Learn about INVOKANA®, an SGLT2 inhibitor that helps lower blood sugar and risk of cardiovascular disease in adults. See full Prescribing & Safety Info. INVOKANA is a sodium-glucose co-transporter 2 (SGLT2) inhibitor indicated as an INVOKANA mg once daily who have an eGFR of 60 mL/min/ m2. INVOKANA® is now the only oral diabetes treatment approved to in the INVOKANA® U.S. full Prescribing Information (PI).3 The PI also.

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Clinical presentations included cough, dyspnea, and interstitial infiltrates following one to three doses. Diabetes mellitus type 2 Restriction: Please refer to invokanaa full Prescribing Information or a complete list of adverse drug reactions.

Acute kidney injury, requiring hospitalization and dialysis, has been reported; some reports involved patients younger than 65 years of age. You should take Invokana once a day before your first meal. Hepatotoxicity, including hepatic failure, can occur. Ketoacidosis usually occurs in patients with type 1 diabetes. This site is intended for use in the United States.

Consider prescribing short- and long-acting bronchodilators and inhaled corticosteroids for patients with chronic obstructive pulmonary disease. We comply with the HONcode standard for trustworthy health information – verify here.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Hermansen, K et al.

Supplementary indirect comparisons of canagliflozin mg with dapagliflozin 10 mg were invokaha presented: Evidence of tissue necrosis can occur more than inbokana week after the extravasation.

TGA eBS – Product and Consumer Medicine Information

ijvokana Canagliflozin may increase your risk of lower limb amputations. Invokana should not be used to treat a condition called diabetic ketoacidosiswhich is a potentially deadly complication of diabetes when you do not have enough insulin.

Before initiation, consider factors that may predispose patients to acute kidney injury. If you notice signs of kidney injury, like decreased urine or swelling in the legs or invkana, be sure to contact a healthcare provider immediately.

The risk of lower-limb amputations was observed at both the mg and mg once-daily dosage regimens. Cardiomyopathy, including cardiac failure, congestive heart failure, ejection fraction decreased, diastolic dysfunction, or right ventricular dysfunction can occur.


The PBAC noted that the proximal diuresis, natriuresis and calorie leakage into urine with canagliflozin may be associated with small reductions in blood pressure and body weight. Invokana canagliflozin InvokametInvokamet XR canagliflozin and metformin Farxiga dapagliflozin Xigduo XR dapagliflozin and metformin extended-release Jardiance empagliflozin Glyxambi empagliflozin and linagliptin Qtern dapagliflozin and saxagliptin Steglatro ertugliflozinSteglujan ertugliflozin and sitagliptin However, the combination agents like Invokamet or Invokamet XR that contain metformin may be appropriate to start as a first-line agent in certain patients who need greater blood sugar control.

When diet and exercise modifications and metformin monotherapy is inadequate in controlling blood glucose, current treatment guidelines recommend adding a sulfonylurea. These offsets would include the cost of monitoring these events which would include additional visits to doctor MBS item number 23treatment with antifungals.

The sponsor also claimed that such cases would be managed with over-the-counter treatments, and that therefore higher infection rates would not be associated with increased cost to government.

Before initiating, consider factors in the patient history that may predispose to the need for amputations, such as a history of prior amputation, peripheral vascular disease, neuropathy, and diabetic foot ulcers. Recommended Recommended listing Add the following new items: If appropriate, anti-hepatitis B therapy may be warranted.

Since Invokana is a relatively new medicine, lower cost generics for this drug will not be available for many more years. The SGLT-2 inhibitor drugswhich come as oral tablets, are sold as individual agents and in combination with other diabetes drugs. Prompt hemodialysis is recommended. The following was noted from the Phase III trials:. The PBAC recommended canagliflozin is suitable for nurse practitioner prescribing for continuing therapy only. In all patients, monitor estimated CrCl, urine glucose, and urine protein prior to initiating and during therapy.

Signs of low blood sugar include: For patients who test positive, consult a physician with expertise in the treatment of hepatitis B. If you missed your dose of Invokana, take it as soon as you remember. There’s now a combined pill that makes it easier.


Canagliflozin, tablet, 100 mg and 300 mg, Invokana® – July 2013

Canagliflozin was TGA registered on 12 September for treatment of adults with type 2 diabetes mellitus, as an adjunct to diet and exercise, to improve glycaemic control as:. The SGLT2 inhibitors block the kidney from reabsorbing sugar glucose.

Radiological Studies with Contrast: Studies and had a pre-specified non-inferiority margin of 0. Sitagliptin was the nominated comparator and the PBAC considered this was appropriate. Any other sodium glucose transport 2 inhibitors listed on the PBS for use in the third line setting should be required to join the same risk share.

Other options include glucagon like peptide 1 receptor agonists, dipeptidyl peptidase-4 inhibitors, and thiazolidinediones. Taking too much Invokana may excessively lower your blood sugar.

In the controlled portions of clinical trials of TNF blockers including the subcutaneous formulation of golimumab, more cases of lymphoma have been observed among patients receiving anti-TNF treatment compared with patients in the control groups. Manage reactions according to signs and symptoms.

Indication and Important Safety Information

Promptly evaluate patients presenting with symptoms that may be associated with or suggestive of GI perforation. Economic Analysis The submission presented a cost-minimisation analysis, based on non-inferiority claim of canagliflozin mg to sitagliptin mg for mean reduction in HbA1c from baseline. Almost all of these patients had received treatment with azathioprine or 6-mercaptopurine concomitantly with a TNF blocker at or prior to diagnosis.

Invvokana FDA stated that patients who experience signs or symptoms of ketoacidosis such as trouble breathing, nausea, vomiting, abdominal [stomach] pain, confusion, unusual fatigue or sleepiness should contact their doctor immediately to determine if they have invookana, as your drug treatment may need to be stopped.

This list of uses in specific populations is not complete.