Empagliflozin
InterventionSGLT2 inhibitors6 papers12 findingsPubChem 11949646ChEBI 82720MeSH C570240
Human trials show empagliflozin increases urine volume, sodium excretion, haematocrit, and serum magnesium while improving angina symptoms and endothelial function. Reviews also link it to reduced kidney disease progression and cardiovascular mortality in chronic kidney disease.
- Human trial4
- Humans1
Outcomes
10Endothelial dysfunction
downin humans1Very low certainty
1 study
Endothelial dysfunction
downin humans1Very low certainty
Empagliflozin decreases endothelial dysfunction in humans.
Human trialANOCA participants with CMVD10 mg daily90 days
Empagliflozin Improves Angina and Endothelial Dysfunction Indices in Angina and No Obstructive Coronary Arteries (ANOCA) · Arteriosclerosis, thrombosis, and vascular biology · 1 Oct 2026
Seattle Angina Questionnaire summary score
upin humans1Very low certainty
1 study
Seattle Angina Questionnaire summary score
upin humans1Very low certainty
Empagliflozin improves seattle Angina Questionnaire summary score in humans (14.0 (4.2-23.9) points).
Human trialANOCA participants with CMVD10 mg daily90 daysn = 11
Empagliflozin Improves Angina and Endothelial Dysfunction Indices in Angina and No Obstructive Coronary Arteries (ANOCA) · Arteriosclerosis, thrombosis, and vascular biology · 1 Oct 2026
Daily paracentesis volume
downin humans1Low certainty
1 study
Daily paracentesis volume
downin humans1Low certainty
Empagliflozin decreases daily paracentesis volume in humans (mean difference -0.70 L/day, 95%CI: -1.17 to -0.23).
Human trialtype 2 diabetes, decompensated cirrhosis, and refractory ascites10 mg once daily10 daysn = 21
Empagliflozin Promotes Natriuresis in Diabetic Patients with Cirrhotic Refractory Ascites: A Proof-of-Concept Study · Journal of gastrointestinal and liver diseases : JGLD · 26 Sep 2026
24-hour urine volume
upin humans1Low certainty
1 study
24-hour urine volume
upin humans1Low certainty
Empagliflozin increases 24-hour urine volume in humans (+ 822 mL/24 h (95%CI: 403-1240)).
Human trialtype 2 diabetes, decompensated cirrhosis, and refractory ascites10 mg once daily10 daysn = 21
Empagliflozin Promotes Natriuresis in Diabetic Patients with Cirrhotic Refractory Ascites: A Proof-of-Concept Study · Journal of gastrointestinal and liver diseases : JGLD · 26 Sep 2026
24-hour urinary sodium excretion
upin humans1Low certainty
1 study
24-hour urinary sodium excretion
upin humans1Low certainty
Empagliflozin increases 24-hour urinary sodium excretion in humans (+92.1 mmol/24 h (95%CI: 47.1-137.2)).
Human trialtype 2 diabetes, decompensated cirrhosis, and refractory ascites10 mg once daily10 daysn = 21
Empagliflozin Promotes Natriuresis in Diabetic Patients with Cirrhotic Refractory Ascites: A Proof-of-Concept Study · Journal of gastrointestinal and liver diseases : JGLD · 26 Sep 2026
Fractional excretion of sodium
upin humans1Low certainty
1 study
Fractional excretion of sodium
upin humans1Low certainty
Empagliflozin increases fractional excretion of sodium in humans (+0.44 percentage points (95%CI: 0.05-0.83; p=0.029)).
Human trialtype 2 diabetes, decompensated cirrhosis, and refractory ascites10 mg once daily10 daysn = 21
Empagliflozin Promotes Natriuresis in Diabetic Patients with Cirrhotic Refractory Ascites: A Proof-of-Concept Study · Journal of gastrointestinal and liver diseases : JGLD · 26 Sep 2026
Lipoprotein profiles
no changein humans1Very low certainty
1 study
Lipoprotein profiles
no changein humans1Very low certainty
Empagliflozin has no effect on lipoprotein profiles in humans.
“without altering lipoprotein profiles”
Human trialtype 2 diabetes3 months
Metabolic and Lipoprotein Changes in Type 2 Diabetes Patients Treated with Empagliflozin · Biomedicines · 8 Sep 2026
Hematocrit
upin humans1Very low certainty
1 study
Hematocrit
upin humans1Very low certainty
Empagliflozin increases hematocrit in humans (1.74 ± 2.08%).
“hematocrit (mean difference = 1.74 ± 2.08%”
Human trialtype 2 diabetes1 month
Metabolic and Lipoprotein Changes in Type 2 Diabetes Patients Treated with Empagliflozin · Biomedicines · 8 Sep 2026
Serum magnesium
upin humans1Very low certainty
1 study
Serum magnesium
upin humans1Very low certainty
Empagliflozin increases serum magnesium in humans (0.26 ± 0.38 mg/dL).
“Empagliflozin increased serum magnesium (mean difference = 0.26 ± 0.38 mg/dL”
Human trialtype 2 diabetes1 month
Metabolic and Lipoprotein Changes in Type 2 Diabetes Patients Treated with Empagliflozin · Biomedicines · 8 Sep 2026
Estimated glomerular filtration rate decline
downin humans1High certainty
1 study
Estimated glomerular filtration rate decline
downin humans1High certainty
Empagliflozin decreases estimated glomerular filtration rate decline in humans.
Reviewadults with CKD
Empagliflozin: Reimbursement Recommendation · Canadian Agency for Drugs and Technologies in Health, Ottawa (ON) · 1 Aug 2026
Associations
2Hospitalization for any cause
downin humans1High certainty
1 study
Hospitalization for any cause
downin humans1High certainty
Empagliflozin lowers the risk of hospitalization for any cause in humans.
Reviewadults with CKD
Empagliflozin: Reimbursement Recommendation · Canadian Agency for Drugs and Technologies in Health, Ottawa (ON) · 1 Aug 2026
Progression of kidney disease or cardiovascular death
downin humans1High certainty
1 study
Progression of kidney disease or cardiovascular death
downin humans1High certainty
Empagliflozin lowers the risk of progression of kidney disease or cardiovascular death in humans.
Reviewadults with CKD
Empagliflozin: Reimbursement Recommendation · Canadian Agency for Drugs and Technologies in Health, Ottawa (ON) · 1 Aug 2026