País: Estats Units
Idioma: anglès
Font: NLM (National Library of Medicine)
CANAGLIFLOZIN (UNII: 0SAC974Z85) (CANAGLIFLOZIN ANHYDROUS - UNII:6S49DGR869)
A-S Medication Solutions
ORAL
PRESCRIPTION DRUG
INVOKANA (canagliflozin) is indicated: - as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. - to reduce the risk of major adverse cardiovascular events (cardiovascular death, nonfatal myocardial infarction and nonfatal stroke) in adults with type 2 diabetes mellitus and established cardiovascular disease (CVD). - to reduce the risk of end-stage kidney disease (ESKD), doubling of serum creatinine, cardiovascular (CV) death, and hospitalization for heart failure in adults with type 2 diabetes mellitus and diabetic nephropathy with albuminuria greater than 300 mg/day. Limitations of Use INVOKANA is not recommended for use to improve glycemic control in patients with type 1 diabetes mellitus [see Warnings and Precautions (5.1)] . INVOKANA is not recommended for use to improve glycemic control in adults with type 2 diabetes mellitus with an eGFR less than 30 mL/min/1.73 m 2 . INVOKANA is likely to be ineffective in this setting based upon i
Product: 50090-5029 NDC: 50090-5029-0 90 TABLET, FILM COATED in a BOTTLE
New Drug Application
A-S Medication Solutions ---------- This Medication Guide has been approved by the U.S. Food and Drug Administration. Revised: 07/2023 Medication Guide INVOKANA ®(in-vo-KAHN-uh) (canagliflozin) tablets, for oral use What is the most important information I should know about INVOKANA? INVOKANA can cause serious side effects, including: • Diabetic ketoacidosis (increased ketones in your blood or urine) in people with type 1 and other ketoacidosis.INVOKANA can cause ketoacidosis that can be life-threatening and may lead to death. People with type 1 diabetes, type 2 diabetes, or pancreas problems have a high risk of getting ketoacidosis. Ketoacidosis can happen even if your blood sugar is less than 250 mg/dL. Your healthcare provider may ask you to periodically check ketones in your urine or blood. Ketoacidosis can also happen in people who are sick or who have surgery during treatment with INVOKANA. Ketoacidosis is a serious condition which needs to be treated in a hospital. Ketoacidosis may lead to death. • Stop taking INVOKANA and call your healthcare provider or get medical help right away if you get any of the following. If possible, check for ketones in your urine or blood, even if your blood sugar is less than 250 mg/dL: • nausea • vomiting • stomach-area (abdominal) pain • tiredness • trouble breathing • ketones in your urine or blood • Amputations. INVOKANA may increase your risk of lower limb amputations. Amputations mainly involve removal of the toe or part of the foot, however, amputations involving the leg, below and above the knee, have also occurred. Some people had more than one amputation, some on both sides of the body. You may be at a higher risk of lower limb amputation if you: • have a history of amputation • have heart disease or are at risk for heart disease • have had blocked or narrowed blood vessels, usually in your leg • have damage to the nerves (neuropathy) in your leg • have had diabetic foot ulcers or sores Call your doctor right away if you have new pain or Llegiu el document complet
INVOKANA- CANAGLIFLOZIN TABLET, FILM COATED A-S MEDICATION SOLUTIONS ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE INVOKANA SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR INVOKANA. INVOKANA (CANAGLIFLOZIN) TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 2013 RECENT MAJOR CHANGES Indications and Usage ( 1) 07/2023 Dosage and Administration ( 2) 07/2023 Contraindications ( 4) 07/2023 Warnings and Precautions ( 5.1) 07/2023 INDICATIONS AND USAGE INVOKANA is a sodium-glucose co-transporter 2 (SGLT2) inhibitor indicated: As an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus ( 1) To reduce the risk of major adverse cardiovascular events in adults with type 2 diabetes mellitus and established cardiovascular disease ( 1) To reduce the risk of end-stage kidney disease, doubling of serum creatinine, cardiovascular death, and hospitalization for heart failure in adults with type 2 diabetes mellitus and diabetic nephropathy with albuminuria ( 1). Limitations of Use: Not recommended for use to improve glycemic control in patients with type 1 diabetes mellitus ( 1) Not recommended for use to improve glycemic control in adults with type 2 diabetes mellitus with an eGFR less than 30 mL/min/1.73 m ( 1) DOSAGE AND ADMINISTRATION Assess renal function before initiating and as clinically indicated ( 2.1) The recommended starting dose is 100 mg once daily, taken before the first meal of the day ( 2.2) Dose can be increased to 300 mg once daily in patients tolerating 100 mg once daily who have an eGFR of 60 mL/min/1.73 m or greater and require additional glycemic control ( 2.2) Dose adjustment for patients with renal impairment may be required ( 2.3) See full prescribing information for INVOKANA dosage modifications due to drug interactions ( 2.4) Withhold INVOKANA at least 3 days, if possible, prior to major surgery or procedures associated with prolonged fasting ( 2.5). DOSAGE FORMS AND STRENGTHS Tablets: Llegiu el document complet