FrancophonIA/ELRC3.0 huggingface dataset:
English: Interstitial cell tumours in the testes were observed with a higher incidence in rats at 300 mg/kg/day and above, but not at 100 mg/kg/day which corresponds to approximately 18-times the maximal clinical exposure to empagliflozin.
Danish: Interstitielle celletumorer i testiklerne blev observeret med en højere incidens hos rotter ved 300 mg/kg/dag og derover, men ikke ved 100 mg/kg/dag, hvilket svarer til ca. 18 gange den maksimale, kliniske eksponering for empagliflozin.
English: As expected from the mechanism of action, increased urination (as assessed by PT search including pollakiuria, polyuria, nocturia) was observed at higher frequencies in metformin-treated patients who received empagliflozin 10 mg (3.0%) and empagliflozin 25 mg (2.9%) compared to placebo (1.4%) as add-on to metformin therapy.
Danish: Som forventet ud fra virkningsmekanismen var hyppigheden af øget vandladning (vurderet ved søgning på foretrukken MedDRA-betegnelse, herunder pollakisuri, polyuri og nocturi) øget hos patienter behandlet med metformin plus empagliflozin 10 mg (3,0 %) og empagliflozin 25 mg (2,9 %) sammenlignet med placebo (1,4 %).
English: An increased frequency was noted when empagliflozin given as add-on to metformin and a sulfonylurea (empagliflozin 10 mg: 16.1%, empagliflozin 25 mg: 11.5% and placebo: 8.4%), or as add-on to metformin and insulin (empagliflozin 10 mg: 31.3%, empagliflozin 25 mg: 36.2% and placebo: 34.7%).
Danish: Der blev set en øget hyppighed, når empagliflozin blev givet som supplement til metformin plus et sulfonylurinstof (empagliflozin 10 mg: 16,1 %; empagliflozin 25 mg: 11,5 %; placebo: 8,4 %) eller som supplement til metformin plus insulin (empagliflozin 10 mg: 31,3 %; empagliflozin 25 mg: 36,2 %; placebo: 34,7 %).
English: In a 2 year carcinogenicity study, empagliflozin did not increase the incidence of tumours in female rats up to the highest dose of 700 mg/kg/day, which corresponds to approximately 72-times the maximal clinical AUC exposure to empagliflozin.
Danish: I et 2 år varende karcinogenicitetsstudie øgede empagliflozin ikke forekomsten af tumorer hos hunrotter op til den højeste dosis på 700 mg/kg/dag, hvilket svarer til ca. 72 gange den maksimale kliniske AUC-eksponering for empagliflozin.
English: Table 3: Efficacy results of 24 week placebo-controlled studies Add-on to metformin therapy
Danish: Tabel 3: Effektresultater fra 24 uger varende placebokontrollerede studier Supplement til metforminbehandling Placebo
English: Add-on to metformin and a sulphonylurea therapy Placebo
Danish: Supplement til behandling med metformin og et sulfonylurinstof Placebo
English: The results of bioequivalence studies in healthy subjects demonstrated that Synjardy (empagliflozin/metformin hydrochloride) 5 mg/850 mg, 5 mg/1,000 mg, 12.5 mg/850 mg, and 12.5 mg/1,000 mg combination tablets are bioequivalent to co-administration of corresponding doses of empagliflozin and metformin as individual tablets.
Danish: Resultater fra bioækvivalensstudier med raske frivillige viste, at Synjardy (empagliflozin/metforminhydrochlorid) 5 mg/850 mg, 5 mg/1.000 mg, 12,5 mg/850 mg og 12,5 mg/1.000 mg kombinationstabletter er bioækvivalente med enkelttabletter med tilsvarende doser empagliflozin og metformin givet i kombination.
English: Synjardy is added to diet and exercise to treat type 2 diabetes in adult patients (aged 18 years and older) whose diabetes cannot be controlled by adding metformin alone or metformin with other medicines for diabetes.
Danish: I behandlingen af voksne patienter med type 2-sukkersyge (18 år og derover) lægges Synjardy til kostog motionsplan, når sukkersygen ikke kan kontrolleres med metformin alene eller metformin i kombination med andre lægemidler mod sukkersyge.
English: Table 6: Efficacy results at 104 week in an active controlled study comparing empagliflozin to glimepiride as add on to metformin
Danish: Tabel 6: Effektresultater i uge 104 i et aktivt kontrolleret studie med sammenligning af empagliflozin og glimepirid som supplement til metformin Empagliflozin 25 mg
English: As expected, empagliflozin 5 mg administered twice daily compared with 10 mg empagliflozin once daily resulted in lower Cmax and higher trough plasma empagliflozin concentrations (Cmin).
Danish: Som ventet medførte empagliflozin 5 mg to gange daglig en lavere Cmax og højere dalværdier (Cmin) for plasmakoncentrationen af empagliflozin sammenlignet med 10 mg empagliflozin én gang daglig.
English: Table 7: Efficacy results at 18 and 52 weeks in a placebo-controlled study of empagliflozin as add-on to multiple daily doses of insulin with concomitant metformin therapy Placebo empagliflozin
Danish: Tabel 7: Effektresultater efter 18 og 52 uger i et placebokontrolleret studie med empagliflozin som supplement til flere daglige doser insulin med samtidig metforminbehandling Placebo
English: Treatment with empagliflozin as add-on to metformin or metformin plus sulfonylurea resulted in clinically meaningful improvement of 2-hour post-prandial glucose (meal tolerance test) at 24 weeks (add-on to metformin, placebo: +5.9 mg/dl, empagliflozin 10 mg: -46.0 mg/dl, empagliflozin 25 mg: -44.6 mg/dl; add-on to metformin plus sulphonylurea, placebo: -2.3 mg/dl, empagliflozin 10 mg: -35.7 mg/dl, empagliflozin 25 mg: -36.6 mg/dl).
Danish: Behandling med empagliflozin som supplement til metformin eller metformin plus et sulfonylurinstof medførte et klinisk betydende fald i postprandial glucose efter 2 timer (måltidstolerancetest) efter 24 uger (supplement til metformin: placebo +5,9 mg/dl, empagliflozin 10 mg: -46,0 mg/dl, empagliflozin 25 mg: -44,6 mg/dl, supplement til metformin plus sulfonylurinstof: placebo -2,3 mg/dl, empagliflozin 10 mg: -35,7 mg/dl, empagliflozin 25 mg -36,6 mg/dl).
English: The apparent steady-state volume of distribution was estimated to be 73.8 l based on the population pharmacokinetic analysis.
Danish: Ved den populationsfarmakokinetiske analyse blev det tilsyneladende fordelingsvolumen ved steady state estimeret til 73,8 l. Efter administration af en oral [
English: Liver function tests abnormalities Hepatitis
Danish: Unormale levertal Hepatitis
English: In patients insufficiently controlled on metformin alone or in combination with other medicinal products for the treatment of diabetes, the recommended starting dose of Synjardy should provide empagliflozin 5 mg twice daily (10 mg daily dose) and the dose of metformin similar to the dose already being taken.
Danish: Den anbefalede startdosis af Synjardy hos patienter med utilstrækkelig kontrol med metformin alene eller i kombination med andre antidiabetika er 5 mg empagliflozin to gange dagligt (daglig dosis 10 mg) og en dosis af metformin, der svarer til den dosis, som patienten allerede får.
English: If a dose is missed, it should be taken as soon as the patient remembers.
Danish: En glemt dosis bør tages, så snart patienten kommer i tanker om det - dog ikke som en dobbeltdosis.
English: Due to the mechanism of action, decreased renal function will result in reduced glycaemic efficacy of empagliflozin.
Danish: På grund af virkningsmekanismen er empagliflozins glykæmiske virkning reduceret ved nedsat nyrefunktion.
English: Empagliflozin in patients inadequately controlled with metformin and linagliptin In patients inadequately controlled with metformin and linagliptin 5 mg, treatment with both empagliflozin 10 mg or 25 mg resulted in statistically significant (p<0.0001) reductions in HbA1c and body weight compared to placebo (Table 5).
Danish: Hos patienter, der er utilstrækkeligt kontrolleret med metformin og linagliptin 5 mg, medførte behandling med både empagliflozin 10 mg og 25 mg statistisk signifikante (p < 0,0001) reduktioner i HbA1c og legemsvægt sammenlignet med placebo (tabel 5).
English: Empagliflozin and linagliptin as add-on therapy to metformin In a double-blind trial in patients with inadequate glycemic control, 24-weeks treatment with both doses of empagliflozin plus linagliptin as add-on to metformin therapy provided statistically significant (p<0.0001) reductions in HbA1c (change from baseline of -1.08% for empagliflozin 10 mg plus linagliptin 5 mg, -1.19% for empagliflozin 25 mg plus linagliptin 5 mg, -0.70% for linagliptin 5 mg).
Danish: Empagliflozin og linagliptin som supplementsbehandling til metformin I et dobbeltblindet studie med patienter med utilstrækkelig glykæmisk kontrol medførte 24 ugers behandling med begge doser empagliflozin plus linagliptin som supplement til metforminbehandling statistisk signifikante fald (p< 0,0001) i HbA1c (ændring fra baseline på -1,08 % for empagliflozin 10 mg plus linagliptin 5 mg; -1,19 % for empagliflozin 25 mg plus linagliptin 5 mg; -0,70 % for linagliptin 5 mg).
English: Empagliflozin in combination with metformin in drug-naïve patients A factorial design study of 24 weeks duration was conducted to evaluate the efficacy and safety of empagliflozin in drug-naïve patients.
Danish: Der er gennemført et 24-ugers studie med faktorielt design til vurdering af empagliflozins virkning og sikkerhed hos lægemiddelnaive patienter.
English: Mean changes from baseline in haematocrit were 3.6% and 4.0% for empagliflozin 10 mg and 25 mg, respectively, compared to 0% for placebo.
Danish: baseline var henholdsvis 3,6 % og 4,0 % for empagliflozin 10 mg og 25 mg sammenlignet med 0 % for placebo.
English: The relevance of this finding to humans is unclear.
Danish: Det vides ikke, hvilken betydning dette fund har for mennesker.
English: Empagliflozin did not increase the incidence of tumours in female mice at doses up to 1,000 mg/kg/day, which corresponds to approximately 62-times the maximal clinical exposure to empagliflozin.
Danish: Empagliflozin øgede ikke incidensen af tumorer hos hunmus i doser på op til 1.000 mg/kg/dag, hvilket svarer til ca. 62 gange den maksimale kliniske eksponering for empagliflozin.
English: Synjardy 5 mg/850 mg and Synjardy 5 mg/1,000 mg tablets also contain iron oxide yellow (E172).
Danish: Synjardy 5 mg/850 mg og Synjardy 5 mg/1.000 mg tabletter indeholder også gul jernoxid (E172).
English: Inhibition of SGLT2 in patients with type 2 diabetes and hyperglycaemia leads to excess glucose excretion in the urine.
Danish: Hos patienter med type 2-diabetes og hyperglykæmi medfører hæmning af SGLT2 en øget udskillelse af glucose i urinen.
English: Table 4: Efficacy results at 24 week comparing empagliflozin in combination with metformin to the individual components Empagliflozin 10 mg
Danish: Tabel 4: Effekten på HbA1c efter 24 uger ved sammenligning af empagliflozin og metformin i kombination og disse lægemidler givet som individuelle lægemidler Empagliflozin 10 mg
English: The other ingredient(s) are: - Tablet core: maize starch, copovidone, colloidal anhydrous silica, magnesium stearate.
Danish: Tabletkerne: majsstivelse, copovidon, kolloid vandfri silica, magnesiumstearat.
English: The pack sizes are 10 x 1, 14 x 1, 30 x 1, 56 x 1, 60 x 1, 90 x 1 and 100 x 1 film-coated tablets and multipacks containing 120 (2 packs of 60 x 1), 180 (2 packs of 90 x 1) and 200 (2 packs of 100 x 1) film-coated tablets.
Danish: Pakningsstørrelser er på 10 x 1, 14 x 1, 30 x 1, 56 x 1, 60 x 1, 90 x 1 og 100 x 1 filmovertrukne tabletter og multipakninger med 120 (2 pakker à 60 x 1), 180 (2 pakker à 90 x 1) og 200 (2 pakker à 100 x 1) filmovertrukne tabletter.
English: It is responsible, as the predominant transporter, for the reabsorption of glucose from the glomerular filtrate back into the circulation.
Danish: SGLT2 er den vigtigste transportør med betydning for reabsorption af glucose fra glomerulusfiltratet tilbage til kredsløbet.
English: If you take more Synjardy tablets than you should have, you may experience lactic acidosis.
Danish: Hvis du har taget for mange Synjardy tabletter, kan du få laktatacidose.
English: Urine laboratory assessments Due to its mechanism of action, patients taking Synjardy will test positive for glucose in their urine.
Danish: Test for glucose i urinen vil være positiv hos patienter, der tager Synjardy, og dette skyldes empagliflozins virkningsmekanisme.
English: Effects of other medicinal products on empagliflozin In vitro data suggest that the primary route of metabolism of empagliflozin in humans is glucuronidation by uridine 5'-diphosphoglucuronosyltransferases UGT1A3, UGT1A8, UGT1A9, and UGT2B7.
Danish: In vitro-data tyder på, at den primære metaboliseringsvej for empagliflozin hos mennesker er glukuronidering via uridin 5'-difosfoglukuronosyltransferase UGT1A3, UGT1A8, UGT1A9 og UGT2B7.
English: Pack sizes of 10 x 1, 14 x 1, 30 x 1, 56 x 1, 60 x 1, 90 x 1 and 100 x 1 film-coated tablets and multipacks containing 120 (2 packs of 60 x 1), 180 (2 packs of 90 x 1) and 200 (2 packs of 100 x 1) film-coated tablets.
Danish: Pakningsstørrelser på 10 x 1, 14 x 1, 30 x 1, 56 x 1, 60 x 1, 90 x 1 og 100 x 1 filmovertrukne tabletter og multipakninger med 120 (2 pakker à 60 x 1), 180 (2 pakker à 90 x 1) og 200 (2 pakker à 100 x 1) filmovertrukne tabletter.
English: Do not take Synjardy:
Danish: Tag ikke Synjardy
English: - stomach pain - excessive thirst - fast and deep breathing - confusion - unusual sleepiness or tiredness - a sweet smell to your breath, a sweet or metallic taste in your mouth or a different odour to your urine or sweat.
Danish: - usædvanlig søvnighed eller træthed - din ånde lugter sødligt, en sød eller metallisk smag i munden eller en unormal lugt fra din urin eller sved.
English: As the dose is individually titrated based on glycaemic control, this is of limited clinical relevance.
Danish: Dette er af begrænset klinisk betydning, da doseringen titreres individuelt på grundlag af glykæmisk kontrol.
English: In male rats, treatment-related benign vascular proliferative lesions (haemangiomas) of the mesenteric lymph node were observed at the highest dose, but not at 300 mg/kg/day, which corresponds to approximately 26-times the maximal clinical exposure to empagliflozin.
Danish: Hos hanrotter blev der observeret behandlingsrelaterede benigne vaskulære proliferative læsioner (hæmangiomer) i de mesenteriale lymfeknuder ved den højeste dosis, men ikke ved 300 mg/kg/dag, hvilket svarer til ca. 26 gange den maksimale kliniske eksponering for empagliflozin.
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.
Danish: Virkningen var svækket i uge 94 med en justeret gennemsnitlig (SE) forbedring af HbA1c på hhv. 0,50 % (0,02) og 0,55 % (0,02) i empagliflozin 10og 25 mg-grupperne sammenholdt med 0,08 % (0,02) i placebogruppen.
English: At week 12, an adjusted mean (SE) improvement in HbA1c when compared to baseline of 0.11% (0.02) in the placebo group, 0.65% (0.02) and 0.71% (0.02) in the empagliflozin 10 and 25 mg groups was observed.
Danish: I uge 12 blev der observeret en justeret gennemsnitlig (SE) forbedring af HbA1c i forhold til baseline på hhv. 0,65 % (0,02) og 0,71 % (0,02) i empagliflozin 10- og 25 mg-grupperne sammenholdt med 0,11 % (0,02) i placebogruppen.
English: Co-administration of metformin with Inhibitors of OCT1 (such as verapamil) may reduce efficacy of metformin.
Danish: • hæmmere af OCT1 (f.eks. verapamil) kan nedsætte virkningen af metformin
English: If you do not remember until it is time for your next dose, skip the missed dose and go back to your regular schedule.
Danish: Du skal tage den glemte dosis, så snart du kommer i tanke om det. Du skal dog springe den glemte dosis over, hvis det er lige ved at være tid for den næste dosis.
English: • Disease which may cause tissue hypoxia (especially acute disease, or worsening of chronic disease) such as: decompensated heart failure, respiratory failure, recent myocardial infarction,
Danish: • Sygdom, der kan give vævshypoxi (især akut sygdom eller forværring af kronisk sygdom),
English: Long-term treatment with metformin has been associated with a decrease in vitamin B12 absorption which may very rarely result in clinically significant vitamin B12 deficiency (e.g. megaloblastic anaemia) Gastrointestinal symptoms such as nausea, vomiting, diarrhoea, abdominal pain and loss of appetite occur most frequently during initiation of therapy and resolve spontaneously in most cases.
Danish: Langtidsbehandling med metformin har været ledsaget af et fald i absorptionen af vitamin B12, og dette kan i meget sjældne tilfælde medføre klinisk betydende vitamin B12-mangel (f.eks. megaloblastær anæmi).
English: Empagliflozin induced renal tumours in male mice at 1,000 mg/kg/day, but not at 300 mg/kg/day, which corresponds to approximately 11-times the maximal clinical exposure to empagliflozin.
Danish: Empagliflozin inducerede nyretumorer hos hanmus ved 1.000 mg/kg/dag, men ikke ved 300 mg/kg/dag, hvilket svarer til ca. 11 gange den maksimale kliniske eksponering for empagliflozin.
English: Synjardy 12.5 mg/850 mg and Synjardy 12.5 mg/1,000 mg tablets also contain iron oxide black (E172) and iron oxide red (E172).
Danish: Synjardy 12,5 mg/850 mg og Synjardy 12,5 mg/1.000 mg tabletter indeholder også sort jernoxid (E172) og rød jernoxid (E172).
English: For the different doses of metformin, Synjardy is available in strengths of 5 mg empagliflozin plus 850 mg metformin hydrochloride, 5 mg empagliflozin plus 1,000 mg metformin hydrochloride, 12.5 mg empagliflozin plus 850 mg metformin hydrochloride, and 12.5 mg empagliflozin plus 1,000 mg metformin hydrochloride.
Danish: Synjardy findes i styrker på 5 mg empagliflozin plus 850 mg metforminhydrochlorid, 5 mg empagliflozin plus 1.000 mg metforminhydrochlorid, 12,5 mg empagliflozin plus 850 mg metforminhydrochlorid og 12,5 mg empagliflozin plus 1.000 mg metforminhydrochlorid.
English: Drug-drug interactions involving the major CYP450 and UGT isoforms with empagliflozin and concomitantly administered substrates of these enzymes are therefore considered unlikely.
Danish: isoformer og på den anden side empagliflozin og samtidigt administrerede substrater for disseenzymer anses derfor for usandsynlige.
English: In a pre-specified pooled analysis of 4 placebo controlled studies, treatment with empagliflozin (68% of all patients were on metformin background) resulted in body weight reduction compared to placebo at week 24 (-2.04 kg for empagliflozin 10 mg, -2.26 kg for empagliflozin 25 mg and -0.24 kg for placebo) that was maintained up to week 52 (-1.96 kg for empagliflozin 10 mg, -2.25 kg for empagliflozin 25 mg and -0.16 kg for placebo).
Danish: I en præspecificeret samlet analyse af 4 placebokontrollerede studier medførte behandling med empagliflozin (68 % af alle patienter fik metformin) et vægttab sammenlignet med placebo i uge 24 (-2,04 kg for empagliflozin 10 mg og -2,26 kg for empagliflozin 25 mg og -0,24 kg for placebo), som varede ved til uge 52 (-1,96 kg for empagliflozin 10 mg, -2,25 kg for empagliflozin 25 mg og -0,16 kg for placebo).
English: Glycaemic efficacy and cardiovascular outcomes have been assessed in a total of 10,366 patients with type 2 diabetes who were treated in 9 double-blind, placebo or active-controlled clinical studies of at least 24 weeks duration, of which 2950 patients received empagliflozin 10 mg and 3701 received empagliflozin 25 mg as add-on to metformin therapy.
Danish: Glykæmisk virkning og kardiovaskulære resultater er blevet vurderet hos i alt 10.366 patienter med type 2-diabetes, som blev behandlet i 9 dobbeltblinde placebokontrollerede eller aktivt kontrollerede kliniske studier af mindst 24 ugers varighed.
English: An increase in cases of lower limb amputation (primarily of the toe) has been observed in ongoing long-term clinical studies with another SGLT2 inhibitor.
Danish: I igangværende kliniske langtidsstudier med en anden SGLT2-hæmmer er der observeret et øget antal amputationer af en underekstremitet (især af en tå).
English: To avoid overdose, do not continue taking empagliflozin and metformin tablets separately, if you are taking this medicine.
Danish: Hvis du bruger Synjardy, skal du stoppe med at tage de særskilte tabletter, med empagliflozin og metformin, for at undgå en overdosis.
English: In the pooled placebo-controlled double-blind trials of 18 to 24 weeks duration, the overall frequency of urinary tract infection reported as adverse event was higher in patients treated with empagliflozin 10 mg on a background of metformin compared to patients treated with placebo or empagliflozin 25 mg on a background of metformin (see section 4.8).
Danish: I de puljede placebo-kontrollerede, dobbeltblinde studier af 18 til 24 ugers varighed var den overordnede frekvens af urinvejsinfektioner højere hos patienter, der fik empagliflozin 10 mg plus metformin, sammenlignet med patienter, der fik placebo plus metformin eller empagliflozin 25 mg plus metformin (se pkt.
English: Synjardy 5 mg/850 mg film-coated tablets
Danish: Synjardy 5 mg/850 mg filmovertrukne tabletter
English: Met = metformin; empa = empagliflozin mean adjusted for baseline value Analyses were performed on the full analysis set (FAS) using an observed cases (OC) approach Given in two equally divided doses per day when given together with metformin Given in two equally divided doses per day *p≤0.0062 for HbA1c
Danish: Analyserne er udført på fuldstændigt analysedatasæt (FAS) ved brug af observerede tilfælde (OC) Administreret i to lige doser dagligt ved samtidig administration af metformin Administreret i to lige doser dagligt * p ≤ 0,0062 for HbA1c
English: Hepatic impairment This medicinal product must not be used in patients with hepatic impairment (see sections 4.3, 4.4 and
Danish: Nedsat leverfunktion Dette lægemiddel må ikke bruges til patienter med nedsat leverfunktion (se pkt.
English: Patients should be advised to take precautions to avoid hypoglycaemia while driving and using machines, in particular when Synjardy is used in combination with a sulphonylurea and/or insulin.
Danish: Patienterne skal rådes til at tage forholdsregler for at undgå hypoglykæmi, når de fører motorkøretøj og betjener maskiner.
English: Empagliflozin improves glycaemic control in patients with type 2 diabetes by reducing renal glucose reabsorption.
Danish: Hos patienter med type 2-diabetes forbedrer empagliflozin den glykæmiske kontrol ved at nedsætte reabsorptionen af glucose i nyrerne.
English: Dehydration may lead to kidney problems, which can put you at risk for lactic acidosis (see 'Warnings and precautions');
Danish: Dehydrering kan medføre nyreproblemer, hvorved du risikerer at få laktatacidose (se 'Advarsler og forsigtighedsregler')
English: Patients (%) achieving HbA1c <7% with baseline HbA1c ≥7% at week 52
Danish: Patienter (%) der opnåede HbA1c < 7 % efter et baseline-HbA1c ≥ 7 % i uge 52
English: In a pre-specified analysis of subjects with baseline HbA1c ≥9.0%, treatment with empagliflozin 10 mg or 25 mg as add-on to metformin resulted in statistically significant reductions in HbA1c at Week 24 (adjusted mean change from baseline of -1.49% for empagliflozin 25 mg, -1.40% for empagliflozin 10 mg, and -0.44% for placebo).
Danish: I en præspecificeret analyse af patienter med baseline-HbA1c ≥ 9 % medførte behandling med empagliflozin 10 mg eller 25 mg som supplement til metformin statistisk signifikante fald i HbA1c i uge 24 (korrigeret gennemsnitlig ændring i forhold til baseline på -1,49 % for empagliflozin 25 mg, -1,40 % for empagliflozin 10 mg og -0,44 % for placebo).
English: Your doctor will adjust your dose as necessary and tell you exactly which strength of the medicine to take.
Danish: Lægen fortæller dig, hvilken styrke af Synjardy du skal tage.