FrancophonIA/ELRC3.0 huggingface dataset:
English: If a combined inducer of these UGT enzymes and transport proteins must be co-administered with canagliflozin, monitoring of glycaemic control to assess response to canagliflozin is appropriate.
Danish: Hvis samtidig administration af canagliflozin og en kombineret induktor af sådanne UGT-renzymer og transportproteiner er nødvendig, indebærer det et behov for monitorering af glykæmisk kontrol for at vurdere responset på canagliflozin.
English: Kidney function Your kidneys will be tested by a blood test before you start taking and while you are on this medicine.
Danish: Du vil få undersøgt dine nyrer ved hjælp af en simpel blodprøve, før du begynder at tage dette lægemiddel og under behandlingen.
English: In an embryo-foetal development study in rats, ossification delays of metatarsal bones were observed at systemic exposures 73 times and 19 times higher than the clinical exposures at the 100 mg and 300 mg doses.
Danish: I et embryo-føtalt udviklingsstudie i rotter sås forsinket ossifikation af metatarsalknogler ved systemisk eksponering for doser, der var henholdsvis 73 gange og 19 gange større end den kliniske eksponering ved doser på 100 mg og 300 mg.
English: However, dizziness or lightheadedness has been reported, which may affect your ability to drive, cycle, or use tools or machines.
Danish: Der er dog forekommet svimmelhed og uklarhed, som kan påvirke din evne til at køre, cykle eller betjene værktøj eller maskiner.
English: Renal clearance of canagliflozin 100 mg and 300 mg doses ranged from 1.30 mL/min to 1.55 mL/min.
Danish: Renal clearance af canagliflozin 100 mg og 300 mg lå i området 1,30 ml/min til 1,55 ml/min.
English: • cholestyramine (medicine used to reduce cholesterol levels in the blood).
Danish: • colestyramin (middel til at nedsætte blodets indhold af kolesterol).
English: The risk of developing diabetic ketoacidosis may be increased with prolonged fasting, excessive alcohol consumption, dehydration, sudden reductions in insulin dose, or a higher need of insulin due to major surgery or serious illness.
Danish: Risikoen for at udvikle diabetisk ketoacidose kan øges, hvis du faster i længere tid, har et stort alkoholforbrug, er dehydreret, pludseligt nedsætter insulindosis eller får et større insulinbehov på grund af en større operation eller alvorlig sygdom.
English: Angioedemad
Danish: Angioødemd
English: After single-dose oral administration of 100 mg and 300 mg in healthy subjects, canagliflozin was rapidly absorbed, with peak plasma concentrations (median Tmax) occurring 1 hour to 2 hours post-dose.
Danish: Efter administration af en enkelt oral dosis på 100 mg eller 300 mg til raske forsøgspersoner blev canagliflozin hurtigt absorberet, og maksimal plasmakoncentration (median Tmax) indtraf 1 time til 2 timer efter dosis.
English: Male and female patients with a history of genital mycotic infections were more likely to develop an infection.
Danish: Der sås en øget sandsynlighed for, at mandlige og kvindelige patienter med genitale svampeinfektioner i anamnesen fik infektioner.
English: Canagliflozin should also not be used in patients with end stage renal disease (ESRD) or in patients on dialysis as it is not expected to be effective in such populations (see sections 4.4 and 5.2).
Danish: Canagliflozin bør heller ikke anvendes til patienter med nyresygdom i terminalstadiet (ESRD) eller til patienter i dialyse, da det ikke forventes at virke hos disse populationer (se pkt.
English: Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.
Danish: Fortæl altid lægen eller apotekspersonalet, hvis du tager anden medicin eller har gjort det for nylig.
English: Balanitis or balanoposthitis includes the terms balanitis, balanoposthitis, balanitis candida, and genital infection fungal.
Danish: Balanitis eller balanopostitis omfatter termerne balanitis, balanopostitis, balanitis candida og genital svampeinfektion.
English: • Invokana 100 mg film-coated tablets (tablets) are yellow, capsule-shaped, 11 mm long, with
Danish: • Invokana 100 mg filmovertrukne tabletter er gule, kapselformede tabletter, 11 mm lange, med
English: Care should be taken when increasing the dose in patients ≥ 75 years of age, patients with known cardiovascular disease, or other patients for whom the initial canagliflozin-induced diuresis poses a risk (see section 4.4).
Danish: Der bør udvises forsigtighed ved øgning af dosis hos patienter i alderen ≥ 75 år, patienter med kendt kardiovaskulær sygdom eller andre patienter, hos hvem den indledende canagliflozin-inducerede diurese udgør en risiko (se pkt.
English: Adverse reactions leading to discontinuation of ≥ 0.5% of all canagliflozin-treated patients in these studies were vulvovaginal candidiasis (0.7% of female patients) and balanitis or balanoposthitis (0.5% of male patients).
Danish: I studierne var de bivirkninger, der førte til seponering hos ≥ 0,5 % af alle patienter, der fik canagliflozin, vulvovaginal candidiasis (0,7 % af de kvindelige patienter) og balanitis eller balanopostitis (0,5 % af de mandlige patienter).
English: Elderly patients may be at a greater risk for volume depletion, are more likely to be treated with diuretics, and to have impaired renal function.
Danish: Hos ældre patienter kan risikoen for volumendepletering være øget, og diuretisk behandling samt nedsat nyrefunktion er mere sandsynligt hos denne population.
English: In interaction studies, canagliflozin at steady-state had no clinically relevant effect on the pharmacokinetics of metformin, oral contraceptives (ethinyl estradiol and levonorgestrol), glibenclamide, paracetamol, hydrochlorothiazide, or warfarin.
Danish: I interaktionsstudier havde canagliflozin ved steady state ingen klinisk relevant virkning på farmakokinetikken af metformin, orale kontraceptiva (ethinylestradiol og levonorgestrel), glibenclamid, paracetamol, hydrochlorthiazid eller warfarin.
English: A subset of patients (N = 208) from the active-controlled dual therapy study with metformin who underwent dual energy X-ray densitometry (DXA) and abdominal computed tomography (CT) scans for evaluation of body composition demonstrated that approximately two-thirds of the weight loss with canagliflozin was due to loss of fat mass with similar amounts of visceral and abdominal subcutaneous fat being lost.
Danish: Hos et delsæt af patienterne (N = 208) fra det aktivt kontrollerede studie af dobbeltbehandling med metformin, som fik udført dual energy X-ray densitometry (DXA) og abdominal computer tomografi (CT) skanning til evaluering af kroppens vævssammensætning, blev det påvist, at ca. to tredjedele af vægttabet med canagliflozin skyldtes tab af fedtmasse med lige store tab af viskeralt og abdominalt subkutant fedt.
English: Invokana is available in PVC/aluminium perforated unit dose blisters.
Danish: Invokana udleveres i perforeret enkeltdosisblister af PVC/aluminium.
English: • Invokana 300 mg film-coated tablets (tablets) are white, capsule-shaped, 17 mm long, with
Danish: • Invokana 300 mg filmovertrukne tabletter er hvide, kapselformede tabletter, 17 mm lange, med
English: The Cmax of canagliflozin was moderately increased by 13%, 29%, and 29% in subjects with mild, moderate, and severe renal failure, respectively, but not in subjects on haemodialysis.
Danish: Canagliflozins Cmax steg moderat med 13 %, 29 % og 29 % hos forsøgspersoner med henholdsvis let, moderat og svært nedsat nyrefunktion, men ikke hos forsøgspersoner i hæmodialyse.
English: For patients receiving canagliflozin, in case of intercurrent conditions that may lead to volume depletion (such as a gastrointestinal illness), careful monitoring of volume status (e.g., physical examination, blood pressure measurements, laboratory tests including renal function tests), and serum electrolytes is recommended.
Danish: I tilfælde af tilstødende lidelser, der kan føre til volumendepletering (så som sygdom i mave-tarmkanalen), anbefales det, at patienter, der får canagliflozin, monitoreres nøje for volumenstatus (f.eks. ved lægeundersøgelse, blodtryksmåling, laboratorieprøver inklusive nyrefunktionstests) og serumelektrolytter.
English: The pack sizes are cartons of 10 x 1, 30 x 1, 90 x 1, or 100 x 1 tablets.
Danish: Pakningsstørrelserne er æsker med 10 x 1, 30 x 1, 90 x 1 eller 100 x 1 tabletter.
English: The tablet is white, capsule-shaped, approximately 17 mm in length, immediate-release and film-coated, with “CFZ” on one side and “300” on the other side.
Danish: En hvid, kapselformet tablet, ca. 17 mm lang, med konventionel udløsning og filmovertrukket, præget med “CFZ” på den ene side og “300” på den anden side.
English: The higher doses of canagliflozin (100 mg/kg) in male and female rats increased the incidence of pheochromocytomas and renal tubular tumours.
Danish: De høje doser canagliflozin (100 mg/kg) hos han- og hunrotter øgede incidensen af fæokromocytomer og tumorer i renale tubuli.
English: Monotherapy (26 weeks) Canagliflozin
Danish: Monoterapi (26 uger) Canagliflozin
English: The hazard ratios for the 100 mg and 300 mg doses were similar.
Danish: Der sås omtrent samme hazard ratio for 100 mg- og 300 mg-doserne.
English: The study included 8 subjects with normal renal function (CrCl ≥ 80 mL/min), 8 subjects with mild renal impairment (CrCl 50 mL/min to < 80 mL/min), 8 subjects with moderate renal impairment (CrCl 30 mL/min to < 50 mL/min), and 8 subjects with severe renal impairment (CrCl < 30 mL/min) as well as 8 subjects with ESRD on haemodialysis.
Danish: Studiet omfattede 8 personer med normal nyrefunktion (CrCl ≥ 80 ml/min), 8 personer med let nedsat nyrefunktion (CrCl 50 ml/min til < 80 ml/min), 8 personer med moderat nedsat nyrefunktion (CrCl 30 ml/min til < 50 ml/min) og 8 personer med svært nedsat nyrefunktion (CrCl < 30 ml/min) samt 8 personer med nyresygdom i terminalstadiet, som var i hæmodialyse.
English: Available pharmacodynamic/toxicological data in animals have shown excretion of canagliflozin/metabolites in milk, as well as pharmacologically mediated effects in breast-feeding offspring and juvenile rats exposed to canagliflozin (see section 5.3).
Danish: De tilgængelige farmakodynamiske/toksikologiske data fra dyrestudier viser, at canagliflozin og dets metabolitter udskilles i mælk, og der er set farmakologisk fremkaldt påvirkning af diende afkom og unge rotter efter eksponering for canagliflozin (se pkt.
English: How to take Invokana
Danish: Sådan skal du tage Invokana
English: • if you are allergic to canagliflozin or any of the other ingredients of this medicine (listed in section 6).
Danish: • hvis du er allergisk over for canagliflozin eller et af de øvrige indholdsstoffer i Invokana
English: • other antidiabetics - either insulin or a sulphonylurea (such as glimepiride or glipizide) - your doctor may want to reduce your dose in order to avoid your blood sugar level from getting too low (hypoglycaemia)
Danish: • andre lægemidler mod diabetes (antidiabetika) - enten insulin eller et sulfonylurinstof (f.eks. glimepirid eller glipizid - i så fald vil lægen måske nedsætte din dosis for at undgå, at dit blodsukkerniveau bliver alt for lavt (hypoglykæmi)
English: Vulvovaginal candidiasis includes the terms vulvovaginal candidiasis, vulvovaginal mycotic infection, vulvovaginitis, vaginal infection, vulvitis, and genital infection fungal.
Danish: g Vulvovaginal candidiasis omfatter termerne vulvovaginal candidiasis, vulvovaginal svampeinfektion, vulvovaginitis, vaginal infektion, vulvitis og genital svampeinfektion.
English: EU/1/13/884/001 (100 mg - 10 tablets) EU/1/13/884/002 (100 mg - 30 tablets) EU/1/13/884/003 (100 mg - 90 tablets) EU/1/13/884/004 (100 mg - 100 tablets) EU/1/13/884/005 (300 mg - 10 tablets) EU/1/13/884/006 (300 mg - 30 tablets) EU/1/13/884/007 (300 mg - 90 tablets) EU/1/13/884/008 (300 mg - 100 tablets)
Danish: EU/1/13/884/001 (100 mg - 10 tabletter) EU/1/13/884/002 (100 mg - 30 tabletter) EU/1/13/884/003 (100 mg - 90 tabletter) EU/1/13/884/004 (100 mg - 100 tabletter) EU/1/13/884/005 (300 mg - 10 tabletter) EU/1/13/884/006 (300 mg - 30 tabletter) EU/1/13/884/007 (300 mg - 90 tabletter) EU/1/13/884/008 (300 mg - 100 tabletter)
English: Ossification delays were also observed for the combination of canagliflozin and metformin, which were more prominent than for metformin alone at canagliflozin exposures 43 times and 12 times higher than clinical exposures at 100 mg and 300 mg doses.
Danish: Der observeredes også forsinket ossifikation med kombinationen canagliflozin og metformin, som var mere markant end ved metformin alene ved en eksponering for canagliflozin, der var henholdsvis 43gange og 12gange større end den kliniske eksponering ved doser på 100 mg og 300 mg.
English: In patients with evidence of volume depletion, correcting this condition prior to initiation of canagliflozin is recommended (see section 4.4).
Danish: Det anbefales, at patienter, der har fået påvist volumendepletering, får denne tilstand korrigeret inden initiering af canagliflozinbehandling (se pkt.
English: In three studies conducted in special populations (older patients, patients with an eGFR of 30 mL/min/1.73 m2 to < 50 mL/min/1.73 m2 and patients with or at high risk for cardiovascular disease), canagliflozin was added to patients' current stable diabetes treatments (diet, monotherapy, or combination therapy).
Danish: I de tre studier, der blev udført med særlige populationer (ældre patienter, patienter med eGFR 30 ml/min/1,73 m2 til < 50 ml/min/1,73 m2 og patienter med kardiovaskulær sygdom eller høj risiko for kardiovaskulær sygdom), blev patienternes igangværende stabile diabetesbehandling (diæt, monoterapi eller kombinationsbehandling) suppleret med canagliflozin.
English: Add-on therapy with insulind (18 weeks) Canagliflozin + insulin
Danish: Tillægsbehandling med insulind (18 uger) Canagliflozin + insulin
English: A lower proportion of patients treated with canagliflozin 100 mg (5.6%) and canagliflozin 300 mg (4.9%) experienced at least one episode/event of hypoglycaemia over 52 weeks of treatment compared to the group treated with glimepiride (34.2%).
Danish: En mindre andel af de patienter, der fik canagliflozin 100 mg (5,6 %) og canagliflozin 300 mg (4,9 %), fik mindst én episode/hændelse med hypoglykæmi i løbet af 52 ugers behandling sammenlignet med gruppen, der fik glimepirid (34,2 %).
English: Cholestyramine may potentially reduce canagliflozin exposure.
Danish: Colestyramin kan muligvis reducere eksponeringen for canagliflozin.
English: Pack sizes of 10 x 1, 30 x 1, 90 x 1, and 100 x 1 film-coated tablets.
Danish: Pakningsstørrelser på 10 x 1, 30 x 1, 90 x 1 og 100 x 1 filmovertrukne tabletter.
English: Possible signs of dehydration are: feeling light-headed or dizzy passing out (fainting) or feeling dizzy or faint when you stand up very dry or sticky mouth, feeling very thirsty feeling very weak or tired passing little or no urine fast heartbeat.
Danish: Mulige tegn på dehydrering: du føler dig ør eller svimmel du besvimer, er svimmel eller bliver svimmel, når du rejser dig meget tør eller klæbrig mund, voldsom tørst meget afkræftet eller træt kun lidt eller ingen urin ved vandladning hurtig puls.
English: The tablet is yellow, capsule-shaped, approximately 11 mm in length, immediate-release and film-coated, with “CFZ” on one side and “100” on the other side.
Danish: En gul, kapselformet tablet, ca. 11 mm lang, med konventionel udløsning og filmovertrukket, præget med “CFZ” på den ene side og “100” på den anden side.
English: In a pre- and postnatal development study, canagliflozin administered to female rats from gestation day 6 to lactation day 20 resulted in decreased body weights in male and female offspring at maternally toxic doses > 30 mg/kg/day (exposures ≥ 5.9 times the human exposure to canagliflozin at the MHRD).
Danish: I et præ- og postnatalt udviklingsstudie medførte canagliflozin administreret til hunrotter fra 6. drægtighedsdag til dag 20 under diegivningen nedsat legemsvægt hos afkom af begge køn ved doser, der var toksiske for moderdyret på > 30 mg/kg/dag (eksponering for ≥ 5,9 gange human eksponering for canagliflozin ved MRHD).
English: In addition, in such patients more events of elevated potassium and greater increases in serum creatinine and blood urea nitrogen (BUN) were reported (see section 4.8).
Danish: Desuden blev der hos sådanne patienter rapporteret flere hændelser i form af forhøjet kalium og større stigninger i serumkreatinin og Pcarbamid (se pkt.
English: Table 1: Tabulated list of adverse reactions (MedDRA) from placebo-controlled studiesa and from postmarketing experience
Danish: Tabel 1: Bivirkninger (MedDRA) opstillet i tabelform på baggrund af placebokontrollerede studiera og erfaringer efter markedsføringen
English: Blood creatinine increased**, k, Blood urea increased**, l, Blood potassium increased**, m, Blood phosphate increasedn
Danish: ,forhøjet carbamid i blodet**, l, forhøjet kalium i blodet**, m, forhøjet phosphat i blodetn
English: In a pooled analysis of clinical data, increases in canagliflozin AUC of 26% were observed in UGT1A9*1/*3 carriers and 18% in UGT2B4*2/*2 carriers.
Danish: I en poolet analyse af kliniske data forekom der stigninger i canagliflozins AUC på 26 % hos UGT1A9*1/*3-bærere og 18 % hos
English: Drug/Laboratory test interference
Danish: Interferens med lægemiddel/laboratorietest
English: Caution should be exercised in patients for whom a canagliflozin-induced drop in blood pressure could pose a risk, such as patients with known cardiovascular disease, patients with an eGFR < 60 mL/min/1.73 m2, patients on anti-hypertensive therapy with a history of hypotension, patients on diuretics, or elderly patients (≥ 65 years of age) (see sections 4.2 and 4.8).
Danish: Forsigtighed tilrådes hos patienter, hos hvem et blodtryksfald udløst af canagliflozin kunne være risikabelt, herunder patienter med kendt kardiovaskulær sygdom, patienter med eGFR < 60 ml/min/1,73 m2, patienter i behandling med antihypertensiva eller med hypotension i anamnesen, patienter der får diuretika eller ældre patienter (i alderen ≥ 65 år) (se pkt.4.2 og 4.8).
English: Effects of other medicinal products on canagliflozin The metabolism of canagliflozin is primarily via glucuronide conjugation mediated by UDP glucuronosyl transferase 1A9 (UGT1A9) and 2B4 (UGT2B4).
Danish: Canagliflozin metaboliseres primært via glucuronidkonjugering udvirket af UDP-glucuronosyltransferase 1A9 (UGT1A9) og 2B4 (UGT2B4).
English: Co-administration of a high-fat meal with canagliflozin had no effect on the pharmacokinetics of canagliflozin; therefore, Invokana may be taken with or without food.
Danish: Samtidig administration af et måltid med højt fedtindhold og canagliflozin påvirkede ikke lægemidlets farmakokinetik, og Invokana kan således indtages alene eller i forbindelse med et måltid.
English: A single-dose, open-label study evaluated the pharmacokinetics of canagliflozin 200 mg in subjects with varying degrees of renal impairment (classified using CrCl based on the Cockroft-Gault equation) compared to healthy subjects.
Danish: I et åbent enkeltdosisstudie blev canagliflozin 200 mg evalueret for farmakokinetiske egenskaber hos forsøgspersoner med nedsat nyrefunktion i forskellig grad (klassificeret ved hjælp af CrCl ud fra Cockroft-Gaults formel), der blev sammenlignet med raske forsøgspersoner.
English: The efficacy of canagliflozin is dependent on renal function, and efficacy is reduced in patients who have moderate renal impairment and likely absent in patients with severe renal impairment (see section 4.2).
Danish: Canagliflozins virkning afhænger af nyrefunktionen, og virkningen er reduceret hos patienter, som har moderat nedsat nyrefunktion, mens det formentlig ikke virker hos patienter med svært nedsat nyrefunktion (se pkt.
English: Interaction studies suggest that the pharmacokinetics of canagliflozin are not altered by metformin, hydrochlorothiazide, oral contraceptives (ethinyl estradiol and levonorgestrol), ciclosporin, and/or probenecid.
Danish: Interaktionsstudier indikerer, at canagliflozins farmakokinetik ikke påvirkes af metformin, hydrochlorthiazid, orale kontraceptiva (ethinylestradiol og levonorgestrel), ciclosporin eller probenecid.
English: • if you experience rapid weight loss, feeling sick or being sick, stomach pain, excessive thirst, fast and deep breathing, confusion, unusual sleepiness or tiredness, a sweet smell to your breath, a sweet or metallic taste in your mouth or a different odour to your urine or sweat, contact a doctor or the nearest hospital straight away.
Danish: • hvis du taber dig meget hurtigt, får kvalme eller kaster op, får mavesmerter, er voldsomt tørstig, trækker vejret hurtigt og dybt, er forvirret, er usædvanligt søvnig eller træt, dine ånde lugter sødligt, du har en sødlig eller metallisk smag i munden, eller din urin eller sved lugter anderledes.
English: In general, canagliflozin produced clinically and statistically significant (p<0.001) results relative to placebo in glycaemic control, including HbA1c, the percentage of patients achieving HbA1c < 7%, change from baseline fasting plasma glucose (FPG), and 2-hour postprandial glucose (PPG).
Danish: Generelt opnåede canigliflozin klinisk og statistisk signifikante (p < 0,001) resultater i forhold til placebo, hvad angår glykæmisk kontrol inklusive HbA1c, den procentdel af patienter, der opnåede HbA1c < 7 %, ændringer fra baseline i fastende plasmaglucose (FPG) samt postprandial glucose (PPG) efter 2 timer.
English: Canagliflozin is not expected to be dialysable by peritoneal dialysis.
Danish: Canagliflozin forventes ikke at kunne fjernes med peritonealdialyse.
English: In controlled clinical studies of canagliflozin, increases in adverse reactions related to volume depletion (e.g., postural dizziness, orthostatic hypotension, or hypotension) were seen more commonly with the 300 mg dose and occurred most frequently in the first three months (see section 4.8).
Danish: I kontrollerede kliniske studier af canagliflozin var en øget forekomst af bivirkninger relateret til volumendepletering (f.eks. postural svimmelhed, ortostatisk hypotension eller hypotension) mere almindelig ved en dosis på 300 mg, og den optrådte hyppigst i løbet af de første tre måneder (se pkt.
English: Compared to healthy subjects, plasma AUC of canagliflozin was increased by approximately 17%, 63%, and 50% in subjects with mild, moderate, and severe renal impairment, respectively, but was similar for ESRD subjects and healthy subjects.
Danish: Sammenlignet med raske forsøgspersoner blev canagliflozins AUC i plasma øget med ca. 17 %, 63 % og 50 % hos forsøgspersoner med henholdsvis let, moderat og svært nedsat nyrefunktion, men var omtrent den samme hos forsøgspersoner med nyresygdom i terminalstadiet og raske forsøgspersoner.
English: The primary assessment of safety and tolerability was conducted in a pooled analysis (n=2,313) of four 26-week placebo-controlled clinical studies (monotherapy and add-on therapy with metformin, metformin and a sulphonylurea, and metformin and pioglitazone).
Danish: Den primære vurdering af sikkerhed og tolerabilitet udførtes som en poolet analyse (n = 2.313) af fire 26-ugers placebokontrollerede kliniske studier (som monoterapi og som tillægsbehandling til metformin, metformin og et sulfonylurinstof og metformin og pioglitazon).
English: Relative to subjects with normal hepatic function, the geometric mean ratios for Cmax and AUC∞ of canagliflozin were 107% and 110%, respectively, in subjects with Child-Pugh class A (mild hepatic impairment) and 96% and 111%, respectively, in subjects with Child-Pugh class B (moderate) hepatic impairment following administration of a single 300 mg dose of canagliflozin.
Danish: I forhold til forsøgspersoner med normal leverfunktion var de geometriske gennemsnitsratioer for Cmax og AUC∞ for canagliflozin henholdsvis 107 % og 110 % hos forsøgspersoner med Child-Pughklasse A (let nedsat leverfunktion) og henholdsvis 96 % og 111 % hos forsøgspersoner med Child-Pugh-klasse B (moderat nedsat leverfunktion) efter administration af en enkelt dosis på 300 mg canagliflozin.