FrancophonIA/ELRC3.0 huggingface dataset:
English: ** See section 4.4. a Safety data profiles from individual pivotal studies (including studies in moderately renally impaired patients; older patients [≥ 55 years of age to ≤ 80 years of age]; patients with increased CV-risk) were generally consistent with the adverse reactions identified in this table.
Croatian: Profili sigurnosnih podataka iz individualnih pivotalnih ispitivanja (uključujući ispitivanja u bolesnika s blagim oštećenjem bubrega; u starijih bolesnika [≥ 55 godina starosti do ≤ 80 godina starosti]; u bolesnika s povećanim KVrizikom) općenito su u skladu s nuspojavama identificiranima u ovoj tablici.
English: Canagliflozin 100 mg and 300 mg once daily in dual or triple add-on therapy with metformin resulted in statistically significant reductions in the percentage of body weight at 26 weeks relative to placebo.
Croatian: Kanagliflozin od 100 mg i 300 mg jedanput na dan kao dodatna dvojna i trojna terapija s metforminom dovela je do statistički značajnog postotka smanjenja tjelesne težine u 26 tjedana, u odnosu na placebo.
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).
Croatian: Potreban je oprez u bolesnika kod kojih kanagliflozinom izazvano smanjenje krvnog tlaka može predstavljati rizik, poput bolesnika s poznatom kardiovaskularnom bolešću, bolesnika na antihipertenzivnoj terapiji s anamnezom hipotenzije, bolesnika na diureticima ili u starijih bolesnika (≥ 65 godina starosti) (vidjeti dijelove 4.2 i 4.8).
English: Canagliflozin is a low-clearance substance, with a mean systemic clearance of approximately 192 mL/min in healthy subjects following intravenous administration.
Croatian: Kanagliflozin je tvar niskog klirensa, uz srednju vrijednost sistemskog klirensa od približno 192 ml/min u zdravih ispitanika nakon intravenske primjene.
English: There is no clinical experience with Vokanamet in patients with hepatic impariment.
Croatian: Nema kliničkog iskustva s lijekom Vokanamet u bolesnika s oštećenjem jetrene funkcije.
English: Metformin stimulates intracellular glycogen synthesis by acting on glycogen synthase.
Croatian: Metformin stimulira unutarstaničnu sintezu glikogena djelujući na glikogen sintazu.
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).
Croatian: U kontroliranim kliničkim ispitivanjima kanagliflozina, povećanje nuspojava povezanih s deplecijom volumena (npr. posturalna omaglica, ortostatska hipotenzija ili hipotenzija) češće je primijećeno uz dnevnu dozu od 300 mg i češće su zabilježene u prva tri mjeseca (vidjeti dio 4.8).
English: • in muscle, by increasing insulin sensitivity, improving peripheral glucose uptake and utilisation
Croatian: • u mišiću, povećavajući osjetljivost na inzulin, poboljšavajući periferno preuzimanje i iskorištenost glukoze • odgađajući intestinalnu apsorpciju glukoze.
English: The co-administration of canagliflozin and metformin has been studied in patients with type 2 diabetes inadequately controlled on metformin either alone or in combination with other glucose-lowering medicinal products.
Croatian: Istovremena primjena kanagliflozina i metformina bila je ispitana u bolesnika s dijabetesom tipa 2, koji nisu prikladno kontrolirani samo metforminom ili u kombinaciji s drugim lijekovima koji snižavaju glukozu.
English: Taking this medicine
Croatian: za vrijeme uzimanja ovog lijeka.
English: The Leydig cell tumours are associated with an increase in luteinising hormone (LH), which is a known mechanism of Leydig cell tumour formation in rats.
Croatian: Tumori Leydigovih stanica povezani su s povišenjem luteinizirajućeg hormona (LH), koji je poznat mehanizam nastajanja tumora
English: Your doctor may prescribe Vokanamet together with another glucose-lowering medicine.
Croatian: Liječnik Vam može propisati Vokanamet zajedno s drugim lijekom koji snižava šećer u krvi.
English: Following oral administration of an 850 mg tablet, a 40% lower plasma peak concentration, a 25% decrease in AUC, and a 35-minute prolongation of time to peak plasma concentration were observed.
Croatian: Nakon peroralne primjene tablete od 850 mg, uočene su 40% niže vršne koncentracije u plazmi, 25%-tno sniženje AUC-a i produljenje vremena do postizanja vršnih koncentracija za 35 minuta.
English: When renal function is impaired, renal clearance is decreased in proportion to that of creatinine and thus the elimination half-life is prolonged, leading to increased levels of metformin in plasma.
Croatian: U slučaju oštećenja bubrežne funkcije, bubrežni klirens je snižen proporcionalno kreatininu, stoga je poluvrijeme eliminacije produljeno, što dovodi do povišenih razina metformina u plazmi.
English: • in patients on their maximally tolerated doses of metformin along with other glucose-lowering medicinal products including insulin, when these do not provide adequate glycaemic control (see sections 4.4, 4.5, and 5.1 for available data on different add-on therapies)
Croatian: • u bolesnika kod kojih maksimalne podnošljive doze metformina, zajedno s drugim lijekovima koji snižavaju glukozu uključujući inzulin, ne omogućavaju adekvatnu regulaciju glikemije (za dostupne podatke o različitim vrstama dodatnih terapija vidjeti dijelove 4.4, 4.5 i 5.1)
English: After single-dose oral administration of 100 mg and 300 mg in healthy subjects, canagliflozin was rapidly absorbed, with peak plasma concentrations (median Tmax) occurring 1 hour to 2 hours post-dose.
Croatian: Nakon primjene jedne peroralno primijenjene doze od 100 mg i 300 mg, u zdravih ispitanika, kanagliflozin se brzo apsorbirao, uz pojavu vršnih koncentracija (medijan Tmax) 1 sat do 2 sata nakon uzimanja doze.
English: Glimepiride (titrated) + metformin (N = 482)
Croatian: Glimepirid (titrirani) + metformin (N = 482)
English: The combination of canagliflozin 300 mg once daily for 6 days with a single dose of simvastatin (CYP3A4 substrate) 40 mg resulted in a 12% increase in AUC and a 9% increase in Cmax of simvastatin and an 18% increase in AUC and a 26% increase in Cmax of simvastatin acid.
Croatian: Kombinacija kanagliflozina od 300 mg jedanput na dan tijekom 6 dana s jednom dozom simvastatina (supstrat CYP3A4) od 40 mg dovelo je do 12%-tnog povećanja AUC i 9%-tnog povećanja Cmax simvastatina, te 18%-tnog povećanja AUC i 26%-tnog povećanja Cmax kiseline simvastatina.
English: • in patients already being treated with the combination of canagliflozin and metformin as separate tablets.
Croatian: • u bolesnika koji se već liječe kombinacijom kanagliflozina i metformina u pojedinačnim tabletama.
English: Single doses up to 1600 mg of canagliflozin in healthy subjects and canagliflozin 300 mg twice daily for 12 weeks in patients with type 2 diabetes were generally well-tolerated.
Croatian: Pojedinačne doze do 1600 mg kanagliflozina u zdravih ispitanika i kanagliflozina od 300 mg dva puta na dan, tijekom 12 tjedana u bolesnika s dijabetesom tipa 2, općenito su bile dobro podnošene.
English: 211 patients from the clinical study in older patients participated in a body composition substudy using DXA body composition analysis.
Croatian: Dvjesto i jedanaest (211) bolesnika iz kliničkih ispitivanja sa starijim bolesnicima sudjelovali su u podispitivanju sastava tijela korištenjem DXA
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).
Croatian: Stoga, može biti potrebna niža doza inzulina ili inzulinskih sekretagoga, kako bi se smanjio rizik za pojavu hipoglikemije kada se primjenjuju u kombinaciji s lijekom Vokanamet (vidjeti dijelove 4.2 i 4.8).
English: Gastro-intestinal symptomsb
Croatian: Gastrointestinalni simptomib
English: The efficacy of canagliflozin is dependent on renal function, and efficacy is reduced in patients who have moderate renal impairment and likely absent in patients with severe renal impairment (see section 4.2).
Croatian: Djelotvornost kanagliflozina ovisi o bubrežnoj funkciji te je djelotvornost smanjena u bolesnika koji imaju umjereno oštećenje bubrežne funkcije i vjerojatno je odsutna u bolesnika s teškim oštećenjem bubrežne funkcije (vidjeti dio 4.2).
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).
Croatian: Uzimanje lijeka Vokanamet s drugim lijekovima za šećernu bolest koji se zovu sufonilureje (poput glimepirida ili glipizida) ili inzulinom može povećati rizik za pojavu niskog šećera u krvi (hipoglikemija).
English: Stop taking Vokanamet immediately and contact a doctor or go to the nearest hospital straight away if you have any of the following serious side effects:
Croatian: Odmah prestanite uzimati Vokanamet i obratite se liječniku ili se odmah uputite u najbližu bolnicu ako imate bilo koju od sljedećih ozbiljnih nuspojava:
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.
Croatian: Rizik za laktacidozu mora se uzeti u obzir u slučaju nespecifičnih znakova poput grčeva u mišićima s probavnim poremećajima kao što su bol u abdomenu i teška astenija.
English: Overall, 0.5% of male patients discontinued canagliflozin due to candidial balanitis or balanoposthitis.
Croatian: Sveukupno, 0,5% muških bolesnika prekinulo je uzimanje kanagliflozina zbog balanitisa ili balanopostitisa uzrokovanog kandidom.
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.
Croatian: Nisu provedena klinička ispitivanja djelotvornosti s lijekom Vokanamet; međutim, u zdravih dobrovoljaca pokazana je bioekvivalencija lijeka Vokanamet u odnosu na kanagliflozin i metformin koji su istodobno primijenjeni u pojedinačnim tabletama.
English: Placebo + insulin (N = 565)
Croatian: Placebo + inzulin (N = 565)
English: Vokanamet combines two oral glucose-lowering medicinal products with different and complementary mechanisms of action to improve glycaemic control in patients with type 2 diabetes: canagliflozin, an inhibitor of SGLT2 transporter, and metformin hydrochloride, a member of the biguanide class.
Croatian: Vokanamet je kombinacija dva oralna lijeka koji snižavaju glukozu s različitim i komplementarnim mehanizmima djelovanja, radi poboljšanja kontrole glikemije u bolesnika s dijabetesom tipa 2: kanagliflozina, inhibitora SGLT2 transportera i metforminklorida, pripadnika skupine bigvanidina.
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.
Croatian: Prestanite uzimati Vokanamet i odmah se obratite liječniku ili otiđite u najbližu bolnicu ako osjetite neke od simptoma laktacidoze, jer to stanje može dovesti do kome.
English: In addition, an 18-week double-blind, placebo-controlled phase 2 study with twice daily dosing (canagliflozin 50 mg or 150 mg as add-on therapy with metformin 500 mg) was conducted in 279 patients in which 186 patients were treated with canagliflozin as add-on therapy with metformin.
Croatian: Dodatno, provedeno je dvostruko slijepo, placebom kontrolirano ispitivanje faze II s doziranjem dva puta na dan, u trajanju od 18 tjedana (kanagliflozin od 50 mg ili 150 mg kao dodatno liječenje s metforminom od 500 mg) s 279 bolesnika od kojih je 186 bolesnika bilo liječeno kanagliflozinom kao dodatnom terapijom uz liječenje metforminom.
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.
Croatian: U ispitivanju u kojem je kanagliflozin od 300 mg jedanput na dan uspoređen sa sitagliptinom od 100 mg u trojnoj terapiji s metforminom i sulfonilurejom, kanagliflozin je pokazao neinferiorno (p < 0,05) i superiorno (p < 0,05) smanjenje HbA1c u odnosu na sitagliptin.
English: Limited data from clinical trials suggest that DKA occurs with common frequency when patients with type 1 diabetes are treated with SGLT2 inhibitors.
Croatian: Ograničeni podaci iz kliničkih ispitivanja ukazuju da se DKA javlja s čestom učestalošću u bolesnika s dijabetesom tipa 1 koji se liječe SGLT2 inhibitorima.
English: h Balanitis or balanoposthitis includes the terms balanitis, balanoposthitis, balanitis candida, and genital infection fungal.
Croatian: h Balanitis ili balanopostitis uključuju termine balanitis, balanopostitis, balanitis uzrokovan kandidom i genitalna gljivična infekcija.
English: A total of 10,285 patients with type 2 diabetes participated in nine double-blind, controlled clinical efficacy and safety studies conducted to evaluate the effects of canagliflozin on glycaemic control, including 5,151 patients treated with canagliflozin in combination with metformin.
Croatian: Ukupno 10 285 bolesnika s dijabetesom tipa 2 sudjelovalo je u devet dvostruko slijepih, kontroliranih ispitivanja kliničke djelotvornosti i sigurnosti koje su provedene radi procjene djelotvornosti kanagliflozina na regulaciju glikemije, uključujući 5 151 bolesnika liječenih kanagliflozinom u kombinaciji s metforminom.
English: For patients inadequately controlled on maximal tolerated dose of metformin For patients not adequately controlled on metformin, the recommended starting dose of Vokanamet should provide canagliflozin dosed at 50 mg twice daily plus the dose of metformin already being taken or the nearest therapeutically appropriate dose.
Croatian: Za bolesnike koji nisu adekvatno regulirani uz maksimalne podnošljive doze metformina Za bolesnike koji nisu adekvatno regulirani metforminom, preporučena početna doza lijeka Vokanamet treba uključiti dozu kanagliflozina od 50 mg, dva puta na dan uz dozu metformina koja se već uzima ili najbližu prikladnu terapijsku dozu.
English: Symptoms of lactic acidosis include:
Croatian: Simptomi laktacidoze uključuju: • povraćanje
English: After oral administration, metformin absorption is saturable and incomplete.
Croatian: Nakon peroralne primjene, apsorpcija metformina je sklona zasićivanju i nepotpuna je.
English: Your doctor will decide when you must stop and when to restart your treatment with Vokanamet.
Croatian: Liječnik će odlučiti kada morate prekinuti i kada ćete nastaviti s liječenjem lijekom
English: The increased UGE with SGLT2 inhibition also translates to an osmotic diuresis, with the diuretic effect leading to a reduction in systolic blood pressure; the increase in UGE results in a loss of calories and therefore a reduction in body weight, as has been demonstrated in studies of patients with type 2 diabetes.
Croatian: Povišeno izlučivanje glukoze urinom putem SGLT2 inhibicije također rezultira osmotskom diurezom, s diuretskim učinkom koji dovodi do smanjenja sistoličkog krvnog tlaka; povišenje izlučivanja glukoze urinom rezultira gubitkom kalorija i zbog toga sa smanjenjem tjelesne težine, kako je bilo pokazano u ispitivanjima s bolesnicima s dijabetesom tipa 2.
English: The most commonly reported adverse reactions during treatment were hypoglycaemia in combination with insulin or a sulphonylurea, vulvovaginal candidiasis, urinary tract infection, and polyuria or pollakiuria
Croatian: Najčešće prijavljene nuspojave tijekom liječenja bile su hipoglikemija u kombinaciji s inzulinom ili sulfonilurejom, vulvovaginalna kandidijaza, infekcija mokraćnog sustava, poliurija ili polakizurija (tj. učestalo mokrenje).
English: By inhibiting SGLT2, canagliflozin reduces reabsorption of filtered glucose and lowers the renal threshold for glucose (RTG), and thereby increases UGE, lowering elevated plasma glucose concentrations by this insulin-independent mechanism in patients with type 2 diabetes.
Croatian: Inhibirajući SGLT2, kanagliflozin smanjuje reapsorpciju filtrirane glukoze i smanjuje prag bubrega za glukozu (RTG), na taj način povisuje izlučivanje glukoze urinom, smanjujući povišene koncentracije glukoze u plazmi putem ovog o inzulinu neovisnog mehanizma u bolesnika s dijabetesom tipa 2.
English: • a significant reduction of the absolute risk of any diabetesrelated complication in the metformin group (29.8 events/1,000 patient-years) versus diet alone (43.3 events/1,000 patient-years), p = 0.0023, and versus the combined sulphonylurea and insulin monotherapy groups (40.1 events/1,000 patient-years), p = 0.0034
Croatian: • značajna redukcija apsolutnog rizika za pojavu bilo koje komplikacije povezane s dijabetesom u skupini s metforminom (29,8 događaja/1000 bolesnik-godini) u odnosu na samu dijetu (43,3 događaja/1000 bolesnik-godini), p = 0,0023, te u odnosu na skupinu s kombinacijom sulfonilureje i inzulinom u monoterapiji (40,1 događaja/1000 bolesnik-godini), p = 0,0034
English: The hazard ratios for the canagliflozin 100 mg and 300 mg once daily doses were similar.
Croatian: Omjer rizika za doze od 100 mg i 300 mg jedanput na dan bio je sličan.
English: In phase 3 studies, pre-meal administration of canagliflozin 300 mg once daily provided a greater reduction in postprandial glucose excursion than observed with the 100 mg once daily dose.
Croatian: U ispitivanjima faze 3, primjena kanagliflozina od 300 mg jedanput na dan prije jela, dovela je do većeg smanjenja ekskurzije postprandijalne glukoze, nego što je primijećeno s dozom od 100 mg jedanput na dan.
English: i Mean percent increases from baseline for canagliflozin 100 mg and 300 mg versus placebo, respectively, were total cholesterol 3.4% and 5.2% versus 0.9%; HDL-cholesterol 9.4% and 10.3% versus 4.0%; LDL-cholesterol 5.7% and 9.3% versus 1.3%; non-HDL-cholesterol 2.2% and 4.4% versus 0.7%; triglycerides 2.4% and 0.0% versus 7.6%.
Croatian: i Srednji postotak porasta u odnosu na početnu vrijednost za kanagliflozin od 100 mg odnosno 300 mg naspram placeba, bio je za ukupni kolesterol 3,4% i 5,2% naspram 0,9%; HDL kolesterol 9,4% i 10,3% naspram 4,0%; LDL kolesterol 5,7% i 9,3% naspram 1,3%; ne HDL kolesterol 2,2% i 4,4% naspram 0,7%; trigliceride 2,4% i 0,0% naspram 7,6%.
English: Metformin partitions into erythrocytes.
Croatian: Metformin se rapodjeljuje u eritrocite.
English: Possible signs of dehydration are: feeling light-headed or dizzy passing out (fainting) or feeling dizzy or faint when you stand up very dry or sticky mouth, feeling very thirsty feeling very weak or tired passing little or no urine fast heartbeat.
Croatian: Mogući znakovi dehidracije su: osjećaj ošamućenosti ili omaglice nesvjestica ili osjećaj omaglice ili gubitak svijesti pri ustajanju vrlo suha ili ljepljiva usta, osjećaj jake žeđi osjećaj jake slabosti ili umora oslabljeno ili odsutno mokrenje brzi otkucaji srca.
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%).
Croatian: Niži udio bolesnika liječenih kanagliflozinom od 100 mg jedanput na dan (5,6%) i kanagliflozinom od 300 mg jedanput na dan (4,9%) doživjelo je barem jednu epizodu/događaj hipoglikemije tijekom 52 tjedna liječenja u usporedbi sa skupinom liječenom glimepiridom (34,2%).
English: Canagliflozin is not expected to be dialysable by peritoneal dialysis.
Croatian: Ne očekuje se da će se kanagliflozin odstranjivati putem peritonealne dijalize.
English: Canagliflozin has not been studied in severe renal impairment (GFR < 30 mL/min ) or ESRD.
Croatian: Kanagliflozin nije bio ispitan kod teškog oštećenja bubrežne funkcije (GFR < 30 ml/min) ili završnog stadija bolesti bubrega.
English: Sitagliptin 100 mg + metformin and sulfonylurea (N = 378)
Croatian: Sitagliptin 100mg + metformin i sulfonilureja (N = 378)
English: Surgical and medical procedures uncommon
Croatian: Operativni i medicinski postupci manje često
English: High overdose of metformin or concomitant risks may lead to lactic acidosis.
Croatian: Predoziranje visokim dozama metformina ili istodobno prisutni rizici mogu dovesti do laktacidoze.
English: A paediatric Phase 1 study examined the pharmacokinetics and pharmacodynamics of canagliflozin in children and adolescents ≥ 10 to < 18 years of age with type 2 diabetes mellitus.
Croatian: Pedijatrijsko ispitivanje faze 1, ispitalo je farmakokinetiku i farmakodinamiku kanagliflozina u djece i adolescenata s dijabetesom tipa 2 starosti
English: Renal clearance of canagliflozin 100 mg and 300 mg doses ranged from 1.30 mL/min to 1.55 mL/min.
Croatian: Bubrežni klirens kanagliflozina za doze od 100 mg i 300 mg bio je u rasponu od 1,30 ml/min do 1,55 ml/min.
English: Due to canagliflozin's mechanism of action, patients taking Vokanamet will test positive for glucose in their urine.
Croatian: Zbog mehanizma djelovanja, bolesnici koji uzimaju Vokanamet imati će pozitivan nalaz glukoze u mokraći.
English: Alcohol intoxication is associated with an increased risk of lactic acidosis (particularly in cases of fasting, malnutrition, or hepatic impairment) due to the metformin active substance of Vokanamet (see section 4.4).
Croatian: Intoksikacija alkoholom povezana je s povećanim rizikom od laktacidoze osobito u slučajevima gladovanja, pothranjenosti ili oštećenja funkcije jetre radi metformina, djelatne tvari u lijeku Vokanamet (vidjeti dio 4.4).
English: Decreases in GFR (-3.6% and -5.2%) were reported with canagliflozin 100 mg and canagliflozin 300 mg, respectively, compared to the control group (-3.0%) (see sections 4.2 and 4.4).
Croatian: Sniženja GFR (-3,6% i -5,2%) bila su prijavljena s kanagliflozinom od 100 mg odnosno kanagliflozinom od 300 mg, u usporedbi s kontrolnom skupinom (-3,0%) (vidjeti dijelove 4.2 i 4.4).
English: Vokanamet is not recommended in patients with hepatic impairment due to the active substance metformin (see sections 4.3 and 5.2).
Croatian: Bolesnici s oštećenjem jetrene funkcije Vokanamet se ne preporučuje u bolesnika s oštećenjem jetrene funkcije zbog djelatne tvari metformina (vidjeti dijelove 4.3 i 5.2).
English: In patients with a GFR < 60 mL/min , a higher incidence of adverse reactions associated with volume depletion (e.g., postural dizziness, orthostatic hypotension, hypotension) was reported, particularly with the 300 mg dose.
Croatian: U bolesnika s GFR < 60 ml/min prijavljena je veća incidencija nuspojava povezanih s deplecijom volumena (npr. posturalna omaglica, ortostatska hipotenzija, hipotenzija), naročito s dozom od
English: The reductions in RTG and increases in UGE were sustained over a 26-week dosing period in patients with type 2 diabetes.
Croatian: Smanjenja RTG i povišenja izlučivanja glukoze urinom zadržala su se kroz 26-tjedno razdoblje doziranja u bolesnika s dijabetesom tipa 2.
English: • if you experience rapid weight loss, feeling sick or being sick, 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, contact a doctor or the nearest hospital straight away.
Croatian: prekomjernu žeđ, ubrzano i duboko disanje, smetenost, neuobičajenu pospanost ili umor, zadah slatkog mirisa, slatki ili metalni okus u ustima, ili drugačiji miris mokraće ili znoja, odmah se javite liječniku ili u najbližu bolnicu.