canagliflozin Side Effects
Also known as: Invokana
Analysis of 29,554 adverse event reports submitted to the FDA from 2011 to 2025.
Total Reports
29,554
Death-Related
678
2.3% of reports
Hospitalizations
10,619
35.9% of reports
Top Indication
Type 2 Diabetes Mellitus
Most Reported Adverse Reactions
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
Reactions in Death Reports
Top reactions reported in 678 reports where death was an outcome. These are voluntarily reported and do not establish causation.
| Reaction | Reports |
|---|---|
| DEATH | 235 |
| ACUTE KIDNEY INJURY | 80 |
| DIABETIC KETOACIDOSIS | 65 |
| MYOCARDIAL INFARCTION | 38 |
| SEPSIS | 30 |
| CARDIAC ARREST | 27 |
| RENAL FAILURE | 27 |
| HYPOTENSION | 23 |
| LEG AMPUTATION | 22 |
| OFF LABEL USE | 22 |
| PNEUMONIA | 22 |
| URINARY TRACT INFECTION | 22 |
| WEIGHT DECREASED | 22 |
| DECREASED APPETITE | 20 |
| DIARRHOEA | 20 |
| OSTEOMYELITIS | 20 |
| DEHYDRATION | 19 |
| FATIGUE | 19 |
| SEPTIC SHOCK | 19 |
| TOE AMPUTATION | 19 |
Reactions in Hospitalization Reports
Top reactions in 10,619 reports where hospitalization was an outcome.
| Reaction | Reports |
|---|---|
| DIABETIC KETOACIDOSIS | 2,850 |
| OSTEOMYELITIS | 1,816 |
| ACUTE KIDNEY INJURY | 1,680 |
| TOE AMPUTATION | 1,649 |
| GANGRENE | 956 |
| CELLULITIS | 906 |
| DIABETIC FOOT INFECTION | 756 |
| LEG AMPUTATION | 668 |
| DIABETIC FOOT | 664 |
| SEPSIS | 543 |
| FOOT AMPUTATION | 491 |
| DEHYDRATION | 398 |
| SKIN ULCER | 387 |
| URINARY TRACT INFECTION | 358 |
| OFF LABEL USE | 335 |
| METABOLIC ACIDOSIS | 331 |
| VOMITING | 285 |
| NAUSEA | 281 |
| KETOACIDOSIS | 274 |
| FOURNIER^S GANGRENE | 254 |
Nearby — Related Medications
What the FAERS Data Reveals About canagliflozin Side Effects
The FDA Adverse Event Reporting System (FAERS) contains 29,554 voluntary reports linked to canagliflozin and its brand equivalents (Invokana), spanning 2011 through 2025. Of those, 678 (2.3%) listed death as an outcome and 10,619 (35.9%) involved hospitalization. The most common indication reported alongside adverse events was Type 2 Diabetes Mellitus.
Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 49% were female and 51% male; age distribution skews toward 45-64, with 9,573 reports in that bracket. The single most reported reaction is diabetic ketoacidosis with 3,421 submissions, followed by toe amputation and osteomyelitis.
FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.
Read our methodology — how this data is sourced, computed, and verified.