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FORXIGA is a brand name for Dapagliflozin, supplied as a tablet. The medicine, its uses, side effects and dosage are the same regardless of brand.
Used for: 10/2023 4 DOSAGE AND ADMINISTRATION, 4.1 Dosing Considerations 01/2025 4 DOSAGE AND ADMINISTRATION, 4.2 Recommended Dose and Dosage Adjustment 10/2023 7 WARNINGS AND PRECAUTIONS, 7.1.4 Geriatrics 10/2023 7 WARNINGS AND PRECAUTIONS, Endocrine and Metabolism 01/2025 7 WARNINGS AND PRECAUTIONS, Peri-Operative…
Verbatim from this product's HC label. Tap a section to expand.
4 Geriatrics 10/2023 7 WARNINGS AND PRECAUTIONS, Endocrine and Metabolism 01/2025 7 WARNINGS AND PRECAUTIONS, Peri-Operative Considerations 01/2025 TABLE OF CONTENTS Sections or subsections that are not applicable at the time of authorization are not listed.
RECENT MAJOR LABEL CHANGES ......................................................................................... 2 TABLE OF CONTENTS ...............................................................................................................
2 PART I: HEALTH PROFESSIONAL INFORMATION .................................................................. 4 1 INDICATIONS ...................................................................................................................
1 Pediatrics ............................................................................................................... 2 Geriatrics ...............................................................................................................
4 2 CONTRAINDICATIONS ................................................................................................... 5 3 SERIOUS WARNINGS AND PRECAUTIONS BOX ........................................................ 5 4 DOSAGE AND ADMINISTRATION ..................................................................................
1 Dosing Considerations........................................................................................... 2 Recommended Dose and Dosage Adjustment ...................................................... 5 Missed Dose ..........................................................................................................
7 5 OVERDOSAGE ................................................................................................................ 7
Heart Failure In the DAPA-HF study, 2714 (57%) patients were older than 65 years of age. In the DELIVER study, a total of 4759 (76%) patients were older than 65 years of age. Safety and efficacy in both studies were similar for patients 65 years and younger and those older than 65.
2 CONTRAINDICATIONS • FORXIGA is contraindicated in patients who are hypersensitive to this drug or to any ingredient in the formulation, including any non-medicinal ingredient, or component of the container. For a complete listing, see 6 DOSAGE FORMS, STRENGTHS, COMPOSITION AND PACKAGING.
• FORXIGA is contraindicated in patients on dialysis. See 7 WARNINGS AND PRECAUTIONS. 3 SERIOUS WARNINGS AND PRECAUTIONS BOX Serious Warnings and Precautions Diabetic Ketoacidosis in Patients with Diabetes • Clinical trial and post-market cases of diabetic ketoacidosis (DKA), a serious life- threatening condition requiring urgent hospitalization, have been reported in patients with T2DM treated with FORXIGA and other sodium-glucose co-transporter 2 (SGLT2) inhibitors.
9 mmol/L (250 mg/dL). Some cases of DKA have been fatal. See 8 ADVERSE REACTIONS. • Patients should be assessed for DKA immediately if non-specific symptoms such as difficulty breathing, nausea, vomiting, abdominal pain, confusion, anorexia, excessive thirst and unusual fatigue or sleepiness occur, regardless of blood glucose level.
If DKA is suspected or diagnosed, FORXIGA should be discontinued immediately. • FORXIGA should not be used for the treatment of DKA or in patients with a history of DKA. • FORXIGA is not indicated, and should not be used, in patients with type 1 diabetes.
1 Dosing Considerations • FORXIGA may be taken at any time of the day with or without food. • Assess renal function prior to initiation of FORXIGA therapy and regularly thereafter. See 7 WARNINGS AND PRECAUTIONS. • Assess volume status and, if necessary, correct volume depletion prior to initiation of FORXIGA therapy.
4 Geriatrics 10/2023 7 WARNINGS AND PRECAUTIONS, Endocrine and Metabolism 01/2025 7 WARNINGS AND PRECAUTIONS, Peri-Operative Considerations 01/2025 TABLE OF CONTENTS Sections or subsections that are not applicable at the time of authorization are not listed.
RECENT MAJOR LABEL CHANGES ......................................................................................... 2 TABLE OF CONTENTS ...............................................................................................................
2 PART I: HEALTH PROFESSIONAL INFORMATION .................................................................. 4 1 INDICATIONS ...................................................................................................................
1 Pediatrics ............................................................................................................... 2 Geriatrics ...............................................................................................................
4 2 CONTRAINDICATIONS ................................................................................................... 5 3 SERIOUS WARNINGS AND PRECAUTIONS BOX ........................................................ 5 4 DOSAGE AND ADMINISTRATION ..................................................................................
1 Dosing Considerations........................................................................................... 2 Recommended Dose and Dosage Adjustment ...................................................... 5 Missed Dose ..........................................................................................................
7 5 OVERDOSAGE ................................................................................................................ 7 6 DOSAGE FORMS, STRENGTHS, COMPOSITION AND PACKAGING ......................... 7 7 WARNINGS AND PRECAUTIONS ..................................................................................
• FORXIGA is contraindicated in patients who are hypersensitive to this drug or to any ingredient in the formulation, including any non-medicinal ingredient, or component of the container. For a complete listing, see 6 DOSAGE FORMS, STRENGTHS, COMPOSITION AND PACKAGING.
• FORXIGA is contraindicated in patients on dialysis. See 7 WARNINGS AND PRECAUTIONS.
Not medical advice. Always read the patient information leaflet and follow your prescriber or pharmacist.
Other brands of Dapagliflozin in Canada.
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Brand names are compiled from public regulatory records for active-ingredient mapping only. Drugvu is not affiliated with any manufacturer. This is not medical advice.
See 7 WARNINGS AND PRECAUTIONS. , sulfonylurea), a lower dose of insulin or the insulin secretagogue may be considered to reduce the risk of hypoglycemia. See 7 WARNINGS AND PRECAUTIONS and 8 ADVERSE REACTIONS. FORXIGA® (dapagliflozin propanediol monohydrate) Page 6 of 79 • Temporary interruption for surgery: FORXIGA treatment should be interrupted for a minimum of 3 days, when possible, prior to major surgical procedures or procedures associated with prolonged fasting.
Monitor for DKA in the post-procedural period. Ensure risk factors for ketoacidosis are resolved and that the patient is clinically stable and has resumed oral intake before considering FORXlGA treatment re-initiation. See Endocrine and Metabolism.
2 Recommended Dose and Dosage Adjustment Type 2 Diabetes Mellitus (T2DM) To improve glycemic control, the recommended starting dose of FORXIGA is 5 mg taken orally once daily. In patients tolerating FORXIGA 5 mg once daily and who require additional glycemic control, the dose can be increased to 10 mg daily.
To reduce the risk of hospitalization due to HF, the recommended dose of FORXIGA is 10 mg once daily. Heart Failure In patients with heart failure the recommended dose of FORXIGA is 10 mg taken orally once daily. Chronic Kidney Disease In patients with chronic kidney disease, the recommended dose of FORXIGA is 10 mg taken orally once daily.
Considerations for Special Populations Renal impairment:
The glucose-lowering efficacy of FORXIGA is dependent on renal function and declines with decreasing renal function. Monitoring of renal function is required prior to initiation of FORXIGA therapy and regularly thereafter. 73 m2, more frequent monitoring of renal dysfunction is recommended.
See 7 WARNINGS AND PRECAUTIONS. 73 m2. 73 m2. 73 m2. On dialysis FORXIGA is contraindicated in patients on dialysis. See 2 CONTRAINDICATIONS.
Hepatic impairment:
No dosage adjustment for FORXIGA is required for patients with mild or moderate hepatic impairment. FORXIGA exposure is increased in patients with severe hepatic FORXIGA® (dapagliflozin propanediol monohydrate) Page 7 of 79 impairment.
See 10 CLINICAL PHARMACOLOGY. Therefore, FORXIGA is not recommended for use in this population.
Pediatrics (<18 years of age):
Safety and effectiveness of FORXIGA in pediatric and adolescent patients have not been established; therefore, Health Canada has not authorized an indication for pediatric use.
Geriatrics (≥65 years of age):
No dosage adjustment for FORXIGA is required based on age; however renal function and risk of volume depletion should be taken into account. 4 Geriatrics. 5 Missed Dose If a dose of FORXIGA is missed, it should be taken as soon as the patient remembers.
A double dose of FORXIGA should not be taken on the same day. 5 OVERDOSAGE It is reasonable to employ supportive measures, as dictated by the patient’s clinical status. The removal of dapagliflozin by hemodialysis has not been studied.
For management of a suspected drug overdose, contact your regional poison control centre. 6 DOSAGE FORMS, STRENGTHS, COMPOSITION AND PACKAGING Table 1 Dosage Forms, Strengths, Composition and Packaging FORXIGA is available as a film-coated tablet for oral administration […]
1 Special Populations ............................................................................................. 1 Pregnant Women ................................................................................................. 2 Breast-feeding .....................................................................................................
3 Pediatrics ............................................................................................................. 4 Geriatrics .............................................................................................................
12 8 ADVERSE REACTIONS ................................................................................................. 1 Adverse Reaction Overview ................................................................................ 2 Clinical Trial Adverse Reactions ..........................................................................
3 Less Common Clinical Trial Adverse Reactions .................................................. 4 Abnormal Laboratory Findings: Hematologic, Clinical Chemistry and Other Quantitative Data ............................................................................................................
5 Post-Market Adverse Reactions .......................................................................... 26 9 DRUG INTERACTIONS .................................................................................................. 2 Drug Interactions Overview .................................................................................
3 Drug-Behavioural Interactions ............................................................................. 4 Drug-Drug Interactions ........................................................................................ 5 Drug-Food Interactions ........................................................................................
6 Drug-Herb Interactions ........................................................................................ 7 Drug-Laboratory Test Interactions ....................................................................... 30 10 CLINICAL PHARMACOLOGY .......................................................................................
1 Mechanism of Action ........................................................................................... 2 Pharmacodynamics ............................................................................................. 3 Pharmacokinetics ................................................................................................
31 11 STORAGE, STABILITY AND DISPOSAL ...................................................................... 33 12 SPECIAL HANDLING INSTRUCTIONS ......................................................................... 33 PART II: SCIENTIFIC INFORMATION .......................................................................................
34 13 PHARMACEUTICAL INFORMATION ............................................................................ 34 14 CLINICAL TRIALS .........................................................................................................
1 Trial Design and Study Demographics ................................................................ 2 Study Results....................................................................................................... 37 15 MICROBIOLOGY ............................................................................................................
69 16 NON-CLINICAL TOXICOLOGY ..................................................................................... 70 PATIENT MEDICATION INFORMATION ..................................................................................
72 FORXIGA® (dapagliflozin propanediol monohydrate) […]