- Cardiovascular event risk reduction in Type 2 DM in patients with established CV disease
- Kidney disease progression and CV-related risk reduction in Type 2 DM with nephropathy and albuminuria >300 mg/day
- Type 2 DM
Dose: 100mg OD before 1st meal of the day.
- May increase to 300mg/day in eGFR ≥60 mL/min/1.73 m²
Tablet:
- 100mg
- 300mg
To be taken before the first meal of the day
Selective sodium-glucose transporter-2 (SGLT2) inhibitor
Inhibition of sodium-glucose cotransporter-2 lowers the renal glucose threshold reducing glucose/sodium reabsorption, increasing urinary glucose excretion and sodium delivery to distal tubule
- Hyperkalemia
- Genital mycotic infection
- Increased cholesterol
- Increased magnesium
- Hypoglycemia
- UTI
- Increased urination
- Increased phosphate
- Increased Hb
- Vulvovaginal pruritus
- Thirst
- Orthostatic hypotension
- Constipation
- Nausea
- Fatigue
- Increased Cr
- Lower limb amputation risk
- Hypersensitivity to drug/compound
- Pregnancy 2nd or 3rd trimester
- Type 1 DM
- Diabetic ketoacidosis
- Volume depletion
- eGFR <30
None restricted
Drug Status
Availability | Prescription only |
Pregnancy | Contraindicated |
Breastfeeding | Contraindicated |
Schedule | Not controlled |
BRAND NAME | STRENGTH | FORMULATION | PACK SIZE | MANUFACTURER | DISTRIBUTOR |
---|---|---|---|---|---|
Invokana | 100mg | Tablet | 30’s | Janssen-Cilag | Phillips Therapeutics |
Invokana | 300mg | Tablet | 30’s | Janssen-Cilag | Phillips Therapeutics |