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
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
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
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.
Read our methodology — how this data is sourced, computed, and verified.