Nebenwirkungen · Invokana
Invokana 100 mg film-coated tablets Invokana 300 mg film-coated tablets · Abschnitt 4.8 · PDF-Seite 12
HOS-128142 · Präparat HOS-096517
In patients with type 2 diabetes who had established cardiovascular disease or at least two risk factors for cardiovascular disease, canagliflozin was associated with an increased risk of lower limb amputation as observed in the Integrated CANVAS Program comprised of CANVAS and CANVAS-R, two large, long-term, randomised, placebo-controlled trials evaluating 10,134 adult patients. The imbalance occurred as early as the first 26 weeks of therapy. Patients in CANVAS and CANVAS-R were followed for an average of 5.7 and 2.1 years, respectively. Regardless of treatment with canagliflozin or placebo, the risk of amputation was highest in patients with a baseline history of prior amputation, peripheral vascular disease, and neuropathy. The risk of lower limb amputation was not dose-dependent. The amputation results for the Integrated CANVAS Program are shown in table 3.
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