natgillin/translations-raw huggingface dataset:
However, dosing of alogliptin should be conservative in patients with advanced age due to the potential for decreased renal function in this population
Međutim, u bolesnika uznapredovale dobi doziranje alogliptina treba biti konzervativno zbog moguće smanjene funkcije bubrega u toj populaciji.
It should also be taken with meals to reduce the gastrointestinal adverse reactions associated with metformin.
Također ga treba uzimati uz obroke kako bi se smanjile gastrointestinalne nuspojave povezane s metforminom.
Alogliptin has not been studied in patients with severe hepatic impairment (Child-Pugh score >9).
Alogliptin nije ispitan u bolesnika sa teškim oštećenjem jetre (Child-Pugh indeks >9).
Special caution should be exercised in situations where renal function may become impaired, for example when initiating antihypertensive or diuretic therapy or when starting treatment with a nonsteroidal anti-inflammatory drug (NSAID).
Poseban oprez nužan je u okolnostima kad bi funkcija bubrega mogla postati poremećena, na primjer kad se započinje terapija antihipertenzivima ili diureticima ili kad se započinje liječenje nesteroidnim protuupalnim lijekovima (NSAIL).
Alogliptin works to increase the levels of insulin in the body after a meal and decrease the amount of sugar in the body.
Alogliptin djeluje tako da podiže razine inzulina u tijelu nakon obroka i smanjuje količinu šećera u krvi.
Stop taking Vipdomet and contact a doctor or the nearest hospital immediately if you experience some of the symptoms of lactic acidosis, as this condition may lead to coma.
Prestanite uzimati Vipdomet i odmah se obratite liječniku ili otiđite u najbližu bolnicu ako osjetite neke od simptoma laktacidoze, jer to stanje može dovesti do kome.
Total and peak exposure to alogliptin increased proportionately across single doses of 6.25 mg up to 100 mg alogliptin (covering the therapeutic dose range).
Ukupna i vršna izloženost alogliptinu se proporcionalno povećavala povišenjem jednokratnih doza od 6,25 mg do 100 mg alogliptina (što obuhvaća opseg terapijske doze).
Overall, treatment with the recommended total daily dose of 25 mg alogliptin in combination with metformin improved glycaemic control.
Sveukupno, liječenje preporučenom ukupnom dnevnom dozom od 25 mg alogliptina u kombinaciji s metforminom poboljšalo je kontrolu glikemije.
Metformin is a biguanide with antihyperglycaemic effects, lowering both basal and postprandial plasma glucose.
Metformin je bigvanid s antihiperglikemijskim učincima koji smanjuje i bazalnu i postprandijalnu glukozu u plazmi.
No dose adjustment is necessary (see section 4.2).
Nije potrebna prilagodba doze (vidjeti dio 4.2).
In a clinical trial of alogliptin as mono-therapy, the incidence of hypoglycaemia was similar to that of placebo, and lower than placebo in another trial as add-on to a sulphonylurea.
U kliničkom ispitivanju alogliptina kao monoterapije, incidencija hipoglikemije bila je slična kao za placebo, odnosno niža nego za placebo u drugom ispitivanju alogliptina kao dodatka sulfonilureji.
Maximum daily dose is 2,000 mg The starting dose is at most half of the maximum dose.
Maksimalna dnevna doza je 2000 mg Početna doza iznosi najviše polovicu maksimalne doze.
It is assumed that the pharmacokinetics of metformin absorption is non-linear.
Pretpostavlja se da je farmakokinetika metformina nelinearna.
However, as the distribution of AUC values for alogliptin in these patients was within the same range as control subjects, no dose adjustment of alogliptin for patients with mild renal impairment is necessary (see section 4.2).
Međutim, kako je distribucija AUC vrijednosti za alogliptin u tih bolesnika bila unutar istog raspona kao i u kontrolnih ispitanika, prilagodba doze alogliptina u bolesnika s blagim oštećenjem bubrega nije potrebna (vidjeti dio 4.2).
crospovidone Type A, magnesium stearate, hypromellose, talc, titanium dioxide (E171) and yellow iron oxide (E172).
magnezijev stearat, hipromeloza, talk, titanijev dioksid (E171) i žuti željezov oksid (E172).
Concomitant treatment with alogliptin and metformin did not produce new toxicities and no effects on the toxicokinetics of either compound were observed.
Istodobna primjena alogliptina i metformina ne izaziva nove toksičnosti niti su opaženi učinci na toksikokinetiku bilo koje od djelatnih tvari.
Lactic acidosis is a serious adverse reaction, which may occur very rarely (<1/10,000), and is attributed to the metformin component of Vipdomet (see section 4.4).
Laktacidoza je ozbiljna nuspojava koja se može javiti vrlo rijetko (<1/10 000) i pripisuje se komponenti metformina u Vipdometu (vidjeti dio 4.4).
Vipdomet should not be used in patients with type 1 diabetes mellitus.
Vipdomet se ne smije primjenjivati u bolesnika sa šećernom bolešću tipa 1.
In case of hypoglycaemia, a lower dose of the thiazolidinedione or metformin may be considered.
U slučaju hipoglikemije, potrebno je razmotriti nižu dozu tiazolidindiona ili metformina.
Vipdomet has no or negligible influence on the ability to drive and use machines.
Vipdomet ne utječe ili zanemarivo utječe na sposobnost upravljanja vozilima i rada sa strojevima.
Vipdomet is taken when your blood sugar cannot be adequately controlled by diet, exercise and other anti-diabetic medicines such as metformin alone; insulin alone; or metformin and pioglitazone taken together.
Vipdomet se uzima kad se Vaš šećer u krvi ne može odgovarajuće kontrolirati dijetom, tjelovježbom i drugim antidijabetičkim lijekovima poput samog metformina, samog inzulina, ili metformina i pioglitazona uzetih zajedno.
10 film-coated tablets 14 film-coated tablets 20 film-coated tablets 28 film-coated tablets 56 film-coated tablets 60 film-coated tablets 98 film-coated tablets 112 film-coated tablets 120 film-coated tablets 180 film-coated tablets 196 film-coated tablets 200 film-coated tablets
10 filmom obloženih tableta 14 filmom obloženih tableta 20 filmom obloženih tableta 28 filmom obloženih tableta 56 filmom obloženih tableta 60 filmom obloženih tableta 98 filmom obloženih tableta 112 filmom obloženih tableta 120 filmom obloženih tableta 180 filmom obloženih tableta 196 filmom obloženih tableta 200 filmom obloženih tableta
If you stop taking Vipdomet
Ako prestanete uzimati Vipdomet
Pack sizes of 10, 14, 20, 28, 56, 60, 98, 112, 120, 180, 196, 200 or multipacks containing 196 (2 packs of 98) film-coated tablets.
Veličine pakiranja od 10, 14, 20, 28, 56, 60, 98, 112, 120, 180, 196, 196, 200 ili višestruka pakiranja koja sadrže 196 (2 pakiranja po 98) filmom obloženih tableta.
In addition, a prospective randomised cardiovascular outcomes safety study was conducted with 5,380 patients with high underlying cardiovascular risk to examine the effect of alogliptin compared with placebo (when added to standard of care) on major adverse cardiovascular events (MACE) including time to the first occurrence of any event in the composite of cardiovascular death, nonfatal myocardial infarction and nonfatal stroke in patients with a recent (15 to 90 days) acute coronary event.
Dodatno,prospektivno randomizirano ispitivanje sigurnosti s obzirom na kardiovaskularne ishode provedeno je na 5380 bolesnika s visokim podležećim kardiovaskularnim rizikom kako bi se ispitao učinak alogliptina u usporedbi s placebom (kao dodatak standardnoj terapiji) na velike kardiovaskularne štetne događaje (engl. major adverse cardiovascular events, MACE) uključujući i vrijeme do prve pojave bilo kojeg od događaja kardiovaskularne smrti, infarkta miokarda bez smrtnog ishoda i moždanog udara bez smrtnog ishoda u bolesnika s nedavnim (15 do 90 dana) akutnim koronarnim događajem.
Metformin is contra-indicated
Metformin je kontraindiciran.
After administration of single oral doses of up to 800 mg in healthy subjects, alogliptin was rapidly absorbed with peak plasma concentrations occurring 1 to 2 hours (median Tmax) after dosing.
Nakon primjene jednokratnih peroralnih doza do 800 mg zdravim ispitanicima, alogliptin se brzo apsorbirao s vršnom koncentracijom u plazmi nakon 1 do 2 sata (medijan Tmax) nakon doziranja.
Any unused medicinal product or waste material should be disposed of in accordance with local requirements.
Neiskorišteni lijek ili otpadni materijal potregno je zbrinuti sukladno nacionalnim propisima.
Specific pharmacokinetic drug interaction studies have not been performed with Vipdomet.
Specifična farmakokinetička ispitivanja interakcija lijeka Vipdometa nisu provedena.
Maximum daily dose is 6.25 mg * Alogliptin dose adjustment is based on a pharmacokinetic study where kidney function was assessed using creatinine clearance (CrCl) levels estimated from the Cockcroft-Gault equation.
6,25 mg. * Prilagodba doze alogliptina temelji se na farmakokinetičkom ispitivanju u kojem je bubrežna funkcija procjenjivana primjenom razina klirensa kreatinina (CrCl) procijenjenih pomoću Cockcroft-Gaultove jednadžbe.
- Hypersensitivity to the active substances or to any of the excipients listed in section 6.1 or history of a serious hypersensitivity reaction, including anaphylactic reaction, anaphylactic shock, and angioedema, to any dipeptidyl-peptidase-4 (DPP-4) inhibitor (see sections 4.4 and 4.8) - Any type of acute metabolic acidosis (such as lactic acidosis, diabetic ketoacidosis) - Diabetic pre-coma - Severe renal failure (GFR <30 mL/min) - Acute conditions with the potential to alter renal function such as: - dehydration - severe infection - shock - Acute or chronic disease which may cause tissue hypoxia (see section 4.4) such as: - cardiac or respiratory failure - recent myocardial infarction - shock - Hepatic impairment (see section 4.4) - Acute alcohol intoxication, alcoholism (see sections 4.4 and 4.5)
- preosjetljivost na djelatne tvari ili bilo koju od pomoćnih tvari navedenih u dijelu 6.1 ili ozbiljne reakcije preosjetljivosti u anamnezi, uključujući anafilaktičku reakciju, anafilaktički šok i angioedem na bilo koji inhibitor dipeptidil-peptidaze-4 (DPP-4) (vidjeti dijelove 4.4 i 4.8) - bilo koja vrsta akutne metaboličke acidoze (kao što je laktacidoza, dijabetička ketoacidoza) - dijabetička pretkoma - teško zatajenje bubrega (GFR<30 ml/min) - akutna stanja koja mogu oštetiti funkciju bubrega kao što su: - dehidracija - teška infekcija - šok - akutna ili kronična bolest koja može uzrokovati hipoksiju tkiva (vidjeti dio 4.4) kao što su: - zatajenje srca ili respiratornog trakta - nedavni infarkt miokarda - šok - oštećenje jetre (vidjeti dio 4.4) - akutna intoksikacija alkoholom, alkoholizam (vidjeti dijelove 4.4 i 4.5).
Skin and subcutaneous tissue disorders pruritus common very rare common rash common common erythema very rare exfoliative skin conditions including StevensJohnson syndrome not known erythema multiforme not known angioedema not known urticaria not known very rare
Poremećaji kože i potkožnog tkiva pruritus često vrlo rijetko često osip često često eritem vrlo rijetko eksfolijativna stanja kože uključujući StevensJohnson sindrom nepoznato multiformni eritem nepoznato angioedem nepoznato urtikarija nepoznato vrlo rijetko
(-infinity, 0.059)
(-beskonačno, 0,059)
It is especially important to mention the following: - hydrocortisone and prednisolone (corticosteroids), used to treat diseases that involve inflammation like asthma and arthritis - cimetidine, used to treat stomach problems - bronchodilators (beta-2 agonists), used to treat asthma - medicines which increase urine production (diuretics) - medicines used to treat pain and inflammation (NSAID and COX-2-inhibitors, such as ibuprofen and celecoxib), - certain medicines used for the treatment of high blood pressure (ACE inhibitors and angiotensin II receptor antagonists) - medicines containing alcohol.
Osobito je važno spomenuti sljedeće: - hidrokortizon ili prednizolon (kortikosteroidi) koji se koriste za liječenje upalnih bolesti poput astme i artritisa - cimetidin, koristi se za liječenje želučanih tegoba - bronhodilatatori (beta-2 agonisti), koriste se za liječenje astme - lijekove koji povećavaju stvaranje mokraće (diuretici) - lijekove koji se primjenjuju za liječenje boli i upale (NSAIL i COX-2-inhibitori, kao što su ibuprofen i celekoksib) - određene lijekove za liječenje povišenog krvnog tlaka (ACE inhibitori i antagonisti receptora angiotenzina II) - lijekove koji sadrže alkohol.
Cationic substances that are eliminated by renal tubular secretion (e.g. cimetidine) may interact with metformin by competing for common renal tubular transport systems.
Kationske tvari koje se eliminiraju bubrežnom tubularnom sekrecijom (npr. cimetidin) mogu ući u interakciju s metforminom nadmećući se za zajednički bubrežni tubularni transportni sustav.
Minimal quantities of alogliptin are removed by haemodialysis (approximately 7% of the substance was removed during a 3 hour haemodialysis session).
Hemodijalizom se uklanjaju minimalne količine alogliptina (tijekom 3-satne hemodijalize uklonjeno je približno 7% lijeka).
Alogliptin has not been studied in patients with severe hepatic impairment (Child-Pugh score >9) and is, therefore, not recommended for use in such patients (see sections 4.2, 4.3 and 5.2).
Alogliptin nije ispitan u bolesnika s teškim oštećenjem jetre (Child-Pugh indeks >9) te se u tih bolesnika njegova primjena ne preporučuje (vidjeti dijelove 4.2, 4.3 i 5.2).
What Vipdomet is Vipdomet contains two different medicines called alogliptin and metformin in one tablet:
Što je Vipdomet Vipdomet sadrži dvije različite djelatne tvari alogliptin i metformin u jednoj tableti:
Risk related to metformin
Rizik vezan uz metformin
Alogliptin as add-on therapy to metformin
Alogliptin kao dodatak terapiji metforminom
If you forget to take Vipdomet
Ako ste zaboravili uzeti Vipdomet
What Vipdomet is used for
Za što se Vipdomet koristi
Very common (may affect more than 1 in 10 people): - Stomach ache - Diarrhoea - Loss of appetite - Feeling sick - Being sick.
Vrlo česte (mogu se pojaviti kod više od 1 od 10 osoba): - Bol u trbuhu - Proljev - Gubitak teka - Mučnina - Povraćanje.
Hypersensitivity reactions, including anaphylactic reactions, angioedema and exfoliative skin conditions including Stevens-Johnson syndrome and erythema multiforme have been observed for DPP-4 inhibitors and have been spontaneously reported for alogliptin in the post-marketing setting.
Reakcije preosjetljivosti, uključujući anafilaktičke reakcije, angioedem i eksfolijativna stanja kože uključujući Stevens-Johnsonov sindrom i multiformni eritem opažena su za DPP-4 inhibitore i spontano su prijavljene za alogliptin nakon stavljanja lijeka u promet.
Symptoms of lactic acidosis include: - vomiting - stomach ache (abdominal pain) - muscle cramps - a general feeling of not being well with severe tiredness
Simptomi laktacidoze uključuju: - povraćanje - bol u trbuhu (bol u abdomenu) - grčevi u mišićima - opće loše osjećanje uz jaki umor
When renal function is impaired, renal clearance is decreased in proportion to that of creatinine and, thus, the elimination half-life is prolonged leading to increased levels of metformin in the plasma.
Kad je funkcija bubrega oštećena, bubrežni klirens se smanjuje razmjerno smanjenju klirensa kreatinina, te se poluvijek eliminacije produljuje i dovodi do povećanih razina metformina u plazmi.
Hypersensitivity reactions, including Stevens-Johnson syndrome, anaphylactic reactions, and angioedema are serious and are attributed to the alogliptin component of Vipdomet (see section 4.4).
Reakcije preosjetljivosti, uključujući Stevens-Johnson sindrom, anafilaktičke reakcije i angioedem ozbiljne su reakcije i pripisuju se komponenti alogliptina u Vipdometu (vidjeti dio 4.4).
becoming breathless - Liver problems (hepatitis or liver function test abnormalities) - Erythema (redness of skin).
gubitak daha - Problemi s jetrom (hepatitis ili odstupanje u testovima jetrene funkcije) - Eritem (crvenilo kože).
Vipdomet is available in blister packs containing 10, 14, 20, 28, 56, 60, 98, 112, 120, 180, 196, 200 tablets and in multipacks comprising 2 packs each containing 98 film-coated tablets.
Vipdomet je dostupan u blister pakiranjima koja sadrže 10, 14, 20, 28, 56, 60, 98, 112, 120, 180, 196, ili 200 tableta i u višestrukim pakiranjima koja se sastoje od 2 pakiranja od kojih svako sadrži 98 filmom obloženih tableta.
Symptoms may include: trembling, sweating, anxiety, blurred vision, tingling lips, paleness,
Simptomi mogu uključivati: drhtavicu, znojenje, tjeskobu, zamućen vid, trnce u usnicama, bljedilo,
Metabolism and nutrition disorders lactic acidosis very rare vitamin B12 deficiency very rare hypoglycaemia common common
Poremećaji metabolizma i prehrane laktacidoza vrlo rijetko nedostatak vitamina B12
However, mean peak plasma concentrations of alogliptin and metformin were decreased by 13% and 28% when Vipdomet was administered with food, respectively.
Međutim, srednje vršne koncentracije alogliptina i metformina u plazmi smanjile su se za 13% i za 18% ako je Vipdomet primijenjen s hranom.
EU/1/13/843/001 10 film-coated tablets EU/1/13/843/002 14 film-coated tablets EU/1/13/843/003 20 film-coated tablets EU/1/13/843/004 28 film-coated tablets EU/1/13/843/005 56 film-coated tablets EU/1/13/843/006 60 film-coated tablets EU/1/13/843/007 98 film-coated tablets EU/1/13/843/008 112 film-coated tablets EU/1/13/843/009 120 film-coated tablets EU/1/13/843/010 180 film-coated tablets EU/1/13/843/011 196 film-coated tablets EU/1/13/843/012 200 film-coated tablets
EU/1/13/843/001 10 filmom obloženih tableta EU/1/13/843/002 14 filmom obloženih tableta EU/1/13/843/003 20 filmom obloženih tableta EU/1/13/843/004 28 filmom obloženih tableta EU/1/13/843/005 56 filmom obloženih tableta EU/1/13/843/006 60 filmom obloženih tableta EU/1/13/843/007 98 filmom obloženih tableta EU/1/13/843/008 112 filmom obloženih tableta EU/1/13/843/009 120 filmom obloženih tableta EU/1/13/843/010 180 filmom obloženih tableta EU/1/13/843/011 196 filmom obloženih tableta EU/1/13/843/012 200 filmom obloženih tableta
Talk to your doctor or pharmacist before taking Vipdomet : - if you have type 1 diabetes (your body does not produce insulin).
Obratite se svom liječniku ili ljekarniku prije nego uzmete Vipdomet: - ako imate šećernu bolest tipa 1 (tijelo ne stvara inzulin) - ako uzimate Vipdomet s inzulinom ili tiazolidindionom.
Higher rates of hypoglycaemia were observed with triple therapy with a thiazolidinedione and metformin and in combination with insulin, as observed with other DPP-4 inhibitors.
Više stope hipoglikemije opažene su s trojnom terapijom s tiazolidindionom i metforminom, te u kombinaciji s inzulinom, kako je opaženo i s drugim DPP-4 inhibitorima.
The no-observed-adverse-effect level (NOAEL) in the repeated dose toxicity studies in rats and dogs up to 26- and 39-weeks in duration, respectively, produced exposure margins that were approximately 147- and 227-fold, respectively, the exposure in humans at the recommended total daily dose of 25 mg alogliptin.
Razina bez opaženih štetnih učinaka (eng. no-observed-adverse-effect level - NOAEL) u ispitivanjima toksičnosti ponovljenih doza u štakora i pasa u trajanju od 26 i 39 tjedana pokazala je margine izloženosti koje za približno 147, odnosno 227 puta prelaze izloženost koja se kod ljudi postiže pri preporučenoj ukupnoj dnevnoj dozi od 25 mg alogliptina.
EU/1/13/843/013 10 film-coated tablets EU/1/13/843/014 14 film-coated tablets EU/1/13/843/015 20 film-coated tablets EU/1/13/843/016 28 film-coated tablets EU/1/13/843/017 56 film-coated tablets EU/1/13/843/018 60 film-coated tablets EU/1/13/843/019 98 film-coated tablets EU/1/13/843/020 112 film-coated tablets EU/1/13/843/021 120 film-coated tablets EU/1/13/843/022 180 film-coated tablets EU/1/13/843/023 196 film-coated tablets EU/1/13/843/024 200 film-coated tablets
EU/1/13/843/013 10 filmom obloženih tableta EU/1/13/843/014 14 filmom obloženih tableta EU/1/13/843/015 20 filmom obloženih tableta EU/1/13/843/016 28 filmom obloženih tableta EU/1/13/843/017 56 filmom obloženih tableta EU/1/13/843/018 60 filmom obloženih tableta EU/1/13/843/019 98 filmom obloženih tableta EU/1/13/843/020 112 filmom obloženih tableta EU/1/13/843/021 120 filmom obloženih tableta EU/1/13/843/022 180 filmom obloženih tableta EU/1/13/843/023 196 filmom obloženih tableta EU/1/13/843/024 200 filmom obloženih tableta
A causal relationship has not been established.
Uzročna povezanost nije utvrđena.
Co-administration of 100 mg alogliptin once daily and 1,000 mg metformin hydrochloride twice daily for 6 days in healthy subjects had no clinically relevant effects on the pharmacokinetics of alogliptin or metformin.
Istodobna primjena 100 mg alogliptina jedanput na dan i 1000 mg metforminklorida dvaput na dan tijekom 6 dana u zdravih ispitanika nije imala klinički značajne učinke na farmakokinetiku alogliptina ili metformina.
- A severe allergic reaction: skin lesions or spots on your skin that can progress to a sore surrounded by pale or red rings, blistering and/or peeling of the skin possibly with symptoms such as itching, fever, overall ill feeling, achy joints, vision problems, burning, painful or itchy eyes and mouth sores (Stevens-Johnson syndrome and Erythema multiforme).
- Teška alergijska reakcija: oštećenja ili mrlje na koži, koje mogu napredovati do rana okruženih blijedim ili crvenim prstenovima, stvaranje mjehura i/ili ljuštenje kože, moguće sa simptomima poput svrbeža, vrućice, općeg lošeg osjećanja, bolnih zglobova, problema s vidom, pečenja, boli ili svrbeža očiju, te rana po sluznici usta (Stevens-Johnsonov sindrom i multiformni eritem).
The other ingredients are mannitol, microcrystalline cellulose, povidone K30,
- Drugi sastojci su manitol, mikrokristalična celuloza, povidon K30, krospovidon Tip A,
A large overdose of metformin or concomitant risks may lead to lactic acidosis.
Znatno predoziranje metforminom ili istodobni rizici mogu dovesti do laktacidoze.
A single dose of 50 mg alogliptin was administered to 4 groups of patients with varying degrees of renal impairment (CrCl using the Cockcroft-Gault formula): mild (CrCl = >50 to ≤80 mL/min), moderate (CrCl = ≥30 to ≤50 mL/min), severe (CrCl = <30 mL/min) and end-stage renal disease on haemodialysis.
Jednokratna doza od 50 mg alogliptina primijenjena je u 4 skupine bolesnika s različitim stupnjevima oštećenja bubrega (CrCl prema Cockcroft-Gault formuli): blago (CrCl = >50 do ≤80 ml/min), umjereno (CrCl = ≥30 do ≤50 ml/min), teško (CrCl = <30 ml/min) i završni stadij bubrežne bolesti na hemodijalizi.
Some medicinal products can adversely affect renal function which may increase the risk of lactic acidosis, e.g. NSAIDs, including selective cyclo-oxygenase (COX) II inhibitors, angiotensinconverting enzyme (ACE) inhibitors, angiotensin II receptor antagonists and diuretics, especially loop diuretics.
Neki lijekovi mogu štetno utjecati na funkciju bubrega, što može povećati rizik od laktacidoze, npr. NSAIL-ovi, uključujući selektivne inhibitore ciklooksigenaze (COX) II, inhibitore angiotenzin konvertirajućeg enzima (ACE), antagoniste receptora angiotenzina II i diuretike, osobito diuretike Henleove petlje.
Vipdomet is not known to affect your ability to drive and use machines.
Nije poznato da Vipdomet utječe na sposobnost upravljanja vozilima i strojevima.
It should also be taken with meals to reduce the gastrointestinal undesirable effects associated with metformin (see section 4.2).
Treba ga uzeti uz obroke kako bi se smanjile gastrointestinalne nuspojave povezane s metforminom (vidjeti dio 4.2).
PHARMACEUTICAL FORM AND CONTENTS Multipack: 196 (2 packs of 98) film-coated tablets.
OBLIK I SADRŽAJ Višestruko pakiranje: 196 (2 pakiranja od 98) filmom obloženih tableta.
Metformin is excreted in human milk in small amounts.
Metformin se izlučuje u malim količinama u majčino mlijeko kod ljudi.
Intravascular administration of iodinated contrast media may lead to contrast induced nephropathy, resulting in metformin accumulation and an increased risk of lactic acidosis.
Intravaskularna primjena jodiranih kontrastnih sredstava može dovesti do nefropatije izazvane kontrastom, što dovodi do nakupljanja metformina i povećanja rizika od laktacidoze.