Table 2. Contraindications, warnings, and precautions for the SGLT2 inhibitors1,2.
Canagliflozin | Dapagliflozin | |
Contraindications | ||
Severe renal impairment | X | X |
End-stage renal disease or dialysis | X | X |
Hypersensitivity to the agent | X | X |
Warnings and precautions | ||
Volume depletion/hypotension | X | X |
Impairment in renal function | X | X |
Hyperkalemia | X | |
Hypoglycemia | X | X |
Genital mycotic infections | X | X |
Hypersensitivity reactions | X | |
LDL-C | X | X |
Bladder cancer | X | |
Macrovascular outcomes not studied | X | X |
Special populations | ||
Renal impairment | Reduce dose if GFR 45 to < 60 mL/min/1.73 m2 Avoid if GFR is < 45 mL/min/1.73 m2 |
Avoid if GFR < 60 mL/min/1.73 m2 |
Hepatic impairment | No unique precautions in mild to moderate impairment Not studied in severe impairment; therefore, use is not recommended |
No unique precautions in mild to moderate impairment Not studied in severe impairment; therefore, risk versus benefit should be considered |
Elderly | Increased risk of volume depletion | Increased risk of volume depletion and |
Pediatric | Safety and efficacy not established | Safety and efficacy not established |
Pregnancy | Category C; avoid use | Category C; avoid use |
Lactation | Avoid use | Avoid use |
Note: GFR = glomerular filtration rate; LDL-C = low-density lipoprotein cholesterol.