People in Texas who take, or have taken, Invokana for Type 2 Diabetes need to be aware of the risks associated with its use. Also known as Canagliflozin, this drug is prescribed for patients with high blood sugar, and is meant to be taken in conjunction with healthy lifestyle changes such as exercise and a proper diet.

According to Web MD, there are numerous side effects associated with the drug. Some of them include:

  • Lightheadedness and dizziness
  • Excessive dry mouth
  • Frequent urination
  • Bladder infections or kidney problems
  • Difficulty breathing
  • Vomiting and abdominal pain
  • Extreme fatigue
  • Yeast infections

Recently, another serious risk factor has been determined based off two significant clinical trials. According to the Federal Drug Administration, taking Invokana can increase the chances of foot and leg amputations. These trials showed that there is a two-fold increase of amputations with the drug use compared to a placebo. Factors that may increase this risk include patients who have a history of peripheral vascular disease, diabetic foot ulcers, neuropathy and past amputations. While these new warnings are now required on boxes of the drug, patients should be aware of these complications and contact their doctor if any of the following occur:

  • Infections in the feet or legs
  • Ulcers or sores in the feet
  • Tenderness or pain in the feet or legs 

Although discontinuing use of Invokana is usually recommended for those who report any of these symptoms, patients should not stop taking the drug before speaking with their doctor, according to the FDA.