natgillin/translations-raw huggingface dataset:
EU/1/11/731/001 28 film-coated tablets EU/1/11/731/002 56 film-coated tablets EU/1/11/731/003 60 film-coated tablets EU/1/11/731/004 112 (2 packs of 56) film-coated tablets EU/1/11/731/005 196 (7 packs of 28) film-coated tablets EU/1/11/731/006 60x1 film-coated tablets EU/1/11/731/013 14 film-coated tablets
EU/1/11/731/001 28 filmsko obloženih tablet EU/1/11/731/002 56 filmsko obloženih tablet EU/1/11/731/003 60 filmsko obloženih tablet EU/1/11/731/004 112 (2 pakiranji s 56) filmsko obloženih tablet EU/1/11/731/005 112 (7 pakiranj z 28) filmsko obloženih tablet EU/1/11/731/006 60 x 1 filmsko obložena tableta EU/1/11/731/013 14 filmsko obloženih tablet
Hepatic impairment This medicinal product must not be used in patients with hepatic impairment (see sections 4.3 and
Okvara jeter Tega zdravila se ne sme uporabljati pri bolnikih z okvaro jeter (glejte poglavji 4.3 in 4.5).
For patients switching from separate tablets of saxagliptin and metformin Patients switching from separate tablets of saxagliptin and metformin should receive the doses of saxagliptin and metformin already being taken.
Bolniki, ki prehajajo z ločenih tablet saksagliptina in metformina Bolniki, ki prehajajo z ločenih tablet saksagliptina in metformina, morajo prejeti saksagliptin in metformin v odmerkih kot ju že jemljejo.
Monitoring of renal function is necessary to prevent metformin-associated lactic acidosis, particularly in the elderly (see sections 4.3, 4.4 and 5.2).
Da bi preprečili laktacidozo, povezano z metforminom, je treba kontrolirati delovanje ledvic; to še posebej velja za starejše bolnike (glejte poglavja 4.3, 4.4 in 5.2).
After 12 weeks, the saxagliptin group (n=74) had a greater HbA1c mean reduction from baseline than the placebo group (n=86) (-0.6% vs. -0.2%, respectively, difference of -0.34%, from a mean baseline HbA1c of 7.9% for the saxagliptin group and 8.0% for the placebo group), and a greater FPG reduction (-13.73 mg/dL versus -4.22 mg/dL) but without statistical significance (p=0.12, 95% CI [-21.68; 2.66]).
Po 12 tednih je bilo povprečno zmanjšanje HbA1c od izhodišča v skupini s saksagliptinom (n = 74) večje kot v skupini s placebom (n = 86) (saksagliptin: -0,6 %, placebo: -0,2 %; razlika -0,34 % za povprečni izhodiščni HbA1c, ki je bil v skupini s saksagliptinom 7,9 % in v skupini s placebom 8,0 %) in izrazitejše zmanjšanje FPG (-13,73 mg/dl v primerjavi z -4,22 mg/dl vendar brez statistične pomembnosti (p = 0,12, 95 % [-21,68; 2,66]).
Decreased lymphocyte counts were reported in 0.5% of saxagliptin-treated patients and 0.4% of placebo-treated patients.
Zmanjšanje števila limfocitov so zabeležili pri 0,5 % bolnikov, zdravljenih s saksagliptinom, in pri 0,4 % bolnikov, ki so prejemali placebo.
Adverse reactions reported in ≥ 5% of patients treated with saxagliptin 5 mg and more commonly than in patients treated with placebo or that were reported in ≥ 2% of patients treated with saxagliptin 5 mg and ≥ 1% more frequently compared to placebo are shown in Table 2.
Preglednica 2 prikazuje neželene učinke, ki so bili zabeleženi pri ≥ 5 % bolnikov, zdravljenih s 5 mg saksagliptina, in pogosteje kot pri bolnikih, ki so dobivali placebo, ali pri ≥ 2 % bolnikov zdravljenih s 5 mg saksagliptina, in ≥ 1 % pogosteje kot s placebom.
In cynomolgus monkeys saxagliptin produced reversible skin lesions (scabs, ulcerations and necrosis) in extremities (tail, digits, scrotum and/or nose) at doses ≥ 3 mg/kg/day.
Pri opicah cynomolgus je saksagliptin v odmerkih ≥ 3 mg/kg/dan povzročil reverzibilne spremembe (kraste, razjede in nekroze) na koži okončin (rep, prsti, modnik in/ali nos).
Difference from dapagliflozin + metformin (adjusted mean (95% CI)
Razlika v primerjavi s kombinacijo dapagliflozin + metformin (prilagojeno povprečje (95 % IZ)
Saxagliptin Assessment of Vascular Outcomes Recorded in Patients with Diabetes MellitusThrombolysis in Myocardial Infarction (SAVOR) Study SAVOR was a CV outcome trial in 16,492 patients with HbA1c ≥ 6.5% and < 12% (12959 with established CV disease; 3533 with multiple risk factors only) who were randomised to saxagliptin (n=8280) or placebo (n=8212) added to regional standards of care for HbA1c and CV risk factors.
Preskušanje SAVOR (Saxagliptin Assessment of Vascular Outcomes Recorded in Patients with Diabetes Mellitus - Thrombolysis in Myocardial Infarction - Ocena žilnih izidov, zabeleženih pri bolnikih s sladkorno boleznijo ob saksagliptinu) - tromboza in miokardni infarkt Preskušanje SAVOR je bilo preskušanje kardiovaskularnih izidov pri 16.492 bolnikih s HbA1c ≥ 6,5 % in < 12 % (12.959 z ugotovljeno kardiovaskularno boleznijo in 3.533 takšnih, ki so imeli le več dejavnikov tveganja), randomiziranih na saksagliptin (n = 8.280) ali placebo (n = 8.212), dodana regionalnemu standardnemu zdravljenju, glede HbA1c in kardiovaskularnih dejavnikov tveganja.
In randomised, controlled, double-blind clinical trials (including developmental and postmarketing experience), over 17,000 patients with type 2 diabetes have been treated with saxagliptin.
V randomiziranih, kontroliranih, dvojno slepih kliničnih preskušanjih (vključno z izkušnjami med obdobjem razvoja in po začetku trženja zdravila) je saksagliptin prejemalo več kot 17000 bolnikov s sladkorno boleznijo tipa 2.
Following a 5 mg single oral dose of saxagliptin to healthy subjects, the mean plasma AUC values for saxagliptin and its major metabolite were 78 ng·h/mL and 214 ng·h/mL, respectively.
Po enkratnem peroralnem odmerku 5 mg saksagliptina pri zdravih preiskovancih je bila AUC saksagliptina 78 ng·h/ml in njegovega glavnega presnovka 214 ng·h/ml.
Effects on fertility were observed in male and female rats at high doses producing overt signs of toxicity (see section 5.3).
Pri podganjih samcih in samicah so učinke na plodnost opazili pri velikih odmerkih, ki so povzročili očitne znake toksičnosti (glejte poglavje 5.3).
• Film-coating: polyvinyl alcohol, macrogol 3350, titanium dioxide (E171), talc (E553b), iron oxide yellow (E172).
• Filmska obloga: polivinilalkohol, makrogol 3350, titanov dioksid (E171), smukec (E553b),
Studies in animals have shown reproductive toxicity at high doses of saxagliptin alone or in combination with metformin (see section 5.3).
Študije na živalih so pokazale toksične učinke na sposobnost razmnoževanja pri velikih odmerkih samega saksagliptina ali saksagliptina v kombinaciji z metforminom (glejte poglavje 5.3).
• Take this medicine by mouth.
• To zdravilo zaužijte.
In rabbits, the effects of saxagliptin were limited to minor skeletal variations observed only at maternally toxic doses (NOEL 158 and 224 times the human exposure for saxagliptin and the major metabolite, respectively at RHD).
Pri kuncih so bili učinki saksagliptina omejeni na manjše skeletne spremembe, opazne le pri maternalnih toksičnih odmerkih (NOEL 158-kratnik človeške izpostavljenosti saksagliptinu in 224-kratnik človeške izpostavljenosti njegovemu glavnemu presnovku pri RHD).
Across clinical studies, the incidence of laboratory AEs was similar in patients treated with saxagliptin 5 mg compared to patients treated with placebo.
V kliničnih študijah je bila incidenca laboratorijskih neželenih učinkov podobna pri bolnikih, ki so dobivali 5 mg saksagliptina, in pri bolnikih, ki so dobivali placebo.
As monotherapy: dizziness (common) and fatigue (common).
Kot monoterapija: omotica (pogosto) in utrujenost (pogosto).
As add-on to metformin and a sulphonylurea: dizziness (common), fatigue (common) and flatulence (common).
Kot dodatek metforminu in sulfonilsečnini: omotica (pogosto), utrujenost (pogosto) in flatulenca (pogosto).
Food had relatively modest effects on the pharmacokinetics of saxagliptin in healthy subjects.
Pri zdravih prostovoljcih je hrana razmeroma zmerno vplivala na farmakokinetiko saksagliptina.
Frequency of adverse reactions
Pogostnost neželenega učinka
Mean HbA1c change is the difference between the saxagliptin 5 mg + dapagliflozin + metformin and dapagliflozin + metformin groups (p< 0.0001).
Povprečna sprememba HbA1je razlika med skupinama saksagliptin 5 mg + dapagliflozin + metformin in dapagliflozin + metformin (p< 0.0001).
In addition, some patients have reported rash and skin reactions (hypersensitivity) while taking saxagliptin.
Poleg tega so nekateri bolniki med jemanjem saksagliptina navedli izpuščaj in kožne reakcije (preobčutljivost).
No animal studies have been conducted with the combination of products in Komboglyze to evaluate carcinogenesis, mutagenesis, or impairment of fertility.
Študije na živalih za oceno kancerogenosti, mutagenosti ali okvare plodnosti kombinacije učinkovin v zdravilu Komboglyze niso bile izvedene.
The pack sizes are 14, 28, 56 and 60 film-coated tablets in non-perforated blisters, multipacks containing 112 (2 packs of 56) and 196 (7 packs of 28) film-coated tablets in non-perforated blisters and 60 x1 film-coated tablets in perforated unit dose blisters.
Velikosti pakiranj so 14, 28, 56 in 60 filmsko obloženih tablet v neperforiranih pretisnih omotih, večkratni pakiranji s 112 (2 pakiranji s 56) in 196 (7 pakiranj z 28) filmsko obloženimi tabletami v neperforiranih pretisnih omotih in 60 x 1 filmsko obložena tableta v perforiranih pretisnih omotih za enkratni odmerek.
Symptoms of lactic acidosis include: vomiting stomach ache (abdominal pain) muscle cramps a general feeling of not being well with severe tiredness difficulty in breathing reduced body temperature and heartbeat
Simptomi laktacidoze vključujejo: bruhanje bolečina v trebuhu (abdominalna bolečina) mišične krče splošno slabo počutje s hudo utrujenostjo težave z dihanjem znižano telesno temperaturo in počasen srčni utrip Laktacidoza je urgentno zdravstveno stanje, ki ga je treba zdraviti v bolnišnici.
Saxagliptin 5 mg add-on to insulin with or without metformin provided significant improvements after 24 weeks in HbA1c and PPG compared with placebo add-on to insulin with or without metformin.
Dodatek 5 mg saksagliptina insulinu, z ali brez metformina, je po 24 tednih povzročilo značilna izboljšanja HbA1c in PPG v primerjavi s placebom kot dodatkom insulinu, z ali brez metformina.
When used as add-on to insulin (with or without metformin), the overall incidence of reported hypoglycaemia was 18.4% for saxagliptin 5 mg and 19.9% for placebo.
Kadar se je 5 mg saksagliptina uporabljalo kot dodatek k zdravljenju z insulinom (z ali brez metfomina), je bila celokupna incidenca poročanih hipoglikemij 18,4 % in za placebo 19,9 %.
- Any type of acute metabolic acidosis (such as lactic acidosis, diabetic ketoacidosis); - Diabetic pre-coma; - Severe renal failure (GFR < 30 mL/min) (see sections 4.2, 4.4 and 5.2); - Acute conditions with the potential to alter renal function such as: - dehydration, - severe infection, - shock; - Acute or chronic disease which may cause tissue hypoxia such as: - cardiac or respiratory failure, - recent myocardial infarction, - shock; - Hepatic impairment (see sections 4.2 and 4.5); - Acute alcohol intoxication, alcoholism (see section 4.5); - Breast-feeding (see section 4.6).
- Preobčutljivost na učinkovini ali katero koli pomožno snov, navedeno v poglavju 6.1 ali resno preobčutljivostno reakcijo, vključno z anafilaktično reakcijo, anafilaktičnim šokom, in angiodemom na kateri koli zaviralec dipeptidilpeptidaze 4 (DPP4) v anamnezi (glejte poglavji 4.4 in 4.8), - Vse vrste akutne metabolične acidoze (kot sta laktacidoza, diabetična ketoacidoza), - Diabetična predkoma, - Huda ledvična odpoved (GFR < 30 ml/min) (glejte poglavja 4.2, 4.4 in 5.2), - Akutne motnje, ki lahko spremenijo delovanje ledvic, npr.: - dehidracija, - huda okužba, - šok, - Akutne ali kronične bolezni, ki lahko povzročijo hipoksijo tkiv, npr.: - srčno popuščanje ali respiratorna insuficienca, - nedavni miokardni infarkt, - šok, - Okvara jeter (glejte poglavji 4.2 in 4.5), - Akutna intoksikacija z alkoholom, alkoholizem (glejte poglavje 4.5), - Dojenje (glejte poglavje 4.6).
The incidence of reported hypoglycaemia was 3.4% in treatment-naive patients given saxagliptin 5 mg plus metformin and 4.0% in patients given metformin alone.
Incidenca zabeleženih hipoglikemij je bila 3,4 % med dotlej še nezdravljenimi bolniki, ki so dobili 5 mg saksagliptina in metformin, ter 4,0 % med bolniki, ki so dobili samo metformin.
Following a single 50 mg dose of C-saxagliptin, 24%, 36%, and 75% of the dose was excreted in the urine as saxagliptin, its major metabolite, and total radioactivity respectively.
C-saksagliptina se je 24 % odmerka izločilo v urinu kot saksagliptin, 36 % kot njegov glavni presnovek in 75 % kot celotna radioaktivnost.
Saxagliptin (n=127) provided significant improvements in HbA1c and PPG compared with the placebo (n=128).
Saksagliptin (n = 127) je HbA1c in postprandialno glukozo izboljšal značilno bolj kot placebo (n = 128).
Mechanism of action and pharmacodynamic effects Komboglyze combines two antihyperglycaemic medicinal products with complementary mechanisms of action to improve glycaemic control in patients with type 2 diabetes: saxagliptin, a dipeptidyl peptidase 4 (DPP4) inhibitor, and metformin hydrochloride, a member of the biguanide class.
Zdravilo Komboglyze je kombinacija dveh antihiperglikemičnih učinkovin s komplementarnima mehanizmoma delovanja, ki izboljšata urejenost glikemije pri bolnikih s sladkorno boleznijo tipa 2: saksagliptina, zaviralca dipeptidil peptidaze 4 (DPP4) in metforminijevega klorida, ki spada v skupino bigvanidov.
Frequency estimates are based on the pooled analysis of the saxagliptin monotherapy, add-on to metformin and initial combination with metformin, add-on to sulphonylurea and add-on to thiazolidinedione clinical trials.
Ocene pogostnosti temeljijo na zbranih podatkih o samostojnem zdravljenju s saksagliptinom, kot dodatku k zdravljenju z metforninom in v uvodni kombinaciji z metforminom, kot dodatku k sulfonilsečnini in kot dodatku k tiazolidindionu v kliničnih preskušanjih.
Intravascular administration of iodinated contrast agents may lead to contrast induced nephropathy, resulting in metformin accumulation and increased risk of lactic acidosis.
Intravaskularna uporaba jodiranih kontrastnih sredstev lahko povzroči nefropatijo zaradi kontrastnega sredstva ter s tem kopičenje metformina in večje tveganje za laktacidozo.
Angioedema (see sections 4.3 and 4.4)
Bolezni kože in podkožja angioedem (glejte poglavji 4.3 in 4.4)
In the saxagliptin and dapagliflozin combination group, 41.4% (95% CI [34.5, 48.2]) of patients achieved HbA1c levels of less than 7% compared to 18.3% (95% CI [13.0, 23.5]) of patients in the saxagliptin group and 22.2% (95% CI [16.1, 28.3]) of patients in the dapagliflozin group.
V skupini s kombinacijo saksagliptina in dapagliflozina je HbA1c manj kot 7 % doseglo 41,4 % (95 % IZ: 34,5, 48,2) bolnikov; v skupini s saksagliptinom je bilo takih bolnikov 18,3 % (95 % IZ: 13,0, 23,5) in v skupini z dapagliflozinom 22,2 % (95 % IZ: 16,1, 28,3).
* (uncommon), myalgia
* (občasno), mialgija (občasno)
- a significant reduction of the absolute risk of any diabetes-related complication in the metformin group (29.8 events/1,000 patient-years) versus diet alone (43.3 events/1,000 patient-years), p=0.0023, and versus the combined sulphonylurea and insulin monotherapy groups (40.1 events/1,000 patient-years), p=0.0034; - a significant reduction of the absolute risk of any diabetes-related mortality: metformin 7.5 events/1,000 patient-years, diet alone 12.7 events/1,000 patient-years, p=0.017; - 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); - a significant reduction in the absolute risk of myocardial infarction: metformin 11 events/1,000 patient-years, diet alone 18 events/1,000 patient-years, (p=0.01).
- značilno zmanjšanje absolutnega tveganja celotne umrljivosti: metformin 13,5 dogodka/1.000 bolnik-let v primerjavi z dieto samo 20,6 dogodka/1.000 bolnik-let (p = 0,011) in v primerjavi s kombiniranima skupinama monoterapije s sulfonilsečnino ali insulinom 18,9 dogodka/1.000 bolnik-let, (p = 0,021); - značilno zmanjšanje absolutnega tveganja miokardnega infarkta: metformin 11 dogodkov/1.000 bolnik-let, dieta sama 18 dogodkov/1.000 bolnik-let (p = 0,01).
The dose of this medicinal product should provide saxagliptin 2.5 mg twice daily (5 mg total daily dose) and a dose of metformin similar to the dose already being taken.
Odmerek tega zdravila mora zagotoviti 2,5 mg saksagliptina dvakrat na dan (celokupni dnevni odmerek 5 mg) in odmerek metformina, podobnega tistemu, ki ga bolnik že jemlje.
Table 1 Dosage in patients with renal impairment
Odmerjanje pri bolnikih z okvaro ledvic
Multipacks containing 112 (2 packs of 56) and 196 (7 packs of 28) film-coated tablets in non-perforated blisters.
Večkratni pakiranji s 112 (2 pakiranji s 56) in 196 (7 pakiranj z 28) filmsko obloženimi tabletami v neperforiranih pretisnih omotih.
Patients treated with saxagliptin exhibited a significant decrease from baseline in body weight compared to a weight gain in patients administered glipizide (-1.1 vs. +1.1 kg).
Bolnikom, zdravljenim s saksagliptinom, se je telesna masa, v primerjavi z izhodiščem, značilno zmanjšala, zdravljenim z glipizidom pa se je povečala (-1,1 kg v primerjavi s +1,1 kg).
Concomitant administration of saxagliptin with the potent CYP3A4/5 inducer rifampicin, reduced Cmax and AUC of saxagliptin by 53% and 76%, respectively.
Sočasna uporaba saksagliptina z močnim induktorjem CYP3A4/5 rifampicinom je zmanjšala Cmax saksagliptina za 53 % in njegovo AUC za 76 %.
A lower proportion of patients in the saxagliptin group (44.7%) compared to the glimepiride group (54.7%) achieved an HbA1c target of 7.0%.
Ciljni HbA1c 7,0 % je dosegel manjši delež bolnikov v skupini s saksagliptinom (44,7 %) kot v skupini z glimepiridom (54,7 %).
Change in clinical status of patients with previously controlled type 2 diabetes As this medicinal product contains metformin, a patient with type 2 diabetes previously well controlled on Komboglyze who develops laboratory abnormalities or clinical illness (especially vague and poorly defined illness) should be evaluated promptly for evidence of ketoacidosis or lactic acidosis.
Bolnika s sladkorno boleznijo tipa 2, ki je bil z zdravilom Komboglyze dobro urejen, pa se mu pojavijo laboratorijske nepravilnosti ali klinična bolezen (zlasti nedoločna in slabo opredeljena bolezen), je zato treba oceniti glede znakov ketoacidoze ali laktacidoze.
The increased risk of overall hypoglycaemia and major hypoglycaemia observed in the saxagliptin-treated group occurred primarily in subjects treated with SU at baseline and not in subjects on insulin or metformin monotherapy at baseline.
Večje tveganje za vse hipoglikemije in hujše hipoglikemije, ugotovljeno med prejemniki saksagliptina, so imeli predvsem bolniki, ki so izhodiščno dobivali sulfonilsečnino, ne pa bolniki, ki so izhodiščno dobivali monoterapijo z insulinom ali metforminom.
Hepatobiliary disorders Liver function disorders, hepatitis
Bolezni jeter, žolčnika in žolčevodov motnje delovanja jeter, hepatitis zelo redki
Saxagliptin in combination with metformin for glycaemic control The co-administration of saxagliptin and metformin has been studied in patients with type 2 diabetes inadequately controlled on metformin alone and in treatment-naive patients inadequately controlled on diet and exercise alone.
Saksagliptin v kombinaciji z metforminom za urejenost glikemije Sočasna uporaba saksagliptina in metformina je bila raziskana pri sladkornih bolnikih tipa 2, neustrezno urejenih s samim metforminom, in pri bolnikih, ki dotlej še niso prejemali zdravil, a so bili nezadostno urejeni samo z dieto in telesno dejavnostjo.
No dose adjustment is recommended for patients with mild renal impairment (GFR 60-89 mL/min).
Pri bolnikih z blago okvaro ledvic (GFR 60-89 ml/min) prilagoditev odmerka ni potrebna.
Table 2 Frequency of adverse reactions by system organ class
Preglednica 2 Pogostnost neželenih učinkov po organskih sistemih
After 52 weeks, the saxagliptin and glipizide groups had similar mean reductions from baseline in HbA1c in the per-protocol analysis (-0.7% vs. -0.8%, respectively, mean baseline HbA1c of 7.5% for both groups).
Po 52 tednih so v analizi skupin po protokolu s saksagliptinom in glipizidom ugotovili podobno povprečno zmanjšanje vrednosti HbA1c v primerjavi z izhodiščem (0,7 % v prvi skupini v primerjavi z -0,8 % v drugi skupini, povprečni izhodiščni HbA1c je bil v obeh skupinah 7,5 %).
The exposure of the active metabolite and the plasma DPP4 activity inhibition over a dose interval were not influenced by rifampicin (see section 4.4).
Rifampicin v uporabljenem intervalu odmerjanja ni vplival na izpostavljenost aktivnemu presnovku in zavrtju aktivnosti plazemske DPP4 (glejte poglavje 4.4).
As add-on to metformin: dyspepsia (common) and myalgia (common).
Kot dodatek metforminu: dispepsija (pogosto) in mialgija (pogosto).
Komboglyze 2.5 mg/850 mg film-coated tablets EU/1/11/731/001
Komboglyze 2,5 mg/850 mg filmsko obložene tablete EU/1/11/731/001
Co-administration of saxagliptin and metformin
Sočasna uporaba saksagliptina in metformina
Komboglyze 2.5 mg/1,000 mg film-coated tablets EU/1/11/731/007
Komboglyze 2,5 mg/1000 mg filmsko obložene tablete EU/1/11/731/007
There appeared to be no difference in percentage responders: 37.9% (saxagliptin) and 38.2% (glimepiride) achieved the primary endpoint.
Odstotek takšnih bolnikov se ni razlikoval: primarni opazovani dogodek je doseglo 37,9 % prejemnikov saksagliptina in 38,2 % prejemnikov glimepirida.
Initial therapy with the combination of saxagliptin 5 mg plus metformin (n=306) provided significant improvements in HbA1c, FPG, and PPG compared to with either saxagliptin (n=317) or metformin (n=313) alone as initial therapy.
Začetno zdravljenje s kombinacijo 5 mg saksagliptina in metforminom (n = 306) je izboljšalo HbA1c, glukozo v plazmi na tešče in postprandialno glukozo značilno bolj kot začetna monoterapija s saksagliptinom (n = 317) ali metforminom (n = 313).
In a pre- and post-natal developmental study in rats, saxagliptin caused decreased pup weight at maternally toxic doses, with NOEL 488 and 45 times the human exposure for saxagliptin and the major metabolite, respectively at RHD.
V študiji pre- in postnatalnega razvoja pri podganah je saksagliptin ob maternalnih toksičnih odmerkih povzročil zmanjšanje mase mladičev; NOEL je bila 488-kratnik človeške izpostavljenosti saksagliptinu in 45-kratnik človeške izpostavljenosti njegovemu glavnemu presnovku pri RHD.
The incidence of reported hypoglycaemia for saxagliptin 5 mg versus placebo given as add-on therapy to metformin was 5.8% versus 5%.
Incidenca zabeleženih hipoglikemij s 5 mg saksagliptina v primerjavi s placebom kot dodatkom metforminu, je bila 5,8 % v primerjavi s 5 %.
Komboglyze 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
Zdravilo Komboglyze je treba pred slikanjem ali v času slikanja ukiniti in se ga sme ponovno uvesti najmanj 48 ur pozneje, če je bilo delovanje ledvic ponovno ovrednoteno in ocenjeno kot stabilno (glejte poglavji 4.2 in 4.4).
Table 6 HbA1c at Week 24 in active-controlled study comparing the combination of saxagliptin and dapagliflozin added concurrently to metformin with either saxagliptin or dapagliflozin added to metformin
Preglednica 6 HbA1c po 24 tednih v študiji, kontrolirani z učinkovino, ki je primerjala kombinacijo saksagliptina in dapagliflozina, dodano metforminu, s saksagliptinom ali dapagliflozinom, dodanem metforminu.
A1c was lower with saxagliptin compared to placebo in an exploratory analysis.
V eksplorativni analizi je bil A1c s saksagliptinom nižji kot s placebom.
Gastrointestinal disorders Gastrointestinal symptoms
Bolezni prebavil gastrointestinalni simptomi zelo pogosti