Invokamet

["Before taking this medicine", "You should not use Invokamet if you are allergic to canagliflozin or metformin, or if you have:", "\\\\nsevere kidney disease or\\\\n\\\\n\\\\nketoacidosis (call your doctor for treatment).\\\\n", "If you need to have any type of x-ray or CT scan using a dye that is injected into your veins, you may need to temporarily stop taking Invokamet.", "To make sure Invokamet is safe for you, tell your doctor if you have:", "\\\\nheart problems \\\\n\\\\n\\\\na diabetic foot ulcer or amputation \\\\n\\\\n\\\\ncirculation problems or nerve problems in your legs or feet \\\\n\\\\n\\\\nliver or kidney disease \\\\n\\\\n\\\\nlow levels of vitamin B12 or calcium in your blood \\\\n\\\\n\\\\nbladder infections or other urination problems \\\\n\\\\n\\\\na pancreas disorder or surgery \\\\n\\\\n\\\\na change in your diet or\\\\n\\\\n\\\\nif you are on a low salt diet.\\\\n", "\\\\n\\\\n", "You may develop lactic acidosis, a dangerous build-up of lactic acid in your blood This may be more likely if you have other medical conditions, a severe infection, chronic alcoholism, or if you are 65 or older Ask your doctor about your risk.", "Tell your doctor right away if you become pregnant Canagliflozin may harm the unborn baby if you take Invokamet during your second or third trimester.", "Metformin may stimulate ovulation in a premenopausal woman and may increase the risk of unintended pregnancy Talk to your doctor about your risk.", "You should not breastfeed while using this medicine.", "Invokamet is not approved for use by anyone younger than 18 years old.", " Invokamet pregnancy and breastfeeding warnings (more detail)", "How should I take Invokamet?", "Take Invokamet exactly as prescribed by your doctor Follow all directions on your prescription label and read all medication guides or instruction sheets Your doctor may occasionally change your dose.", "If you had been taking an evening dose of metformin extended-release tablets, skip your last dose the evening before you start taking Invokamet.", "Take this medicine with food.", "Swallow the extended-release tablet whole and do not crush, chew, or break it.", "You may have low blood sugar (hypoglycemia) and feel very hungry, dizzy, irritable, confused, anxious, or shaky To quickly treat hypoglycemia, eat or drink a fast-acting source of sugar (fruit juice, hard candy, crackers, raisins, or non-diet soda).", "Your doctor may prescribe a glucagon injection kit in case you have severe hypoglycemia Be sure your family or close friends know how to give you this injection in an emergency.", "Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination.", "Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals Ask your doctor before changing your dose or medication schedule.", "Your doctor may have you take extra vitamin B12 Take only the amount of vitamin B12 that your doctor has prescribed.", "Call your doctor if you have ongoing vomiting or diarrhea, or if you are sweating more than usual You can easily become dehydrated while taking Invokamet, which can lead to severely low blood pressure or a serious electrolyte imbalance.", "If you need surgery or medical tests, tell any doctor who treats you that you are using Invokamet You may need to stop using this medicine at least 3 days before a surgery Ask your doctor about how to control your blood sugar during this time.", "Invokamet is only part of a treatment program that may also include diet, exercise, weight control, blood sugar testing, and special medical care Follow your doctor's instructions very closely.", "Store tablets in their original container at room temperature, away from moisture and heat Do not keep Invokamet tablets in a daily pill box for longer than 30 days."]