Empagliflozin and Cimetidine Interaction
Drug interaction information between Empagliflozin and Cimetidine.
Empagliflozin and Cimetidine have a documented moderate interaction in FDA labeling.
FDA drug labeling documents a moderate-severity interaction between Empagliflozin and Cimetidine. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.
How They Interact
Cimetidine stops the kidneys from getting rid of metformin as quickly as they should. This can cause metformin to build up in your blood and increase the risk of a serious acid problem.
FDA Label Information
Drugs that Reduce Metformin Clearance Clinical Impact 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 [OCT2] / multidrug and toxin extrusion [MATE] inhibitors such as ranolazine, vandetanib, dolutegravir, and cimetidine) could increase systemic exposure to metformin and may increase the risk for lactic acidosis [see Clinical Pharmacology (12.3) ] .
Empagliflozin Also Interacts With
- Metformin moderate
- Dolutegravir moderate
- Ranolazine moderate
- Metformin/Empagliflozin moderate
- Topiramate minor
Cimetidine Also Interacts With
- Levofloxacin major
- Posaconazole major
- Risperidone major
- Valproate major
- Empagliflozin/Linagliptin moderate
Frequently Asked Questions
What SPL severity band is on file for Empagliflozin + Cimetidine?
Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.
Which drug in this pair has the larger labeled-interaction portfolio?
Cimetidine has 77 labeled pairs on file vs Empagliflozin's 10. In the moderate band specifically: Empagliflozin has 5 (also Metformin, Dolutegravir, Ranolazine, Metformin/Empagliflozin); Cimetidine has 10 (also Empagliflozin/Linagliptin, Ertugliflozin, Hydroxychloroquine, Linagliptin).
What mechanism field is on file for Empagliflozin and Cimetidine?
Cimetidine stops the kidneys from getting rid of metformin as quickly as they should. This can cause metformin to build up in your blood and increase the risk of a serious acid problem.
Cimetidine carries more major-labeled pairs than Empagliflozin
SPL source-record counts only. This page's band is moderate · classes on file: Empagliflozin (SGLT2 Inhibitor); Cimetidine (H2 Receptor Antagonist).
Cimetidine has 4 major-labeled pairs vs Empagliflozin's 0. This page itself is in the moderate band, not the major band.
0 major · 5 moderate · 5 minor · 10 total
- Other moderate peers for Empagliflozin
- Metformin
- Dolutegravir
- Ranolazine
- Metformin/Empagliflozin
4 major · 10 moderate · 63 minor · 77 total
- Other moderate peers for Cimetidine
- Empagliflozin/Linagliptin
- Ertugliflozin
- Hydroxychloroquine
- Linagliptin
Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.
Read our methodology - how this data is sourced, computed, and verified.