{"id":627520,"date":"2024-03-21T13:27:31","date_gmt":"2024-03-21T17:27:31","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=627520"},"modified":"2025-10-23T18:43:11","modified_gmt":"2025-10-23T22:43:11","slug":"jardiance-for-heart-failure-how-it-works-effectiveness-more","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/jardiance-for-heart-failure-how-it-works-effectiveness-more\/","title":{"rendered":"Jardiance for heart failure: How it works, effectiveness &#038; more"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">One of the most remarkable stories in medicine over the past few years has been the expanding use of a diabetes drug class as therapy for heart failure. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/jardiance\/what-is\"><span style=\"font-weight: 400;\">Jardiance<\/span><\/a><span style=\"font-weight: 400;\"> (empagliflozin) is one of them. The drug was developed for the <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/diabetes-causes\"><span style=\"font-weight: 400;\">treatment of Type 2 diabetes mellitus<\/span><\/a><span style=\"font-weight: 400;\"> and then found to be remarkably beneficial for treating congestive heart failure, even for those without diabetes. The story of this drug and its class is still being written, but thus far, it has captivated the medical community for its various uses.<\/span><\/p>\n<h2 id=\"what-is-jardiance\"><span style=\"font-weight: 400;\">What is Jardiance?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Jardiance, a brand name of the generic drug empagliflozin, is a <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/sglt2-inhibitors\"><span style=\"font-weight: 400;\">sodium-glucose co-transporter 2 (SGLT2) inhibitor<\/span><\/a><span style=\"font-weight: 400;\">. The drug and its fellow SGLT2 inhibitors, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/farxiga\/what-is\"><span style=\"font-weight: 400;\">Farxiga<\/span><\/a><span style=\"font-weight: 400;\"> (dapagliflozin), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/invokana\/what-is\"><span style=\"font-weight: 400;\">Invokana<\/span><\/a><span style=\"font-weight: 400;\"> (canagliflozin), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/steglatro\/what-is\"><span style=\"font-weight: 400;\">Steglatro<\/span><\/a><span style=\"font-weight: 400;\"> (ertugliflozin), and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/brenzavvy\"><span style=\"font-weight: 400;\">Brenzavvy<\/span><\/a><span style=\"font-weight: 400;\"> (bexagliflozin), are approved by the Food and Drug Administration (FDA) for treatment of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/type-1-vs-type-2-diabetes\/\"><span style=\"font-weight: 400;\">Type 2 diabetes<\/span><\/a><span style=\"font-weight: 400;\">. As Jardiance and other SGLT2 inhibitors were studied further, additional benefits came to be proven, resulting in new indications. But unlike the other drugs, Jardiance has evidence to support its different uses.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Jardiance was initially approved to treat Type 2 diabetes in 2014 but has achieved the following additional FDA approvals in the years since:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">In 2016, it was approved to <\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-jardiance-reduce-cardiovascular-death-adults-type-2-diabetes\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">reduce the risk of cardiovascular death<\/span><\/a><span style=\"font-weight: 400;\"> in adults with Type 2 diabetes.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">In 2021, it was approved to treat adults with heart failure and <\/span><a href=\"https:\/\/www.heart.org\/en\/health-topics\/heart-failure\/diagnosing-heart-failure\/ejection-fraction-heart-failure-measurement\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">reduced ejection fraction<\/span><\/a><span style=\"font-weight: 400;\">, which happens when the heart\u2019s left ventricle isn\u2019t pumping blood as well as it should when it contracts.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">In 2022, it was approved to treat adults with heart failure <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9887434\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">regardless of ejection fraction<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">In 2023, it was approved for treating <\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-new-class-medicines-treat-pediatric-type-2-diabetes\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Type 2 diabetes in children ages 10 and older <\/span><\/a><span style=\"font-weight: 400;\">as well as for treating <\/span><a href=\"https:\/\/www.ajmc.com\/view\/fda-grants-approval-for-empagliflozin-in-chronic-kidney-disease\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">adults with chronic kidney disease<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<h2 id=\"jardiance-for-heart-failure\"><span style=\"font-weight: 400;\">Jardiance for heart failure<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">SGLT2 inhibitors increase the excretion of sodium and glucose from the body by telling the kidneys to turn off their sodium-glucose cotransporters, thereby allowing these substances to spill out in the urine. This explains how the drugs work for diabetes\u2014they lower blood glucose levels by eliminating sugar from the body via urination. An important nuance of the mechanism of SGLT2 inhibitors is that they lower high glucose levels but do not cause normal glucose levels to drop too low. Therefore, by themselves, they do not cause hypoglycemia for users with or without diabetes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The reason Jardiance works for heart failure is that, by increasing sodium and glucose content in the urine, the drug also increases fluid excretion in the urine. The elimination of excess fluid can be helpful in cases of congestive heart failure (CHF). <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/signs-of-heart-problems\/\"><span style=\"font-weight: 400;\">Symptoms of CHF<\/span><\/a><span style=\"font-weight: 400;\"> center around fluid overload, including lower leg swelling, shortness of breath with activity, and difficulty breathing when lying flat.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">CHF can be categorized into either having preserved heart strength or not. <\/span><a href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/ekg\/expert-answers\/ejection-fraction\/faq-20058286\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Left ventricular ejection fraction (EF)<\/span><\/a><span style=\"font-weight: 400;\"> is often used to measure heart strength or blood pumping ability because the left chamber is the heart&#8217;s main pumping chamber. Measured by different radiographic tests, EF normally ranges from 55%\u201370% of the left ventricle\u2019s blood volume being pumped out with each heartbeat. Fluid overload in CHF with reduced EF comes from a weakened heart muscle failing to circulate blood effectively, while excess fluid accumulates in CHF with preserved EF from a heart muscle that is typically too stiff.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Clinical studies have proven Jardiance\u2019s worth in both types of CHF. With reduced EF, empagliflozin was associated with a reduced risk of cardiovascular death and <\/span><a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMoa2022190\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">reduced risk of hospitalization for CHF when compared with placebo<\/span><\/a><span style=\"font-weight: 400;\">. When <\/span><a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMoa2107038\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">a similar, double-blind study<\/span><\/a><span style=\"font-weight: 400;\"> was done on patients with CHF and a preserved EF, those risk reductions were seen again. Healthcare providers now prescribe Jardiance for patients with CHF of either variety, preserved or reduced ventricular ejection fraction, along with other treatment options. In addition to the FDA indication, <\/span><a href=\"https:\/\/www.jacc.org\/doi\/10.1016\/j.jacc.2021.12.011?_ga=2.198231727.1263214275.1707664629-861257366.1707664628\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">national guidelines<\/span><\/a><span style=\"font-weight: 400;\"> support the use of SGLT2 inhibitors for heart failure as a standard of care.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our heart health newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Heart Health Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h2 id=\"jardiance-dosages-for-heart-failure-without-diabetes\"><span style=\"font-weight: 400;\">Jardiance dosages for heart failure without diabetes<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While understanding the mechanism can seem complicated, the dosing of Jardiance for heart failure without diabetes is quite simple. Jardiance is taken as a 10-milligram (mg) tablet once daily for use in adult patients with heart failure. That is the starting, maintenance, and maximum dose indicated for this disease. However, it can be dosed at a higher level, 25 mg once daily, for the management of Type 2 diabetes. If you have both CHF and Type 2 diabetes, your healthcare provider could recommend increasing the dose to 25 mg once daily if the lower dose is ineffective for glucose control.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The effects of Jardiance on the kidneys\u2019 handling of sodium, glucose, and fluid reach a peak effect within a couple of hours of taking the tablet. Those actions can last to some degree for up to three days. The fast-acting and sustained nature is noteworthy. Medical providers may advise stopping Jardiance three days prior to surgeries to reduce the risk of dehydration during fasting states.<\/span><\/p>\n<h2 id=\"jardiance-side-effects-warnings\"><span style=\"font-weight: 400;\">Jardiance side effects &amp; warnings<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It is not all roses with Jardiance. Like other SGLT2 inhibitors, the drug has some side effects and drug interactions that you need to know. Be sure to talk to your healthcare team about how these negative attributes of Jardiance apply to you, as the following side effects highlight major issues and are not comprehensive or applicable to each individual.<\/span><\/p>\n<h3 id=\"common-side-effects-of-jardiance\"><span style=\"font-weight: 400;\">Common side effects of Jardiance<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Common, but not necessarily Jardiance side effects include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urinary tract infections (UTIs)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Genital yeast infections<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Urinary frequency<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Joint pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cholesterol elevation<\/span><\/li>\n<\/ul>\n<h3 id=\"serious-side-effects-of-jardiance\"><span style=\"font-weight: 400;\">Serious side effects of Jardiance<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">See your healthcare provider immediately for serious side effects of Jardiance, which include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Acute kidney injury<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Allergic reactions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Serious urinary tract infections<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ketoacidosis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dehydration<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Orthostatic hypotension (low blood pressure with position changes)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fournier gangrene (a life-threatening infection of the genital area)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lower limb complications requiring amputation<\/span><\/li>\n<\/ul>\n<h3 id=\"drug-interactions-with-jardiance\"><span style=\"font-weight: 400;\">Drug interactions with Jardiance<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Jardiance may negatively interact with the following medications:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/insulins\"><span style=\"font-weight: 400;\">Insulin<\/span><\/a><span style=\"font-weight: 400;\">: Raises hypoglycemia (low blood sugar) risk<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/sulfonylureas\"><span style=\"font-weight: 400;\">Sulfonylureas<\/span><\/a><span style=\"font-weight: 400;\">: Raises hypoglycemia risk<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/diuretics\"><span style=\"font-weight: 400;\">Diuretics<\/span><\/a><span style=\"font-weight: 400;\">: Increases the chance of dehydration<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/lithium-carbonate\/what-is\"><span style=\"font-weight: 400;\">Lithium<\/span><\/a><span style=\"font-weight: 400;\">: May reduce lithium levels\u00a0<\/span><\/li>\n<\/ul>\n<h3 id=\"who-should-not-take-jardiance-for-heart-failure\"><span style=\"font-weight: 400;\">Who should not take Jardiance for heart failure?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=faf3dd6a-9cd0-39c2-0d2e-232cb3f67565\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Jardiance drug label<\/span><\/a><span style=\"font-weight: 400;\"> lists various warnings about the drug, and certain populations should take it with close oversight from a healthcare professional or avoid taking it altogether. Do not take Jardiance for heart failure if you have had a prior allergic hypersensitivity reaction, including angioedema, to the drug or class. People who are pregnant or planning to become pregnant should not take Jardiance, as it may harm an unborn baby. Do not breastfeed while taking Jardiance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Patients ages 75 and older with renal impairment may have diminished glycemic efficacy when taking Jardiance, causing an incidence of volume depletion-related adverse reactions and urinary tract infections.<\/span><\/p>\n<h2 id=\"how-much-does-jardiance-cost\"><span style=\"font-weight: 400;\">How much does Jardiance cost?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Jardiance is not cheap. A one-month supply of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/jardiance-without-insurance\/\"><span style=\"font-weight: 400;\">Jardiance can cost over $857 without insurance<\/span><\/a><span style=\"font-weight: 400;\">, but some insurance plans and most Medicare and Medicaid plans cover it. Some insurance plans may require you to try a less expensive drug before Jardiance, though, and see whether that works before approving coverage of Jardiance.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although there is no <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/jardiance-generic\/\"><span style=\"font-weight: 400;\">generic version of Jardiance<\/span><\/a><span style=\"font-weight: 400;\"> available currently, there may be as early as 2025. In the meantime, there are ways to reduce the cost. A SingleCare <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/jardiance\"><span style=\"font-weight: 400;\">coupon<\/span><\/a><span style=\"font-weight: 400;\"> can reduce the cost by about $300. The manufacturer, Boehringer Ingelheim Pharmaceuticals, Inc., also offers a <\/span><a href=\"https:\/\/patient.boehringer-ingelheim.com\/us\/products\/jardiance\/type-2-diabetes\/onecardsavings\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">savings card<\/span><\/a><span style=\"font-weight: 400;\"> that allows eligible participants to get the drug for as little as $10 a month.\u00a0<\/span><\/p>\n<p><b>READ NEXT: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/jardiance-copay-assistance\/\"><b>Jardiance copay assistance: Eligibility &amp; more<\/b><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>One of the most remarkable stories in medicine over the past few years has been the expanding use of a diabetes drug class as therapy for heart failure. Jardiance (empagliflozin) is one of them. The drug was developed for the treatment of Type 2 diabetes mellitus and then found to be remarkably beneficial for treating [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":627521,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[737],"coauthors":[20732],"class_list":["post-627520","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-heart-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Jardiance for heart failure: How it works, effectiveness &amp; more<\/title>\n<meta name=\"description\" content=\"The FDA approved Jardiance for heart failure patients in 2022 regardless of their ejection fraction.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/jardiance-for-heart-failure-how-it-works-effectiveness-more\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Jardiance for heart failure\" \/>\n<meta property=\"og:description\" content=\"How it works, effectiveness, and more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/jardiance-for-heart-failure-how-it-works-effectiveness-more\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2024-03-21T17:27:31+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-23T22:43:11+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2024\/03\/jardiance-for-heart-failure.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Chad Shaffer, MD\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Jardiance for heart failure\" \/>\n<meta name=\"twitter:description\" content=\"How it works, effectiveness, and more\" \/>\n<meta name=\"twitter:creator\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:site\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Chad Shaffer, MD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/jardiance-for-heart-failure-how-it-works-effectiveness-more\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/jardiance-for-heart-failure-how-it-works-effectiveness-more\\\/\"},\"author\":{\"name\":\"Angie Long\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/person\\\/b0beb2600e980db5e6c110b8e3b9386e\"},\"headline\":\"Jardiance for heart failure: How it works, effectiveness &#038; 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