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Dapagliflozin

Published: July 26, 2026Updated: July 26, 2026

Dapagliflozin is an oral diabetes medication that blocks SGLT2 in the kidneys to reduce glucose reabsorption, helping to lower blood sugar levels.

Quick summary

An SGLT2 inhibitor that lowers blood sugar by helping the kidneys remove glucose through urine.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
A10BK01
RxNorm
1488564
Generic
Dapagliflozin
Class
atc-a10
Brands
Farxiga, Xigduo, Qtern
Availability
rx
Lactation
unknown
Routes
oral
Forms
tablet
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
10mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
10mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
10mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity based on clinical data extrapolation
Chronic overdose: Prolonged use exceeding recommended 10-25mg daily dose may lead to cumulative adverse effects
Immediate actions
Gastric lavage if within 1-2 hours, activated charcoal, intravenous fluid resuscitation, hemodynamic monitoring, electrolyte correction
Antidote
No specific antidote exists(Supportive care is primary treatment; early intervention improves outcomes)
Poison Control: 1-800-222-1222

Special Populations

12 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

Discontinue use when pregnancy is detected. Use only if potential benefits justify potential risks to the fetus.

Monitor

Regular fetal monitoring and assessment of renal function in the fetus

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

Discontinue use when pregnancy is detected. Consider alternative antidiabetic agents.

Monitor

Regular fetal monitoring, ultrasound for fetal growth

Use with caution and monitor for adverse effects.

✗

pregnancy

third trimester
unsafe
FDA Category
C
Dose Adjustment

discontinue before third trimester

Key Recommendations

Do not use in third trimester. Switch to insulin for glycemic control.

Monitor

Intensive fetal monitoring, assess amniotic fluid volume

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
N
Dose Adjustment

discontinue breastfeeding or discontinue drug

Key Recommendations

Dapagliflozin is not recommended during breastfeeding. Discontinue nursing or discontinue the drug.

Monitor

Monitor infant for hypoglycemia and signs of dehydration

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly 65 and older
caution
FDA Category
N
Dose Adjustment

start at lowest dose

Key Recommendations

Use with caution. Start at 5mg once daily. Monitor renal function and for signs of volume depletion.

Monitor

Regular monitoring of renal function, blood pressure, and hydration status

Use with caution and monitor for adverse effects.

?

pediatric_age

under 18 years
unknown
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

Not recommended for use in patients under 18 years of age. Safety and efficacy not established.

Monitor

N/A - not studied

✓

renal_impairment

mild
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

No dosage adjustment required for mild renal impairment (eGFR 60-89).

Monitor

Monitor renal function periodically

⚠

renal_impairment

moderate
caution
FDA Category
N
Dose Adjustment

dose adjustment may be needed

Key Recommendations

Use with caution in moderate renal impairment (eGFR 30-59). Monitor renal function more frequently.

Monitor

Regular monitoring of renal function every 3-6 months

Use with caution and monitor for adverse effects.

✗

renal_impairment

severe
unsafe
FDA Category
N
Dose Adjustment

contraindicated

Key Recommendations

Not recommended for patients with severe renal impairment (eGFR <30) or ESRD. Discontinue if eGFR falls below 30.

Monitor

Monitor renal function closely, contraindicated at eGFR <30

Use of this medication in this population requires careful consideration of risks and benefits.

✓

hepatic_impairment

mild
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

No dosage adjustment required for mild hepatic impairment.

Monitor

Routine monitoring

⚠

hepatic_impairment

moderate
caution
FDA Category
N
Dose Adjustment

no specific adjustment

Key Recommendations

Use with caution in moderate hepatic impairment. No specific dose adjustment required.

Monitor

Monitor for liver function changes

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

severe
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

Use with caution in severe hepatic impairment. Not recommended in severe hepatic impairment due to limited data.

Monitor

Close monitoring of liver function and clinical status

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:2012

Dapagliflozin (Farxiga) first FDA approved

drug_classWHO
2023

Drug class

Value:SGLT2 inhibitor

Sodium-glucose co-transporter 2 inhibitor

usageMedical guidelines
2023

Common uses

Value:Type 2 diabetes, heart failure, chronic kidney disease

Approved therapeutic indications

brand_namesFDA
2023

Brand names

Value:Farxiga, Xigduo XR, Qtern

marketed brand names

Treats type 2 diabetes in adults, often in combination with diet and exercise. May also be prescribed for heart failure or chronic kidney disease in certain patients.

Inhibits SGLT2 (sodium-glucose cotransporter 2) in the proximal renal tubules, blocking reabsorption of filtered glucose and allowing it to be eliminated in urine.

May increase risk of genital yeast infections and urinary tract infections. Not recommended for type 1 diabetes or diabetic ketoacidosis. Patients should stay well hydrated and monitor for signs of infection.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy