Invokana (Canagliflozin) Oral: Uses, Side Effects, Dosage
It is very important that your doctor checks your progress at regular visits, especially during the first few weeks of taking this medication. Blood and urine tests may be needed to check for side effects.
Using this medicine during the second and third part of your pregnancy may harm your unborn baby. If you think you may have become pregnant while using this medication, tell your doctor immediately.
This medication may increase your risk of amputation of the leg, toe, or midfoot (leg ablation surgery). See your doctor right away if you have pain, tenderness, sores or ulcers, or leg or foot infections.
Dizziness, lightheadedness, or fainting may occur with this medication. This is more common if you have kidney disease, low blood pressure, or are taking a diuretic (water pill). Getting plenty of fluids each day can help. Drink plenty of water during exercise or in hot weather. See your doctor if you have severe nausea, vomiting, or diarrhea that won’t stop. This can cause you to lose too much water.
Ketoacidosis (high levels of ketones and acid in the blood) may occur while you are using this medication. This can be life threatening and requires immediate medical attention. Your doctor may prescribe replacement insulin, fluids, and carbohydrates to treat this condition. Tell your doctor right away if you have nausea, vomiting, difficulty breathing, increased thirst or urination.
See your doctor right away if you have bloody urine, decreased amount or frequency of urination, increased blood pressure, increased thirst, loss of appetite, lower or side pain, nausea, swelling of the face, fingers, or lower legs, difficulty breathing, unusual tiredness or weakness, vomiting, or weight gain. These could be symptoms of a serious kidney problem.
This medication can cause vaginal yeast infection in women and penile yeast infection in men. This is more common in patients who have a history of genital yeast infections or in men who are uncircumcised. Women may experience vaginal discharge, itching, or odor. Men may experience redness, itching, swelling, or pain around the penis, or discharge with a strong smell from the penis. See your doctor immediately if you experience any of these symptoms.
Serious allergic reactions can occur with this medication. See your doctor right away if you have a rash, hives or welts, itching, redness of the skin, difficulty breathing, or a large, hives-like swelling on your face, eyelids, lips , tongue, throat, hands, legs, feet or genitals.
This medication may increase the risk of bone fractures. Ask your doctor about ways to keep your bones strong to help prevent fractures.
This medication may cause hypoglycemia (low blood sugar). This is more common when this medicine is taken with other diabetes medicines (eg insulin, glipizide or glyburide). Hypoglycaemia must be treated before it causes fainting (loss of consciousness). People experience different symptoms of low blood sugar. It is important that you know the symptoms you usually experience so that you can treat them quickly. Talk to your doctor about the best way to treat low blood sugar.
Hyperglycemia (high blood sugar) can occur if you do not take enough or miss a dose of your diabetes medicine, if you eat too much or do not follow your diet, if you have a fever or an infection , or if you are not exercising as much as usual. Some symptoms of high blood sugar include blurred vision, drowsiness, dry mouth, red, dry skin, fruit-like breath, increased frequency and amount of urination, ketones in urine, loss of appetite, nausea or vomiting, rapid and deep. unusual breathing, tiredness or thirst. If symptoms of high blood sugar appear, check your blood sugar and call your doctor for instructions.
This medicine may increase the risk of having urinary tract infections, including pyelonephritis or urosepsis. See your doctor right away if you have bladder pain, bloody or cloudy urine, difficult, burning, or painful urination, or lower back or side pain.
This medicine can cause a rare but serious bacterial infection called necrotizing fasciitis of the perineum or Fournier’s gangrene, which can damage tissue under the skin in the area between and around the anus and genitals (perineum). Fournier’s gangrene can lead to hospitalization, multiple surgeries, or death. See your doctor right away if you have a fever, unusual tiredness or weakness, or pain, tenderness, redness, or swelling in the area between and around your anus and genitals.
This medicine can cause serious allergic reactions, including anaphylaxis or angioedema. These reactions can be life-threatening and require immediate medical attention. Call your doctor right away if you have a rash, itching, blistering, peeling or loosening of the skin, fever or chills, trouble breathing or swallowing, or any swelling of your hands, face, mouth or throat while using this medicine.
Make sure any doctor or dentist who treats you knows you are using this medicine. This medicine may affect the results of certain medical tests (for example, blood sugar tests may not be accurate). Also, you may need to stop taking this medicine at least 3 days before your surgery.
Do not take any other medicines unless they have been discussed with your doctor. This includes prescription or over-the-counter (OTC) medications [OTC]) herbal or vitamin medications and supplements.