FrancophonIA/ELRC3.0 huggingface dataset:
English: Therefore, a lower dose of insulin or sulphonylureas may be required to reduce the risk of hypoglycaemia when used in combination with Glyxambi (see sections 4.2, 4.4 and 4.8).
Croatian: Stoga, može biti potrebna niža doza inzulina ili sulfonilureja kako bi se smanjio rizik od hipoglikemije kada se primjenjuju u kombinaciji s lijekom Glyxambi (vidjeti dijelove 4.2, 4.4 i 4.8).
English: A total of 6979 patients were treated (linagliptin 5 mg: 3494, placebo: 3485) and followed for a median of 2.2 years.
Croatian: Ukupno je bilo liječeno 6979 bolesnika (linagliptin 5 mg: 3494, placebo: 3485) koji su bili praćeni tijekom medijana od 2,2 godine.
English: There are no data from the use of empagliflozin and linagliptin in pregnant women.
Croatian: Nema podataka o primjeni empagliflozina i linagliptina u trudnica.
English: The information about adverse reactions not reported in Glyxambi clinical trials is based on the experience from empagliflozin and linagliptin.
Croatian: Podaci o nuspojavama koje nisu prijavljene u kliničkim ispitivanjima lijeka Glyxambi temelje se na iskustvu iz primjene empagliflozina i linagliptina.
English: These infections were reported more frequently for empagliflozin compared to placebo in female patients, and the difference in frequency was less pronounced in male patients.
Croatian: Te su infekcije češće bile prijavljene u bolesnica liječenih empagliflozinom u usporedbi s placebom, dok su razlike u učestalosti u muških bolesnika bile manje izražene.
English: Linagliptin had no clinically relevant effect on the pharmacokinetics of metformin, glibenclamide, simvastatin, pioglitazone, warfarin, digoxin, empagliflozin or oral contraceptives providing in vivo evidence of a low propensity for causing drug interactions with substrates of CYP3A4, CYP2C9, CYP2C8, P-gp and organic cationic transporter (OCT).
Croatian: Linagliptin nije imao klinički značajan učinak na farmakokinetiku metformina, glibenklamida, simvastatina, pioglitazona, varfarina, digoksina, empagliflozina ili oralnih kontraceptiva, pružajući in vivo dokaz niske sklonosti za izazivanje interakcija lijeka sa supstratima enzima CYP3A4, CYP2C9, CYP2C8, P-gp i organskim kationskim prijenosnicima (OCT).
English: No additional adverse reactions were identified with Glyxambi.
Croatian: Nisu identificirane dodatne nuspojave s lijekom Glyxambi.
English: It is not known wheather Glyxambi has an effect on the fertility in humans.
Croatian: Nije poznato ima li Glyxambi učinak na plodnost u ljudi.
English: Glyxambi is an anti-diabetic medicine that contains two active substances called empagliflozin and linagliptin:
Croatian: Glyxambi je lijek za liječenje šećerne bolesti koji sadrži dvije djelatne tvari koje se nazivaju empagliflozin i linagliptin:
English: A higher risk of volume depletion adverse reactions were reported in patients aged 75 years and older, treated with empagliflozin, especially at 25 mg/day (see section 4.8).
Croatian: Viši rizik od nuspojava deplecije volumena bio je prijavljen u bolesnika u dobi od 75 godina i više liječenih empagliflozinom, naročito pri dozi od 25 mg/dan (vidjeti dio 4.8).
English: Approximately 19 % of the population had an eGFR of 45-60 mL/min/1.73 m2, 28 % of 30-45 mL/min/1.73 m2 and 15 % of <30 mL/min/1.73 m².
Croatian: Približno 19% populacije imalo je eGFR od 45-60 ml/min/1,73 m2, 28% od 30-45 ml/min/1,73 m2 i 15% od <30 ml/min/1,73 m².
English: Glyxambi has minor influence on the ability to drive and use machines.
Croatian: Glyxambi malo utječe na sposobnost upravljanja vozilima i rada sa strojevima.
English: Furthermore GLP-1 also reduces glucagon secretion from pancreatic alpha cells, resulting in a reduction in hepatic glucose output.
Croatian: Nadalje, GLP-1 također smanjuje sekreciju glukagona iz alfa-stanica gušterače, rezultirajući smanjenjem stvaranja glukoze u jetri.
English: A total of 6033 patients were treated (linagliptin 5 mg: 3023, glimepiride 1 mg to 4 mg: 3010) and followed for a median of 6.25 years.
Croatian: Ukupno je bilo liječeno 6033 bolesnika (linagliptin 5 mg: 3023, glimepirid 1 mg do 4 mg: 3010) i praćeno tijekom medijana od 6,25 godina.
English: However, renal function and risk of volume depletion should be taken into account in elderly patients (see sections 4.4 and 4.8).
Croatian: Međutim, u starijih bolesnika potrebno je uzeti u obzir funkciju bubrega i rizik od deplecije volumena (vidjeti dijelove 4.4 i 4.8).
English: Similar to placebo, urinary tract infection was reported more frequently for empagliflozin in patients with a history of chronic or recurrent urinary tract infections.
Croatian: Slično placebu, infekcije mokraćnog sustava su bile češće prijavljene u bolesnika liječenih empagliflozinom s anamnezom kroničnih ili ponavljajućih infekcija mokraćnog sustava.
English: Coadministration of digoxin, a P-gp substrate, with empagliflozin resulted in a 6 % increase in AUC and 14 % increase in Cmax of digoxin.
Croatian: Istodobna primjena digoksina, supstrata P-gp-a, s empagliflozinom rezultirala je 6%-tnim povećanjem vrijednosti AUC i 14%-tnim povećanjem vrijednosti Cmax za digoksin.
English: Empagliflozin and linagliptin as single agents showed an incidence of hypoglycaemia comparable to placebo when used alone or in combination with other antidiabetics not known to cause hypoglycaemia (e.g. metformin, thiazolidinediones).
Croatian: Empagliflozin i linagliptin su kao pojedinačni lijekovi pokazali incidenciju hipoglikemije usporedivu s placebom kada su se primijenjivali u obliku monoterapije ili u kombinaciji s drugim antidijabeticima za koje nije poznato da uzrokuju hipoglikemiju (npr. metformin, tiazolidindioni).
English: Based on the experience with empagliflozin and linagliptin, an increase of the risk of hypoglycaemia is expected with the concomitant treatment of insulin and /or sulphonylurea (see section 4.4 and information below)
Croatian: Na temelju iskustva s empagliflozinom i linagliptinom, očekuje se povećani rizik od hipoglikemije tijekom istodobnog liječenja inzulinom i / ili sulfonilurejom (vidjeti dio 4.4 i podatke u nastavku).
English: Inflammation of the pancreas (pancreatitis), seen uncommonly This medicine may cause pancreatitis, which usually shows as persistent, severe abdominal (stomach) pain that might reach through to your back, often accompanied by feeling sick or being sick.
Croatian: Ovaj lijek može uzrokovati pankreatitis, koji se obično očituje kao stalna, jaka abdominalna (u predjelu trbuha) bol koja se može proširiti na leđa te je često popraćena mučninom ili povraćanjem.
English: Patients should be assessed for ketoacidosis immediately if these symptoms occur, regardless of blood glucose level.
Croatian: Ako se pojave ovi simptomi, potrebno je odmah utvrditi radi li se u bolesnika o ketoacidozi, neovisno o razini glukoze u krvi.
English: The intensity of urinary tract infections was similar to placebo for mild, moderate and severe intensity reports.
Croatian: Intenzitet infekcije mokraćnog sustava bio je sličan kao u bolesnika koji su primali placebo za prijavljene slučajeve blagog, umjerenog ili teškog intenziteta.
English: Glyxambi combines two antihyperglycaemic medicinal products with complementary mechanisms of action to improve glycaemic control in patients with type 2 diabetes: empagliflozin, a sodium-glucose co-transporter (SGLT2) inhibitor, and linagliptin, DPP-4 inhibitor.
Croatian: Glyxambi kombinira dva antihiperglikemijska lijeka s komplementarnim mehanizmima djelovanja radi poboljšanja kontrole glikemije u bolesnika sa šećernom bolešću tipa 2: empagliflozin, inhibitor suprijenosnika natrija i glukoze (SGLT2) i linagliptin, DPP-4 inhibitor.
English: No dose adjustment is required in patients with mild to moderate hepatic impairment.
Croatian: Nije potrebno prilagođavanje doze u bolesnika s blagim do umjerenim oštećenjem jetrene funkcije.
English: Co-administration of empagliflozin with probenecid, an inhibitor of UGT enzymes and OAT3, resulted in a 26 % increase in peak empagliflozin plasma concentrations (Cmax) and a 53 % increase in area under the concentration-time curve (AUC).
Croatian: Istodobna primjena empagliflozina s probenecidom, inhibitorom enzima UGT i prijenosnika OAT3, rezultirala je 26%-tnim povećanjem vršne koncentracije empagliflozina u plazmi (Cmax) i 53%-tnim povećanjem površine ispod krivulje koncentracija-vrijeme (AUC).
English: • blistering of skin (bullous pemphigoid)
Croatian: • mjehurići na koži (bulozni pemfigoid)
English: Vaginal moniliasis, vulvovaginitis, balanitis and other genital infections Nasopharyngitis
Croatian: Vaginalna monilijaza, vulvovaginitis, balanitis i druge genitalne infekcije Nazofaringitis
English: Focal areas of hepatocellular necrosis were found in the combination groups at ≥15: 30 mg/kg linagliptin: empagliflozin (3.8 times the clinical exposure for linagliptin and 7.8 times the clinical exposure for empagliflozin) as well as in the group treated with empagliflozin alone but not in the control group.
Croatian: Fokalna područja hepatocelularne nekroze pronađena su u kombinacijskim skupinama pri ≥ 15: 30 mg/kg linagliptina: empagliflozina (izloženost za linagliptin 3,8 puta veća od kliničke izloženosti, a izloženost za empagliflozin 7,8 puta veća od kliničke izloženosti) kao i u skupini liječenoj empagliflozinom u obliku monoterapije, ali ne i u kontrolnoj skupini.
English: A multiple-dose, open-label study was conducted to evaluate the pharmacokinetics of linagliptin (5 mg dose) in patients with varying degrees of chronic renal insufficiency compared to subjects with normal renal function.
Croatian: Otvoreno ispitivanje s višekratnim dozama provedeno je radi ocjene farmakokinetike linagliptina (doza 5 mg) na bolesnicima s različitim stupnjevima kronične insuficijencije bubrega u usporedbi s ispitanicima s normalnom funkcijom bubrega.
English: Urinary tract infection was reported more frequently in female patients treated with empagliflozin compared to placebo, but not in male patients.
Croatian: Infekcije mokraćnog sustava češće su bile prijavljene u žena liječenih empagliflozinom u usporedbi s placebom, ali ne i u liječenih muškaraca.
English: Patients switching from empagliflozin (either 10 mg or 25 mg daily dose) and linagliptin (5 mg daily dose) to Glyxambi should receive the same daily dose of empagliflozin and linagliptin in the fixed dose combination as in separate tablets.
Croatian: Bolesnici koji s empagliflozina (dnevna doza od 10 mg ili 25 mg) i linagliptina (dnevna doza od 5 mg) prelaze na Glyxambi, trebaju primiti istu dnevnu dozu empagliflozina i linagliptina u fiksnoj kombinaciji kao u odvojenim tabletama.
English: Glyxambi should not be used during breast-feeding.
Croatian: Glyxambi se ne smije primjenjivati tijekom dojenja.
English: Increased urination was mostly mild or moderate in intensity.
Croatian: Pojačano mokrenje je uglavnom bilo blagog do umjerenog intenziteta.
English: Your doctor may ask you to stop taking Glyxambi until you have recovered.
Croatian: Vaš liječnik može zatražiti da prestanete uzimati Glyxambi sve dok se ne oporavite.
English: Not evaluated for statistical significance; not part of sequential testing procedure for the secondary endpoints Logistic regression on FAS (NCF) includes baseline HbA1c, baseline eGFR (MDRD), geographical region, and treatment; based on patients with HbA1c of 7 % and above at baseline
Croatian: Statistička značajnost nije ocjenjivana; nije dio naknadnog testiranja za sekundarne mjere ishoda Logistička regresija za FAS (NCF) uključuje početnu vrijednost HbA1c, početnu vrijednost eGFR (MDRD), zemljopisno područje i liječenje; temeljeno na bolesnicima s početnom vrijednošću HbA1c od 7% i više
English: What Glyxambi contains - The active substances are empagliflozin and linagliptin.
Croatian: Što Glyxambi sadrži - Djelatne tvari su empagliflozin i linagliptin.
English: Your doctor may prescribe Glyxambi together with another anti-diabetic medicine.
Croatian: Liječnik Vam može propisati Glyxambi u kombinaciji s drugim lijekom za liječenje šećerne bolesti.
English: At exposures greater than 1,500-times the clinical exposure, side effects on reproductive organs, thyroid and the lymphoid organs were seen in rats.
Croatian: Pri izloženostima 1500 ili više puta većima od kliničke izloženosti, primijećene su nuspojave na reproduktivnim organima, štitnjači i limfoidnim organima u štakora.
English: If a dose is missed, and it is 12 hours or more until the next dose, the dose should be taken as soon as the patient remembers.
Croatian: U slučaju propuštene doze, te ako do sljedeće doze ima 12 ili više sati, dozu je potrebno uzeti čim se bolesnik sjeti, a onda sljedeću dozu u uobičajeno vrijeme.
English: Tablet core: mannitol (E421), pre-gelatinised starch (maize), maize starch, copovidone, crospovidone, talc and magnesium stearate.
Croatian: Jezgra tablete: manitol (E421), prethodno geliran škrob (kukuruzni), kukuruzni škrob, kopovidon, krospovidon, talk i magnezijev stearat.
English: Do not use this medicine if you are breast-feeding.
Croatian: Nemojte primjenjivati ovaj lijek ako dojite.
English: When Glyxambi is used in combination with a sulphonylurea or with insulin, a lower dose of the sulphonylurea or insulin may be considered to reduce the risk of hypoglycaemia (see sections 4.4, 4.5 and 4.8).
Croatian: Kada se Glyxambi primjenjuje u kombinaciji sa sulfonilurejom ili inzulinom, moguće je razmotriti nižu dozu sulfonilureje ili inzulina, kako bi se smanjio rizik od hipoglikemije (vidjeti dijelove 4.4, 4.5 i 4.8).
English: Inhibition of OATP1B1/1B3 transporters by co-administration with rifampicin resulted in a 75 % increase in Cmax and a 35 % increase in AUC of empagliflozin.
Croatian: Inhibicija prijenosnika OATP1B1/1B3 putem istodobne primjene s rifampicinom rezultirala je 75%-tnim povećanjem vrijednosti Cmax i 35%-tnim povećanjem vrijednosti AUC za empagliflozin.
English: After once daily dosing of 5 mg linagliptin, steady-state plasma concentrations are reached by the third dose.
Croatian: Nakon jednokratnog dnevnog doziranja 5 mg linagliptina, koncentracije u plazmi u stanju dinamičke ravnoteže bile su postignute s trećom dozom.
English: An interaction study with gemfibrozil, an in vitro inhibitor of OAT3 and OATP1B1/1B3 transporters, showed that empagliflozin Cmax increased by 15 % and AUC increased by 59 % following coadministration.
Croatian: Ispitivanje interakcija s gemfibrozilom, in vitro inhibitorom prijenosnika OAT3 i OATP1B1/1B3, pokazala je da je Cmax empagliflozina povećan za 15%, a AUC za 59% nakon istodobne primjene.
English: Linagliptin is a P-glycoprotein substrate, and inhibits P-glycoprotein mediated transport of digoxin with low potency.
Croatian: Linagliptin je supstrat P-glikoproteina, i inhibira prijenos digoksina posredovan P-glikoproteinom s niskom potentnošću.
English: (including pyelonephritis and urosepsis)
Croatian: Infekcija mokraćnog sustava (uključujući pijelonefritis i urosepsu)
English: Body mass index
Croatian: Indeks tjelesne mase (BMI)
English: The single dose and steady state pharmacokinetic parameters of empagliflozin were similar suggesting linear pharmacokinetics with respect to time.
Croatian: Farmakokinetički parametri nakon jednokratne doze empagliflozina i u stanju dinamičke ravnoteže bili su slični, što upućuje na linearnu farmakokinetiku u odnosu na vrijeme.
English: Glyxambi should be discontinued when eGFR is persistently below 45 mL/min/1.73 m2 or CrCl is persistenly below
Croatian: Terapiju lijekom Glyxambi potrebno je prekinuti kada je eGFR trajno ispod 45 ml/min/1,73 m2 ili je CrCl trajno ispod 45 ml/min.
English: At more than 100-times clinical exposure, irritation of the stomach was the major finding in monkeys.
Croatian: Pri izloženosti 100 puta većoj od kliničke izloženosti, glavni nalaz je bila nadraženost želuca u majmuna.
English: The mean age was 64 years, the mean HbA1c was 7.15 %, and 60 % were male.
Croatian: Srednja dob je iznosila 64 godine, srednja vrijednost HbA1c iznosila je 7,15% i 60% bili su muškarci.
English: In patients with mild, moderate and severe hepatic insufficiency (Child-Pugh classification), mean AUC and Cmax of empagliflozin increased (AUC by 23 %, 47 %, 75 % and Cmax by 4 %, 23 %,48 %) compared to subjects with normal hepatic function (see section 4.2).
Croatian: U bolesnika s blagom, umjerenom i teškom insuficijencijom jetre (prema Child-Pugh klasifikaciji), srednje vrijednosti AUC i Cmax empagliflozina su se povećale (AUC za približno 23%, 47% odnosno 75%, a Cmax za približno 4%, 23% odnosno 48%) u usporedbi s ispitanicima s normalnom jetrenom funkcijom (vidjeti dio 4.2).
English: In Glyxambi clinical trials, the incidence of urinary tract infections was overall similar between the patients treated with Glyxambi and the patients treated with empagliflozin or linagliptin.
Croatian: U kliničkim ispitivanjima lijeka Glyxambi incidencija infekcija mokraćnog sustava ukupno je bila slična u bolesnika liječenih lijekom Glyxambi i bolesnika liječenih empagliflozinom ili linagliptinom.
English: In addition patients with T2DM and severe renal impairment (<30 mL/min) were compared to T2DM patients with normal renal function.
Croatian: Nadalje, bolesnici sa šećernom bolesti tipa 2 i teškim oštećenjem bubrežne funkcije (< 30 ml/min) uspoređivani su s bolesnicima sa šećernom bolesti tipa 2 s normalnom bubrežnom funkcijom.
English: Other medicines and Glyxambi Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines.
Croatian: Obavijestite svog liječnika ili ljekarnika ako primjenjujete, nedavno ste primijenili, ili biste mogli primijeniti bilo koje druge lijekove.
English: The frequency of volume depletion events was increased in patients 75 years and older treated with empagliflozin 10 mg (2.3 %) or empagliflozin 25 mg (4.3 %) compared to placebo (2.1 %).
Croatian: Učestalost događaja deplecije volumena je bila povećana u bolesnika u dobi 75 ili više godina, koji su liječeni empagliflozinom 10 mg (2,3%) ili empagliflozinom 25 mg (4,3%) u usporedbi s placebom (2,1%).
English: Available non-clinical data in animals have shown excretion of empagliflozin and linagliptin in milk.
Croatian: Dostupni neklinički podaci u životinja pokazali su da se empagliflozin i linagliptin izlučuju u mlijeko.
English: Therefore the effect was attenuated at week 94, with an adjusted mean (SE) improvement in HbA1c of 0.08 % (0.02) in the placebo group, 0.50 % (0.02) and 0.55 % (0.02) in the empagliflozin 10 and 25 mg groups.
Croatian: Stoga je učinak bio oslabljen u 94. tjednu uz prilagođeno srednje (SE) poboljšanje vrijednosti HbA1c od 0,08% (0,02) u placebo skupini, 0,50% (0,02) i 0,55% (0,02) u skupinama liječenim empagliflozinom 10 i 25 mg.
English: Effects of empagliflozin on other medicinal products
Croatian: Učinci empagliflozina na druge lijekove
English: The frequency of patients with major hypoglycaemic events was low (< 1 %) and similar for empagliflozin and placebo as monotherapy, as add-on to metformin +/- sulfonylurea, and as add-on to pioglitazone +/- metformin.
Croatian: Učestalost bolesnika s teškim hipoglikemijskim događajima je bila niska (< 1%) i slična kod primjene empagliflozina i placeba u obliku monoterapije, kao dodatka uz terapiju metforminom +/sulfonilureja i kao dodatka uz terapiju pioglitazonom +/- metformin.
English: • In patients with end-stage renal disease or in patients on dialysis, Glyxambi should not be used as empagliflozin is not expected to be effective in these patients (see sections 4.4 and 5.2).
Croatian: • U bolesnika u završnom stadiju bolesti bubrega ili u bolesnika na dijalizi, Glyxambi se ne smije koristiti budući da se ne očekuje da empagliflozin bude učinkovit u tih bolesnika (vidjeti dijelove 4.4 i 5.2).
English: In patients with mild, moderate or severe renal impairment (eGFR <30 to <90 mL/min/1.73 m2) and patients with kidney failure or end stage renal disease (ESRD), AUC of empagliflozin increased by approximately 18 %, 20 %, 66 %, and 48 %, respectively compared to subjects with normal renal function.
Croatian: U bolesnika s blagim, umjerenim ili teškim oštećenjem bubrežne funkcije (eGFR < 30 do < 90 ml/min/1,73 m2) i bolesnika sa zatajenjem bubrega ili terminalnim stadijem bolesti bubrega (engl. end stage renal disease, ESRD), AUC empagliflozina se povećao za približno 18%, 20%, 66% odnosno 48% u usporedbi s ispitanicima s normalnom funkcijom bubrega.
English: Interaction studies conducted in healthy volunteers suggest that the pharmacokinetics of linagliptin were not influenced by co-administration with metformin and glibenclamide.
Croatian: Ispitivanja interakcija provedenih u zdravih dobrovoljaca sugeriraju da istodobna primjena s metforminom i glibenklamidom nije utjecala na farmakokinetiku linagliptina.
English: In vitro assessment of linagliptin
Croatian: In vitro ocjena linagliptina
English: Mean percent increases from baseline for Glyxambi 10 mg/5 mg and 25 mg/5 mg versus placebo, respectively, were total cholesterol 3.2% and 4.6% versus 0.5%; HDL-cholesterol 8.5% and 6.2% versus 0.4%; LDL-cholesterol 5.8% and 11.0% versus 3.3%; triglycerides -0.5% and 3.3% versus 6.4 %.
Croatian: Srednja postotna povećanja od početne vrijednosti za Glyxambi 10 mg/5 mg odnosno 25 mg/5 mg naspram placeba bila su ukupni kolesterol 3,2% i 4,6% naspram 0,5%; HDL-kolesterol 8,5% i 6,2% naspram 0,4%; LDL-kolesterol 5,8% i 11,0% naspram 3,3%; trigliceridi -0,5% i 3,3% naspram 6,4%.
English: In a pool of placebo-controlled double-blind trials of 18 to 24 weeks duration, the overall frequency of urinary tract infection reported as adverse event was similar in patients treated with empagliflozin 25 mg and placebo and higher in patients treated with empagliflozin 10 mg (see section 4.8).
Croatian: U združenim, placebom kontroliranim, dvostruko slijepim ispitivanjima u trajanju od 18 do 24 tjedna, sveukupna učestalost infekcija mokraćnog sustava prijavljenih kao štetni događaji bila je slična u bolesnika koji su liječeni empagliflozinom 25 mg i placebom, te viša u bolesnika liječenih empagliflozinom 10 mg (vidjeti dio 4.8).
English: Only at maternally toxic doses, linagliptin caused a slight retardation of skeletal ossification in the rat and increased embryofoetal loss in the rabbit.
Croatian: Samo pri dozama toksičnim za majku linagliptin je prouzročio neznatno zaostajanje koštane osifikacije u štakora i povećanu embriofetalnu smrtnost u kunića.
English: The frequencies were comparable to the incidence of urinary tract infections in empagliflozin clinical trials (see section 4.8).
Croatian: Učestalosti su bile usporedive s incidencijom infekcija mokraćnog sustava u kliničkim ispitivanjima empagliflozina (vidjeti dio 4.8).
English: Steady-state predictions for AUC of linagliptin in patients with ESRD indicated comparable exposure to that of patients with moderate or severe renal impairment.
Croatian: Predviđanja za AUC linagliptina u stanju dinamičke ravnoteže u bolesnika s ESRD-om ukazala su na usporedivu izloženost s onom u bolesnika s umjerenim ili teškim oštećenjem bubrežne funkcije.
English: In patients with end-stage renal disease or in patients on dialysis, Glyxambi should not be used, as empagliflozin is not expected to be effective in these patients (see section 5.2).
Croatian: U bolesnika u završnom stadiju bolesti bubrega ili bolesnika na dijalizi, Glyxambi se ne smije koristiti budući da se ne očekuje da empagliflozin bude učinkovit u tih bolesnika (vidjeti dio 5.2).
English: • In patients tolerating Glyxambi whose eGFR falls persistently below 60 mL/min/1.73 m2 or CrCl below 60 mL/min, the dose of Glyxambi should be adjusted to or maintained at 10 mg empagliflozin plus 5 mg linagliptin once daily.
Croatian: • U bolesnika koji podnose Glyxambi i čiji eGFR trajno pada ispod 60 ml/min/1,73 m 2 ili CrCl ispod 60 ml/min, potrebno je prilagoditi ili zadržati dozu lijeka Glyxambi na 10 mg empagliflozina plus 5 mg linagliptina jedanput dnevno.
English: Inhibition of SGLT2 in patients with type 2 diabetes mellitus and hyperglycaemia leads to excess glucose excretion in the urine.
Croatian: Inhibicija SGLT2 u bolesnika sa šećernom bolešću tipa 2 i hiperglikemijom dovodi do izlučivanja viška glukoze u mokraću.