Type 2 diabetes mellitus not controlled by metformin
alone or by metformin in combination with insulin or
Endocrine system
other antidiabetic drugs
▶BY MOUTH
▶Adult: 1 tablet twice daily, dose based on patient’s
current metformin dose, daily dose of metformin
should not exceed 2 g
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DUE TO INTERACTIONS
▶Dose of concomitant insulin or drugs that stimulate
insulin secretion may need to be reduced.
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Scottish Medicines Consortium (SMC) decisions
SMC No. 1019/14
The Scottish Medicines Consortium has advised (January
2015) that canagliflozin with metformin (Vokanamet ®) is
accepted for restricted use within NHS Scotland in patients
with type 2 diabetes mellitus for whom a combination of
canagliflozin and metformin is an appropriate choice of
therapy.
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