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← Return to Jardiance for congestive heart failure: pros and cons?
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Jardiance for congestive heart failure: pros and cons?
Heart Rhythm Conditions | Last Active: Dec 28, 2025 | Replies (39)Comment receiving replies
It's a new drug, so no one knows what the long-term consequences are. It initially was for the kind of heart failure with low and lowering ejection fraction and was not recommended for heart failure with PRESERVED ejection fraction (HFpEF). Fairly recently, "they" have decided that those of us who have HFpEF should take it, too, and say that it is helping significantly.
Nonetheless, my cardiologist with 30 years experience will not prescribe it, because she has concerns about the side effects and long-term effects. I think she's right.
Most important, though, is your kidneys, and it seems clearly contraindicated in your case, as your doctor says. Maybe ask what you can do to slow the progression or whether there's any way to reduce the severity?
Replies to "@bettycll It's a new drug, so no one knows what the long-term consequences are. It initially..."
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@earther Interesting that your cardiologist won't prescribe Jardiance for the reasons you gave. From what I've seen the ads for this and other similar drugs are pushing its use in heart failure, along with the weight loss and any number of providers are prescribing it. It's good to hear from the folks who have taken these drugs and find their conditions being improved significantly, and more power to them I say. But I'm still leery of the side effects, especially considering what happened to my brother who was taking an SGLT-2 drug.
I saw my own cardiologist a couple weeks ago, and while I agreed with him that losing weight would go a long way in improving my comorbidities ( including pulmonary hypertension, though without symptoms, at this point) and I'm working on it, I told him I would NOT consider taking any of those drugs because I was leery about 1) the need to take the drugs forever for continued weight maintenance, and 2) short term side effects and 3) the long term side effects we don't know about yet. He agreed with me, nodded when I mentioned the side effects and said, "well, I won't prescribe them then". Fortunately, this guy listens to me, so many docs don't.