@ejbb
I am one who will say from experience with Jardiance "go ahead" and listen to and follow the guidance of your doctors.

My EF had stayed the same for over 10 years. My heart failure (HF) doctor is very active with research. His is the director of HF and heart transplant division at Mayo Jacksonville. My EF was bouncing around 20 for over 10 years.

He put me on two different additional medications that research has shown help restructure your heart. One of those was Jardiance. I have not been on it for long couple of months but the last time my EF was checked it was 22. So slight improvement but will gladly take it.

I have had NO problems associated with Jardiance. No UTIs, rashes, etc. but I keep myself clean. Jardiance was original prescribed for diabetic but research show very promising affect of improving heart failure. I too am not a diabetic.

For me I did not see a lowering any further of blood pressure. I take both entresto and carvedilol which keep my BP low. Usually around 105/70 ish. Those medications also keep my pulse rate low. It would be in low 40s but I have a ICD/Pacemaker which the pacing is set at 70 bpm.

My Electrophysiologist told me the gold goal for me would to have my BP stay around 110/70. So I am right there even with the Jardiance which did NOT lower it.