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This is intended as a summary and should not replace individual medical advice from a doctor or pharmacist. This summary does not include all possible information for this medication, ask your health care professional for personalized recommendations and complete information about this product.
Rarely canagliflozin can increase the risk of losing a lower limb. The risk can be greater if you have a history of blood circulation disease, heart disease, nerve problems, previous loss of limbs, foot ulcers. If you experience tenderness/redness/pain/swelling/sores on your feet or legs.
Canagliflozin is used to control high blood sugar in people with top 2 diabetes, in combination with a proper exercise and diet program. Controlling blood sugar can prevent kidney damage, nerve problems, limb loss, blindness, and sexual function problems. Controlling diabetes can lessen your risk of stroke or heart attack. Canagliflozin increases the removal of sugar by your kidneys.
Take this medication as directed by your doctor usually once daily before you eat breakfast. Take the medication regularly to gain the most benefit from it. If your condition worsens or does not improve talk to your doctor.
Dry mouth, dizziness, frequent urination, and lightheadedness can occur. If these effects get worse or last tell your doctor or pharmacist immediately. Your doctor has weighed the benefits and risks of this medication for you and has prescribed it in light of this. Most of the people who use this medication never experience serious side effects.
If you have any of these serious side effects talk to your doctor immediately: signs of kidney infection, signs of bladder infection, signs of high levels of potassium in the blood. If you have any of these very serious side effects: nausea/vomiting, unusual tiredness, trouble breathing. This medication can lead to a new yeast infection or cause a rare but serious bacterial infection in the genital/anal area.
If you have signs of a yeast infection talk to your doctor. If you have any pain/swelling/redness in or around the anal/genital area along with feeling unwell get medical help immediately. If this medication is prescribed with other diabetes medications, if you do not get enough calories from food, or if you do unusually strenuous exercise, low blood sugar may occur.
Low blood sugar symptoms include shaking, sweating, fast heartbeat, blurred vision, dizziness, hunger, or tingling feet/hands. Carrying glucose tablets or gel is a good habit to treat low blood sugar. You can also raise your blood sugar by eating a quick source of sugar such as honey, candy, sugar, fruit juice or non-diet soda. Check with a pharmacist or doctor on what to do if you miss a meal.
High blood sugar symptoms include increased urination, rapid breathing, increased thirst, flushing, drowsiness, confusion, and fruity breath odor. Tell your doctor right away if these symptoms occur. Your doctor may adjust your diabetes medications. This medication can lead to dehydration which can lead to serious kidney damage so drink plenty of fluids.
If you cannot drink fluids as usual or are losing fluid tell your pharmacist or doctor right away. Also speak with your doctor if you have signs of dehydration. Canagliflozin can cause bone loss or even broken bones. Ask your doctor about lifestyle habits to facilitate healthy bones. You may also need to take vitamin D and calcium supplements.
Serious allergic reactions to this drug are rare but if you notice any symptoms of serious allergic reactions get medical attention immediately: itching/swelling, rash, trouble breathing, severe dizziness. If you notice side effects not listed talk to your doctor about them as this is not a complete list of side effects.
Tell your doctor about all allergies before beginning treatment with canagliflozin. It may contain inactive ingredients that can lead to allergic reactions or other problems. Discuss your full medical background with your doctor and pharmacist before taking this medication especially of: alcohol use, dehydration, kidney disease and others. Do not drive or use heavy machinery until it is safe to do so. Limit alcohol intake while taking this medication.
If you’re eating less or unable to eat due to any illness it can lead to a high ketone level while you’re taking this medication. Consult your doctor, this may necessitate a change in your treatment plan. Tell your doctor about all products you are using before surgery. Older adults can be more sensitive so some side effects of this drug especially dehydration, dizziness/fainting, and bone loss. Only use this medication when clearly needed during pregnancy, talk to your doctor about controlling your blood sugar during pregnancy. Consult your doctor before breast-feeding.
Interactions with other medications can change how your medications work or increase the risk of serious side effects. Share a list of all the products you use with your doctor and pharmacist, do not adjust usage of any medications without talking to your doctor or pharmacist first. Some medications affect how your body removes canagliflozin which can affect its efficacy.
Rifamycins, some drugs used to treat seizures, among others, ritonavir are examples of some of these medications. Beta-blockers can prevent the pounding/fast heartbeat you’d usually feel when your blood sugar falls too low, though the other low blood sugar side effects will not be affected by these medications. Consult your doctor and pharmacist about how certain medications will affect your blood sugar before starting them. Ensure that laboratory personnel know you use this medication.
If someone has passed out or has trouble breathing they may have overdosed, call 911.
This medication should not be shared. Attend diabetes education sessions to learn how to manage your diabetes. Learn the symptoms of low and high blood sugar and how to treat low blood sugar. Check blood sugar as directed regularly. Medical and lab tests should be performed regularly to monitor progress and check for side effects.
If you miss a dose take it when you remember next, if it is near the time of your next dose skip that dose, do not double up in an attempt to catch up.
Store away from light and moisture at room temperature and not in the bathroom. Dispose of medications as directed by a pharmacist or waste disposal company. Keep medications away from pets and children.
Your condition can cause complications in a medical emergency. For information about enrolling in MedicAlert, call 1-888-633-4298 (US) or 1-800-668-1507 (Canada).
CANAGLIFLOZIN – ORAL