Canagliflozin side effects: what 29,747 FDA adverse event reports show
Drug class
Sodium-glucose co-transporter 2 (sglt2) inhibitor
Brand names
Invokana
Who reports
29,747 reports · 65% serious · 685 with death outcome · 49% female
Used for
INVOKANA (canagliflozin) is indicated: • as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients aged 10 years and older with type 2 diabetes mellitus. • to reduce the risk of major adverse cardiovascular events (cardiovascular death, nonfatal myocardial infarction and nonfatal stroke) in adults with type 2 diabetes mellitus and established cardiovascular disease (CVD).
What it is
INVOKANA ® (canagliflozin) contains canagliflozin, an inhibitor of SGLT2, the transporter responsible for reabsorbing the majority of glucose filtered by the kidney. Canagliflozin, the active .
Boxed warning
None in the current label
Causality screen of the 40 strongest signals
What the badges mean
- Labeled adverse reaction The exact term appears in the label's warnings or adverse-reactions sections: a known, expected effect. The FAERS signal confirms the label rather than discovering anything.
- Labeled (related wording) The label describes this effect under different wording (e.g. 'neutropenia' for 'neutrophil count decreased'). Treated as known.
- Likely indication confounding The term appears in the label's indications: reports probably describe the disease being treated (or its progression), not a drug effect. Classic confounding by indication.
- Lab value / disease marker A laboratory result, investigation or disease-activity marker (antibody positive, CRP abnormal, swollen joint count) not described in the label. These usually mirror the monitored disease or testing protocol rather than a drug effect; not screened further.
- Not in label — unassessed Not found in the label text, not an artifact pattern. This is a genuine candidate for a formal causality assessment (Bradford Hill / WHO-UMC); it has NOT had one here.
Strongest disproportionality signals
Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only and flags pairs whose reports are unusually skewed by sex or come mostly from consumers rather than clinicians. 1,069 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Metatarsal excision | 102 | 1,864.5 1,284.9–2,705.6ROR 1,870.9 · χ² 51,060 / p <1e-300 | 462.6 EB05 392.1 · IC025 +6.9 3/3 methods agree | Not in label — unassessed | serious n=102 · ♀ 27% (drug 49%) · 100% consumer | not reported in cached trials |
| Limb amputation | 269 | 1,448.5 1,174.6–1,786.2ROR 1,461.7 · χ² 125,649 / p <1e-300 | 454.9 EB05 411.0 · IC025 +7.8 3/3 methods agree | Labeled adverse reaction exact term | serious n=269 · ♀ 23% (drug 49%) · 84% consumer | not reported in cached trials |
| Diabetic foot infection | 834 | 1,007.5 906.5–1,119.8ROR 1,036.5 · χ² 341,834 / p <1e-300 | 407.9 EB05 385.2 · IC025 +8.3 3/3 methods agree | Labeled (related wording) related wording | serious n=834 · ♀ 28% (drug 49%) · 88% consumer | NCT01989754: 3/2,904 (0.1%) on Canagliflozin; 4/2,903 (0.1%) control (serious AE) |
| Osteomyelitis acute | 283 | 764.9 646.3–905.3ROR 772.2 · χ² 102,391 / p <1e-300 | 355.8 EB05 322.3 · IC025 +7.6 3/3 methods agree | Labeled (related wording) related wording | serious n=283 · ♀ 26% (drug 49%) · 86% consumer | NCT01989754: 6/2,904 (0.2%) on Canagliflozin; 5/2,903 (0.2%) control (serious AE) |
| Malignant mediastinal neoplasm | 56 | 762.7 522.0–1,114.4ROR 764.2 · χ² 19,943 / p <1e-300 | 323.8 EB05 258.6 · IC025 +6.0 3/3 methods agree | Not in label — unassessed | serious n=56 · ♀ 100% (drug 49%) | not reported in cached trials |
| Diabetic neuropathic ulcer | 11 | 545.8 247.8–1,202.1ROR 546.0 · χ² 3,051 / p <1e-300 | 200.2 EB05 119.3 · IC025 +3.4 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=11 | not reported in cached trials |
| Toe amputation | 2,195 | 535.9 507.5–565.9ROR 578.5 · χ² 661,413 / p <1e-300 | 302.2 EB05 291.7 · IC025 +8.1 3/3 methods agree | Labeled (related wording) related wording | serious n=2,192 · ♀ 27% (drug 49%) · 88% consumer | NCT02065791: 1/2,197 (0.0%) control (serious AE) |
| Foot amputation | 582 | 470.6 423.9–522.5ROR 480.0 · χ² 162,317 / p <1e-300 | 278.4 EB05 259.9 · IC025 +7.7 3/3 methods agree | Labeled (related wording) related wording | serious n=582 · ♀ 23% (drug 49%) · 88% consumer | not reported in cached trials |
| Genital infection fungal | 281 | 364.8 315.9–421.3ROR 368.3 · χ² 66,612 / p <1e-300 | 235.7 EB05 213.5 · IC025 +7.2 3/3 methods agree | Labeled adverse reaction exact term | serious n=64 | NCT01989754: 1/2,904 (0.0%) on Canagliflozin (serious AE) |
| Gas gangrene | 117 | 362.8 290.2–453.6ROR 364.2 · χ² 27,494 / p <1e-300 | 229.7 EB05 196.9 · IC025 +6.6 3/3 methods agree | Labeled (related wording) related wording | serious n=117 · ♀ 25% (drug 49%) · 87% consumer | NCT01989754: 2/2,903 (0.1%) control (serious AE) |
| Diabetic ulcer | 225 | 320.3 273.6–374.9ROR 322.7 · χ² 48,796 / p <1e-300 | 215.5 EB05 192.9 · IC025 +7.0 3/3 methods agree | Labeled (related wording) related wording | serious n=225 · ♀ 25% (drug 49%) · 94% consumer | NCT01989754: 1/2,904 (0.0%) on Canagliflozin; 1/2,903 (0.0%) control (serious AE) |
| Amputation | 325 | 247.8 218.4–281.1ROR 250.5 · χ² 58,704 / p <1e-300 | 181.0 EB05 165.1 · IC025 +7.0 3/3 methods agree | Labeled adverse reaction exact term | serious n=325 · ♀ 22% (drug 49%) · 71% consumer | NCT02065791: 1/2,197 (0.0%) control (serious AE) |
| Diabetic foot | 788 | 244.7 225.8–265.2ROR 251.3 · χ² 141,263 / p <1e-300 | 180.4 EB05 170.1 · IC025 +7.2 3/3 methods agree | Labeled adverse reaction exact term | serious n=787 · ♀ 22% (drug 49%) · 91% consumer | NCT01989754: 3/2,904 (0.1%) on Canagliflozin; 4/2,903 (0.1%) control (serious AE) |
| Ischaemic skin ulcer | 19 | 194.1 116.7–322.7ROR 194.2 · χ² 2,704 / p <1e-300 | 132.1 EB05 89.4 · IC025 +4.2 3/3 methods agree | Not in label — unassessed | serious n=19 | not reported in cached trials |
| Leg amputation | 792 | 167.3 154.9–180.6ROR 171.8 · χ² 105,380 / p <1e-300 | 134.6 EB05 126.9 · IC025 +6.8 3/3 methods agree | Labeled (related wording) related wording | serious n=792 · 87% consumer | NCT02065791: 1/2,197 (0.0%) control (serious AE) |
| Osteomyelitis chronic | 114 | 158.4 129.3–194.0ROR 159.0 · χ² 14,390 / p <1e-300 | 126.5 EB05 108.1 · IC025 +6.1 3/3 methods agree | Labeled (related wording) related wording | serious n=114 · ♀ 27% (drug 49%) · 87% consumer | NCT01989754: 6/2,904 (0.2%) on Canagliflozin; 5/2,903 (0.2%) control (serious AE) |
| Dry gangrene | 114 | 155.0 126.5–189.8ROR 155.6 · χ² 14,133 / p <1e-300 | 124.3 EB05 106.3 · IC025 +6.0 3/3 methods agree | Labeled (related wording) related wording | serious n=114 · ♀ 28% (drug 49%) · 91% consumer | NCT01989754: 2/2,903 (0.1%) control (serious AE) |
| Gangrene | 1,086 | 153.9 144.2–164.2ROR 159.7 · χ² 134,954 / p <1e-300 | 125.9 EB05 119.7 · IC025 +6.8 3/3 methods agree | Labeled adverse reaction exact term | serious n=1,086 · ♀ 28% (drug 49%) · 88% consumer | NCT01989754: 2/2,903 (0.1%) control (serious AE) |
| Neuropathic arthropathy | 114 | 152.0 124.1–186.1ROR 152.6 · χ² 13,906 / p <1e-300 | 122.4 EB05 104.6 · IC025 +6.0 3/3 methods agree | Not in label — unassessed | serious n=114 · ♀ 23% (drug 49%) · 89% consumer | NCT02065791: 3/2,197 (0.1%) control (serious AE) |
| Diabetic gangrene | 50 | 148.4 109.4–201.4ROR 148.7 · χ² 5,912 / p <1e-300 | 117.1 EB05 92.3 · IC025 +5.3 3/3 methods agree | Labeled (related wording) related wording | serious n=50 · ♀ 18% (drug 49%) · 100% consumer | NCT01989754: 2/2,903 (0.1%) control (serious AE) |
| Cellulitis of male external genital organ | 16 | 118.2 69.6–200.9ROR 118.3 · χ² 1,491 / p <1e-300 | 90.6 EB05 59.1 · IC025 +3.8 3/3 methods agree | Not in label — unassessed | serious n=16 | not reported in cached trials |
| Diabetic ketoacidosis | 3,435 | 118.0 114.0–122.1ROR 133.3 · χ² 340,938 / p <1e-300 | 101.0 EB05 98.2 · IC025 +6.6 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 90.0 | NCT01989754: 5/2,904 (0.2%) on Canagliflozin; 2/2,903 (0.1%) control (serious AE) |
| Osteomyelitis | 2,165 | 95.8 91.8–100.1ROR 103.3 · χ² 178,615 / p <1e-300 | 84.3 EB05 81.3 · IC025 +6.3 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 76.2 · ♀ 26% (drug 49%) · 91% consumer | NCT01989754: 6/2,904 (0.2%) on Canagliflozin; 5/2,903 (0.2%) control (serious AE) |
| Balanoposthitis | 92 | 91.3 73.5–113.4ROR 91.6 · χ² 7,182 / p <1e-300 | 79.5 EB05 66.8 · IC025 +5.5 3/3 methods agree | Labeled adverse reaction exact term | serious n=33 · ♀ 0% (drug 49%) · 91% clinician | NCT01989754: 1/2,904 (0.0%) on Canagliflozin (serious AE) |
| Urine output increased | 239 | 70.6 61.8–80.6ROR 71.1 · χ² 14,816 / p <1e-300 | 63.8 EB05 57.3 · IC025 +5.6 3/3 methods agree | Labeled adverse reaction exact term | serious n=52 | not reported in cached trials |
| Cellulitis gangrenous | 18 | 70.2 43.3–114.0ROR 70.3 · χ² 1,054 / p 2e-231 | 60.0 EB05 40.2 · IC025 +3.8 3/3 methods agree | Not in label — unassessed | serious n=18 | not reported in cached trials |
| Ketoacidosis | 643 | 66.3 61.2–71.8ROR 67.8 · χ² 37,714 / p <1e-300 | 60.5 EB05 56.7 · IC025 +5.7 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 54.3 | NCT01989754: 5/2,904 (0.2%) on Canagliflozin; 2/2,903 (0.1%) control (serious AE) |
| Genital infection | 28 | 65.7 44.6–96.8ROR 65.8 · χ² 1,571 / p <1e-300 | 57.9 EB05 42.0 · IC025 +4.3 3/3 methods agree | Labeled adverse reaction exact term | serious n=17 · 100% clinician | NCT01989754: 1/2,904 (0.0%) on Canagliflozin (serious AE) |
| Euglycaemic diabetic ketoacidosis | 293 | 55.9 49.7–62.9ROR 56.4 · χ² 14,573 / p <1e-300 | 51.6 EB05 46.9 · IC025 +5.4 3/3 methods agree | Labeled (related wording) related wording | serious n=293 · 91% clinician | not reported in cached trials |
| Staphylococcal osteomyelitis | 13 | 52.2 29.7–91.7ROR 52.2 · χ² 560 / p 3e-124 | 45.6 EB05 28.4 · IC025 +3.2 3/3 methods agree | Not in label — unassessed | serious n=13 | not reported in cached trials |
| Vascular stenosis | 20 | 43.6 27.7–68.4ROR 43.6 · χ² 743 / p 7e-164 | 39.6 EB05 27.1 · IC025 +3.6 3/3 methods agree | Not in label — unassessed | serious n=20 | NCT01989754: 1/2,903 (0.0%) control (serious AE) |
| Joint ankylosis | 33 | 43.0 30.3–61.1ROR 43.1 · χ² 1,236 / p 5e-271 | 39.7 EB05 29.6 · IC025 +4.1 3/3 methods agree | Not in label — unassessed | serious n=33 · ♀ 0% (drug 49%) · 100% clinician | not reported in cached trials |
| Extremity necrosis | 95 | 40.3 32.8–49.5ROR 40.4 · χ² 3,403 / p <1e-300 | 37.9 EB05 31.9 · IC025 +4.7 3/3 methods agree | Not in label — unassessed | serious n=95 · 81% consumer | NCT01989754: 3/2,904 (0.1%) on Canagliflozin; 5/2,903 (0.2%) control (serious AE) |
| Ketonuria | 41 | 37.5 27.4–51.3ROR 37.5 · χ² 1,347 / p 4e-295 | 35.1 EB05 27.0 · IC025 +4.1 3/3 methods agree | Not in label — unassessed | serious n=36 · ♀ 26% (drug 49%) | NCT01989754: 1/2,904 (0.0%) on Canagliflozin (serious AE) |
| Urinary tract infection fungal | 28 | 36.4 24.9–53.1ROR 36.4 · χ² 881 / p 5e-194 | 33.9 EB05 24.6 · IC025 +3.8 3/3 methods agree | Labeled (related wording) related wording | serious n=28 | NCT02065791: 1/2,200 (0.0%) on Canagliflozin (serious AE) |
| Blood ketone body | 17 | 36.2 22.2–59.0ROR 36.2 · χ² 520 / p 2e-115 | 33.3 EB05 22.0 · IC025 +3.3 3/3 methods agree | Not in label — unassessed | serious n=11 | not reported in cached trials |
| Urine ketone body present | 77 | 36.1 28.7–45.3ROR 36.2 · χ² 2,463 / p <1e-300 | 34.1 EB05 28.2 · IC025 +4.4 3/3 methods agree | Lab value / disease marker | serious n=55 | not reported in cached trials |
| Acetonaemia | 12 | 35.8 20.0–63.9ROR 35.8 · χ² 353 / p 4e-79 | 32.5 EB05 19.8 · IC025 +2.9 3/3 methods agree | Not in label — unassessed | serious n=12 | not reported in cached trials |
| Necrotising soft tissue infection | 11 | 35.5 19.4–65.1ROR 35.6 · χ² 319 / p 1e-71 | 32.1 EB05 19.1 · IC025 +2.8 3/3 methods agree | Not in label — unassessed | serious n=11 | not reported in cached trials |
| Penile erythema | 17 | 33.3 20.4–54.1ROR 33.3 · χ² 477 / p 4e-106 | 30.8 EB05 20.4 · IC025 +3.3 3/3 methods agree | Not in label — unassessed | serious n=7 | not reported in cached trials |
Trial evidence (ClinicalTrials.gov)
✓ Trial adverse-event data found on ClinicalTrials.gov
Largest completed trials with posted results that list Canagliflozin as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (23 of 40 signal terms matched).
- NCT01989754 — A Study of the Effects of Canagliflozin (JNJ-28431754) on Renal Endpoints in Adult Participants With Type 2 Di (N=5813, PHASE4; 647 AE terms posted; arms: Placebo (Placebo); Canagliflozin (Experimental))
- NCT02065791 — Evaluation of the Effects of Canagliflozin on Renal and Cardiovascular Outcomes in Participants With Diabetic (N=4401, PHASE3; 752 AE terms posted; arms: Placebo; Canagliflozin 100 mg)
Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.
Most frequently reported reactions
By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Diabetic ketoacidosis | 3,435 | 118.0 114.0–122.1ROR 133.3 · χ² 340,938 / p <1e-300 | 101.0 EB05 98.2 · IC025 +6.6 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 90.0 | NCT01989754: 5/2,904 (0.2%) on Canagliflozin; 2/2,903 (0.1%) control (serious AE) |
| Toe amputation | 2,195 | 535.9 507.5–565.9ROR 578.5 · χ² 661,413 / p <1e-300 | 302.2 EB05 291.7 · IC025 +8.1 3/3 methods agree | Labeled (related wording) related wording | serious n=2,192 · ♀ 27% (drug 49%) · 88% consumer | NCT02065791: 1/2,197 (0.0%) control (serious AE) |
| Osteomyelitis | 2,165 | 95.8 91.8–100.1ROR 103.3 · χ² 178,615 / p <1e-300 | 84.3 EB05 81.3 · IC025 +6.3 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 76.2 · ♀ 26% (drug 49%) · 91% consumer | NCT01989754: 6/2,904 (0.2%) on Canagliflozin; 5/2,903 (0.2%) control (serious AE) |
| Acute kidney injury (sudden kidney damage) | 1,998 | 9.4 9.0–9.8ROR 10.0 · χ² 14,817 / p <1e-300 | 9.2 EB05 8.9 · IC025 +3.1 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 8.2 · 79% consumer | NCT01989754: 7/2,904 (0.2%) on Canagliflozin; 15/2,903 (0.5%) control (serious AE) |
| Fungal infection | 1,447 | 32.0 30.4–33.7ROR 33.6 · χ² 41,574 / p <1e-300 | 30.6 EB05 29.3 · IC025 +4.8 3/3 methods agree | Labeled (related wording) related wording | serious PRR 12.4 · ♀ 79% (drug 49%) | NCT01989754: 1/2,904 (0.0%) on Canagliflozin (serious AE) |
| Weight decreased (weight loss) | 1,346 | 3.4 3.2–3.6ROR 3.5 · χ² 2,312 / p <1e-300 | 3.4 EB05 3.2 · IC025 +1.7 3/3 methods agree | Labeled (related wording) related wording | serious PRR 2.2 | NCT02065791: 1/2,197 (0.0%) control (serious AE) |
| Blood glucose increased | 1,234 | 4.6 4.4–4.9ROR 4.8 · χ² 3,508 / p <1e-300 | 4.6 EB05 4.4 · IC025 +2.1 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious PRR 4.0 · 73% consumer | NCT01989754: 3/2,903 (0.1%) control (serious AE) |
| Gangrene | 1,086 | 153.9 144.2–164.2ROR 159.7 · χ² 134,954 / p <1e-300 | 125.9 EB05 119.7 · IC025 +6.8 3/3 methods agree | Labeled adverse reaction exact term | serious n=1,086 · ♀ 28% (drug 49%) · 88% consumer | NCT01989754: 2/2,903 (0.1%) control (serious AE) |
| Cellulitis (skin infection) | 1,035 | 14.7 13.9–15.7ROR 15.2 · χ² 13,006 / p <1e-300 | 14.5 EB05 13.7 · IC025 +3.7 3/3 methods agree | Not in label — unassessed | serious PRR 14.0 · ♀ 28% (drug 49%) · 89% consumer | NCT01989754: 9/2,904 (0.3%) on Canagliflozin; 11/2,903 (0.4%) control (serious AE) |
| Urinary tract infection (bladder infection) | 1,018 | 4.2 4.0–4.5ROR 4.4 · χ² 2,521 / p <1e-300 | 4.2 EB05 4.0 · IC025 +2.0 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 3.7 · ♀ 71% (drug 49%) | NCT01989754: 2/2,904 (0.1%) on Canagliflozin; 1/2,903 (0.0%) control (serious AE) |
| Off label use (used outside approved label) | 1,016 | 0.8 0.8–0.9ROR 0.8 · χ² 39 / p 2e-10 | 0.8 EB05 0.8 · IC025 -0.4 PRR-only: not supported by EBGM or IC | Reporting / coding artifact | serious PRR 0.9 | not reported in cached trials |
| Nausea | 1,015 | 0.9 0.9–1.0ROR 0.9 · χ² 10 / p 8e-4 | 0.9 EB05 0.9 · IC025 -0.2 PRR-only: not supported by EBGM or IC | Labeled adverse reaction exact term | serious PRR 0.8 | NCT02065791: 54/2,200 (2.5%) on Canagliflozin; 52/2,197 (2.4%) control |
| Drug ineffective (drug did not work) | 1,012 | 0.5 0.5–0.6ROR 0.5 · χ² 418 / p 3e-93 | 0.5 EB05 0.5 · IC025 -1.0 PRR-only: not supported by EBGM or IC | Reporting / coding artifact | serious PRR 0.6 | not reported in cached trials |
| Dizziness | 843 | 1.2 1.1–1.3ROR 1.2 · χ² 27 / p 1e-7 | 1.2 EB05 1.1 · IC025 +0.1 | Labeled adverse reaction exact term | serious PRR 0.8 | NCT01989754: 2/2,904 (0.1%) on Canagliflozin; 2/2,903 (0.1%) control (serious AE) |
| Diabetic foot infection | 834 | 1,007.5 906.5–1,119.8ROR 1,036.5 · χ² 341,834 / p <1e-300 | 407.9 EB05 385.2 · IC025 +8.3 3/3 methods agree | Labeled (related wording) related wording | serious n=834 · ♀ 28% (drug 49%) · 88% consumer | NCT01989754: 3/2,904 (0.1%) on Canagliflozin; 4/2,903 (0.1%) control (serious AE) |
Unlabeled candidate signals
These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.
- Metatarsal excision — n=102, PRR 1,864.5
- Malignant mediastinal neoplasm — n=56, PRR 762.7
- Neuropathic arthropathy — n=114, PRR 152.0 (also seen in trial arm)
- Vascular stenosis — n=20, PRR 43.6 (also seen in trial arm)
- Joint ankylosis — n=33, PRR 43.0
- Extremity necrosis — n=95, PRR 40.3 (also seen in trial arm)
- Ketonuria — n=41, PRR 37.5 (also seen in trial arm)
✓ A hand-written Bradford Hill causality assessment exists for this drug: Canagliflozin ↔ Amputation.
Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.
Common questions
What are the most reported side effects of Canagliflozin?
In FDA FAERS, the most frequently co-reported reaction terms for Canagliflozin are diabetic ketoacidosis, toe amputation, osteomyelitis, acute kidney injury, fungal infection, weight decreased. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.
Does Canagliflozin have an FDA boxed warning?
No. The FDA label retrieved for Canagliflozin has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Canagliflozin causes these side effects?
No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.
Sources & methods
- FDA label via openFDA (set ID 5f76e16f-0c24-454a-81af-4080b312c940, effective 20260217; matched on
openfda.generic_name.exact:"CANAGLIFLOZIN") - Bayesian shrinkage measures computed offline over all 1,317,300 cached pairs: BCPNN information component (IC, with Norén closed-form IC025) and MGPS empirical-Bayes geometric mean (EBGM, EB05) with a two-component gamma prior fitted by maximum marginal likelihood (α₁=0.57, β₁=0.02, α₂=1.42, β₂=0.70, w=0.17); unstratified
- FAERS pair statistics from the OpenPV build of 2026-09-14 (openFDA
count=aggregation, fieldpatient.drug.openfda.generic_name.exact, 1,109 reaction terms, min 3 co-reports); PRR/ROR with 95% CI, chi-square with Yates correction - Serious-only and stratified counts (serious:1, patient.patientsex, primarysource.qualification) from openFDA count queries; serious-only PRR uses the drug serious report total and the term global serious total (N_serious=11,882,979); strata shown only when n ≥ 20
- Seriousness and sex counts from openFDA
count=serious,patient.patientsex,seriousnessdeath - ClinicalTrials.gov API v2 (query
CANAGLIFLOZIN, results-bearing studies sorted by enrollment)
Page generated 2026-10-08. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.