Synjardy
Generic name: Empagliflozin And Metformin
Drug class:
Antidiabetic combinations
Usage of Synjardy
Synjardy contains a combination of empagliflozin and metformin. Empagliflozin and metformin are oral diabetes medicines that help control blood sugar levels. Empagliflozin works by helping the kidneys get rid of glucose from your bloodstream. Metformin lowers glucose production in the liver and also causes your intestines to absorb less glucose.
Synjardy is used together with diet and exercise to improve blood sugar control in patients aged 10 years and older with type 2 diabetes mellitus.
Synjardy is also used to lower the risk of death from heart attack, stroke, or heart failure in adults with type 2 diabetes who also have heart disease.
Synjardy is not for treating type 1 diabetes.
Synjardy side effects
Get emergency medical help if you have signs of an allergic reaction to Synjardy: hives; trouble swallowing, difficult breathing; swelling of your face, lips, tongue, or throat.
Seek medical attention right away if you have signs of a serious genital infection (penis or vagina): burning, itching, odor, discharge, pain, tenderness, redness or swelling of the genital or rectal area, fever, not feeling well. These symptoms may get worse quickly.
Stop taking Synjardy and call your doctor at once if you have:
Some side effects may be more likely to occur in older adults.
Common Synjardy side effects may include:
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Before taking Synjardy
You should not use Synjardy if you are allergic to empagliflozin or metformin, or if you have:
If you need to have surgery or any type of x-ray or CT scan using a dye that is injected into your veins, you may need to temporarily stop taking this medicine. Be sure your caregivers know ahead of time that you are using Synjardy.
To make sure Synjardy is safe for you, tell your doctor if you have:
You may develop lactic acidosis, a dangerous build-up of lactic acid in your blood. Ask your doctor about your risk.
Follow your doctor's instructions about using Synjardy if you are pregnant or you become pregnant. Controlling diabetes is very important during pregnancy.
You should not use Synjardy during the second or third trimester of pregnancy.
Metformin may stimulate ovulation in a premenopausal woman and may increase the risk of unintended pregnancy. Talk to your doctor about your risk.
Do not breastfeed while using Synjardy.
Not approved for use by anyone younger than 18 years old.
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How to use Synjardy
Usual Adult Dose for Diabetes Type 2:
Individualize dosage based on patient's current regimen Synjardy Immediate-Release: For Patients Already on Metformin: -Initial dose: Switch to empagliflozin 10 mg/day plus similar total daily dose of metformin; give in 2 equally divided doses orally twice a day For Patients Already on Empagliflozin: -Initial dose: Switch to empagliflozin at the same total daily dose plus metformin 1000 mg/day; give in 2 equally divided doses orally twice a day Patients Already on Synjardy: -Initial dose: Switch to same total daily dose of each component (or nearest appropriate dose of metformin); give in 2 equally divided doses orally twice a day Maintenance: Adjust dose based on efficacy and tolerability; a gradual dose escalation of metformin will help to reduce gastrointestinal side effects Maximum dose: empagliflozin: 25 mg/day; metformin: 2000 mg/day Synjardy Extended-Release:: For Patients Already on Metformin: -Initial dose: Switch to empagliflozin 10 mg plus similar total daily dose of metformin orally once a day For Patients Already on Empagliflozin: -Initial dose: Switch to empagliflozin at the same total daily dose plus metformin 1000 mg/day orally once a day Patients Already on Synjardy: -Initial dose: Switch to same total daily dose of each component (or nearest appropriate dose of metformin) orally once a day Maintenance: Adjust dose based on efficacy and tolerability; a gradual dose escalation of metformin will help to reduce gastrointestinal side effects. Maximum dose: empagliflozin: 25 mg/day; metformin: 2000 mg/day.
Warnings
Synjardy may cause a serious condition called lactic acidosis. Get emergency medical help if you have even mild symptoms such as: muscle pain or weakness, numb or cold feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, slow or irregular heartbeats, dizziness, or feeling very weak or tired.
Tell your doctor if you are sick with vomiting or diarrhea, or if you eat or drink less than usual.
In rare cases, this medicine can cause serious infections in the penis or vagina. Get medical help right away if you have burning, itching, odor, discharge, pain, tenderness, redness or swelling of the genital or rectal area, fever, or if you don't feel well.
You should not use Synjardy if you have moderate to severe kidney disease, if you are on dialysis, or diabetic ketoacidosis (call your doctor for treatment).
If you need to have any type of x-ray or CT scan using a dye that is injected into your veins, you may need to temporarily stop taking Synjardy.
What other drugs will affect Synjardy
Other drugs may increase or decrease the effects of Synjardy on lowering your blood sugar. Tell your doctor about all your current medicines and any you start or stop using, especially:
This list is not complete. Other drugs may interact with empagliflozin and metformin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.
Disclaimer
Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.
The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
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