PMID- 27048192 OWN - NLM STAT- MEDLINE DCOM- 20180920 LR - 20180920 IS - 2212-3911 (Electronic) IS - 1574-8863 (Linking) VI - 13 IP - 1 DP - 2018 TI - Generalized Intense Pruritus During Canagliflozin Treatment: Is it an Adverse Drug Reaction? PG - 38-40 LID - 10.2174/1574886311666160405110515 [doi] AB - BACKGROUND: Selective agents able to locate and identify unique targets represent a crucial aspect of modern pharmacology. The exclusive location of Sodium-Glucose co-Transporter-2 (SGLUT2) on kidneys prompt companies to develop SGLT2 inhibitors that today are the latest class of drugs for diabetes treatment. In particular, canagliflozin blocks the re-absorption of glucose in the kidney lowering blood glucose levels by increasing glucose excretion. CASE DESCRIPTION: We report a 61-year old woman who developed an intense and severe pruritus during the treatment with canagliflozin. Clinical and laboratory findings excluded the presence of systemic or skin diseases able to induce pruritus. The discontinuation of canagliflozin and the treatment with pioglitazone/metformin fixed combination induced a remission of pruritus. CONCLUSION: This case emphasizes the need to consider pruritus as a differential diagnosis during the treatment with canagliflozin. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.org. FAU - Vasapollo, Piero AU - Vasapollo P AD - Department of General and Territorial Medicine, Azienda Sanitaria Provinciale, Crotone, Italy. FAU - Cione, Erika AU - Cione E AD - Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Catanzaro, Italy. FAU - Luciani, Filippo AU - Luciani F AD - Infectious Disease Unit, Annunziata Hospital, Cosenza, Italy. FAU - Gallelli, Luca AU - Gallelli L AD - Department of Health Science, University of Catanzaro and Operative Unit of Clinical Pharmacology and Pharmacovigilance, Mater Domini Hospital, Catanzaro, Italy. LA - eng PT - Case Reports PT - Journal Article PL - United Arab Emirates TA - Curr Drug Saf JT - Current drug safety JID - 101270895 RN - 0 (Hypoglycemic Agents) RN - 0SAC974Z85 (Canagliflozin) SB - IM MH - Canagliflozin/*adverse effects MH - Diabetes Mellitus, Type 2/diagnosis/drug therapy MH - Drug-Related Side Effects and Adverse Reactions/*diagnosis MH - Female MH - Humans MH - Hypoglycemic Agents/*adverse effects MH - Middle Aged MH - Pruritus/*chemically induced/*diagnosis MH - Treatment Outcome OTO - NOTNLM OT - Pruritus OT - SGLT2 OT - adverse drug reaction OT - canagliflozin OT - pharmacology OT - sodium-glucose. EDAT- 2016/04/07 06:00 MHDA- 2018/09/21 06:00 CRDT- 2016/04/07 06:00 PHST- 2016/01/15 00:00 [received] PHST- 2016/03/16 00:00 [revised] PHST- 2016/04/01 00:00 [accepted] PHST- 2016/04/07 06:00 [pubmed] PHST- 2018/09/21 06:00 [medline] PHST- 2016/04/07 06:00 [entrez] AID - CDS-EPUB-74798 [pii] AID - 10.2174/1574886311666160405110515 [doi] PST - ppublish SO - Curr Drug Saf. 2018;13(1):38-40. doi: 10.2174/1574886311666160405110515.