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'''Empagliflozin''' adalah obat yang digunakan digunakan untuk penderita [[Diabetes melitus tipe 2|diabetes tipe 2]], umumnya obat ini digunakan bersamaan dengan diet dan olah raga. <ref name="AHFS2018">{{Cite web|title=Empagliflozin Monograph for Professionals |url=https://www.drugs.com/monograph/empagliflozin.html |website=Drugs.com |publisher=AHFS |access-date=21 December 2018 |archive-date=6 April 2019 |archive-url=https://web.archive.org/web/20190406062958/https://www.drugs.com/monograph/empagliflozin.html |url-status=live }}</ref> <ref name="EU2018">{{Cite journal|date=December 2018|title=Management of hyperglycaemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)|journal=Diabetologia|volume=61|issue=12|pages=2461–2498|doi=10.1007/s00125-018-4729-5|pmid=30288571|vauthors=Davies MJ, D'Alessio DA, Fradkin J, Kernan WN, Mathieu C, Mingrone G, Rossing P, Tsapas A, Wexler DJ, Buse JB}}</ref> Obat ini sendiri kurang diminati jika dibandingkan dengan obat [[metformin]] dan golongan sulfonilurea . <ref name="BNF76">{{Cite book|date=2018|title=British national formulary: BNF 76|publisher=Pharmaceutical Press|isbn=9780857113382|edition=76|pages=691}}</ref> Empagliflozin bisa dikombinasikan dengan obat lainnya seperti metformin atau [[insulin]] . <ref name="AHFS2018">{{cite web |title=Empagliflozin Monograph for Professionals |url=https://www.drugs.com/monograph/empagliflozin.html |website=Drugs.com |publisher=AHFS |access-date=21 December 2018 |archive-date=6 April 2019 |archive-url=https://web.archive.org/web/20190406062958/https://www.drugs.com/monograph/empagliflozin.html |url-status=live }}</ref> <ref name="EU2018">{{cite journal |vauthors=Davies MJ, D'Alessio DA, Fradkin J, Kernan WN, Mathieu C, Mingrone G, Rossing P, Tsapas A, Wexler DJ, Buse JB |title=Management of hyperglycaemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) |journal=Diabetologia |volume=61 |issue=12 |pages=2461–2498 |date=December 2018 |pmid=30288571 |doi=10.1007/s00125-018-4729-5|doi-access=free }}</ref> Empagliflozin sendiri tidak direkomendasikan untuk penderita [[Diabetes melitus tipe 1|diabetes tipe 1]] . <ref name="AHFS2018">{{cite web |title=Empagliflozin Monograph for Professionals |url=https://www.drugs.com/monograph/empagliflozin.html |website=Drugs.com |publisher=AHFS |access-date=21 December 2018 |archive-date=6 April 2019 |archive-url=https://web.archive.org/web/20190406062958/https://www.drugs.com/monograph/empagliflozin.html |url-status=live }}</ref> Rute pemberian obat ini melalui oral. <ref name="AHFS2018">{{cite web |title=Empagliflozin Monograph for Professionals |url=https://www.drugs.com/monograph/empagliflozin.html |website=Drugs.com |publisher=AHFS |access-date=21 December 2018 |archive-date=6 April 2019 |archive-url=https://web.archive.org/web/20190406062958/https://www.drugs.com/monograph/empagliflozin.html |url-status=live }}</ref>
Kejadian efek samping yang bisa terjadi selama penggunaan obat ini yakni [[infeksi saluran kemih]], [[mikosis]] pada selangkangan, dan nyeri sendi. <ref name="AHFS2018">{{Cite web|title=Empagliflozin Monograph for Professionals |url=https://www.drugs.com/monograph/empagliflozin.html |website=Drugs.com |publisher=AHFS |access-date=21 December 2018 |archive-date=6 April 2019 |archive-url=https://web.archive.org/web/20190406062958/https://www.drugs.com/monograph/empagliflozin.html |url-status=live }}<cite class="citation web cs1" data-ve-ignore="true">[https://www.drugs.com/monograph/empagliflozin.html "Empagliflozin Monograph for Professionals"]. ''Drugs.com''. AHFS. [https://web.archive.org/web/20190406062958/https://www.drugs.com/monograph/empagliflozin.html Archived] from the original on 6 April 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">21 December</span> 2018</span>.</cite></ref> Kejadian efek samping yang lebih jarang namun cukup serius yakni infeksi kulit pada [[selangkangan]] yang disebut [[gangren Fournier]] dan suatu bentuk [[ketoasidosis diabetik]] dengan kadar gula darah normal. <ref name="AHFS2018">{{cite web |title=Empagliflozin Monograph for Professionals |url=https://www.drugs.com/monograph/empagliflozin.html |website=Drugs.com |publisher=AHFS |access-date=21 December 2018 |archive-date=6 April 2019 |archive-url=https://web.archive.org/web/20190406062958/https://www.drugs.com/monograph/empagliflozin.html |url-status=live }}</ref> <ref name="FDA2019SE">{{Cite web|date=2019-02-09|title=FDA warns about rare occurrences of a serious infection of the genital area with SGLT2 inhibitors for diabetes|url=https://www.fda.gov/drugs/drug-safety-and-availability/fda-warns-about-rare-occurrences-serious-infection-genital-area-sglt2-inhibitors-diabetes|website=U.S. [[Food and Drug Administration]] (FDA)|archive-url=https://web.archive.org/web/20191213201737/https://www.fda.gov/drugs/drug-safety-and-availability/fda-warns-about-rare-occurrences-serious-infection-genital-area-sglt2-inhibitors-diabetes|archive-date=13 December 2019|access-date=2019-03-18|url-status=live}}</ref> Ibu hamil tidak direkomendasikan untuk menggunakan obat ini. <ref name="BNF76">{{Cite book|date=2018|title=British national formulary: BNF 76|publisher=Pharmaceutical Press|isbn=9780857113382|edition=76|pages=691}}<cite class="citation book cs1" data-ve-ignore="true">''British national formulary: BNF 76'' (76 ed.). </cite></ref> Penderita [[nefropati]] tidak direkomendasikan menggunakan obat ini walaupun bisa membantu memperlambat perkembangan masalah ginjal ringan. <ref name="AHFS2018">{{cite web |title=Empagliflozin Monograph for Professionals |url=https://www.drugs.com/monograph/empagliflozin.html |website=Drugs.com |publisher=AHFS |access-date=21 December 2018 |archive-date=6 April 2019 |archive-url=https://web.archive.org/web/20190406062958/https://www.drugs.com/monograph/empagliflozin.html |url-status=live }}</ref> <ref name="EU2018">{{Cite journal|date=December 2018|title=Management of hyperglycaemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)|journal=Diabetologia|volume=61|issue=12|pages=2461–2498|doi=10.1007/s00125-018-4729-5|pmid=30288571|vauthors=Davies MJ, D'Alessio DA, Fradkin J, Kernan WN, Mathieu C, Mingrone G, Rossing P, Tsapas A, Wexler DJ, Buse JB}}<cite class="citation journal cs1" data-ve-ignore="true" id="CITEREFDaviesD'AlessioFradkinKernan2018">Davies MJ, D'Alessio DA, Fradkin J, Kernan WN, Mathieu C, Mingrone G, Rossing P, Tsapas A, Wexler DJ, Buse JB (December 2018). </cite></ref> Empagliflozin merupakan penghambat ko-transporter natrium glukosa-2 (SGLT-2), dan memiliki mekanisme kerja dengan cara meningkatkan gula yang hilang di dalam [[Urine|urin]] . <ref name="AHFS2018">{{cite web |title=Empagliflozin Monograph for Professionals |url=https://www.drugs.com/monograph/empagliflozin.html |website=Drugs.com |publisher=AHFS |access-date=21 December 2018 |archive-date=6 April 2019 |archive-url=https://web.archive.org/web/20190406062958/https://www.drugs.com/monograph/empagliflozin.html |url-status=live }}</ref>
Obat empagliflozin sudah disetujui untuk penggunaan secara medis di Amerika Serikat dan di Uni Eropa pada tahun 2014. <ref name="AHFS2018">{{Cite web|title=Empagliflozin Monograph for Professionals |url=https://www.drugs.com/monograph/empagliflozin.html |website=Drugs.com |publisher=AHFS |access-date=21 December 2018 |archive-date=6 April 2019 |archive-url=https://web.archive.org/web/20190406062958/https://www.drugs.com/monograph/empagliflozin.html |url-status=live }}<cite class="citation web cs1" data-ve-ignore="true">[https://www.drugs.com/monograph/empagliflozin.html "Empagliflozin Monograph for Professionals"]. ''Drugs.com''. AHFS. [https://web.archive.org/web/20190406062958/https://www.drugs.com/monograph/empagliflozin.html Archived] from the original on 6 April 2019<span class="reference-accessdate">. Retrieved <span class="nowrap">21 December</span> 2018</span>.</cite></ref> <ref name="FDA Approval">{{Cite web|date=8 September 2014|title=Drug Approval Package: Jardiance (empagliflozin) Tablets NDA #204629|url=https://www.accessdata.fda.gov/drugsatfda_docs/nda/2014/204629Orig1s000TOC.cfm|website=U.S. [[Food and Drug Administration]] (FDA)|archive-url=https://web.archive.org/web/20200211052628/https://www.accessdata.fda.gov/drugsatfda_docs/nda/2014/204629Orig1s000TOC.cfm|archive-date=11 February 2020|access-date=10 February 2020|url-status=live}}</ref> <ref>{{Cite web|title=Jardiance: FDA-Approved Drugs|url=https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=204629|website=U.S. [[Food and Drug Administration]] (FDA)|archive-url=https://web.archive.org/web/20200211052643/https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=204629|archive-date=11 February 2020|access-date=10 February 2020|url-status=live}}</ref> <ref name="Jardiance EPAR">{{Cite web|title=Jardiance EPAR|url=https://www.ema.europa.eu/en/medicines/human/EPAR/jardiance|website=[[European Medicines Agency]] (EMA)|archive-url=https://web.archive.org/web/20210828073439/https://www.ema.europa.eu/en/medicines/human/EPAR/jardiance|archive-date=28 August 2021|access-date=10 February 2020|url-status=live}}</ref> Obat ini masuk ke dalam [[Daftar Obat Esensial Organisasi Kesehatan Dunia]] . <ref name="WHO23rd">{{Cite book|vauthors=((World Health Organization))|year=2023|title=The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023)|location=Geneva|publisher=World Health Organization|hdl=10665/371090|id=WHO/MHP/HPS/EML/2023.02|author-link=World Health Organization|hdl-access=free}}</ref>
== Referensi ==
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