PlainMeds provides educational information only. This is not medical advice. Always consult your doctor or pharmacist.

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

DIABETIC KETOACIDOSIS
3,421
TOE AMPUTATION
2,195
OSTEOMYELITIS
2,163
ACUTE KIDNEY INJURY
1,990
FUNGAL INFECTION
1,446
WEIGHT DECREASED
1,340
BLOOD GLUCOSE INCREASED
1,227
GANGRENE
1,084
CELLULITIS
1,035
URINARY TRACT INFECTION
1,016
DRUG INEFFECTIVE
1,004
OFF LABEL USE
1,004
NAUSEA
997
DIZZINESS
839
DIABETIC FOOT INFECTION
834
LEG AMPUTATION
792
DIABETIC FOOT
788
DIARRHOEA
770
DEHYDRATION
725
RENAL FAILURE
710

Who Reports Side Effects

Gender Distribution

Female 12,723 (49%)
Male 13,356 (51%)
Unknown 47

Age Distribution

0-17 870 (5%)
18-44 2,011 (12%)
45-64 9,573 (55%)
65-74 3,463 (20%)
75+ 1,438 (8%)

Reporting Trend by Year

11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

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

Compare canagliflozin vs acarbose →

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.