Warnings


What may interact with Invokana?

Do not take this medicine with any of the following medications:

-gatifloxacin

This medicine may also interact with the following medications:

-alcohol
-certain medicines for blood pressure, heart disease
-digoxin
-diuretics
-insulin
-nateglinide
-phenobarbital
-phenytoin
-repaglinide
-rifampin
-ritonavir
-sulfonylureas like glimepiride, glipizide, glyburide

What should I tell my health care provider before I take Invokana?

They need to know if you have any of these conditions:

-artery disease
-dehydration
-diabetic ketoacidosis
-diet low in salt
-eating less due to illness, surgery, dieting, or any other reason
-foot sores
-having surgery
-high cholesterol
-high levels of potassium in the blood
-history of amputation
-history of pancreatitis or pancreas problems
-history of yeast infection of the penis or vagina
-if you often drink alcohol
-infections in the bladder, kidneys, or urinary tract
-kidney disease
-liver disease
-low blood pressure
-nerve damage
-on hemodialysis
-problems urinating
-type 1 diabetes
-uncircumcised male
-an unusual or allergic reaction to canagliflozin, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

What should I watch for while using Invokana?

Visit your doctor or health care professional for regular checks on your progress.

This medicine can cause a serious condition in which there is too much acid in the blood. If you develop nausea, vomiting, stomach pain, unusual tiredness, or breathing problems, stop taking this medicine and call your doctor right away. If possible, use a ketone dipstick to check for ketones in your urine.

A test called the HbA1C (A1C) will be monitored. This is a simple blood test. It measures your blood sugar control over the last 2 to 3 months. You will receive this test every 3 to 6 months.

Learn how to check your blood sugar. Learn the symptoms of low and high blood sugar and how to manage them.

Always carry a quick-source of sugar with you in case you have symptoms of low blood sugar. Examples include hard sugar candy or glucose tablets. Make sure others know that you can choke if you eat or drink when you develop serious symptoms of low blood sugar, such as seizures or unconsciousness. They must get medical help at once.

Tell your doctor or health care professional if you have high blood sugar. You might need to change the dose of your medicine. If you are sick or exercising more than usual, you might need to change the dose of your medicine.

Do not skip meals. Ask your doctor or health care professional if you should avoid alcohol. Many nonprescription cough and cold products contain sugar or alcohol. These can affect blood sugar.

Wear a medical ID bracelet or chain, and carry a card that describes your disease and details of your medicine and dosage times.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Throw away any unused medicine after the expiration date.