Contraindicated in:
Use Cautiously in:
Empagliflozin
CV: hypotension, volume depletion.
Endo: hypoglycemia (↑with other medications).
F and E: hyperphosphatemia, KETOACIDOSIS.
GU: acute kidney injury, genital mycotic infections, ↑ urination, NECROTIZING FASCIITIS OF PERINEUM (FOURNIER'S GANGRENE), renal impairment, urinary tract infections (including pyelonephritis), UROSEPSIS.
Metab: hyperlipidemia.
Misc: HYPERSENSITIVITY REACTIONS (INCLUDING ANGIOEDEMA).
Linagliptin
CV: HF.
Derm: bullous pemphigoid, localized exfoliation, urticaria.
GI: PANCREATITIS.
Metab: hypoglycemia, hypertriglyceridemia.
MS: RHABDOMYOLYSIS.
Resp: bronchial hyperreactivity.
Drug-Drug:
(Generic available)
Therapeutic Classification: antidiabetics
Pharmacologic Classification: sodium-glucose co-transporter 2 (SGLT2) inhibitors
Empagliflozin
Absorption: Well absorbed following oral administration.
Distribution: Enters red blood cells, remainder of distribution unknown.
Metabolism/Excretion: Minimally metabolized; excreted in feces (41.2% mostly as unchanged drug) and urine (54.4% half as unchanged drug, half as metabolites).
Half-life: 12.4 hr.
Linagliptin
Absorption: 30% absorbed following oral administration.
Distribution: Extensively distributed to tissues.
Metabolism/Excretion: Approximately 90% excreted unchanged in urine; minimally metabolized.
Half-life: >100 hr (due to saturable binding to DPP-4).
(↓ in A1c)
ROUTE | ONSET | PEAK | DURATION |
---|---|---|---|
empagliflozin (PO) | within 6 wk | 12 wk | unknown |
linagliptin (PO) | unknown | 1.5 hr | 24 hr |
NDC Code*