Brand name · Sitagliptin and metformin hydrochloride
Janumet: adverse event reports filed with FDA
10,509 reports list it as a suspect or interacting product, 2007–2026. Class: Biguanide. Also reported as Tab Janumet, Janumet Xr, Janumet /06535301/.
- 10,509
- reports as suspect product
- 0.1% of all reports · about 546 a year
- 133
- reports, 12 months to June 2026
- 223 in the 12 months before
- 64.9%
- marked serious by the reporter
- 81.3% across the class
- 12.8%
- record death among outcomes, as reported
- 1,345 reports · not verified by FDA
Between April 2007 and June 2026, 10,509 adverse event reports received by FDA list the brand name Janumet (sitagliptin and metformin hydrochloride) as a suspect or interacting product. Reports that mention it only as a concomitant medication (11,183) are left out of every figure here.
In the 12 months to June 2026, 133 reports listed it, down 40% from 223 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 546 reports a year and 0.1% of the 20,646,523 reports in the database, and 9% of the reports for the biguanide class. How many people take it is not in the data, so a count is not a rate of occurrence.
Reporters most often recorded blood glucose increased (8.4%), diarrhoea (6.3%) and inappropriate schedule of drug administration (5.6%). A report can list several reactions, so shares add to more than 100%; 1,232 different terms appear across these reports. Blood glucose increased is recorded in 8.4% of these reports, a larger share than in the median biguanide drug (4.3%).
64.9% of the reports are marked serious by the reporter (81.3% across the class); 12.8% record death among the outcomes and 31% record hospitalisation, as reported. 54.9% of the reports came from consumers, and the largest patient age group is 45 to 64 (23.5%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Janumet reports recording the termmedian drug in biguanide
- Blood glucose increasedraised blood sugar reading8.4%881
- Diarrhoealoose or frequent stools6.3%662
- Inappropriate schedule of drug administrationthe medicine was taken at the wrong times5.6%589
- No adverse eventno adverse event was reported5.5%580
- Pancreatitisinflammation of the pancreas5.4%567
- Pancreatic carcinoma5.4%563
- Lactic acidosisa build-up of lactic acid in the blood4.7%494
- Acute kidney injurysudden loss of kidney function4.6%486
- Product dose omission issuea dose was missed4.6%484
- Nauseafeeling sick4.4%458
- Drug ineffectivethe medicine did not work as expected4.3%457
- Diabetes mellitus inadequate controldiabetes not well controlled3.5%369
- Vomitingbeing sick3.5%363
- Deaththe patient died; cause not stated by this term2.9%306
- Weight decreasedweight loss2.8%297
- Dizzinesslight-headedness or unsteadiness2.6%273
- Hypoglycaemialow blood sugar2.6%272
- Inappropriate schedule of product administrationthe product was taken at the wrong times2.5%266
- Hypertensionhigh blood pressure2.4%248
- Fatiguetiredness2%215
- Malaisegeneral feeling of being unwell2%212
- Product use issuea problem in how the product was used2%212
- Pancreatic carcinoma metastatic2%209
- Abdominal painstomach or belly pain2%207
- Headachehead pain2%206
- Astheniaweakness or lack of energy1.9%197
- Hyperkalaemiahigh blood potassium1.9%197
- Abdominal pain upperupper stomach pain1.9%196
- Drug dose omissiona dose was missed1.8%191
Top 30 of 1,232 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 7 drugs in the biguanide 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
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 116,598 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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 57.8% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Diabetes mellitus | 3,165 | 30.1% |
| Type 2 diabetes mellitus | 2,951 | 28.1% |
| Blood glucose increased | 44 | 0.4% |
| Blood glucose | 33 | 0.3% |
| Blood glucose abnormal | 33 | 0.3% |
| Diabetes mellitus management | 28 | 0.3% |
The indication field is filled in by the reporter and is often blank; shares are of all 10,509 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Janumet reports |
|---|---|---|
| Metformin | 992 | 9.4% |
| Januvia | 927 | 8.8% |
| Aspirin | 410 | 3.9% |
| Lantus | 321 | 3.1% |
| Glimepiride | 305 | 2.9% |
| Byetta | 293 | 2.8% |
| Kardegic | 290 | 2.8% |
| Atorvastatin | 283 | 2.7% |
| Simvastatin | 267 | 2.5% |
Other products listed in reports where Janumet 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
| Measure | Janumet | Biguanide | All reports |
|---|---|---|---|
| Reports as suspect product | 10,509 | 116,598 | 20,646,523 |
| Share of that pool | — | 9% | 0.1% |
| Reports, latest 12 months | 133 | — | 1,332,454 |
| Marked serious | 64.9% | 81.3% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 128 | 139 | 91 |
| Hospitalisation recorded, per 1,000 reports | 310 | 431 | 213 |
| Consumer-filed share | 54.9% | 28.4% | 45.8% |
| Top term, share of reports | Blood glucose increased 8.4% | median 4.3% | 0.9% |
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 biguanide class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Metformin | generic | 66,495 | 5,178 | 87.1% |
| Metformin hydrochloride | generic | 24,187 | 1,851 | 80.6% |
| Metformin hcl | generic | 11,314 | 0 | 67.2% |
| Xigduo | brand | 2,199 | 177 | 76.5% |
| Invokamet | brand | 1,336 | 1 | 60% |
| Actoplus Met | brand | 558 | 0 | 89.1% |
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 Janumet reports
How many adverse event reports has FDA received for Janumet?
10,509 reports list Janumet as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 133 of them arrived in the latest 12 months. Another 11,183 list it only as a concomitant medication.
What reactions are recorded in Janumet reports?
blood glucose increased (8.4%), diarrhoea (6.3%), inappropriate schedule of drug administration (5.6%), no adverse event (5.5%) and pancreatitis (5.4%). 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 Janumet was responsible.
How serious are the reports?
64.9% are marked serious by the reporter. Among the outcomes recorded, 12.8% of reports include death and 31% 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 (54.9%), physician (23.8%) and other health professional (11.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Janumet rising?
133 reports in the 12 months to June 2026, down 40% from 223 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 Janumet 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 Janumet?
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 Janumet as a suspect or interacting product; reports listing it only as a concomitant medication (11,183) 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.