1,387
VOMITING 1,311
DIARRHOEA 1,277
FALL 1,263
DYSPNOEA 1,260
ASTHENIA 1,182
PANCREATITIS 1,182
FATIGUE 1,165
ANAEMIA 1,049
PYREXIA 933
DEHYDRATION 860
DIZZINESS 832
BLOOD GLUCOSE INCREASED 826
MALAISE 822
HYPOGLYCAEMIA 818
HYPERTENSION 775
PAIN 771
RENAL FAILURE 763

Nearby — Related Medications

Compare sitagliptin vs acarbose →

What the FAERS Data Reveals About sitagliptin Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 70,292 voluntary reports linked to sitagliptin and its brand equivalents (Januvia), spanning 2006 through 2025. Of those, 6,655 (9.5%) listed death as an outcome and 24,338 (34.6%) involved hospitalization. The most common indication reported alongside adverse events was Diabetes Mellitus.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 52% were female and 47% male; age distribution skews toward 45-64, with 15,124 reports in that bracket. The single most reported reaction is blood glucose increased with 4,453 submissions, followed by nausea and diarrhoea.

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.