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Invokana

Invokana is a prescription medication used in the treatment of type 2 diabetes in adults. Type 2 diabetes occurs when the blood glucose levels become too high because the body cannot produce enough insulin or it is not using insulin correctly. Type 2 diabetes usually develops later on in adult life as a result of being overweight and inactive.

This is a long term condition that can be life threatening if it’s not properly managed. Without treatment diabetes can lead to serious complications such as heart attacks and strokes. Invokana contains the active ingredient canagliflozin which is a type of blood glucose lowering drug.


Prices start from £63.99 for 30 tablets


Last Patient Information Leaflet Review: 21/01/2020


Invokana Patient Information Leaflet

£ 63.99 InStock
PLEASE CLICK HERE TO ANSWER SOME QUESTIONS ABOUT YOUR SYMPTOMS
Please note all the answers are reviewed by a doctor to assess eligibility
1
2

Please use a minimum of 1 words.

3
  • Allergy to canagliflozin
  • Type 1 diabetes
  • Diabetic ketoacidosis
  • Severe kidney problems
  • Severe liver problems
  • Heart disease
  • History of stroke
  • Lower limb amputation
4
  • Other treatments for diabetes (unless prescribed by your own GP to use in conjunction with canagliflozin)
  • Medicines to lower your blood pressure
  • Diuretics
  • St John's Wort
  • Carbamazepinr
  • Phenytoin
  • Phenobarbital
  • Efavirenz
  • Ritonavir
  • Rifampicin
  • Chloestyramine
  • Digoxin
  • Digitoxin
  • Dabigatran
5

Please use a minimum of 1 words.

6
7
  • You have an allergy to canagliflozin
  • You've taken this treatment before and suffered from serious side effects
  • You're already using canagliflozin in another medicinal form, or to treat another condition
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Dr Daniel Cichi has 20 years experience as a doctor and now he is a senior GP. He worked in A&E departments, GP surgeries and on cruise ships.

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Shamir is a well-respected pharmacist with extensive experience running online pharmacies in the UK.

How does Invokana work?

In diabetic patients there is too much sugar in the blood and Invokana helps to remove some of this sugar. The active ingredient, canagliflozin, helps the kidneys to remove excess sugar from the blood through urination. Removing excess sugar also aids weight loss along with diet and exercise, which may be necessary in some type 2 diabetic patients.

Who is suitable to take Invokana?

Invokana is suitable for adults over the age of 18 years old who have been diagnosed with type 2 diabetes. Invokana may be used when other treatments are not suitable such as metformin or insulin, or it is suitable to be used in conjunction with these medicines when they are not sufficiently controlling blood sugar levels alone.

Who should not take Invokana?

Not everyone with type 2 diabetes will be suitable to take Invokana due to a number of reasons. If you have other health conditions or are taking other medication which may interact with this drug it may not be a safe option for you. Invokana may also not be suitable if you are pregnant, thinking of becoming pregnant, or breastfeeding.

Invokana and pregnancy?

Whilst pregnant your diabetes still needs to be controlled but your method of treatment may need to change. You should discuss the risks of taking Invokana with your doctor during pregnancy or if you’re planning to become pregnant as it may not be recommended. You should not take Invokana during pregnancy or breastfeeding as the safety has not yet been established. Insulin is usually a more appropriate treatment for controlling diabetes during pregnancy.

Invokana and health conditions

Invokana may not be suitable if you have other health conditions which could be worsened by taking this medication. It’s important that taking this medication benefits your overall health and does not have any detrimental effects on your existing health conditions. For instance, if you have severe liver or kidney problems, are on dialysis, or have had any serious heart problems or a stroke you should not take this medicine. Likewise if you have a genital yeast infection, or have had lower limb amputation, Invokana will not be a suitable treatment for you.

If you have diabetic ketoacidosis (buildup of ketones in the body) Invokana cannot treat this condition and instead you should seek urgent medical help if you’re showing signs of diabetic ketoacidosis. Also, if you’re allergic to canagliflozin or any other ingredient in Invokana you should avoid this medicine as allergic reactions can be potentially life threatening.

Invokana and other medication

You may not be suitable for Invokana depending on whether you’re taking other medication and the type of medication you’re taking. Regular blood tests and kidney function tests will also need to be carried out while taking this medicine. Before taking Invokana you should discuss any other medication with a GP to avoid interaction with drugs and causing unpleasant side effects. There are some specific medications which should be considered when taking Invokana and these are:

  • Other antidiabetics such as insulin or sulphonylurea as there is a risk of low blood sugar (hypoglycaemia)
  • Blood pressure lowering medicines
  • Diuretics
  • St John’s Wort
  • Seizure medicines called carbamazepine, phenytoin, phenobarbital
  • Medicines to treat HIV such as efavirenz and ritonavir
  • The antibiotic, rifampicin
  • Cholestyramine used to lower cholesterol
  • Digoxin or digitoxin used to treat heart problems
  • Dabigatran (blood thinning medicine)

How to take Invokana

Invokana is available in tablet form and should be swallowed whole with water. The recommended time to take this medicine is before the first meal of the day and it’s best taken at the same time each day. Your doctor will decide your dose based on the severity of your condition and if you have any other health problems, but the general recommended dose is one 100mg tablet each day which may be increased to 300mg or lowered if you have kidney problems.

What are the side effects of Invokana?

Like all medication you may experience some side effects when taking Invokana but not everyone will suffer these side effects, and some are more rare than others. If you experience any of the following side effects you should consult your doctor to discuss alternative medication or lowering your current dose.

Common side effects

The following side effects are more likely to occur in people who take Invokana, these have been reported in 1 in 10 people. They include:

  • Low blood sugar (hypoglycaemia) - shaking, hunger, nervousness, sweating, confusion, fast heartbeat, dizziness etc
  • Genital yeast infection
  • Urinary tract infection
  • Changes in urination
  • Constipation
  • Feeling thirsty
  • Nausea
  • Changes in cholesterol levels
  • Increase in the amount of red blood cells in your blood

Uncommon/rare side effects

The more serious side effects do not usually occur very often. Uncommon and rare side effects of Invokana include:

  • Rash or red skin
  • Hives
  • Increases in creatinine or urea
  • Decrease in kidney function
  • Increase in blood phosphate level
  • Bone fracture
  • Kidney failure
  • Dehydration - very dry mouth, feeling very tired or sleepy, not peeing or the pee is very dark, dizziness, fast heartbeat/breathing, sunken eyes etc
  • Lower limb amputation
  • Phimosis
  • Severe allergic reaction - swelling of the face, lips, mouth, tongue or throat which may cause difficulty breathing or swallowing
  • Diabetic ketoacidosis

Diabetic ketoacidosis

Diabetic ketoacidosis occurs when there is a buildup of ketones in the body which is a dangerous substance that causes harmful side effects and can be life threatening. If you’re showing any of the following signs of diabetic ketoacidosis who should seek emergency medical help at your nearest A&E department. Signs to look out for include:

  • Nausea/vomiting
  • Stomach pain
  • Excessive thirst
  • Fast and deep breathing
  • Confusion
  • Unusual sleepiness or tiredness
  • Your breath may smell sweet and you may have a metallic taste in your mouth
  • Rapid weight loss

How effective is Invokana?

Invokana is effective at treating type 2 diabetes when taken alongside a healthy diet and exercise. It can reduce blood glucose levels and prevent the serious life-threatening complications of diabetes.

Dosage Instructions
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Invokana Dosage Quantity Cost Including Consultation
Invokana 100mg 30 tablets £63.99
Invokana 100mg 60 tablets £124.99
Invokana 100mg 90 tablets £186.99
Invokana 100mg 180 tablets £250.99
Invokana 300mg 30 tablets £64.99
Invokana 300mg 60 tablets £125.99
Invokana 300mg 90 tablets £187.99
Invokana 300mg 180 tablets £251.99

Delivery Charges

The following delivery methods are currently available within the UK: All orders are sent in discreet, plain packaging.

UK Standard Delivery, £1.99

Order before 12pm to have your order delivered using Royal Mail Tracked 48 Service

standard UK delivery within 3-5 working days

Additional terms and conditions apply.

UK Express Delivery, £2.99

Order before 12pm to have your order delivered using the Express delivery service* (deliveries are made Monday - Saturday)

If you order after 12pm, your order will be dispatched the next working day and will be with you within 48 hours once dispatched. This excludes weekends and bank holidays

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Anytime, £4.99 (This service includes Saturday)

Order before 12pm to have your order delivered using Royal Mail Special Delivery Service, which includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 1pm, £7.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 1pm next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 9am, £14.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 9am next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

DPD Next Day Delivery, £4.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 12 Noon, £9.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 12 noon the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 10:30am, £14.99  (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, £14.99

Orders signed by the doctor before 12 noon the day before will be delivered the following Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply

DPD Saturday Delivery, by 12:00am, £21.99

Orders signed by the doctor before 12 noon the day before will be delivered by 12:00am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, by 10:30am, £29.99

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply, please see below.

US and outside the UK

Unfortunately, we can't process orders from outside the UK at this time.


Terms and Conditions

Delivery options exclude Bank Holidays, public holidays and Sundays.All deliveries are subject to Doctor-4-u successfully receiving payment and prescription being approved by the doctor.

All purchases require additional approval, which will involve completion of an online questionnaire and any subsequent approval.

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