canagliflozin

Brand: Invokana

Prototype: empagliflozin
Drug Class: SGLT-2 inhibitor
Drug Family: antidiabetic
Subclass: sodium-glucose cotransporter-2 inhibitor
Organ Systems: endocrinecardiovascularrenal

Mechanism of Action

Inhibits SGLT-2 in the proximal tubule, blocking ~40% of filtered glucose reabsorption, producing glycosuria. At clinical doses also partially inhibits intestinal SGLT-1, reducing postprandial glucose. Additional cardiorenal effects similar to other SGLT-2 inhibitors.

SGLT-2 (proximal tubule)SGLT-1 (at higher doses)

Indications

  • type 2 diabetes mellitus
  • cardiovascular risk reduction in T2DM with established CVD
  • CKD with albuminuria (eGFR 25–75 mL/min)

Contraindications

  • type 1 diabetes
  • DKA
  • eGFR <30 mL/min (T2DM indication)
  • dialysis

Adverse Effects

Common

  • genital mycotic infections
  • UTIs
  • polyuria
  • volume depletion

Serious

  • lower limb amputations (strongest association among SGLT-2 inhibitors; primarily toes)
  • DKA (euglycemic)
  • acute kidney injury
  • Fournier's gangrene
  • bone fractures (class effect)

Pharmacokinetics (ADME)

Absorption oral bioavailability ~65%
Distribution 99% protein bound
Metabolism hepatic glucuronidation (UGT1A9, UGT2B4); CYP3A4 minimal
Excretion fecal (52%) and renal (33%)
Half-life 10.6–13.1 hours
Onset rapid
Peak 1–2 hours
Duration 24 hours
Protein Binding 99%
Vd 83.5 L

Drug Interactions

Drug / Agent Mechanism Severity
rifampin UGT induction decreases canagliflozin levels by 51% major
digoxin canagliflozin increases digoxin AUC by 20%; monitor digoxin levels moderate

Nursing Considerations

  1. Assess for peripheral vascular disease, neuropathy, and history of amputation before initiating; counsel about foot care and daily foot inspection.
  2. CREDENCE trial demonstrated significant reductions in CKD progression and CV events in diabetic nephropathy; ensure indication review.
  3. Monitor blood pressure and volume status; orthostatic hypotension risk especially in elderly patients on diuretics.
  4. Instruct patients to promptly report pain, tenderness, or swelling of genitalia or perineum (Fournier's gangrene is rare but life-threatening).

Clinical Pearls

  • Canagliflozin has the strongest association with lower limb amputations (primarily toes/metatarsals) among SGLT-2 inhibitors, identified in the CANVAS trial; use with caution in patients with peripheral artery disease or prior amputation.
  • The CREDENCE trial established canagliflozin as the first agent to show significant renal protection in diabetic nephropathy since the ACE inhibitor/ARB trials of the 1990s.

Safety Profile

Pregnancy avoid
Lactation avoid
Renal Adjustment Required
Hepatic Adjustment Not required
TDM Not required

Concordance Terms

Cross-referenced clinical concepts — click any term to see all content where it appears.