Empagliflozin
Antihyperglycemic (SGLT2 inhibitor)
Brand names: Jardiance
Oral health effects
Candidiasis risk / volume depletion
Glucosuria raises the risk of fungal infection (mainly genital, occasionally oral) and mild dehydration that can reduce salivary flow.
Clinical management: Encourage hydration; watch for candidiasis; reinforce caries prevention.
Indirect periodontal/caries risk via glycemic control
These agents do not act directly on the mouth, but the underlying diabetes (and how well it is controlled) strongly influences periodontal disease, healing, and infection risk.
Clinical management: Reinforce that good glycemic control supports periodontal health; coordinate care and note HbA1c.
Sources
- A Guide to Medications Inducing Salivary Gland Dysfunction, Xerostomia, and Subjective Sialorrhea: A Systematic Review Sponsored by the World Workshop on Oral Medicine VI. Wolff A, Joshi RK, Ekström J, et al. Drugs in R&D, 2017.
- Adverse drug events in the oral cavity. Yuan A, Woo SB. Oral surgery, oral medicine, oral pathology and oral radiology, 2015.