Invokana (Canagliflozin hemihydrate) is used in combination with diet and exercise to improve blood sugar control in patients with type 2 diabetes mellitus. This medication is also used in patients with Type 2 diabetes and heart disease to lower the risk of death from a heart attack or stroke. Invokana works by reducing reabsorption of glucose, and lowering the kidneys threshold for glucose, which leads to increased excretion of glucose through the urine. To make sure Invokana is safe for you, tell your doctor if you have ever had heart problems, liver or kidney disease, a diabetic foot ulcer or amputation, circulation or nerve problems in your legs or feet, bladder or urination problems, a pancreas disorder, diabetic ketoacidosis, or if you are on a low salt diet. Tell your doctor about any other medications you are currently taking in order to reduce the risk of interactions. Tell your doctor if you are pregnant or become pregnant during treatment, as your dose may need to be different, and there are risks during the second and third trimester. You should not breastfeed while using Invokana. If you experience any serious side effects, signs of a genital infection, or signs of an allergic reaction, seek emergency medical attention.
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