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Written By Divya L , PharmaD
Reviewed By Sunny S , MBBS

Manufacturer/Marketer :

Johnson & Johnson Pvt Ltd

Consume Type :

Oral

Expires on or after :

Return Policy :

Not Returnable

About Vokanamet 50mg/500mg Tablet

Vokanamet 50mg/500mg Tablet belongs to the class of antidiabetic drugs, primarily used to treat type 2 diabetes mellitus with a proper diet and exercise. Vokanamet 50mg/500mg Tablet also lowers the risk of heart attack, stroke or heart failure in type 2 diabetic patients with heart diseases. Diabetes mellitus is a metabolic disease that causes high blood sugar levels. It occurs when the insulin (a hormone produced by the beta cells of the pancreas) is resistant in breaking the glucose to produce energy (insulin resistance) or the pancreas (an organ behind the stomach) produce little or no insulin at all. Vokanamet 50mg/500mg Tablet is not indicated for use in type 1 diabetes.

Vokanamet 50mg/500mg Tablet is composed of two antidiabetic medicines, namely: Metformin and Canagliflozin. Metformin belongs to the class of biguanides, which reduce increased blood glucose levels without increasing insulin secretion. Canagliflozin belongs to the class of gliflozins. It works by reducing blood sugar levels by eliminating excess sugars from the body through urine. 

Use Vokanamet 50mg/500mg Tablet as advised by your doctor. Some common side effects of Vokanamet 50mg/500mg Tablet include nausea, vomiting, diarrhoea, stomach pain, gas, headache, weakness, frequent urination and indigestion. Sometimes, Vokanamet 50mg/500mg Tablet can cause side effects like lactic acidosis (a rare, but serious metabolic complication of excess lactic acid in the blood that is caused by metformin accumulation) and diabetic ketoacidosis (excess production of blood acids (ketones)). These side effects are not familiar to everyone and vary individually. If you notice any side effects that are not manageable, please consult your doctor. 

Vokanamet 50mg/500mg Tablet may cause hypoglycaemia (low blood sugar), hence it advised to take healthy food with enough calories and avoid heavy exercises. Do not take or stop this medicine, if the doctor did not advise you to do so. Before starting Vokanamet 50mg/500mg Tablet , let your doctor know if you have any medical history of heart, kidney or liver diseases, breathing problems, blood disorders, dehydration, alcohol use, low blood pressure and yeast infection of genitals. It is advised to avoid your alcohol intake while using Vokanamet 50mg/500mg Tablet to decrease lactic acidosis risk. Vokanamet 50mg/500mg Tablet is not recommended during pregnancy and breastfeeding. 

Uses of Vokanamet 50mg/500mg Tablet

Type 2 Diabetes mellitus.

Have a query?

Directions for Use

Swallow it as a whole with a glass of water. Do not chew, crush or break it. Take it preferably with a meal, since it lowers the blood sugar levels and may cause gastrointestinal side effects. Your doctor may start the course with a low dose and gradually maintain an effective dose to achieve the required blood glucose control.

Key Benefits

Vokanamet 50mg/500mg Tablet treats type 2 diabetes mellitus and contains Metformin and Canagliflozin. Metformin is a biguanide and manages blood sugar levels. It exhibits a nonpancreatic effect to reduce blood glucose levels without increasing the insulin secretion. It is also known as insulin sensitizer as it increases the effects of insulin. Metformin is considered a unique antidiabetic drug since it does not cause hypoglycemia (lowered blood sugar levels). Canagliflozin belongs to the class of gliflozins. It works by reducing blood sugar levels by eliminating excess sugars from the body through urine. Canagliflozin reduces the risk of end-stage kidney disease in type 2 diabetic patients with renal impairment. Vokanamet 50mg/500mg Tablet also reduces the risk of serious heart diseases, such as heart attack or stroke in patients with type 2 diabetes and heart disease. Vokanamet 50mg/500mg Tablet may be advised with or without other medications along with diet and exercise to control blood sugar levels. 

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Inform your doctor if you take other antidiabetic drugs to adjust the dosage of Vokanamet 50mg/500mg Tablet accordingly. Do not abruptly stop taking Vokanamet 50mg/500mg Tablet midway if the doctor did not advise you. Vokanamet 50mg/500mg Tablet may cause hypoglycaemia (low blood sugar), hence it is advised to make healthy food with enough calories and avoid heavy exercises. Brief your medical history if you have any heart, kidney or liver diseases, breathing problems (asthma, obstructive lung diseases), blood problems like anaemia (lack of blood cells), vitamin B12 deficiency, dehydration, alcohol use, low blood pressure, mineral imbalance (high levels of potassium) and yeast infection of genitals. Avoid alcohol intake while using Vokanamet 50mg/500mg Tablet since it may increase the risk of lactic acidosis. Canagliflozin in Vokanamet 50mg/500mg Tablet may increase the risk of leg amputation (removal of the leg) in conditions like foot ulcers, heart diseases, circulation problems and nerve damage. Hence, it is advised to inform your doctor if you have any of these conditions before you start Vokanamet 50mg/500mg Tablet . Vokanamet 50mg/500mg Tablet is not recommended for use during pregnancy and breastfeeding. Your doctor may advise alternate medications to control your diabetic condition in such cases. Vokanamet 50mg/500mg Tablet is not recommended for people younger than 18 years of age.  

Drug-Drug Interactions

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MetforminMetrizamide
Critical
MetforminIofendylate
Critical

Drug-Drug Interactions

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MetforminMetrizamide
Critical
How does the drug interact with Vokanamet 50mg/500mg Tablet:
Co-administration of Vokanamet 50mg/500mg Tablet with Metrizamide together can cause the risk of lactic acidosis (when the body produces too much lactic acid ).

How to manage the interaction:
Taking Vokanamet 50mg/500mg Tablet with Metrizamide is generally avoided as it can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you experience headaches, muscle cramps or pain, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
MetforminIofendylate
Critical
How does the drug interact with Vokanamet 50mg/500mg Tablet:
Co-administration of Iofendylate with Vokanamet 50mg/500mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Vokanamet 50mg/500mg Tablet with Iofendylate is generally avoided as it can result in an interaction, please consult your doctor before taking it.
MetforminIohexol
Critical
How does the drug interact with Vokanamet 50mg/500mg Tablet:
Co-administration of Iohexol with Vokanamet 50mg/500mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Vokanamet 50mg/500mg Tablet with Iohexol is generally avoided as it can result in an interaction, please consult your doctor before taking it.
MetforminIopromide
Critical
How does the drug interact with Vokanamet 50mg/500mg Tablet:
Co-administration of Iopromide with Vokanamet 50mg/500mg Tablet can increase the risk of lactic acidosis.

How to manage the interaction:
Taking Iopromide with Vokanamet 50mg/500mg Tablet is not recommended, please consult a doctor before taking it. Do not discontinue the medication without consulting a doctor.
MetforminIomeprol
Critical
How does the drug interact with Vokanamet 50mg/500mg Tablet:
Co-administration of Iomeprol with Vokanamet 50mg/500mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Vokanamet 50mg/500mg Tablet with Iomeprol is not recommended, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
MetforminIopamidol
Critical
How does the drug interact with Vokanamet 50mg/500mg Tablet:
Co-administration of Iopamidol with Vokanamet 50mg/500mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Vokanamet 50mg/500mg Tablet with Iopamidol is not recommended, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
MetforminIoglicic acid
Critical
How does the drug interact with Vokanamet 50mg/500mg Tablet:
Co-administration of Ioglicic acid with Vokanamet 50mg/500mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Vokanamet 50mg/500mg Tablet with Ioglicic acid is generally avoided as it can result in an interaction, please consult your doctor before taking it.
MetforminIodixanol
Critical
How does the drug interact with Vokanamet 50mg/500mg Tablet:
Co-administration of Iodixanol with Vokanamet 50mg/500mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Vokanamet 50mg/500mg Tablet with Iodixanol is not recommended, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
MetforminIoglycamic acid
Critical
How does the drug interact with Vokanamet 50mg/500mg Tablet:
Co-administration of Ioglycamic acid with Vokanamet 50mg/500mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Vokanamet 50mg/500mg Tablet with Ioglycamic acid is generally avoided as it can result in an interaction, please consult your doctor before taking it.
MetforminIobitridol
Critical
How does the drug interact with Vokanamet 50mg/500mg Tablet:
Co-administration of Vokanamet 50mg/500mg Tablet and Iobitridol can increase the risk of lactic acidosis (when the body produces too much lactic acid).

How to manage the interaction:
Taking Vokanamet 50mg/500mg Tablet with Iobitridol is generally avoided as it can result in an interaction. Please consult your doctor before taking it.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Maintain a fibre-rich diet and include healthy carbohydrates from fruits, vegetables and whole grains to maintain your blood glucose levels.
  • Eat at regular intervals.
  • Keep a check on your weight and exercise regularly to keep your heart healthy.
  • Your doctor also guides you on noticing and managing the early symptoms of high/low blood sugar levels.
  • Gastrointestinal side effects can be managed with simple modifications in your lifestyle. These include cutting down on sugars and fatty foods, and avoiding carbonated drinks and foods that cause gas. 

Habit Forming

No

Therapeutic Class

[ANTIDIABETICS]

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Alcohol

Safe if prescribed

It is advised to avoid alcohol intake since it may worsen the side effects like lactic acidosis and increase the risk of developing low blood sugar levels.

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Pregnancy

Consult your doctor

Canagliflozin in Vokanamet 50mg/500mg Tablet is not recommended during pregnancy. Your doctor may suggest other medications to control your blood sugar levels. Please consult your doctor before starting Vokanamet 50mg/500mg Tablet if you are pregnant or planning to conceive.

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Breast Feeding

Consult your doctor

Vokanamet 50mg/500mg Tablet may be unsafe to use during breastfeeding since it is excreted into the breast milk. Please seek medical advice for further information.

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Driving

Safe if prescribed

Your driving may be affected if your blood sugar levels are too high or too low. Do not drive or operate machinery if you also experience blurred vision, dizziness or drowsiness due to extremely low or high blood sugar.

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Liver

Consult your doctor

Let your doctor know if you have any history of liver diseases or hepatic impairment when prescribed Vokanamet 50mg/500mg Tablet .

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Kidney

Consult your doctor

Vokanamet 50mg/500mg Tablet is contraindicated in patients with renal impairment/kidney diseases. Let your doctor know if you have any history of kidney diseases when you are prescribed Vokanamet 50mg/500mg Tablet .

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Children

Safe if prescribed

Vokanamet 50mg/500mg Tablet is not recommended for people younger than 18 years of age.

FAQs

Vokanamet 50mg/500mg Tablet contains two antidiabetic medicines: Metformin and Canagliflozin. These drugs lower the blood sugar levels in type 2 diabetes mellitus by eliminating excess sugars through urine and increasing insulin activity. Vokanamet 50mg/500mg Tablet also reduces the risk of death due to heart attack, stroke and end-stage kidney disease in type 2 diabetic patients with heart/kidney diseases.

Vokanamet 50mg/500mg Tablet may cause low blood sugar levels (hypoglycaemia) and can make you hungry, dizzy, irritable, confused, anxious, or shaky. Hence, it is advised to take Vokanamet 50mg/500mg Tablet with a meal. To immediately treat hypoglycaemia, it is advised to eat or drink fast-acting sugar sources like fruit juices, hard candy, raisins or non-diet soda. Consult your doctor immediately.

Your doctor may advise Vokanamet 50mg/500mg Tablet with or without other medications to control your blood sugar levels. However, it is advised to maintain a proper diet and exercise to achieve the controlled blood sugar levels while using Vokanamet 50mg/500mg Tablet with or without other antidiabetic drugs.

Vokanamet 50mg/500mg Tablet should be used with caution in heart, kidney or liver diseases, breathing problems, blood disorders, dehydration, alcohol use, foot ulcers, nerve damage, low blood pressure and yeast infection of genitals. Vokanamet 50mg/500mg Tablet is contraindicated in patients with renal impairment and diabetic ketoacidosis.

While using Vokanamet 50mg/500mg Tablet , if you experience vomiting, stomach/abdominal pain, muscle cramps, sick feeling, severe tiredness, difficulty in breathing or reduced body temperature and heartbeat, it is important to seek immediate medical help since these are the symptoms of lactic acidosis. Lactic acidosis is a rare but a serious complication caused due to accumulation of metformin. It is a medical emergency and needs immediate treatment. Please consult your doctor for further information.

It is not recommended to use Vokanamet 50mg/500mg Tablet along with water pills/diuretics. Simultaneous use of Vokanamet 50mg/500mg Tablet and water pills causes dehydration and may increase the risk of lactic acidosis.

Take the missed dose as soon as possible. However, if it is time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not double the dose.

Yes, long term use of metformin in Vokanamet 50mg/500mg Tablet may cause a decrease in the amount of vitamin B12 in your blood, especially if you have had low vitamin B12 blood levels before. Consult your doctor for further advice.

Country of origin

Puerto Rico

Manufacturer/Marketer address

Corporate Communications, Johnson & Johnson Private Limited., 501 Arena Space, Behind Majas Bus Depot, Off Jogeshwari Vikhroli Link Road, Jogeshwari (E), Mumbai 400 060
Other Info - VOK0004

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