PMID- 26695551 OWN - NLM STAT- MEDLINE DCOM- 20161031 LR - 20221207 IS - 1744-764X (Electronic) IS - 1474-0338 (Print) IS - 1474-0338 (Linking) VI - 15 IP - 3 DP - 2016 TI - A Safety Evaluation of Empagliflozin for the Treatment of Type 2 Diabetes. PG - 393-402 LID - 10.1517/14740338.2016.1135900 [doi] AB - INTRODUCTION: Empagliflozin is a sodium glucose co-transporter 2 inhibitor used to improve glycemic control in adults with type 2 diabetes mellitus (T2DM) by enhancing urinary glucose excretion. Empagliflozin is effective at lowering glycosylated hemoglobin and was recently proven superior to placebo for reduction of cardiovascular disease (CVD) risk. As with any new drug, there are safety considerations that inform its potential use in patients with T2DM. AREAS COVERED: Here, we evaluate the safety of empagliflozin and provide an expert opinion as to its current and future role in the treatment of patients with T2DM. A search of the English language literature was performed using PubMed search terms: "empagliflozin", "sodium glucose cotransporter 2 inhibitors", and "drug safety". Articles and bibliographies relevant to the subject were reviewed and additional references known to the authors were included. EXPERT OPINION: The evidence for empagliflozin is robust with regard to glycemic efficacy and safety. Low risk of hypoglycemia, absence of weight gain, and demonstrated cardiovascular risk reduction support its consideration as a first line medication in addition to metformin for patients with T2DM and CVD. Ongoing trials will continue to address the safety and efficacy of empagliflozin and expand our clinical knowledge of this medication. FAU - Neeland, Ian J AU - Neeland IJ AD - a Division of Cardiology , University of Texas Southwestern Medical Center , Dallas , TX , USA. AD - b Department of Internal Medicine , University of Texas Southwestern Medical Center , Dallas , TX , USA. FAU - Salahuddin, Usman AU - Salahuddin U AD - b Department of Internal Medicine , University of Texas Southwestern Medical Center , Dallas , TX , USA. FAU - McGuire, Darren K AU - McGuire DK AD - a Division of Cardiology , University of Texas Southwestern Medical Center , Dallas , TX , USA. AD - b Department of Internal Medicine , University of Texas Southwestern Medical Center , Dallas , TX , USA. AD - c Department of Clinical Sciences , University of Texas Southwestern Medical Center , Dallas , TX , USA. LA - eng GR - K23 DK106520/DK/NIDDK NIH HHS/United States GR - 1K23DK106520-01/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20160202 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - 0 (Benzhydryl Compounds) RN - 0 (Glucosides) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 9100L32L2N (Metformin) RN - HDC1R2M35U (empagliflozin) SB - IM MH - Adult MH - Animals MH - Benzhydryl Compounds/*adverse effects/pharmacology/therapeutic use MH - Cardiovascular Diseases/prevention & control MH - Diabetes Mellitus, Type 2/complications/*drug therapy MH - Glucosides/*adverse effects/pharmacology/therapeutic use MH - Glycated Hemoglobin/metabolism MH - Humans MH - Hypoglycemic Agents/*adverse effects/pharmacology/therapeutic use MH - Metformin/therapeutic use MH - Sodium-Glucose Transporter 2 Inhibitors PMC - PMC4890479 MID - NIHMS789453 OTO - NOTNLM OT - Type 2 diabetes mellitus OT - drug safety OT - empagliflozin OT - sodium glucose co-transporter 2 inhibitor EDAT- 2015/12/24 06:00 MHDA- 2016/11/01 06:00 PMCR- 2017/03/01 CRDT- 2015/12/24 06:00 PHST- 2017/03/01 00:00 [pmc-release] PHST- 2015/12/24 06:00 [entrez] PHST- 2015/12/24 06:00 [pubmed] PHST- 2016/11/01 06:00 [medline] AID - 10.1517/14740338.2016.1135900 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2016;15(3):393-402. doi: 10.1517/14740338.2016.1135900. Epub 2016 Feb 2.