Reported Reactions

Drugs › Sodium-Glucose cotransporter 2 inhibitor

Brand name · Sotagliflozin

Inpefa: adverse event reports filed with FDA

514 reports list it as a suspect or interacting product, 2023–2026. Class: Sodium-Glucose cotransporter 2 inhibitor.

514
reports as suspect product
0% of all reports · about 176 a year
88
reports, 12 months to June 2026
248 in the 12 months before
33.3%
marked serious by the reporter
68.2% across the class
8.4%
record death among outcomes, as reported
43 reports · not verified by FDA

514 adverse event reports received by FDA list the brand name Inpefa (sotagliflozin) as a suspect or interacting product, from August 2023 to June 2026. A further 6 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, 88 reports listed it, down 65% from 248 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 176 reports a year and 0% of the 20,646,523 reports in the database, and 0.5% 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 dizziness (9.9%), diarrhoea (9.1%) and death (7.8%). A report can list several reactions, so shares add to more than 100%; 106 different terms appear across these reports. Dizziness is recorded in 9.9% of these reports, a larger share than in the median sodium-Glucose cotransporter 2 inhibitor drug (3.7%).

33.3% of the reports are marked serious by the reporter (68.2% across the class); 8.4% record death among the outcomes and 17.5% record hospitalisation, as reported. 89.9% of the reports came from consumers, and the largest patient age group is 75 and over (36%). 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

01733Jul 2021: 0Aug 2021: 0Sep 2021: 0Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 0Jun 2023: 0Jul 2023: 0Aug 2023: 8Sep 2023: 4Oct 2023: 11Nov 2023: 9Dec 2023: 132024Jan 2024: 21Feb 2024: 26Mar 2024: 13Apr 2024: 15May 2024: 29Jun 2024: 29Jul 2024: 26Aug 2024: 28Sep 2024: 24Oct 2024: 26Nov 2024: 22Dec 2024: 332025Jan 2025: 15Feb 2025: 17Mar 2025: 19Apr 2025: 14May 2025: 17Jun 2025: 7Jul 2025: 12Aug 2025: 12Sep 2025: 8Oct 2025: 7Nov 2025: 8Dec 2025: 62026Jan 2026: 9Feb 2026: 2Mar 2026: 4Apr 2026: 6May 2026: 8Jun 2026: 6

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

01462922023: 4520232024: 29220242025: 14220252026: 352026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Dizzinesslight-headedness or unsteadiness9.9%51
  2. Diarrhoealoose or frequent stools9.1%47
  3. Deaththe patient died; cause not stated by this term7.8%40
  4. Off label useused for a purpose or in a way not on the label4.9%25
  5. Dyspnoeashortness of breath4.7%24
  6. Product use issuea problem in how the product was used4.7%24
  7. Urinary tract infectionbladder or urinary infection4.5%23
  8. Headachehead pain4.1%21
  9. Nauseafeeling sick3.5%18
  10. Fungal infectiona fungal infection3.1%16
  11. Fatiguetiredness2.7%14
  12. Vomitingbeing sick2.7%14
  13. Drug ineffectivethe medicine did not work as expected2.5%13
  14. Hospitalisationadmission to hospital2.5%13
  15. Malaisegeneral feeling of being unwell2.5%13
  16. Abdominal discomfortstomach discomfort2.1%11
  17. Astheniaweakness or lack of energy1.9%10
  18. Drug titration error1.9%10
  19. Rashskin rash1.9%10
  20. Weight decreasedweight loss1.8%9
  21. Abdominal pain upperupper stomach pain1.6%8
  22. Blood glucose increasedraised blood sugar reading1.6%8
  23. Dehydrationdehydration1.6%8
  24. Pneumonialung infection1.6%8
  25. Feeling abnormalfeeling odd or not right1.4%7
  26. Myocardial infarctionheart attack1.4%7
  27. Pain in extremitypain in an arm or leg1.4%7
  28. Hypersensitivityan allergic-type reaction1%5

Top 30 of 106 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

Death8.4%43
Life-threatening0.2%1
Hospitalisation (initial or prolonged)17.5%90
Disability0.2%1
Congenital anomaly0%0
Other serious9.7%50
Not serious66.7%343

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%0
2 to 110%0
12 to 170%0
18 to 440.8%4
45 to 6410.1%52
65 to 7418.9%97
75 and over36%185
Age not given34.2%176

Patient sex

Female48.1%247
Male51.4%264
Not given0.6%3

Who reported

Physician4.9%25
Pharmacist0.4%2
Other health professional4.7%24
Lawyer0%0
Consumer or non-health professional89.9%462
Not given0.2%1

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Chronic left ventricular failure458.8%
Cardiac failure346.6%
Cardiac failure congestive285.4%
Cardiac disorder112.1%
Left ventricular failure61.2%
Cardiovascular event prophylaxis40.8%

The indication field is filled in by the reporter and is often blank; shares are of all 514 reports.

In context

MeasureInpefaSodium-Glucose cotransporter 2 inhibitorAll reports
Reports as suspect product514104,69820,646,523
Share of that pool—0.5%0%
Reports, latest 12 months88—1,332,454
Marked serious33.3%68.2%57.4%
Death recorded among outcomes, per 1,000 reports8410491
Hospitalisation recorded, per 1,000 reports175313213
Consumer-filed share89.9%45.3%45.8%
Top term, share of reportsDizziness 9.9%median 3.7%2.4%

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%
Canagliflozingeneric1,9758494.4%

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 Inpefa reports

How many adverse event reports has FDA received for Inpefa?

514 reports list Inpefa as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 88 of them arrived in the latest 12 months. Another 6 list it only as a concomitant medication.

What reactions are recorded in Inpefa reports?

dizziness (9.9%), diarrhoea (9.1%), death (7.8%), therapy interrupted (6.8%) and off label use (4.9%). 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 Inpefa was responsible.

How serious are the reports?

33.3% are marked serious by the reporter. Among the outcomes recorded, 8.4% of reports include death and 17.5% 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 (89.9%), physician (4.9%) and other health professional (4.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Inpefa rising?

88 reports in the 12 months to June 2026, down 65% from 248 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 Inpefa 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 Inpefa?

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 Inpefa as a suspect or interacting product; reports listing it only as a concomitant medication (6) 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.