FrancophonIA/ELRC3.0 huggingface dataset:
English: If you need to have an injection of contrast medium that contains iodine into your bloodstream, for example in the context of an X-ray or scan, you must stop taking Komboglyze before or at the time of the injection.
Slovenian: Če vam bodo v krvni obtok injicirali kontrastno sredstvo, ki vsebuje jod, na primer zaradi rentgenskega ali drugega slikanja, morate pred časom injiciranja ali v tem času prenehati z jemanjem zdravila Komboglyze.
English: During postmarketing experience, including spontaneous reports and clinical trials, the following adverse reactions have been reported with the use of saxagliptin: serious hypersensitivity reactions, including anaphylactic reaction, anaphylactic shock, and angioedema.
Slovenian: Iz izkušenj iz obdobja trženja, vključno s spontanimi poročili in kliničnimi preskušanji, so glede uporabe saksagliptina poročali o naslednjih neželenih učinkih: resnih preobčutljivostnih reakcijah, vključno z anafilaktično reakcijo, anafilaktičnim šokom in angioedemu.
English: However, among surviving mothers with evaluable litters, maternal toxicity was limited to marginal reductions in body weight over the course of gestation days 21 to 29; and associated developmental toxicity in these litters was limited to foetal body weight decrements of 7%, and a low incidence of delayed ossification of the foetal hyoid.
Slovenian: Toda med preživelimi samicami z ocenljivimi legli, je bila maternalna toksičnost omejena na mejno zmanjšanje telesne mase od 21. do 29. dne gestacije; spremljajoči razvojni toksični učinki pri teh leglih so bili omejeni na 7 % zmanjšanje telesne mase plodov in majhno incidenco zapoznele osifikacije plodove hioidne kosti.
English: Komboglyze should be given twice daily with meals to reduce the gastrointestinal adverse reactions associated with metformin.
Slovenian: Zdravilo Komboglyze je treba uporabljati dvakrat na dan in s hrano, da bi zmanjšali z metforminom povezane neželene učinke na prebavilih.
English: If a serious hypersensitivity reaction to saxagliptin is suspected, discontinue this medicinal product, assess for other potential causes for the event, and institute alternative treatment for diabetes (see sections 4.3 and 4.8).
Slovenian: Če se pojavi sum na resno preobčutljivostno reakcijo, je potrebno prekiniti zdravljenje s tem zdravilom, preučiti morebitne druge vzroke za dogodek, in uvesti drugo zdravljenje za sladkorno bolezen (glejte poglavji 4.3 in 4.8).
English: Hypoglycaemia may affect your ability to drive and use machines or work with safe foothold and there is a risk of hypoglycaemia when taking this medicine in combination with medicines known to cause hypoglycaemia such as insulin and sulphonylureas.
Slovenian: Hipoglikemija lahko poslabša vašo sposobnost za upravljanje vozil in strojev ter za dela z varno oporo; tveganje za hipoglikemijo obstaja, če to zdravilo jemljete v kombinaciji z zdravili, za katera je znano, da povzročajo hipoglikemijo (npr. insulin in sulfonilsečnine).
English: Primary composite endpoint: MACE Secondary composite endpoint: MACE plus All-cause mortality
Slovenian: Sekundarni sestavljeni opazovani dogodek: MACE plus Umrljivost zaradi vseh vzrokov
English: Administration with food (a high-fat meal) resulted in no change in saxagliptin Cmax and a 27% increase in AUC compared with the fasted state.
Slovenian: Uporaba s hrano (zelo masten obrok) ni spremenila Cmax saksagliptina, njegovo AUC pa je, v primerjavi z uporabo na tešče, povečala za 27 %.
English: • Komboglyze is available in aluminium foil blister.
Slovenian: • Zdravilo Komboglyze je na voljo v pretisnem omotu iz aluminijaste folije.
English: Pharmacotherapeutic group: Drugs used in diabetes, Combinations of oral blood glucose lowering drugs, ATC code: A10BD10.
Slovenian: Farmakoterapevtska skupina: Zdravila za zdravljenje diabetesa, kombinacije peroralnih antidiabetikov Oznaka ATC: A10BD10
English: The major metabolite of saxagliptin is also a selective, reversible, competitive DPP4 inhibitor, half as potent as saxagliptin.
Slovenian: Tudi glavni presnovek saksagliptina je selektiven, reverzibilen, kompetitiven zaviralec DPP4, pol tako močan kot saksagliptin.
English: In postmarketing experience of saxagliptin, there have been spontaneously reported adverse reactions of acute pancreatitis.
Slovenian: Iz izkušenj v obdobju trženja saksagliptina so spontano poročali o neželenem učinku akutnem pankreatitisu.
English: SAVOR trial results
Slovenian: Rezultati preskušanja SAVOR
English: This medicineshould not be used to treat this condition;
Slovenian: Tega zdravila se ne sme uporabljati za zdravljenje te bolezni.
English: Immune system disorders Hypersensitivity reactions
Slovenian: Bolezni imunskega sistema preobčutljivostne reakcije
English: In patients with type 2 diabetes, administration of saxagliptin led to inhibition of DPP4 enzyme activity for a 24-hour period.
Slovenian: Pri bolnikih s sladkorno boleznijo tipa 2 je uporaba saksagliptina zavrla delovanje encima DPP4 za 24 ur.
English: The increased risk of overall and major hypoglycaemia was primarily observed in subjects with A1C < 7% at baseline.
Slovenian: Večje tveganje za vse hipoglikemije in hujše hipoglikemije so ugotovili predvsem med preiskovanci, ki so imeli izhodiščno A1c < 7 %.
English: Alcohol intoxication is associated with an increased risk of lactic acidosis, particularly in the case of fasting, malnutrition or hepatic impairment due to the metformin active substance of Komboglyze (see section 4.4).
Slovenian: Zastrupitev z alkoholom je povezana s povečanim tveganjem za laktacidozo, zlasti ob postenju, podhranjenosti ali okvari jeter, zaradi vsebnosti učinkovine metformina v zdravilu Komboglyze (glejte poglavje 4.4).
English: Some medicinal products can adversely affect renal function which may increase the risk of lactic acidosis, e.g. NSAIDs, including selective cyclo-oxygenase (COX) II inhibitors, ACE inhibitors, angiotensin II receptor antagonists and diuretics, especially loop diuretics.
Slovenian: Nekatera zdravila lahko škodljivo vplivajo na delovanje ledvic, kar lahko poveča tveganje za laktacidozo, npr. NSAID, vključno s selektivnimi zaviralci ciklooksigenaze (COX) II, zaviralci ACE, antagonisti receptorjev angiotenzina II in diuretiki, zlasti diuretiki Henlejeve zanke.
English: The results of bioequivalence studies in healthy subjects demonstrated that Komboglyze combination tablets are bioequivalent to co-administration of corresponding doses of saxagliptin and metformin hydrochloride as individual tablets.
Slovenian: Rezultati bioekvivalenčnih študij pri zdravih osebah so pokazali, da je kombinacija učinkovin v tableti Komboglyze bioekvivalentna sočasni uporabi ustreznih odmerkov saksagliptina in metforminijevega klorida v ločenih tabletah.
English: Side effects seen when taking saxagliptin alone: Common
Slovenian: Neželeni učinki, ki so jih zabeležili med jemanjem samega saksagliptina: Pogosti
English: In addition, saxagliptin did not meaningfully alter the pharmacokinetics of metformin, glibenclamide, pioglitazone, digoxin, simvastatin, the active components of a combined oral contraceptive (ethinyl estradiol and norgestimate), diltiazem or ketoconazole.
Slovenian: Poleg tega saksagliptin ni pomembno spremenil farmakokinetike metformina, glibenklamida, pioglitazona, digoksina, simvastatina, učinkovin v kombiniranih peroralnih kontraceptivih (etinilestradiola in norgestimata), diltiazema ali ketokonazola.
English: The primary safety (noninferiority) and efficacy (superiority) endpoint was a composite endpoint consisting of the time-to-first occurrence of any of the following major adverse CV events (MACE): CV death, nonfatal myocardial infarction, or nonfatal ischaemic stroke.
Slovenian: Primarni opazovani dogodek varnosti (neinferiornosti) in učinkovitosti (superiornosti) je bil sestavljen opazovani dogodek, ki je obsegal čas do prvega pojava katerega od naslednjih hudih neželenih kardiovaskularnih dogodkov: kardiovaskularne smrti, miokardnega infarkta brez smrtnega izida ali možganske kapi brez smrtnega izida.
English: Concomitant use not recommended
Slovenian: Kombinacije, ki niso priporočljive
English: Table 5 Key efficacy results in placebo-controlled, combination therapy studies of saxagliptin and metformin
Slovenian: Preglednica 5 Ključni rezultati o učinkovitosti v s placebom kontrolirani študiji kombiniranega zdravljenja s saksagliptinom in metforminom
English: No data are available with regard to overdose of Komboglyze.
Slovenian: Podatkov o prevelikem odmerjanju z zdravilom Komboglyze ni.
English: After an oral glucose load, this DPP4 inhibition resulted in a 2- to 3-fold increase in circulating levels of active incretin hormones, including glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), decreased glucagon concentrations and increased glucose-dependent beta-cell responsiveness, which resulted in higher insulin and C-peptide concentrations.
Slovenian: Po peroralni obremenitvi z glukozo je to zavrtje DPP4 povzročilo 2- do 3-kratno povečanje koncentracije aktivnih inkretinskih hormonov v obtoku (vključno z glukagonu podobnim peptidom-1 (GLP-1) in od glukoze odvisnim insulinotropnim polipeptidom (GIP)), zmanjšalo koncentracijo glukagona in povečalo od glukoze odvisno odzivnost celic beta, zaradi česar sta se povečali koncentracija insulina in C-peptida.
English: Postmarketing experience from clinical trials and spontaneous reports Table 3 shows additional adverse reactions which have been reported in postmarketing experience with saxagliptin.
Slovenian: Izkušnje iz kliničnih preskušanj in spontana poročila iz obdobja trženja Preglednica 3 prikazuje dodatne neželene učinke o katerih so poročali iz izkušenj v obdobju trženja saksagliptina.
English: In the confirmatory full analysis set, mean reductions were -0.4% and -0.6% respectively for saxagliptin and sitagliptin, with median reductions of -0.5% for both groups.
Slovenian: Potrditvena analiza polnega nabora je pokazala za saksagliptin povprečno zmanjšanje za -0,4 % in za sitagliptin za -0,6 %; mediano zmanjšanje je bilo v obeh skupinah -0,5 %.
English: • in patients already being treated with the combination of saxagliptin and metformin as separate tablets.
Slovenian: • pri bolnikih, ki že prejemajo kombinacijo saksagliptina in metformina v ločenih tabletah.
English: Studies in animals have shown excretion of both saxagliptin and/or metabolite and metformin in milk.
Slovenian: Študije na živalih so pokazale, da se saksagliptin in/ali njegov presnovek in metformin izločajo v mleko.
English: The effect on HbA1c observed at Week 24 was sustained at Week 52.
Slovenian: Učinek na HbA1c, opažen po 24 tednih, se je ohranil tudi po 52 tednih.
English: - In patients with moderate renal impairment that have GFR ≥ 30 to < 45 mL/min, in the absence of other conditions that may increase the risk of lactic acidosis, the dose is 2.5 mg/1000 mg or 2.5 mg/850 mg once daily.
Slovenian: - Pri bolnikih z zmerno okvaro ledvic, ki imajo GFR od ≥ 30 do <45 ml/min, v odsotnosti drugih stanj, ki bi povečevala tveganje za laktacidozo, je odmerek 2,5 mg/1000 mg ali 2,5 mg/850 mg enkrat na dan. Tem bolnikom ni priporočljivo uvesti zdravila.
English: Reductions in HbA1c from baseline to Week 24 were observed in all evaluated subgroups defined by baseline HbA1c, with greater reductions observed in patients with a baseline HbA1c ≥ 10% (see Table 5).
Slovenian: Zmanjšanje HbA1c od izhodišča do 24. tedna so opazili v vseh ocenjenih podskupinah, določenih glede na izhodiščni HbA1c; večja zmanjšanja so ugotovili pri bolnikih, ki so imeli izhodiščni HbA1c ≥ 10 % (glejte preglednico 3).
English: The decreases in lymphocyte count were not associated with clinically relevant adverse reactions.
Slovenian: Zmanjšanega števila limfocitov niso spremljali klinično pomembni neželeni učinki.
English: If you need to have major surgery, you must stop taking Komboglyze during and for some time after the procedure.
Slovenian: Če morate na večji kirurški poseg, morate v času posega in še nekaj časa po tem prenehati z jemanjem zdravila Komboglyze.
English: The biotransformation of saxagliptin is primarily mediated by cytochrome P450 3A4/5 (CYP3A4/5).
Slovenian: Biotransformacija saksagliptina poteka predvsem prek citokroma P450 3A4/5 (CYP3A4/5).
English: Frequency of adverse reactions by treatment regimen
Slovenian: Pogostnost neželenih učinkov po shemi zdravljenja
English: Placebo-corrected mean change in HbA1c (%) (95% CI)
Slovenian: Na placebo korigirana povprečna sprememba HbA1c (%) (95 % IZ)
English: • infection of the upper airways
Slovenian: • okužba zgornjih dihal
English: What Komboglyze is used for This medicine is used to treat a type of diabetes called ‘type 2 diabetes'.
Slovenian: To zdravilo uporabljamo za zdravljenje vrste sladkorne bolezni, imenovane "sladkorna bolezen tipa 2".
English: During post-approval use of saxagliptin, additional side effects have been reported that include serious allergic reactions (anaphylaxis), and swelling of the face, lips, tongue, and throat that may cause difficulty in breathing or swallowing.
Slovenian: V obdobju po prihodu saksagliptina na tržišče so poročali o dodatnih neželenih učinkih, ki vključujejo resne alergijske reakcije (anafilakso), in otekanje obraza, ustnic, jezika in žrela, kar lahko povzroči težave pri dihanju ali požiranju.
English: For patients inadequately controlled on maximal tolerated dose of metformin monotherapy Patients not adequately controlled on metformin alone should receive a dose of this medicinal product equivalent to the total daily dose of saxagliptin 5 mg, dosed as 2.5 mg twice daily, plus the dose of metformin already being taken.
Slovenian: Bolniki, ki so nezadostno urejeni z največjim toleriranim odmerkom metformina v monoterapiji Bolniki, ki so nezadostno urejeni z metforminom samim, morajo dobiti odmerek tega zdravila, ki ustreza celotnemu dnevnemu odmerku 5 mg saksagliptina, odmerjanem 2,5 mg dvakrat na dan, ter že dotlej uporabljanemu odmerku metformina.
English: Similar HbA1c reductions versus placebo were achieved for patients receiving saxagliptin 5 mg add-on to insulin regardless of metformin use (-0.4% for both subgroups).
Slovenian: Podobna zmanjšanja HbA1c v primerjavi s placebom so bila dosežena pri bolnikih, ki so prejemali 5 mg saksagliptina kot dodatek insulinu, ne glede na uporabo metformina (-0,4 % za obe podskupini).
English: The study population included those ≥ 65 years (n=8561) and ≥ 75 years (n=2330), with normal or mild renal impairment (n=13916) as well as moderate (n=2240) or severe (n=336) renal impairment.
Slovenian: Populacija v študiji je zajela bolnike, stare ≥ 65 let (n = 8.561) in ≥ 75 let (n = 2.330), z normalnim delovanjem ledvic ali blago okvaro ledvic (n = 13.916) ter tudi zmerno (n = 2.240) ali hudo (n = 336) okvaro ledvic.
English: The clinical relevance of the skin lesions is not known, however, clinical correlates to skin lesions in monkeys have not been observed in human clinical trials of saxagliptin.
Slovenian: Klinični pomen kožnih sprememb ni znan, vendar v kliničnih preskušanjih pri človeku niso opazili klinično primerljivih kožnih sprememb pri opicah.
English: No metabolites have been identified in humans.
Slovenian: Pri človeku niso identificirali nobenih presnovkov.
English: Tablet core Povidone K30
Slovenian: Jedro tablete povidon K30 magnezijev stearat
English: If a patient presents with severe joint pain, continuation of drug therapy should be individually assessed.
Slovenian: Če ima bolnik hude bolečine v sklepih, je treba za vsakega bolnika posebej pretehtati, ali naj še naprej jemlje zdravilo.
English: Talk to your doctor or pharmacist before taking Komboglyze If you have type1diabetes (your body does not produce any insulin).
Slovenian: Preden vzamete zdraviloKomboglyze, se posvetujte z zdravnikom ali farmacevtom: če imate sladkorno bolezentipa1 (vaše telo ne proizvaja dovolj insulina).
English: The Cmax and AUC of saxagliptin and its major metabolite increased proportionally to the saxagliptin dose.
Slovenian: Cmax in AUC saksagliptina in njegovega glavnega presnovka sta naraščali sorazmerno odmerku saksagliptina.
English: There have been no therapeutic clinical trials conducted with Komboglyze tablets, however, bioequivalence of Komboglyze with co-administered saxagliptin and metformin has been demonstrated (see section 5.2).
Slovenian: Terapevtska klinična preskušanja s tabletami zdravila Komboglyze niso bila izvedena, vendar je bila dokazana bioekvivalenca zdravila Komboglyze s sočasno uporabljenim saksagliptinom in metforminom (glejte poglavje 5.2).
English: Skin lesions were not observed at an increased incidence in clinical trials.
Slovenian: V kliničnih preskušanjih niso opazili večje incidence kožnih sprememb.
English: Therefore, a lower dose of insulin or sulphonylurea may be required to reduce the risk of hypoglycaemia when used in combination with Komboglyze.
Slovenian: Zato je za zmanjšanje tveganja za pojav hipoglikemije morda potreben manjši odmerek insulina ali sulfonilsečnine, kadar se uporablja v kombinaciji z zdravilom Komboglyze.
English: In the SAVOR trial a small increase in the rate for hospitalisation for heart failure was observed in the saxagliptin treated patients compared to placebo, although a causal relationship has not been established (see section 5.1).
Slovenian: V preskušanju SAVOR so opažali majhen porast deleža sprejemov v bolnišnico zaradi srčnega popuščanja med bolniki, ki so prejemali saksagliptin, v primerjavi s tistimi, ki so prejemali placebo, toda vzročna povezanost ni bila ugotovljena (glejte poglavje 5.1).
English: Co-administration of saxagliptin and metformin, to pregnant rats and rabbits during the period of organogenesis, was neither embryolethal nor teratogenic in either species when tested at doses yielding systemic exposures (AUC) up to 100 and 10 times the maximum recommended human doses (RHD; 5 mg saxagliptin and 2000 mg metformin), respectively, in rats; and 249 and 1.1 times the RHDs in rabbits.
Slovenian: Saksagliptin in metformin, sočasno uporabljena pri brejih podganah in kuncih med obdobjem organogeneze, nista bila niti pri eni niti pri drugi vrsti embrioletalna ali teratogena, če sta bila preskušana v odmerkih, ki so povzročili sistemsko izpostavljenost (AUC) do 100- in 10 krat tolikšno kot največja priporočena odmerka za človeka (RHD; 5 mg za saksagliptin in 2000 mg za metformin) pri podganah in 249 in 1,1-krat tolikšno kot največja RHD pri kuncih.
English: A total of 22% of the administered radioactivity was recovered in faeces representing the fraction of the saxagliptin dose excreted in bile and/or unabsorbed medicinal product from the gastrointestinal tract.
Slovenian: Skupno 22 % uporabljene radioaktivnost se je pojavilo v blatu; to predstavlja delež odmerka saksagliptina, izločenega v žolč in/ali neabsorbiranega iz prebavil.
English: Rash is also noted as an adverse event (AE) for saxagliptin (see section 4.8).
Slovenian: Izpuščaj je zabeležen tudi kot neželen učinek saksagliptina (glejte poglavje 4.8).
English: Saxagliptin with metformin
Slovenian: Saksagliptin z metforminom
English: The overall incidence of reported hypoglycaemia (recorded in daily patient diaries) was 17.1% in subjects treated with saxagliptin and 14.8% among patients treated with placebo.
Slovenian: Celotna incidenca zabeleženih hipoglikemij (vpisanih v dnevne dnevnike bolnikov) je bila 17,1 % med prejemniki saksagliptina in 14,8 % med prejemniki placeba.
English: Komboglyze is indicated in adults with type 2 diabetes mellitus as an adjunct to diet and exercise to improve glycaemic control:
Slovenian: Zdravilo Komboglyze je indicirano pri odraslih s sladkorno boleznijo tipa 2 kot dodatek dieti in telesni dejavnosti za izboljšanje urejenosti glikemije:
English: If you have severely reduced kidney function or problems with your liver; If you have recently had a heart attack or if you have heart failure or serious problems with your blood circulation or difficulties in breathing which could be a sign of heart problems; If you have a severe infection or are dehydrated (have lost a lot of water from your body); If you are breast-feeding (see also “Pregnancy and breast-feeding”); If you drink a large amount of alcohol (either every day or only from time to time) (please see section “Komboglyze with alcohol”);
Slovenian: Simptomi vključujejo bolečine v trebuhu, hitro in globoko dihanje, zaspanost ali zadah z nenavadnim sadnim vonjem; če imate hudo oslabljeno delovanje ledvic ali težave z jetri; če ste nedavno imeli srčni infarkt, če imate srčno popuščanje ali hude težave s krvnim obtokom ali težave z dihanjem, ki so lahko znak težav s srcem; če imate hudo okužbo ali ste dehidrirani (izgubili ste veliko vode iz telesa); če dojite (glejte tudi "Nosečnost in dojenje"); če pijete velike količine alkohola (bodisi vsak dan bodisi od časa do časa) (glejte poglavje »Zdravilo Komboglyze skupaj z alkoholom«).
English: The Cmax and AUC values of saxagliptin and its major metabolite increased proportionally with the increment in the saxagliptin dose, and this dose-proportionality was observed in doses up to 400 mg.
Slovenian: Vrednosti Cmax in AUC saksagliptina in njegovega glavnega presnovka so naraščale sorazmerno povečevanju odmerka saksagliptina; to sorazmernost odmerku so opažali v odmerkih do 400 mg.
English: After 18 weeks, saxagliptin was non-inferior to sitagliptin in mean reduction from baseline in HbA1c in both the per-protocol and the full analysis sets.
Slovenian: Po 18 tednih je bil saksagliptin neinferioren sitagliptinu, kar zadeva povprečno znižanje HbA1c v primerjavi z izhodiščem, in sicer tako v analizi nabora po protokolu kot v analizi polnega nabora.
English: No carcinogenic potential was observed in two-year carcinogenicity assays with mice and rats.
Slovenian: V dveletnih preskušanjih kancerogenosti pri miših in podganah niso odkrili kancerogenega potenciala.
English: The safety profile of saxagliptin added to dapagliflozin plus metformin in the long-term treatment period was consistent with that observed in the 24-week treatment period in this study and in the trial in which saxagliptin and dapagliflozin were given concomitantly as add-on therapy to patients treated with metformin (described below).
Slovenian: Profil varnosti saksagliptina, dodanega dapagliflozinu in metforminu med dolgoročnim obdobjem zdravljenja, je bil skladen z značilnostmi, opaženimi v 24-tedenskem obdobju te študije ter v preskušanju, v katerem so saksagliptin in dapagliflozin sočasno uporabili kot dodatek zdravljenju bolnikov, ki so prejemali metformin (opisano spodaj).
English: As this medicinal product contains saxagliptin, it should not be used in patients who have had any serious hypersensitivity reaction to a dipeptidyl peptidase 4 (DPP4) inhibitor.
Slovenian: Zato se ga ne sme uporabljati pri bolnikih, ki so imeli kakršno koli resno preobčutljivostno reakcijo na katerega od zaviralcev dipeptidilpeptidaze 4 (DPP4).
English: The mean plasma terminal half-life (t1/2) values for saxagliptin and its major metabolite are 2.5 hours and 3.1 hours respectively, and the mean t1/2 value for plasma DPP4 inhibition was 26.9 hours.
Slovenian: Povprečni plazemski končni razpolovni čas (t1/2) saksagliptina je 2,5 ure in njegovega glavnega presnovka 3,1 ure, povprečni t1/2 plazemskega zavrtja DPP4 pa je 26,9 ure.
English: Keep taking this medicine until your doctor tells you to stop.
Slovenian: Če ste prenehali jemati zdravilo Komboglyze To zdravilo jemljite, dokler vam zdravnik ne naroči, da nehajte.
English: Effects on fertility were observed in male and female rats at high doses producing overt signs of toxicity.
Slovenian: Pri podganjih samcih in samicah so učinke na plodnost opazili pri velikih odmerkih, ki so povzročili očitne znake toksičnosti.