Initiating treatment with empagliflozin: Algorithms, notes and talking points

15 minutes to Delve
Brendan Duck, Ryan Paul (Ngāti Maru)
24 August 2021
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When clinically indicated, empagliflozin can be started in adult patients with type 2 diabetes using the steps shown in this resource. Always maintain metformin treatment if tolerated.

Talking points, relevant for all patients starting empagliflozin, are provided along with two algorithms and accompanying prescribing notes. (Updated 24 August 2021).


Medsafe, New Zealand Medicines and Medical Devices Safety Authority. Jardiance (empagliflozin) data sheet. Accessed April 2021.

New Zealand Society for the Study of Diabetes (NZSSD). Type 2 Diabetes Management Guidance. Accessed April 2021.

PHARMAC. Decision to fund two new medicines for type 2 diabetes - Amended with Q&A. January 2021. Accessed April 2021.

Zinman B, Wanner C, Lachin J et al. Empagliflozin, cardiovascular outcomes and mortality in type 2 diabetes. NEJM. 2015;373(22):2117-28