What are SYNJARDY and SYNJARDY XR?
SYNJARDY and SYNJARDY XR are prescription medicines that contain 2 diabetes medicines, empagliflozin (JARDIANCE) and metformin hydrochloride. SYNJARDY and SYNJARDY XR can be used along with diet and exercise to improve blood sugar in adults with type 2 diabetes, and can be used in adults with type 2 diabetes who have known cardiovascular (CV) disease when empagliflozin (JARDIANCE), one of the medicines in SYNJARDY and SYNJARDY XR, is needed to reduce the risk of CV death.
SYNJARDY and SYNJARDY XR are not for people with type 1 diabetes. It may increase their risk of diabetic ketoacidosis (increased ketones in the blood or urine).
IMPORTANT SAFETY INFORMATION
SYNJARDY and SYNJARDY XR can cause serious side effects, including:
Lactic acidosis (a build-up of lactic acid in the blood). Metformin hydrochloride, one of the medicines in SYNJARDY and
SYNJARDY XR, can cause lactic acidosis, a rare but serious condition that can cause death. Lactic acidosis is
a medical emergency and must be treated in a hospital.
Stop taking SYNJARDY and SYNJARDY XR and call your doctor right away or go to the nearest hospital emergency room if you get any of the following symptoms of lactic acidosis: feel very weak and tired; have unusual (not normal) muscle pain; have trouble breathing; have unexplained stomach or intestinal problems with nausea and vomiting, or diarrhea; have unusual sleepiness or sleep longer than usual; feel cold, especially in your arms and legs; feel dizzy or lightheaded; have a slow or irregular heartbeat.
You have a higher chance of getting lactic acidosis with SYNJARDY or SYNJARDY XR if you: have moderate to severe kidney problems ; have liver problems; drink a lot of alcohol (very often or short term “binge” drinking); get dehydrated (lose a large amount of body fluids); have certain x-ray tests with injectable dyes or contrast agents; have surgery or other procedure for which you need to restrict the amount of food and liquid you eat and drink; have congestive heart failure; have a heart attack, severe infection, or stroke, or are 65 years of age or older.
Do not take SYNJARDY or SYNJARDY XR if you:
- have severe kidney problems, end stage renal disease, or are on dialysis
- have a condition called metabolic acidosis or diabetic ketoacidosis (increased ketones in the blood or urine)
- are allergic to empagliflozin (JARDIANCE), metformin, or any of the ingredients in SYNJARDY or SYNJARDY XR
SYNJARDY or SYNJARDY XR may cause serious side effects, including:
Ketoacidosis (increased ketones in your blood or urine). Ketoacidosis is a serious condition, which needs to be treated in the hospital. Ketoacidosis may lead to death. Ketoacidosis occurs in people with type 1 diabetes and in people with type 2 diabetes taking SYNJARDY or SYNJARDY XR, even if blood sugar is less than 250 mg/dL. Ketoacidosis has also happened in people with diabetes who were sick or who had surgery during treatment with SYNJARDY or SYNJARDY XR. Stop taking SYNJARDY or SYNJARDY XR and call your doctor right away or go to the nearest hospital emergency room if you get any of the following symptoms, and, if possible, check for ketones in your urine:
- stomach-area (abdominal) pain
- trouble breathing
Dehydration. SYNJARDY or SYNJARDY XR can cause some people to become dehydrated (the loss of body water and salt). Dehydration may cause you to feel dizzy, faint, light‐headed, or weak, especially when you stand up. Sudden worsening of kidney function has happened in people who are taking SYNJARDY or SYNJARDY XR.
You may be at higher risk of dehydration if you have kidney problems, are 65 years of age or older, are on a low salt diet, or take medicines to lower your blood pressure, including water pills (diuretics).
Talk to your doctor about what you can do to prevent dehydration, including how much fluid you should drink on a daily basis, and if you reduce the amount of food or liquid you drink, if you are sick or cannot eat, or start to lose liquids from your body from vomiting, diarrhea or being in the sun too long.
Serious urinary tract infections. Serious urinary tract infections can occur in
people taking SYNJARDY or SYNJARDY XR, and may lead to hospitalization. Tell your doctor if you have symptoms
of a urinary tract infection, such as a burning feeling when passing urine, a need to urinate often or right away,
pain in the lower part of your stomach or pelvis, or blood in the urine. Sometimes people also may have a fever,
back pain, nausea, or vomiting.
Low blood sugar (hypoglycemia). If you take SYNJARDY or SYNJARDY XR with another
medicine that can cause low blood sugar, such as a sulfonylurea or insulin, your risk of getting low blood sugar is
higher. The dose of your sulfonylurea medicine or insulin may need to be lowered. Symptoms of low blood sugar may
include headache, drowsiness, weakness, irritability, hunger, fast heartbeat, confusion, shaking or feeling jittery,
dizziness, or sweating.
Necrotizing fasciitis. A rare but serious bacterial infection that causes
damage to the tissue under the skin in the area between and around your anus and genitals (perineum).
This bacterial infection has happened in women and men who take SYNJARDY or SYNJARDY XR, and may lead to
hospitalization, multiple surgeries, and death. Seek medical attention immediately if you have fever or are
feeling very weak, tired, or uncomfortable (malaise), and you develop any of the following symptoms in the area
between and around your anus and genitals: pain or tenderness, swelling, and redness of skin (erythema).
Vaginal yeast infection. Talk to your doctor if you have vaginal odor, white or
yellowish vaginal discharge (discharge may be lumpy or look like cottage cheese), and/or vaginal itching.
Yeast infection of the penis. Swelling of an uncircumcised penis may develop that
makes it difficult to pull back the skin around the tip of the penis. Talk to your doctor if you have redness,
itching or swelling of the penis, rash of the penis, foul smelling discharge from the penis, and/or pain in the
skin around penis.
Allergic (hypersensitivity) reactions: Symptoms of serious allergic reactions to
SYNJARDY or SYNJARDY XR may include swelling of your face, lips, throat, and other areas of your skin,
difficulty with swallowing or breathing, and raised, red areas on your skin (hives). If you have any of these
symptoms, stop taking SYNJARDY or SYNJARDY XR and contact your doctor or go to the nearest emergency room right
Low vitamin B12 (vitamin B12 deficiency). Using metformin for long periods of time
may cause a decrease in the amount of vitamin B12 in your blood, especially if you have had low vitamin B12 blood
levels before. Your doctor may do blood tests to check your vitamin B12 levels.
The most common side effects of SYNJARDY or SYNJARDY XR include urinary tract infections,
female genital infections, diarrhea, nausea, vomiting, gas, stomach pain, indigestion, weakness, headache, and
stuffy or runny nose and sore throat.
These are not all the possible side effects of SYNJARDY or SYNJARDY XR. For more information, ask your doctor
Before taking SYNJARDY or SYNJARDY XR, tell your doctor about all of your medical
conditions, including if you:
- have kidney problems
- have liver problems
- have heart problems, including congestive heart failure
- are 65 years of age or older
- have a history of infection of the vagina or penis
- have a history of urinary tract infection or problems with urination
- are going to have surgery. Your doctor may stop your SYNJARDY or SYNJARDY XR before you have surgery. Talk to
your doctor if you are having surgery about when to stop taking SYNJARDY or SYNJARDY XR and when to start it again
- are eating less or there is a change in your diet
- have or have had problems with your pancreas, including pancreatitis or surgery on your pancreas
- drink alcohol very often, or drink a lot of alcohol in the short term (“binge” drinking)
- are going to get an injection of dye or contrast agents for an x-ray procedure. SYNJARDY or SYNJARDY XR may
need to be stopped for a short time. Talk to your doctor about when you should stop SYNJARDY or SYNJARDY XR
and when you should start SYNJARDY or SYNJARDY XR again
- have type 1 diabetes. SYNJARDY or SYNJARDY XR should not be used in people with type 1 diabetes
- have low levels of vitamin B12 in your blood
- are pregnant or plan to become pregnant. SYNJARDY or SYNJARDY XR may harm your unborn baby. Tell your
doctor right away if you become pregnant while taking SYNJARDY or SYNJARDY XR
- are breastfeeding or plan to breastfeed. SYNJARDY or SYNJARDY XR may pass into your breast milk and may harm
your baby. Talk with your doctor about the best way to feed your baby if you are taking SYNJARDY or SYNJARDY XR.
Do not breastfeed while taking SYNJARDY
- are a person who has not gone through menopause (premenopausal), who does not have periods regularly or at all.
SYNJARDY or SYNJARDY XR can cause the release of an egg from an ovary in a person (ovulation). This can increase
your chance of getting pregnant
Tell your doctor about all the medicines you take, including prescription or
over‐the‐counter medicines, vitamins, or herbal supplements. Especially tell your doctor if you take: insulin or
other medicines that can lower your blood sugar or diuretics (water pills).
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch
or call 1-800-FDA-1088.
Please see Prescribing Information and Medication Guide for SYNJARDY.
Please see Prescribing Information and Medication Guide for SYNJARDY XR.