Watch for Amputation Warnings With Diabetes Med Invokana

A new boxed warning about amputation with canagliflozin (Invokana, etc) will have patients asking about the safety of SGLT2 inhibitors.

This is the latest in a growing list of flozin concerns...ketoacidosis, UTIs, yeast infections, etc.

Amputations, mainly of the toe or mid-foot, are seen in about 6 in 1,000 patients taking canagliflozin per year...compared to about 3 in 1,000 patients per year on other diabetes meds.

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