What is Forxiga® (dapagliflozin) used for?
Forxiga® is indicated in adults aged 18 years and older with type 2 diabetes mellitus to improve glycemic control as:
- Monotherapy: When diet and exercise alone do not provide adequate glycemic control in patients for whom use of metformin is considered inappropriate due to intolerance.
- Add-on combination therapy: In combination with other glucose-lowering medicinal products including insulin, when these, together with diet and exercise, do not provide adequate glycemic control.
How should I take Forxiga® (dapagliflozin)?
Use Forxiga® as directed by your doctor. Check the label on the medicine for exact dosing instructions.
May be taken with or without food.
How do I store Forxiga® (dapagliflozin)?
Forxiga® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Forxiga® in the bathroom or the freezer. There may be different brands of Forxiga® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.
You should not flush Forxiga® down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.
Precautions & warnings
What should I know before using Forxiga® (dapagliflozin)?
Before using this drug, tell your doctor if:
- You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
- You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
- You have allergy with any of active or inactive ingredients of Forxiga® or other medications.
- You have any other illnesses, disorders, or medical conditions.
- You have Type 1 DM, diabetic ketoacidosis.
- You have hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption.
Is it safe during pregnancy or breastfeeding?
There are no adequate studies in women for determining risk when using Forxiga® during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Forxiga®. Forxiga® is pregnancy risk category C, according to the US Food and Drug Administration (FDA).
FDA pregnancy risk category reference below:
- A=No risk
- B=No risk in some studies
- C=There may be some risk
- D=Positive evidence of risk
What side effects can occur from Forxiga® (dapagliflozin)?
Side effects may include:
- Hypoglycemia (in combination w/ sulfonylurea or insulin)
- Genital infections
- Back pain
- Increased haematocrit
- Decreased renal CrCl
Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.
What drugs may interact with Forxiga® (dapagliflozin)?
Forxiga® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.
Products interact with this drug, such as:
- Insulin or other oral diabetes medicine (e.g., repaglinide, glipizide) because the risk of low blood sugar may be increased.
- Diuretics (e.g., furosemide, hydrochlorothiazide, spironolactone) because the risk of low blood pressure may be increased.
Does food or alcohol interact with Forxiga® (dapagliflozin)?
Forxiga® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.
What health conditions may interact with Forxiga® (dapagliflozin)?
Forxiga® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.
The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Forxiga® (dapagliflozin).
What is the dose of Forxiga® (dapagliflozin) for an adult?
Monotherapy & add-on combination therapy: 10 mg once daily.
Combination with insulin or insulin secretagogue: Lower dose of insulin or insulin secretagogue may be considered.
Initial combination therapy 10 mg dapagliflozin + 500 mg metformin once daily. Severe hepatic impairment Initially 5 mg, may be increased to 10 mg if well tolerated.
What is the dose of Forxiga® (dapagliflozin) for a child?
The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.
How is Forxiga® (dapagliflozin) available?
Forxiga® is available in the following dosage forms and strengths:
- Forxiga® film-coated tablets 5mg
- Forxiga® film-coated tablets 10mg
What should I do in case of an emergency or overdose?
In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.
What should I do if I miss a dose?
If you miss a dose of Forxiga®, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.
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