Canagliflozin

کاناگلیفلوزین

⚠ Unverified

🍽️ Alimentary Tract And MetabolismSGLT2 inhibitor

Market / country: 🇺🇸 USA

Invokana (US)

🧮 Dose calculator

Type 2 diabetes mellitus · Regimen source: FDA Invokana · 2.2

Enter age (weight is optional for this regimen).

🛡️ Safety & information

Contraindications

  • ⛔ Serious hypersensitivity to canagliflozin (anaphylaxis, angioedema). FDA Invokana · 4

Warnings

  • • Ketoacidosis (even with modest glucose); lower-limb amputation; volume depletion; genitourinary infections incl. urosepsis; hypoglycaemia with insulin or sulfonylureas. FDA Invokana · 5
  • • Bone fracture. FDA Invokana · 5.7

Renal adjustment

  • • eGFR < 60: eGFR 30–<60: max 100 mg. Below 30: initiation not recommended (may continue 100 mg if albuminuria >300 mg/day). FDA Invokana · 2.3

Formulations

👥 Special populations

  • 🤰 PregnancyUse with caution

    Label states no clear risk or has limited data; use only if needed, under medical advice. FDA Invokana · 8.1

    “Risk Summary Based on juvenile animal data showing adverse renal effects, INVOKANA is not recommended during the second and third trimesters of pregnancy.”
  • 🤱 BreastfeedingUse with caution

    Label: use with caution while breastfeeding; see the label text. FDA Invokana · 8.2

    “Risk Summary There is no information regarding the presence of INVOKANA in human milk, the effects on the breastfed infant, or the effects on milk production.”
  • 👶 ChildrenUse with caution

    The label has conditions, age limits or notes for children; the label sentence is quoted below. FDA Invokana · 8.4

    “The safety and effectiveness of INVOKANA as an adjunct to diet and exercise to improve glycemic control in type 2 diabetes mellitus have been established in pediatric patients aged 10 years and older.”
  • 👴 Older adultsUse with caution

    Label: use with caution in older adults, usually starting at the low end of the dose range. FDA Invokana · 8.5

    “Patients 65 years and older had a higher incidence of adverse reactions related to reduced intravascular volume with INVOKANA (such as hypotension, postural dizziness, orthostatic hypotension, syncope, and dehydration), particularly with the 300 mg daily dose, compared to younger patients; a more prominent increase in …”
  • ⚥ Females & males of reproductive potentialNo data

    The source for this drug has no section for this group.

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