Invokana (canagliflozin) is an oral diabetes medicine that helps control blood sugar levels. Canagliflozin works by helping the kidneys get rid of glucose from your bloodstream. Invokana is used together with diet and exercise to treat type 2 diabetes. Invokana is not for treating type 1 diabetes Important information You should not use Invokana if you have severe kidney disease (or if you are on dialysis). Invokana is not for treating type 1 diabetes. Invokana Insights: 10 Drug-Specific Facts You Should Know Before taking this medicine You should not use Invokana if you are allergic to canagliflozin, or if you have: Severe kidney disease (or if you are on dialysis).
To make sure Invokana is safe for you, tell your doctor if you have: kidney disease; liver disease; A history of bladder infections or other urination problems; Low blood pressure; an electrolyte imbalance (such as high levels of potassium in your blood); high cholesterol levels; diabetic ketoacidosis (call your doctor for treatment with insulin); if you are on a low salt diet; or if you use insulin or other oral diabetes medicines.It is not known whether Invokana will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether canagliflozin passes into breast milk or if it could harm a nursing baby.
You should not breast-feed while using this medicine.
Do not give this medicine to anyone under 18 years old without medical advice.
How should I take Invokana?
Invokana is usually taken once per day. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended. Invokana works best if you take it before your first meal of the day. Your blood sugar will need to be checked often, and you may need other blood tests at your doctor’s office. You may have very low blood pressure while taking this medicine.
Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than usual. Drink plenty of liquids while you are taking Invokana. Low blood sugar (hypoglycemia) can happen to everyone who has diabetes. Symptoms include headache, hunger, sweating, irritability, dizziness, nausea, fast heart rate, and feeling anxious or shaky. To quickly treat low blood sugar, always keep a fast-acting source of sugar with you such as fruit juice, hard candy, crackers, raisins, or non-diet soda. Your doctor can prescribe a glucagon emergency injection kit to use in case you have severe hypoglycemia and cannot eat or drink. Be sure your family and close friends know how to give you this injection in an emergency. Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination, blurred vision, headache, and tiredness. Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals.
Ask your doctor before changing your insulin dose or schedule. Invokana can cause positive results with certain lab tests for glucose (sugar) in the urine. Tell any doctor who treats you that you are using Invokana. Invokana is only part of a treatment program that may also include diet, exercise, weight control, blood sugar testing, and special medical care. Follow your doctor’s instructions very closely. Store at room temperature away from moisture and heat. Invokana dosing information Usual Adult Dose for Diabetes Type 2: Initial dose: 100 mg orally once daily Maximum dose: May increase to 300 mg orally once daily in patients with an eGFR of 60 mL/min/1.73 m2 or greater, tolerating therapy with 100 mg, and requiring additional glycemic control Comments: -Do not initiate in patients with an eGFR less than 45 mL/min/1.73 m2 as this drug will not be effective. -If used in combination with insulin or an insulin secretagogue, a lower dose of insulin or the insulin secretagogue should be considered to reduce the risk of hypoglycemia. Use: As an adjunct to diet and exercise to improve glycemic control in patients with type 2 diabetes mellitus. What happens if I miss a dose? Take the missed dose as soon as you remember.
Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention,
Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
Out of stock