About Farxiga
Farxiga is considered a sodium-glucose cotransporter 2 (SGLT2) inhibitor, which functions by aiding the kidneys in removing glucose from the body through urine. It is used to help control blood sugar in adults with type 2 diabetes mellitus.
Farxiga, as well as other DPP-4 and diabetic medications, are added for improved diabetic management and control. Medications for diabetes are used in conjunction with a good diabetic lifestyle which includes adhering as much as possible to a diabetic diet and striving to include in your life 150 minutes or more of fitness a week. Without lifestyle changes, medications will not work well and potentially not control diabetes, requiring other treatment considerations and putting people at risk for complications of poor diabetic control.
Farxiga is also used in the treatment of heart failure in those with or without diabetes. It may be considered as a medication used in conjunction with other treatments for the best overall management of heart failure.
Farxiga is available only by prescription. It is important to take daily, or as directed, in order for the medication to adequately treat and manage your medical issue. Farxiga may be prescribed as a tablet.
Farxiga uses
Farxiga is FDA approved, or labeled, for use in diabetes type 2, heart failure, and chronic kidney disease. Our online medical professional may prescribe it for the following reasons.
Type 2 diabetes
Farxiga is FDA-approved for use in adults with type 2 diabetes. Farxiga may be used by people with type 2 diabetes to:
Lower glucose levels when combined with a healthy diet and regular exercise.
Help those with heart problems or heart disease risk factors and avoid hospitalization for heart failure in adults.
Diabetes is a chronic disease that results in elevated blood sugar. Without treatment, diabetes progresses, and the elevation of blood sugar worsens. This has a number of harmful consequences and puts people at risk for heart, kidney, eye, and brain disease including heart attack, peripheral arterial disease, stroke, loss of vision, and kidney failure.Heart failure
Farxiga is approved for the treatment of adults with heart failure. Heart failure is when the heart does not effectively pump as much blood through the vascular system as compared to a healthy heart. Farxiga may lower the risk of the following:
Worsening Heart Failure
Hospitalizations for heart failure
Cardiovascular death
Typical signs of heart failure include breathing problems like being short of breath with activity, fatigue, and swelling or edema in your ankles, legs, and feet.Chronic kidney disease
Farxiga may reduce risks for individuals with chronic kidney disease (CKD). It may slow or stop the progression of kidney dysfunction.
Chronic renal disease is when the kidney is not as effective in managing the fluid and electrolyte status of your body. Symptoms of kidney dysfunction include decreased urine output, dark or blood in the urine, tiredness/fatigue, and high blood pressure.
Farxiga side effects
Side effects of Farxiga may include:
Dyslipidemia or change of cholesterol lab panel
Dehydration
Dysuria or painful urination
Vaginal or penile fungal infection
Increased urine output
Influenza
Back pain
Limb pain
Sore throat or cold-like symptoms
Other side effects, which are less common but might be more severe, could include:Hypoglycemia (low blood sugar level)
Ketoacidosis (hyperglycemia)
Allergic reaction: Trouble breathing; swelling of the face, lips, tongue, or throat.
Fournier's gangrene: A severe and potentially fatal condition involving tissue breakdown in the genitals or anus.
Dehydration: Because Farxiga causes you to urinate more frequently, it can also lead to dehydration.
You should call your healthcare professional if you notice any of these side effects or develop other new or concerning symptoms.
Do not take Farxiga if you are allergic to dapagliflozin or any of the ingredients in Farxiga.
Stop taking Farxiga and tell your doctor immediately if you become pregnant during treatment with Farxiga. If you are breastfeeding, you shouldn't take Farxiga.
How to take Farxiga
Your doctor will provide you with instructions on how to take your Farxiga prescription.
Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.
Farxiga can come in different forms and doses, so follow the specific instructions on your prescription. It is typically prescribed one time per day.
Follow the low-salt, diabetic diet and exercise plan your healthcare professional gives you while taking Farxiga.
Your doctor may perform some blood tests throughout the course.
If you forget to take a dose, start taking it as soon as you think about it unless the next day or near your next dose time. Do not double dose.
Immediately call your healthcare professional or go to the closest emergency room if you take too much Farxiga.
What to avoid while taking Farxiga
Farxiga has 352 drug interactions, four diseases, and one food or drink. One drug interaction is a major, 26 minor, and 325 moderate. Don't change what you take without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter drugs.
It is essential to avoid drinking alcohol while you are taking Farxiga. Alcohol can increase your risk of chronic diseases. Alcohol can increase the risk of low blood sugar. If you have diabetes and drink alcohol, you may also be more likely to suffer complications.
Medication alternatives to Farxiga
If your healthcare provider prefers to put you on another treatment, they may suggest another SGLT2 inhibitor as an alternative to Farxiga or other medications for diabetes or heart failure. Other medications include Invokana (canagliflozin), Jardiance (empagliflozin), and Glyxambi (empagliflozin/linagliptin). Here are some common doctor-recommended alternatives based on your health issue:
Alternatives for heart failure
Other medications that you may use to lower the risk of problems in heart failure patients include:
Angiotensin-converting enzyme (ACE) inhibitors, such as:
Angiotensin II receptor blockers (ARBs), such as:
Alternatives for type 2 diabetes
Other medications that you may use to lower the risk of problems in diabetes patients include:
SGLT2 sodium-glucose cotransporter 2 inhibitors, such as:
Dipeptidyl peptidase-4 (DPP-4) inhibitors, such as:
Alternatives for kidney disease
Other medications that may be prescribed to lower the risk in kidney patients include:
Phosphate binders, such as:
Sevelamer hydrochloride (Renagel)
calcium acetate (PhosLo)
sucroferric oxyhydroxide (Velphoro)
Vitamin D analogs, such as:
paricalcitol (Zemplar)
calcitriol (Rocaltrol)
doxercalciferol (Hectorol)
Farxiga prescription FAQs
How much does Farxiga cost?
According to AstraZeneca, the makers of Farxiga (dapagliflozin), FARXIGA is $548.83 for a 30-day supply. However, with insurance, the average out-of-pocket cost is $23.24 for a 30-day supply. Price can vary depending on insurance coverage.
How can I refill my Farxiga prescription?
You can follow your healthcare provider's instructions for refilling your Farxiga prescription. You can also refill your Farxiga prescription online with PlushCare.
Our doctors can refill your prescription online if you qualify. Book an appointment with one of our doctors, attend the visit with one of our clinicians on your phone or computer, and then they can electronically send a refill to your nearest pharmacy.What is the best time of day to take Farxiga?
The best time to take Farxiga is in the morning, with or without food, once a day. You should take your drug daily at the same time.
What happens if you drink alcohol while taking Farxiga?
Drinking alcohol while taking Farxiga may increase your risk of low blood sugar levels, ketoacidosis, and dangerous complications.
Should Farxiga be taken at night?
Farxiga should be taken once a day, preferably at the same time each day. Since it increases urine frequency, taking it during the day is better.
Who should not take Farxiga?
You should not take Farxiga if you:
Are allergic to dapagliflozin or any of the active ingredients in Farxiga
Have severe kidney problems or are on dialysis
Have low blood pressure
Have a history of ketoacidosis (high levels of certain acids in your blood)
Are pregnant or planning to become pregnant
Are breastfeeding or planning to breastfeed
What happens if I miss a dose of Farxiga?
If you miss a dose of Farxiga, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue on your regular schedule. Do not double the amount.
What happens if I take too much Farxiga?
If you take too much Farxiga, call your healthcare provider or poison control center or immediately go to the nearest emergency room.
3 simple steps to request your Farxiga prescription today
![Step 1: Book an appointment](https://images.ctfassets.net/93dxz9nwxioo/qt92VznfNuTEDXOZzoh61/87980737ef20fae409214f93719e0b37/step1.jpg?fm=avif&q=65&w=750)
Step 1
Book a Farxiga prescription request appointment.
You can book a same-day appointment from anywhere.
![Step 2: Visit with a doctor on your smartphone](https://images.ctfassets.net/93dxz9nwxioo/2D9XZaum9S4B0CRrr4kIsh/384b9ac6426e5ccad96ae4d99d6025f3/step2.jpg?fm=avif&q=65&w=640)
Step 2
Talk to your medical provider regarding your Farxiga prescription.
You can visit a doctor on your smartphone or computer.
![Step 3: pick up at local pharmacy](https://images.ctfassets.net/93dxz9nwxioo/6ooloWzVDmoond6VsrSsX6/0fa0f8fc7c37638745e6fa1ce37bc1d7/step3.jpg?fm=avif&q=65&w=750)
Step 3
Pick up your Farxiga prescription.
We can send prescriptions to any local pharmacy.
Farxiga prescription pricing details
How pricing works
To get a new or refill on your Farxiga prescription, join our monthly membership and get discounted visits.
Paying with insurance
Membership
$16.99/month
First month free
Visits
Copay
30 days of free membership
Same-day appointments 7 days a week
Unlimited messages with your Care Team
Prescription discount card to save up to 80%
Exclusive discounts on lab tests
Free memberships for your family
Cancel anytime
Visit price with insurance
Often the same as an office visit. Most patients with in-network insurance pay $30 or less!
We accept these insurance plans and many more:
Paying without insurance
Membership
$16.99/month
First month free
Visits
$129
30 days of free membership
Same-day appointments 7 days a week
Unlimited messages with your Care Team
Prescription discount card to save up to 80%
Exclusive discounts on lab tests
Free memberships for your family
Cancel anytime
Visit price without insurance
Initial visits are $129.
If we're unable to treat you, we'll provide a full refund.
Farxiga prescription resources
Sources:
PlushCare is dedicated to providing you with accurate and trustworthy health information.
U.S. Food and Drug Administration. "Farxiga (Dapagliflozin) Tablets." FDA, Accessed October 4, 2023, www.accessdata.fda.gov/drugsatfda_docs/label/2021/202293s024lbl.pdf.
"Farxiga (Dapagliflozin)." Farxiga, Accessed October 4, 2023, https://www.farxiga.com/.
PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.