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Jardiance for heart failure

Jardiance for Heart Failure: More Than Blood Sugar Control

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Jardiance is widely known for its role in managing type 2 diabetes, but it has shown that its benefits go beyond blood sugar control. It is now prescribed to help individuals with heart failure by reducing the risk of hospitalization and cardiovascular complications. If you’re wondering whether Jardiance for heart failure is right for you or your patients, understanding its benefits, uses, and potential side effects is crucial.

This article will explore how Jardiance and heart health are connected, who may benefit from it, and what to consider before starting treatment.

How Does Jardiance Help with Heart Failure?

Jardiance (empagliflozin) is part of a class of medications called SGLT2 inhibitors. While its primary use is to lower blood sugar levels in people with type 2 diabetes, it has shown significant benefits for heart failure patients, even in those without diabetes.

Reducing Fluid Retention

Heart failure often leads to fluid buildup in the body, which can cause swelling, shortness of breath, and increased stress on the heart. Jardiance helps by promoting the removal of excess fluid through urination, reducing the burden on the heart and improving symptoms.

Lowering the Risk of Cardiovascular Events

Clinical studies show that Jardiance used for heart failure can lower the risk of heart-related complications such as heart attacks and strokes. By improving heart function, it helps reduce the likelihood of emergency hospitalizations and worsening symptoms.

Supporting Kidney Function

There is a strong link between heart failure and kidney disease. Jardiance helps protect kidney function by reducing pressure on the kidneys, which may prevent further deterioration in patients with existing kidney conditions.

Who Can Benefit from Jardiance for Heart Failure?

Jardiance is primarily used to treat heart failure with reduced ejection fraction (HFrEF)—a condition where the heart cannot pump blood effectively. However, recent research suggests that it may also be beneficial for heart failure with preserved ejection fraction (HFpEF), though more studies are ongoing.

People with Type 2 Diabetes and Heart Failure

For individuals managing both conditions, Jardiance provides dual benefits: regulating blood sugar levels and reducing heart failure symptoms. This makes it an excellent option for diabetic patients at risk of cardiovascular disease.

Individuals Without Diabetes but with Heart Failure

Interestingly, studies have found that Jardiance provides cardiovascular benefits even in people without diabetes. The heart-protective effects make it a valuable treatment option for those with heart failure, regardless of their blood sugar levels.

Older Adults with Heart Failure

Heart failure is more common in older adults, and Jardiance may be particularly useful in this population. However, careful monitoring is needed to avoid dehydration and other potential side effects.

Jardiance Dosage for Heart Failure

The standard dose for Jardiance used for heart failure is 10 mg once daily, with or without food. This dosage is lower than the typical dose used for diabetes treatment, ensuring effectiveness while minimizing side effects.

It’s important to take Jardiance exactly as prescribed by a healthcare professional. Missing doses or taking more than recommended can affect its benefits and increase the risk of complications.

Potential Side Effects of Jardiance

Like any medication, Jardiance has potential side effects. While most are mild, some can be serious and require medical attention.

Common Side Effects

  • Increased urination
  • Dehydration, leading to dizziness or lightheadedness
  • Low blood pressure
  • Urinary tract infections

Serious Side Effects

  • Diabetic ketoacidosis (DKA) – Although rare, this is a serious condition that can occur even in non-diabetic individuals taking Jardiance.
  • Kidney problems – In some cases, Jardiance may cause kidney-related side effects, particularly in patients with pre-existing kidney disease.
  • Genital infections – SGLT2 inhibitors can increase the risk of fungal infections, particularly in women.

Patients experiencing severe symptoms should consult their healthcare provider immediately.

How Does Jardiance Compare to Other Heart Failure Treatments?

Jardiance is often used alongside traditional heart failure medications like beta-blockers, ACE inhibitors, and diuretics. Unlike these medications, Jardiance offers additional benefits, particularly in fluid regulation and kidney protection.

For some patients, Jardiance may be prescribed when other heart failure treatments do not provide sufficient improvement. However, it is not a replacement for other essential heart failure medications but rather an added layer of protection.

Takeaways

Jardiance for heart failure provides benefits that go beyond managing blood sugar levels. As an SGLT2 inhibitor, it helps the body remove excess sodium and fluid, easing strain on the heart and reducing the risk of hospitalization due to worsening heart failure. 

Additionally, studies have shown that Jardiance lowers the likelihood of major cardiovascular events, such as heart attacks and strokes, making it a valuable treatment option for patients with reduced ejection fraction (HFrEF) and even those without diabetes. Its role in preserving kidney function further enhances its value, as heart and kidney health are closely interconnected.

For individuals considering Jardiance as part of their heart failure treatment, consulting a healthcare provider is essential. The decision to use Jardiance should be based on overall health status, kidney function, and the severity of heart failure symptoms. Whether used alone or alongside other heart failure medications, Jardiance has emerged as an important tool in improving patient outcomes and quality of life.

Frequently Asked Questions (FAQs)

How long does it take for Jardiance to show benefits for heart failure?

Many patients begin to see symptom improvement within a few weeks. However, the full benefits of Jardiance in heart failure treatment may take several months.

Can Jardiance be taken with other heart failure medications?

Yes, Jardiance is typically prescribed alongside other heart failure medications. Your doctor will determine the best combination based on your individual condition.

Is Jardiance safe for elderly patients with heart failure?

Yes, but elderly patients should be closely monitored for dehydration and low blood pressure, as these side effects are more common in older adults. 

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Written by BFH Staff Writer on March 6, 2025

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