Dapagliflozin
Prescription ·Exploratory record · not publication-reviewed ·Updated July 13, 2026
Dapagliflozin is an SGLT2 inhibitor approved for type 2 diabetes, heart failure (with reduced or preserved ejection fraction), and chronic kidney disease. The DAPA-HF and DAPA-CKD trials established its broad cardiorenal benefits, making it one of the first diabetes medications approved for heart failure independent of diabetes status.
Exploratory record, not a reviewed medical publication.
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This generated database record has not completed a claim-level review by a qualified human medical reviewer. Bibliography links and evidence labels are not approval. The page remains available for reference and is excluded from search indexing.
What the research says.
A quick, data-only summary. The full evidence, dosing, and sources are below.
Dapagliflozin is an SGLT2 inhibitor approved for type 2 diabetes, heart failure (with reduced or preserved ejection fraction), and chronic kidney disease. NutriStack rates the supporting evidence as strong. Common adult dosing is 5–10 mg once daily (as prescribed by your physician), though a prescriber sets the actual dose. This profile indexes 10 sources.
- Genital mycotic infections
- Urinary tract infections
- Polyuria and nocturia
- Severe renal impairment (eGFR <20 mL/min for diabetes indication; eGFR <25 for HF/CKD)
- Dialysis
The bottom line
Evidence rating strong. Most-documented uses: lowers hba1c by 0.5–0.8%, heart failure hospitalization reduction (dapa-hf: 26% rrr), slows progression of chronic kidney disease (dapa-ckd). 10 sources indexed (2023–2025), with 0 interaction records on file.
How it works, mechanistically.
Core mechanism
Selectively inhibits SGLT2 in the proximal renal tubule, blocking reabsorption of approximately 50–80 g of glucose per day and causing glycosuria. This insulin-independent mechanism lowers blood glucose while promoting caloric loss, osmotic diuresis, and natriuresis. Additional benefits include reduced intraglomerular pressure, improved tubuloglomerular feedback, and decreased cardiac preload and afterload.
Dosing & protocol.
Can be taken with or without food, preferably in the morning.
Full safety detail.
Side effects
- Genital mycotic infections
- Urinary tract infections
- Polyuria and nocturia
- Volume depletion and orthostatic hypotension
- Euglycemic diabetic ketoacidosis (rare)
- Fournier gangrene (very rare)
- Back pain
Sources, by evidence tier.
Numbered references. Citations throughout the page link here.
Meta-analyses & systematic reviews
5- 1Efficacy and outcomes of dapagliflozin in diabetic nephropathy: A systematic review and meta-analysisPMIDDahal K, Rawal L, Shah S et al. · Medicine · 2025
Dahal K, Rawal L, Shah S et al.. Efficacy and outcomes of dapagliflozin in diabetic nephropathy: A systematic review and meta-analysis. Medicine. 2025
- 2Dapagliflozin in acute heart failure management: a systematic review and meta-analysis of safety and effectivenessPMIDRaja A, Dogar ME, Raja S et al. · BMC cardiovascular disorders · 2024
Raja A, Dogar ME, Raja S et al.. Dapagliflozin in acute heart failure management: a systematic review and meta-analysis of safety and effectiveness. BMC cardiovascular disorders. 2024
- 3Dapagliflozin in Heart Failure: A Comprehensive Meta-analysis on Functional Capacity, Symptoms, and Safety OutcomesPMIDAddo B, Agyeman W, Ibrahim S et al. · American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
Addo B, Agyeman W, Ibrahim S et al.. Dapagliflozin in Heart Failure: A Comprehensive Meta-analysis on Functional Capacity, Symptoms, and Safety Outcomes. American journal of cardiovascular drugs : drugs, devices, and other interventions. 2024
- 4Effect of Dapagliflozin in Patients with Heart Failure: A Systematic Review and Meta-AnalysisPMIDAli AE, Mazroua MS, ElSaban M et al. · Global heart · 2023
Ali AE, Mazroua MS, ElSaban M et al.. Effect of Dapagliflozin in Patients with Heart Failure: A Systematic Review and Meta-Analysis. Global heart. 2023
- 5Sotagliflozin vs Dapagliflozin: A Systematic Review Comparing Cardiovascular MortalityPMIDIyer N, Hussein S, Singareddy S et al. · Cureus · 2023
Iyer N, Hussein S, Singareddy S et al.. Sotagliflozin vs Dapagliflozin: A Systematic Review Comparing Cardiovascular Mortality. Cureus. 2023
Reference material
5- 6McMurray JJV et al. Dapagliflozin in patients with heart failure and reduced ejection fraction (DAPA-HF). N Engl J Med. 2019;381(21):1995-2008.Source linkedPMID
- 7Heerspink HJL et al. Dapagliflozin in patients with chronic kidney disease (DAPA-CKD). N Engl J Med. 2020;383(15):1436-1446.Source linkedPMID
- 8Wiviott SD et al. Dapagliflozin and cardiovascular outcomes in type 2 diabetes (DECLARE-TIMI 58). N Engl J Med. 2019;380(4):347-357.Source linkedPMID
- 9Berg DD, Patel SM, Haller PM et al.. Dapagliflozin in Patients Hospitalized for Heart Failure: Primary Results of the DAPA ACT HF-TIMI 68 Randomized Clinical Trial and Meta-Analysis of Sodium-Glucose Cotransporter-2 Inhibitors in Patients Hospitalized for Heart Failure. Circulation. 2025Source linkedPMID
- 10Lava SAG, Laurence C, Di Deo A et al.. Dapagliflozin and Empagliflozin in Paediatric Indications: A Systematic Review. Paediatric drugs. 2024Source linkedPMID
Common questions.
Quick answers about Dapagliflozin, drawn from the data on this page.
What is Dapagliflozin?
Dapagliflozin is an SGLT2 inhibitor approved for type 2 diabetes, heart failure (with reduced or preserved ejection fraction), and chronic kidney disease. The DAPA-HF and DAPA-CKD trials established its broad cardiorenal benefits, making it one of the first diabetes medications approved for heart failure independent of diabetes status.
What is Dapagliflozin used for?
Commonly cited benefits of Dapagliflozin include: Lowers HbA1c by 0.5–0.8%; Heart failure hospitalization reduction (DAPA-HF: 26% RRR); Slows progression of chronic kidney disease (DAPA-CKD); Weight loss (2–3 kg); Blood pressure reduction. NutriStack rates the overall evidence as strong.
What is a typical dose of Dapagliflozin?
A typical adult dose of Dapagliflozin is 5–10 mg once daily (as prescribed by your physician). The commonly recommended form is Oral tablet. These are general ranges, not personalized advice; confirm the right dose with a clinician.
What are the side effects of Dapagliflozin?
Reported side effects include genital mycotic infections, urinary tract infections, polyuria and nocturia, volume depletion and orthostatic hypotension, euglycemic diabetic ketoacidosis (rare), fournier gangrene (very rare). This is educational information; check with a healthcare professional before use.
How strong is the evidence for Dapagliflozin?
NutriStack rates this as Strong, meaning multiple high-quality meta-analyses or systematic reviews converge on the same finding. Full tier criteria are at https://nutristackapp.com/methodology/evidence-tiers.
Use this with your stack
Dapagliflozin in NutriStack.
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