Product image of Invokana (Canagliflozin) supplied by GNH India

Invokana

Active Ingredient:
Canagliflozin
Origin:
EU

Invokana (Canagliflozin)

Canagliflozin, the active ingredient in Invokana, is a sodium‑glucose co‑transporter‑2 (SGLT2) inhibitor presented as an oral tablet for oral use. It received marketing authorization in the European Union and is classified as a prescription‑only medicine. The drug is prescribed to improve glycaemic control in adults with type 2 diabetes mellitus, often in combination with diet, exercise and other antidiabetic agents.

GNH India supplies Invokana as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality and regulatory compliance.

Manufacturer / TM Owner

Janssen-Cilag International Nv

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Indications & Clinical Uses

  • Invokana is an SGLT2 inhibitor used in the management of type 2 diabetes and its related complications.
  • Type 2 diabetes mellitus: lowers blood glucose by increasing urinary glucose excretion.
  • Cardiovascular risk reduction in type 2 diabetes: decreases incidence of major adverse cardiovascular events.
  • Chronic kidney disease in type 2 diabetes: slows progression of renal function decline.

How It Works

  • Canagliflozin selectively inhibits the sodium‑glucose co‑transporter‑2 (SGLT2) located in the proximal renal tubules, reducing reabsorption of filtered glucose. This leads to increased urinary glucose excretion, lowering plasma glucose concentrations and contributing to improved glycaemic control in patients with type 2 diabetes.

Side Effects

Common Side Effects

  • Urinary tract infection: symptoms such as dysuria or frequency.
  • Genital mycotic infection: itching or discharge in genital area.
  • Increased urination: polyuria and nocturia.
  • Thirst: polydipsia due to osmotic diuresis.
  • Hypotension: especially in patients on diuretics.
  • Elevated LDL‑cholesterol: modest rise in serum levels.

Serious or Rare Side Effects

  • Ketoacidosis: metabolic acidosis with normal or low glucose.
  • Severe dehydration: may require hospitalization.
  • Acute kidney injury: sudden decline in renal function.
  • Fournier's gangrene: necrotizing fasciitis of the perineum.
  • Bone fracture: increased risk of lower‑extremity fractures.
  • Severe hypoglycaemia: when combined with insulin or sulfonylureas.

Precautions & Warnings

  • Before initiating therapy, assess patient suitability and monitor for adverse events.
  • Assess renal function: evaluate eGFR and avoid use in severe renal impairment.
  • Monitor for ketoacidosis: educate patients on symptoms and when to seek care.
  • Avoid in severe hepatic impairment: contraindicated due to limited data.
  • Review concomitant diuretics: increased risk of volume depletion and hypotension.
  • Counsel on genital infection risk: advise good hygiene and prompt treatment.
  • Store at ambient temperature: keep in original container, protect from moisture.

Avoid Interactions

Canagliflozin may interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Insulin or sulfonylureas: heightened risk of hypoglycaemia.
  • Loop diuretics: may exacerbate volume depletion and hypotension.
  • Rifampin: induces metabolism, reducing canagliflozin exposure.

Moderate Interactions (Monitor Closely)

  • NSAIDs: potential impact on renal function.
  • ACE inhibitors or ARBs: monitor renal function and potassium levels.
  • Thiazide diuretics: additive diuretic effect, watch for dehydration.

Frequently Asked Questions

Invokana (canagliflozin) is prescribed to improve blood sugar control in adults with type 2 diabetes mellitus. It works by promoting the excretion of excess glucose in the urine, helping to lower plasma glucose levels when used alongside diet, exercise and other antidiabetic therapies.

Canagliflozin selectively blocks the sodium‑glucose co‑transporter‑2 (SGLT2) in the kidney’s proximal tubules. By inhibiting this transporter, the drug reduces reabsorption of filtered glucose, leading to increased urinary glucose loss and consequently lower blood glucose concentrations.

The appropriate dose of Invokana is determined by the prescribing healthcare professional based on individual patient factors such as renal function, concomitant medications and overall treatment goals. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Safety of canagliflozin in pregnancy and lactation has not been established. The product is classified as pregnancy category unknown, and it is generally recommended to avoid use unless the potential benefit justifies the potential risk to the fetus or infant. Consultation with a healthcare provider is essential.

To order Invokana, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials before providing pricing, availability, shipping details and any necessary import documentation.

Invokana belongs to the SGLT2 inhibitor class, which differs from metformin (biguanides) or sulfonylureas by promoting urinary glucose excretion rather than affecting hepatic glucose production or pancreatic insulin release. Compared with some alternatives, it offers additional benefits such as modest weight loss and cardiovascular risk reduction, but it also carries unique safety considerations.

Invokana tablets should be stored at ambient temperature, below 25 °C. Keep the medication in its original packaging, protect it from moisture and direct sunlight, and store it out of reach of children.

Invokana is taken orally, usually once daily in the morning, with or without food, as directed by the prescriber. The tablet should be swallowed whole with a glass of water and not chewed or crushed.

Serious risks include ketoacidosis (a metabolic emergency), severe dehydration, acute kidney injury, and rare cases of necrotizing fasciitis of the perineum (Fournier’s gangrene). Patients should be educated to recognize early symptoms and seek immediate medical attention if they occur.

Invokana is contraindicated in patients with severe renal impairment (eGFR below the approved threshold), end‑stage renal disease, or on dialysis. It should also be avoided in individuals with a known hypersensitivity to canagliflozin or any component of the formulation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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