Farxiga (Dapaglifozin)

(℞) Prescription Required - Farxiga is also marketed as Forxiga

    Farxiga (Dapagliflozin) Dosage and Side Effects

    FARXIGA is used along with diet and exercise to treat type 2 diabetes.

    Proper Use of this medication

    The typical adult dose of FARXIGA for type 2 diabetes is:

    Initial dose: 5 milligrams (mg) once in the morning. This may be increased to 10 mg if additional blood sugar control is required.

    Maximum dose: 10 mg once daily in the morning.

    You can take FARXIGA with or without food, but you should try to take it the same way each time.

    Don't change your dose or dosing schedule without first talking to your doctor.

    FARXIGA Overdose

    If you suspect an overdose, you should contact a poison control center or emergency room immediately.

    Missed Dose of FARXIGA

    If you miss a dose of FARXIGA, take it as soon as you remember.

    However, if it is almost time for the next dose, skip the missed dose and continue on your regular medication schedule.

    Don't double up on doses to make up for a missed dose.

    Side Effects

    Common Side Effects of FARXIGA

    FARXIGA may cause changes in blood sugar, frequent urination, urinary tract infections, and increased thirst.

    You should tell your doctor if these symptoms become severe or do not go away.

    Severe Side Effects of FARXIGA

    You should tell your doctor immediately or get emergency medical help if you experience any of the following serious side effects:

    • Cloudy, red, pink, or brown urine
    • Strong smelling urine
    • Frequent, urgent, burning, or painful urination
    • Pain in the pelvis or rectum
    • Vaginal odor; a white or yellowish vaginal discharge; or vaginal itching
    • Redness; itching or swelling of the penis; rash on the penis, foul-smelling discharge coming from the penis; or pain in the skin around the penis
    • Weakness
    • Rash, hives, or itching
    • Difficulty breathing or swallowing
    • Hoarseness
    • Swelling of the face, throat, tongue, lips, eyes, hands, or feet

    Warnings and Precautions

    One of the main safety concerns is the increased risk of bladder cancer in those taking FARXIGA.

    Studies conducted for the FDA have shown that people taking FARXIGA were more than five times more likely to develop bladder cancer than those who took an older diabetes drug.

    Scientists from the FDA say that the drug might stimulate bladder cancer in people who are already at risk.

    Other FARXIGA Warnings

    FARXIGA should not be used to treat type 1 diabetes, a condition in which the body does not produce any insulin.

    It should also not be used to treat diabetic ketoacidosis, a condition that may develop when patients with diabetes have an increase in chemicals called ketones in their blood.

    You may experience blurred vision, drowsiness, or dizziness due to low or high blood sugar levels on FARXIGA, so check your blood sugar levels often while taking it.

    Before taking FARXIGA, you should tell your doctor if you:

    • Are on dialysis or if you have or have ever had kidney disease
    • Have liver disease
    • Have high cholesterol
    • Are on a low sodium diet or have or have ever had low blood pressure
    • Have ever had bladder cancer
    • Have ever had yeast infections
    • Have never been circumcised (males)
    • Use insulin or take any other oral diabetes drugs
    • Are having surgery, including dental surgery

    You should alert your physician if you become ill, are injured, develop a fever or infection, or experience unusual stress while taking FARXIGA.

    These conditions can affect your blood sugar and may prompt your doctor to change your dose of the medicine.

    FARXIGA and Weight Loss

    FARXIGA offers diabetes patients the additional benefit of weight loss.

    However, the patients also had an increased risk of hypoglycemia (low blood sugar).

    Pregnancy and FARXIGA

    It's not known whether taking when pregnant FARXIGA will harm an unborn baby.

    You should tell your doctor if you are pregnant or might become pregnant while taking FARXIGA.

    It's also not known whether the drug passes into breast milk or if it could harm a breastfeeding baby.

    Interactions with this medication

    You should tell your doctor about all prescription, non-prescription, illegal, recreational, herbal, nutritional, or dietary drugs you are taking, especially insulin or other diabetes medications.

    If taken with FARXIGA, beta blocker drugs may prevent the pounding heartbeat you might usually feel when your blood sugar levels fall too low.

    Examples of beta-blockers include:

    • Metoprolol (Toprol)
    • Propranolol (Inderal)
    • Timolol (Blocadren)

    These drugs may also affect other symptoms of low blood sugar such as dizziness, hunger, or sweating.

    FARXIGA and Alcohol

    Alcohol may cause a change in blood sugar.

    You should talk to your doctor before consuming alcohol while taking FARXIGA.

    FARXIGA and Other Interactions

    Do not drive, operate machinery, or perform any other activity that requires alertness while taking FARXIGA until you know how the drug affects you.

    Other related products

    The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.