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. 2024 Jul 24;36(5):351–359. doi: 10.1097/BOR.0000000000001030

Table 2.

Potential side effects of SGLT2 inhibitors

Side effect High-risk population
Genitourinary infections, including urinary tract infection, candida infections and rare cases of Fournier's gangrene Patients with known risk factors for genitourinary infections including concomitant immunosuppression
Diabetic ketoacidosis Any history of diabetic ketoacidosis
Hypotension/volume depletion Concomitant use of blood pressure medications and/or diuretics
Population at risk for being unable to drink sufficient fluids
Fragility fractures Any other risk factors for osteoporosis including high dose steroid use
Lower limb amputation Avoid use in patients with severe neuropathy, peripheral vascular disease or foot ulcerations which carry higher risks for amputation