Chinese Journal of Pharmacovigilance ›› 2021, Vol. 18 ›› Issue (3): 271-273.
DOI: 10.19803/j.1672-8629.2021.03.13

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Two Cases of Euglycemic Diabetic Ketosis Induced by Dapagliflozin Tablets

CAI Jun1, WEI Jing2, JI Liwei3,*   

  1. 1Nanjing Drum Tower Hospital Affiliated to Medical College of Nanjing University, Nanjing Jiangsu 210008, China;
    2Jiangsu Province Hospital of TCM Affiliated to Nanjing University of Chinese Medicine, Nanjing Jiangsu 210029, China
    3China Beijing Hospital, National Center of Gerontology, Beijing 100730, China
  • Online:2021-03-15 Published:2021-04-06

Abstract: Objective To remind medical staff to be more vigilant about Dapagliflozin tablets-induced euglycemic diabetic ketosis, and provide reference for safe use of Dapagliflozin tablets. Methods The process of diagnosis and treatment of 2 patients with euglycemic diabetic ketosis caused by Dapagliflozin tablets was analyzed, and the incidence and related risk factors were analyzed based on domestic and foreign literature. Results Two patients with a history of diabetic ketosis developed euglycemic diabetic ketosis 52 and 18 days after taking Dapagliflozin tablets, respectively. Dapagliflozin tablets were discontinued immediately and insulin therapy was given. The ketone bodies turned negative. Conclusion Clinicians should be alert to the risk of euglycemic diabetic ketosis induced by Dapagliflozin tablets, especially in patients with a history of diabetic ketosis.

Key words: Dapagliflozin tablets, euglycemic diabetic ketosis, adverse drug reactions

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