Invokana 100 mg (Tablet)

Unit Price: ৳ 75.65 (3 x 10: ৳ 2,269.50)
Strip Price: ৳ 756.50

Medicine Details

Category Details
Generic Canagliflozin hemihydrate
Company Janssen

Indications

  • Adjunct to diet and exercise
  • Improves glycemic control
  • For adults with type 2 diabetes mellitus

Pharmacology

  • Inhibitor of subtype-2 sodium-glucose co-transport protein (SGLT2)
  • Reduces glucose reabsorption in the kidney
  • Leads to more excretion of glucose in urine

Dosage & Administration

  • Recommended starting dose is 100 mg once daily
  • Dose can be increased to 300 mg once daily
  • No dose adjustment for mild renal impairment
  • Recommended dose for moderate renal impairment is 100 mg

Interaction

  • UGT inducers (e.g. rifampin, phenytoin) reduce Invokana exposure
  • Consider increasing dose from 100 mg to 300 mg
  • Invokana may slightly increase the concentration of digoxin in the body

Contraindications

  • History of serious hypersensitivity reaction to Canagliflozin
  • Severe renal impairment
  • End Stage Renal Disease (ESRD)
  • Patients on dialysis

Side Effects

  • Common adverse reactions include female genital mycotic infections, urinary tract infection and increased urination
  • Other side effects include low blood pressure, hyperkalemia, low blood glucose, and increased LDL-C

Pregnancy & Lactation

  • Pregnancy Category C
  • No adequate and well-controlled studies in pregnant women
  • Use during pregnancy only if the potential benefit justifies the potential risk to the fetus
  • Discontinue drug or nursing for nursing mothers

Precautions & Warnings

  • Not for the treatment of type 1 diabetes mellitus or diabetic ketoacidosis

Therapeutic Class

  • Sodium-glucose Cotransporter-2 (SGLT2) Inhibitors

Storage Conditions

  • Keep in a dry place away from light and heat
  • Keep out of the reach of children

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