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  • Generic Name: (dapagliflozin)
    Other Brands: N/A
  • Last Revised: 08/2016
    • What is this medication and its most common uses?

      Farxiga is a medicine used along with diet and exercise to help control high blood sugar in adults with type 2 diabetes.

    • What should I know when beginning and continuing on this medication?

      How does this medication work?

      Farxiga works with your kidneys to help remove extra sugar in your body.

      What are the beneficial effects of this medication and when should I begin to have results?

      What: Lowering your blood sugar to a normal level may prevent or delay potential complications associated with diabetes, such as blindness, kidney failure, or heart problems.

      When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider's instructions. It is important that you take Farxiga exactly as your healthcare provider prescribed.

      How do I know it is working?

      Check your blood sugar regularly and as your healthcare provider tells you to. Your healthcare provider will also do regular blood tests to measure your blood sugar levels and your hemoglobin A1C (which estimates your average blood sugar levels over a 2- to 3-month period). Stay on your prescribed diet and exercise program, as this will also affect the result of your blood tests.

    • What are the possible side effects of this medication?

      The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.

      More common side effects may include: vaginal yeast infection, common cold, urinary tract infection.

      Symptoms of a vaginal yeast infection may include: vaginal odor, white or yellowish vaginal discharge (may be lumpy or look like cottage cheese), or vaginal itching.

      Less common side effects may include:

      Ketoacidosis (increased ketones in your blood or urine) that may be life threatening, with symptoms such as nausea, tiredness, vomiting, trouble breathing, or abdominal (stomach area) pain.

      Low blood pressure, with symptoms of dizziness, lightheadedness, and weakness.

      Increased risk of low blood sugar in combination with another medicine that can cause low blood sugar (such as insulin), with symptoms such as headache, weakness, confusion, shaking, feeling jittery, drowsiness, dizziness, irritability, sweating, fast heartbeat, or hunger.

      Yeast infection of the penis, with symptoms such as redness, itching, or swelling of the penis; rash of the penis; foul smelling discharge from the penis; or pain in the skin around the penis.

      Bladder cancer, with symptoms such as blood or a red color in your urine or pain while you urinate.

      Serious allergic reactions, with symptoms such as hives, or swelling of your face, lips, tongue, or throat that may cause trouble breathing.

      Farxiga may also cause kidney problems or increased cholesterol (fats in your blood) levels.

    • Who should not take this medication?

      Do not take Farxiga if you are allergic to it or any of its ingredients.

      Do not take Farxiga if you have severe kidney problems or if you are on dialysis.

    • What should I tell my healthcare provider before I take the first dose of this medication?

      Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Farxiga. Also, talk to your healthcare provider about your complete medical history, especially if you have a history of diabetic ketoacidosis (a life-threatening medical emergency caused by insufficient insulin); kidney problems; a history of urinary tract infections or problems urinating; have or have had bladder cancer; are going to have surgery; are eating less due to illness, surgery, or a change in your diet; have or have had problems with your pancreas; drink alcohol very often, or drink a lot of alcohol in the short term ("binge" drinking); or if you are pregnant, plan to become pregnant, or are breastfeeding.

    • What is the usual dosage?

      The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.

      Adults: The recommended starting dose is 5 milligrams once a day. Your healthcare provider may increase your dose as needed, until the desired effect is achieved.

      If you are also using insulin or taking another diabetes medicine called a sulfonylurea (such as glimepiride, glipizide, or glyburide) your healthcare provider may adjust the dose of these medicines.

      If your body is under some types of stress such as a fever, infection, trauma (such as a car accident), or surgery, your healthcare provider may need to adjust your diabetes medicine.

    • How should I take this medication?

      Take Farxiga exactly as prescribed by your healthcare provider. Do not change your dose or stop taking Farxiga without first talking to your healthcare provider.

      Take Farxiga in the morning, with or without food.

    • What should I avoid while taking this medication?

      Do not become dehydrated. Drink plenty of fluids while you are taking Farxiga.

    • What are the possible food and drug interactions associated with this medication?

      No significant interactions have been reported with Farxiga at this time. However, always tell your healthcare provider about any medicines you take, including over-the-counter medications, vitamins, and herbal supplements.

    • May I receive this medication if I am pregnant or breastfeeding?

      The effects of Farxiga during pregnancy and breastfeeding are unknown. Do not breastfeed while you are taking Farxiga. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

    • What should I do if I miss a dose of this medication?

      If you miss a dose of Farxiga, take it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.

    • How should I store this medication?

      Store at room temperature.

    • Who should I contact in case of emergency or overdose?
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      In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
      National Poison Control#: Call 1-800-222-1222

      This PDR+ drug information has been developed by the Physicians’ Desk Reference Network (PDRN), a source of medication information trusted by doctors for over 65 years.

      This monograph summarizes the most important information about your medication and does not cover all the information you may need. If you have any questions or concerns or want to learn more about your medication, ask your healthcare provider; he/she will be able to provide answers to your questions. This medication should only be used by the patient for whom it was prescribed and should not be shared with other people.
    • Additional patient resources.
      back to top Use your PDR® Pharmacy Discount Card when you or a family member fills a prescription and ask for your PDR® Discount every
      time!
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    This discount plan is NOT insurance or a Medicare prescription drug plan. The plan is not intended as a substitute for insurance and does not meet creditable coverage requirements under state or federal law. The plan provides discounts at participating pharmacies on certain pharmaceutical supplies, prescription drugs, or medical equipment and supplies. The range of discounts will vary depending on the products received. Members are obligated to pay the pharmacy the entire amount of the discounted rate for such products at the point of sale. The plan does not pay pharmacies for products provided to members. No enrollment or periodic fees apply. The pharmacy may pay the plan a fee from amounts the pharmacy collects from the member. The discount plan organization is ProCare Pharmacy Benefit Manager, Inc.,1267 Professional Parkway, ProCare Office Park, Gainesville, GA 30507, 1-888-299-5383. Customer service is provided by PDR, LLC., 5 Paragon Drive, Montvale, NJ, 07645, 1-800-232-7379, www.pdr.net/DiscountCard, customerservice@pdr.net.