Reported Reactions

Drugs › Dipeptidyl peptidase 4 inhibitor

Brand name · Empagliflozin and linagliptin

Glyxambi: adverse event reports filed with FDA

1,475 reports list it as a suspect or interacting product, 2015–2026. Class: Dipeptidyl peptidase 4 inhibitor.

1,475
reports as suspect product
0% of all reports · about 131 a year
39
reports, 12 months to June 2026
43 in the 12 months before
42%
marked serious by the reporter
57% across the class
2.8%
record death among outcomes, as reported
42 reports · not verified by FDA

1,475 adverse event reports received by FDA list the brand name Glyxambi (empagliflozin and linagliptin) as a suspect or interacting product, from April 2015 to June 2026. A further 461 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, 39 reports listed it, close to the 43 of 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 131 reports a year and 0% of the 20,646,523 reports in the database, and 3.2% of the reports for the dipeptidyl peptidase 4 inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded diabetic ketoacidosis (9.7%), blood glucose increased (8%) and fungal infection (6.2%). A report can list several reactions, so shares add to more than 100%; 201 different terms appear across these reports. Diabetic ketoacidosis is recorded in 9.7% of these reports, a larger share than in the median dipeptidyl peptidase 4 inhibitor drug (1%).

42% of the reports are marked serious by the reporter (57% across the class); 2.8% record death among the outcomes and 24.3% record hospitalisation, as reported. 49.2% of the reports came from consumers, and the largest patient age group is 45 to 64 (26%). 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

0713Jul 2021: 13Aug 2021: 7Sep 2021: 8Oct 2021: 7Nov 2021: 8Dec 2021: 42022Jan 2022: 9Feb 2022: 13Mar 2022: 11Apr 2022: 6May 2022: 10Jun 2022: 10Jul 2022: 4Aug 2022: 4Sep 2022: 4Oct 2022: 2Nov 2022: 7Dec 2022: 72023Jan 2023: 6Feb 2023: 11Mar 2023: 10Apr 2023: 8May 2023: 12Jun 2023: 6Jul 2023: 5Aug 2023: 5Sep 2023: 9Oct 2023: 7Nov 2023: 4Dec 2023: 52024Jan 2024: 4Feb 2024: 7Mar 2024: 7Apr 2024: 4May 2024: 7Jun 2024: 8Jul 2024: 3Aug 2024: 4Sep 2024: 6Oct 2024: 2Nov 2024: 5Dec 2024: 42025Jan 2025: 2Feb 2025: 3Mar 2025: 1Apr 2025: 3May 2025: 4Jun 2025: 6Jul 2025: 2Aug 2025: 3Sep 2025: 3Oct 2025: 1Nov 2025: 2Dec 2025: 42026Jan 2026: 5Feb 2026: 3Mar 2026: 6Apr 2026: 4May 2026: 3Jun 2026: 3

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

01392772015: 20620152016: 2772017: 13520172018: 1422019: 16520192020: 1342021: 12220212022: 872023: 8820232024: 612025: 3420252026: 24

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Glyxambi reports recording the termmedian drug in dipeptidyl peptidase 4 inhibitor

  1. Diabetic ketoacidosisa serious complication of diabetes with acid build-up9.7%143
  2. Blood glucose increasedraised blood sugar reading8%118
  3. Fungal infectiona fungal infection6.2%91
  4. Weight decreasedweight loss5.2%76
  5. Nauseafeeling sick4.1%61
  6. Dizzinesslight-headedness or unsteadiness3.6%53
  7. Vomitingbeing sick3.5%51
  8. Urinary tract infectionbladder or urinary infection3.2%47
  9. Dehydrationdehydration2.6%38
  10. Euglycaemic diabetic ketoacidosis2.2%33
  11. Pancreatitisinflammation of the pancreas2%29
  12. Pollakiuriapassing urine more often2%29
  13. Abdominal pain upperupper stomach pain1.9%28
  14. Astheniaweakness or lack of energy1.9%28
  15. Drug ineffectivethe medicine did not work as expected1.9%28
  16. Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure1.7%25
  17. Headachehead pain1.7%25
  18. Off label useused for a purpose or in a way not on the label1.6%23
  19. Fatiguetiredness1.4%21
  20. Dyspnoeashortness of breath1.3%19
  21. Metabolic acidosistoo much acid in the body fluids1.3%19
  22. Decreased appetitereduced appetite1.2%18
  23. Falla fall1.2%18
  24. Fournier's gangrene1.2%18
  25. Rashskin rash1.2%18
  26. Abdominal painstomach or belly pain1.2%17

Top 30 of 201 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 10 drugs in the dipeptidyl peptidase 4 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

Death2.8%42
Life-threatening3.3%49
Hospitalisation (initial or prolonged)24.3%358
Disability1.8%26
Congenital anomaly0.1%1
Other serious24.4%360
Not serious58%856

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 46,081 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%1
2 to 110.1%1
12 to 170.1%1
18 to 446.6%98
45 to 6426%383
65 to 7412.9%190
75 and over7.8%115
Age not given46.5%686

Patient sex

Female51.3%757
Male40.5%598
Not given8.1%120

Who reported

Physician33.6%495
Pharmacist2.7%40
Other health professional13.9%205
Lawyer0%0
Consumer or non-health professional49.2%726
Not given0.6%9

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 82.6% 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 mellitus59640.4%
Diabetes mellitus16411.1%
Type 1 diabetes mellitus40.3%
Blood glucose increased30.2%
Insulin-requiring type 2 diabetes mellitus30.2%
Diabetes mellitus inadequate control20.1%

The indication field is filled in by the reporter and is often blank; shares are of all 1,475 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Glyxambi reports
Metformin27018.3%
Lisinopril684.6%
Jardiance594%
Atorvastatin412.8%
Glipizide352.4%
Aspirin342.3%
Insulin312.1%
Amlodipine302%
Lantus302%
Losartan241.6%

Other products listed in reports where Glyxambi 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

MeasureGlyxambiDipeptidyl peptidase 4 inhibitorAll reports
Reports as suspect product1,47546,08120,646,523
Share of that pool—3.2%0%
Reports, latest 12 months39—1,332,454
Marked serious42%57%57.4%
Death recorded among outcomes, per 1,000 reports288791
Hospitalisation recorded, per 1,000 reports243292213
Consumer-filed share49.2%38.4%45.8%
Top term, share of reportsDiabetic ketoacidosis 9.7%median 1%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 dipeptidyl peptidase 4 inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Januviabrand30,21231051.2%
Tradjentabrand4,6273134.2%
Sitagliptingeneric2,80537395.8%
Linagliptingeneric2,78128090.4%
Sitagliptin phosphategeneric1,39913691.9%
Nesinabrand7921181.3%
Alogliptingeneric698786.1%
Saxagliptingeneric6682191.6%
Jentaduetobrand624442%

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 Glyxambi reports

How many adverse event reports has FDA received for Glyxambi?

1,475 reports list Glyxambi as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 39 of them arrived in the latest 12 months. Another 461 list it only as a concomitant medication.

What reactions are recorded in Glyxambi reports?

diabetic ketoacidosis (9.7%), blood glucose increased (8%), fungal infection (6.2%), weight decreased (5.2%) and nausea (4.1%). 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 Glyxambi was responsible.

How serious are the reports?

42% are marked serious by the reporter. Among the outcomes recorded, 2.8% of reports include death and 24.3% 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?

consumer or non-health professional (49.2%), physician (33.6%) and other health professional (13.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Glyxambi rising?

39 reports in the 12 months to June 2026, close to the 43 of 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 Glyxambi 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 Glyxambi?

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 Glyxambi as a suspect or interacting product; reports listing it only as a concomitant medication (461) 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.