Empagliflozin and Metolazone interaction

Empagliflozin and Metolazone: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Empagliflozin (Jardiance) label · effective 2026-08-26

Moderate

Patients with impaired renal function (eGFR less than 60 mL/min/1.73 m 2 ), elderly patients, or patients on loop diuretics may be at increased risk for volume depletion or hypotension.

Warnings and precautionsby drug classView label on DailyMed
Moderate

Table 4 Clinically Relevant Interactions with JARDIANCE Diuretics Clinical Impact Coadministration of empagliflozin with diuretics resulted in increased urine volume and frequency of voids, which might enhance the potential for volume depletion.

Drug interactionsby drug classView label on DailyMed
Minor

Volume Depletion: Before initiating JARDIANCE, assess volume status and renal function in patients with impaired renal function, elderly patients, or patients on loop diuretics.

Warnings and precautionsby drug classView label on DailyMed

From the Metolazone label · effective 2026-01-15

Moderate

Insulin And Oral Antidiabetic Agents See Glucose Tolerance under PRECAUTIONS , General .

Drug interactionsby drug classView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

Open in the checker

Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.