natgillin/translations-raw huggingface dataset:
Hvis der opstår acidose i den ene eller anden form, skal behandlingen med Vipdomet straks afbrydes, og der skal iværksættes anden understøttende behandling. 
If acidosis of either form occurs, Vipdomet must be stopped immediately and other appropriate corrective measures initiated.
Der var ingen ændring i den gennemsnitlige tid indtil maksimal plasmakoncentration (Tmaks) for alogliptin, mens Tmaks for metformin var forsinket med 1,5 time. 
There was no change in the time to peak plasma concentration (Tmax) for alogliptin, but there was a delayed Tmax for metformin of 1.5 hours.
Vipdomet kombinerer to antihyperglykæmiske lægemidler med komplementære og individuelle virkningsmekanismer med det formål at forbedre den glykæmiske kontrol hos patienter med type 2-diabetes mellitus: alogliptin, en dipeptidyl-peptidase-4 (DPP-4)-hæmmer og metformin, et stof, der tilhører biguanid-klassen. 
Vipdomet combines two antihyperglycaemic medicinal products with complementary and distinct mechanisms of action to improve glycaemic control in patients with type 2 diabetes mellitus: alogliptin, a dipeptidyl-peptidase-4 (DPP-4) inhibitor, and metformin, a member of the biguanide class.
Alogliptin var ikke genotoksisk i en række standard-genotoksicitetsstudier udført in vitro og in vivo. 
Alogliptin was not genotoxic in a standard battery of in vitro and in vivo genotoxicity studies.
Metformin stimulerer den intracellulære glykogensyntese ved at virke på glykogensyntasen. 
Metformin stimulates intracellular glycogen synthesis by acting on glycogen synthase.
Du skal undgå at indtage store mængder alkohol, mens du er i behandling med Vipdomet, da det kan øge risikoen for laktatacidose (se afsnittet ”Advarsler og forsigtighedsregler”). 
Avoid excessive alcohol intake while taking Vipdomet since this may increase the risk of lactic acidosis - see section “Warnings and precautions”.
I et klinisk studie med alogliptin givet som enkeltstofbehandling var forekomsten af hypoglykæmi på samme niveau som for placebo, og den var lavere end for placebo i et andet studie med alogliptin som tillæg til sulfonylurinstof. 
In a clinical trial of alogliptin as mono-therapy, the incidence of hypoglycaemia was similar to that of placebo, and lower than placebo in another trial as add-on to a sulphonylurea.
Ved indgift af en oral dosis metformin nås den maksimale plasmakoncentration (Cmaks) ca. 2,5 timer (Tmaks) senere. 
After an oral dose of metformin, the maximum plasma concentration (Cmax) is reached in approximately 2.5 hours (Tmax).
Virkning Vipdomet indeholder to forskellige lægemidler, alogliptin og metformin, i én tablet: 
What Vipdomet is Vipdomet contains two different medicines called alogliptin and metformin in one tablet:
Hvis du holder op med at tage Vipdomet 
If you stop taking Vipdomet
Overfølsomhedsreaktioner herunder anafylaktiske reaktioner, angioødem og eksfoliative hudsygdomme, inklusive Stevens-Johnsons syndrom og erythema multiforme er observeret for DPP-4-hæmmere og er spontant indberettet for alogliptin efter markedsføring. 
Hypersensitivity reactions, including anaphylactic reactions, angioedema and exfoliative skin conditions including Stevens-Johnson syndrome and erythema multiforme have been observed for DPP-4 inhibitors and have been spontaneously reported for alogliptin in the post-marketing setting.
Laktatacidose er en alvorlig bivirkning, som forekommer meget sjældent (< 1/10.000) og tilskrives metformin-komponenten i Vipdomet (se pkt. 
Lactic acidosis is a serious adverse reaction, which may occur very rarely (<1/10,000), and is attributed to the metformin component of Vipdomet (see section 4.4).
Patienterne skal informeres om, at i tilfælde af dehydrering (alvorlig diarré eller opkastning, feber eller nedsat væskeindtagelse) skal Vipdomet behandlingen afbrydes midlertidigt, og at det anbefales, at de kontakter en læge. 
In case of dehydration (severe diarrhoea or vomiting, fever, heat, reduced fluid intake) Vipdomet should be temporarily discontinued and contact with a health care professional is recommended.
De højeste doser alogliptin, der er administreret i kliniske studier, har været enkeltdoser a 800 mg givet til raske forsøgspersoner og 400 mg givet én gang dagligt i 14 dage til patienter med type 2-diabetes mellitus (dette svarer til henholdsvis 32 og 16 gange den anbefalede daglige dosis på 25 mg alogliptin). 
The highest doses of alogliptin administered in clinical studies were single doses of 800 mg to healthy subjects and doses of 400 mg once daily for 14 days to patients with type 2 diabetes mellitus (equivalent to 32 times and 16 times the recommended total daily dose of 25 mg alogliptin, respectively).
Bivirkningernes hyppighed Alogliptin Metformin Vipdomet 
Frequency of adverse reactions Alogliptin Metformin Vipdomet
10 filmovertrukne tabletter 14 filmovertrukne tabletter 20 filmovertrukne tabletter 28 filmovertrukne tabletter 56 filmovertrukne tabletter 60 filmovertrukne tabletter 98 filmovertrukne tabletter 112 filmovertrukne tabletter 120 filmovertrukne tabletter 180 filmovertrukne tabletter 196 filmovertrukne tabletter 200 filmovertrukne tabletter 
10 film-coated tablets 14 film-coated tablets 20 film-coated tablets 28 film-coated tablets 56 film-coated tablets 60 film-coated tablets 98 film-coated tablets 112 film-coated tablets 120 film-coated tablets 180 film-coated tablets 196 film-coated tablets 200 film-coated tablets
- ved at nedsætte leverens glucoseproduktion via hæmning af glukoneogenese og glykogenolyse. 
- by reduction of hepatic glucose production by inhibiting gluconeogenesis and glycogenolysis.
• En alvorlig overfølsomhedsreaktion: hudlæsioner eller pletter på huden, der kan udvikle sig til et sår omgivet af blege eller røde ringe, blæredannelse og/eller afskalning af huden eventuelt med symptomer som kløe, feber, generel utilpashed, smertende led, synsforstyrrelser, brændende smertefuld eller kløende øjne og sår i munden (Stevens-Johnsons syndrome og erythema multiforme). 
- A severe allergic reaction: skin lesions or spots on your skin that can progress to a sore surrounded by pale or red rings, blistering and/or peeling of the skin possibly with symptoms such as itching, fever, overall ill feeling, achy joints, vision problems, burning, painful or itchy eyes and mouth sores (Stevens-Johnson syndrome and Erythema multiforme).
Hvis du har glemt at tage Vipdomet 
If you forget to take Vipdomet
Niveauet uden observeret negativ effekt (NOAEL) i toksicitetsstudier med gentagen dosering hos rotter og hunde, som varede op til henholdsvis 26 og 39 uger, viste eksponeringsmargener, der var henholdsvis ca. 147 og 227 gange større end eksponeringen hos mennesker, der tager den anbefalede daglige dosis på 25 mg alogliptin. 
The no-observed-adverse-effect level (NOAEL) in the repeated dose toxicity studies in rats and dogs up to 26- and 39-weeks in duration, respectively, produced exposure margins that were approximately 147- and 227-fold, respectively, the exposure in humans at the recommended total daily dose of 25 mg alogliptin.
Der er ingen eller utilstrækkelige data fra anvendelse af alogliptin til gravide kvinder. 
There are no data from the use of alogliptin in pregnant women.
Blisterkort af polychlorotrifluoroethylen (PCTFE) og polyvinylchlorid (PVC) med aluminiumsfolie, som tabletterne kan trykkes ud igennem. 
Polychlorotrifluoroethylene (PCTFE)/polyvinyl chloride (PVC) blisters with push through aluminium lidding foil.
Det bør også tages sammen med et måltid for at reducere de gastrointestinale bivirkninger ved metformin. 
It should also be taken with meals to reduce the gastrointestinal adverse reactions associated with metformin.
- ved at forsinke absorptionen af glucose i tarmen. 
- by delaying intestinal glucose absorption.
MÆRKNING, DER SKAL ANFØRES PÅ DEN YDRE EMBALLAGE INTERMEDIÆR ÆSKE (UDEN BLÅ BOX) KUN MULTIPAKNING (2X98 TABLETTER) 
PARTICULARS TO APPEAR ON THE OUTER PACKAGING INTERMEDIATE CARTON (WITHOUT BLUE BOX) MULTIPACKS ONLY (2X98 TABLETS)
Den absolutte biotilgængelighed for en metforminhydrochloridtablet (500 mg eller 850 mg) er ca. 50-60 % hos raske forsøgspersoner. 
Absolute bioavailability of a 500 mg or 850 mg metformin hydrochloride tablet is approximately 50-60% in healthy subjects.
Den maksimale daglige dosis er 2.000 mg Startdosis er højst halvdelen af den maksimale dosis. 
Maximum daily dose is 2,000 mg The starting dose is at most half of the maximum dose.
Visse lægemidler kan påvirke nyrefunktionen negativt, hvilket kan øge risikoen for laktatacidose, f.eks. NSAID'er, herunder selektive cyklooxygenase (COX) II-hæmmere, angiotensin-konverterendeenzym-(ACE)-hæmmere, angiotensin II-receptorantagonister og diuretika, især loop-diuretika. 
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, angiotensinconverting enzyme (ACE) inhibitors, angiotensin II receptor antagonists and diuretics, especially loop diuretics.
Hos patienter med moderat til svært nedsat nyrefunktion og patienter med hæmodialysekrævende terminal nyresygdom sås en stigning i den systemiske eksponering for alogliptin på henholdsvis ca. 2 og 4 gange. 
In patients with moderate or severe renal impairment, or end-stage renal disease on haemodialysis, an increase in systemic exposure to alogliptin of approximately 2- and 4-fold was observed, respectively.
Tabel 3: Ændring i HbA1c (%) med alogliptin 25 mg fra baseline i studier med aktiv kontrol (PPS, LOCF) 
Table 3: Change in HbA1c (%) from baseline with alogliptin 25 mg by active-controlled study (PPS, LOCF)
EU/1/13/843/013 10 filmovertrukne tabletter EU/1/13/843/014 14 filmovertrukne tabletter EU/1/13/843/015 20 filmovertrukne tabletter EU/1/13/843/016 28 filmovertrukne tabletter EU/1/13/843/017 56 filmovertrukne tabletter EU/1/13/843/018 60 filmovertrukne tabletter EU/1/13/843/019 98 filmovertrukne tabletter EU/1/13/843/020 112 filmovertrukne tabletter EU/1/13/843/021 120 filmovertrukne tabletter EU/1/13/843/022 180 filmovertrukne tabletter EU/1/13/843/023 196 filmovertrukne tabletter EU/1/13/843/024 200 filmovertrukne tabletter 
EU/1/13/843/013 10 film-coated tablets EU/1/13/843/014 14 film-coated tablets EU/1/13/843/015 20 film-coated tablets EU/1/13/843/016 28 film-coated tablets EU/1/13/843/017 56 film-coated tablets EU/1/13/843/018 60 film-coated tablets EU/1/13/843/019 98 film-coated tablets EU/1/13/843/020 112 film-coated tablets EU/1/13/843/021 120 film-coated tablets EU/1/13/843/022 180 film-coated tablets EU/1/13/843/023 196 film-coated tablets EU/1/13/843/024 200 film-coated tablets
Vipdomet har ikke nogen kendt virkning på evnen til at køre bil og betjene maskiner. 
Vipdomet is not known to affect your ability to drive and use machines.
Pakninger med 10, 14, 20, 28, 56, 60, 98, 112, 120, 180, 196, 200 eller multipakninger med 196 (2 pakninger med 98) filmovertrukne tabletter. 
Pack sizes of 10, 14, 20, 28, 56, 60, 98, 112, 120, 180, 196, 200 or multipacks containing 196 (2 packs of 98) film-coated tablets.
LOCF (last observation carried forward) = sidste observation ekstrapoleret † Gennemsnit beregnet ved mindste kvadraters metode justeret mht. tidligere antihyperglykæmisk behandlingsstatus og baselineværdier * p<0,001 sammenlignet med placebo eller placebo + kombinationsbehandling 
LOCF = last observation carried forward † Least squares means adjusted for prior antihyperglycaemic therapy status and baseline values * p<0.001 compared to placebo or placebo+combination treatment
Det skal du vide, før du begynder at tage Vipdomet 
What you need to know before you take Vipdomet
EU/1/13/843/001 10 filmovertrukne tabletter EU/1/13/843/002 14 filmovertrukne tabletter EU/1/13/843/003 20 filmovertrukne tabletter EU/1/13/843/004 28 filmovertrukne tabletter EU/1/13/843/005 56 filmovertrukne tabletter EU/1/13/843/006 60 filmovertrukne tabletter EU/1/13/843/007 98 filmovertrukne tabletter EU/1/13/843/008 112 filmovertrukne tabletter EU/1/13/843/009 120 filmovertrukne tabletter EU/1/13/843/010 180 filmovertrukne tabletter EU/1/13/843/011 196 filmovertrukne tabletter EU/1/13/843/012 200 filmovertrukne tabletter 
EU/1/13/843/001 10 film-coated tablets EU/1/13/843/002 14 film-coated tablets EU/1/13/843/003 20 film-coated tablets EU/1/13/843/004 28 film-coated tablets EU/1/13/843/005 56 film-coated tablets EU/1/13/843/006 60 film-coated tablets EU/1/13/843/007 98 film-coated tablets EU/1/13/843/008 112 film-coated tablets EU/1/13/843/009 120 film-coated tablets EU/1/13/843/010 180 film-coated tablets EU/1/13/843/011 196 film-coated tablets EU/1/13/843/012 200 film-coated tablets
• hvis du har type 1-diabetes (din krop kan ikke producere insulin). 
Talk to your doctor or pharmacist before taking Vipdomet : - if you have type 1 diabetes (your body does not produce insulin).
Akut pancreatitis er en alvorlig bivirkning og tilskrives alogliptin-komponenten i Vipdomet (se pkt. 
Acute pancreatitis is a serious adverse reaction and is attributed to the alogliptin component of Vipdomet (see section 4.4).
Der skal udvises forsigtighed, når alogliptin bruges i kombination med metformin og et thiazolidindion, da der er observeret en øget risiko for hypoglykæmi ved denne trestofsbehandling (se pkt. 
Caution should be exercised when alogliptin is used in combination with metformin and a thiazolidinedione as an increased risk of hypoglycaemia has been observed with this triple therapy (see section 4.4).
Andre symptomer kan være kløe, en følelse af varme især i hovedbund, mund, svælg, håndfladerne og fodsålerne (Stevens-Johnsons syndrom). 
Additional symptoms may include general itching and feeling of heat especially affecting the scalp, mouth, throat, palms of hands and soles of feet (Stevens-Johnson syndrome).
Vipdomet fås i blisterpakninger med 10, 14, 20, 28, 56, 60, 98, 112, 120, 180, 196 eller 200 tabletter samt i multipakninger bestående af 2 pakninger med hver 98 filmovertrukne tabletter. 
Vipdomet is available in blister packs containing 10, 14, 20, 28, 56, 60, 98, 112, 120, 180, 196, 200 tablets and in multipacks comprising 2 packs each containing 98 film-coated tablets.
De fremlagte data er baseret på i alt 7.150 patienter med type 2-diabetes mellitus, herunder 4.201 patienter, som blev behandlet med alogliptin og metformin, og som deltog i 7 dobbeltblindede kliniske fase III-studier med placebo eller aktiv kontrol. 
The information provided is based on a total of 7,150 patients with type 2 diabetes mellitus, including 4,201 patients treated with alogliptin and metformin, who participated in 7 phase 3 double-blind, placebo- or active-controlled clinical studies.
• i kombination med pioglitazon (dvs. trestofbehandling) som supplement til diæt og motion hos voksne patienter, der ikke er tilstrækkeligt kontrolleret på den maksimalt tolererede dosis metformin og pioglitazon. 
- in combination with pioglitazone (i.e. triple combination therapy) as an adjunct to diet and exercise in adult patients inadequately controlled on their maximal tolerated dose of metformin and pioglitazone.
• som supplement til diæt og motion med det formål at forbedre den glykæmiske kontrol hos voksne patienter, der ikke er tilstrækkeligt reguleret på den maksimalt tolererede dosis metformin alene, eller som allerede behandles med en kombination af alogliptin og metformin. 
- as an adjunct to diet and exercise to improve glycaemic control in adult patients, inadequately controlled on their maximal tolerated dose of metformin alone, or those already being treated with the combination of alogliptin and metformin.
På grund af den øgede risiko for hypoglykæmi, når pioglitazon tages sammen med Vipdomet, kan det overvejes at give en lavere dosis pioglitazon for at reducere risikoen for hypoglykæmi, hvis dette lægemiddel anvendes sammen med Vipdomet (se pkt. 
Due to the increased risk of hypoglycaemia in combination with pioglitazone, a lower dose of pioglitazone may be considered to reduce the risk of hypoglycaemia when this medicinal product is used in combination with Vipdomet (see section 4.2).
I kliniske studier havde alogliptin ingen klinisk relevant indvirkning på farmakokinetikken for koffein, (R)-warfarin, pioglitazon, glyburid, tolbutamid, (S)-warfarin, dextromethorphan, atorvastatin, midazolam (et oralt kontraceptivum indeholdende norethindron og ethinyløstradiol), digoxin, fexofenadin, metformin og cimetidin, hvilket giver in vivo-evidens for stoffets lave tilbøjelighed til at forårsage interaktion med substrater af CYP1A2, CYP3A4, CYP2D6, CYP2C9, p-glykoprotein og organisk kationtransporter-2 (OCT2). 
In clinical studies, alogliptin had no clinically relevant effect on the pharmacokinetics of caffeine, (R)-warfarin, pioglitazone, glyburide, tolbutamide, (S)-warfarin, dextromethorphan, atorvastatin, midazolam, an oral contraceptive (norethindrone and ethinyl oestradiol), digoxin, fexofenadine, metformin, or cimetidine, thus providing in vivo evidence of a low propensity to cause interaction with substrates of CYP1A2, CYP3A4, CYP2D6, CYP2C9, p-glycoprotein, and OCT2.
Kun meget små mængder alogliptin kan fjernes med hæmodialyse (ca. 7 % af stoffet blev fjernet i løbet af en tretimers-dialysebehandling). 
Minimal quantities of alogliptin are removed by haemodialysis (approximately 7% of the substance was removed during a 3 hour haemodialysis session).
Andre bivirkninger såsom infektioner i de øvre luftveje, nasofaryngitis, hovedpine, gastroenteritis, mavesmerter, diarré, opkastning, gastritis, gastroøsofageal reflukssygdom, pruritus, udslæt og hypoglykæmi kan forekomme almindeligt (≥ 1/100 til < 1/10) (se pkt. 
Other reactions such as upper respiratory tract infections, nasopharyngitis, headache, gastroenteritis, abdominal pain, diarrhoea, vomiting, gastritis, gastroesophageal reflux disease, pruritus, rash, hypoglycaemia may occur commonly (≥ 1/100 to < 1/10) (see section 4.4) which are attributed to Vipdomet.
Du bør tage Vipdomet sammen med et måltid for at mindske risikoen for maveproblemer. 
You should take this medicine with food to reduce your chance of an upset stomach.
Efter administration af orale enkeltdoser på op til 800 mg hos raske personer blev alogliptin hurtigt absorberet, og den højeste plasmakoncentration forekom 1 til 2 timer (median Tmaks) efter administration. 
After administration of single oral doses of up to 800 mg in healthy subjects, alogliptin was rapidly absorbed with peak plasma concentrations occurring 1 to 2 hours (median Tmax) after dosing.
MÆRKNING, DER SKAL ANFØRES PÅ DEN YDRE EMBALLAGE ÆSKE (MED BLÅ BOX) (EKSKLUSIV MULTIPAKNING) 
PARTICULARS TO APPEAR ON THE OUTER PACKAGING CARTON (WITH BLUE BOX) (EXCLUDING MULTIPACKS)
Administration af 25 mg alogliptin til patienter med type 2-diabetes mellitus medførte maksimal hæmning af DPP-4 efter 1-2 timer, og hæmningsgraden var på mere end 93 % både efter administrationen af en enkeltdosis på 25 mg og efter administrationen af samme dosis én gang dagligt i 14 dage. 
Administration of 25 mg alogliptin to patients with type 2 diabetes mellitus produced peak inhibition of DPP-4 within 1 to 2 hours and exceeded 93% both after a single 25 mg dose and after 14 days of once-daily dosing.
Der er modtaget indberetninger efter markedsføring om funktionssvigt i leveren, herunder leversvigt. 
Postmarketing reports of hepatic dysfunction including hepatic failure have been received.
Overfølsomhedsreaktioner, herunder Stevens-Johnsons syndrom, anafylaktiske reaktioner og angioødem er alvorlige bivirkninger og tilskrives alogliptin-komponenten i Vipdomet (se pkt. 
Hypersensitivity reactions, including Stevens-Johnson syndrome, anaphylactic reactions, and angioedema are serious and are attributed to the alogliptin component of Vipdomet (see section 4.4).
Alogliptin er ikke undersøgt hos patienter med svært nedsat leverfunktion (Child-Pugh-scorer > 9). 
Alogliptin has not been studied in patients with severe hepatic impairment (Child-Pugh score >9).
Dyreforsøg indikerer hverken direkte eller indirekte skadelige virkninger hvad angår reproduktionstoksicitet ved klinisk relevante doser (se pkt. 
Animal studies do not indicate direct or indirect harmful effects with respect to reproductive toxicity at clinically relevant doses (see section 5.3).
I studier med rotter forekom der ingen behandlingsrelaterede føtale anormaliteter efter samtidig administration af alogliptin og metformin ved eksponeringer, der var henholdsvis 28 til 29 gange og 2 til 2,5 gange den maksimale anbefalede humane dosis på henholdsvis 25 mg om dagen og 2.000 mg om dagen. 
In rats no treatment-related foetal abnormalities occurred following concomitant administration at exposure margins of approximately 28- to 29-fold for alogliptin and 2- to 2.5-fold for metformin at the maximum recommended human dose of 25 mg/day and 2,000 mg/day, respectively.
- almen utilpashed med udpræget træthed - vejrtrækningsbesvær - nedsat kropstemperatur og langsommere puls. 
- difficulty in breathing - reduced body temperature and heartbeat.
Begge disse lægemidler kaldes orale antidiabetika (diabetesmedicin, der indtages gennem munden). 
Both of these groups of medicines are “oral anti-diabetics”.
Øvrige indholdsstoffer: mannitol, mikrokrystallinsk cellulose, povidon K30, crospovidon type A, magnesiumstearat, hypromellose, talkum, titandioxid (E171) og gul jernoxid (E172). 
crospovidone Type A, magnesium stearate, hypromellose, talc, titanium dioxide (E171) and yellow iron oxide (E172).
I alt 7.151 patienter med type 2-diabetes mellitus, herunder 4.202 patienter, som blev behandlet med alogliptin og metformin, deltog i 7 dobbeltblindede kliniske fase III-studier med placebo eller aktiv kontrol, som blev gennemført for at evaluere virkningen af samtidig administration af alogliptin og metformin på den glykæmiske kontrol samt lægemidlernes sikkerhedsprofil. 
A total of 7,151 patients with type 2 diabetes mellitus, including 4,202 patients treated with alogliptin and metformin, participated in 7 phase 3 double-blind, placebo- or active-controlled clinical studies conducted to evaluate the effects of co-administered alogliptin and metformin on glycaemic control and their safety.
MARKEDSFØRINGSTILLADELSESNUMMER (-NUMRE) EU/1/13/843/001-026 
MARKETING AUTHORISATION NUMBER(S) EU/1/13/843/001-026
En samlet analyse af data fra 12 studier viste, at den samlede forekomst af hypoglykæmi var den samme for patienter på 65 år og derover behandlet med 25 mg alogliptin (3,8 %) som for patienter under 65 år (3,6 %). 
In a pooled analysis of the data from 12 studies, the overall incidence of any episode of hypoglycaemia was similar in patients ≥65 years old treated with 25 mg alogliptin (3.8%) to that in patients <65 years old (3.6%).
*Justeringer af alogliptindosis er baseret på et farmakokinetisk studie, hvor nyrefunktionen blev vurderet på grundlag af kreatinin-clearance-niveauer (CrCl), som blev estimeret ud fra Cockcroft-Gault-ligningen. 
Maximum daily dose is 6.25 mg * Alogliptin dose adjustment is based on a pharmacokinetic study where kidney function was assessed using creatinine clearance (CrCl) levels estimated from the Cockcroft-Gault equation.
Klinisk relevante reduktioner i HbA1c sammenlignet med kontrol blev observeret uanset baggrundsbehandling ved baseline. 
Clinically meaningful reductions in HbA1c compared to control were also observed regardless of baseline background treatment.
Alogliptin er ikke undersøgt hos patienter med svært nedsat leverfunktion (Child-Pugh-score > 9), og det anbefales derfor ikke til disse patienter (se pkt. 
Alogliptin has not been studied in patients with severe hepatic impairment (Child-Pugh score >9) and is, therefore, not recommended for use in such patients (see sections 4.2, 4.3 and 5.2).
LÆGEMIDDELFORM OG INDHOLD (PAKNINGSSTØRRELSE) 98 filmovertrukne tabletter 
PHARMACEUTICAL FORM AND CONTENTS 98 film-coated tablets
Der er ikke gennemført studier af administration af kombinationen af de aktive stoffer i Vipdomet til diegivende dyr. 
No studies in lactating animals have been conducted with the combined active substances of Vipdomet.
Pakningsstørrelser og yderligere oplysninger Vipdomet indeholder: Aktive stoffer: alogliptin og metforminhydrochlorid. 
What Vipdomet contains - The active substances are alogliptin and metformin hydrochloride.