This information is intended for US healthcare professionals to access current scientific information about J&J Innovative Medicine products. It is prepared by Medical Information and is not intended for promotional purposes, nor to provide medical advice.

INVOKAMET - Splitting, Cutting, or Dividing the Tablet

Last Updated: 11/14/2024

Summary

  • INVOKAMET tablets are not scored1 and are formulated with croscarmellose as a disintegrant to prepare the product for immediate-release upon swallowing.2,3
  • The tablets are not enteric-coated, delayed-release, extended-release, or controlled-release. No studies have been conducted by Johnson & Johnson to establish bioequivalence between split and intact INVOKAMETtablets.

FORMULATION CONSIDERATIONS

  • INVOKAMET is supplied as immediate-release, capsule-shaped, film-coated tablets for oral administration.3
  • INVOKAMET tablets are formulated with croscarmellose as a disintegrant to prepare the product for immediate-release upon swallowing.2,3 The tablets are not enteric-coated, delayed-release, extended-release, or controlled-release.
  • No studies have been conducted by Johnson & Johnson to establish bioequivalence between split and intact INVOKAMET tablets.

ADDITIONAL INFORMATION

Food and Drug Administration Guidance

In March 2013, the food and drug administration (FDA) issued a guidance document regarding the scientific basis for functional scoring on solid oral dosage form products to ensure the quality of split tablet products. Scored tablets that meet certain criteria for splitability described in the FDA guidance can be labeled as having functional scoring.4  INVOKAMETtablets are not scored1 and have not been evaluated against these FDA splitability criteria.

Professional Practice Guidelines

While there is no published information regarding splitting INVOKAMET tablets, there are a few professional practice guidelines regarding the practice of splitting tablets.5-7

LITERATURE SEARCH

A literature search of MEDLINE®, Embase®, BIOSIS Previews®, and Derwent Drug File (and/or other resources, including internal/external databases) pertaining to this topic was conducted on 28 October 2024. No published reports of splitting, cutting, or dividing INVOKAMET tablets were identified.

References

1 INVOKAMET (canagliflozin and metformin hydrochloride) tablet, film coated. DailyMed,. National Library of Medicine, National Institutes of Health; 2014. http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=6868666b-c25e-40d1-9d1f-306bbe9390c1 Accessed October 28, 2024.  
2 Desai PM, Liew CV, Heng PWS. Review of disintegrants and the disintegration phenomena. J Pharm Sci. 2016;105(9):2545-2555.  
3 INVOKAMET (canagliflozin and metformin hydrochloride) / INVOKAMET XR (canagliflozin and metformin hydrochloride extended-release) [Prescribing Information]. Titsuville, NJ: Janssen Pharmaceuticals, Inc;https://imedicalknowledge.veevavault.com/ui/approved_viewer?token=7994-1f749c73-ec3a-43a2-9b03-b61e1eb82a5d
4 Center for Drug Evaluation and Research (CDER). Guidance for Industry: Tablet Scoring: Nomenclature, Labeling, and Data for Evaluation. Food and Drug Administration (FDA); 2013. https://www.fda.gov/media/81626/download Accessed October 28, 2024.  
5 APhA Strategic Directions Committee. Tablet Splitting: Evaluating Appropriateness for Patients. J Am Pharm Assoc. 2004;44(3):324-325.  
6 Institute of Safe Medication Practices (ISMP). Tablet splitting: do it only if you “half” to, and then do it safely. Institute for Safe Medication Practices; 2006. http://www.ismp.org/Newsletters/acutecare/articles/20060518.asp Accessed October 28, 2024.  
7 American Society of Health-System Pharmacists® (ASHP). 0525 - Mandatory Tablet Splitting for Cost Containment. ASHP Policy Positions 1982-2016. American Society of Health-System Pharmacists; 2016. https://www.ashp.org/pharmacy-practice/policy-positions-and-guidelines/browse-by-document-type/policy-positions Accessed October 28, 2024.