FrancophonIA/ELRC3.0 huggingface dataset:
English: In a 24-week study comparing the combination of saxagliptin and dapagliflozin plus metformin with or without SU, with insulin plus metformin with or without SU, the overall incidence rates for hypoglycaemia in patients without a background treatment of SU, were 12.7% for the combination compared to 33.1% for insulin.
Danish: I en 24-ugers undersøgelse, der sammenlignede kombinationen af saxagliptin og dapagliflozin plus metformin med eller uden SU, med insulin plus metformin med eller uden SU var den samlede incidensrate for hypoglykæmi hos patienter uden baggrundsbehandling med SU 12,7 % for kombinationen sammenlignet med 33,1 % for insulin.
English: Metformin hydrochloride: No pharmacokinetic studies of metformin have been conducted in patients with hepatic impairment.
Danish: Metforminhydrochlorid: Der er ikke udført farmakokinetiske studier af metformin hos patienter med nedsat leverfunktion.
English: The safety profile is based on pooled analysis of three placebo controlled phase 3 clinical trials in 1,169 patients for up to 52 weeks, of which 492 patients received a combination of saxagliptin 5 mg, dapagliflozin 10 mg, plus metformin (see section 5.1).
Danish: Sikkerhedsprofilen er baseret på en samlet analyse af tre kliniske placebokontrollerede fase 3-studier med 1.169 patienter i op til 52 uger, hvoraf 492 patienter fik en kombination af saxagliptin 5 mg, dapagliflozin 10 mg plus metformin (se pkt.
English: Poly(vinyl alcohol) (E1203) Titanium dioxide (E171)
Danish: Polyvinylalkohol (E1203) Titandioxid (E171)
English: If it is more than 12 hours since you should have taken your daily dose, skip the missed dose.
Danish: - Hvis det er mere end 12 timer siden, du skulle have taget din daglige dosis, skal du springe den glemte dosis over.
English: Saxagliptin: In subjects with mild (Child-Pugh class A), moderate (Child-Pugh class B) or severe (Child-Pugh class C) hepatic impairment the exposures to saxagliptin were 1.1-, 1.4- and 1.8-fold higher, respectively, and the exposures to BMS-510849 (saxagliptin metabolite) were 22%, 7%, and 33% lower, respectively, than those observed in healthy subjects.
Danish: Saxagliptin: Hos patienter med let (Child-Pugh klasse A), moderat (Child-Pugh klasse B) eller svært (Child-Pugh klasse C) nedsat leverfunktion var eksponeringen af saxagliptin henholdsvis 1,1, 1,4 og 1,8 gange højere, og eksponeringen af BMS-510849 (saxagliptinmetabolit) var henholdsvis 22 %, 7 % og 33 % lavere, end observeret hos raske personer.
English: Dapagliflozin: Adverse reactions related to increased creatinine have been reported for dapagliflozin as a mono-component.
Danish: Dapagliflozin: Der er rapporteret bivirkninger relateret til forhøjet kreatinin for dapagliflozin som monokomponent.
English: Marketing Authorisation Holder AstraZeneca AB
Danish: Indehaver af markedsføringstilladelsen og fremstiller Indehaver af markedsføringstilladelsen AstraZeneca AB
English: PVC/PCTFE/alu blister Do not store above 30°C.
Danish: PVC/PCTFE/alublister Må ikke opbevares ved temperaturer over 30 °C.
English: Adjusted mean change from baseline by baseline HbA1c
Danish: Justeret gennemsnitlig ændring fra baseline HbA1c
English: Effect of metformin, saxagliptin or dapagliflozin on other medicinal products
Danish: Virkning af metformin, saxagliptin eller dapagliflozin på andre lægemidler
English: Adverse reactions, except for taste disturbance, reported in ≥ 2% of subjects treated with the combined use of saxagliptin + dapagliflozin + metformin in the pooled safety analysis, or if reported in < 2% in the pooled safety analysis, they were based on the individual mono-components data.
Danish: Bivirkninger, undtagen smagsforstyrrelser, rapporteret hos ≥ 2 % af forsøgspersonerne, der blev behandlet med kombinationen saxagliptin + dapagliflozin + metformin i den samlede sikkerhedsanalyse, eller baseret på data for enkeltstofferne, hvis de blev rapporteret hos < 2 % i den samlede sikkerhedsanalyse.
English: It is not known if saxagliptin and dapagliflozin pass into breast milk.
Danish: Det vides ikke, om saxagliptin og dapagliflozin går over i modermælken.
English: This medicinal product should not be used while breast-feeding.
Danish: Dette lægemiddel må ikke anvendes under amning.
English: You should call your doctor, pharmacist, or nurse immediately if you experience any of these symptoms;
Danish: Du skal straks kontakte lægen, apotekspersonalet eller sygeplejersken, hvis du får nogen af disse symptomer.
English: In male and female rats, dapagliflozin showed no effects on fertility at any dose tested.
Danish: Hos han- og hunrotter viste dapagliflozin ingen virkninger på fertiliteten ved nogen testet dosis.
English: The modest lowering effects on BP were consistent over time and a similar number of patients had systolic BP < 130 mmHg or diastolic BP < 80 mmHg at week 24 across the treatment groups.
Danish: Den beskedne blodtrykssænkende virkning var konsistent over tid, og det samme antal forsøgspersoner havde systolisk blodtryk < 130 mmHg eller diastolisk blodtryk < 80 mmHg i uge 24 på tværs af behandlingsgrupperne.
English: Switching from metformin immediate-release to metformin modified-release In patients switching from metformin immediate-release to metformin modified-release, the dose of Qtrilmet should provide metformin at the dose already being taken, or the nearest therapeutically appropriate dose (see sections 5.1 and 5.2).
Danish: Skift fra metformin med umiddelbar frigivelse til metformin depottabletter Hos patienter, der skifter fra metformin med umiddelbar frigivelse til metformin depottabletter, skal dosen af Qtrilmet give metformin ved den dosis, der allerede er taget, eller den nærmeste terapeutisk egnede dosis (se pkt.
English: Patients had been on a stable dose of metformin (1,500 mg or greater per day) for at least 8 weeks prior to screening visit and were then treated with metformin and dapagliflozin 10 mg for 10 weeks ahead of the study start.
Danish: Patienterne havde fået en stabil dosis metformin (1.500 mg eller mere dagligt) i mindst 8 uger før screeningsbesøg og blev derefter behandlet med metformin og dapagliflozin 10 mg i 10 uger forud for studiestart.
English: The risk of developing diabetic ketoacidosis may be increased with prolonged fasting, excessive alcohol consumption, dehydration, sudden reductions in insulin dose, or major surgery or serious illness (which increase the body's needs for insulin).
Danish: Risikoen for at udvikle diabetisk ketoacidose kan være øget ved længerevarende faste, overdreven alkoholindtagelse, væskemangel (dehydrering), pludselig nedsættelse af insulindosis eller større operationer eller alvorlig sygdom (som øger kroppens behov for insulin).
English: It is unknown whether saxagliptin and dapagliflozin and/or their metabolites are excreted in human milk.
Danish: Det er ukendt om saxagliptin og dapagliflozin og/eller deres metabolitter udskilles i human mælk.
English: Diabetic ketoacidosis may occur rarely and lactic acidosis may occur very rarely (see section 4.4).
Danish: Diabetisk ketoacidose forekommer sjældent, og laktatacidose forekommer meget sjældent (se pkt.
English: Very rare decreased vitamin B12 levels in the blood abnormalities in liver function tests, inflammation of the liver (hepatitis) redness of the skin (erythema), itching, or an itchy rash (hives)
Danish: Meget sjælden - nedsatte vitamin B12-niveauer i bloder - abnormiteter i leverfunktionstests, leverbetændelse (hepatitis) - rødme af huden (erytem), kløe eller kløende udslæt (nældefeber)
English: The majority of the urinary tract infections were reported in females (81% of subjects with UTI), were mild or moderate in intensity, of single occurrence, and most patients continued on therapy.
Danish: De fleste af bivirkningerne med urinvejsinfektion blev rapporteret hos kvinder (81 % af forsøgspersoner med UTI), de var lette eller moderate i sværhedsgrad, forekom som enkeltstående tilfælde, og de fleste patienter fortsatte behandlingen.
English: Magnesium stearate (E470b) Cellulose, microcrystalline (E460i) Silica, dental type (E551)
Danish: Cellulose, mikrokrystallinsk (E460i) Silica, dental (E551)
English: The safety profile of the combined use of metformin, saxagliptin and dapagliflozin is comparable to the adverse reactions identified for the respective mono-components.
Danish: Sikkerhedsprofilen af kombinationen metformin, saxagliptin og dapagliflozin er sammenlignelig med de bivirkninger, der blev identificeret for de respektive stoffer alene.
English: Patients should be advised to seek medical attention if they experience a combination of symptoms of pain, tenderness, erythema, or swelling in the genital or perineal area, with fever or malaise.
Danish: Patienterne skal have besked på at søge lægehjælp, hvis de oplever en kombination af smerter, ømhed, erytem eller hævelse i området omkring kønsdelene eller mellemkødet med feber eller utilpashed.
English: PVC/PCTFE/alu blister: Do not store above 30°C.
Danish: PVC/PCTFE/alublister: Må ikke opbevares ved temperaturer over 30 °C.
English: Hypoglycaemia does not occur in patients receiving metformin alone under usual circumstances of use, but could occur during concomitant use with other glucoselowering agents.
Danish: Hypoglykæmi forekommer ikke hos patienter, der behandles med metformin alene under normale omstændigheder for brug, men kan forekomme under samtidig brug med andre glucosesænkende midler.
English: Saxagliptin: The biotransformation of saxagliptin is primarily mediated by cytochrome P450 3A4/5 (CYP3A4/5).
Danish: Saxagliptin: Biotransformationen af saxagliptin medieres primært af cytokrom P450 3A4/5 (CYP3A4/5).
English: Qtrilmet combines three anti-hyperglycaemic medicinal products with different and complementary mechanisms of action to improve glycaemic control in patients with type 2 diabetes: metformin hydrochloride, a member of the biguanide class, saxagliptin, a DPP-4 inhibitor and dapagliflozin, a SGLT2 inhibitor.
Danish: Qtrilmet kombinerer tre antihyperglykæmiske lægemidler med forskellige og komplementære virkningsmekanismer til forbedring af glykæmisk kontrol hos patienter med type 2-diabetes: metforminhydrochlorid, som er medlem af biguanidklassen, saxagliptin, en DPP-4-hæmmer, og dapagliflozin, en SGLT2-hæmmer.
English: There was a numerical imbalance in non-CV death, with more events on saxagliptin (1.8%) than placebo (1.4%) [HR = 1.27; (95% CI 1.00, 1.62); P = 0.051].
Danish: Der var en numerisk ulighed i ikke-kardiovaskulære dødsfald med flere hændelser i saxagliptingruppen (1,8 %) end i placebogruppen (1,4 %) [HR=1,27; (95 % CI: 1,00-1,62); p = 0,051].
English: Dapagliflozin improves both fasting and post-prandial plasma glucose levels by reducing renal glucose reabsorption leading to urinary glucose excretion.
Danish: Dapagliflozin forbedrer både faste- og postprandial plasmaglucose ved at reducere renal glucosereabsorption, hvilket fører til udskillelse af glucose i urinen.
English: Both saxagliptin and dapagliflozin can individually increase the risk of hypoglycaemia when combined with insulin or an insulin secretagogue (sulphonylurea).
Danish: Både saxagliptin og dapagliflozin kan hver for sig øge risikoen for hypoglykæmi, når de kombineres med insulin eller et insulinsekretionsfremmende middel (sulfonylurinstof).
English: The mean steady-state volume of distribution of dapagliflozin was 118 L.
Danish: Det gennemsnitlige fordelingsvolumen for dapagliflozin ved steady state er 118 l.
English: Rash can occur with both saxagliptin and dapagliflozin (see section 4).
Danish: Udslæt kan opstå med både saxagliptin og dapagliflozin (se punkt 4).
English: The other ingredients are: o tablet core: carmellose sodium (E466) (see section 2 ‘Sodium content'); cellulose, microcrystalline (E460i); crospovidone (E1202); hypromellose (E464); lactose (see section 2 ‘Qtrilmet contains lactose'); magnesium stearate (E470b); silica, dental type (E551).
Danish: - Øvrige indholdsstoffer: o tabletkerne: carmellosenatrium (E466) (se punkt 2 "Qtrilmet indeholder natrium"), mikrokrystallinsk cellulose (E460i), crospovidon (E1202), hypromellose (E464), lactose (se punkt 2 "Qtrilmet indeholder lactose"), magnesiumstearat (E470b), silica, dental (E551) o filmovertræk:
English: Talk to your doctor immediately if you develop a combination of symptoms of pain, tenderness, redness, or swelling of the genitals or the area between the genitals and the anus with fever or feeling generally unwell.
Danish: Kontakt øjeblikkeligt lægen, hvis du oplever en kombination af smerter, ømhed, rødme eller hævelse af kønsdelene eller området mellem kønsdelene og anus med feber eller generel utilpashed.
English: Lactic acidosis is characterised by acidotic dyspnoea, abdominal pain, muscle cramps, asthenia, and hypothermia followed by coma.
Danish: Laktatacidose er kendetegnet ved acidotisk dyspnø, abdominalsmerter, muskelkramper, asteni og hypotermi efterfulgt af koma.
English: Dapagliflozin: At steady-state (20 mg once-daily dapagliflozin for 7 days), subjects with type 2 diabetes mellitus and mild, moderate or severe renal impairment (as determined by iohexol plasma clearance) had mean systemic exposures of dapagliflozin of 32%, 60% and 87% higher, respectively, than those of subjects with type 2 diabetes mellitus and normal renal function.
Danish: Dapagliflozin: Ved steady state (20 mg dapagliflozin én gang dagligt i 7 dage) havde forsøgspersoner med type 2-diabetes mellitus og let, moderat eller svært nedsat nyrefunktion (bestemt ved iohexolplasmaclearance) gennemsnitlige systemiske eksponeringer for dapagliflozin, der var henholdsvis 32 %, 60 % og 87 % højere end hos forsøgspersoner med type 2-diabetes mellitus og normal nyrefunktion.
English: Two add-on therapy trials, which added either dapagliflozin to saxagliptin plus metformin or saxagliptin to dapagliflozin plus metformin, were conducted for 24 weeks followed by a 28-week extension treatment period.
Danish: To studier med tillægsbehandling, som tilføjede enten dapagliflozin til saxagliptin plus metformin eller saxagliptin til dapagliflozin plus metformin, blev udført i 24 uger efterfulgt af en forlænget behandlingsperiode på 28 uger.
English: No dose- and time-dependence was observed in the clearance of saxagliptin and its major metabolite over 14 days of once-daily dosing with saxagliptin at doses ranging from 2.5 mg to 400 mg.
Danish: Der blev ikke observeret dosis- eller tidsafhængighed i clearance af saxagliptin eller hovedmetabolitten i løbet af 14 dages dosering én gang dagligt af saxagliptin i doser fra 2,5 mg til 400 mg.
English: Geometric mean steady-state dapagliflozin Cmax and AUCτ values following once daily 10 mg doses of dapagliflozin were 158 ng/mL and 628 ng h/mL, respectively.
Danish: Geometrisk gennemsnitlig Cmax og AUCτ ved steady state for dapagliflozin efter én daglig 10 mg dosis dapagliflozin var henholdsvis 158 ng/ml og 628 ng t/ml.
English: Following a 5 mg single oral dose of saxagliptin to healthy subjects, the mean plasma AUC values for saxagliptin and its major metabolite were 78 ng h/mL and 214 ng h/mL, respectively.
Danish: Efter en enkelt 5 mg oral dosis saxagliptin hos raske forsøgspersoner var den gennemsnitlige plasma-AUC for saxagliptin og hovedmetabolitten henholdsvis 78 ng t/ml og 214 ng t/ml.
English: It is used if other oral diabetes medicines, along with diet and exercise, cannot control your diabetes well enough.
Danish: Det anvendes, hvis din diabetes ikke kan kontrolleres godt nok med andre lægemidler mod diabetes til indtagelse gennem munden, sammen med diæt og motion.
English: If you forget to take Qtrilmet
Danish: Hvis du har glemt at tage Qtrilmet
English: One component of the secondary composite endpoint, hospitalisation for heart failure, occurred at a greater rate in the saxagliptin group (3.5%) compared with the placebo group (2.8%), with nominal statistical significance favouring placebo [HR=1.27; (95% CI 1.07, 1.51); P = 0.007].
Danish: En komponent i det sekundære sammensatte endepunkt, hospitalsindlæggelse for hjertesvigt, forekom hyppigere i saxagliptingruppen (3,5 %) sammenlignet med placebogruppen (2,8 %), med nominel statistisk signifikans til fordel for placebo [HR = 1,27; (95 % CI: 1,07,1,51); p = 0,007].
English: Stop taking Qtrilmet and contact a doctor or go to the nearest hospital immediately if you experience symptoms of lactic acidosis, as this condition is a medical emergency that may lead to coma;
Danish: Stop med at tage Qtrilmet og kontakt omgående læge eller nærmeste hospital, hvis du oplever symptomer på laktatacidose, da denne tilstand er en medicinsk nødsituation, som kan føre til koma.
English: Adverse reaction reported for the combined use of saxagliptin and metformin.
Danish: Bivirkninger rapporteret for kombinationen saxagliptin og metformin.
English: Do not use this medicine after the expiry date, which is stated on the blister and carton after ‘EXP'.
Danish: Brug ikke lægemidlet efter den udløbsdato, der står på pakningen efter Exp. Udløbsdatoen er den sidste dag i den nævnte måned.
English: Serious allergic (hypersensitivity) reaction, seen rarely (may affect up to 1 in 1,000 people) Symptoms of serious allergic reaction: o rash, o raised red patches on your skin (hives), o swelling of the face, lips, tongue, and throat that may cause difficulty in breathing or swallowing.
Danish: - Alvorlig allergisk reaktion (overfølsomhed), ses sjældent (kan forekomme hos op til 1 ud af 1.000 personer) Symptomer på alvorlig allergisk reaktion: o udslæt o hævede røde pletter/plamager på huden (nældefeber) o hævelse af ansigt, læber, tunge og svælg, som kan forårsage vejrtræknings- eller synkebesvær.
English: The effect of this medicinal product, or its components (metformin hydrochloride, saxagliptin and dapagliflozin) on fertility in humans has not been studied.
Danish: Virkningen af dette lægemiddel eller dets komponenter (metforminhydrochlorid, saxagliptin og dapagliflozin) på fertilitet hos mennesker er ikke undersøgt.
English: For patients inadequately controlled on dual combination with either saxagliptin or dapagliflozin and metformin
Danish: Til patienter, der er utilstrækkeligt kontrolleret på kombinationsbehandling med enten saxagliptin eller dapagliflozin og metformin
English: In subjects with moderate to severe renal impairment (patients with GFR < 60 mL/min), a higher proportion of subjects treated with dapagliflozin had adverse reactions of increase in creatinine, phosphorus, parathyroid hormone (PTH), and hypotension, compared with placebo.
Danish: Hos patienter med moderat til svært nedsat nyrefunktion (patienter med GFR < 60 ml/min) oplevede en større andel af forsøgspersonerne, behandlet med dapagliflozin, bivirkninger i form af stigning i kreatinin, phosphat og parathyroideahormon (PTH) og hypotension sammenlignet med placebo.
English: Glycaemic control should be assessed, especially at the beginning, when it is used concomitantly with a potent CYP3A4/5 inducer (see section 4.5).
Danish: Den glykæmiske kontrol bør vurderes, særligt i begyndelsen, når Qtrilmet anvendes sammen med en potent CYP3A4/5-induktor (se pkt.
English: In patients with decreased renal function, the plasma and blood half-life of metformin is prolonged and the renal clearance is decreased, leading to increased levels of metformin in plasma, (see sections 4.2, 4.3 and 4.4).
Danish: Hos patienter med nedsat nyrefunktion forlænges halveringstiden for metformin i plasma og blod, og den renale clearance reduceres, hvilket fører til øgede niveauer af metformin i plasma (se pkt.
English: PA/alu/PVC/alu blister Pack size of 14, 28, 56, 60 and 196 modified-release tablets in blisters.
Danish: PA/alu/PVC/alublister Pakningsstørrelse med 14, 28, 56, 60 og 196 depottabletter i blister.
English: HbA1c subgroup analysis by baseline HbA1c at week 24 in randomised subjects
Danish: HbA1c-subgruppeanalyse ved uge 24 med randomiserede forsøgspersoner ved baseline HbA1c
English: The mean duration of T2DM when entering the study was 7.6 years, mean baseline HbA1c of 8.2%.
Danish: Den gennemsnitlige varighed af T2DM ved indgåelse i studiet var 7,6 år, og den gennemsnitlige baseline HbA1c var 8,2 %.
English: Patients should receive a total daily dose of Qtrilmet equivalent to saxagliptin 5 mg, dapagliflozin 10 mg, plus the total daily dose of metformin, or the nearest therapeutically appropriate dose, already being taken.
Danish: Patienterne bør have en samlet daglig dosis af Qtrilmet svarende til 5 mg saxagliptin, 10 mg dapagliflozin, plus den samlede daglige dosis metformin eller den nærmeste terapeutisk egnede dosis, der allerede tages.
English: Your doctor will decide when you must stop and when to restart your treatment with Qtrilmet.
Danish: Lægen vil beslutte, hvornår du skal stoppe behandlingen med Qtrilmet, og hvornår du kan genoptage den igen.
English: This is not considered clinically meaningful.
Danish: Dette anses ikke som klinisk relevant.
English: Therefore, Qtrilmet should not be used in patients with moderate to severe renal impairment (patients with GFR < 60 mL/min).
Danish: Qtrilmet bør derfor ikke anvendes til patienter med moderat til svært nedsat nyrefunktion (GFR < 60 ml/min).
English: Bioequivalence has been confirmed between Qtrilmet tablets and the individual components (metformin modified-release, saxagliptin and dapagliflozin) in healthy subjects when administered in the fed state.
Danish: Der er bekræftet bioækvivalens mellem Qtrilmet tabletter og de enkelte komponenter (metformin, modificeret frigivelse, saxagliptin og dapagliflozin) hos raske forsøgspersoner, når de gives sammen med mad.
English: Talk to your doctor, pharmacist or nurse before taking Qtrilmet, and during treatment: if you experience vomiting, stomach ache (abdominal pain), muscle cramps, a general feeling of not being well with severe tiredness, difficulty breathing, reduced body temperature or slow heartbeat.
Danish: Kontakt lægen, apotekspersonalet eller sygeplejersken, før du tager Qtrilmet og under behandling: - hvis du oplever opkast, mavesmerter (abdominale smerter), muskelkramper, en generel følelse af utilpashed med usædvanlig træthed, vejrtrækningsproblemer, nedsat kropstemperatur eller langsom hjerterytme.
English: In subjects with severe hepatic impairment (Child-Pugh class C) mean Cmax and AUC of dapagliflozin were 40% and 67% higher than matched healthy controls, respectively.
Danish: Hos forsøgspersoner med svært nedsat leverfunktion (Child-Pugh klasse C) var den gennemsnitlige Cmax og AUC for dapagliflozin henholdsvis 40 % og 67 % højere end hos tilsvarende raske kontrolpersoner.
English: Subjects with adverse events of renal impairment had lower mean eGFR values at baseline of 61.8 mL/min/1.73 m2 compared to
Danish: Forsøgspersoner med bivirkninger i form af nedsat nyrefunktion havde lavere gennemsnitlige eGFR-værdier på 61,8 ml/min/1,73 m2 ved baseline sammenlignet med 93,6 ml/min/1,73 m2 i den samlede population.
English: Using CYP3A4 inducers like glucocorticoids, beta-2 agonists, diuretics, carbamazepine, dexamethasone, phenobarbital, phenytoin, and rifampicin may reduce the glycaemic lowering effect of Qtrilmet.
Danish: CYP3A4-induktorer såsom glukokortikoider, beta-2 agonister, diuretika, carbamazepin, dexamethason, phenobarbital, phenytoin og rifampicin kan reducere Qtrilmets glucosesænkende effekt.
English: Saxagliptin The metabolism of saxagliptin is primarily mediated by cytochrome P450 3A4/5 (CYP3A4/5).
Danish: Saxagliptin Metabolismen af saxagliptin medieres primært af cytokrom P450 3A4/5 (CYP3A4/5).
English: The difference in the adjusted mean change from baseline to week 52 between the treatment groups was -0.81% (95% CI: -1.06, -0.55).
Danish: Forskellen i den justerede gennemsnitlige ændring fra baseline til uge 52 mellem behandlingsgrupperne var -0,81 % (95 % CI:- 1,06, -0,55).