FrancophonIA/ELRC3.0 huggingface dataset:
English: Due to its mechanism of action, patients taking this medicinal product will test positive for glucose in their urine.
Danish: På grund af lægemidlets virkningsmekanisme vil patienter, der tager dette lægemiddel, få et positivt analyseresultat for glucose i urinen.
English: Available epidemiological data for pioglitazone suggest a small increased risk of bladder cancer in diabetic patients treated with pioglitazone.
Danish: De foreliggende epidemiologiske data for pioglitazon tyder på en lille øget risiko for blærekræft hos patienter med diabetes, der får pioglitazon.
English: Cardiovascular death, MI and stroke were observed with a hazard ratio of 0.77 (95 % CI: 0.54, 1.10).
Danish: For kardiovaskulær død, MI og slagtilfælde blev der observeret en relativ risiko på 0,77 (95 % CI: 0,54, 1,10).
English: Dapagliflozin is a highly potent (Ki: 0.55 nM), selective and reversible inhibitor of sodium-glucose co-transporter 2 (SGLT2).
Danish: Dapagliflozin er en meget potent (Ki: 0,55 nM), selektiv og reversibel hæmmer af natriumglucose cotransportør 2 (SGLT2).
English: This glucose excretion (glucuretic effect) is observed after the first dose, is continuous over the 24-hour dosing interval and is sustained for the duration of treatment.
Danish: Denne udskillelse af glucose (glucoretisk effekt) observeres efter den første dosis, fortsætter over doseringsintervallet på 24 timer og varer ved i hele behandlingsperioden.
English: Evaluation should include serum electrolytes and ketones, blood glucose and, if indicated, blood pH, lactate, pyruvate, and metformin levels.
Danish: Vurderingen bør omfatte serumelektrolytter og ketoner, blodglucose og, hvis indiceret, blod-pH-, laktat-, pyruvat- og metforminniveau.
English: The effects of smoking, diet, herbal products and alcohol use on the pharmacokinetics of dapagliflozin have not been studied.
Danish: Virkningerne af rygning, diæt, plantelægemidler og alkoholforbrug på farmakokinetikken af dapagliflozin er ikke blevet undersøgt.
English: The steady-state inhibition of renal glucose reabsorption and the amount of urinary glucose excretion over a 24-hour period was the same for both dosing regimens.
Danish: Steady state-hæmningen af renal glucosereabsorption og mængden af udskillelse af glucose i urinen i en periode på 24 timer var den samme for begge doseringsregimer.
English: More information is given below in ‘Other medicines and Xigduo'.
Danish: Herom yderligere oplysninger under ”Brug af anden medicin sammen med Xigduo”.
English: Dapagliflozin and related metabolites are primarily eliminated via urinary excretion with less than 2 % as unchanged dapagliflozin.
Danish: Dapagliflozin og relaterede metabolitter elimineres primært via udskillelse i urinen med mindre end 2 % som uændret dapagliflozin.
English: Results at Week 52 (LOCF
Danish: Resultater i uge 52 (LOCF
English: Urinary glucose excretion may be associated with an increased risk of urinary tract infection; therefore, temporary interruption of treatment should be considered when treating pyelonephritis or urosepsis.
Danish: Udskillelse af glucose i urinen kan være forbundet med en øget risiko for urinvejsinfektioner; derfor bør en midlertidig afbrydelse af behandlingen overvejes ved behandling af pyelonefritis eller urosepsis.
English: The primary end point was the time-to-first event of one of the following outcomes: cardiovascular death, stroke, myocardial infarction (MI) or hospitalisation for unstable angina.
Danish: Det primære endepunkt var tidspunktet til første forekomst af et af følgende: kardiovaskulær død, slagtilfælde, myokardieinfarkt (MI) eller indlæggelse som følge af ustabil angina pectoris.
English: A study conducted in seven normal healthy volunteers showed that cimetidine, administered as 400 mg twice daily, increased metformin systemic exposure (AUC) by 50 % and Cmax by 81 %.
Danish: Et studie udført med syv raske frivillige viste, at cimetidin administreret som 400 mg to gange dagligt øgede metformins systemiske eksponering (AUC) med 50 % og Cmax med 81 %.
English: Metformin may act via three mechanisms: - by reduction of hepatic glucose production by inhibiting gluconeogenesis and glycogenolysis; - by modestly increasing insulin sensitivity, improving peripheral glucose uptake and utilisation in muscle; - by delaying intestinal glucose absorption.
Danish: Metformin kan virke via tre mekanismer: - ved reduktion af hepatisk glucoseproduktion ved hæmning af gluconeogenese og glycogenolyse; - ved i beskedent omfang at forøge insulinfølsomheden, forbedre den perifere glucoseoptagelse og -udnyttelse i musklerne; - ved at forsinke den intestinale glucoseabsorption.
English: Vistor hf.
Danish: Ísland Vistor hf.
English: To avoid overdose, do not continue taking dapagliflozin and metformin tablets, if you are taking this medicine.
Danish: For at undgå en overdosis, skal du stoppe med at tage dapagliflozin- og metformintabletter, hvis du tager dette lægemiddel.
English: Posology Adults with normal renal function (GFR ≥ 90 mL/min)
Danish: Dosering Voksne med normal nyrefunktion (GFR ≥ 90 ml/min)
English: Final analysis of these studies, after un-blinding, will provide further information on the benefit/risk of SGLT2 inhibitors particularly of the risk of lower limb amputations.
Danish: Den endelige analyse af disse undersøgelser vil efter afblinding give yderligere oplysninger om benefit/risk-forholdet for SGLT2-hæmmere, især hvad angår risikoen for amputation af nedre ekstremiteter.
English: These infections were more frequent in females (8.4 % and 1.2 % for dapagliflozin and placebo, respectively), and subjects with a prior history were more likely to have a recurrent infection.
Danish: Disse infektioner sås hyppigere hos kvinder (hhv. 8,4 % og 1,2 % for dapagliflozin og placebo), og forsøgspersoner med tidligere infektion var mere tilbøjelige til at få en recidiverende infektion.
English: The most commonly reported adverse reaction related to renal function was increased serum creatinine.
Danish: De mest almindeligt rapporterede bivirkninger relateret til nyrefunktionen var stigning i serumkreatinin.
English: Xigduo is indicated in adults aged 18 years and older with type 2 diabetes mellitus as an adjunct to diet and exercise to improve glycaemic control:
Danish: Xigduo er indiceret til voksne på 18 år eller ældre med type 2-diabetes mellitus som supplement til diæt og motion til at forbedre den glykæmiske kontrol:
English: Dapagliflozin does not inhibit other glucose transporters important for glucose transport into peripheral tissues and is > 1,400 times more selective for SGLT2 versus SGLT1, the major transporter in the gut responsible for glucose absorption.
Danish: Dapagliflozin hæmmer ikke andre glucosetransportører, som er vigtige for transport af glucose til de perifere væv, og det er > 1400 gange mere selektivt for SGLT2 end for SGLT1, den vigtigste transportør i tarmen, som er ansvarlig for glucoseabsorption.
English: a) in a placebo-controlled study of dapagliflozin in combination with insulin (alone or with oral glucose-lowering medicinal products, including metformin)
Danish: a) i et placebokontrolleret studie af dapagliflozin i kombination med insulin (alene eller med orale glucosesænkende lægemidler, herunder metformin)
English: Talk to your doctor, pharmacist or nurse before taking this medicine, and during treatment:
Danish: Kontakt lægen, apotekspersonalet eller sundhedspersonalet, før du tager dette lægemiddel og under behandling:
English: Combination of a single dose of dapagliflozin 20 mg and simvastatin (a CYP3A4 substrate) resulted in a 19 % increase in AUC of simvastatin and 31 % increase in AUC of simvastatin acid.
Danish: En kombination af en enkeltdosis dapagliflozin 20 mg og simvastatin (et CYP3A4-substrat) resulterede i en 19 % stigning i AUC af simvastatin og en 31 % stigning i AUC af simvastatinsyre.
English: Dapagliflozin 3-O-glucuronide or other metabolites do not contribute to the glucose-lowering effects.
Danish: Dapagliflozin 3-O-glukuronid eller andre metabolitter bidrager ikke til den glucosesænkende virkning.
English: After an oral dose of metformin, tmax is reached in 2.5 h. Absolute bioavailability of a 500 mg or 850 mg metformin tablet is approximately 50-60 % in healthy subjects.
Danish: Efter en oral dosis af metformin nås tmax på 2,5 t. Absolut biotilgængelighed af en 500 mg eller 850 mg metformintablet er ca. 50-60 % hos raske forsøgspersoner.
English: SGLT2 is the predominant transporter responsible for reabsorption of glucose from the glomerular filtrate back into the circulation.
Danish: SGLT2 er den vigtigste transportør, som er ansvarlig for reabsorption af glucose fra det glomerulære filtrat tilbage i kredsløbet.
English: Therefore the CHMP recommends the variation to the terms of the marketing authorisations for Invokana, Vokanamet, Forxiga, Edistride, Xigduo, Ebymect, Jardiance and Synjardy.
Danish: CHMP anbefaler derfor ændring af betingelserne for markedsføringstilladelserne for Invokana, Vokanamet, Forxiga, Edistride, Xigduo, Ebymect, Jardiance og Synjardy.
English: Metformin is a biguanide with anti-hyperglycaemic effects, lowering both basal and postprandial plasma glucose.
Danish: Metformin er et biguanid med antihyperglykæmisk effekt, som sænker såvel basal som postprandial plasmaglucose.
English: The results showed a similar mean reduction in HbA1c from baseline to Week 52, compared with glipizide, thus demonstrating non-inferiority (Table 2).
Danish: Resultaterne viste den samme gennemsnitlige reduktion i HbA1c fra baseline til uge 52 som for glipizid og påviste dermed non-inferioritet (tabel 2).
English: • if you are using corticosteroids, which are used to treat inflammation in diseases like asthma and arthritis.
Danish: • hvis du bruger kortikosteroider, der bruges til behandling af betændelseslignende reaktioner i forbindelse med sygdomme som astma og leddegigt.
English: • The PRAC considered that the available data on amputation in the CANVAS and CANVAS-R trials confirm that treatment with canagliflozin may contribute to an increased risk of amputation of the lower limb, mainly of the toe;
Danish: • PRAC fandt, at de tilgængelige data om amputation i CANVAS- og CANVAS-Rundersøgelserne bekræfter, at behandling med canagliflozin kan bidrage til en øget risiko for amputation af nedre ekstremiteter, primært tæer
English: Placebo + insulin ± oral glucose-lowering medicinal products
Danish: Placebo + insulin ± oral glucosesænkende lægemidler
English: Diagnostic laboratory findings are decreased blood pH (< 7.35), increased plasma lactate levels above 5 mmol/l, and an increased anion gap and lactate/pyruvate ratio.
Danish: Diagnostiske laboratoriefund er nedsat pH i blodet (< 7,35), forhøjet laktatniveau i blodet (> 5 mmol/l) samt øget anion-gap og laktat/pyruvat-ratio.
English: The mean steady-state volume of distribution of dapagliflozin was 118 liters.
Danish: Det gennemsnitlige steady state-fordelingsvolumen af dapagliflozin var 118 l.
English: Mean percent change from baseline for dapagliflozin 10 mg versus placebo, respectively, was: total cholesterol 2.5 % versus 0.0 %; HDL cholesterol 6.0 % versus 2.7 %; LDL cholesterol 2.9 % versus -1.0 %; triglycerides2.7 % versus -0.7 %.
Danish: Den gennemsnitlige procentvise ændring fra baseline for henholdsvis dapagliflozin 10 mg versus placebo var: Total kolesterol 2,5 % versus 0,0 %; HDL-kolesterol 6,0 % versus 2,7 %; LDL-kolesterol 2,9 % versus -1,0 %; triglycerider -2,7 % versus -0,7 %.
English: Patients with baseline HbA1c ≥ 9 %
Danish: Patienter med HbA1c ≥ 9 % ved baseline
English: Fifty percent of subjects were on insulin monotherapy at baseline; 50 % were on 1 or 2 oral glucose-lowering medicinal product(s) in addition to insulin: Of this latter group, 80 % were on metformin alone, 12 % were on metformin plus sulphonylurea therapy, and the rest were on other oral glucose-lowering medicinal products.
Danish: Halvtreds procent af forsøgspersonerne tog insulin som monoterapi ved baseline; 50 % tog 1 eller 2 orale glucosesænkende lægemidler i tilgift til insulin: i denne sidste gruppe tog 80 % kun metformin, 12 % tog metformin plus sulfonylurinstofbehandling, og resten tog andre orale glucosesænkende lægemidler.
English: The steady-state 24-hour urinary glucose excretion was highly dependent on renal function and 85, 52, 18 and 11 g of glucose/day was excreted by subjects with type 2 diabetes mellitus and normal renal function or mild, moderate or severe renal impairment, respectively.
Danish: Steady state-udskillelsen af glucose i urinen over 24 timer var stærkt afhængig af nyrefunktionen, og der blev udskilt 85, 52, 18 og 11 g glucose/dag af forsøgspersoner med type 2-diabetes mellitus og normal nyrefunktion eller henholdsvis let, moderat eller svært nedsat nyrefunktion.
English: Vulvovaginitis, balanitis and related genital infections Vulvovaginitis, balanitis and related genital infections were reported in 5.5 % and 0.6 % of subjects who received dapagliflozin 10 mg and placebo, respectively.
Danish: Vulvovaginitis, balanitis og relaterede genitale infektioner Vulvovaginitis, balanitis og relaterede genitale infektioner blev rapporteret hos 5,5 % og 0,6 % af forsøgspersoner, som fik behandling med henholdsvis dapagliflozin 10 mg og placebo.
English: Metformin works mainly by inhibiting glucose production in the liver.
Danish: Metformin virker hovedsageligt ved at hæmme produktionen af glukose i leveren.
English: Treatment with dapagliflozin 10 mg as an add-on to sitagliptin plus metformin resulted in reductions in 2-hour post-prandial glucose at 24 weeks that were maintained up to Week 48.
Danish: Behandling med dapagliflozin 10 mg som tillægsbehandling til sitagliptin plus metformin resulterede i reduktioner i 2-timers postprandial glucose efter 24 uger, som blev opretholdt op til og med uge 48.
English: During clinical trials, the overall proportion of subjects with malignant or unspecified tumours was similar between those treated with dapagliflozin (1.50 %) and placebo/comparator (1.50 %), and there was no carcinogenicity or mutagenicity signal in animal data (see section 5.3).
Danish: I kliniske studier var den samlede andel af forsøgspersoner med maligne eller uspecificerede tumorer den samme blandt dem, der blev behandlet med dapagliflozin (1,50 %) og placebo/komparator (1,50 %), og der sås ingen tegn på karcinogenicitet eller mutagenicitet i dyredata (se pkt.
English: • For renal function with GFR levels approaching moderate renal impairment and in elderly patients, at least 2 to 4 times per year.
Danish: • Mindst 2 til 4 gange om året ved nyrefunktion med et GFR-niveau, der nærmer sig moderat nedsat nyrefunktion, og hos ældre patienter.
English: After administration of a 50 mg C]-dapagliflozin dose, 96 % was recovered, 75 % in urine and 21 % in feces.
Danish: C]-dapagliflozin blev 96 % genfundet, 75 % i urinen og 21 % i afføringen.
English: Urinary tract infections were more frequently reported for dapagliflozin compared with placebo (4.7 % versus 3.5 %, respectively; see section 4.4).
Danish: Urinvejsinfektioner blev hyppigere rapporteret for dapagliflozin sammenlignet med placebo (4,7 % versus 3,5 %, se pkt.
English: Xigduo combines two anti-hyperglycaemic medicinal products with different and complementary mechanisms of action to improve glycaemic control in patients with type 2 diabetes: dapagliflozin, a sodium glucose co-transporter 2 (SGLT2) inhibitor, and metformin hydrochloride, a member of the biguanide class.
Danish: Xigduo kombinerer to antihyperglykæmiske lægemidler med forskellige og komplementære virkningsmekanismer for at forbedre glykæmisk kontrol hos patienter med type 2-diabetes: dapagliflozin, en natriumglucose co-transportør 2-hæmmer (SGLT2-hæmmer) og metforminhydrochlorid, et medlem af biguanidgruppen.
English: Dapagliflozin or metformin have no or negligible influence on the ability to drive and use machines.
Danish: Dapagliflozin eller metformin påvirker ikke eller kun i ubetydelig grad evnen til at føre motorkøretøj og betjene maskiner.
English: Dapagliflozin 5 mg twice daily provided statistically significant reductions in HbA1c at 16 weeks compared with subjects receiving placebo (p < 0.0001; Table 3).
Danish: Dapagliflozin 5 mg to gange dagligt gav statistisk signifikant reduktion i HbA1c efter 16 uger sammenlignet med forsøgspersoner, der fik placebo (p < 0,0001; Tabel 3).
English: These may be medicine(s) by mouth or insulin given by injection.
Danish: Det kan være lægemidler, som indtages via munden, eller insulin indgivet ved injektion.
English: For patients receiving this medicinal product, in case of intercurrent conditions that may lead to volume depletion, careful monitoring of volume status (e.g. physical examination, blood pressure measurements, laboratory tests including haematocrit) and electrolytes is recommended.
Danish: Patienter, der får dette lægemiddel, bør i tilfælde af tilstødende lidelser, der kan føre til volumendepletering, monitoreres nøje for væskestatus (f.eks. objektiv undersøgelse, blodtryksmålinger, laboratorieprøver inklusive hæmatokrit) og elektrolytter.
English: The table shows adverse reactions identified from up to 24-week (short-term) data regardless of glycaemic rescue, except those marked with §, for which adverse reaction and frequency categories are based on information from the metformin Summary of Product Characteristics available in the European Union.
Danish: Tabellen viser bivirkninger identificeret i op til 24 ugers (korttids)data, uanset om patienten fik anden akut medicin pga. hyperglykæmi, med undtagelse af de forekomster, der er markeret med §, hvor bivirknings- og hyppighedskategorierne er baseret på information fra produktresuméet for metformin, som er tilgængeligt i EU.
English: Small increases in serum PTH levels were observed with increases being larger in subjects with higher baseline PTH concentrations.
Danish: Der er observeret mindre stigninger i serumkoncentrationen af PTH-niveauer, og stigningerne var større hos forsøgspersoner med højere serum-PTH ved baseline.
English: Treatment with dapagliflozin plus metformin at all doses produced clinically relevant and statistically significant improvements in HbA1c and fasting plasma glucose compared with placebo in combination with metformin.
Danish: Behandling med dapagliflozin plus metformin i alle doser gav klinisk relevante og statistisk signifikante forbedringer i HbA1c og fastende plasmaglucose sammenlignet med placebo i kombination med metformin.
English: The hazard ratio comparing dapagliflozin to comparator was 0.79 (95 % Confidence interval [CI]: 0.58, 1.07), indicating that in this analysis dapagliflozin is not associated with an increase in cardiovascular risk in patients with type 2 diabetes mellitus.
Danish: Relativ risiko for sammenligning af dapagliflozin med komparator var 0,79 (95 % konfidensinterval [CI]: 0,58, 1,07), hvilket indikerer, at i nærværende analyse er behandling med dapagliflozin ikke forbundet med en øget kardiovaskulær risiko for patienter med type 2-diabetes.
English: In an analysis of 5 placebo-controlled dapagliflozin add-on to metformin studies, the safety results were similar to that of the pre-specified pooled analysis of 12 placebo-controlled dapagliflozin studies (see Dapagliflozin, Summary of the safety profile below).
Danish: I en analyse af 5 placebokontrollerede studier med dapagliflozin som tillægsbehandling til metformin, lignede sikkerhedsresultaterne dem fra den præspecificerede poolede analyse med 12 placebokontrollerede dapagliflozinstudier (se Dapagliflozin, Sammendrag af sikkerhedsprofilen nedenfor).
English: Patients not adequately controlled on metformin alone or in combination with other glucose-lowering medicinal products, including insulin, should receive a total daily dose of Xigduo equivalent to dapagliflozin 10 mg, plus the total daily dose of metformin, or the nearest therapeutically appropriate dose, already being taken.
Danish: Patienter, der ikke er tilstrækkeligt kontrolleret på metformin alene eller i kombination med andre glucosesænkende lægemidler, herunder insulin, bør have en samlet daglig dosis af Xigduo svarende til 10 mg dapagliflozin plus den samlede daglige dosis metformin eller den nærmeste terapeutisk egnede dosis, der allerede tages.
English: At 52, 104 and 208 weeks, a significantly lower proportion of subjects in the group treated with dapagliflozin (3.5 %, 4.3 % and 5.0 %, respectively) experienced at least one event of hypoglycaemia compared with the group treated with glipizide (40.8 %, 47 % and 50.0 %, respectively).
Danish: Ved uge 52, 104 og 208 havde en betydeligt lavere andel af forsøgspersonerne i dapagliflozin-gruppen (hhv. 3,5 %, 4,3 % og 5,0 %) oplevet mindst ét tilfælde af hypoglykæmi sammenlignet med glipizid-gruppen (hhv. 40,8 %, 47 % og 50,0 %).
English: • The PRAC also considered that additional information on amputation events should be collected through appropriate case report forms (CRFs) for clinical trials, follow-up questionnaires for postmarketing cases, use of common MedDRA preferred term (PT) lists for amputation preceding events, and appropriate meta-analyses of large studies including cardiovascular outcome studies.
Danish: • PRAC fandt også, at der bør indsamles yderligere oplysninger om amputationshændelser via forsøgsjournaler i kliniske undersøgelser, opfølgningsspørgeskemaer i forbindelse med hændelser efter markedsføring, brug af de almindelige foretrukne MedDRA-termer for tilstande, der kan føre til amputation, og relevante metaanalyser af store undersøgelser, herunder af kardiovaskulære udfald.
English: • passing more water (urine) than usual or needing to pass water more often
Danish: • vandladning af større mængder urin end sædvanligt eller hyppigere vandladningstrang
English: In a pre-specified pooled analysis of 13 placebo-controlled studies, 2,360 subjects were treated with dapagliflozin 10 mg and 2,295 were treated with placebo.
Danish: I en planlagt puljet analyse af 13 placebokontrollerede studier blev 2.360 forsøgspersoner behandlet med dapagliflozin 10 mg, og 2.295 blev behandlet med placebo.
English: No dose adjustment is recommended for patients with mild renal impairment, GFR 60 - 89 mL/min.
Danish: Det er ikke nødvendigt at justere dosis hos patienter med let nedsat nyrefunktion, GFR 60-89 ml/min.
English: The coadministration of dapagliflozin and metformin has been studied in subjects with type 2 diabetes inadequately controlled on metformin alone or in combination with a DPP-4 inhibitor (sitagliptin), sulphonylurea or insulin.
Danish: Samtidig administration af dapagliflozin og metformin er undersøgt hos forsøgspersoner med type 2-diabetes, der er utilstrækkeligt kontrolleret på metformin alene eller i kombination med en DPP-4-hæmmer (sitagliptin), sulfonylurinstof eller insulin.
English: Hydroxypropyl cellulose (E463) Microcrystalline cellulose (E460(i)) Magnesium stearate (E470b) Sodium starch glycolate type A
Danish: Hydroxypropylcellulose (E463) Mikrokrystallinsk cellulose (E460(i)) Magnesiumstearat (E470b) Natriumstivelsesglycolat type A
English: The CHMP, as a consequence, considers that the benefit-risk balance of Invokana, Vokanamet, Forxiga, Edistride, Xigduo, Ebymect, Jardiance and Synjardy remain favourable subject to the amendments to the product information described above.
Danish: CHMP finder følgelig, at benefit/risk-forholdet fortsat er positivt for Invokana, Vokanamet, Forxiga, Edistride, Xigduo, Ebymect, Jardiance og Synjardy, forudsat at der foretages ovennævnte ændringer i produktinformationen.
English: (95 % CI) Subjects (%) achieving: HbA1c < 7 % Adjusted for baseline
Danish: (95 % CI) Forsøgspersone r (%), der opnår: HbA1c < 7 % Justeret for baseline
English: Primary episodes occurred at a rate of 1.62 % per patient-year in subjects treated with dapagliflozin and 2.06 % in comparator-treatment subjects, per patient-year.
Danish: Primære episoder indtraf med en procentdel på 1,62 % pr. patientår hos forsøgspersoner behandlet med dapagliflozin, og med 2,06 % hos forsøgspersoner behandlet med komparator pr. patientår.