INTRODUCTION

MOTIVYST 300MG contain canagliflozin which belongs to a group of medicine called blood-glucose lowering drugs. This medicine is used to treat type 2 diabetes mellitus in adults. Type 2 diabetes mellitus is a condition where your body does not produce enough insulin, and or the insulin that produced by your body does not work. When your body make too much sugar it gets build up in the blood may also leads to high blood sugar. This can lead to serious medical problems. The main goal of treating diabetes is to lower your blood sugar to a normal level. High blood sugar can be lowered by diet and exercise, and by certain medicine when necessary.

MOTIVYST 300MG can be used by itself or along with other medicines you may be using to treat your type 2 diabetes such as metformin, insulin, DPP-4 inhibitor such as sitagliptin, saxagliptin, or linagliptin, sulphonyl urea such as glimepiride or glipizide or pioglitazone that lower blood sugar levels.

This medicine is strictly not recommended for children and adolescents under 18 years. Check your blood sugar periodically as per the instruction of your doctor. Your doctor will monitor your diabetes with regular blood tests, including your blood sugar levels and your haemoglobin A1C. While taking this medicine, stay on diet prescribed to you and regular exercise. Take good care of your feet and check regularly. Adhere to doctor’s advice regarding foot care given.

Before taking this medicine tell your doctor if you have ever had kidney disease, heart disease, or pancreas problems. Pregnant and breastfeeding women should consult their doctor before taking this medicine.

USES OF MOTIVYST 300MG

• Treat type 2 diabetes mellitus in adults

HOW MOTIVYST 300MG WORKS

MOTIVYST 300MG inhibits the sodium/glucose cotransporter (SGLT2) in the proximal convoluted tubule (PCT). This results in decreased sodium and glucose reabsorption in the kidney, resulting in increased urinary glucose excretion and low plasma glucose.

DIRECTIONS FOR USE

Always take MOTIVYST 300MG exactly as your doctor has told you. This medicine must be taken with or without food. It is best to take this medicine before the first meal of the day. Do not crush or chew the medicine.

SIDE EFFECTS OF MOTIVYST 300MG

HOW TO MANAGE SIDE EFFECTS

Constipation:

Take fibre rich foods such as fresh fruit, vegetables and cereals, and drink plenty of water. Exercise more regularly.

Nausea and vomiting:

Keep try taking this medicine with, or just after, a meal or snack and stick to simple meals and do not eat rich or spicy food.

Stomach pain:

Keep try to rest and relax. Eat and drink slowly and smaller and frequent meals. Keeping a heat pad or covered hot water bottle on your stomach may also help. If still pain persists, speak to your doctor.

Headache:

Apply hot or cold-water bag on your head. Take rest in a quiet and dark room. Drink tea or coffee.

Dizziness:

Lie down by closing the eyes. Drink plenty of water and keep hydrated. Take plenty of sleep.

WARNING & PRECAUTIONS

INTERACTIONS

Talk to your doctor if you are taking,

• other antidiabetics such as insulin or a sulphonyl urea such as glimepiride or glipizide (used to avoid your blood sugar level from getting too low (hypoglycaemia))
• diuretics (used to remove levels of excess water in the body)
• anti-hypertensives, diuretics (used to lower your blood pressure)
• herbal medicine such as St. John’s wort (used to treat depression)
• carbamazepine, phenytoin, or phenobarbital (used to control seizure)
• efavirenz or ritonavir (used to treat HIV infections)
• antibiotic such as rifampicin (used to treat tuberculosis)
• cholestyramine (used to reduce cholesterol level in the blood)
• digoxin or digitoxin (used for certain heart problems)
• dabigatran (blood thinner medicines that lowers the risk of blood clot formation)

SYNOPSIS

MORE INFORMATION

Store below 20-25°C and keep out of reach of children.

FAQs ABOUT MOTIVYST 300MG

What is the use of MOTIVYST 300MG?

This medicine is used to treat type 2 diabetes mellitus in adults.

Is it safe to drive or operate heavy machinery when consuming MOTIVYST 300MG?

No, do not drive or operate machinery while taking this medicine, since it may cause dizziness or light headedness.

How MOTIVYST 300MG works?

MOTIVYST 300MG inhibits the sodium/glucose cotransporter (SGLT2) in the proximal convoluted tubule (PCT). This results in decreased sodium and glucose reabsorption in the kidney, resulting in increased urinary glucose excretion and low plasma glucose.

REFERENCES

1. Bertram G. Katzung, Pancreatic Hormones and Antidiabetic Drugs, Basic & Clinical Pharmacology, Fourteenth Edition, 2015. Page- 272, 763.

2. Elizabeth M Lamos 1, Lisa M Younk, Stephen N Davis. Canagliflozin, an inhibitor of sodium-glucose cotransporter 2, for the treatment of type 2 diabetes mellitus. NIH: National Library of Medicine, National center of biotechnology Information Pubmed.gov. June 2013. [Accessed 28 Oct 2020] https://pubmed.ncbi.nlm.nih.gov/23590413/

3. Haroon Jakher,1 Tara I Chang,2 Marilyn Tan,3 and Kenneth W Mahaffey4. Canagliflozin review – safety and efficacy profile in patients with T2DM. US National Library of Medicines, National Institutes of Health. 1 Feb 2019. [Accessed 28 Oct 2020] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363491/

4. Janssen-Cilag SpA,15 November 2013; Electronic Medicines Compendium (EMC); [Revised on 26 July 2018] [Accessed 28 Oct 2020] https://www.ema.europa.eu/en/documents/product-information/invokana-epar-product-information_en.pdf

5. Janssen Pharmaceuticals, Inc 2013; U.S. Food & Drug Administration; [Revised on Mar 2016] [Accessed 28 Oct 2020] https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/204042s011lbl.pdf

USEFUL DIAGNOSTIC TESTS

• Glucose - Fasting Blood
• Glucose - Postprandial Blood
• Glycosylated Hemoglobin