Reported Reactions

Drugs › Sodium-Glucose cotransporter 2 inhibitor

Generic name

Synjardy: adverse event reports filed with FDA

2,071 reports list it as a suspect or interacting product, 2015–2026. Class: Sodium-Glucose cotransporter 2 inhibitor. Also reported as Synjardy Xr.

2,071
reports as suspect product
0% of all reports · about 194 a year
129
reports, 12 months to June 2026
127 in the 12 months before
55.4%
marked serious by the reporter
68.2% across the class
3.1%
record death among outcomes, as reported
65 reports · not verified by FDA

Between November 2015 and June 2026, 2,071 adverse event reports received by FDA list synjardy, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,375) are left out of every figure here.

In the 12 months to June 2026, 129 reports listed it, close to the 127 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 194 reports a year and 0% of the 20,646,523 reports in the database, and 2% 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.

Reporters most often recorded diabetic ketoacidosis (8.7%), blood glucose increased (7.2%) and weight decreased (5.9%). A report can list several reactions, so shares add to more than 100%; 315 different terms appear across these reports. Diabetic ketoacidosis is recorded in 8.7% of these reports, about the same share as in the median sodium-Glucose cotransporter 2 inhibitor drug (9%).

55.4% of the reports are marked serious by the reporter (68.2% across the class); 3.1% record death among the outcomes and 31% record hospitalisation, as reported. 48% of the reports came from consumers, and the largest patient age group is 45 to 64 (29.3%). 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

03365Jul 2021: 9Aug 2021: 22Sep 2021: 18Oct 2021: 18Nov 2021: 30Dec 2021: 92022Jan 2022: 18Feb 2022: 29Mar 2022: 32Apr 2022: 24May 2022: 19Jun 2022: 23Jul 2022: 16Aug 2022: 25Sep 2022: 18Oct 2022: 25Nov 2022: 29Dec 2022: 202023Jan 2023: 17Feb 2023: 29Mar 2023: 29Apr 2023: 31May 2023: 13Jun 2023: 19Jul 2023: 17Aug 2023: 19Sep 2023: 17Oct 2023: 21Nov 2023: 18Dec 2023: 122024Jan 2024: 11Feb 2024: 20Mar 2024: 65Apr 2024: 16May 2024: 10Jun 2024: 16Jul 2024: 19Aug 2024: 12Sep 2024: 5Oct 2024: 14Nov 2024: 15Dec 2024: 82025Jan 2025: 7Feb 2025: 10Mar 2025: 9Apr 2025: 12May 2025: 9Jun 2025: 7Jul 2025: 11Aug 2025: 8Sep 2025: 5Oct 2025: 4Nov 2025: 9Dec 2025: 92026Jan 2026: 12Feb 2026: 8Mar 2026: 9Apr 2026: 19May 2026: 17Jun 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

01553092015: 420152016: 492017: 10220172018: 1632019: 30920192020: 2702021: 26020212022: 2782023: 24220232024: 2112025: 10020252026: 83

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Diabetic ketoacidosisa serious complication of diabetes with acid build-up8.7%181
  2. Blood glucose increasedraised blood sugar reading7.2%150
  3. Weight decreasedweight loss5.9%122
  4. Vomitingbeing sick5.2%107
  5. Nauseafeeling sick4.6%96
  6. Diarrhoealoose or frequent stools4.3%90
  7. Euglycaemic diabetic ketoacidosis3.7%77
  8. Dizzinesslight-headedness or unsteadiness3.7%76
  9. Fournier's gangrene3.2%66
  10. Fungal infectiona fungal infection2.9%61
  11. Drug ineffectivethe medicine did not work as expected2.4%50
  12. Abdominal pain upperupper stomach pain2.1%44
  13. Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure2.1%43
  14. Urinary tract infectionbladder or urinary infection2%41
  15. Astheniaweakness or lack of energy1.9%40
  16. Lactic acidosisa build-up of lactic acid in the blood1.8%38
  17. Fatiguetiredness1.8%37
  18. Dehydrationdehydration1.7%35
  19. Decreased appetitereduced appetite1.6%34
  20. Blood glucose decreasedlow blood sugar reading1.4%30
  21. Headachehead pain1.4%30
  22. Dyspnoeashortness of breath1.4%29
  23. Hypoglycaemialow blood sugar1.4%29
  24. Abdominal painstomach or belly pain1.4%28
  25. Acute kidney injurysudden loss of kidney function1.4%28
  26. Malaisegeneral feeling of being unwell1.4%28
  27. Falla fall1.2%24
  28. Covid-19COVID-19 infection1.1%23

Top 30 of 315 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

Death3.1%65
Life-threatening7.3%152
Hospitalisation (initial or prolonged)31%643
Disability1.4%30
Congenital anomaly0.1%3
Other serious32.7%678
Not serious44.6%924

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 to 110%0
12 to 170.1%2
18 to 445.4%112
45 to 6429.3%607
65 to 7417.5%362
75 and over8.3%172
Age not given39.4%815

Patient sex

Female42.1%872
Male48.5%1,004
Not given9.4%195

Who reported

Physician35.3%732
Pharmacist6.7%139
Other health professional9.3%192
Lawyer0%1
Consumer or non-health professional48%994
Not given0.6%13

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 63.2% 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 mellitus81439.3%
Diabetes mellitus27313.2%
Type 1 diabetes mellitus20.1%

The indication field is filled in by the reporter and is often blank; shares are of all 2,071 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Synjardy reports
Metformin1507.2%
Trulicity1165.6%
Atorvastatin894.3%
Jardiance894.3%
Ozempic753.6%
Lisinopril462.2%
Aspirin442.1%
Insulin412%
Amlodipine331.6%
Lantus331.6%

Other products listed in reports where Synjardy 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

MeasureSynjardySodium-Glucose cotransporter 2 inhibitorAll reports
Reports as suspect product2,071104,69820,646,523
Share of that pool—2%0%
Reports, latest 12 months129—1,332,454
Marked serious55.4%68.2%57.4%
Death recorded among outcomes, per 1,000 reports3110491
Hospitalisation recorded, per 1,000 reports310313213
Consumer-filed share48%45.3%45.8%
Top term, share of reportsDiabetic ketoacidosis 8.7%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%
Canagliflozingeneric1,9758494.4%
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 Synjardy reports

How many adverse event reports has FDA received for Synjardy?

2,071 reports list Synjardy as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 129 of them arrived in the latest 12 months. Another 1,375 list it only as a concomitant medication.

What reactions are recorded in Synjardy reports?

diabetic ketoacidosis (8.7%), blood glucose increased (7.2%), weight decreased (5.9%), ketoacidosis (5.8%) and vomiting (5.2%). 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 Synjardy was responsible.

How serious are the reports?

55.4% are marked serious by the reporter. Among the outcomes recorded, 3.1% 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 (48%), physician (35.3%) and other health professional (9.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Synjardy rising?

129 reports in the 12 months to June 2026, close to the 127 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 Synjardy 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 Synjardy?

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 Synjardy as a suspect or interacting product; reports listing it only as a concomitant medication (1,375) 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.