Jardiance and Yeast Infections: Risk, Symptoms, and Next Steps

Article author: TetraCellis Team
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Can Jardiance cause a yeast infection?

Yes. Jardiance contains empagliflozin, and its US Medication Guide identifies genital yeast infections as possible adverse effects. These include vaginal yeast infections and yeast infections of the penis, also called balanitis. Yeast infections in females are listed among the medication's most common side effects.

A note from the author

The medication guide flags yeast infections as one of the most common side effects, but it does not give specific incidence numbers, so the term is relative rather than absolute.

Jardiance can cause sugar to appear in the urine, which will show up on a urine test. That medication-guide information does not, by itself, establish the size of an individual person's risk or prove that a particular symptom was caused by a yeast infection.

Have you ever taken Jardiance (empagliflozin)?

A possible adverse effect is not an inevitable one. Some people taking Jardiance may develop genital symptoms, while others do not. Symptoms can also have causes other than yeast, so a new discharge, odor, rash, or irritation should not automatically be treated as a confirmed yeast infection.

Both vaginal and penile anatomy can be affected. If symptoms develop, discuss them with a healthcare provider rather than assuming that they are caused by Jardiance or choosing a treatment plan without professional guidance.

Person discussing symptoms with a healthcare provider in a clinical setting

What vaginal and penile yeast infections can look like

The Jardiance Medication Guide lists different symptoms for vaginal and penile yeast infections. Symptoms do not appear in every person, and having one of them does not establish a diagnosis.

For a possible vaginal yeast infection, listed symptoms include:

  • Vaginal itching
  • Vaginal odor
  • White or yellowish discharge that may be lumpy or resemble cottage cheese

For a possible penile yeast infection, listed symptoms include:

  • Redness, itching, or swelling
  • A penile rash
  • Foul-smelling discharge
  • Pain in the skin around the penis

Swelling in an uncircumcised penis can make it difficult to pull back the foreskin. That symptom needs medical attention, particularly if the foreskin becomes difficult to move or the swelling is worsening.

These symptoms can overlap with other genital or urinary conditions. Discharge, odor, itching, and a rash are clues to discuss with a healthcare provider, not stand-alone tests for yeast. The provider may help determine whether the symptoms fit a yeast infection and what evaluation or treatment is appropriate.

Put your knowledge to the test with a handful of quick questions. Select one answer per question and check your understanding.

Understanding Jardiance and Genital Infections

Which symptom is more characteristic of a urinary tract infection than a genital yeast infection when taking Jardiance?

Yeast infection or urinary tract infection: why the distinction matters

Genital yeast infections mainly involve symptoms such as itching, genital rash, discharge, odor, redness, or swelling. A urinary tract infection involves the urinary system and may cause burning during urination, frequent or urgent urination, pelvic pain, or blood in the urine.

The Jardiance Medication Guide warns that serious urinary tract infections requiring hospitalization have occurred in people taking the medication. It also lists fever, back pain, nausea, or vomiting as symptoms that may occur with a urinary tract infection. These symptoms warrant contacting a healthcare provider rather than assuming that the problem is a routine genital yeast infection.

The categories can overlap in how they feel. For example, irritation around the genitals may be noticed during urination, and urinary symptoms can occur alongside genital symptoms. That is why itching or discharge should not be treated as proof that urinary symptoms are caused by yeast, and burning or urgency should not automatically be attributed to external irritation.

Suspected urinary infection needs medical assessment so the cause can be evaluated and appropriate treatment considered. Do not use a yeast-infection treatment as a substitute for contacting a healthcare provider about urinary symptoms, especially when fever, back pain, nausea, vomiting, pelvic pain, or blood in the urine is present.

What to do if symptoms develop during treatment

If you develop symptoms that could be a vaginal or penile yeast infection while taking Jardiance, contact your healthcare provider and describe what you are experiencing. The Medication Guide says the provider may suggest an over-the-counter antifungal. It does not provide one universal antifungal regimen for everyone with these symptoms.

Follow-up matters if symptoms do not go away after using an over-the-counter antifungal. The Medication Guide instructs patients to contact their healthcare provider right away in that situation. Persistent symptoms may need reassessment rather than repeated self-treatment, because symptoms that resemble yeast can have another cause or may need a different approach.

If you noticed genital symptoms while taking a medication, would you contact your healthcare provider?

Do not assume that developing a yeast infection means you should automatically stop Jardiance. The medication guide does not establish a universal rule to stop or continue it for every person with a genital yeast infection. Whether Jardiance should be continued, interrupted, or changed is a prescribing decision that depends on the individual situation and should be discussed with the healthcare provider.

Seek urgent help instead of routine self-care if symptoms include the serious warning combination described in the medication guide: fever or malaise together with pain or tenderness, swelling, or redness in the area between and around the anus and genitals.

Repeated infections and questions about prevention

Tell the prescriber if you have had vaginal or penile infections before starting Jardiance. The Medication Guide specifically instructs patients to share that history. A previous infection is not identified as an automatic reason that Jardiance cannot be used, but it is relevant when the prescriber evaluates the treatment plan.

If symptoms recur, raise the repeated episodes with the provider rather than assuming each episode has the same cause. Useful questions may include whether the symptoms need reassessment, whether the diagnosis should be confirmed, whether the current treatment plan needs review, and which individualized steps are appropriate if symptoms return.

Have you ever experienced a recurrent genital infection while taking any medication?

No guaranteed method for preventing Jardiance-related genital yeast infections is established by the supplied medication guidance. Do not assume that probiotics, yogurt, supplements, preventive antifungal treatment, hygiene changes, cranberry products, or a particular fluid target will reliably prevent these infections. Fluid advice may also need to account for individual health conditions.

A history of repeated infections does not by itself determine what should happen with Jardiance. The prescriber can weigh the recurring symptoms, their evaluation, and the overall treatment plan rather than relying on a universal stop-or-continue rule.

Warning signs that need immediate medical attention

Jardiance carries a warning about a rare but serious bacterial infection called necrotizing fasciitis of the perineum. This infection affects the area between and around the anus and genitals. It is not an ordinary genital yeast infection and should not be treated as though it were.

Seek immediate medical attention if you have fever or malaise together with any of the following in that area:

  • Pain or tenderness
  • Swelling
  • Redness

The combination matters. Fever or feeling generally unwell with pain, tenderness, swelling, or redness around the anus and genitals requires urgent evaluation rather than routine yeast-infection self-care. This condition can require hospitalization and multiple surgeries and can be life-threatening.

These warning signs do not mean that an ordinary genital yeast infection inevitably progresses to this serious bacterial infection. They describe a separate emergency warning in the medication guide. Prompt medical attention is the appropriate response when the listed combination occurs.

Jardiance (empagliflozin) Prescribing Information

Published by: Boehringer Ingelheim Pharmaceuticals, Inc. and Eli Lilly and Company

Vulvovaginal Candidiasis - STI Treatment Guidelines

Published by: Centers for Disease Control and Prevention

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