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Are recurrent UTIs a contraindication to SGLT2i use?

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Do you avoid SGLT2i use in patients with recurrent UTIs?

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4 Answers
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Endocrinology · MedStar Health
Answered on

I don't view UTIs as a contraindication to SGLT2i use, but I make a risk and benefit analysis with each patient. Bacterial UTI as well as mycotic vaginal infections may be a sign that the patient has excessive glycosuria from hyperglycemia. In general, treating hyperglycemia should lessen the freque...

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Cardiology · University of Puerto Rico School of Medicine
Answered on

UTIs should not be an absolute contraindication for SGLT2s. I’ll be particularly careful with female patients. Education of the patient as to what to expect and watch is most important. Risks vs benefits!

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Nephrology · Select Specialty Hospital Daytona Beach
Answered on

While I agree that it is not an absolute contraindication, we must thoroughly evaluate the patient to rule out any underlying urinary obstruction, stasis, severe BPH, or poorly controlled DM before we prescribe SGLT2i.

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Endocrinology · Village Medical Memorial Clinical Associates
Answered on

I continue the medicine through the infection with antibiotics for few days.

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