Invokana is a prescription drug that lowers blood sugar in people with Type 2 diabetes. This drug helps the kidneys remove glucose from the bloodstream, and is most effective when used with diet and exercise.

Invokana does not treat Type 1 diabetes.

Always follow your doctor’s instructions and use Invokana exactly as prescribed.

• Invokana is taken once daily, before your first meal of the day.
• Your doctor will prescribe either a 100 mg or 300 mg dose, depending on your medical history and symptoms.

Do not take Invokana if you have:

• Type 1 diabetes or diabetic ketoacidosis
• Heart, liver or kidney issues
• History of low blood pressure or stroke
• Currently taking blood pressure medication
• Pregnancy

Invokana may increase the risk of bone fractures, even after a minor fall.

Learn the signs of low blood sugar (hunger, nausea, anxiety, rapid heart rate, shakiness, sweating) and always keep a source of sugar with you (hard candy, glucose tablets, fruit juice, soda).

Common side effects of Invokana include:

• Yeast infections
• Urinary tract infection or changes in urinary frequency
• Nausea
• Constipation
• Increased thirst

More serious side effects include:

• Dehydration: dizziness, fast heartbeat, dry mouth, weakness
• Low blood sugar: sweating, anxiety, blurred vision, weakness, shakiness, irritability
• Kidney issues: little or no urination, swelling in feet or ankles
• Light headedness or fainting
• Pain, sores or ulcers in legs or feet

Does Invokana increase the risk of amputation?

A recent study found that Invokana may increase your risk of lower-limb amputation. People with Type 2 diabetes have a higher risk of foot problems and amputations. Wash and inspect your feet daily, and notify your doctor with any concerns.

How do I know if Invokana is working?

Track blood sugar levels as directed by your doctor using a journal or app. Your doctor will also monitor progress with regular blood tests and may adjust your Invokana dose depending on the results.