in adults with type 2 diabetes. it's proven to lower a1c better than januvia®. invokana® works around the clock by sending some sugar out of your body through the process of urination. it's not for lowering systolic blood pressure or weight loss, but it may help with both. invokana® may cause dehydration, which could make you feel dizzy or weak when you stand up, so be sure to drink enough water. important side effects to know may include kidney problems, genital yeast infections, changes in urination, or potentially serious urinary tract infections. as is risk of fracture, or increases in cholesterol or potassium. ketoacidosis is a serious condition, which can be life threatening. stop taking invokana® and call your doctor right away if you experience symptoms. or if you have an allergic reaction, with signs like rash, swelling, or difficulty breathing or swallowing. do not take if you have severe liver or kidney problems