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empagliflozin

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EntityQ5373824· pop 25· linked from 191 articles

empagliflozin

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Also known as BI 10773, BI-10773, BI10773, (1S)-1,5-anhydro-1-C-{4-chloro-3-((4-{((3S)-oxolan-3-yl)oxy}phenyl)methyl)phenyl}-D-glucitol, 1-chloro-4-(glucopyranos-1-yl)-2-(4-(tetrahydrofuran-3-yloxy)benzyl)benzene, (1S)-1,5-anhydro-1-(4-chloro-3-{4-[(3S)-tetrahydrofuran-3-yloxy]benzyl}phenyl)-D-glucitol

Empagliflozin, sold under the brand name Jardiance ( ), among others, is an antidiabetic medication used to improve glucose control in people with type2 diabetes and/or for patients with established heart failure with reduced ejection fraction (HFrEF). Studies have shown great benefits for heart failure (HF) outcomes and decreased hospitalisations. It is taken by mouth.

Chemical data

Formula
C23H27ClO7
Molecular weight
450.9 g/mol
IUPAC name
(2S,3R,4R,5S,6R)-2-[4-chloro-3-[[4-[(3S)-oxolan-3-yl]oxyphenyl]methyl]phenyl]-6-(hydroxymethyl)oxane-3,4,5-triol
SMILES
C1COC[C@H]1OC2=CC=C(C=C2)CC3=C(C=CC(=C3)[C@H]4[C@@H]([C@H]([C@@H]([C@H](O4)CO)O)O)O)Cl
InChIKey
OBWASQILIWPZMG-QZMOQZSNSA-N
XLogP
2
Polar surface area
109 Ų
H-bond donors
4
H-bond acceptors
7
Formal charge
0

via PubChem

~18 min read

Encyclopedic overview

21 sections
Contents
  • Medical uses
  • Diabetes
  • Chronic Kidney Disease
  • Mechanism of action in [[Chronic kidney disease|CKD]]
  • Key trial results (EMPA-KIDNEY)
  • Considerations and side effects
  • Contraindications
  • Side effects
  • Common
  • Serious
  • Mechanism of action
  • History
  • Legal status
  • Research
  • Weight and blood pressure
  • Etymology
  • 1. Empa- (The Prefix)
  • 2. -gli- (The Middle Stem)
  • 3. -flozin (The Suffix)
  • The Origin of "Phlorizin" (The "Apple" Connection)
  • References

Empagliflozin, sold under the brand name Jardiance ( ), among others, is an antidiabetic medication used to improve glucose control in people with type2 diabetes and/or for patients with established heart failure with reduced ejection fraction (HFrEF). Studies have shown great benefits for heart failure (HF) outcomes and decreased hospitalisations. It is taken by mouth.

Common side effects of empagliflozin include genital yeast infections and hypotension, particularly in patients with volume depletion. Other symptoms such as nausea and vomiting may occur and seem more pronounced in combination with metformin. Rare but serious adverse events, such as euglycemic diabetic ketoacidosis (DKA) which may present with hyperventilation, lethargy, or mental status changes have been reported but are infrequent in trials. Other serious but rare serious adverse events include Fournier's gangrene, a severe skin infection of the groin, and diabetic ketoacidosis that may occur even with normal blood glucose levels. Use during pregnancy or breastfeeding is not recommended.

Excerpted from Wikipedia’s “empagliflozin” article, available under the CC BY-SA 4.0 licence.