Reported Reactions

Drugs › Sodium-Glucose cotransporter 2 inhibitor

Generic name

Canagliflozin: adverse event reports filed with FDA

1,975 reports list it as a suspect or interacting product, 2013–2026. Class: Sodium-Glucose cotransporter 2 inhibitor. Also reported as Canagliflozin 100mg, Canagliflozin 300mg, Canagliflozin Tablet.

1,975
reports as suspect product
0% of all reports · about 149 a year
84
reports, 12 months to June 2026
132 in the 12 months before
94.4%
marked serious by the reporter
68.2% across the class
4.5%
record death among outcomes, as reported
88 reports · not verified by FDA

1,975 adverse event reports received by FDA list canagliflozin, a generic name as a suspect or interacting product, from April 2013 to June 2026. A further 1,097 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 84 reports listed it, down 36% from 132 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 149 reports a year and 0% of the 20,646,523 reports in the database, and 1.9% of the reports for the sodium-Glucose cotransporter 2 inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are diabetic ketoacidosis (16.8%), asthma (7.4%) and hyperglycaemia (5.7%). A report can list several reactions, so shares add to more than 100%; 388 different terms appear across these reports. Diabetic ketoacidosis is recorded in 16.8% of these reports, a larger share than in the median sodium-Glucose cotransporter 2 inhibitor drug (9%).

94.4% of the reports are marked serious by the reporter (68.2% across the class); 4.5% record death among the outcomes and 53.3% record hospitalisation, as reported. 46.9% of the reports came from physicians, and the largest patient age group is 45 to 64 (36.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

02039Jul 2021: 7Aug 2021: 6Sep 2021: 8Oct 2021: 7Nov 2021: 13Dec 2021: 142022Jan 2022: 13Feb 2022: 4Mar 2022: 16Apr 2022: 21May 2022: 12Jun 2022: 13Jul 2022: 21Aug 2022: 33Sep 2022: 17Oct 2022: 16Nov 2022: 29Dec 2022: 192023Jan 2023: 11Feb 2023: 18Mar 2023: 23Apr 2023: 12May 2023: 14Jun 2023: 7Jul 2023: 7Aug 2023: 39Sep 2023: 23Oct 2023: 11Nov 2023: 23Dec 2023: 162024Jan 2024: 11Feb 2024: 8Mar 2024: 17Apr 2024: 11May 2024: 9Jun 2024: 7Jul 2024: 9Aug 2024: 11Sep 2024: 9Oct 2024: 15Nov 2024: 8Dec 2024: 232025Jan 2025: 7Feb 2025: 11Mar 2025: 11Apr 2025: 16May 2025: 5Jun 2025: 7Jul 2025: 4Aug 2025: 14Sep 2025: 14Oct 2025: 5Nov 2025: 3Dec 2025: 32026Jan 2026: 4Feb 2026: 5Mar 2026: 2Apr 2026: 17May 2026: 5Jun 2026: 8

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01122242013: 1720132014: 262015: 16420152016: 1842017: 17720172018: 1672019: 22420192020: 1912021: 12820212022: 2142023: 20420232024: 1382025: 10020252026: 41

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Canagliflozin reports recording the termmedian drug in sodium-glucose cotransporter 2 inhibitor

  1. Diabetic ketoacidosisa serious complication of diabetes with acid build-up16.8%331
  2. Asthmaasthma7.4%147
  3. Hyperglycaemiahigh blood sugar5.7%112
  4. Euglycaemic diabetic ketoacidosis5%99
  5. Acute kidney injurysudden loss of kidney function5%98
  6. Type 2 diabetes mellitustype 2 diabetes4.5%89
  7. Dyspnoeashortness of breath3.8%75
  8. Hypoglycaemialow blood sugar3.5%69
  9. Vomitingbeing sick3.5%69
  10. Nauseafeeling sick3.2%63
  11. Off label useused for a purpose or in a way not on the label3.2%63
  12. Diabetes mellitusdiabetes2.9%57
  13. Metabolic acidosistoo much acid in the body fluids2.9%57
  14. Blood glucose increasedraised blood sugar reading2.8%56
  15. Wheezingwheezing2.8%55
  16. Drug interactionan interaction between medicines2.7%53
  17. Depressionlow mood2.5%49
  18. Renal impairmentreduced kidney function2.2%44
  19. Diarrhoealoose or frequent stools2.2%43
  20. Urinary tract infectionbladder or urinary infection2.2%43
  21. Weight decreasedweight loss2.1%42
  22. Lactic acidosisa build-up of lactic acid in the blood2.1%41
  23. Dehydrationdehydration2%40
  24. Fournier's gangrene1.9%38
  25. Diabetes mellitus inadequate controldiabetes not well controlled1.7%34
  26. Malaisegeneral feeling of being unwell1.7%34
  27. Hypoacusisreduced hearing1.7%33

Top 30 of 388 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 8 drugs in the sodium-glucose cotransporter 2 inhibitor class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death4.5%88
Life-threatening12.7%251
Hospitalisation (initial or prolonged)53.3%1,052
Disability6%118
Congenital anomaly0.2%3
Other serious56.3%1,112
Not serious5.6%111

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 104,698 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.1%2
2 to 110%0
12 to 170.9%18
18 to 449.2%181
45 to 6436.8%726
65 to 7419.4%383
75 and over17.7%349
Age not given16%316

Patient sex

Female40.6%801
Male48.8%963
Not given10.7%211

Who reported

Physician46.9%926
Pharmacist13.6%268
Other health professional28.8%569
Lawyer0.1%1
Consumer or non-health professional10.3%203
Not given0.4%8

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 21.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Type 2 diabetes mellitus88845%
Diabetes mellitus27413.9%
Type 1 diabetes mellitus281.4%
Diabetic nephropathy140.7%
Insulin-requiring type 2 diabetes mellitus80.4%
Diabetes mellitus inadequate control70.4%

The indication field is filled in by the reporter and is often blank; shares are of all 1,975 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Canagliflozin reports
Metformin64732.8%
Metformin hydrochloride21210.7%
Atorvastatin1879.5%
Lansoprazole1738.8%
Aspirin1638.3%
Albuterol1527.7%
Glimepiride1356.8%
Amlodipine1226.2%
Prednisone1155.8%
Bisoprolol1145.8%

Other products listed in reports where Canagliflozin is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureCanagliflozinSodium-Glucose cotransporter 2 inhibitorAll reports
Reports as suspect product1,975104,69820,646,523
Share of that pool—1.9%0%
Reports, latest 12 months84—1,332,454
Marked serious94.4%68.2%57.4%
Death recorded among outcomes, per 1,000 reports4510491
Hospitalisation recorded, per 1,000 reports533313213
Consumer-filed share10.3%45.3%45.8%
Top term, share of reportsDiabetic ketoacidosis 16.8%median 9%0.1%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the sodium-glucose cotransporter 2 inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Jardiancegeneric34,5982,38855.5%
Invokanabrand22,3596564.1%
Dapagliflozingeneric21,8386,95098.9%
Farxigabrand16,45654954%
Empagliflozingeneric4,88774686.7%
Synjardygeneric2,07112955.4%
Inpefabrand5148833.3%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Canagliflozin reports

How many adverse event reports has FDA received for Canagliflozin?

1,975 reports list Canagliflozin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 84 of them arrived in the latest 12 months. Another 1,097 list it only as a concomitant medication.

What reactions are recorded in Canagliflozin reports?

diabetic ketoacidosis (16.8%), asthma (7.4%), hyperglycaemia (5.7%), euglycaemic diabetic ketoacidosis (5%) and acute kidney injury (5%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Canagliflozin was responsible.

How serious are the reports?

94.4% are marked serious by the reporter. Among the outcomes recorded, 4.5% of reports include death and 53.3% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

physician (46.9%), other health professional (28.8%) and pharmacist (13.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Canagliflozin rising?

84 reports in the 12 months to June 2026, down 36% from 132 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Canagliflozin was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Canagliflozin?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Canagliflozin as a suspect or interacting product; reports listing it only as a concomitant medication (1,097) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.