%203_2.webp?width=1600&height=1067&name=Xigduo%20XR%20(dapagliflozin_metformin)%203_2.webp)
Xigduo XR (dapagliflozin/metformin) prescription available online
If you are suffering from type 2 diabetes mellitus, Xigduo XR can help. Get a new prescription or refill of Xigduo XR from a board-certified doctor online.*
About Xigduo XR (dapagliflozin/metformin)
Xigduo XR is an oral diabetes medication. Xigduo extended-release tablets contain a combination of dapagliflozin and metformin, which help control blood sugar levels by getting rid of excess glucose and lowering glucose production in the liver.
Xigduo XR is used to treat type 2 diabetes mellitus. It also helps lower the risk of hospitalization for heart failure in adults with type 2 diabetes, heart disease, and chronic kidney disease. Xigduo XR is available only by prescription. It is available in a generic formulation under different brand names, including dapagliflozin/metformin.
Xigduo XR may be prescribed as an extended-release tablet. It’s always important to follow the specific instructions on your prescription, as they can vary based on the formulation and dosage prescribed.
If you're prescribed Xigduo XR, complete the entire course of the oral diabetes medication unless your doctor specifically tells you to stop. If you don’t complete your prescription, the diabetes medication may not fully treat your type 2 diabetes mellitus.
Xigduo XR (dapagliflozin / metformin) uses
There are several FDA-approved uses for Xigduo XR, but your healthcare provider may also prescribe it off-label to treat other medical conditions.
Your PlushCare doctor may prescribe Xigduo XR for the following reasons or other reasons not listed here. Ask your online doctor or pharmacist if you have questions about why a medication is prescribed.
Type 2 diabetes mellitus
Xigduo XR is used to treat type 2 diabetes mellitus in adults in combination with diet and exercise. Dapagliflozin helps the kidneys eliminate excess glucose from the bloodstream, while metformin lowers glucose production in the liver.
Xigduo XR is also used to lower the risk of hospitalization for heart failure in adults with type 2 diabetes mellitus and heart disease. It also reduces the risk of worsening kidney disease and death due to heart failure in adults with type 2 diabetes mellitus and chronic kidney disease.
Xigduo XR is not suitable for adults with type 1 diabetes mellitus or diabetic ketoacidosis.
Xigduo XR side effects
The side effects associated with taking Xigduo XR are typically mild. Most Xigduo XR side effects are associated with gastrointestinal discomfort. Xigduo XR has some common side effects. They may include:
-
Nausea, vomiting, or diarrhea
-
Yeast infections and urinary tract infections (UTIs)
-
Headache
Other side effects, which are less common but might be more severe, could include:
-
Little or no urination
-
Dehydration symptoms
-
Lactic acidosis (stomach pain, trouble breathing, unusual muscle pain, feeling unusual weakness or tiredness)
You should call your doctor if you notice any of these side effects, or if you develop any other new or concerning symptoms. Be sure to tell your doctor if any lactic acidosis symptoms occur.
The use of Xigduo XR is not approved for children under 18 years old.
How to take Xigduo XR
Your pharmacist will provide you with instructions on how to take your Xigduo XR prescription. Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.
Xigduo XR can come in different forms and doses, so be sure to follow the specific instructions on your prescription. When initiating Xigduo XR therapy, your starting dose will depend on your treatment plan. Your maximum dose should not exceed dapagliflozin 10 mg and metformin 2000 mg per day.
Xigduo XR is typically used with diet, exercise, and regular blood sugar testing to control blood glucose levels.
What to avoid while taking Xigduo XR
Xigduo XR has 447 drug interactions. Don’t change what you are taking without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter drugs.
Possible drug interactions with Xigduo XR include:
-
Nonsteroidal anti-inflammatory drugs (NSAIDs)
-
Lanoxin (digoxin)
-
Rifampin
-
Phenytoin
-
Diuretics ("water pills")
-
Insulin and other diabetes medications
Drinking alcohol may affect blood sugar, leading to low blood sugar (hypoglycemia) or high blood sugar (hyperglycemia), depending on how much you drink. Xigduo XR-treated patients should avoid drinking alcohol.
Medication alternatives to Xigduo XR
Xigduo XR is a combination medication containing two active ingredients, dapagliflozin and metformin. If you cannot take Xigduo XR, several other medications may be used as alternatives. Here are a few examples:
Type 2 diabetes mellitus
Xigduo XR prescription FAQs
How much does Xigduo XR cost?
How can I refill my Xigduo XR prescription?
Who should not take Xigduo XR?
Avoid taking Xigduo XR if you have certain medical conditions, such as:
-
Severe kidney disease
-
Severe metabolic acidosis or diabetic ketoacidosis
-
Low blood pressure
-
Pancreatic insulin deficiency
-
Severe renal impairment
What is Xigduo XR used for?
What is the best time to take Xigduo XR?
Can you take Xigduo on an empty stomach?
What happens if I miss a dose of Xigduo XR?
What happens if I take too much Xigduo XR?
3 simple steps to request your Xigduo XR prescription today

Book a Xigduo XR prescription request appointment.

Talk to your medical provider regarding your Xigduo XR prescription.

Pick up your Xigduo XR prescription.
Xigduo XR prescription pricing details
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
Paying with insurance
Membership
$19.99 /month
First month free
Visits
Copay
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
$19.99 /month
First month free
Visits
$129
Visit price without insurance
Xigduo XR prescription resources
Sources:
PlushCare is dedicated to providing you with accurate and trustworthy health information.
-
DailyMed. Xigduo Xr-dapagliflozin and metformin hydrochloride tablet. Accessed on October 14, 2022. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ac8a0f7b-9f69-4495-abbc-3a47cd75a859
-
Food and Drug Administration. Xigduo XR prescription label. Accessed on October 14, 2022. https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/205649s000lbl.pdf
-
Mayo Clinic. Dapagliflozin And Metformin (Oral Route). Accessed on October 14, 2022. https://www.mayoclinic.org/drugs-supplements/dapagliflozin-and-metformin-oral-route/side-effects/drg-20122778?p=1
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.