natgillin/translations-raw huggingface dataset:
Following co-administration of canagliflozin with rifampicin (an inducer of various active transporters and drug-metabolising enzymes), 51% and 28% decreases in canagliflozin systemic exposure (AUC) and peak concentration (Cmax) were observed.
Pri sočasni uporabi kanagliflozina z rifampicinom (ki je induktor številnih aktivnih prenašalcev in encimov, ki presnavljajo učinkovine) so opazili zmanjšanje sistemske izpostavljenosti (AUC) kanagliflozinu za 51% in znižanje najvišje plazemske koncentracije (Cmax) za 28%.
Canagliflozin increased the incidence of testicular Leydig cell tumours in male rats at all doses tested (10, 30, and 100 mg/kg); the lowest dose of 10 mg/kg is approximately 1.5 times the clinical dose of 300 mg based on AUC exposure.
Kanagliflozin je v vseh preskušanih odmerkih (10, 30 in 100 mg/kg) povečal pogostnost tumorja Leydigovih celic v modih pri podganjih samcih, pri čemer najnižji odmerek 10 mg/kg predstavlja približno 1,5-kratnik kliničnega odmerka 300 mg glede na izpostavljenost zdravilu (AUC).
Possible signs of low blood sugar are: blurred vision tingling lips trembling, sweating, pale looking a change in mood or feeling anxious or confused.
Znaki nizke koncentracije sladkorja v krvi so lahko: zamegljen vid mravljinčenje v ustnicah tresenje, znojenje, bledica sprememba razpoloženja ali občutek tesnobe ali zmedenosti
Therefore, 1,5-AG assays should not be used for assessment of glycemic control in patients on canagliflozin.
Zato se pri bolnikih, ki jemljejo kanagliflozin, preiskave 1,5-AG ne sme uporabljati za oceno uspešnosti nadzora glikemije.
Canagliflozin should also not be used in patients with end stage renal disease (ESRD) or in patients on dialysis as it is not expected to be effective in such populations (see sections 4.4 and 5.2).
Kanagliflozina ne smete uporabljati tudi pri bolnikih s končno ledvično odpovedjo in pri bolnikih na dializi, ker učinkovitost zdravila pri teh skupinah bolnikov ni pričakovana (glejte poglavji 4.4 in 5.2).
Your doctor may prescribe Invokana together with another glucose-lowering medicinal product.
Zdravnik vam bo morda predpisal zdravilo Invokana skupaj z drugim zdravilom, ki znižuje koncentracijo glukoze v krvi.
Diabetic ketoacidosis (rare, may affect up to 1 in 1,000 people) These are the signs of diabetic ketoacidosis (see also section 2 Warnings and precautions): increased levels of “ketone bodies” in your urine or blood rapid weight loss feeling sick or being sick stomach pain excessive thirst fast and deep breathing confusion unusual sleepiness or tiredness a sweet smell to your breath, a sweet or metallic taste in your mouth or a different odour to your urine or sweat.
Znaki diabetične ketoacidoze so (glejte tudi poglavje 2 Opozorila in previdnostni ukrepi): povečane koncentracije “ketonskih teles” v urinu in krvi hitra izguba telesne mase slabost ali bruhanje bolečine v trebuhu huda žeja hitro in globoko dihanje zmedenost nenavadna zaspanost ali utrujenost sladkast zadah, sladek ali kovinski okus v ustih ali spremenjen vonj seča ali znoja.
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).
Jemanje zdravila Invokana sočasno z drugimi zdravili za sladkorno bolezen, ki jih imenujemo sulfonilsečnine (kot sta glimepirid ali glipizid), ali z insulinom lahko poveča tveganje za prekomerno znižanje sladkorja v krvi (za hipoglikemijo).
Gender, race/ethnicity, or body mass index had no clinically meaningful effect on the pharmacokinetics of canagliflozin based on a population pharmacokinetic analysis.
Po podatkih analize populacijske farmakokinetike spol, rasa/etnična pripadnost in indeks telesne mase niso klinično pomembno vplivali na farmakokinetiko kanagliflozina.
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).
V skladu s pričakovanim povečanjem obsega hipoglikemij pri dodajanju zdravila, ki samo sicer ne povzroča hipoglikemije, insulinu in/ali sulfonilsečnini, so pri dodajanju kanagliflozina insulinu in/ali sulfonilsečnini opazili povečan obseg hipoglikemij (glejte poglavje 4.8).
In patients with evidence of volume depletion, correcting this condition prior to initiation of canagliflozin is recommended (see section 4.4).
Hipovolemijo pri bolnikih je priporočljivo odpraviti pred začetkom jemanja kanagliflozina (glejte poglavje 4.4).
In a 12-week clinical study, unstimulated LH did not increase in male patients treated with canagliflozin.
V 12-tedenski klinični študiji se pri bolnikih moškega spola, ki so prejemali kanagliflozin, koncentracija LH brez stimulacije ni zvišala.
• 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)
• druga zdravila za zniževanje koncentracije glukoze v krvi - bodisi insulin ali sulfonilsečnino (kot sta glimepirid ali glipizid) - zdravnik vam bo morda znižal odmerek teh zdravil, da se vam koncentracija sladkorja v krvi ne bi preveč znižala (da ne bi prišlo do hipoglikemije)
EU/1/13/884/001 (10 tablets) EU/1/13/884/002 (30 tablets) EU/1/13/884/003 (90 tablets) EU/1/13/884/004 (100 tablets)
EU/1/13/884/001 (10 tablet) EU/1/13/884/002 (30 tablet) EU/1/13/884/003 (90 tablet) EU/1/13/884/004 (100 tablet)
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.
V študijo je bilo vključenih 8 oseb z normalno ledvično funkcijo (z očistkom kreatinina ≥ 80 ml/min), 8 oseb z blago okvaro ledvic (z očistkom kreatinina od 50 ml/min do < 80 ml/min), 8 oseb z zmerno okvaro ledvic (z očistkom kreatinina od 30 ml/min do < 50 ml/min), 8 oseb s hudo okvaro ledvic (z očistkom kreatinina
Table 1: Tabulated list of adverse reactions (MedDRA) from placebo-controlled studiesa and from postmarketing experience System organ class Frequency
Preglednica 1: Preglednica neželenih učinkov (po klasifikaciji MedDRA) iz s placebom nadzorovanih študija in neželenih učinkov poročanih v obdobju trženja zdravila Organski sistem
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.
V kliničnih študijah s kanagliflozinom so opazili izboljšanje ocene modela homeostaze za delovanje celic beta (model HOMA) in izboljšan odziv celic beta s sekrecijo insulina na stimulacijo z mešanim obrokom hrane.
What Invokana contains
Kaj vsebuje navodilo
Table 2: Efficacy results from placebo-controlled clinical studiesa
Preglednica 2: Rezultati učinkovitosti iz s placebom nadzorovanih kliničnih študija
Canagliflozin is not expected to be dialysable by peritoneal dialysis.
Ni pričakovati, da bi kanagliflozin iz telesa lahko odstranjevali s peritonealno dializo.
Each tablet contains100 mg or 300 mg of canagliflozin.
Ena tableta vsebuje 100 mg ali 300 mg kanagliflozina.
Elderly patients may be at a greater risk for volume depletion, are more likely to be treated with diuretics, and to have impaired renal function.
Pri starostnikih je tveganje za hipovolemijo lahko večje, večja je tudi možnost, da jemljejo diuretike in da imajo zmanjšano delovanje ledvic.
There is no clinical experience in patients with Child-Pugh class C (severe) hepatic impairment.
Pri bolnikih s hudo okvaro jeter (Child-Pugh razreda C) ni na voljo nobenih kliničnih izkušenj z uporabo kangliflozina.
Signs include blurred vision, tingling lips, trembling, sweating, pale looking, a change in mood, or feeling anxious or confused.
mravljinčenje v ustnicah, tresenje, znojenje, bledico, spremembo razpoloženja ali občutek tesnobe ali zmedenosti.
Compared to healthy subjects, plasma AUC of canagliflozin was increased by approximately 17%, 63%, and 50% in subjects with mild, moderate, and severe renal impairment, respectively, but was similar for ESRD subjects and healthy subjects.
AUC kanagliflozina v plazmi povečana za približno 17%, 63% oziroma 50% v primerjavi z zdravimi osebami, AUC bolnikov s končno ledvično odpovedjo pa je bila podobna AUC pri zdravih osebah.
EU/1/13/884/005 (10 tablets) EU/1/13/884/006 (30 tablets) EU/1/13/884/007 (90 tablets) EU/1/13/884/008 (100 tablets)
EU/1/13/884/005 (10 tablet) EU/1/13/884/006 (30 tablet) EU/1/13/884/007 (90 tablet) EU/1/13/884/008 (100 tablet)
Contents of the pack and other information
Shranjevanje zdravila Invokana Vsebina pakiranja in dodatne informacije
Mean percent increases from baseline for canagliflozin 100 mg and 300 mg versus placebo, respectively, were total cholesterol 3.4% and 5.2% versus 0.9%; HDL-cholesterol 9.4% and 10.3% versus 4.0%; LDL-cholesterol 5.7% and 9.3% versus 1.3%; non-HDL-cholesterol 2.2% and 4.4% versus 0.7%; triglycerides 2.4% and 0.0% versus 7.6%.
i Povprečni odstotek povečanja glede na začetno vrednost za 100 mg kanagliflozina in 300 mg kanagliflozina v primerjavi s placebom je bil za celokupni holesterol 3,4% in 5,2% v primerjavi z 0,9%; HDL-holesterol 9,4% in 10,3% v primerjavi s 4,0%; LDL-holesterol 5,7% in 9,3% v primerjavi z 1,3%; ne-HDL-holesterol 2,2% in 4,4% v primerjavi z 0,7%; trigliceride 2,4% in 0,0% v primerjavi z 7,6%.
d Based on postmarketing experience with canagliflozin.
d Na osnovi izkušenj s kanagliflozinom v obdobju trženja zdravila.
vaginal infection, vulvitis, and genital infection fungal.
vulvovaginitis, okužbo nožnice, vulvitis in genitalno glivično okužbo.
Effects of canagliflozin on other medicinal products Digoxin: 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.
Digoksin: Kombinacija kanagliflozina v odmerku 300 mg enkrat na dan, 7 dni, z enkratnim odmerkom 0,5 mg digoksina in nato z 0,25 mg digoksina na dan, 6 dni, je povzročila povečanje AUC digoksina za 20% in zvišanje Cmax digoksina za 36%, verjetno zaradi zaviranja P-glikoproteina.
This medicine works by increasing the amount of sugar removed from your body in your urine.
To zdravilo deluje tako, da poveča količino sladkorja, ki se izloči iz telesa z sečem, to pa zmanjša količino sladkorja v krvi.
Ossification delays were also observed for the combination of canagliflozin and metformin, which were more prominent than for metformin alone at canagliflozin exposures 43 times and 12 times higher than clinical exposures at 100 mg and 300 mg doses.
Zakasnitve osifikacije, ki so bile bolj izražene, kot pri samostojni uporabi metformina, so opazili tudi pri kombinaciji kanagliflozina in metformina pri odmerkih, ki so bili toksični za samico; izpostavljenosti kanagliflozinu so bile 43-krat oz 12-krat večje od izpostavljenosti pri odmerkih 100 mg oziroma 300 mg.
Non-clinical data reveal no special hazard for humans based on conventional studies of safety pharmacology, repeated dose toxicity, and genotoxicity.
Predklinični podatki na osnovi običajnih študij farmakološke varnosti, toksičnosti pri ponavljajočih odmerkih in genotoksičnosti ne kažejo posebnega tveganja za človeka.
• rash or red skin - this may be itchy and include raised bumps, oozing fluid or blisters
• izpuščaj ali rdečina kože, ki je lahko srbeča in je izbočena nad raven kože, rosi ali ima mehurčke
A total of 714 patients ≥ 55 years of age to ≤ 80 years of age (227 patients 65 years of age to < 75 years of age and 46 patients 75 years of age to ≤ 80 years of age) with inadequate glycaemic control on current diabetes treatment (glucose-lowering medicinal products and/or diet and exercise) participated in a double-blind, placebo-controlled study over 26 weeks.
V dvojno slepi, s placebom nadzorovani študiji v trajanju 26 tednov je bilo skupno vključenih 714 bolnikov, starih od ≥ 55 do ≤ 80 let (227 bolnikov je bilo starih od 65 do < 75 let, 46 bolnikov je bilo starih od 75 do < 80 let), njihova glikemija ni bila ustrezno urejena z dotedanjim načinom zdravljenja sladkorne bolezni (z antihiperglikemičnimi zdravili in/ali dieto ter telesno dejavnostjo).
Renal failure (mainly in the context of volume depletion)
občasni ledvična odpoved (predvsem zaradi izgube tekočine)
Compared to glimepiride as dual therapy with metformin (52 weeks) Canagliflozin + metformin Glimepiride (titrated) + metformin (N=482)
V primerjavi z glimepiridom v okviru dvotirnega zdravljenja z metforminom (52 tednov) Kanagliflozin + metformin glimepirid (s titracijo) + metformin (n = 482)
Studies have shown no glucose malabsorption with canagliflozin.
Študije niso pokazale, da bi kanagliflozin povzročal malabsorpcijo glukoze.
The safety of canagliflozin was evaluated in 10,285 patients with type 2 diabetes, including 3,139 patients treated with canagliflozin 100 mg and 3,506 patients treated with canagliflozin 300 mg, who received medicinal product in nine double-blind, controlled phase 3 clinical studies.
Varnost uporabe kanagliflozina so ocenjevali v devetih dvojno slepih nadzorovanih kliničnih študijah faze III pri 10.285 bolnikih s sladkorno boleznijo tipa 2, med katerimi je 3.139 bolnikov prejemalo 100 mg kanagliflozina in 3.506 bolnikov 300 mg kanagliflozina.
The Cmax of canagliflozin was moderately increased by 13%, 29%, and 29% in subjects with mild, moderate, and severe renal failure, respectively, but not in subjects on haemodialysis.
Najvišja koncentracija (Cmax) kanagliflozina je bila zmerno zvišana pri bolnikih z blago, z zmerno oziroma s hudo okvaro ledvic, in sicer za 13%, za 29% oziroma za 29%, pri bolnikih, ki so se zdravili s hemodializo, pa ni bila zvišana.
Invokana contains the active substance canagliflozin which belongs to a group of medicines called “blood-glucose lowering drugs.”
Kaj je zdravilo Invokana in za kaj ga uporabljamo Zdravilo Invokana vsebuje zdravilno učinkovino kanagliflozin in sodi v skupino zdravil, ki jih imenujemo "zdravila za zniževanje koncentracije glukoze v krvi".
Patients (%) achieving HbA1c < 7% Body weight Baseline (mean) in kg % change from baseline (adjusted mean)
N/Ac bolniki (%), ki so dosegli raven HbA1c telesna masa izhodiščna (povprečna) vrednost v kg % spremembe od izhodiščne vrednosti (prilagojena povprečna vrednost)
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.
Rumena, ovalna, približno 11 mm dolga, filmsko obložena tableta s takojšnjim sproščanjem, na eni strani ima oznako "CFZ", na drugi pa oznako "100".
By inhibiting SGLT2, canagliflozin reduces reabsorption of filtered glucose and lowers the renal threshold for glucose (RTG), and thereby increases UGE, lowering elevated plasma glucose concentrations by this insulin-independent mechanism in patients with type 2 diabetes.
Z zaviranjem prenašalca SGLT2 kanagliflozin zmanjša reabsorpcijo filtrirane glukoze in zniža prag za izločanje glukoze v ledvicah (RTG - renal threshold for glucose), s tem pa poveča izločanje glukoze z urinom (UGE-urinary glucose excretion) in z mehanizmom, ki ni odvisen od insulina, zniža zvišane koncentracije glukoze v plazmi pri bolnikih s sladkorno boleznijo tipa 2.
This demonstrated that approximately two-thirds of the weight loss associated with canagliflozin was due to loss of fat mass relative to placebo.
Analiza je pokazala, da je v primerjavi s placebom približno dve tretjini zmanjšanja telesne mase zaradi kanagliflozina mogoče pripisati izgubi telesne maščobe.
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.
Hipoglikemija in dodajanje zdravila insulinu ali spodbujevalcu izločanja insulina Pri uporabi zdravila v monoterapiji ali kot dodatka metforminu je bila v zdravljenih skupinah, vključno s skupino s placebom, pogostnost hipoglikemije majhna (približno 4%).
Vulvovaginal candidiasis includes the terms vulvovaginal candidiasis, vulvovaginal mycotic infection, vulvovaginitis, vaginal infection, vulvitis, and genital infection fungal.
Izraz vulvovaginalbna kandidoza vključuje vulvovaginalno kandidozo, vulvovaginalno glivično okužbo, vulvovaginitis, okužbo nožnice, vulvitis in genitalno glivično okužbo.
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.
Glede na AUC izpostavljenosti zdravilu je odmerek brez opaženega učinka (NOEL) 30 mg/kg/dan za feokromocitom in tumorje ledvičnih tubulov predstavljal približno 4,5-krat večjo izpostavljenost zdravilu kot klinični odmerek 300 mg. Na podlagi izsledkov predkliničnih in kliničnih mehanističnih študij velja, da so tumorji Leydigovih celic, tumorji ledvičnih tubulov in feokromocitomi specifični za podgane.
Dual therapy with metformin (26 weeks)
Trotirno zdravljenje z metforminom in s sulfonilsečnino (26 tednov)
In a pre- and postnatal development study, canagliflozin administered to female rats from gestation day 6 to lactation day 20 resulted in decreased body weights in male and female offspring at maternally toxic doses > 30 mg/kg/day (exposures ≥ 5.9 times the human exposure to canagliflozin at the MHRD).
Kanagliflozin, ki so ga v študiji prenatalnega in postnatalnega razvoja dajali samicam od 6. dneva brejosti do 20. dneva laktacije, je v odmerkih > 30 mg/kg/dan, ki so bili toksični za samico (≥ 5,9-krat večja izpostavljenost, kot pri ljudeh pri MHRD) povzročil zmanjšano telesno maso mladičev moškega in ženskega spola.
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).
Do primarne ocene varnosti in prenosljivosti zdravila so prišli z analizo združenih podatkov (N = 2.313) iz štirih 26-tedenskih s placebom nadzorovanih kliničnih študij (z monoterapijo oziroma z dodajanjem zdravila bodisi metforminu, kombinaciji metformina in sulfonilsečnine ali kombinaciji metformina in pioglitazona).
The proportion of patients with larger decreases in eGFR (> 30%) at any time during treatment was 9.3%, 12.2%, and 4.9% with canagliflozin 100 mg, canagliflozin 300 mg, and placebo, respectively.
Deleži bolnikov z obsežnejšim zmanjšanjem ocenjene glomerulne filtracije (> 30%) kadarkoli v času zdravljenja so bili 9,3% oziroma 12,2% pri uporabi 100 mg oziroma 300 mg kanagliflozina ter 4,9% pri uporabi placeba.
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.
Bela, ovalna, približno 17 mm dolga, filmsko obložena tableta s takojšnjim sproščanjem, na eni strani ima oznako "CFZ", na drugi pa oznako "300".
N/Ac Compared to sitagliptin as triple therapy with metformin and sulphonylurea (52 weeks)
N/Ac V primerjavi s sitagliptinom v okviru trotirnega zdravljenja z metforminom in sulfonilsečnino (52 tednov)
• bone fracture
• zlom kosti
The most commonly reported adverse reactions during treatment were hypoglycaemia in combination with insulin or a sulphonylurea, vulvovaginal candidiasis, urinary tract infection, and polyuria or pollakiuria (i.e., urinary frequency).
Neželeni učinki, o katerih so med zdravljenjem najbolj pogosto poročali, so bili hipoglikemija pri kombinaciji z insulinom ali s sulfonilsečnino, vulvovaginalna kandidoza, okužba sečil in poliurija ali polakisurija (torej pogosto uriniranje).
Invokana should not be used to treat this condition.
Za zdravljenje tega zapleta se zdravila Invokana ne sme uporabljati
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.
Varnost in učinkovitost kanagliflozina pri bolnikih s sladkorno boleznijo tipa 1 nista bili ugotovljeni,
B. CONDITIONS OR RESTRICTIONS REGARDING SUPPLY AND USE Medicinal products subject to medical prescription
B. POGOJI ALI OMEJITVE GLEDE OSKRBE IN UPORABE Predpisovanje in izdaja zdravila je le na recept.
- Prior to initiation of concomitant medicinal products that may reduce renal function and periodically thereafter - For renal function approaching moderate renal impairment, at least 2 times to 4 times per year.
- pred uvedbo sočasnega zdravila, ki bi lahko zmanjševalo delovanje ledvic, in nato periodično v nadaljevanju zdravljenja z njim
Balanitis or balanoposthitis includes the terms balanitis, balanoposthitis, balanitis candida, and genital infection fungal.
h Izraza balanitis in balanopostitis vključujeta balanitis, balanopostitis, kandidozni balanitis in genitalno glivično okužbo.
In the dedicated cardiovascular study, where patients were generally older with a higher rate of diabetes complications, the incidences of adverse reactions related to volume depletion were 2.8% with canagliflozin 100 mg, 4.6% with canagliflozin 300 mg, and 1.9% with placebo.
V posebni kardiovaskularni študiji, v katero so bili vključeni večinoma starejši bolniki z večjo pogostnostjo zapletov sladkorne bolezni, je bila pogostnost neželenih učinkov, ki so povezani s hipovolemijjo 2,8% pri uporabi 100 mg kanagliflozina, 4,6% pri uporabi 300 mg kanagliflozina in 1,9% pri uporabi placeba.
Elevated haematocrit
Povečan hematokrit
In addition to the studies presented above, glycaemic efficacy results observed in an 18-week dual therapy sub-study with a sulphonylurea and a 26-week triple therapy study with metformin and pioglitazone were generally comparable with those observed in other studies.
Poleg zgoraj prikazanih študij so izvedli še 18-tedensko podštudijo z dvotirnim zdravljenjem s sulfonilsečnino in 26-tedensko študijo s trotirnim zdravljenjem z metforminom in pioglitazonom,
Canagliflozin was studied as monotherapy, dual therapy with metformin, dual therapy with a sulphonylurea, triple therapy with metformin and a sulphonylurea, triple therapy with metformin and pioglitazone, and as an add-on therapy with insulin (table 2).
Kanagliflozin so preučevali v monoterapiji, kot dvotirno zdravljenje skupaj z metforminom oziroma s sulfonilsečnino, kot trotirno zdravljenje z metforminom in s sulfonilsečnino oziroma z metforminom in s pioglitazonom ter kot dodatno zdravilo pri zdravljenju z insulinom (preglednica 2).
To control your diabetes, you still need to follow the advice about diet and exercise from your doctor, pharmacist or nurse.
Za nadzor nad sladkorno boleznijo morate še vedno upoštevati navodila vašega zdravnika, farmacevta ali medicinske sestre o pravilni prehrani in telesni dejavnosti.
The risk of diabetic ketoacidosis must be considered in the event of non-specific symptoms such as nausea, vomiting, anorexia, abdominal pain, excessive thirst, difficulty breathing, confusion, unusual fatigue or sleepiness.
Če se pojavijo nespecifični simptomi, kot so navzea, bruhanje, anoreksija, bolečine v trebuhu, huda žeja, težave z dihanjem, zmedenost, nenavadna utrujenost ali zaspanost, je treba upoštevati možnost,
If any of the above apply to you (or you are not sure), talk to your doctor, pharmacist, or nurse before taking this medicine.
Če karkoli od navedenega velja za vas (ali če o tem niste prepričani), se pogovorite z zdravnikom,