FrancophonIA/ELRC3.0 huggingface dataset:
English: In general, canagliflozin produced clinically and statistically significant (p < 0.001) results relative to placebo in glycaemic control, including glycosylated haemoglobin (HbA1c), the percentage of patients achieving HbA1c < 7%, change from baseline fasting plasma glucose (FPG), and 2-hour postprandial glucose (PPG).
Danish: Generelt opnåede canagliflozin klinisk og statistisk signifikante (p < 0,001) resultater i forhold til placebo, hvad angår glykæmisk kontrol inklusive glykeret hæmoglobin (HbA1c), procentdelen af patienter, der opnåede HbA1c < 7 %, ændringer fra baseline i fastende plasmaglucose (FPG) samt postprandial glucose (PPG) efter 2 timer.
English: Vokanamet with alcohol
Danish: Brug af Vokanamet sammen med alkohol
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 motorkøretøj eller betjene værktøj eller maskiner.
English: The risk of lactic acidosis must be considered in the event of non-specific signs such as muscle cramps with digestive disorders as abdominal pain and severe asthenia.
Danish: Risikoen for laktatacidose skal overvejes ved ikke-specifikke tegn som muskelkramper i forbindelse med fordøjelsesbesvær i form af abdominalsmerter og svær asteni.
English: Therefore, Vokanamet must be discontinued prior to, or at the time of the imaging procedure and not restarted until at least 48 hours after, provided that renal function has been re-evaluated and found to be stable (see sections 4.2 and 4.4).
Danish: Behandling med Vokanamet skal derfor afbrydes forud for eller på tidspunktet for billeddiagnostiske procedurer og først genoptages mindst 48 timer herefter, forudsat at nyrefunktionen er blevet vurderet og fundet stabil (se pkt.4.2 og 4.4).
English: UAB "JOHNSON & JOHNSON" Eesti filiaal Lõõtsa 2
Danish: UAB "JOHNSON & JOHNSON" Lõõtsa 2
English: • if you have a diabetic pre-coma
Danish: • hvis du har et insulintilfælde med diabetisk prækoma
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 canagliflozin på 300 mg.
English: PHARMACEUTICAL FORM AND CONTENTS 20 film-coated tablets
Danish: LÆGEMIDDELFORM OG INDHOLD (PAKNINGSSTØRRELSE) 20 filmovertrukne tabletter
English: In ongoing, long-term clinical studies of canagliflozin in type 2 diabetes patients with cardiovascular disease (CVD) or at high risk for CVD, an increase in cases of lower limb amputation (primarily of the toe) has been observed in patients treated with canagliflozin.
Danish: I igangværende, kliniske langtidsstudier med canagliflozin hos patienter med type 2-diabetes og kardiovaskulær sygdom eller høj risiko for kardiovaskulær sygdom har der været observeret en stigning i antallet af amputationer af en underekstremitet (primært en tå) hos patienter, der fik canagliflozin.
English: Dehydration (uncommon, may affect up to 1 in 100 people)
Danish: Dehydrering (ikke almindelig - kan berøre op til 1 ud af 100 personer)
English: The level of digoxin or digitoxin in your blood may need to be checked if taken with Vokanamet.
Danish: Du skal måske have målt blodets indhold af digoxin eller digitoxin, hvis du tager disse midler sammen med Vokanamet
English: Table 3: Efficacy results from placebo-controlled clinical studiesa Dual therapy with metformin (26 weeks) Canagliflozin + metformin
Danish: Tabel 3: Effektresultater i placebokontrollerede kliniske studiera Behandling med to lægemidler: + metformin (26 uger) Canagliflozin + metformin
English: Stop taking Vokanamet and contact a doctor or the nearest hospital immediately if you experience some of the symptoms of lactic acidosis, as this condition may lead to coma.
Danish: Stop med at tage Vokanamet og kontakt omgående læge eller nærmeste hospital, hvis du får et eller flere af nedenstående symptomer på laktatacidose, da denne tilstand kan føre til koma.
English: Care should be taken when increasing the dose of Vokanamet containing 50 mg of canagliflozin to 150 mg of canagliflozin 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: Forsigtighed tilrådes ved dosisøgning af Vokanamet med 50 mg til 150 mg canagliflozin hos patienter ≥ 75 år, patienter med kendt kardiovaskulær sygdom eller andre patienter, hvor den initiale diurese induceret af canagliflozin udgør en risiko (se pkt.
English: The intravascular administration of iodinated contrast agents in radiological studies may lead to renal failure, resulting in metformin accumulation and a risk of lactic acidosis.
Danish: Intravaskulær administration af iodholdige kontraststoffer i radiologiske studier kan føre til nyresvigt og resultere i akkumulering af metformin og risiko for laktatacidose.
English: Janssen-Cilag SpA Via C. Janssen Borgo San Michele 04100 Latina Italy
Danish: Janssen-Cilag SpA Via C. Janssen Borgo San Michele, Latina 04100 Latina
English: Canagliflozin is not recommended for use in patients receiving loop diuretics.
Danish: Canagliflozin anbefales ikke til patienter, der får loop-diuretika.
English: Pharmacodynamic effects of canagliflozin
Danish: Canagliflozins farmakodynamisk virkning
English: A lower proportion of patients treated with canagliflozin 100 mg once daily (5.6%) and canagliflozin 300 mg once daily (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 en gang dagligt (5,6 %) og canagliflozin 300 mg en gang dagligt (4,9 %), fik mindst én hændelse med hypoglykæmi i løbet af 52 ugers behandling sammenlignet med gruppen, der fik glimepirid (34,2 %).
English: There have been no clinical efficacy studies conducted with Vokanamet; however, bioequivalence of Vokanamet to canagliflozin and metformin co-administered as individual tablets was demonstrated in healthy subjects.
Danish: Der er ikke udført studier af Vokanamets kliniske virkning, men der er påvist bioækvivalens af Vokanamet og canagliflozin og metformin administreret samtidig som separate tabletter hos raske forsøgspersoner.
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 plasma-AUC øget med ca. 17 %, 63 % og 50 % hos forsøgspersoner med henholdsvis let, moderat og svært nedsat nyrefunktion, men var sammenlignelige hos forsøgspersoner med nyresygdom i terminalstadiet og raske forsøgspersoner.
English: O-glucuronidation is the major metabolic elimination pathway for canagliflozin, which is mainly glucuronidated by UGT1A9 and UGT2B4 to two inactive O-glucuronide metabolites.
Danish: Canagliflozin udskilles hovedsageligt via O-glukuronidering, og det glukuronideres især af UGT1A9 og UGT2B4 til to inaktive O-glukuronid-metabolitter.
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: 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 glukuronidkonjugering medieret af UDP-glukuronyltransferase 1A9 (UGT1A9) og 2B4 (UGT2B4).
English: • Diabetic pre-coma;
Danish: • Praecoma diabeticum
English: Intravascular administration of iodinated contrast agents may lead to contrast induced nephropathy, resulting in metformin accumulation and an increased risk of lactic acidosis.
Danish: Intravaskulær administration af iodholdige kontrastmidler kan medføre kontrastinduceret nefropati, resulterende i akkumulering af metformin og en øget risiko for laktatacidose.
English: Sitagliptin 100 mg + metformin and sulfonylurea (N = 378)
Danish: Sitagliptin 100 mg + metformin og sulfonylurinstof (N = 378)
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 og nedsat nyrefunktion er mere sandsynlige hos denne population.
English: Possible signs of low blood sugar are: blurred vision tingling lips trembling, sweating, looking pale a change in mood or feeling anxious or confused.
Danish: Mulige tegn på lavt blodsukker: uskarpt syn snurren i læberne skælven, svedudbrud, bleghed humørforandring, ængstelse eller forvirring
English: In humans, independently of its action on glycaemia, metformin has favourable effects on lipid metabolism.
Danish: Hos mennesket har metformin en gunstig virkning på lipidmetabolismen uafhængigt af dets virkninger på glykæmi.
English: Canagliflozin was studied as dual therapy with metformin, dual therapy with a sulphonylurea, triple therapy with metformin and a sulphonylurea, triple therapy with metformin and pioglitazone, as an add-on therapy with insulin, and as monotherapy (table 3).
Danish: Canagliflozin blev studeret som dualbehandling med metformin, dualbehandling med et sulfonylurinstof, trippelbehandling med metformin og et sulfonylurinstof, trippelbehandling med metformin og pioglitazon, som tillægsbehandling til insulin og som monoterapi (tabel 3).
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 a daily dose of 300 mg canaliflozin and occurred most frequently in the first three months (see section 4.8).
Danish: I kontrollerede kliniske studier med canagliflozin var en øget forekomst af bivirkninger relateret til volumendepletering (f.eks. postural svimmelhed, ortostatisk hypotension eller hypotension) hyppigere ved en daglig dosis på 300 mg canagliflozin, og de optrådte hyppigst i løbet af de første tre måneder (se pkt.
English: Co-administration of a high-fat meal with canagliflozin had no effect on the pharmacokinetics of canagliflozin; therefore, canagliflozin may be taken with or without food (see section 4.2).
Danish: Administration i forbindelse med et måltid med højt fedtindhold påvirkede ikke canagliflozins farmakokinetik, og canagliflozin kan således indtages alene eller i forbindelse med et måltid (se pkt.
English: Bioequivalence studies in healthy subjects demonstrated that Vokanamet 50 mg/850 mg, 50 mg/1000 mg, 150 mg/850 mg, and 150 mg/1000 mg combination tablets are bioequivalent to co-administration of corresponding doses of canagliflozin and metformin as individual tablets.
Danish: Bioækvivalensstudier med raske forsøgspersoner har påvist, at Vokanamet 50 mg/850 mg, 50 mg/1.000 mg, 150 mg/850 mg og 150 mg/1.000 mg kombinationstabletter er bioækvivalente med samtidig administration af de tilsvarende doser af canagliflozin og metformin som separate tabletter.
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 på > 30 mg/kg/dag, der var toksiske for moderdyret (eksponering for ≥ 5,9 gange human eksponering for canagliflozin ved MRHD).
English: Urinary tract infections were more frequently reported for canagliflozin 100 mg and 300 mg once daily (5.9% versus 4.3%, respectively) compared to 4.0% with placebo.
Danish: Indberetninger af urinvejsinfektioner forekom hyppigere i forbindelse med canagliflozin 100 mg og 300 mg en gang dagligt (henholdsvis 5,9 % og 4,3 %) sammenlignet med 4,0 % for placebo.
English: A dedicated study demonstrated that co-administration of canagliflozin 50 mg and 150 mg dosed twice daily as dual therapy with metformin produced clinically and statistically significant results relative to placebo in glycemic control, including HbA1c, the percentage of patients achieving HbA1c < 7%, change from baseline FPG, and in reductions in body weight as shown in table 4.
Danish: I et dedikeret studie blev det påvist, at samtidig administration af canagliflozin 50 mg og 150 mg to gange dagligt som dualbehandling med metformin gav klinisk og statistisk signifikante resultater i forhold til placebo hvad angår glykæmisk kontrol, herunder HbA1c, procentdelen af patienter, der opnåede HbA1c < 7 %, ændringer fra baseline FPG og reduktioner i legemsvægt som angivet i tabel 4.
English: In a study comparing canagliflozin 300 mg once daily to sitagliptin 100 mg in triple therapy with metformin and a sulphonylurea, canagliflozin demonstrated non-inferior (p < 0.05) and superior (p < 0.05) reduction in HbA1c relative to sitagliptin.
Danish: I et studie, der sammenlignede canagliflozin 300 mg en gang dagligt med sitagliptin 100 mg i trippelbehandling med metformin og et sulfonylurinstof, udviste canagliflozin ikke-inferior (p < 0,05) og superior (p < 0,05) reduktion af HbA1c i forhold til sitagliptin.
English: Effects of canagliflozin on other medicinal products Digoxin
Danish: Canagliflozins indvirkning på andre lægemidler
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 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, f.eks. patienter med kendt kardiovaskulær sygdom, patienter i behandling med antihypertensiva eller med hypotension i anamnesen, patienter, der får diuretika, eller ældre patienter (≥ 65 år) (se pkt.
English: Your doctor will decide when you must stop and when to restart your treatment with Vokanamet.
Danish: Lægen vil beslutte, hvornår du skal stoppe behandlingen med Vokanamet, og hvornår du kan genoptage den igen.
English: In the dedicated cardiovascular study, where patients were generally older with a higher rate of diabetes complications, the incidences of adverse reactions related to volume depletion were 2.8% with canagliflozin 100 mg once daily, 4.6% with canagliflozin 300 mg once daily, and 1.9% with placebo.
Danish: I det dedikerede kardiovaskulære studie, hvor patienterne generelt var ældre og havde en større forekomst af diabetes-komplikationer, var incidensen af bivirkninger relateret til volumendepletering 2,8 % for canagliflozin 100 mg en gang daglig, 4,6 % for canagliflozin 300 mg en gang dagligt og 1,9 % for placebo.
English: • Acute or chronic disease which may cause tissue hypoxia such as: cardiac or respiratory failure,
Danish: • Akut eller kronisk sygdom, der kan give vævshypoksi, såsom hjerteinsufficiens eller respirationsinsufficiens, nyligt myokardieinfarkt, shock
English: Lactic acidosis, Vitamin B12 deficiencya
Danish: Laktatacidose, vitamin B12-mangela
English: Canagliflozin did not increase the incidence of tumours in male and female mice in a 2-year study at doses of 10, 30, and 100 mg/kg.
Danish: I et 2-årigt studie øgede canagliflozin ikke incidensen af tumorer hos han- og hunmus ved doser på 10, 30 og 100 mg/kg.
English: Risk factors that may increase the risk of lactic acidosis (see section 4.4) should be reviewed before considering initiation of metformin in patients with GFR < 60 mL/min.
Danish: 4.4), skal gennemgås, inden påbegyndelse af metforminbehandling overvejes hos patienter med GFR < 60 ml/min.
English: In a cardiovascular study of 4,327 patients with known or at high risk for cardiovascular disease, the incidence rates of bone fracture were 1.6, 1.6, and 1.1 per 100 patient years of exposure to canagliflozin 100 mg, canagliflozin 300 mg, and placebo, respectively, with the fracture imbalance initially occurring within the first 26 weeks of therapy.
Danish: I et kardiovaskulært studie med 4.327 patienter med kendt kardiovaskulær sygdom eller med høj risiko for dette, var incidensen af knoglefraktur 1,6, 1,6 hhv. 1,1 pr. 100 patientår ved eksponering for henholdsvis canagliflozin 100 mg, canagliflozin 300 mg og placebo, hvor den skæve fordeling af frakturer opstod i løbet af de første 26 ugers behandling.
English: The incidence with canagliflozin treatment in the two active-controlled studies was similar to comparators.
Danish: I de to aktivt kontrollerede studier var incidenserne ved behandling med canagliflozin og komparatorerne sammenlignelige.
English: Based on AUC exposure, the NOEL of 30 mg/kg/day for pheochromocytomas and renal tubular tumours is approximately 4.5 times the exposure at the daily clinical dose of 300 mg. Based on preclinical and clinical mechanistic studies, Leydig cell tumours, renal tubule tumours and pheochromocytomas are considered to be rat-specific.
Danish: NOEL på 30 mg/kg/dag for fæokromocytomer og tumorer i nyretubuli er ca. 4,5 gange eksponeringen (målt som AUC) ved den daglige kliniske dosis på 300 mg. Ud fra prækliniske og kliniske mekanistiske studier anses Leydig-celletumorer, tumorer i nyretubuli og fæokromocytomer for at være specifikke for rotter.
English: Gender, race/ethnicity, or body mass index had no clinically meaningful effect on the pharmacokinetics of canagliflozin based on a population pharmacokinetic analysis.
Danish: Ud fra en farmakokinetisk populationsanalyse har køn, race/etnisk baggrund eller body mass index ingen klinisk relevant indvirkning på canagliflozins farmakokinetik.
English: The incidence of hypoglycaemia episodes/events with canagliflozin 300 mg once daily and sitagliptin 100 mg was 40.7% and 43.2%, respectively.
Danish: Incidensen af hypoglykæmi for canagliflozin 300 mg og sitagliptin 100 mg var henholdsvis 40,7 % og 43,2 %.
English: Taking Vokanamet with other medicines for diabetes called sulphonylureas (such as glimepiride or glipizide) or insulin can increase the risk of having low blood sugar (hypoglycaemia).
Danish: Hvis du tager Vokanamet sammen med visse andre midler mod diabetes, såkaldte sulfonylurinstoffer (f.eks. glimepirid eller glipizid) eller sammen med insulin, kan du have en øget risiko for at få lavt blodsukker (hypoglykæmi).
English: Rare (may affect up to 1 in 1,000 people)
Danish: Sjældne (kan berøre op til 1 ud af 1.000 personer)
English: • Severe renal failure (GFR < 30 mL/min) (see sections 4.2 and 4.4);
Danish: • Svær nyreinsufficiens (GFR < 30 ml/min) (se pkt.
English: The risk of volume depletion associated with canagliflozin should be taken into account (see sections 4.3 and 4.4).
Danish: Der bør tages højde for risikoen for volumendepletering associeret med canagliflozin (se pkt.
English: 50 mg twice daily (N = 93)
Danish: 50 mg to gange dagligt (N = 93)
English: In patients ≥ 75 years of age, a higher incidence of adverse reactions associated with volume depletion (e.g., postural dizziness, orthostatic hypotension, hypotension) was reported with canagliflozin therapy.
Danish: Hos patienter ≥ 75 år blev der rapporteret en større incidens af bivirkninger associeret med volumendepletering (f.eks. postural svimmelhed, ortostatisk hypotension, hypotension) under behandling med canagliflozin.
English: • medicines which increase urine production (diuretics)
Danish: • vanddrivende lægemidler (diuretika)
English: Patients ≥ 75 years of age had a higher incidence of adverse reactions related to volume depletion (such as postural dizziness, orthostatic hypotension, hypotension) with incidences of 4.9%, 8.7% and 2.6% on canagliflozin 100 mg once daily, canagliflozin 300 mg once daily, and in the control group, respectively.
Danish: Patienter ≥ 75 år havde en højere frekvens af bivirkninger relateret til volumendepletering (såsom postural svimmelhed, ortostatisk hypotension, hypotension) med en frekvensen på 4,9 %, 8,7 % og 2,6 % for henholdsvis canagliflozin 100 mg en gang dagligt, canagliflozin 300 mg en gang dagligt og kontrolgruppen.
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) øgede incidensen af fæokromocytomer og tumorer i renale tubuli hos hanog hunrotter.
English: Hypoglycaemia in combination with insulin or sulphonylurea uncommon
Danish: Hypoglykæmi ved kombination med insulin eller et sulfonylurinstof
English: • a general feeling of not being well with severe tiredness
Danish: • almen utilpashed med udpræget træthed
English: • Acute conditions with the potential to alter renal function such as: dehydration, severe infection,
Danish: • Akutte lidelser, der kan påvirke nyrefunktionen, såsom dehydrering, svær infektion, shock (se pkt.
English: In patients tolerating Vokanamet containing canagliflozin 50 mg who need tighter glycaemic control, increasing the dose to Vokanamet containing canagliflozin 150 mg may be considered.
Danish: Hos patienter, der tolererer Vokanamet med 50 mg, men som har behov for skærpet glykæmisk kontrol, bør det overvejes at øge dosis til Vokanamet med 150 mg canagliflozin.
English: Therefore, a lower dose of insulin or an insulin secretagogue may be required to reduce the risk of hypoglycaemia when used in combination with Vokanamet (see sections 4.2 and 4.8).
Danish: Det kan derfor være nødvendigt at give en lavere dosis af insulinet eller det ß-cellestimulerende middel for at reducere risikoen for hypoglykæmi ved anvendelse sammen med Vokanamet (se pkt.
English: If an inducer of these UGT enzymes must be co-administered with canagliflozin, increasing the dose to Vokanamet containing 150 mg twice daily may be considered if patients are currently tolerating canagliflozin 50 mg twice daily and require additional glycaemic control (see sections 4.2 and 4.4).
Danish: Hvis en induktor af disse UGT-enzymer skal administreres samtidig med canagliflozin, kan det overvejes at øge dosis til Vokanamet med 150 mg to gange dagligt, hvis patienterne p.t. får canagliflozin 50 mg to gange dagligt og tåler dette godt, men har behov for supplerende glykæmisk kontrol (se pkt.
English: However, patients should be alerted to the risk of hypoglycaemia when Vokanamet is used as add-on therapy with insulin or an insulin secretagogue, and to the elevated risk of adverse reactions related to volume depletion, such as postural dizziness (see sections 4.2, 4.4, and 4.8).
Danish: Patienterne bør dog være opmærksomme på risikoen for hypoglykæmi, når Vokanamet anvendes som tillægsbehandling til insulin eller et ß-cellestimulerende middel, og på den forhøjede risiko for bivirkninger relateret til volumendepletering såsom postural svimmelhed (se pkt.