natgillin/translations-raw huggingface dataset:
EU/1/14/918/001 (50 mg/850 mg - 20 tablets) EU/1/14/918/002 (50 mg/850 mg - 60 tablets) EU/1/14/918/003 (50 mg/850 mg - 180 tablets) EU/1/14/918/004 (50 mg/1000 mg - 20 tablets) EU/1/14/918/005 (50 mg/1000 mg - 60 tablets) EU/1/14/918/006 (50 mg/1000 mg - 180 tablets) EU/1/14/918/007 (150 mg/850 mg - 20 tablets) EU/1/14/918/008 (150 mg/850 mg - 60 tablets) EU/1/14/918/009 (150 mg/850 mg - 180 tablets) EU/1/14/918/010 (150 mg/1000 mg - 20 tablets) EU/1/14/918/011 (150 mg/1000 mg - 60 tablets) EU/1/14/918/012 (150 mg/1000 mg - 180 tablets)
EU/1/14/918/001 (50 mg/850 mg - 20 tableta) EU/1/14/918/002 (50 mg/850 mg - 60 tableta) EU/1/14/918/003 (50 mg/850 mg - 180 tableta) EU/1/14/918/004 (50 mg/1000 mg - 20 tableta) EU/1/14/918/005 (50 mg/1000 mg - 60 tableta) EU/1/14/918/006 (50 mg/1000 mg - 180 tableta) EU/1/14/918/007 (150 mg/850 mg - 20 tableta) EU/1/14/918/008 (150 mg/850 mg - 60 tableta) EU/1/14/918/009 (150 mg/850 mg - 180 tableta) EU/1/14/918/010 (150 mg/1000 mg - 20 tableta) EU/1/14/918/011 (150 mg/1000 mg - 60 tableta) EU/1/14/918/012 (150 mg/1000 mg - 180 tableta)
Compared to sitagliptin as triple therapy with metformin and sulphonylurea (52 weeks) Canagliflozin 300 mg + metformin and sulphonylurea (N = 377)
N/Pc Usporedba s sitagliptinom kao trojnom terapijom s metforminom i sulfonilurejom (52 tjedna) Kanagliflozin 300 mg + metformin i sulfonilureja (N = 377)
g Vulvovaginal candidiasis includes the terms vulvovaginal candidiasis, vulvovaginal mycotic infection, vulvovaginitis, vaginal infection, vulvitis, and genital infection fungal.
vulvovaginitis, vaginalna infekcija, vulvitis i genitalna gljivična infekcija.
Vokanamet has no or negligible influence on the ability to drive, cycle, and use tools or machines.
Vokanamet ne utječe ili zanemarivo utječe na sposobnost upravljanja vozilima, biciklom i upotrebe alata ili strojeva.
e 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.
Patients with a baseline GFR 45 mL/min to < 60 mL/min treated with canagliflozin 100 mg and 300 mg exhibited mean improvements in percent change in body weight relative to placebo of -1.8% and -2.0%, respectively.
Bolesnici s početnom vrijednošću GFR 45 ml/min do < 60 ml/min liječeni kanagliflozinom od 100 mg i 300 mg pokazala su srednju vrijednost poboljšanja u postotku promjene tjelesne težine u odnosu na placebo od -1,8% odnosno -2,0%.
Bioequivalence studies in healthy subjects demonstrated that Vokanamet 50 mg/850 mg, 50 mg/1000 mg, 150 mg/850 mg, and 150 mg/1000 mg combination tablets are bioequivalent to co-administration of corresponding doses of canagliflozin and metformin as individual tablets.
Ispitivanja bioekvivalencije u zdravih ispitanika pokazala su da su tablete lijeka Vokanamet od 50 mg/850 mg, 50 mg/1000 mg, 150 mg/850 mg i 150 mg/1000 mg bioekvivalentne istovremenoj primjeni odgovarajućih doza kanagliflozina i metformina u pojedinačnim tabletama.
Drug/laboratory test interference
Interferencija s lijekovima/laboratorijskim pretragama 1,5-AG testovi
150 mg twice daily (N = 93)
150 mg dva puta na dan (N = 93)
Intravascular administration of iodinated contrast agents may lead to contrast induced nephropathy, resulting in metformin accumulation and an increased risk of lactic acidosis.
Primjena jodiranih kontrastnih sredstava Intravaskularna primjena jodiranih kontrastnih sredstava može dovesti do nefropatije izazvane kontrastom, što dovodi do nakupljanja metformina i povećanja rizika od laktacidoze.
Canagliflozin was compared to glimepiride as dual therapy with metformin and compared to sitagliptin as triple therapy with metformin and a sulphonylurea (table 5).
Kanagliflozin je bio uspoređen s glimepiridom kao dvojnom terapijom s metforminom i sa sitagliptinom kao trojnom terapijom s metforminom i sulfonilurejom (tablica 5).
60 film-coated tablets.
60 filmom obloženih tableta.
Canagliflozin 100 mg once daily 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.
100 mg jedanput na dan 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.
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 kanagliflozin, kao hidroksilirani odnosno O-glukuronidni metabolit.
For patients who are tolerating a Vokanamet dose containing canagliflozin 50 mg who need tighter glycemic control, the dose can be increased to Vokanamet containing 150 mg canagliflozin twice daily (see below and section 4.4).
Za bolesnike koji podnose dozu lijeka Vokanamet koji sadrži 50 mg kanagliflozina i koji trebaju bolju kontrolu glikemije, doza se može povisiti na Vokanamet koji sadrži 150 mg kanagliflozina dva puta na dan (vidjeti niže i u dijelu 4.4).
For patients with a baseline GFR 30 mL/min to < 60 mL/min or CrCl 30 to < 60 mL/min, the incidences were 4.8% on canagliflozin 100 mg once daily and 8.1% on canagliflozin 300 mg once daily compared to 2.6% in the control group.
Za bolesnike s početnom vrijednosti GFR 30 ml/min do < 60 ml/min ili CrCl 30 do < 60 ml/min, incidencije su bile 4,8% uz kanagliflozin od 100 mg jedanput na dan i 8,1% uz kanagliflozin od 300 mg jedanput na dan u usporedbi s 2,6% u kontrolnoj skupini.
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.
bila su uočena povišenja AUC-a kanagliflozina od 26% u UGT1A9*1/*3 nositelja i 18% u
Canagliflozin should not be used.
Kanagliflozin se ne smije uzimati.
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.
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.
Patients (%) achieving HbA1c < 7% Body weight
Bolesnici (%) koji su postigli HbA1c Tjelesna težina
Effects of canagliflozin on other medicinal products Digoxin
Učinci kanagliflozina na druge lijekove
• in patients not adequately controlled on their maximally tolerated doses of metformin alone
• u bolesnika koji uz maksimalno podnošljive doze metformina u monoterapiji nemaju adekvatnu regulaciju
• a general feeling of not being well with severe tiredness
• grčevi u mišićima • opće loše osjećanje uz jaki umor
The study included 8 subjects with normal renal function (CrCl ≥ 80 mL/min), 8 subjects with mild renal impairment (CrCl 50 mL/min to < 80 mL/min), 8 subjects with moderate renal impairment (CrCl 30 mL/min to < 50 mL/min), and 8 subjects with severe renal impairment (CrCl < 30 mL/min) as well as 8 subjects with end-stage renal disease (ESRD) on haemodialysis.
Ispitivanje je uključilo 8 ispitanika s normalnom funkcijom bubrega (CrCl ≥ 80 ml/min), 8 ispitanika s blagim oštećenjem bubrega (CrCl 50 ml/min do
Candidal balanitis or balanoposthitis was reported in 4.2% and 3.7% of male patients treated with canagliflozin 100 mg once daily and canagliflozin 300 mg once daily, respectively, compared to 0.6% in placebo-treated male patients.
Balanitis ili balanopostitis uzrokovani kandidom bili su prijavljeni u 4,2% i 3,7% muških bolesnika liječenih kanagliflozinom od 100 mg jedanput dnevno odnosno kanagliflozinom od 300 mg jedanput dnevno, u usporedbi s 0,6% u muških bolesnika liječenih placebom.
• carbamazepine, phenytoin, or phenobarbital (medicines used to control seizures)
• karbamazepin, fenitoin ili fenobarbital (lijekovi koji se uzimaju za kontrolu napadaja) • efavirenz ili ritonavir (lijekovi koji se koriste za liječenje HIV infekcije)
In patients ≥ 75 years of age, the incidences were 4.9% on canagliflozin 100 mg once daily and 8.7% on canagliflozin 300 mg once daily 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 jedanput na dan i 8,7% uz kanagliflozin od 300 mg jedanput na dan u usporedbi s 2,6% u kontrolnoj skupini (vidjeti dijelove 4.2 i 4.4).
Vokanamet should be discontinued prior to, or at the time of the imaging procedure and not restarted until at least 48 hours after, provided that renal function has been re-evaluated and found to be stable (see sections 4.2 and 4.5).
Vokanamet treba prekinuti prije ili u vrijeme pretrage metodom oslikavanja i s njegovom primjenom smije se ponovno započeti tek 48 sati poslije, pod uvjetom da je funkcija bubrega bila ponovno procijenjena i da je potvrđeno da je stabilna, vidjeti dijelove 4.2 i 4.5.
No effects of canagliflozin or metformin on fertility were observed in animal studies (see section 5.3).
U ispitivanjima na životinjama nije zamijećeno djelovanje kanagliflozina ili metformina na plodnost (vidjeti dio 5.3).
How to store Vokanamet
Kako čuvati Vokanamet
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 once daily, canagliflozin 300 mg once daily, 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 jedanput dnevno, kanagliflozinom od 300 mg jedanput dnevno, odnosno placebom (vidjeti dijelove 4.2 i 4.5).
Care should be taken when increasing the dose of Vokanamet containing 50 mg of canagliflozin to 150 mg of canagliflozin in patients ≥ 75 years of age, patients with known cardiovascular disease, or other patients for whom the initial canagliflozin-induced diuresis poses a risk (see section 4.4).
150 mg kanagliflozina u bolesnika starosti ≥ 75 godina, u bolesnika s poznatom kardiovaskularnom bolešću ili u drugih bolesnika za koje početna kanagliflozinom izazvana diureza predstavlja rizik (vidjeti dio 4.4).
These symptoms could be a sign of “diabetic ketoacidosis” - a rare but serious, sometimes life-threatening problem you can get with diabetes because of increased levels of “ketone bodies” in your urine or blood, seen in tests.
rijetkog ali ozbiljnog, ponekad i po život opasnog koji se može javiti uz šećernu bolest zbogpovišenih razina „ketonskih tijela“ u mokraći ili krvi, što je vidljivo u nalazima pretraga.
Rare cases of diabetic ketoacidosis (DKA), including life-threatening and fatal cases, have been reported in patients treated with SGLT2 inhibitors, including canagliflozin.
U bolesnika liječenih SGLT2 inhibitorima, uključujući kanagliflozin, prijavljeni su rijetki slučajevi dijabetičke ketoacidoze (DKA), uključujući slučajeve opasne po život i slučajeve sa smrtnim ishodom.
Vokanamet should not be used during breast-feeding.
Vokanamet se ne smije primjenjivati tijekom dojenja.
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.
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 iz beta-stanica na mješoviti obrok kao poticaj.
Increases in urinary glucose excretion with canagliflozin can falsely lower 1,5-anhydroglucitol (1,5-AG) levels and make measurements of 1,5-AG unreliable in assessing glycemic control.
Povišenja ekskrecije glukoze urinom uz kanagliflozin mogu lažno sniziti razine 1,5-anhidroglucitola
CANAGLIFLOZIN
KANAGLIFLOZIN
This can lead to serious medical conditions such as heart disease, kidney disease, blindness, and amputation.
To može dovesti do ozbiljnih zdravstvenih stanja kao što su bolesti srca,
Hypoglycaemia in add-on therapy with insulin or insulin secretagogues 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 once daily, canagliflozin 300 mg once daily, and placebo, respectively, and severe hypoglycaemia occurred in 1.8%, 2.7%, and 2.5% of patients treated with canagliflozin 100 mg once daily, canagliflozin 300 mg once daily, 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 jedanput na dan, kanagliflozinom od 300 mg jedanput na dan odnosno placebom, a teška hipoglikemija javila se u 1,8%; 2,7% i 2,5% bolesnika liječenih kanagliflozinom od 100 mg jedanput dnevno, kanagliflozinom od 300 mg odnosno placebom.
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 once daily, respectively.
Bolesnici s početnom vrijednosti HbA1c > 10% do ≤ 12% Podispitivanje bolesnika s početnim vrijednostima 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, jedanput na dan.
EU/1/14/918/012 (180 tablets)
EU/1/14/918/008 (60 tableta) EU/1/14/918/009 (180 tableta)
Regular assessment of renal function is necessary to aid in prevention of metformin-associated lactic acidosis,
Nužna je redovita kontrola bubrežne funkcije kao pomoć u prevenciji laktacidoze povezane s metforminom, naročito u starijih bolesnika.
Canagliflozin has not been studied in severe renal impairment.
Kanagliflozin nije bio ispitan kod teškog oštećenja bubrega.
Nervous system disorders Common
Poremećaji živčanog sustava često
In patients with evidence of volume depletion, correcting this condition prior to initiation of Vokanamet 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).
Therefore, Vokanamet must be discontinued prior to, or at the time of the imaging procedure and not restarted until at least 48 hours after, provided that renal function has been re-evaluated and found to be stable (see sections 4.2 and 4.4).
Stoga se primjena lijeka Vokanamet mora prekinuti prije ili u vrijeme pretrage metodom oslikavanja i s njegovom primjenom smije se ponovno započeti tek 48 sati poslije, pod uvjetom da je funkcija bubrega bila ponovno procijenjena i da je potvrđeno da je stabilna, vidjeti dijelove 4.2 i 4.4.
Difference from placebo (adjusted mean) (97.5% CI)
(prilagođena srednja vrijednost) (97,5%
If this happens, you must stop taking Vokanamet and contact a doctor or the nearest hospital immediately, as lactic acidosis may lead to coma.
Vokanamet i odmah se obratiti liječniku ili otići u najbližu bolnicu, jer laktacidoza može dovesti do kome.
Canagliflozin-induced renal tubule tumours and pheochromocytomas in rats appear to be caused by carbohydrate malabsorption as a consequence of intestinal SGLT1 inhibitory activity of canagliflozin in the gut of rats; mechanistic clinical studies have not demonstrated carbohydrate malabsorption in humans at canagliflozin doses of up to 2-times the maximum recommended clinical dose.
Čini se da su tumori bubrežnih tubula i feokromocitomi uzrokovani kanagliflozinom u štakora uzrokovani malapsorpcijom ugljikohidrata kao posljedicom inhibitornog djelovanja kanagliflozina na crijevni SGLT1 u crijevima štakora;
• very common: feeling sick (nausea), being sick (vomiting), diarrhoea, stomach ache, and loss of appetite
• vrlo često: mučnina, povraćanje, proljev, bol u trbuhu i gubitak teka • često: metalni okus (poremećaj okusa)
However, patients should be alerted to the risk of hypoglycaemia when Vokanamet 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, kada se Vokanamet uzima kao dodatna terapija uz inzulin ili inzulinski sekretagog, bolesnike se mora 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).
Therefore, close monitoring of glycaemic control, dose adjustment within the recommended posology and changes in diabetic treatment should be considered when cationic medicinal products that are eliminated by renal tubular secretion are co-administered (see sections 4.4 and 5.1).
Stoga, kada se istodobno primjenjuju kationski lijekovi koji se eliminiraju bubrežnom tubularnom sekrecijom, u obzir se mora uzeti strogi nadzor kontrole glikemije, prilagodba doze unutar preporučenog doziranja i promjene u liječenju dijabetesa (vidjeti dijelove 4.4 i 5.1).
To assess risk factors for these adverse reactions, a larger pooled analysis (N = 9,439) of patients from eight controlled phase 3 studies including both doses of canagliflozin was conducted.
(N = 9439) bolesnika iz osam kontroliranih ispitivanja faze 3 uključujući obje doze kanagliflozina.
(18 weeks) Canagliflozin + insulin
Dodatna terapija s inzulinomd (18 tjedana) Kanagliflozin + inzulin
In patients susceptible to greater reductions in intravascular volume as described above, larger decreases in GFR (> 30%) were sometimes seen, which subsequently improved, and infrequently required interruption of treatment with canagliflozin (see section 4.8).
GFR (> 30%), uz naknadna poboljšanja, koja su manje često zahtijevala prekid liječenja kanagliflozinom (vidjeti dio 4.8).
Vokanamet 150 mg/1000 mg film-coated tablets Macrogol (3350)
Vokanamet 150 mg/1000 mg filmom obložene tablete makrogol (3350)
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.
kad se dabigatran kombinira s kanagliflozinom mora se provoditi praćenje (traženje znakova krvarenja ili anemije).
In patients ≥ 75 years of age, a higher incidence of adverse reactions associated with volume depletion (e.g., postural dizziness, orthostatic hypotension, hypotension) was reported with canagliflozin therapy.
U bolesnika starosti ≥ 75 godina, uz terapiju kanagliflozinom prijavljena je veća incidencija nuspojava povezanih s deplecijom volumena (npr. posturalna omaglica, ortostatska hipotenzija, hipotenzija).
The intravascular administration of iodinated contrast agents in radiological studies may lead to renal failure, resulting in metformin accumulation and a risk of lactic acidosis.
Jodirana kontrastna sredstva Intravaskularna primjena kontrastnih sredstava na bazi joda u radiološkim pretragama može uzrokovati zatajenje bubrega, rezultirajući nakupljanjem metformina i rizikom za laktacidozu.
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 once daily and -1.9 mmol/L to -2.4 mmol/L for canagliflozin 300 mg once daily, respectively.
U četiri placebom-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 jedanput na dan odnosno -1,9 mmol/L do -2,4 mmol/L za kanagliflozin od
Using a mixed-meal challenge, canagliflozin as monotherapy or add-on therapy with one or two oral glucose-lowering medicinal products reduced postprandial glucose from baseline relative to placebo by -1.5 mmol/L to -2.7 mmol/L for canagliflozin 100 mg once daily and -2.1 mmol/L to -3.5 mmol/L for canagliflozin 300 mg once daily, respectively, due to reductions in the pre-meal glucose concentration and reduced postprandial glucose excursions.
Postprandijalna glukoza Uz mještoviti obrok kao poticaj, kanagliflozin kao monoterapija ili dodatna terapija s jednim ili dva oralna lijeka koji snižavaju glukozu, je smanjio 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 jedanput na dan odnosno -2,1 mmol/L do -3,5 mmol/L za kanagliflozin od 300 mg jedanput na dan, zbog smanjenja koncentracija glukoze prije jela i smanjena ekskurzije postprandijalne glukoze.
Microcrystalline cellulose Hypromellose Croscarmellose sodium Magnesium stearate
Jezgra tablete celuloza, mikrokristalična hipromeloza karmelozanatrij, umrežena magnezijev stearat
Therefore, the canagliflozin dose should be limited to 100 mg daily in patients with GFR < 60 mL/min and canagliflozin should not be used in patients with moderate or severe renal impairment (GFR persistently < 45 mL/min , see section 4.2).
Stoga, je dozu kanagliflozina potrebno ograničiti na 100 mg dnevno u bolesnika s GFR < 60 ml/min i kanagliflozin se ne smije uzimati u bolesnika s umjerenim ili teškim oštećenjem bubrežne funkcije
Dose titration with canagliflozin (added to the optimal dose of metformin) should be considered before the patient is switched to Vokanamet.
Prije nego se bolesnik prebaci na Vokanamet, treba se razmotriti titracija doze s kanagliflozinom (koja je dodana uz optimalnu dozu metformina).
Dehydration (uncommon, may affect up to 1 in 100 people)
Dijabetička ketoacidoza (rijetko, može se javiti u do 1 na 1000 osoba)
For patients on loop diuretics, the incidences were 3.2% on canagliflozin 100 mg once daily and 8.8% on canagliflozin 300 mg once daily compared to 4.7% in the control group.
Za bolesnike na diureticima Henleove petlje, incidencije su bile 3,2% uz kanagliflozin od 100 mg jedanput na dan i 8,8% uz kanagliflozin od 300 mg jedanput na dan u usporedbi s 4,7% u kontrolnoj skupini.
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),
• a significant reduction of the absolute risk of overall mortality: metformin 13.5 events/1,000 patient-years versus diet alone 20.6 events/1,000 patient-years, (p = 0.011), and versus the combined sulphonylurea and insulin monotherapy groups 18.9 events/1,000 patient-years (p = 0.021)
/1,000 bolesnik-godini u odnosu na samu dijetu 20,6 događaja/1000 bolesnik-godini, (p = 0,011), i naspram skupina s kombinacijom sulfonilureje i s inzulinom u monoterapiji 18,9 događaja/1000 bolesnik-godini (p = 0,021)
Canagliflozin is not recommended for use in patients receiving loop diuretics.
Uzimanje kanagliflozina se ne preporučuje u bolesnika koji uzimaju diuretike Henleove petlje.