It is indicated for the treatment of adults with insufficiently controlled type 2 diabetes mellitus as an adjunct to diet and exercise
– as monotherapy when metformin is considered inappropriate due to intolerance
– in addition to other medicinal products for the treatment of diabetes
Dosage
Type 2 diabetes mellitus
The recommended starting dose is 10 mg empagliflozin once daily for monotherapy and add-on combination therapy with other medicinal products for the treatment of diabetes. In patients tolerating empagliflozin 10 mg once daily who have an eGFR ?60 ml/min/1.73 m2 and need tighter glycaemic control, the dose can be increased to 25 mg once daily. The maximum daily dose is 25 mg.
Heart failure
The recommended dose is 10 mg empagliflozin once daily.
All indications
When empagliflozin is used in combination with a sulphonylurea or with insulin, a lower dose of the sulphonylurea or insulin may be considered to reduce the risk of hypoglycaemia.
If a dose is missed, it should be taken as soon as the patient remembers; however, a double dose should not be taken on the same day.