natgillin/translations-raw huggingface dataset:
A total of 10,501 patients with type 2 diabetes participated in ten double-blind, controlled clinical efficacy and safety studies conducted to evaluate the effects of Invokana on glycaemic control.
Ukupno 10 501 bolesnik s dijabetesom tipa 2 sudjelovao je u deset dvostruko slijepih, kontroliranih ispitivanja kliničke djelotvornosti i sigurnosti koje su provedene radi procjene djelotvornosti lijeka Invokana na regulaciju glikemije.
Invokana contains the active substance canagliflozin which belongs to a group of medicines called “blood-glucose lowering drugs.”
Invokana sadrži djelatnu tvar kanagliflozin koja pripada skupini lijekova koji se nazivaju „lijekovi za snižavanje šećera u krvi.“
• blood tests may show changes related to kidney function (increased creatinine or urea) or increased potassium
• krvne pretrage mogu pokazati promjene povezane s bubrežnom funkcijom (povišen kreatinin ili urea) ili povišenim kalijem
Invokana is used in adults to treat type 2 diabetes.
Lijek Invokana uzimaju odrasli za liječenje šećerne bolesti tipa 2.
In a number of cases, the presentation of the condition was atypical with only moderately increased blood glucose values, below 14 mmol/l (250 mg/dL).
U brojnim slučajevima stanje se očitovalo atipično, uz samo umjereno povišene vrijednosti glukoze u krvi, ispod 14 mmol/l (250 mg/dl).
To assess risk factors for these adverse reactions, a larger pooled analysis (N = 12,441) of patients from 13 controlled phase 3 and phase 4 studies including both doses of canagliflozin was conducted.
U svrhu procjene faktora rizika za te nuspojave, provedena je veća analiza objedinjenih podataka (N = 12 441) bolesnika iz 13 kontroliranih ispitivanja faze 3 i faze 4, uključujući obje doze kanagliflozina.
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.
Ovi simptomi mogu biti znak „dijabetičke ketoacidoze“ - rijetkog ali ozbiljnog, ponekad i po život opasnog problema koji se može javiti uz šećernu bolest zbog povišenih razina „ketonskih tijela“ u mokraći ili krvi, što je vidljivo u nalazima pretraga.
In a pooled analysis of 13 placebo-controlled and active-controlled studies, the safety profile of canagliflozin in elderly patients was generally consistent with younger patients.
Analizom objedinjenih podataka iz 13 placebom kontroliranih i aktivno kontroliranih ispitivanja, sigurnosni profil kanagliflozina u starijih bolesnika općenito je u skladu s onim u mlađih bolesnika.
• a sweet smell to your breath, a sweet or metallic taste in your mouth or a different odour to your urine or sweat.
• zadah slatkog mirisa, slatki ili metalni okus u ustima ili drugačiji miris mokraće ili znoja.
If Fournier's gangrene is suspected, Invokana should be discontinued and prompt treatment (including antibiotics and surgical debridement) should be instituted.
Ako se sumnja na Fournierovu gangrenu, potrebno je prekinuti uzimanje lijeka X te hitno započeti s liječenjem (uključujući antibiotike i kirurški debridman).
Warnings and precautions Talk to your doctor, pharmacist or nurse before taking Invokana, and during treatment:
Obratite se svom liječniku, ljekarniku ili medicinskoj sestri prije nego uzmete lijek Invokana, te tijekom liječenja:
See the package leaflet for further information.
Vidjeti uputu o lijeku za dodatne informacije.
In addition, in such patients more events of elevated potassium and greater increases in serum creatinine and blood urea nitrogen (BUN) were reported (see section 4.8).
Dodatno, u takvih bolesnika prijavljeno je više događaja povišenog kalija i veće povišenje serumskog kreatinina i ureje u krvi (BUN) (vidjeti dio 4.8).
• excessive thirst
• prekomjerna žeđ
“CFZ” on one side and “100” on the other side.
11 mm, s „CFZ“ na jednoj strani i „100“ na drugoj strani.
• lower limb amputations (mainly of the toe) especially if you are at high risk of heart disease.
• amputacije donjih udova (većinom nožnog prsta) naročito ako imate visoki rizik za bolesti srca
Pharmacotherapeutic group: Drugs used in diabetes, blood glucose lowering drugs, excluding insulins.
Farmakoterapijska skupina: Lijekovi za liječenje dijabetesa, lijekovi za sniženje glukoze u krvi, isključujući inzuline.
If you stop taking Invokana
Ako prestanete uzimati lijek Invokana
Taking this medicine • Swallow the tablet whole with water.
• Progutajte tabletu cijelu s vodom.
The mean steady-state volume of distribution of canagliflozin following a single intravenous infusion in healthy subjects was 83.5 litres, suggesting extensive tissue distribution.
Srednja vrijednost volumena distribucije kanagliflozina u stanju dinamičke ravnoteže nakon jedne intravenske infuzije u zdravih ispitanika bila je 83,5 litara, što ukazuje na opsežnu distribuciju u tkiva.
The marketing authorization holder (MAH) shall perform the required pharmacovigilance activities and interventions detailed in the agreed RMP presented in Module 1.8.2 of the marketing authorisation and any agreed subsequent updates of the RMP.
Nositelj odobrenja obavljat će zadane farmakovigilancijske aktivnosti i intervencije, detaljno objašnjene u dogovorenom Planu upravljanja rizikom (RMP), a koji se nalazi u Modulu 1.8.2
N = 4344
Placebo N = 4344
A subset of patients (N = 208) from the active-controlled dual therapy study with metformin who underwent dual energy X-ray densitometry (DXA) and abdominal computed tomography (CT) scans for evaluation of body composition demonstrated that approximately two-thirds of the weight loss with canagliflozin was due to loss of fat mass with similar amounts of visceral and abdominal subcutaneous fat being lost.
Podskup bolesnika (N = 208) iz dvojne terapije ispitivanja s aktivnim usporednim lijekom s metforminom u kojem su bili podvrgnuti denzitometriji X-zrakama dualne energije (DXA) i kompjuteriziranoj tomografiji (CT) abdomena za procjenu sastava tijela, pokazao je da se oko dvije trećine gubitka težine s kanagliflozinom dogodio zbog gubitka mase masnoće uz sličan gubitak visceralne i abdominalne supkutane masnoće.
Table 4: Efficacy results from active-controlled clinical studies Compared to glimepiride as dual therapy with metformin (52 weeks) Canagliflozin + metformin Glimepiride (titrated) + metformin (N = 482)
Tablica 4: Rezultati djelotvornosti iz aktivno-kontroliranih ispitivanja Usporedba s glimepiridom kao dvojnom terapijom s metforminom (52 tjedna) Kanagliflozin + metformin Glimepiride (titrirani) + metformin (N = 482)
The safety and efficacy of canagliflozin in patients with type 1 diabetes have not been established and canagliflozin should not be used for treatment of patients with type 1 diabetes.
Sigurnost i djelotvornost kanagliflozina u bolesnika s dijabetesom tipa 1 nisu ustanovljene te se kanagliflozin ne smije primjenjivati u liječenju bolesnika s dijabetesom tipa 1.
Due to volume depletion, generally small mean decreases in eGFR were seen within the first 6 weeks of treatment initiation with canagliflozin.
Zbog deplecije volumena, obično je primijećeno malo smanjenje srednje vrijednosti eGFR tijekom prvih 6 tjedana nakon početka liječenja kanagliflozinom.
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 CVrizikom) općenito su u skladu s nuspojavama identificiranima u ovoj tablici.
In the dedicated cardiovascular study and the larger pooled analysis, discontinuations due to adverse reactions related to volume depletion and serious adverse reactions related to volume depletion were not increased with canagliflozin.
U ciljanom kardiovaskularnom ispitivanju i većoj analizi objedinjenih podataka, prekidi liječenja zbog nuspojava povezanih s deplecijom volumena i zbog ozbiljnih nuspojava povezanih s deplecijom volumena, nisu porasli uz kanagliflozin.
Canagliflozin 100 mg titrated to 300 mg p < 0.01 compared to placebo
Kanagliflozin 100 mg titriran do 300 mg p < 0,01 u usporedbi s placebom
90.7% of subjects in the canagliflozin group uptitrated to 300 mg
90,7% ispitanika u skupini s kanagliflozinom titrirano je na 300 mg
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, primijećena su o dozi ovisna smanjenja RTG i povišenja UGE.
Following co-administration of canagliflozin with rifampicin (an inducer of various active transporters and medicinal product-metabolising enzymes), 51% and 28% decreases in canagliflozin systemic exposure (AUC) and peak concentration (Cmax) were observed.
Nakon istovremene primjene kanagliflozina s rifampicinom (induktor različitih aktivnih transportera i enzima koji metaboliziraju lijekove), primijećeno je smanjenje sistemske izloženosti kanagliflozinu (AUC) i vršne koncentracije (Cmax) od 51% i 28%.
, Blood phosphate increased
, povišeni fosfati u krvi
The primary assessment of safety and tolerability was conducted in a pooled analysis (n = 2,313) of four 26-week placebo-controlled clinical studies (monotherapy and add-on therapy with metformin, metformin and a sulphonylurea, and metformin and pioglitazone).
Primarna procjena sigurnosti i podnošljivosti provedena analizom objedinjenih podataka (n = 2313) iz četiri 26-tjedna placebo kontrolirana klinička ispitivanja (monoterapija i dodatna terapija s metforminom, metforminom i sulfonilurejom, i metforminom i pioglitazonom).
• other antidiabetics - either insulin or a sulphonylurea (such as glimepiride or glipizide) - your doctor may want to reduce your dose in order to avoid your blood sugar level from getting too low (hypoglycaemia)
• druge antidijabetike - ili inzulin ili sulfonilureju (poput glimepirida ili glipizida) - liječnik će Vam možda htjeti sniziti dozu, kako bi se izbjeglo da Vaša razina šećera u krvi ne postane preniska (hipoglikemija)
• if you have signs of a genital yeast infection such as irritation, itching, unusual discharge or odour.
• ako imate znakove gljivične spolne infekcije poput iritacije, svrbeži, neuobičajenog iscjetka ili neugodnog mirisa.
Do not use this medicine after the expiry date which is stated on the blister and carton after EXP.
Ovaj lijek se ne smije upotrijebiti nakon isteka roka valjanosti navedenog na blisteru i kutiji iza oznake „EXP“ / „Rok valjanosti“.
Due to its mechanism of action, patients taking canagliflozin will test positive for glucose in their urine.
Zbog mehanizma djelovanja, bolesnici koji uzimaju kanagliflozin imat će pozitivan nalaz glukoze u mokraći.
Table 5: Results from 26-Week Active-Controlled Clinical Study of Canagliflozin as Initial Combination Therapy with Metformin
Tablica 5: Rezultati iz 26-tjednog aktivno kontroliranog kliničkog ispitivanja s kanagliflozinom kao inicijalnom kombiniranom terapijom s metforminom*
Table 2: Integrated Analysis of Amputations in CANVAS AND CANVAS-R Placebo
Tablica 2: Analiza objedinjenih podataka o amputacijama iz ispitivanja CANVAS i CANVAS-R
Blood creatinine increased b,o
Povišen kreatinin u krvi b,o
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 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 < 80 ml/min), 8 ispitanika s umjerenim oštećenjem bubrega (CrCl 30 ml/min do < 50 ml/min), 8 ispitanika s teškim oštećenjem bubrega (CrCl < 30 ml /min), kao i 8 ispitanika u završnom stadiju bubrežne bolesti.
10 x 1 film-coated tablets 30 x 1 film-coated tablets 90 x 1 film-coated tablets 100 x 1 film-coated tablets
Filmom obložena tableta. 10 x 1 filmom obložena tableta 30 x 1 filmom obložena tableta 90 x 1 filmom obložena tableta 100 x 1 filmom obložena tableta
Consistent with the expected increase of hypoglycaemia when a medicinal product not associated with hypoglycaemia is added to insulin and/or sulphonylurea, an increase in hypoglycaemia episodes/events was seen when canagliflozin was added to insulin and/or a sulphonylurea (see section 4.8).
U skladu s očekivanim porastom hipoglikemije kad se lijek koji nije povezan s hipoglikemijom dodaje inzulinu i/ili sulfonilureji, zabilježen je porast epizoda/događaja hipoglikemije kad je kanagliflozin dodan inzulinu i/ili sulfonilureji (vidjeti dio 4.8).
Single doses up to 1,600 mg of canagliflozin in healthy subjects and canagliflozin 300 mg twice daily for 12 weeks in patients with type 2 diabetes were generally well-tolerated.
Pojedinačne doze do 1600 mg kanagliflozina u zdravih ispitanika i kanagliflozina od 300 mg dva puta na dan, tijekom 12 tjedana u bolesnika s dijabetesom tipa 2, općenito su bile dobro podnošene.
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 s teškim oštećenjem bubrega (vidjeti dio 4.2).
Lactose.
Laktoza.
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.
Od početne vrijednosti RTG oko 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.
In in vitro studies, canagliflozin neither inhibited cytochrome P450 CYP1A2, CYP2A6, CYP2C19, CYP2D6, or CYP2E1, CYP2B6, CYP2C8, CYP2C9, nor induced CYP1A2, CYP2C19, CYP2B6, CYP3A4 at higher than therapeutic concentrations.
U in vitro ispitivanjima, pri koncentracijama višim od terapijskih, kanagliflozin niti je inhibirao citokrome P450 CYP1A2,CYP2A6, CYP2C19, CYP2D6, ili CYP2E1, CYP2B6, CYP2C8, CYP2C9,
Table 3: Efficacy results from placebo-controlled clinical studies Monotherapy (26 weeks) Canagliflozin
Tablica 3: Rezultati djelotvornosti iz placebom kontroliranih kliničkih ispitivanja Monoterapija (26 tjedana) Kanagliflozin
Balanitis or balanoposthitis includes the terms balanitis, balanoposthitis, balanitis candida, and genital infection fungal.
Balanitis ili balanopostitis uključuju termine balanitis, balanopostitis, kandidni balanitis i genitalna gljivična infekcija.
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 objedinjenih kliničkih podataka, bila u uočena povišenja kanagliflozin AUC-a od 26% u UGT1A9*1/*3 nositelja i u 18% UGT2B4*2/*2 nositelja.
In three studies conducted in special populations (older patients, patients with an eGFR of 30 mL/min/1.73 m2 to < 50 mL/min/1.73 m2 and patients with or at high risk for cardiovascular disease), canagliflozin was added to patients' current stable diabetes treatments (diet, monotherapy, or combination therapy).
U tri ispitivanja koja su provedena s posebnim populacijama (stariji bolesnici, bolesnici s eGFR od 30 ml/min/1,73 m2 do < 50 ml/min/1,73 m2 i bolesnici s kardiovaskularnom bolešću ili s visokim rizikom za kardiovaskularne bolesti), kanagliflozin je dodan trenutnom stabilnom liječenju dijabetesa kod bolesnika (dijeta, monoterapija ili kombinirano liječenje).
The tablet is yellow, capsule-shaped, approximately 11 mm in length, immediate-release and film-coated, with “CFZ” on one side and “100” on the other side.
Tableta je žute boje, oblika kapsule, duljine približno 11 mm, s trenutnim oslobađanjem i filmom obložena, s „CFZ“ na jednoj strani i „100“ na drugoj strani.
Your doctor may prescribe Invokana together with another glucose-lowering medicine.
Liječnik Vam može propisati lijek Invokana zajedno s drugim lijekovom koji snižavaju šećer u krvi.
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 (hipoglikemija).
Furthermore, canagliflozin was studied as triple therapy with metformin and sitagliptin and dosed with a titration regimen, using a starting dose of 100 mg and titrated to 300 mg as early as week 6 in patients requiring additional glycaemic control who had appropriate eGFR and were tolerating canagliflozin 100 mg (table 3).
Nadalje, kanagliflozin je ispitivan kao trojna terapija s metforminom i sitagliptinom i doziran je u režimu titriranja, uz korištenje početne doze od 100 mg i titraciju do 300 mg već u 6. tjednu u bolesnika kojima je potrebna dodatna kontrola glikemije, koji imaju prikladan eGFR i koji su podnosili kanagliflozin od 100 mg (tablica 3).
The tablet is white, capsule-shaped, approximately 17 mm in length, immediate-release and film-coated, with “CFZ” on one side and “300” on the other side.
Tableta je bijele boje, oblika kapsule, duljine približno 17 mm, s trenutnim oslobađanjem i filmom obložena, s „CFZ“ na jednoj strani i „300“ na drugoj strani.
Polyvinyl chloride/Aluminum (PVC/Alu) perforated unit dose blister.
Polivinilklorid/aluminij (PVC/Al) perforirani blister s jediničnim dozama.
C]canagliflozin dose to healthy subjects, 41.5%, 7.0%, and 3.2% of the administered radioactive dose was recovered in faeces as canagliflozin, a hydroxylated metabolite, and an O-glucuronide metabolite, respectively.
C]kanagliflozina u zdravih ispitanika, 41,5%; 7,0% i 3,2% primijenjene radioaktivne doze se ponovno našlo u stolici, kao hidroksilirani odnosno O-glukuronidni metabolit.
• rash or red skin - this may be itchy and include raised bumps, oozing fluid or blisters
• osip ili crvena koža - koji može biti praćen svrbežom i imati izbočine, curenjem tekućine ili mjehurićima.
* Toe and midfoot † Ankle, below knee and above knee
* Nožni prst i srednji dio stopala † Gležanj, potkoljenica i natkoljenica
EU/1/13/884/001 (100 mg - 10x1 film-coated tablets) EU/1/13/884/002 (100 mg - 30x1 film-coated tablets) EU/1/13/884/003 (100 mg - 90x1 film-coated tablets) EU/1/13/884/004 (100 mg - 100x1 film-coated tablets) EU/1/13/884/005 (300 mg - 10x1 film-coated tablets) EU/1/13/884/006 (300 mg - 30x1 film-coated tablets) EU/1/13/884/007 (300 mg - 90x1 film-coated tablets) EU/1/13/884/008 (300 mg - 100x1 film-coated tablets)
EU/1/13/884/001 (100 mg - 10x1 filmom obloženih tableta) EU/1/13/884/002 (100 mg - 30x1 filmom obloženih tableta) EU/1/13/884/003 (100 mg - 90x1 filmom obloženih tableta) EU/1/13/884/004 (100 mg - 100x1 filmom obloženih tableta) EU/1/13/884/005 (300 mg - 10x1 filmom obloženih tableta) EU/1/13/884/006 (300 mg - 30x1 filmom obloženih tableta) EU/1/13/884/007 (300 mg - 90x1 filmom obloženih tableta) EU/1/13/884/008 (300 mg - 100x1 filmom obloženih tableta)
Urinary tract infections were more frequently reported for canagliflozin 100 mg and 300 mg (5.9% versus 4.3%, respectively) compared to 4.0% with placebo.
Infekcije mokraćnog sustava bile su češće prijavljene za kanagliflozin od 100 mg i 300 mg (5,9% odnosno 4,3%) u usporedbi s 4,0% s placebom.
Adverse reactions in table 1 are based on the pooled analysis of the placebo- and active-controlled studies described above.
Nuspojave u tablici 1 temelje se na analizi objedinjenih podataka iz gore opisanih placebom i aktivnim lijekom kontroliranih ispitivanja.
Interaction studies suggest that the pharmacokinetics of canagliflozin are not altered by metformin, hydrochlorothiazide, oral contraceptives (ethinyl estradiol and levonorgestrol), ciclosporin, and/or probenecid.
Ispitivanja interakcija pokazuju da metformin ne mijenja farmakokinetiku kanagliflozina, hidroklorotiazida, oralnih kontraceptiva (etinilestradiol i levonorgestrol), ciklosporina, i/ili probenecida.
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
Baseline renal function was normal or mildly impaired in 80% of patients and moderately impaired in 20% of patients (mean eGFR 77 mL/min/1.73 m2).
Na početku je ispitivanja bubrežna funkcija bila normalna ili blago oštećena u 80% bolesnika, a umjereno oštećena u njih 20% (srednja vrijednost eGFR: 77 ml/min/1,73 m2).
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.
Dyslipidemia m, Haematocrit increased b,n uncommon
Dislipidemija m, povišen hematrokrit b,n 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).
(medicines used to remove levels of excess water in the body, also known as water tablets) since this medicine can also lower your blood pressure by removing levels of excess water in the body.
• lijekove koji se koriste za smanjenje krvnog tlaka (antihipertenzivi), uključujući diuretike (lijekove koji se uzimaju za uklanjanje prekomjerne vode iz tijela, također poznate kao tablete za izlučivanje vode) budući da oni smanjuju krvni tlak na način da uklanjaju prekomjernu vodu iz tijela.
Consistent with the mechanism of sodium glucose co-transporter 2 (SGLT2) inhibition with increased UGE, vulvovaginal candidiasis in females and balanitis or balanoposthitis in males were reported in clinical studies with canagliflozin (see section 4.8).
Sukladno mehanizmu inhibicije kotransportera natrij glukoza 2 (SGLT2) s porastom UGE, u kliničkim ispitivanjima kanagliflozina prijavljena je vulvovaginalna kandidijaza u žena, a u muškaraca balanitis ili balanopostitis (vidjeti dio 4.8).
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).
In the CANVAS Program, for time to first adjudicated nephropathy event (doubling of serum creatinine, need for renal-replacement therapy, and renal death), the HR was 0.53 (95% CI: 0.33, 0.84) for canagliflozin (0.15 events per 100 patient-years) versus placebo (0.28 events per
U CANVAS programu, za vrijeme do prvog ocijenjenog nefropatskog događaja (udvostručavanje serumskog kreatinina, potreba za bubrežnom nadomjesnom terapijom i smrt zbog zatajenja bubrega), HR je bio 0,53 (95% CI: 0,33, 0,84) za kanagliflozin (0,15 događaja na 100 bolesnik-godina) naspram placeba (0,28 događaja na 100 bolesnik-godina).