Empagliflozin (Jardiance)
Sodium-glucose cotransporter 2 (SGLT2) inhibitor that blocks glucose reabsorption in the proximal tubule, causing glycosuria (~70g glucose/day excreted). Reduces HbA1c, blood pressure (osmotic diuresis), and body weight (~2-3 kg). Landmark EMPA-REG trial showed 38% reduction in cardiovascular death — now first-line for heart failure with or without diabetes. Also approved for CKD. UTI and genital mycotic infection risk. Rare DKA risk even with normal glucose.
Projected serum levels — 10 mg, once daily
Maintenance schedule: 10 mg once daily (oral).
Loading schedule: 13.6 mg on day 1, then 10 mg once daily — reaching therapeutic levels sooner.
Modeled steady state after ~1 days: peak ≈ 9.7 mg, trough ≈ 2.8 mg body load. Population-based estimate over 15 days for a 10 mg dose at a 70 kg reference body mass — the interactive app scales curves to your doses, timing, and body mass.
Key facts
- Category
- SGLT2 Inhibitor
- Route modeled
- Oral
- Model confidence
- inferred
- Half-life
- 12 h
- Common dose
- 10 mg
- Suggested maximum
- 25 mg/day
- Reference dose range
- 5–25 mg (single dose)
- Suggested cadence
- once daily
- Validated against
- 10 mg oral — Cmax 0.12 mg/L at 1.5 h
Documented interactions
-
moderate
Apigenin + Empagliflozin (Jardiance)
Apigenin inhibitor of BCRP may alter Empagliflozin (Jardiance) absorption / distribution
-
moderate
Carvedilol (Coreg) + Empagliflozin (Jardiance)
Carvedilol (Coreg) inhibitor of P-gp may alter Empagliflozin (Jardiance) absorption / distribution
-
moderate
CBD (Cannabidiol) + Empagliflozin (Jardiance)
CBD (Cannabidiol) reversible_inhibitor of UGT2B7 predicted to change Empagliflozin (Jardiance) AUC by ~1.36x
-
moderate
Efavirenz (Sustiva) + Empagliflozin (Jardiance)
Efavirenz (Sustiva) inducer of P-gp may alter Empagliflozin (Jardiance) absorption / distribution
-
moderate
Fisetin + Empagliflozin (Jardiance)
Fisetin inhibitor of BCRP may alter Empagliflozin (Jardiance) absorption / distribution
-
moderate
Ginkgo Biloba (EGb 761) + Empagliflozin (Jardiance)
Ginkgo Biloba (EGb 761) inhibitor of P-gp may alter Empagliflozin (Jardiance) absorption / distribution
Serum checks 27 modeled interaction pairings for empagliflozin (jardiance) across your whole stack — absorption conflicts, enzyme inhibition, and nutrient depletion included.
Research behind this entry
-
Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes (EMPA-REG OUTCOME trial)
Practice-changing RCT (7020 patients) demonstrating empagliflozin reduced cardiovascular death by 38%, heart failure hospitalization by 35%, and all-cause mortality by 32% in T2D with established CVD.
-
Empagliflozin in heart failure with a preserved ejection fraction (EMPEROR-Preserved)
Landmark RCT establishing empagliflozin as the first drug to show benefit in HFpEF, reducing the composite of CV death or HF hospitalization by 21%, regardless of diabetes status.
2 published studies referenced in the app, each with a plain-language summary.