natgillin/translations-raw huggingface dataset:
• rash or red skin - this may be itchy and include raised bumps, oozing fluid or blisters
• osip ili crvena koža - koji može svrbiti i imati izbočine, curenje tekućine ili mjehure.
The hazard ratio for the composite primary endpoint (time to event of cardiovascular death, non-fatal stroke, non-fatal myocardial infarction, and unstable angina requiring hospitalisation) for canagliflozin (both doses pooled) versus combined active and placebo comparators was 0.91 (95% CI: 0.68; 1.22); therefore, there was no evidence of an increase in cardiovascular risk with canagliflozin relative to comparators.
Omjer rizika za mještoviti primarni ishod (vrijeme do događaja kardiovaskularne smrti, ne-smrtonosnog moždanog udara, ne-smrtonosnog infarkta miokarda i nestabilne angina koja je zahtijevala hospitalizaciju) za kanagliflozin (udružene obje doze) naspram kombinirane usporedne aktivne lijekove i placebo komparatore bio je 0,91 (95% CI: 0,68; 1,22); stoga, nije bilo dokaza o porastu kardiovaskularnog rizika s kanagliflozinom u usporedbi s komparatorima.
Patients with hepatic impairment For patients with mild or moderate hepatic impairment, no dose adjustment is required.
U bolesnika s blagim do umjerenim oštećenjem jetre, prilagodba doze nije potrebna.
In interaction studies, canagliflozin at steady-state had no clinically relevant effect on the pharmacokinetics of metformin, oral contraceptives (ethinyl estradiol and levonorgestrol), glibenclamide, paracetamol, hydrochlorothiazide, or warfarin.
U ispitivanjima interakcija, kanagliflozin u stanju dinamičke ravnoteže nije imao klinički značajan učinak na farmakokinetiku metformina, oralnih kontraceptiva (etinilestradiol i levonorgestrol), glibenklamida, paracetamola, hidroklorotiazida ili varfarina.
From a starting value of RTG of approximately 13 mmol/L, maximal suppression of 24-hour mean RTG was seen with the 300 mg daily dose to approximately 4 mmol/L to 5 mmol/L in patients with type 2 diabetes in phase 1 studies, suggesting a low risk for treatment-induced hypoglycaemia.
13 mmol/L, maksimalna supresija 24-satne srednje vrijednosti RTG primijećena je s dnevnom dozom od 300 mg na oko 4 mmol/L do 5 mmol/L u bolesnika s dijabetesom tipa 2 u ispitivanjima faze 1, što upućuje na nizak rizik za terapijom induciranu hipoglikemiju.
Effects of other medicinal products on canagliflozin The metabolism of canagliflozin is primarily via glucuronide conjugation mediated by UDP glucuronosyl transferase 1A9 (UGT1A9) and 2B4 (UGT2B4).
Metabolizam kanagliflozina odvija se prvenstveno putem glukoronidne konjugacije posredovane UDP glukuronozil transferazom 1A9 (UGT1A9) i 2B4 (UGT2B4).
As dabigatran concentrations may be increased in the presence of canagliflozin, monitoring (looking for signs of bleeding or anaemia) should be exercised when dabigatran is combined with canagliflozin.
Kako koncentracije dabigatrana mogu biti povišene u prisutnosti kanagliflozina, kad se dabigatran kombinira s kanagliflozinom mora se provoditi praćenje (traženje znakova krvarenja ili anemije).
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 with an eGFR < 60 mL/min/1.73 m2, 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).
Potreban je oprez u bolesnika kod kojih kanagliflozinom izazvano smanjenje krvnog tlaka može predstavljati rizik, poput bolesnika s poznatom kardiovaskularnom bolešću, bolesnika s eGFR < 60 mL/min/1,73 m2, bolesnika na antihipertenzivnoj terapiji s anamnezom hipotenzije, bolesnika na diureticima ili u starijih bolesnika (≥ 65 godina starosti) (vidjeti dijelove 4.2 i 4.8).
A single-dose, open-label study evaluated the pharmacokinetics of canagliflozin 200 mg in subjects with varying degrees of renal impairment (classified using CrCl based on the Cockroft-Gault equation) compared to healthy subjects.
Otvoreno ispitivanje jedna doze procijenilo je farmakokinetiku kanagliflozina od 200 mg u ispitanika s nejednakim stupnjem oštećenja bubrega (klasificirano pomoću CrCl temeljeno na Cockroft-Gaultovoj jednadžbi) u usporedbi sa zdravim ispitanicima.
Hypoglycaemia in add-on therapy with insulin or insulin secretagogues
Hipoglikemija uz dodatnu terapiju s inzulinom ili inzulinskim sekretagogom
Taking Invokana with other medicines for diabetes called sulphonylureas (such as glimepiride or glipizide) or insulin can increase the risk of having low blood sugar (hypoglycaemia).
Uzimanje lijeka Invokana s drugim lijekovima za šećernu bolest koji se zovu sulfonilureje (poput glimepirida ili glipizida) ili inzulinom može povećati rizik za pojavu niskog šećera u krvi
In a cardiovascular study of 4,327 patients with known or at high risk for cardiovascular disease, the incidence rates of bone fracture were 1.6, 1.6, and 1.1 per 100 patient years of exposure to canagliflozin 100 mg, canagliflozin 300 mg, and placebo, respectively, with the fracture imbalance initially occurring within the first 26 weeks of therapy.
U kardiovaskularnom ispitivanju sa 4327 bolesnika s poznatim ili s visokim rizikom za kardiovaskularnu bolest, stope incidencije fraktura kostiju bile su 1,6; 1,6 i 1,1 na 100 bolesnik-godina izloženosti kanagliflozinu od 100 mg, kanagliflozinu od 300 mg odnosno placebu, s neuravnoteženim frakturama koje su se inicijalno javile tijekom prvih 26 tjedana terapije.
Studies characterising the pharmacokinetics of canagliflozin in paediatric patients have not been conducted.
Pedijatrijska populacija Nisu provedena ispitivanja karakterizacije farmakokinetike kanagliflozina u pedijatrijskih bolesnika.
When canagliflozin is used as add-on therapy with insulin or an insulin secretagogue (e.g., sulphonylurea), a lower dose of insulin or the insulin secretagogue may be considered to reduce the risk of hypoglycaemia (see sections 4.5 and 4.8).
Kad se kanagliflozin koristi kao dodatna terapija s inzulinom ili inzulinskim sekretagogom (npr. sulfonilurejom), može se razmotriti primjena niže doze inzulina ili inzulinskog sekretagoga, kako bi se smanjio rizik pojave hipoglikemije (vidjeti dijelove 4.5 i 4.8).
rare
rijetko
A lower proportion of patients treated with canagliflozin 100 mg (5.6%) and canagliflozin 300 mg (4.9%) experienced at least one episode/event of hypoglycaemia over 52 weeks of treatment compared to the group treated with glimepiride (34.2%).
Niži udio bolesnika liječenih kanagliflozinom od 100 mg (5,6%) i kanagliflozinom od 300 mg (4,9%) doživjelo je barem jednu epizodu/događaj hipoglikemije tijekom 52 tjedna liječenja u usporedbi sa skupinom liječenom glimepiridom (34,2%).
See bone fracture section below for additional information.
Za dodatne informacije, vidjeti dio frakture kostiju, niže.
Relative to subjects with normal hepatic function, the geometric mean ratios for Cmax and AUC∞ of canagliflozin were 107% and 110%, respectively, in subjects with Child-Pugh class A (mild hepatic impairment) and 96% and 111%, respectively, in subjects with Child-Pugh class B (moderate) hepatic impairment following administration of a single 300 mg dose of canagliflozin.
U odnosu na ispitanike s normalnom funkcijom jetre, geometrijske srednje vrijednosti omjera za Cmax i AUC∞ kanagliflozina bile su 107% odnosno 110%, u ispitanika s Child-Pugh stupnjem A (blago oštećenje jetre) i 96% odnosno 111%, u ispitanika s Child-Pugh stupnjem B (umjereno) oštećenje jetre nakon primjene pojedinačne doze kanagliflozina od 300 mg.
The incidence of hypoglycaemia episodes/events with canagliflozin 300 mg and sitagliptin 100 mg was 40.7% and 43.2%, respectively.
Incidencija za epizodu/događaj hipoglikemije s kanagliflozinom od 300 mg i sa sitagliptinom od 100 mg bila je 40,7% odnosno 43,2%.
Polyvinyl alcohol Titanium dioxide (E171) Macrogol 3350
Filmska ovojnica polivinilni alkohol titanijev dioksid (E171) makrogol 3350 talk željezov oksid, žuti (E172)
Canagliflozin is not expected to be dialysable by peritoneal dialysis.
Ne očekuje se da će kanagliflozin biti podložan uklanjanju peritonealnom dijalizom.
Canagliflozin was studied as monotherapy, dual therapy with metformin, dual therapy with a sulphonylurea, triple therapy with metformin and a sulphonylurea, triple therapy with metformin and pioglitazone, and as an add-on therapy with insulin (table 2).
Kanagliflozin je ispitivan kao monoterapija, dvojna terapija s metforminom, dvojna terapija sa sulfonilurejom, trojna terapija s metforminom i sulfonilurejom, trojna terapija s metforminom i pioglitazonom te kao dodatna terapija s inzulinom (tablica 2).
Effects of canagliflozin on other medicinal products Digoxin: The combination of canagliflozin 300 mg once daily for 7 days with a single dose of digoxin 0.5 mg followed by 0.25 mg daily for 6 days resulted in a 20% increase in AUC and a 36% increase in Cmax of digoxin, probably due to inhibition of P-gp.
Digoksin: Kombinacija kanagliflozina od 300 mg jedanput na dan tijekom 7 dana s jednom dozom digoksina od 0,5 mg nakon čega je slijedilo 0,25 mg na dan tijekom 6 dana dovelo je do 20%-tnog povećanja AUC i 36%-tnog povećanja Cmax digoksina, vjerojatno zbog P-gp inhibicije.
EU/1/13/884/005 (10 tablets) EU/1/13/884/006 (30 tablets) EU/1/13/884/007 (90 tablets) EU/1/13/884/008 (100 tablets)
EU/1/13/884/005 (10 tableta) EU/1/13/884/006 (30 tableta) EU/1/13/884/007 (90 tableta) EU/1/13/884/008 (100 tableta)
Table 3: Efficacy results from active-controlled clinical studiesa
Tablica 3: Rezultati djelotvornosti iz aktivno-kontroliranih ispitivanjaa
1,5-AG assay
1,5-AG testovi
Renal clearance of canagliflozin 100 mg and 300 mg doses ranged from 1.30 mL/min to 1.55 mL/min.
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.
Dyslipidemiai, Haematocrit increased**, j uncommon
Dislipidemijai, povišen hematrokrit**,j manje često
In a single-dose study in patients with type 2 diabetes, treatment with 300 mg before a mixed meal delayed intestinal glucose absorption and reduced postprandial glucose through both a renal and a non-renal mechanism.
U ispitivanju jedne doze u bolesnika s dijabetesom tipa 2, liječenje s 300 mg prije mješovitog obroka odgodilo je apsorpciju glukoze u crijevima, te je smanjilo postprandijalnu glukozu i kroz bubrežni i kroz ne-bubrežni mehanizam.
Monitoring of renal function is recommended as follows: - Prior to initiation of canagliflozin and at least annually, thereafter (see sections 4.2, 4.8, 5.1, and
- Prije početka liječenja kanagliflozinom i nakon toga najmanje godišnje, (vidjeti dijelove 4.2, 4.8, 5.1 i 5.2)
< 60 mL/min/1.73 m2, canagliflozin provided clinically meaningful reduction in HbA1c compared to placebo, with -0.47% for canagliflozin 100 mg and -0.52% for canagliflozin 300 mg.
< 60 mL/min/1,73 m2, kanagliflozin je doveo do klinički značajnog smanjenja HbA1c u usporedbi s placebom, s -0,47% za kanagliflozin od 100 mg i -0,52% za kanagliflozin od 300 mg.
In the dedicated cardiovascular study, where patients were generally older with a higher rate of diabetes complications, the incidences of adverse reactions related to volume depletion were 2.8% with canagliflozin 100 mg, 4.6% with canagliflozin 300 mg, and 1.9% with placebo.
U ciljanom kardiovaskularnom ispitivanju, u kojem su bolesnici općenito bili stariji i imali su veću stopu komplikacija dijabetesa, incidencija nuspojava povezanih s deplecijom volumena bila je 2,8% uz kanagliflozin od 100 mg; 4,6% uz kanagliflozin od 300 mg i 1,9% za placebo.
Marketing Authorisation Holder Janssen-Cilag International NV Turnhoutseweg 30
Nositelj odobrenja za stavljanje gotovog lijeka u promet Janssen-Cilag International NV Turnhoutseweg 30
Your doctor may prescribe Invokana together with another glucose-lowering medicinal product.
Liječnik Vam može propisati lijek Invokana zajedno s drugim lijekovom koji snižavaju šećer u krvi.
f Polyuria or pollakiuria includes the terms polyuria, pollakiuria, micturition urgency, nocturia, and urine output increased.
f Poliurija ili polakizurija uključuju termine poliurija, polakizurija, žurno mokrenje, nokturija i povećano stvaranje mokraće.
Skin and subcutaneous tissue disorders uncommon
Poremećaji kože i potkožnog tkiva manje često
for placebo.
Razlika u odnosu na placebo
Vulvovaginal candidiasis (including vulvovaginitis and vulvovaginal mycotic infection) was reported in 10.4% and 11.4% of female patients treated with canagliflozin 100 mg and canagliflozin 300 mg, respectively, compared to 3.2% in placebo-treated female patients.
Vulvovaginalna kandidijaza (uključujući vulvovaginitis i vulvovaginalnu gljivičnu infekciju) bila je prijavljena u 10,4% i 11,4% ženskih bolesnika liječenih kanagliflozinom od 100 mg odnosno kanagliflozinom od 300 mg, u usporedbi s 3,2% u placebom liječenih ženskih bolesnika.
In a pooled analysis of clinical data, increases in canagliflozin AUC of 26% were observed in UGT1A9*1/*3 carriers and 18% in UGT2B4*2/*2 carriers.
Analizom udruženih kliničkih podataka, bila u uočena povišenja kanagliflozin AUC-a od 26% u UGT1A9*1/*3 nositelja i u 18%
Hypoglycaemia in combination with insulin or sulphonylurea uncommon
Hipoglikemija u kombinaciji s inzulinom ili sulfonilurejom manje često
Elderly (≥ 65 years old) Renal function and risk of volume depletion should be taken into account (see section 4.4).
Mora se uzeti u obzir funkcija bubrega i rizik pojave deplecije volumena (vidjeti dio 4.4).
At study endpoint, 3.0% of patients treated with canagliflozin 100 mg, 4.0% with canagliflozin 300 mg, and 3.3% with placebo had such decreases (see section 4.4).
Na kraju ispitivanja 3,0% bolesnika liječenih kanagliflozinom od 100 mg, 4,0% kanagliflozinom od 300 mg i 3,3% placebom imalo je takva smanjenja (vidjeti dio 4.4).
Reproductive system and breast disorders very common
Poremećaji reproduktivnog sustava i dojki vrlo često
Decreases in eGFR (-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).
Sniženja eGFR (-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).
Canagliflozin was negligibly removed during a 4-hour haemodialysis session.
Kanagliflozin se zanemarivo uklonio tijekom 4-satne hemodijalize.
Balanitis or balanoposthitis includes the terms balanitis, balanoposthitis, balanitis candida, and genital infection fungal.
h Balanitis ili balanopostitis uključuju termine balanitis, balanopostitis, kandidni balanitis i genitalna gljivična infekcija.
Each tablet contains100 mg or 300 mg of canagliflozin.
Jedna tableta sadrži 100 mg ili 300 mg kanagliflozina.
In the pooled analysis of the four 26-week, placebo-controlled studies, the incidence of all adverse reactions related to volume depletion (e.g., postural dizziness, orthostatic hypotension, hypotension, dehydration, and syncope) was 1.2% for canagliflozin 100 mg, 1.3% for canagliflozin 300 mg, and 1.1% for placebo.
U analizi udruženih podataka iz četiri 26-tjedna placebo kontrolirana ispitivanja incidencija svih nuspojava povezanih s deplecijom volumena (npr. posturalna omaglica, ortostatska hipotenzija, hipotenzija, dehidracija i sinkopa) bila je 1,2% za kanagliflozin od 100 mg, 1,3% za kanagliflozin od 300 mg i 1,1% za placebo.
Patients ≥ 75 years of age had a higher incidence of adverse reactions related to volume depletion (such as postural dizziness, orthostatic hypotension, hypotension) with incidences of 4.9%, 8.7%, and 2.6% on canagliflozin 100 mg, canagliflozin 300 mg, and in the control group, respectively.
Bolesnici starosti ≥ 75 godina imali su veću incidenciju nuspojava povezanih s deplecijom volumena (poput posturalne omaglice, ortostatske hipotenzije, hipotenzije) s incidencijama od 4,9%; 8,7% i 2,6% uz kanagliflozin od 100 mg, kanagliflozin od 300 mg, odnosno u kontrolnoj skupini.
Nervous system disorders uncommon
Poremećaji živčanog sustava manje često
Canagliflozin should be discontinued when eGFR is persistently below 45 mL/min/1.73 m2 or CrCl persistently below 45 mL/min (see sections 4.4, 4.8, 5.1, and 5.2).
Liječenje kanagliflozinom mora se prekinuti u slučaju da je eGFR dugotrajno ispod 45 mL/min/1,73 m2 ili je CrCl dugotrajno ispod 45 mL/min (vidjeti dijelove 4.4, 4.8, 5.1 i 5.2).
Placebo + insulin (N=565)
Placebo + inzulin (N = 565)
Table 1: Tabulated list of adverse reactions (MedDRA) from placebo-controlled studiesa and from postmarketing experience
Tablica 1: Tablični popis nuspojava (MedDRA) iz placebo kontroliranih ispitivanjaa i iz iskustva nakon stavljanja lijeka u promet
Compared to glimepiride as dual therapy with metformin (52 weeks) Canagliflozin + metformin Glimepiride (titrated) + metformin (N = 482)
Usporedba s glimepiridom kao dvojnom terapijom s metforminom (52 tjedna) Kanagliflozin + metformin Glimepiride (titrirani) + metformin (N = 482)
In patients with an eGFR < 60 mL/min/1.73 m2 or CrCl < 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.
U bolesnika s eGFR < 60 mL/min/1,73m2 ili s CrCl < 60 mL/min, prijavljena je veća incidencija nuspojava povezanih s deplecijom volumena (npr. posturalna omaglica, ortostatska hipotenzija, hipotenzija), naročito u onih na dozi od 300 mg.
Candidal balanitis or balanoposthitis was reported in 4.2% and 3.7% of male patients treated with canagliflozin 100 mg and canagliflozin 300 mg, respectively, compared to 0.6% in placebo-treated male patients.
Kandidni balanitis ili balanopostitis bili su prijavljeni u 4,2% i 3,7% muških bolesnika liječenih kanagliflozinom od 100 mg odnosno kanagliflozinom od 300 mg, u usporedbi s 0,6% u muških bolesnika liječenih placebom.
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 (i.e., urinary frequency).
Najčešće prijavljene nuspojave tijekom liječenja bile su hipoglikemija u kombinaciji s inzulinom ili sulfonilurejom, vulvovaginalna kandidijaza, infekcija mokraćnog sustava, poliurija ili polakizurija (npr. učestalo mokrenje).
Table 1: Tabulated list of adverse reactions (MedDRA) from placebo-controlled studiesa and from postmarketing experience System organ class Frequency
Tablica 1: Tablični popis nuspojava (MedDRA) iz placebo kontroliranih ispitivanjaa i iz iskustva nakon stavljanja lijeka u promet Klasifikacija organskih sustava
In general, canagliflozin produced clinically and statistically significant (p<0.001) results relative to placebo in glycaemic control, including HbA1c, the percentage of patients achieving HbA1c < 7%, change from baseline fasting plasma glucose (FPG), and 2-hour postprandial glucose (PPG).
Općenito, kanagliflozin je imao klinički i statistički značajne (p < 0,001) rezultate u odnosu na placebo u regulaciji glikemije, uključujući HbA1c, postotak bolesnika koji su postigli HbA1c < 7%, promjenu u odnosu na početnu vrijednost glukoze u plazmi natašte (FPG) i 2-satne postprandijalne glukoze (PPG).
Common (may affect up to 1 in 10 people)
Hipoglikemija (vrlo često, može se javiti u više od 1 na 10 osoba)
A substudy of patients with baseline HbA1c > 10% to ≤ 12% with canagliflozin as monotherapy resulted in reductions from baseline in HbA1c (not placebo-adjusted) of -2.13% and -2.56% for canagliflozin 100 mg and 300 mg, respectively.
Podispitivanje bolesnika s početnim vrijednosti HbA1c > 10% do ≤ 12% uz kanagliflozin kao monoterapiju rezultiralo je smanjenjem od početne vrijednosti HbA1c (koji nije prilagođen prema placebu) od -2,13% odnosno -2,56% za kanagliflozin od 100 mg odnosno 300 mg.
Statistically significant (p < 0.001) changes from baseline HbA1c relative to placebo of -0.57% and -0.70% were observed for 100 mg and 300 mg, respectively (see sections 4.2 and 4.8).
Statistički značajne (p < 0,001) promjene početne vrijednosti HbA1c u odnosu na placebo od -0,57% i -0,70% uočene su uz 100 mg odnosno 300 mg (vidjeti dijelove 4.2 i 4.8).
• vaginal yeast infection.
Vrlo česte • vaginalna gljivična infekcija.
These symptoms could be a sign of “diabetic ketoacidosis” - a problem you can get with diabetes because of increased levels of “ketone bodies” in your urine or blood, seen in tests.
problema koji se može javiti uz šećernu bolest zbog povišenih razina „ketonskih tijela“ u mokraći ili krvi, što je vidljivo u nalazima pretraga.
In patients tolerating canagliflozin 100 mg once daily who have an eGFR ≥ 60 mL/min/1.73 m2 or CrCl ≥ 60 mL/min and need tighter glycaemic control, the dose can be increased to 300 mg once daily orally (see below and section 4.4).
Za one bolesnike koji podnose kanagliflozin od 100 mg jedanput dnevno i koji imaju eGFR ≥ 60 mL/min/1,73 m2 ili CrCl ≥ 60 mL/min, a potrebna im je stroža regulacija glikemije, doza se može povisiti na 300 mg jedanput dnevno peroralno (vidjeti ispod i dio 4.4).
• The other ingredients are: tablet core: croscarmellose sodium, hydroxypropyl cellulose, lactose anhydrous, magnesium stearate, and microcrystalline cellulose film-coating: macrogol (3350), polyvinyl alcohol, talc, and titanium dioxide (E171).
magnezijev stearat i celuloza, mikrokristalična film ovojnica: makrogol (3350), polivinilni alkohol, talk i titanijev dioksid (E171).
Elevated haematocrit
Povišen hematokrit
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.
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 CV
In a study comparing canagliflozin 300 mg 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.
U ispitivanju u kojem je kanagliflozin od 300 mg 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.
If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.
U slučaju bilo kakvih dodatnih pitanja u vezi s primjenom ovog lijeka, obratite se svom liječniku, ljekarniku ili medicinskoj sestri.
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).
Djelotvornost kanagliflozina ovisi o bubrežnoj funkciji, te je smanjena u bolesnika koji imaju umjereno oštećenje bubrega i vjerojatno nije prisutna u bolesnika sa teškim oštećenjem bubrega
In patients with evidence of volume depletion, correcting this condition prior to initiation of canagliflozin is recommended (see section 4.4).
Prije početka liječenja kanagliflozinom, u bolesnika s dokazanom deplecijom volumena, preporučuje se korekcija tog stanja (vidjeti dio 4.4).