Reported Reactions

Drugs › Biguanide

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

03468Jul 2021: 68Aug 2021: 50Sep 2021: 38Oct 2021: 30Nov 2021: 46Dec 2021: 462022Jan 2022: 31Feb 2022: 27Mar 2022: 32Apr 2022: 23May 2022: 29Jun 2022: 21Jul 2022: 51Aug 2022: 38Sep 2022: 41Oct 2022: 37Nov 2022: 28Dec 2022: 422023Jan 2023: 39Feb 2023: 33Mar 2023: 44Apr 2023: 20May 2023: 19Jun 2023: 24Jul 2023: 39Aug 2023: 36Sep 2023: 31Oct 2023: 35Nov 2023: 12Dec 2023: 232024Jan 2024: 23Feb 2024: 30Mar 2024: 32Apr 2024: 59May 2024: 21Jun 2024: 18Jul 2024: 28Aug 2024: 21Sep 2024: 16Oct 2024: 21Nov 2024: 24Dec 2024: 102025Jan 2025: 27Feb 2025: 14Mar 2025: 9Apr 2025: 24May 2025: 10Jun 2025: 19Jul 2025: 9Aug 2025: 15Sep 2025: 15Oct 2025: 16Nov 2025: 8Dec 2025: 112026Jan 2026: 7Feb 2026: 11Mar 2026: 7Apr 2026: 10May 2026: 6Jun 2026: 18

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

06501,3002007: 2820072008: 902009: 13620092010: 1812011: 27820112012: 5482013: 88820132014: 1,2972015: 1,30020152016: 1,0902017: 72220172018: 7452019: 65420192020: 6752021: 58320212022: 4002023: 35520232024: 3032025: 17720252026: 59

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Janumet reports recording the termmedian drug in biguanide

  1. Blood glucose increasedraised blood sugar reading8.4%881
  2. Diarrhoealoose or frequent stools6.3%662
  3. Inappropriate schedule of drug administrationthe medicine was taken at the wrong times5.6%589
  4. No adverse eventno adverse event was reported5.5%580
  5. Pancreatitisinflammation of the pancreas5.4%567
  6. Lactic acidosisa build-up of lactic acid in the blood4.7%494
  7. Acute kidney injurysudden loss of kidney function4.6%486
  8. Product dose omission issuea dose was missed4.6%484
  9. Nauseafeeling sick4.4%458
  10. Drug ineffectivethe medicine did not work as expected4.3%457
  11. Diabetes mellitus inadequate controldiabetes not well controlled3.5%369
  12. Vomitingbeing sick3.5%363
  13. Deaththe patient died; cause not stated by this term2.9%306
  14. Weight decreasedweight loss2.8%297
  15. Dizzinesslight-headedness or unsteadiness2.6%273
  16. Hypoglycaemialow blood sugar2.6%272
  17. Inappropriate schedule of product administrationthe product was taken at the wrong times2.5%266
  18. Hypertensionhigh blood pressure2.4%248
  19. Fatiguetiredness2%215
  20. Malaisegeneral feeling of being unwell2%212
  21. Product use issuea problem in how the product was used2%212
  22. Pancreatic carcinoma metastatic2%209
  23. Abdominal painstomach or belly pain2%207
  24. Headachehead pain2%206
  25. Astheniaweakness or lack of energy1.9%197
  26. Hyperkalaemiahigh blood potassium1.9%197
  27. Abdominal pain upperupper stomach pain1.9%196
  28. 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

Death12.8%1,345
Life-threatening7.6%802
Hospitalisation (initial or prolonged)31%3,258
Disability3.5%370
Congenital anomaly0.2%16
Other serious40.7%4,278
Not serious35.1%3,693

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

Under 20.1%9
2 to 110.1%11
12 to 170%4
18 to 443.4%356
45 to 6423.5%2,469
65 to 7416.6%1,744
75 and over11.4%1,199
Age not given44.9%4,717

Patient sex

Female46.2%4,859
Male45.5%4,783
Not given8.3%867

Who reported

Physician23.8%2,498
Pharmacist6.4%671
Other health professional11.8%1,245
Lawyer1.2%121
Consumer or non-health professional54.9%5,774
Not given1.9%200

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)ReportsShare
Diabetes mellitus3,16530.1%
Type 2 diabetes mellitus2,95128.1%
Blood glucose increased440.4%
Blood glucose330.3%
Blood glucose abnormal330.3%
Diabetes mellitus management280.3%

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)ReportsShare of Janumet reports
Metformin9929.4%
Januvia9278.8%
Aspirin4103.9%
Lantus3213.1%
Glimepiride3052.9%
Byetta2932.8%
Kardegic2902.8%
Atorvastatin2832.7%
Simvastatin2672.5%

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

MeasureJanumetBiguanideAll reports
Reports as suspect product10,509116,59820,646,523
Share of that pool—9%0.1%
Reports, latest 12 months133—1,332,454
Marked serious64.9%81.3%57.4%
Death recorded among outcomes, per 1,000 reports12813991
Hospitalisation recorded, per 1,000 reports310431213
Consumer-filed share54.9%28.4%45.8%
Top term, share of reportsBlood 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

DrugName typeReportsLatest 12 monthsMarked serious
Metformingeneric66,4955,17887.1%
Metformin hydrochloridegeneric24,1871,85180.6%
Metformin hclgeneric11,314067.2%
Xigduobrand2,19917776.5%
Invokametbrand1,336160%
Actoplus Metbrand558089.1%

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.