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Published on: 3/2/2026
Jardiance, which helps your kidneys excrete sugar, commonly causes increased urination, UTIs and genital yeast infections, and dehydration with dizziness, and rarely can trigger diabetic ketoacidosis, Fournier’s gangrene, or kidney problems.
Medically approved next steps include tracking symptoms, staying well hydrated, good genital hygiene, not stopping the drug without your doctor, and urgent care for severe pain, vomiting, breathing trouble, or fainting; there are several factors to consider, so see the complete guidance below to understand when to call your clinician and what adjustments might be needed.
If you've been prescribed Jardiance, you may be wondering about Jardiance side effects and why your body feels different. That's a fair concern. Jardiance (empagliflozin) is a prescription medication used to treat type 2 diabetes and reduce the risk of heart failure and cardiovascular death in certain patients. It works by helping your kidneys remove excess sugar through urine.
While Jardiance is effective and widely prescribed, like all medications, it can cause side effects. Some are mild and manageable. Others require prompt medical attention. Understanding what's normal — and what's not — can help you respond appropriately.
Jardiance belongs to a class of medications called SGLT2 inhibitors. It lowers blood sugar by:
Because the medication changes how your kidneys handle sugar and fluids, most Jardiance side effects are related to urination, hydration, and infections.
Your body may need time to adjust. Some reactions are expected early on and improve over time. Others signal that something more serious may be happening.
These side effects are relatively common and usually mild. Still, they should not be ignored.
You may notice:
This happens because excess glucose leaves your body through urine. Staying hydrated helps, but if urination becomes excessive or disrupts daily life, speak with your doctor.
Because urine contains more sugar while taking Jardiance, bacteria may grow more easily. Symptoms include:
UTIs are treatable, but ignoring them can lead to kidney infection. Seek care promptly if symptoms develop.
These are among the most common Jardiance side effects, especially in women but also in men.
Symptoms may include:
Men may experience redness or rash on the penis.
These infections are usually mild and treatable with antifungal medication. Good hygiene and keeping the area dry can help reduce risk.
Because Jardiance increases urination, you may lose fluids. This can lead to:
Older adults and people on diuretics are at higher risk. Drinking adequate fluids is important. If you feel faint or confused, contact a doctor immediately.
Some side effects are rare but potentially life-threatening. These require urgent medical attention.
Although more common in type 1 diabetes, DKA can occur in people with type 2 diabetes taking Jardiance — even when blood sugar isn't extremely high.
Symptoms include:
This is a medical emergency. Seek immediate care if you experience these symptoms.
This is a rare, severe infection of the genital area. Symptoms may include:
Though extremely uncommon, this condition requires emergency treatment.
Jardiance affects kidney function. While it can protect kidneys in some patients, it may worsen kidney function in others.
Watch for:
Your doctor should monitor kidney function regularly with blood tests.
Not everyone experiences Jardiance side effects, but certain factors increase risk:
Your body is adjusting to a new way of processing sugar. Sometimes symptoms settle within weeks. Other times, dosage adjustment or switching medications may be necessary.
If you're experiencing side effects, take the following medically approved steps:
Keep track of:
This information helps your doctor make safe decisions.
Drink adequate water unless your doctor has restricted fluids. This helps reduce dizziness and supports kidney function.
To reduce infection risk:
Stopping Jardiance suddenly can cause blood sugar to spike. Always speak to a doctor before making changes.
Go to urgent care or the ER if you experience:
Do not wait if symptoms feel serious or life-threatening.
You should speak to a doctor if:
Your provider may:
Never hesitate to ask questions. Your safety comes first.
For many people, Jardiance provides significant benefits, including:
The goal is balancing benefits with manageable risk. Most Jardiance side effects are mild and treatable. Serious complications are uncommon but must be recognized early.
If you're unsure whether your symptoms are related to the medication or the underlying condition itself, using a free Diabetes Mellitus symptom checker can help you understand what you're experiencing and whether it warrants immediate medical attention.
Experiencing Jardiance side effects does not automatically mean the medication is wrong for you. It does mean your body is responding to a change in how it processes sugar and fluids.
Here's what matters most:
If you experience anything that feels severe, unusual, or life-threatening, seek medical care right away. And for ongoing symptoms or concerns, schedule a conversation with your healthcare provider. They can help determine whether Jardiance remains the right option for you.
Your health decisions should always be made with a qualified medical professional who understands your full medical history.
(References)
* Scheen AJ. Pharmacokinetic and Pharmacodynamic Considerations for the Management of Diabetes Mellitus with Empagliflozin. Clin Pharmacokinet. 2017 Mar;56(3):213-228. doi:10.1007/s40262-016-0447-3. PMID: 27572767.
* Weir MR, Bakris GL, Bushinsky DA, et al. Effects of Empagliflozin on the Renin-Angiotensin-Aldosterone System, Uric Acid, and Electrolytes in Patients With Type 2 Diabetes Mellitus. Clin Ther. 2016 May;38(5):1017-28. doi:10.1016/j.clinthera.2016.03.018. PMID: 27083074.
* Peters AL, Buschur EO, Buse JB, et al. Euglycemic Diabetic Ketoacidosis: A Potential Complication of Treatment With Sodium-Glucose Cotransporter 2 Inhibitors. Diabetes Care. 2015 Oct;38(10):1687-93. doi:10.2337/dc15-0843. PMID: 26404740.
* Li D, Wang T, Cui Y, et al. The Efficacy and Safety of Empagliflozin in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis. J Clin Pharm Ther. 2022 Feb;47(1):64-80. doi:10.1111/jcpt.13527. Epub 2021 Nov 2. PMID: 34729792.
* Kanamori A, Miyauchi H, Hamaguchi Y, et al. Adverse Events of SGLT2 Inhibitors and Recommended Medical Care in Real-World Clinical Practice. Int J Environ Res Public Health. 2022 Nov 22;19(23):15494. doi:10.3390/ijerph192315494. PMID: 36497793; PMCID: PMC9740173.
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