FrancophonIA/ELRC3.0 huggingface dataset:
English: In addition, a prospective randomised cardiovascular outcomes safety study was conducted with 5,380 patients with high underlying cardiovascular risk to examine the effect of alogliptin compared with placebo (when added to standard of care) on major adverse cardiovascular events (MACE) including time to the first occurrence of any event in the composite of cardiovascular death, nonfatal myocardial infarction and nonfatal stroke in patients with a recent (15 to 90 days) acute coronary event.
Croatian: Dodatno,prospektivno randomizirano ispitivanje sigurnosti s obzirom na kardiovaskularne ishode provedeno je na 5380 bolesnika s visokim podležećim kardiovaskularnim rizikom kako bi se ispitao učinak alogliptina u usporedbi s placebom (kao dodatak standardnoj terapiji) na velike kardiovaskularne štetne događaje (engl. major adverse cardiovascular events, MACE) uključujući i vrijeme do prve pojave bilo kojeg od događaja kardiovaskularne smrti, infarkta miokarda bez smrtnog ishoda i moždanog udara bez smrtnog ishoda u bolesnika s nedavnim (15 do 90 dana) akutnim koronarnim događajem.
English: Metformin is contra-indicated
Croatian: Metformin je kontraindiciran.
English: After administration of single oral doses of up to 800 mg in healthy subjects, alogliptin was rapidly absorbed with peak plasma concentrations occurring 1 to 2 hours (median Tmax) after dosing.
Croatian: Nakon primjene jednokratnih peroralnih doza do 800 mg zdravim ispitanicima, alogliptin se brzo apsorbirao s vršnom koncentracijom u plazmi nakon 1 do 2 sata (medijan Tmax) nakon doziranja.
English: Any unused medicinal product or waste material should be disposed of in accordance with local requirements.
Croatian: Neiskorišteni lijek ili otpadni materijal potregno je zbrinuti sukladno nacionalnim propisima.
English: Specific pharmacokinetic drug interaction studies have not been performed with Vipdomet.
Croatian: Specifična farmakokinetička ispitivanja interakcija lijeka Vipdometa nisu provedena.
English: Maximum daily dose is 6.25 mg * Alogliptin dose adjustment is based on a pharmacokinetic study where kidney function was assessed using creatinine clearance (CrCl) levels estimated from the Cockcroft-Gault equation.
Croatian: 6,25 mg. * Prilagodba doze alogliptina temelji se na farmakokinetičkom ispitivanju u kojem je bubrežna funkcija procjenjivana primjenom razina klirensa kreatinina (CrCl) procijenjenih pomoću Cockcroft-Gaultove jednadžbe.
English: - Hypersensitivity to the active substances or to any of the excipients listed in section 6.1 or history of a serious hypersensitivity reaction, including anaphylactic reaction, anaphylactic shock, and angioedema, to any dipeptidyl-peptidase-4 (DPP-4) inhibitor (see sections 4.4 and 4.8) - Any type of acute metabolic acidosis (such as lactic acidosis, diabetic ketoacidosis) - Diabetic pre-coma - Severe renal failure (GFR <30 mL/min) - Acute conditions with the potential to alter renal function such as: - dehydration - severe infection - shock - Acute or chronic disease which may cause tissue hypoxia (see section 4.4) such as: - cardiac or respiratory failure - recent myocardial infarction - shock - Hepatic impairment (see section 4.4) - Acute alcohol intoxication, alcoholism (see sections 4.4 and 4.5)
Croatian: - preosjetljivost na djelatne tvari ili bilo koju od pomoćnih tvari navedenih u dijelu 6.1 ili ozbiljne reakcije preosjetljivosti u anamnezi, uključujući anafilaktičku reakciju, anafilaktički šok i angioedem na bilo koji inhibitor dipeptidil-peptidaze-4 (DPP-4) (vidjeti dijelove 4.4 i 4.8) - bilo koja vrsta akutne metaboličke acidoze (kao što je laktacidoza, dijabetička ketoacidoza) - dijabetička pretkoma - teško zatajenje bubrega (GFR<30 ml/min) - akutna stanja koja mogu oštetiti funkciju bubrega kao što su: - dehidracija - teška infekcija - šok - akutna ili kronična bolest koja može uzrokovati hipoksiju tkiva (vidjeti dio 4.4) kao što su: - zatajenje srca ili respiratornog trakta - nedavni infarkt miokarda - šok - oštećenje jetre (vidjeti dio 4.4) - akutna intoksikacija alkoholom, alkoholizam (vidjeti dijelove 4.4 i 4.5).
English: Skin and subcutaneous tissue disorders pruritus common very rare common rash common common erythema very rare exfoliative skin conditions including StevensJohnson syndrome not known erythema multiforme not known angioedema not known urticaria not known very rare
Croatian: Poremećaji kože i potkožnog tkiva pruritus često vrlo rijetko često osip često često eritem vrlo rijetko eksfolijativna stanja kože uključujući StevensJohnson sindrom nepoznato multiformni eritem nepoznato angioedem nepoznato urtikarija nepoznato vrlo rijetko
English: (-infinity, 0.059)
Croatian: (-beskonačno, 0,059)
English: It is especially important to mention the following: - hydrocortisone and prednisolone (corticosteroids), used to treat diseases that involve inflammation like asthma and arthritis - cimetidine, used to treat stomach problems - bronchodilators (beta-2 agonists), used to treat asthma - medicines which increase urine production (diuretics) - medicines used to treat pain and inflammation (NSAID and COX-2-inhibitors, such as ibuprofen and celecoxib), - certain medicines used for the treatment of high blood pressure (ACE inhibitors and angiotensin II receptor antagonists) - medicines containing alcohol.
Croatian: Osobito je važno spomenuti sljedeće: - hidrokortizon ili prednizolon (kortikosteroidi) koji se koriste za liječenje upalnih bolesti poput astme i artritisa - cimetidin, koristi se za liječenje želučanih tegoba - bronhodilatatori (beta-2 agonisti), koriste se za liječenje astme - lijekove koji povećavaju stvaranje mokraće (diuretici) - lijekove koji se primjenjuju za liječenje boli i upale (NSAIL i COX-2-inhibitori, kao što su ibuprofen i celekoksib) - određene lijekove za liječenje povišenog krvnog tlaka (ACE inhibitori i antagonisti receptora angiotenzina II) - lijekove koji sadrže alkohol.
English: Cationic substances that are eliminated by renal tubular secretion (e.g. cimetidine) may interact with metformin by competing for common renal tubular transport systems.
Croatian: Kationske tvari koje se eliminiraju bubrežnom tubularnom sekrecijom (npr. cimetidin) mogu ući u interakciju s metforminom nadmećući se za zajednički bubrežni tubularni transportni sustav.
English: Minimal quantities of alogliptin are removed by haemodialysis (approximately 7% of the substance was removed during a 3 hour haemodialysis session).
Croatian: Hemodijalizom se uklanjaju minimalne količine alogliptina (tijekom 3-satne hemodijalize uklonjeno je približno 7% lijeka).
English: Alogliptin has not been studied in patients with severe hepatic impairment (Child-Pugh score >9) and is, therefore, not recommended for use in such patients (see sections 4.2, 4.3 and 5.2).
Croatian: Alogliptin nije ispitan u bolesnika s teškim oštećenjem jetre (Child-Pugh indeks >9) te se u tih bolesnika njegova primjena ne preporučuje (vidjeti dijelove 4.2, 4.3 i 5.2).
English: What Vipdomet is Vipdomet contains two different medicines called alogliptin and metformin in one tablet:
Croatian: Što je Vipdomet Vipdomet sadrži dvije različite djelatne tvari alogliptin i metformin u jednoj tableti:
English: Risk related to metformin
Croatian: Rizik vezan uz metformin
English: Alogliptin as add-on therapy to metformin
Croatian: Alogliptin kao dodatak terapiji metforminom
English: If you forget to take Vipdomet
Croatian: Ako ste zaboravili uzeti Vipdomet
English: What Vipdomet is used for
Croatian: Za što se Vipdomet koristi
English: Very common (may affect more than 1 in 10 people): - Stomach ache - Diarrhoea - Loss of appetite - Feeling sick - Being sick.
Croatian: Vrlo česte (mogu se pojaviti kod više od 1 od 10 osoba): - Bol u trbuhu - Proljev - Gubitak teka - Mučnina - Povraćanje.
English: Hypersensitivity reactions, including anaphylactic reactions, angioedema and exfoliative skin conditions including Stevens-Johnson syndrome and erythema multiforme have been observed for DPP-4 inhibitors and have been spontaneously reported for alogliptin in the post-marketing setting.
Croatian: Reakcije preosjetljivosti, uključujući anafilaktičke reakcije, angioedem i eksfolijativna stanja kože uključujući Stevens-Johnsonov sindrom i multiformni eritem opažena su za DPP-4 inhibitore i spontano su prijavljene za alogliptin nakon stavljanja lijeka u promet.
English: Symptoms of lactic acidosis include: - vomiting - stomach ache (abdominal pain) - muscle cramps - a general feeling of not being well with severe tiredness
Croatian: Simptomi laktacidoze uključuju: - povraćanje - bol u trbuhu (bol u abdomenu) - grčevi u mišićima - opće loše osjećanje uz jaki umor
English: When renal function is impaired, renal clearance is decreased in proportion to that of creatinine and, thus, the elimination half-life is prolonged leading to increased levels of metformin in the plasma.
Croatian: Kad je funkcija bubrega oštećena, bubrežni klirens se smanjuje razmjerno smanjenju klirensa kreatinina, te se poluvijek eliminacije produljuje i dovodi do povećanih razina metformina u plazmi.
English: Hypersensitivity reactions, including Stevens-Johnson syndrome, anaphylactic reactions, and angioedema are serious and are attributed to the alogliptin component of Vipdomet (see section 4.4).
Croatian: Reakcije preosjetljivosti, uključujući Stevens-Johnson sindrom, anafilaktičke reakcije i angioedem ozbiljne su reakcije i pripisuju se komponenti alogliptina u Vipdometu (vidjeti dio 4.4).
English: becoming breathless - Liver problems (hepatitis or liver function test abnormalities) - Erythema (redness of skin).
Croatian: gubitak daha - Problemi s jetrom (hepatitis ili odstupanje u testovima jetrene funkcije) - Eritem (crvenilo kože).
English: Vipdomet is available in blister packs containing 10, 14, 20, 28, 56, 60, 98, 112, 120, 180, 196, 200 tablets and in multipacks comprising 2 packs each containing 98 film-coated tablets.
Croatian: Vipdomet je dostupan u blister pakiranjima koja sadrže 10, 14, 20, 28, 56, 60, 98, 112, 120, 180, 196, ili 200 tableta i u višestrukim pakiranjima koja se sastoje od 2 pakiranja od kojih svako sadrži 98 filmom obloženih tableta.
English: Symptoms may include: trembling, sweating, anxiety, blurred vision, tingling lips, paleness,
Croatian: Simptomi mogu uključivati: drhtavicu, znojenje, tjeskobu, zamućen vid, trnce u usnicama, bljedilo,
English: Metabolism and nutrition disorders lactic acidosis very rare vitamin B12 deficiency very rare hypoglycaemia common common
Croatian: Poremećaji metabolizma i prehrane laktacidoza vrlo rijetko nedostatak vitamina B12
English: However, mean peak plasma concentrations of alogliptin and metformin were decreased by 13% and 28% when Vipdomet was administered with food, respectively.
Croatian: Međutim, srednje vršne koncentracije alogliptina i metformina u plazmi smanjile su se za 13% i za 18% ako je Vipdomet primijenjen s hranom.
English: EU/1/13/843/001 10 film-coated tablets EU/1/13/843/002 14 film-coated tablets EU/1/13/843/003 20 film-coated tablets EU/1/13/843/004 28 film-coated tablets EU/1/13/843/005 56 film-coated tablets EU/1/13/843/006 60 film-coated tablets EU/1/13/843/007 98 film-coated tablets EU/1/13/843/008 112 film-coated tablets EU/1/13/843/009 120 film-coated tablets EU/1/13/843/010 180 film-coated tablets EU/1/13/843/011 196 film-coated tablets EU/1/13/843/012 200 film-coated tablets
Croatian: EU/1/13/843/001 10 filmom obloženih tableta EU/1/13/843/002 14 filmom obloženih tableta EU/1/13/843/003 20 filmom obloženih tableta EU/1/13/843/004 28 filmom obloženih tableta EU/1/13/843/005 56 filmom obloženih tableta EU/1/13/843/006 60 filmom obloženih tableta EU/1/13/843/007 98 filmom obloženih tableta EU/1/13/843/008 112 filmom obloženih tableta EU/1/13/843/009 120 filmom obloženih tableta EU/1/13/843/010 180 filmom obloženih tableta EU/1/13/843/011 196 filmom obloženih tableta EU/1/13/843/012 200 filmom obloženih tableta
English: Talk to your doctor or pharmacist before taking Vipdomet : - if you have type 1 diabetes (your body does not produce insulin).
Croatian: Obratite se svom liječniku ili ljekarniku prije nego uzmete Vipdomet: - ako imate šećernu bolest tipa 1 (tijelo ne stvara inzulin) - ako uzimate Vipdomet s inzulinom ili tiazolidindionom.
English: Higher rates of hypoglycaemia were observed with triple therapy with a thiazolidinedione and metformin and in combination with insulin, as observed with other DPP-4 inhibitors.
Croatian: Više stope hipoglikemije opažene su s trojnom terapijom s tiazolidindionom i metforminom, te u kombinaciji s inzulinom, kako je opaženo i s drugim DPP-4 inhibitorima.
English: The no-observed-adverse-effect level (NOAEL) in the repeated dose toxicity studies in rats and dogs up to 26- and 39-weeks in duration, respectively, produced exposure margins that were approximately 147- and 227-fold, respectively, the exposure in humans at the recommended total daily dose of 25 mg alogliptin.
Croatian: Razina bez opaženih štetnih učinaka (eng. no-observed-adverse-effect level - NOAEL) u ispitivanjima toksičnosti ponovljenih doza u štakora i pasa u trajanju od 26 i 39 tjedana pokazala je margine izloženosti koje za približno 147, odnosno 227 puta prelaze izloženost koja se kod ljudi postiže pri preporučenoj ukupnoj dnevnoj dozi od 25 mg alogliptina.
English: EU/1/13/843/013 10 film-coated tablets EU/1/13/843/014 14 film-coated tablets EU/1/13/843/015 20 film-coated tablets EU/1/13/843/016 28 film-coated tablets EU/1/13/843/017 56 film-coated tablets EU/1/13/843/018 60 film-coated tablets EU/1/13/843/019 98 film-coated tablets EU/1/13/843/020 112 film-coated tablets EU/1/13/843/021 120 film-coated tablets EU/1/13/843/022 180 film-coated tablets EU/1/13/843/023 196 film-coated tablets EU/1/13/843/024 200 film-coated tablets
Croatian: EU/1/13/843/013 10 filmom obloženih tableta EU/1/13/843/014 14 filmom obloženih tableta EU/1/13/843/015 20 filmom obloženih tableta EU/1/13/843/016 28 filmom obloženih tableta EU/1/13/843/017 56 filmom obloženih tableta EU/1/13/843/018 60 filmom obloženih tableta EU/1/13/843/019 98 filmom obloženih tableta EU/1/13/843/020 112 filmom obloženih tableta EU/1/13/843/021 120 filmom obloženih tableta EU/1/13/843/022 180 filmom obloženih tableta EU/1/13/843/023 196 filmom obloženih tableta EU/1/13/843/024 200 filmom obloženih tableta
English: A causal relationship has not been established.
Croatian: Uzročna povezanost nije utvrđena.
English: Co-administration of 100 mg alogliptin once daily and 1,000 mg metformin hydrochloride twice daily for 6 days in healthy subjects had no clinically relevant effects on the pharmacokinetics of alogliptin or metformin.
Croatian: Istodobna primjena 100 mg alogliptina jedanput na dan i 1000 mg metforminklorida dvaput na dan tijekom 6 dana u zdravih ispitanika nije imala klinički značajne učinke na farmakokinetiku alogliptina ili metformina.
English: - A severe allergic reaction: skin lesions or spots on your skin that can progress to a sore surrounded by pale or red rings, blistering and/or peeling of the skin possibly with symptoms such as itching, fever, overall ill feeling, achy joints, vision problems, burning, painful or itchy eyes and mouth sores (Stevens-Johnson syndrome and Erythema multiforme).
Croatian: - Teška alergijska reakcija: oštećenja ili mrlje na koži, koje mogu napredovati do rana okruženih blijedim ili crvenim prstenovima, stvaranje mjehura i/ili ljuštenje kože, moguće sa simptomima poput svrbeža, vrućice, općeg lošeg osjećanja, bolnih zglobova, problema s vidom, pečenja, boli ili svrbeža očiju, te rana po sluznici usta (Stevens-Johnsonov sindrom i multiformni eritem).
English: The other ingredients are mannitol, microcrystalline cellulose, povidone K30,
Croatian: - Drugi sastojci su manitol, mikrokristalična celuloza, povidon K30, krospovidon Tip A,
English: A large overdose of metformin or concomitant risks may lead to lactic acidosis.
Croatian: Znatno predoziranje metforminom ili istodobni rizici mogu dovesti do laktacidoze.
English: A single dose of 50 mg alogliptin was administered to 4 groups of patients with varying degrees of renal impairment (CrCl using the Cockcroft-Gault formula): mild (CrCl = >50 to ≤80 mL/min), moderate (CrCl = ≥30 to ≤50 mL/min), severe (CrCl = <30 mL/min) and end-stage renal disease on haemodialysis.
Croatian: Jednokratna doza od 50 mg alogliptina primijenjena je u 4 skupine bolesnika s različitim stupnjevima oštećenja bubrega (CrCl prema Cockcroft-Gault formuli): blago (CrCl = >50 do ≤80 ml/min), umjereno (CrCl = ≥30 do ≤50 ml/min), teško (CrCl = <30 ml/min) i završni stadij bubrežne bolesti na hemodijalizi.
English: Some medicinal products can adversely affect renal function which may increase the risk of lactic acidosis, e.g. NSAIDs, including selective cyclo-oxygenase (COX) II inhibitors, angiotensinconverting enzyme (ACE) inhibitors, angiotensin II receptor antagonists and diuretics, especially loop diuretics.
Croatian: Neki lijekovi mogu štetno utjecati na funkciju bubrega, što može povećati rizik od laktacidoze, npr. NSAIL-ovi, uključujući selektivne inhibitore ciklooksigenaze (COX) II, inhibitore angiotenzin konvertirajućeg enzima (ACE), antagoniste receptora angiotenzina II i diuretike, osobito diuretike Henleove petlje.
English: Vipdomet is not known to affect your ability to drive and use machines.
Croatian: Nije poznato da Vipdomet utječe na sposobnost upravljanja vozilima i strojevima.
English: It should also be taken with meals to reduce the gastrointestinal undesirable effects associated with metformin (see section 4.2).
Croatian: Treba ga uzeti uz obroke kako bi se smanjile gastrointestinalne nuspojave povezane s metforminom (vidjeti dio 4.2).
English: PHARMACEUTICAL FORM AND CONTENTS Multipack: 196 (2 packs of 98) film-coated tablets.
Croatian: OBLIK I SADRŽAJ Višestruko pakiranje: 196 (2 pakiranja od 98) filmom obloženih tableta.
English: Metformin is excreted in human milk in small amounts.
Croatian: Metformin se izlučuje u malim količinama u majčino mlijeko kod ljudi.
English: Intravascular administration of iodinated contrast media may lead to contrast induced nephropathy, resulting in metformin accumulation and an increased risk of lactic acidosis.
Croatian: Intravaskularna primjena jodiranih kontrastnih sredstava može dovesti do nefropatije izazvane kontrastom, što dovodi do nakupljanja metformina i povećanja rizika od laktacidoze.
English: In studies in vitro, alogliptin was found to be neither a substrate nor an inhibitor of key transporters associated with disposition of the active substance in the kidney: organic anion transporter-1, organic anion transporter-3 or organic cationic transporter-2 (OCT2).
Croatian: U in vitro ispitivanjima nađeno je da alogliptin nije supstrat niti inhibitor ključnih transportera povezanih s dispozicijom djelatne tvari u bubrezima: transportera organskih aniona-1 (OAT-1), transportera organskih aniona-3 (OAT-3) ili transportera organskih kationa-2 (OCT2).
English: The combination revealed teratogenic potential in small numbers of foetuses (microphthalmia, small eye bulge and cleft palate) at higher doses of metformin (exposure margins of approximately 20-fold and 5- to 6-fold the maximum recommended human dose for alogliptin and metformin, respectively).
Croatian: Kombinacija je teratogeni potencijal pokazala na malom broju fetusa (mikroftalmija, rascjep nepca) pri višim dozama metformina (margina izloženosti od 20, odnosno 5 do 6 puta iznad maksimalne preporučene doze alogliptina i metformina za ljude).
English: The highest doses of alogliptin administered in clinical studies were single doses of 800 mg to healthy subjects and doses of 400 mg once daily for 14 days to patients with type 2 diabetes mellitus (equivalent to 32 times and 16 times the recommended total daily dose of 25 mg alogliptin, respectively).
Croatian: Najviše primijenjene doze alogliptina u kliničkim ispitivanjima bile su jednokratne doze od 800 mg zdravim ispitanicima i doze od 400 mg jedanput na dan tijekom 14 dana u bolesnika sa šećernom bolešću tipa 2 (što je 32 puta, odnosno 16 puta više od preporučene ukupne dnevne doze od 25 mg alogliptina).
English: Therefore, close monitoring of glycaemic control, dose adjustment within the recommended posology and changes in diabetic treatment should be considered when cationic medicinal products that are eliminated by renal tubular secretion are co-administered.
Croatian: Stoga se mora pomno pratiti kontrola glikemije, prilagodba doze unutar preporučenog doziranja te razmotriti promjenu liječenja šećerne bolesti kad se istodobno primjenjuju kationski lijekovi koji se eliminiraju bubrežnom tubularnom sekrecijom.
English: Animal studies do not indicate direct or indirect harmful effects with respect to reproductive toxicity at clinically relevant doses (see section 5.3).
Croatian: Ispitivanja na životinjama ne upućuju na izravne ili neizravne štetne učinke s obzirom na reproduktivnu toksičnost u klinički značajnim dozama (vidjeti dio 5.3).
English: At the recommended metformin doses and dosing schedules, steady-state plasma concentrations of metformin are reached within 24 to 48 hours and are generally less than 1 microgram/mL.
Croatian: Pri preporučenim dozama i shemama doziranja metformina, koncentracije u plazmi u stanju dinamičke ravnoteže postižu se unutar 24 do 28 sati i općenito su manje od 1 µg/ml.
English: No data are available with regard to overdose of Vipdomet.
Croatian: Nema dostupnih podataka o predoziranju Vipdometom.
English: This was determined by clinically relevant and statistically significant reductions in glycosylated haemoglobin (HbA1c) and fasting plasma glucose compared to control from baseline to study endpoint.
Croatian: To je određeno klinički i statistički značajnim sniženjima glikoziliranog hemoglobina (HbA1c) i glukoze natašte u usporedbi s kontrolnom skupinom od početne vrijednosti do ishoda ispitivanja.
English: In studies performed with the individual active substances, both alogliptin and metformin were excreted in the milk of lactating rats.
Croatian: U ispitivanjima pojedinačnih djelatnih tvari, i alogliptin i metformin su se izlučivali u mlijeku štakorica u laktaciji.
English: Due to the increased risk of hypoglycaemia in combination with pioglitazone, a lower dose of pioglitazone may be considered to reduce the risk of hypoglycaemia when this medicinal product is used in combination with Vipdomet (see section 4.2).
Croatian: Zbog povećanog rizika od hipoglikemije u kombinaciji s pioglitazonom, treba razmotriti nižu dozu pioglitazona kako bi se smanjio rizik od hipoglikemije kad se taj lijek primjenjuje u kombinaciji s Vipdometom (vidjeti dio 4.2).
English: - as an adjunct to diet and exercise to improve glycaemic control in adult patients, inadequately controlled on their maximal tolerated dose of metformin alone, or those already being treated with the combination of alogliptin and metformin.
Croatian: - kao dodatak dijeti i tjelovježbi, za poboljšanje kontrole glikemije u odraslih bolesnika neodgovarajuće kontroliranih maksimalnom podnošljivom dozom samog metformina, ili u onih koji se već liječe kombinacijom alogliptina i metformina.
English: Due to its metformin component, Vipdomet should not be used in patients with severe renal impairment, or end-stage renal disease requiring dialysis (see section 4.2).
Croatian: Zbog sadržanog metformina, Vipdomet se ne smije primjenjivati u bolesnika s teškim oštećenjem bubrega, ili sa završnim stadijem bolesti bubrega koji zahtijeva dijalizu (vidjeti dio 4.2).
English: Studies in pregnant rats with alogliptin plus metformin as combination treatment have shown reproductive toxicity (see section 5.3) at approximately 5-20 times (for metformin and alogliptin respectively) the human exposure at the recommended dose.
Croatian: Ispitivanja alogliptina i metformina kao kombiniranog liječenja u štakora pokazala su reproduktivnu toksičnost (vidjeti dio 5.3) pri dozama približno 5-20 puta (za metformin odnosno alogliptin) većim od izloženost kod ljudi, pri primjeni preporučene doze.
English: Caution should be exercised in patients with a history of pancreatitis.
Croatian: Nužan je oprez u bolesnika s pankratitisom u anamnezi.