natgillin/translations-raw huggingface dataset:
In two 52-week active-controlled studies comparing canagliflozin to glimepiride and sitagliptin, sustained and statistically significant mean reductions in the percentage of body weight for canagliflozin as add-on therapy to metformin were -4.2% and -4.7% for canagliflozin 100 mg and 300 mg, respectively, compared to the combination of glimepiride and metformin (1.0%) and -2.5% for canagliflozin 300 mg in combination with metformin and a sulphonylurea compared to sitagliptin in combination with metformin and a sulphonylurea (0.3%).
U dva 52-tjedna aktivno-kontrolirana ispitivanja koja su usporedila kanagliflozin s glimepiridom i sitagliptinom, postojane i statistički značajne srednje vrijednosti postotka smanjenja tjelesne težine za kanagliflozin kao dodatne terapije na metformin bile su -4,2% i -4,7% za kanagliflozin od 100 mg, odnosno 300 mg, u usporedbi s kombinacijom glimepirida i metforminom (1,0%) i -2,5% za kanagliflozin od 300 mg u kombinaciji s metforminom i sulfonilurejom u usporedbi sa sitagliptinom u kombinaciji s metforminom i sulfonilurejom (0,3%).
- Prior to initiation of concomitant medicinal products that may reduce renal function and periodically thereafter - For renal function approaching moderate renal impairment, at least 2 times to 4 times per year.
- Za bubrežnu funkciju kojoj predstoji umjereno oštećenje bubrega, najmanje 2 puta do 4 puta godišnje.
By inhibiting SGLT2, canagliflozin reduces reabsorption of filtered glucose and lowers the renal threshold for glucose (RTG), and thereby increases UGE, lowering elevated plasma glucose concentrations by this insulin-independent mechanism in patients with type 2 diabetes.
Inhibirajući SGLT2, kanagliflozin smanjuje reapsorpciju filtrirane glukoze i smanjuje prag bubrega za glukozu (RTG), na taj način povisuje UGE, smanjujući povišene koncentracije glukoze u plazmi putem ovog o inzulinu neovisnog mehanizma u bolesnika s dijabetesom tipa 2. Povišen UGE putem SGLT2 inhibicije također se prenosi na osmotsku diurezu, s diuretskim učinkom koji dovodi do smanjenja sistoličkog krvnog tlaka;
Canagliflozin was compared to glimepiride as dual therapy with metformin and compared to sitagliptin as triple therapy with metformin and a sulphonylurea (table 3).
Kanagliflozin je bio uspoređen s glimepiridom kao dvojnom terapijom s metforminom i sa sitagliptinom kao trojnom terapijom s metforminom i sulfonilurejom (tablica 3).
• Invokana 300 mg film-coated tablets (tablets) are white, capsule-shaped, 17 mm long, with
- Invokana 300 mg filmom obložene tablete (tablete) su bijele, oblikovane poput kapsule, dužine
Lactose anhydrous Microcrystalline cellulose Hydroxypropylcellulose Croscarmellose sodium Magnesium stearate
Jezgra tablete laktoza, bezvodna celuloza, mikrokristalična hidroksipropilceluloza karmelozanatrij, umrežena magnezijev stearat
Patients with renal impairment (eGFR < 60 mL/min/1.73 m2 or CrCl < 60 mL/min) Patients with a baseline eGFR < 60 mL/min/1.73 m2 or CrCl < 60 mL/min had a higher incidence of adverse reactions associated with volume depletion (e.g., postural dizziness, orthostatic hypotension, hypotension) with incidences of 4.7%, 8.1%, and 1.5% on canagliflozin 100 mg, canagliflozin 300 mg, and placebo, respectively (see sections 4.2 and 4.4).
Bolesnici s oštećenjem bubrega (eGFR < 60 mL/min/1,73 m2 ili s CrCl < 60 mL/min) Bolesnici s početnom vrijednosti eGFR < 60 mL/min/1,73 m2 ili s CrCl < 60 mL/min imali su veću incidenciju nuspojava povezanih s deplecijom volumena (npr. posturalna omaglica, ortostatska hipotenzija, hipotenzija) uz kanagliflozin od 100 mg, kanagliflozin od 300 mg, odnosno placebo s incidencijama od 4,7%; 8,1% i 1,5% (vidjeti dijelove 4.2 i 4.4).
N/Ac Compared to sitagliptin as triple therapy with metformin and sulphonylurea (52 weeks)
N/Pc Usporedba s sitagliptinom kao trojom terapijom s metforminom i sulfonilurejom (52 tjedna)
6.6 Special precautions for disposal No special requirements.
6.4 Posebne mjere pri čuvanju lijeka Lijek ne zahtijeva posebne uvjete čuvanja.
Dual therapy with metformin (26 weeks) Canagliflozin + metformin
Dvojna terapija s metforminom (26 tjedana) Kanagliflozin + metformin
Therefore, the canagliflozin dose should be limited to 100 mg once daily in patients with eGFR < 60 mL/min/1.73 m2 or CrCl < 60 mL/min and canagliflozin should not be used in patients with an eGFR < 45 mL/min/1.73 m2 or CrCl < 45 mL/min (see section 4.2).
Stoga se u bolesnika s eGFR < 60 mL/min/1,73 m2 ili CrCl < 60 mL/min doza kanagliflozina mora ograničiti na 100 mg jedanput dnevno, a kanagliflozin ne smiju uzimati bolesnici s eGFR < 45 mL/min/1,73 m2 ili CrCl < 45 mL/min (vidjeti dio 4.2).
In patients ≥ 75 years of age, the incidences were 4.9% on canagliflozin 100 mg and 8.7% on canagliflozin 300 mg compared to 2.6% in the control group (see sections 4.2 and 4.4).
U bolesnika starosti ≥ 75 godina, incidencije su bile 4,9% uz kanagliflozin od 100 mg i 8,7% uz kanagliflozin od 300 mg u usporedbi s 2,6% u kontrolnoj skupini (vidjeti dijelove 4.2 i 4.4).
Canagliflozin has not been studied in severe renal impairment (eGFR < 30 mL/min/1.73 m2 or CrCl < 30 mL/min) or ESRD.
Kanagliflozin nije ispitan pri teškom oštećenju bubrega (eGFR< 30 mL/min/1,73 m2 ili CrCl < 30 mL/min) ili u završnom stadiju bubrežne bolesti.
Improvement in homeostasis model assessment for beta-cell function (HOMA beta-cell) and improved beta-cell insulin secretion response to a mixed-meal challenge has been observed in clinical studies with canagliflozin.
U kliničkim ispitivanjima s kanagliflozinom primjećeno je poboljšanje u modelu procjene homeostaze za funkciju beta-stanica (HOMA beta-stanica) i poboljšani odgovor sekrecije inzulina beta-stanica na mješoviti obrok kao poticaj.
If an inducer of these UGT enzymes must be co-administered with canagliflozin, increasing the dose to 300 mg once daily may be considered if patients are currently tolerating canagliflozin 100 mg once daily, have an eGFR ≥ 60 mL/min/1.73 m2 or CrCl ≥ 60 mL/min, and require additional glycaemic control.
U slučaju da se induktori ovih UGT enzima moraju primijeniti istodobno s kanagliflozinom, u obzir se može uzeti povećanje doze na 300 mg jedanput na dan, ako bolesnici trenutno podnose kanagliflozin od 100 mg jedanput na dan, imaju eGFR ≥ 60 mL/min/1,73 m2 ili
When this happens, sugar (glucose) builds up in the blood.
(glukoza) se nakuplja u krvi.
Canagliflozin was negligibly removed by haemodialysis.
Kanagliflozin se zanemarivo uklanjao hemodijalizom.
How to store Invokana
Kako uzimati lijek Invokana
9.3% versus 1.3%; non-HDL-cholesterol 2.2% and 4.4% versus 0.7%; triglycerides 2.4% and 0.0% versus 7.6%.
kolesterol 5,7% i 9,3% naspram 1,3%; ne HDL kolesterol 2,2% i 4,4% naspram 0,7%; trigliceride 2,4% i 0,0%
Mean percent increases from baseline for canagliflozin 100 mg and 300 mg versus placebo, respectively, were total cholesterol 3.4% and 5.2% versus 0.9%; HDL-cholesterol 9.4% and 10.3% versus 4.0%; LDL-cholesterol 5.7% and 9.3% versus 1.3%; non-HDL-cholesterol 2.2% and 4.4% versus 0.7%; triglycerides 2.4% and 0.0% versus 7.6%.
Srednji postotak porasta u odnosu na početnu vrijednost za kanagliflozin od 100 mg odnosno 300 mg naspram placeba, bio je za ukupni kolesterol 3,4% i 5,2% naspram 0,9%; HDL kolesterol 9,4% i 10,3% naspram 4,0%; LDL kolesterol 5,7% i 9,3% naspram 1,3%; ne HDL kolesterol 2,2% i 4,4% naspram 0,7%; trigliceride 2,4% i 0,0%
Vulvovaginal candidiasis includes the terms vulvovaginal candidiasis, vulvovaginal mycotic infection, vulvovaginitis,
g Vulvovaginalna kandidijaza uključuje termine vulvovaginalna kandidijaza, vulvovaginalna gljivična infekcija,
Based on AUC exposure, the NOEL of 30 mg/kg/day for pheochromocytomas and renal tubular tumours is approximately 4.5 times the exposure at the daily clinical dose of 300 mg. Based on preclinical and clinical mechanistic studies, Leydig cell tumours, renal tubule tumours, and pheochromocytomas are considered to be rat-specific.
Temeljeno na izloženosti AUC, NOEL od 30 mg/kg/ dan za feokromocitome i bubrežne tubularne tumore je približno 4,5 puta izloženosti pri dnevnoj kliničkoj dozi od 300 mg.
Body weight Baseline (mean) in kg
Početna vrijednost (srednja vrijednost) u kg
Subsequently, the marketing authorisation holder shall submit periodic safety update reports for this product in accordance with the requirements set out in the list of Union reference dates (EURD list) provided for under Article 107c(7) of Directive 2001/83/EC and published on the European medicines web-portal.
Slijedom navedenog, nositelj odobrenja će ta izvješća podnositi u skladu s referentnim popisom datuma EU (EURD popis) predviđenim člankom
The frequency of hypoglycaemia was low (approximately 4%) among treatment groups, including placebo, when used as monotherapy or as an add-on to metformin.
Među liječenim skupinama uključujući placebo, učestalost hipoglikemije bila je niska (priližno 4%), u monoterapiji ili u dodatnoj terapiji uz metformin.
When canagliflozin was added to insulin therapy, hypoglycaemia was observed in 49.3%, 48.2%, and 36.8% of patients treated with canagliflozin 100 mg, canagliflozin 300 mg, and placebo, respectively, and severe hypoglycaemia occurred in 1.8%, 2.7%, and 2.5% of patients treated with canagliflozin 100 mg, canagliflozin 300 mg, and placebo, respectively.
U slučaju kad je kanagliflozin dodan uz terapiju inzulinom, primijećena je hipoglikemija u 49,3%; 48,2% i 36,8% bolesnika liječenih kanagliflozinom od 100 mg, kanagliflozinom od 300 mg odnosno placebom, a teška hipoglikemija javila se u 1,8%; 2,7% i 2,5% bolesnika liječenih kanagliflozinom od 100 mg, kanagliflozinom od 300 mg odnosno placebom.
In placebo-controlled studies, treatment with canagliflozin 100 mg and 300 mg resulted in mean reductions in systolic blood pressure of -3.9 mmHg and -5.3 mmHg, respectively, compared to placebo (-0.1 mmHg) and a smaller effect on diastolic blood pressure with mean changes for canagliflozin 100 mg and 300 mg of -2.1 mmHg and -2.5 mmHg, respectively, compared to placebo (-0.3 mmHg).
U placebo-kontroliranim ispitivanjima, liječenje kanagliflozinom od 100 mg i 300 mg dovelo je do smanjenja srednjih vrijednosti sistoličkog krvnog tlaka od -3,9 mmHg odnosno -5,3 mmHg, u usporedbi s placebom (-0,1 mmHg) i manjeg učinka na dijastolički krvni tlak sa promjene srednjih vrijednosti uz kanagliflozin od 100 mg i 300 mg od -2,1 mmHg odnosno -2,5 mmHg, u usporedbi s placebom (-0,3 mmHg).
However, patients should be alerted to the risk of hypoglycaemia when canagliflozin is used as add-on therapy with insulin or an insulin secretagogue, and to the elevated risk of adverse reactions related to volume depletion, such as postural dizziness (see sections 4.2, 4.4 and 4.8).
Međutim, kad se kanagliflozin uzima kao dodatna terapija uz inzulin ili inzulinski sekretagog, bolesnike treba upozoriti na rizik pojave hipoglikemije i na povišeni rizik za pojavu nuspojava povezanih s deplecijom volumena, poput posturalne omaglice (vidjeti dijelove 4.2, 4.4 i 4.8).
When canagliflozin was added to a sulphonylurea therapy, hypoglycaemia was observed in 4.1%, 12.5%, and 5.8% of patients treated with canagliflozin 100 mg, canagliflozin 300 mg, and placebo, respectively (see sections 4.2 and 4.5).
U slučaju kad je kanagliflozin dodan uz terapiju sulfonilurejom, hipoglikemija je primijećena u 4,1%; 12,5% i 5,8% bolesnika liječenih kanagliflozinom od 100 mg, kanagliflozinom od 300 mg, odnosno placebom (vidjeti dijelove 4.2 i 4.5).
• St. John's wort (an herbal medicine to treat depression)
• gospinu travu (biljni lijek za liječenje depresije)
In this pooled analysis, patients on loop diuretics, patients with a baseline eGFR 30 mL/min/1.73 m2 to
U ovoj udruženoj analizi, bolesnici na diureticima Henleove petlje, bolesnici s početnom vrijednosti eGFR 30 mL/min/1,73 m2
Canagliflozin 100 mg as dual therapy with metformin produced similar reductions in HbA1c from baseline and 300 mg produced superior (p<0.05) reductions in HbA1c compared to glimepiride, thus demonstrating non-inferiority.
Kanagliflozin od 100 mg kao dvojna terapija s metforminom izazvao je slična smanjenja HbA1c od početne vrijednosti, a 300 mg je izazvao superiorna (p < 0,05) smanjenja HbA1c u usporedbi s glimepiridom, te prema tome pokazao neinferiornost.
How to take Invokana
Kako čuvati lijek Invokana
Bone fracture was reported in 0.7% and 0.6% for canagliflozin 100 mg and 300 mg, respectively, compared to 0.3% for placebo.
e Fraktura kostiju bila je prijavljena u 0,7% i 0,6% za kanagliflozin od 100 mg odnosno 300 mg, u usporedbi s 0,3% za placebo.
In four placebo-controlled studies, treatment with canagliflozin as monotherapy or add-on therapy with one or two oral glucose-lowering medicinal products resulted in mean changes from baseline relative to placebo in FPG of -1.2 mmol/L to -1.9 mmol/L for canagliflozin 100 mg and -1.9 mmol/L to -2.4 mmol/L for canagliflozin 300 mg, respectively.
U četri placebo-kontrolirana ispitivanja, liječenje kanagliflozinom kao monoterapijom ili dodatnom terapijom s jednim ili dva oralna lijeka koji snižavaju glukozu rezultiralo je promjenom srednje vrijednosti FPG od početne vrijednosti u odnosu na placebo, od -1,2 mmol/L do -1,9 mmol/L za kanagliflozin od 100 mg odnosno -1,9 mmol/L do -2,4 mmol/L za kanagliflozin od 300 mg.
The majority of patients with a baseline eGFR 45 mL/min/1.73 m2 to < 60 mL/min/1.73 m2 were on insulin and/or a sulphonylurea (85% [614/721]).
Većina bolesnika s početnom vrijednošću eGFR 45 mL/min/1,73 m2 do < 60 mL/min/1,73 m2 bili su na inzulinu i/ili sulfonilureji (85% [614/721]).
The proportion of patients with larger decreases in eGFR (> 30%) at any time during treatment was 9.3%, 12.2%, and 4.9% with canagliflozin 100 mg, canagliflozin 300 mg, and placebo, respectively.
Udio bolesnika s većim smanjenjima eGFR (> 30%) u bilo kojem trenutku tijekom liječenja kanagliflozinom od 100 mg, kanagliflozinom od 300 mg, odnosno placebom bio je 9,3%; 12,2% i 4,9%.
Canagliflozin should not be initiated in patients with an eGFR < 60 mL/min/1.73 m2 or
Kanagliflozin ne smiju započinjati uzimati bolesnici s eGFR < 60 mL/min/1,73 m2 ili CrCl < 60 mL/min.
Musculoskeletal and connective tissue disorders uncommon
Angioedemd Poremećaji mišićno-koštanog sustava i vezivnog tkiva manje često
For patients on loop diuretics, the incidences were 3.2% on canagliflozin 100 mg and 8.8% on canagliflozin 300 mg compared to 4.7% in the control group.
Za bolesnike na diureticima Henleove petlje, incidencije su bile 3,2% uz kanagliflozin od 100 mg i 8,8% uz kanagliflozin od 300 mg u usporedbi s 4,7% u kontrolnoj skupini.
Using a mixed-meal challenge, canagliflozin as monotherapy or add-on therapy with one or two oral glucose-lowering medicinal products reduced postprandial glucose (PPG) from baseline relative to placebo by -1.5 mmol/L to -2.7 mmol/L for canagliflozin 100 mg and -2.1 mmol/L to -3.5 mmol/L for 300 mg, respectively, due to reductions in the pre-meal glucose concentration and reduced postprandial glucose excursions.
Uz mještoviti obrok kao poticaj, kanagliflozin kao monoterapija ili dodatna terapija s jednim ili dva oralna lijeka koji snižavaju glukozu, je smanjila postprandijalnu glukozu (PPG) od početne vrijednosti u odnosu na placebo za -1,5 mmol/L do -2,7 mmol/L za kanagliflozin od 100 mg, odnosno -2,1 mmol/L do -3,5 mmol/L za lijek od 300 mg, zbog smanjenja koncentracija glukoze prije jela i smanjene ekskurzije postprandijalne glukoze.
Add-on therapy with insulind (18 weeks) Canagliflozin + insulin
Dodatna terapija s inzulinomd (18 tjedana) Kanagliflozin + inzulin
LIST OF EXCIPIENTS Contains lactose.
Invokana sadrži laktozu
Placebo + metformin and sulphonylurea (N = 156)
Placebo + metformin i sulfonilureja (N = 156)
Bone fracture
Frakture kostiju
Stop taking Invokana and see a doctor as soon as possible if you have any of the following serious side effects: Dehydration (uncommon, may affect up to 1 in 100 people)
Prestanite uzimati lijek Invokana i što je prije moguće posjetite liječnika ako imate bilo koju od sljedećih ozbiljnih nuspojava:
The increased UGE with SGLT2 inhibition also translates to an osmotic diuresis, with the diuretic effect leading to a reduction in systolic blood pressure; the increase in UGE results in a loss of calories and therefore a reduction in body weight, as has been demonstrated in studies of patients with type 2 diabetes.
povišenje UGE rezultira gubitkom kalorija i zbog toga sa smanjenjem tjelesne težine, kako je bilo pokazano u ispitivanjima s bolesnicima s dijabetesom tipa 2.
i Mean percent increases from baseline for canagliflozin 100 mg and 300 mg versus placebo, respectively, were total cholesterol 3.4% and 5.2% versus 0.9%; HDL-cholesterol 9.4% and 10.3% versus 4.0%; LDL-cholesterol 5.7% and
i Srednji postotak porasta u odnosu na početnu vrijednost za kanagliflozin od 100 mg odnosno 300 mg naspram placeba, bio je za ukupni kolesterol 3,4% i 5,2% naspram 0,9%; HDL kolesterol 9,4% i 10,3% naspram 4,0%; LDL
Your blood sugar levels may rise if you stop taking this medicine.
Ako prestanete uzimati lijek Invokana Ako prestanete uzimati ovaj lijek, može Vam porasti razina šećera u krvi.
3.2% of the administered radioactive dose was recovered in faeces as canagliflozin, a hydroxylated metabolite, and an O-glucuronide metabolite, respectively.
primijenjene radioaktivne doze se ponovno našlo u stolici, kao hidroksilirani odnosno O-glukuronidni metabolit.
Very common
manje često
B. CONDITIONS OR RESTRICTIONS REGARDING SUPPLY AND USE Medicinal products subject to medical prescription
UVJETI ILI OGRANIČENJA VEZANI UZ OPSKRBU I PRIMJENU
Sitagliptin 100 mg + metformin and sulphonylurea (N = 378)
Sitagliptin 100 mg + metformin i sulfonilureja (N = 378)
Canagliflozin 300 mg + metformin and sulphonylurea (N=377)
Kanagliflozin od 300 mg + metformin i sulfonilureja (N = 377)
Mean percent changes from baseline in blood urea nitrogen were 17.1% and 18.0% for canagliflozin 100 mg and 300 mg, respectively, compared to 2.7% for placebo.
l Srednje vrijednosti postotka promjene urea nitrata u krvi u odnosu na početnu bila je 17,1% i 18,0% za kanagliflozin od 100 mg odnosno 300 mg naspram 2,7% za placebo.
Following single and multiple oral doses of canagliflozin to patients with type 2 diabetes, dose-dependent decreases in RTG and increases in UGE were observed.
Nakon pojedinačnih i višestrukih oralnih doza kanagliflozina, kod bolesnika s dijabetesom tipa 2,
Canagliflozin should not be used during breast-feeding.
Kanagliflozin se ne bi trebao primjenjivati tijekom dojenja.
% change from baseline (adjusted mean)
Promjena od početne vrijednosti (prilagođena srednja vrijednost)
QUALITATIVE AND QUANTITATIVE COMPOSITION Each tablet contains canagliflozin hemihydrate, equivalent to 100 mg canagliflozin.
KVALITATIVNI I KVANTITATIVNI SASTAV Jedna tableta sadrži kanagliflozin hemihidrat, što odgovara 100 mg kanagliflozina.
If renal function falls persistently below eGFR 45 mL/min/1.73 m2 or CrCl < 45 mL/min,
Ako bubrežna funkcija padne trajno ispod eGFR 45 mL/min/1,73 m2 ili
Rare cases of diabetic ketoacidosis (DKA), including life-threatening cases, have been reported in clinical trials and post-marketing in patients treated with SGLT2 inhibitors, including canagliflozin.
inhibitorima, uključujući kanagliflozin, prijavljeni su rijetki slučajevi dijabetičke ketoacidoze (DKA), uključujući i slučajeve opasne po život.
QUALITATIVE AND QUANTITATIVE COMPOSITION Each tablet contains canagliflozin hemihydrate, equivalent to 300 mg canagliflozin.
KVALITATIVNI I KVANTITATIVNI SASTAV Jedna tableta sadrži kanagliflozin hemihidrat, što odgovara 300 mg kanagliflozina.
300 mg, respectively, compared to 2.7% for placebo.
100 mg odnosno 300 mg naspram 0,6% za placebo.
Diabetic ketoacidosis (rare, may affect up to 1 in 1,000 people) These are the signs of diabetic ketoacidosis (see also section 2 Warnings and precautions): increased levels of “ketone bodies” in your urine or blood rapid weight loss feeling sick or being sick stomach pain excessive thirst fast and deep breathing confusion unusual sleepiness or tiredness a sweet smell to your breath, a sweet or metallic taste in your mouth or a different odour to your urine or sweat.
povišene razine “ketonskih tijela” u mokraći ili krvi nagli gubitak tjelesne težine mučnina ili povraćanje bol u trbuhu prekomjerna žeđ ubrzano i duboko disanje smetenost neuobičajena pospanost ili umor zadah slatkog mirisa, slatki ili metalni okus u ustima ili drugačiji miris mokraće ili znoja.
NAME OF THE MEDICINAL PRODUCT Invokana 100 mg film-coated tablets
NAZIV LIJEKA Invokana 100 mg filmom obložene tablete
NAME OF THE MEDICINAL PRODUCT Invokana 100 mg tablets Invokana 300 mg tablets canagliflozin
NAZIV LIJEKA Invokana 100 mg tablete Invokana 300 mg tablete kanagliflozin
Latvija Janssen-Cilag Polska Sp. z o.o.
Latvija Janssen-Cilag Polska Sp. z o.o. filiāle Latvijā
• Invokana 100 mg film-coated tablets (tablets) are yellow, capsule-shaped, 11 mm long, with
Kako Invokana izgleda i sadržaj pakiranja - Invokana 100 mg filmom obložene tablete (tablete) su žute, oblikovane poput kapsule, dužine
Table 2: Efficacy results from placebo-controlled clinical studiesa
Tablica 2: Rezultati djelotvornosti iz placebo-kontroliranih kliničkih ispitivanjaa Monoterapija (26 tjedana) Kanagliflozin
Triple therapy with metformin and sulphonylurea (26 weeks) Canagliflozin + metformin and sulphonylurea
Trojna terapija s metforminom i sulfonilurejom (26 tjedana) Kanagliflozin + metformin i sulfonilureja
• bone fracture
Fraktura kostijue
The risk of diabetic ketoacidosis must be considered in the event of non-specific symptoms such as nausea, vomiting, anorexia, abdominal pain, excessive thirst, difficulty breathing, confusion, unusual fatigue or sleepiness.
U slučaju pojave nespecifičnih simptoma poput mučnine, povraćanja, anoreksije, boli u abdomenu,
Steady-state was reached after 4 days to 5 days of once-daily dosing with canagliflozin 100 mg to 300 mg. Canagliflozin does not exhibit time-dependent pharmacokinetics, and accumulated in plasma up to 36% following multiple doses of 100 mg and 300 mg.
Kanagliflozin ne pokazuje farmakokinetiku ovisnu o vremenu, te se akumulirao u plazmi do 36% nakon višekratnih doza od 100 mg i 300 mg.
Invokana 100 mg film-coated tablets Invokana 300 mg film-coated tablets canagliflozin
Invokana 100 mg filmom obložene tablete Invokana 300 mg filmom obložene tablete kanagliflozin
NAME OF THE MEDICINAL PRODUCT Invokana 300 mg film-coated tablets
NAZIV LIJEKA Invokana 300 mg filmom obložene tablete
In patients tolerating canagliflozin whose eGFR falls persistently below 60 mL/min/1.73 m2 or CrCl 60 mL/min, the dose of canagliflozin should be adjusted to or maintained at 100 mg once daily.
60 mL/min/1,73 m2 ili CrCl 60 mL/min, doza kanagliflozina mora se prilagoditi ili održavati na 100 mg jedanput dnevno.
NO-1325-Lysaker Tlf: +47 24 12 65 00
Janssen-Cilag AS Drammensveien 288 Postboks 144 NO-1325-Lysaker Tlf: +47 24 12 65 00
In other type 2 diabetes studies with canagliflozin, which enrolled a general diabetes population of approximately 5,800 patients, no difference in fracture risk was observed relative to control.
U drugim ispitivanjima dijabetesa tipa 2 s kanagliflozinom, koja su uključila opću populaciju s dijabetesom od oko
SK-821 08 Bratislava Tel: +421 232 408 400
SK-821 08 Bratislava
Reporting of side effects
Prijavljivanje nuspojave
Mean percent changes from baseline in creatinine were 2.8% and 4.0% for canagliflozin 100 mg and 300 mg, respectively, compared to 1.5% for placebo.
k Srednje vrijednosti postotka promjene kreatinina u odnosu na početnu bila je 2,8% i 4,0% za kanagliflozin od 100 mg odnosno 300 mg naspram 1,5% za placebo.
Patients with renal impairment For patients with an eGFR 60 mL/min/1.73 m2 to < 90 mL/min/1.73 m2 or CrCl 60 mL/min to
U bolesnika s eGFR 60 mL/min/1,73 m2 do < 90 mL/min/1,73 m2 ili s CrCl 60 mL/min do
In the clinical development programme, 1,085 patients with a baseline eGFR 30 mL/min/1.73 m2 to < 60 mL/min/1.73 m2 were evaluated.
1085 bolesnika s početnom vrijednosti eGFR 30 mL/min/1,73 m2 do < 60 mL/min/1,73 m2.
respectively, compared to 0.6% for placebo.
odnosno 4,3%) u usporedbi s 4,0% s placebom.