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. 2014 Jul 31;49(7):647–662. doi: 10.1310/hpj4907-647

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.