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Empagliflozin Induced Foamy Urine ?
My Urinary ACR level was 5.77 mg/g (Normal <30 mg/gm) on 18/05/2025 i.e just before starting Empagliflozin Previously it was 2.84 mg/g on 4/4/2025 Serum Creatinine,Potassium,Urea & USG were all within normal limits on 18/05/2025 i.e just before starting Empagliflozin Taken Empagliflozin 10 mg once a day for 20 days for blood sugar control which has been discontinued since 6 days Noticing foamy & bubbly urine since the last 2 weeks What might be the cause of such  sudden  foamy & bubbly urine as less than a month ago my Urinary ACR level (5.77 mg/g) & other renal parameters were well within normal limits ? Could it be due to Empagliflozin ?
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Answers (2)

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Empagliflozin is usually given to reduce protein excretion in urine or foamy urine..so it is unlikely to cause foamy urine..do u have fever, excessive exercise or have u taken any alternative medications ( ayurvedic or homeopathic)
Next Steps
kindly do urine routine
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kindly hydrate and take water intake 2-2.5L in a day
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It is less likely due to empagliflozin.. empagliflozin reduces the protein excretion and there by decreases frothiness of the urine. Rule out infection/exercise/dehydration
Next Steps
To do an Urine routine and repeat ACR
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.