{"id":44559,"date":"2016-05-19T00:00:00","date_gmt":"2016-05-19T04:00:00","guid":{"rendered":"https:\/\/asweetlife.org\/invokana-may-increase-risk-of-leg-and-foot-amputations\/"},"modified":"2016-09-25T04:32:17","modified_gmt":"2016-09-25T08:32:17","slug":"invokana-may-increase-risk-of-leg-and-foot-amputations","status":"publish","type":"post","link":"https:\/\/asweetlife.org\/?p=44559","title":{"rendered":"Invokana May\u00a0Increase Risk of Leg and Foot Amputations"},"content":{"rendered":"<p class=\"p1\"><a href=\"https:\/\/asweetlife.org\/wp-content\/uploads\/2016\/05\/Invokana-Pill-Box.jpg\" rel=\"mfp\"><img decoding=\"async\" class=\"alignleft wp-image-38895 size-medium lazyload\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-src=\"https:\/\/asweetlife.org\/wp-content\/uploads\/2016\/05\/Invokana-Pill-Box-213x300.jpg\" alt=\"Invokana Pill Box\" width=\"213\" height=\"300\" \/><\/a><\/p>\n<p class=\"p3\" style=\"text-align: justify;\"><span class=\"s1\">The FDA issued a safety communication\u00a0alerting the public about interim safety results from an ongoing clinical trial that found an increase in leg and foot amputations, mostly affecting the toes, in patients treated with the diabetes medicine canagliflozin (Invokana, Invokamet). The FDA has not determined whether canagliflozin increases the risk of leg and foot amputations.\u00a0<\/span><\/p>\n<p class=\"p3\" style=\"text-align: justify;\"><span class=\"s1\">The FDA is currently investigating this new safety issue and will update the public when we have more information.<\/span><\/p>\n<p class=\"p3\" style=\"text-align: justify;\"><span class=\"s1\">Canagliflozin\u00a0(Invokana, Invokamet)\u00a0is a prescription medicine used with diet and exercise to lower blood sugar in adults with type 2 diabetes. It belongs to a class of drugs called sodium-glucose cotransporter-2 (SGLT2) inhibitors. Canagliflozin lowers blood sugar by causing the kidneys to remove sugar from the body through the urine. It is available as a single-ingredient product under the brand name Invokana and also in combination with the diabetes medicine metformin under the brand name Invokamet.<\/span><\/p>\n<p class=\"p3\" style=\"text-align: justify;\"><span class=\"s1\">The FDA recommends health care professionals should follow the recommendations in the canagliflozin drug labels: Monitor patients for the signs and symptoms described above and advise patients to seek medical advice if they experience them.<\/span><\/p>\n<p class=\"p3\" style=\"text-align: justify;\"><span class=\"s1\">Patients should not stop or change their diabetes medicines without first talking to their health care professional. Doing so can lead to uncontrolled blood sugar levels that can be harmful. Over time, this can cause serious problems, including blindness, nerve and kidney damage, and heart disease. Patients taking canaglifozin should notify their health care professionals right away if they notice any new pain or tenderness, sores or ulcers, or infections in their legs or feet.<\/span><\/p>\n<p class=\"p3\" style=\"text-align: justify;\"><span class=\"s1\">Healthcare professionals and patients are encouraged to report adverse events or side effects related to the use of these products to the FDA&#8217;s MedWatch Safety Information and Adverse Event Reporting Program:<\/span><\/p>\n<p class=\"p3\" style=\"text-align: justify;\"><span class=\"s1\">Complete and submit the report Online:\u00a0<a href=\"http:\/\/links.govdelivery.com\/track?type=click&amp;enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTYwNTE4LjU5MTc0NzkxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE2MDUxOC41OTE3NDc5MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE3NzA2NDQxJmVtYWlsaWQ9YXBwbGUuamVzc0BnbWFpbC5jb20mdXNlcmlkPWFwcGxlLmplc3NAZ21haWwuY29tJnRhcmdldGlkPSZmbD0mZXh0cmE9TXVsdGl2YXJpYXRlSWQ9JiYm&amp;&amp;&amp;101&amp;&amp;&amp;http:\/\/www.fda.gov\/MedWatch\/report?source=govdelivery&amp;utm_medium=email&amp;utm_source=govdelivery\"><span class=\"s2\">www.fda.gov\/MedWatch\/report<\/span><\/a><\/span><\/p>\n<p class=\"p3\" style=\"text-align: justify;\"><span class=\"s3\"><a href=\"http:\/\/links.govdelivery.com\/track?type=click&amp;enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTYwNTE4LjU5MTc0NzkxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE2MDUxOC41OTE3NDc5MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE3NzA2NDQxJmVtYWlsaWQ9YXBwbGUuamVzc0BnbWFpbC5jb20mdXNlcmlkPWFwcGxlLmplc3NAZ21haWwuY29tJnRhcmdldGlkPSZmbD0mZXh0cmE9TXVsdGl2YXJpYXRlSWQ9JiYm&amp;&amp;&amp;102&amp;&amp;&amp;http:\/\/www.fda.gov\/Safety\/MedWatch\/HowToReport\/DownloadForms\/default.htm?source=govdelivery&amp;utm_medium=email&amp;utm_source=govdelivery\">Download form<\/a><\/span><span class=\"s1\">\u00a0or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&hellip;<\/p>\n","protected":false},"author":131,"featured_media":32390,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1442],"tags":[1291],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.9 (Yoast SEO v22.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Invokana May\u00a0Increase Risk of Leg and Foot Amputations<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/asweetlife.org\/?p=44559\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"ASweetLife Team\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/asweetlife.org\/?p=44559\",\"url\":\"https:\/\/asweetlife.org\/?p=44559\",\"name\":\"Invokana May\u00a0Increase Risk of Leg and Foot Amputations\",\"isPartOf\":{\"@id\":\"https:\/\/asweetlife.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/asweetlife.org\/?p=44559#primaryimage\"},\"image\":{\"@id\":\"https:\/\/asweetlife.org\/?p=44559#primaryimage\"},\"thumbnailUrl\":\"https:\/\/asweetlife.org\/wp-content\/uploads\/2013\/04\/Invokana-Pill-Box.jpg\",\"datePublished\":\"2016-05-19T04:00:00+00:00\",\"dateModified\":\"2016-09-25T08:32:17+00:00\",\"author\":{\"@id\":\"https:\/\/asweetlife.org\/#\/schema\/person\/5de2b093878b82b0ea97917f8fd72585\"},\"breadcrumb\":{\"@id\":\"https:\/\/asweetlife.org\/?p=44559#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/asweetlife.org\/?p=44559\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/asweetlife.org\/?p=44559#primaryimage\",\"url\":\"https:\/\/asweetlife.org\/wp-content\/uploads\/2013\/04\/Invokana-Pill-Box.jpg\",\"contentUrl\":\"https:\/\/asweetlife.org\/wp-content\/uploads\/2013\/04\/Invokana-Pill-Box.jpg\",\"width\":300,\"height\":422,\"caption\":\"Invokana Pill Box\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/asweetlife.org\/?p=44559#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/asweetlife.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Invokana May\u00a0Increase Risk of Leg and Foot Amputations\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/asweetlife.org\/#website\",\"url\":\"https:\/\/asweetlife.org\/\",\"name\":\"ASweetLife\",\"description\":\"The Diabetes Magazine\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/asweetlife.org\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/asweetlife.org\/#\/schema\/person\/5de2b093878b82b0ea97917f8fd72585\",\"name\":\"ASweetLife Team\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/asweetlife.org\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/ba76b5c6c27d32738b13f9a8a5cfcf02?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/ba76b5c6c27d32738b13f9a8a5cfcf02?s=96&d=mm&r=g\",\"caption\":\"ASweetLife Team\"},\"url\":\"https:\/\/asweetlife.org\/?author=131\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Invokana May\u00a0Increase Risk of Leg and Foot Amputations","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/asweetlife.org\/?p=44559","twitter_misc":{"Written by":"ASweetLife Team","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/asweetlife.org\/?p=44559","url":"https:\/\/asweetlife.org\/?p=44559","name":"Invokana May\u00a0Increase Risk of Leg and Foot Amputations","isPartOf":{"@id":"https:\/\/asweetlife.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/asweetlife.org\/?p=44559#primaryimage"},"image":{"@id":"https:\/\/asweetlife.org\/?p=44559#primaryimage"},"thumbnailUrl":"https:\/\/asweetlife.org\/wp-content\/uploads\/2013\/04\/Invokana-Pill-Box.jpg","datePublished":"2016-05-19T04:00:00+00:00","dateModified":"2016-09-25T08:32:17+00:00","author":{"@id":"https:\/\/asweetlife.org\/#\/schema\/person\/5de2b093878b82b0ea97917f8fd72585"},"breadcrumb":{"@id":"https:\/\/asweetlife.org\/?p=44559#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/asweetlife.org\/?p=44559"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/asweetlife.org\/?p=44559#primaryimage","url":"https:\/\/asweetlife.org\/wp-content\/uploads\/2013\/04\/Invokana-Pill-Box.jpg","contentUrl":"https:\/\/asweetlife.org\/wp-content\/uploads\/2013\/04\/Invokana-Pill-Box.jpg","width":300,"height":422,"caption":"Invokana Pill Box"},{"@type":"BreadcrumbList","@id":"https:\/\/asweetlife.org\/?p=44559#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/asweetlife.org\/"},{"@type":"ListItem","position":2,"name":"Invokana May\u00a0Increase Risk of Leg and Foot Amputations"}]},{"@type":"WebSite","@id":"https:\/\/asweetlife.org\/#website","url":"https:\/\/asweetlife.org\/","name":"ASweetLife","description":"The Diabetes Magazine","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/asweetlife.org\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/asweetlife.org\/#\/schema\/person\/5de2b093878b82b0ea97917f8fd72585","name":"ASweetLife Team","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/asweetlife.org\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/ba76b5c6c27d32738b13f9a8a5cfcf02?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/ba76b5c6c27d32738b13f9a8a5cfcf02?s=96&d=mm&r=g","caption":"ASweetLife Team"},"url":"https:\/\/asweetlife.org\/?author=131"}]}},"_links":{"self":[{"href":"https:\/\/asweetlife.org\/index.php?rest_route=\/wp\/v2\/posts\/44559"}],"collection":[{"href":"https:\/\/asweetlife.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/asweetlife.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/asweetlife.org\/index.php?rest_route=\/wp\/v2\/users\/131"}],"replies":[{"embeddable":true,"href":"https:\/\/asweetlife.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=44559"}],"version-history":[{"count":0,"href":"https:\/\/asweetlife.org\/index.php?rest_route=\/wp\/v2\/posts\/44559\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/asweetlife.org\/index.php?rest_route=\/wp\/v2\/media\/32390"}],"wp:attachment":[{"href":"https:\/\/asweetlife.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=44559"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/asweetlife.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=44559"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/asweetlife.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=44559"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}