natgillin/translations-raw huggingface dataset:
Results from clinical trials conducted with the oral antidiabetics pioglitazone, metformin and glyburide in combination with vildagliptin have shown no clinically relevant pharmacokinetic interactions in the target population.
Rezultati kliničnih preskušanj s peroralnimi antidiabetiki pioglitazonom, metforminom in gliburidom v kombinaciji z vildagliptinom niso pokazali nobenih klinično pomembnih farmakokinetičnih interakcij pri ciljni populaciji.
A fertility and early embryonic development study in rats revealed no evidence of impaired fertility, reproductive performance or early embryonic development due to vildagliptin.
V študijah plodnosti in zgodnjega razvoja zarodka pri podganah ni bilo nobenih znakov slabše plodnosti, motene sposobnosti razmnoževanja ali motenj zgodnjega razvoja zarodka zaradi vildagliptina.
Other risk factors for lactic acidosis are excessive alcohol intake, hepatic insufficiency, inadequately controlled diabetes, ketosis, prolonged fasting and any conditions associated with hypoxia, as well as concomitant use of medicinal products that may cause lactic acidosis (see also sections 4.3 and 4.5).
Drugi dejavniki tveganja za laktacidozo so pretirano uživanje alkohola, jetrna insuficienca, neustrezno nadzorovana sladkorna bolezen, ketoza, dolgotrajno postenje in vsa stanja, povezana s hipoksijo, ter sočasna uporaba zdravil, ki lahko povzročijo laktacidozo (glejte poglavji 4.3 in 4.5).
The active substances of Zomarist, vildagliptin and metformin, belong to a group of medicines called “oral antidiabetics”.
Zdravilni učinkovini v zdravilu Zomarist, vildagliptin in metformin, sodita v skupino zdravil, ki se imenujejo “peroralni antidiabetiki”.
- Do not use this medicine after the expiry date which is stated on the blister and carton after
- Tega zdravila ne smete uporabljati po datumu izteka roka uporabnosti, ki je naveden na pretisnem omotu in škatli poleg oznake “EXP”.
If pancreatitis is suspected, vildagliptin should be discontinued if acute pancreatitis is confirmed, vildagliptin should not be restarted.
Če obstaja sum na pankreatitis, je potrebno prenehati z jemanjem vildagliptina, če pa je diagnoza akutnega pankreatitisa potrjena, bolnik ne sme ponovno začeti z jemanjem vildagliptina.
Hypromellose Titanium dioxide (E 171) Iron oxide, yellow (E 172) Macrogol 4000
Filmska obloga hipromeloza titanov dioksid (E 171) železov oksid, rumeni (E 172) makrogol 4000 smukec
Due to both the potential risk of neonate hypoglycaemia related to metformin and the lack of human data with vildagliptin, Zomarist should not be used during breast-feeding (see section 4.3).
Tako zaradi potencialnega tveganja, da bi pri novorojenčku zaradi metformina prišlo do hipoglikemije, kot tudi zaradi pomanjkanja podatkov o vildagliptinu pri ljudeh, se zdravila Zomarist med dojenjem ne sme uporabljati (glejte poglavje 4.3).
Therefore, in keeping with routine care of the diabetic patient, monitoring for skin disorders, such as blistering or ulceration, is recommended.
Zato je v okviru rutinske oskrbe diabetikov priporočeno opazovanje kože glede kožnih sprememb, kot so mehurčast izpuščaj ali razjede na koži.
At 5 mg/kg/day (approximately equivalent to human AUC exposure at the 100 mg dose), only blisters were observed.
Pri odmerku 5 mg/kg/dan (kar približno ustreza izpostavljenosti AUC pri človeku pri odmerku 100 mg) so opažali samo mehurčke.
A MACE occurred in 83 out of 9,599 (0.86%) vildagliptin-treated patients and in 85 out of 7,102 (1.20%) comparator-treated patients.
Do pomembnega neželenega kardiovaskularnega dogodka je prišlo pri 83 od 9.599 (0,86 %) bolnikov, ki so prejemali vildagliptin, in pri 85 od 7.102 (1,20 %) bolnikov, ki so prejemali katero od primerjalnih zdravil.
A two-year carcinogenicity study was conducted in rats at oral doses up to 900 mg/kg (approximately 200 times human exposure at the maximum recommended dose).
Dvoletno študijo karcinogenosti so opravili na podganah s peroralnimi odmerki do 900 mg/kg (kar pomeni izpostavljenost, ki je približno 200-krat večja od izpostavljenosti pri človeku pri največjih priporočenih odmerkih).
Patients who may experience dizziness as an adverse reaction should avoid driving vehicles or using machines.
Bolniki, pri katerih prihaja do neželenega učinka v obliki omotičnosti, naj se izogibajo vožnji ali upravljanju s stroji.
At 400 mg, there were three cases of muscle pain, and individual cases of mild and transient paraesthesia, fever, oedema and a transient increase in lipase levels.
Pri 400 mg je v treh primerih prišlo do bolečin v mišicah in v posameznih primerih do blage in prehodne parestezije, zvišane telesne temperature, edemov in prehodnega zvišanja koncentracije lipaz.
Drug-drug interaction studies in healthy subjects were conducted with amlodipine, ramipril, valsartan and simvastatin.
Na zdravih prostovoljcih so izvajali klinične študije medsebojnega delovanja z amlodipinom, ramiprilom, valsartanom in s simvastatinom.
Metformin may exert its glucose-lowering effect via three mechanisms: - by reduction of hepatic glucose production through inhibition of gluconeogenesis and glycogenolysis; - in muscle, by modestly increasing insulin sensitivity, improving peripheral glucose uptake and utilisation; - by delaying intestinal glucose absorption.
Metformin lahko deluje na zniževanje glukoze v krvi na tri načine: - zmanjšuje tvorbo glukoze v jetrih, tako da zavira glukoneogenezo in glikogenolizo; - v mišicah nekoliko poveča občutljivost za insulin, izboljša periferni privzem in koriščenje glukoze; - upočasni absorpcijo glukoze v črevesju.
The plasma protein binding of vildagliptin is low (9.3%) and vildagliptin distributes equally between plasma and red blood cells.
Vildagliptin se v majhni meri veže na proteine v plazmi (9,3 %) in se enakomerno porazdeli med plazmo in eritrocite.
In particular, if you are following a diabetic weight control diet, continue with this while you are taking Zomarist.
Še posebno če se držite diete za uravnavanje telesne mase za diabetike, z dieto nadaljujte tudi v obdobju jemanja zdravila Zomarist.
What Zomarist is and what it is used for What you need to know before you take Zomarist How to take Zomarist
Kaj je zdravilo Zomarist in za kaj ga uporabljamo Kaj morate vedeti, preden boste vzeli zdravilo Zomarist Kako jemati zdravilo Zomarist Možni neželeni učinki
There have been no therapeutic clinical trials conducted with Zomarist.
Terapevtskih kliničnih preskušanj z zdravilom Zomarist niso izvajali.
Adverse reactions reported in patients who received vildagliptin in double-blind studies as monotherapy and add-on therapies are listed below by system organ class and absolute frequency.
Neželeni učinki, o katerih so poročali pri bolnikih, ki so v dvojno slepih študijah prejemali vildagliptin v monoterapiji ali kot dodatno terapijo, so navedeni po organskih sistemih in po absolutni pogostnosti.
Studies in animals performed with vildagliptin and metformin have not shown evidence of teratogenicity, but foetotoxic effects at maternotoxic doses (see section 5.3).
Študije na živalih, ki so jih izvajali z vildagliptinom in metforminom, niso pokazale teratogenosti, pokazali pa so se toksični učinki za plod pri odmerkih, ki so bili toksični za mater (glejte poglavje 5.3).
Angiotensin converting enzyme (ACE) inhibitors may decrease the blood glucose levels.
Zaviralci angiotenzinske konvertaze (zaviralci ACE) lahko znižujejo koncentracije glukoze v krvi.
Vildagliptin/metformin 50 mg/1000 mg twice daily reduced HbA1c by -1.82%, vildagliptin/metformin 50 mg/500 mg twice daily by -1.61%, metformin 1000 mg twice daily by -1.36% and vildagliptin 50 mg twice daily by -1.09% from a mean baseline HbA1c of 8.6%.
Odmerek kombinacije vildagliptin/metformin 50 mg/1000 mg dvakrat na dan je znižal vrednost HbA1c za 1,82 %, odmerek kombinacije vildagliptin/metformin 50 mg/500 mg dvakrat na dan za 1,61 %, metformin 1000 mg dvakrat na dan za 1,36 % in vildagliptin 50 mg dvakrat na dan za 1,09 % od povprečne izhodiščne vrednosti HbA1c 8,6 %.
• Lactic acidosis (very rare: may affect up to 1 user in 10,000): Zomarist may cause a very rare, but very serious side effect called lactic acidosis (see section “Warnings and precautions”).
• laktacidoza (zelo redek: pojavi se lahko pri do 1 od 10.000 bolnikov) Zdravilo Zomarist lahko povzroči zelo redek, a zelo resen neželeni učinek, imenovan laktacidoza (glejte poglavje "Opozorila in previdnostni ukrepi").
Following withdrawal of treatment with Zomarist and LFT normalisation, treatment with Zomarist should not be re-initiated.
Po prekinitvi zdravljenja z zdravilom Zomarist in normalizaciji vrednosti jetrnih testov se zdravljenja z zdravilom Zomarist ne sme ponovno uvesti.
Clinical trials of up to more than 2 years' duration did not show any additional safety signals or unforeseen risks when vildagliptin was added on to metformin.
Klinična preskušanja, ki so trajala tudi več kot 2 leti, niso pokazala nobenih dodatnih signalov glede varnosti ali nepredvidenega tveganja, če so vildagliptin dodali metforminu.
Treatment with vildagliptin 50-100 mg daily in patients with type 2 diabetes significantly improved markers of beta cell function including HOMA- (Homeostasis Model Assessment-), proinsulin to insulin ratio and measures of beta cell responsiveness from the frequently-sampled meal tolerance test.
Zdravljenje z vildagliptinom v odmerkih 50-100 mg dnevno je pri bolnikih z diabetesom tipa 2 pomembno izboljšalo vrednosti kazalcev delovanja beta celic, vključno z modelom ocene homeostaze HOMA-β, razmerjem med proinsulinom in insulinom ter merjenjem odzivnosti beta celic po obroku s pogostim vzorčenjem.
Glucagon triggers the liver to make sugar, causing the blood sugar level to rise.
Glukagon sproži tvorbo sladkorja v jetrih in tako povzroči zviševanje koncentracije sladkorja v krvi.
Two patients reported severe hypoglycaemic events in the vildagliptin group, and 6 patients in the placebo group.
O epizodah hude hipoglikemije sta v skupini z vildagliptinom poročala dva bolnika, v skupini s placebom pa je o tem poročalo 6 bolnikov.
Vildagliptin acts primarily by inhibiting DPP-4, the enzyme responsible for the degradation of the incretin hormones GLP-1 (glucagon-like peptide-1) and GIP (glucose-dependent insulinotropic polypeptide).
Vildagliptin deluje predvsem z zaviranjem DPP-4, encima, ki je odgovoren za razgradnjo hormonov inkretinov GLP-1 (glukagonu podoben peptid 1) in GIP (od glukoze odvisni insulinotropni polipeptid).
The majority of adverse reactions were mild and transient, not requiring treatment discontinuations.
Neželeni učinki so bili večinoma blagi in prehodne narave, zdravljenja zaradi njih ni bilo treba prekinjati.
If necessary, the dosage of Zomarist may need to be adjusted during concomitant therapy and on its discontinuation.
Če je potrebno, je mogoče prilagoditi odmerek zdravila Zomarist v času sočasne uporabe drugega zdravila in ob njegovi ukinitvi.
Your doctor will decide when you must stop and when to restart your treatment with Zomarist.
Zdravnik se bo odločil, kdaj morate z jemanjem zdravila Zomarist prenehati in kdaj lahko nadaljujete.
• Frequency not known (cannot be estimated from the available data): itchy rash, inflammation of the pancreas, localised peeling of skin or blisters, muscle pain.
• neznana pogostnost (je ni mogoče oceniti iz razpoložljivih podatkov): srbeč izpuščaj, vnetje trebušne slinavke, lokalizirano luščenje kože ali mehurji, bolečina v mišicah.
Hepatic impairment: In subjects with mild, moderate or severe hepatic impairment (Child-Pugh A-C) there were no clinically significant changes (maximum ~30%) in exposure to vildagliptin.
Okvara jeter: Pri bolnikih z blago, zmerno in hudo okvaro jeter (razredi A do C po Child-Pughovi lestvici) ni prišlo do klinično pomembnih sprememb izpostavljenosti vildagliptinu (največ ~30 %).
Zomarist should not be used in patients with hepatic impairment, including those with pre-treatment alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 3 times the upper limit of normal (ULN) (see sections 4.3, 4.4 and 4.8).
Zdravila Zomarist ne smejo uporabljati bolniki z okvaro jeter, vključno z bolniki, ki imajo pred zdravljenjem vrednosti alanin-aminotransferaze (ALT) ali aspartat-aminotransferaze (AST) nad 3-kratno zgornjo mejo normalnih vrednosti (upper limit of normal - ULN) (glejte poglavja 4.3, 4.4 in
As metformin is excreted via the kidney, and elderly patients have a tendency to decreased renal function, elderly patients taking Zomarist should have their renal function monitored regularly (see sections 4.4 and 5.2).
Metformin se izloča preko ledvic, pri starejših bolnikih pa je delovanje ledvic pogosto zmanjšano, zato je treba starejšim bolnikom, ki jemljejo zdravilo Zomarist, redno pregledovati delovanje ledvic (glejte poglavji 4.4 in 5.2).
Metformin stimulates intracellular glycogen synthesis by acting on glycogen synthase and increases the transport capacity of specific types of membrane glucose transporters (GLUT-1 and GLUT-4).
Metformin z delovanjem na glikogen-sintazo spodbuja znotrajcelično tvorbo glikogena, poleg tega pa povečuje transportno zmožnost specifičnih vrst membranskih glukoznih prenašalcev (GLUT-1 in GLUT-4).
Skin lesions were not reversible in the monkeys treated at 160 mg/kg/day during a 4-week recovery period.
Pri opicah, ki so prejemale 160 mg/kg/dan, kožne lezije niso bile reverzibilne v 4-tedenskem obdobju okrevanja.
Drug-drug interaction studies with digoxin (P-glycoprotein substrate) and warfarin (CYP2C9 substrate) in healthy subjects have shown no clinically relevant pharmacokinetic interactions after coadministration with vildagliptin.
Študije medsebojnega delovanja z digoksinom (substratom P-glikoproteina) in z varfarinom (substratom CYP2C9) na zdravih prostovoljcih niso pokazale nobenih klinično pomembnih farmakokinetičnih interakcij pri sočasni uporabi vildagliptina.
What Zomarist contains - The active substances are vildagliptin and metformin hydrochloride.
Kaj vsebuje zdravilo Zomarist - Učinkovini sta vildagliptin in metforminijev klorid.
If necessary, the dosage of the antihyperglycaemic medicinal product should be adjusted during therapy with the other medicinal product and on its discontinuation.
Kadar je to potrebno, je treba med zdravljenjem z drugim zdravilom ali ob njegovi ukinitvi prilagajati odmerjanje antihiperglikemičnega zdravila.
At 600 mg, one subject experienced oedema of the feet and hands, and increases in creatine phosphokinase (CPK), AST, C-reactive protein (CRP) and myoglobin levels.
Pri 600 mg je pri eni osebi prišlo do otekanja rok in stopal ter zvišanja koncentracij kreatin-kinaze (CK), aspartataminotransferaze (AST), C-reaktivnega proteina (CRP) in mioglobina.
The incidence of hypoglycaemia was significantly lower in the vildagliptin group (1.7%) than in the glimepiride group (16.2%).
V skupini z vildagliptinom je bila incidenca hipoglikemije bistveno nižja (1,7 %) kot v skupini z glimepiridom (16,2 %).
In non-diabetic (normal glycaemic) individuals, vildagliptin does not stimulate insulin secretion or reduce glucose levels.
Pri osebah brez diabetesa (z normalnimi koncentracijami glukoze v krvi) vildagliptin ne spodbuja izločanja insulina in ne znižuje koncentracije glukoze.
Metformin acts primarily by decreasing endogenous hepatic glucose production.
Metformin deluje predvsem tako, da zmanjšuje endogeno tvorbo glukoze v jetrih.
Following oral administration in the fasting state, vildagliptin is rapidly absorbed with peak plasma concentrations observed at 1.7 hours.
Po peroralni aplikaciji na tešče se vildagliptin hitro absorbira in doseže najvišje koncentracije v plazmi po 1,7 ure.
No studies on the effect on human fertility have been conducted for Zomarist (see section 5.3).
Študij o vplivu zdravila Zomarist na plodnost pri ljudeh niso izvajali (glejte poglavje 5.3).
The composite endpoint of adjudicated major adverse cardiovascular events (MACE) including acute myocardial infarction, stroke or cardiovascular death was similar for vildagliptin versus combined active and placebo comparators [Mantel-Haenszel risk ratio (M-H RR) 0.82 (95% CI 0.61-1.11)].
Rezultati pri sestavljenem cilju opazovanja, ki je obsegal dogodke, ocenjene kot pomembne neželene kardiovaskularne dogodke (MACE - major adverse cardiovascular events), ki vključujejo akutni miokardni infarkt, možgansko kap ali kardiovaskularno smrt, so bili pri uporabi vildagliptina podobni kot pri uporabi aktivnih primerjalnih zdravil oziroma placeba [razmerje tveganj po MantelHaenszelovi metodi (M-H RR) 0,82 (95-odstotni interval zaupanja 0,61-1,11)].
In these studies, no clinically relevant pharmacokinetic interactions were observed after co-administration with vildagliptin.
V teh študijah niso opažali nobenih klinično pomembnih farmakokinetičnih interakcij pri sočasni uporabi vildagliptina.
After intravenous administration to healthy subjects, the total plasma and renal clearances of vildagliptin are 41 and 13 l/h, respectively.
Po intravenski aplikaciji zdravim osebam je znašal celotni plazemski očistek vildagliptina 41 l/h, ledvični očistek pa 13 l/h.
The data presented here relate to the co-administration of vildagliptin and metformin, where vildagliptin has been added to metformin.
Navedeni podatki se nanašajo na sočasno uporabo vildagliptina in metformina, pri čemer so vildagliptin dodali metforminu.
The incidence of hypoglycaemia was similar in both treatment groups (14.0% in the vildagliptin group vs 16.4% in the placebo group).
Pogostost hipoglikemije je bila v obeh zdravljenih skupinah podobna (14,0 % v skupini z vildagliptinom v primerjavi s 16,4 % v skupini s placebom).
The most effective method of removing metformin is haemodialysis.
Hemodializa je najučinkovitejši način odstranjevanja metformina.
Should an increase in AST or in ALT of 3x ULN or greater persist, withdrawal of Zomarist therapy is recommended.
Če zvišanje AST ali ALT na ali nad 3-kratno zgornjo mejo normalnih vrednosti (ULN - upper limit of normal) vztraja, je priporočena prekinitev zdravljenja z zdravilom Zomarist.
It does not stimulate insulin secretion and therefore does not produce hypoglycaemia or increased weight gain.
Metformin ne spodbuja sekrecije insulina in zato ne povzroča hipoglikemije ali povečanja telesne mase.
Analysis of the results for overweight patients treated with metformin after failure of diet alone showed: - a significant reduction in 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 patientyears), 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 in the absolute risk of 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 in 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 patientyears (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).
Za bolnike s prekomerno telesno maso, ki so bili zdravljeni z metforminom po neuspešnem zdravljenju samo z dieto, je analiza rezultatov pokazala: - pomembno zmanjšanje absolutnega tveganja za katerikoli diabetični zaplet v skupini z metforminom (29,8 dogodkov/1.000 bolnikov-let) v primerjavi s skupino bolnikov, zdravljenih samo z dieto (43,3 dogodkov/1.000 bolnikov-let), p=0,0023, in v primerjavi z združeno skupino bolnikov, zdravljenih samo s sulfonilureo, in bolnikov, zdravljenih samo z insulinom (40,1 dogodek/1.000 bolnikov-let), p=0,0034; - pomembno zmanjšanje absolutnega tveganja za umrljivost, povezano z diabetesom: metformin 7,5 dogodkov /1.000 bolnikov-let, samo dieta: 12,7 dogodkov/1.000 bolnikov-let, p=0,017; - pomembno zmanjšanje absolutnega tveganja za splošno umrljivost: skupina z metforminom 13,5 dogodkov/1.000 bolnikov-let v primerjavi s skupino bolnikov, zdravljenih samo z dieto, 20,6 dogodkov /1.000 bolnikov-let (p=0,011) in v primerjavi z združeno skupino bolnikov, zdravljenih samo s sulfonilureo, in bolnikov, zdravljenih samo z insulinom, 18,9 dogodkov/1.000 bolnikov-let (p=0,021); - pomembno zmanjšanje absolutnega tveganja za miokardni infarkt: metformin 11 dogodkov/1.000 bolnikov-let, samo dieta 18 dogodkov/1.000 bolnikov-let (p=0,01).
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
No dose adjustment.
Prilagajanje odmerka ni potrebno.
Zomarist with alcohol
Zdravilo Zomarist skupaj z alkoholom
Zomarist is indicated in the treatment of type 2 diabetes mellitus: - Zomarist is indicated in the treatment of adult patients who are unable to achieve sufficient glycaemic control at their maximally tolerated dose of oral metformin alone or who are already treated with the combination of vildagliptin and metformin as separate tablets.
Zdravilo Zomarist je indicirano za zdravljenje bolnikov z diabetesom tipa 2: - Zdravilo Zomarist je indicirano za zdravljenje odraslih bolnikov, pri katerih diabetesa ni mogoče urediti samo z metforminom v največjem peroralnem odmerku, ki ga še prenašajo, ali pri tistih, ki že prejemajo zdravljenje z vildagliptinom in metforminom v obliki ločenih tablet.
• Very rare (may affect up to 1 in 10,000 people): sore throat, runny nose, fever; signs of a high level of lactic acid in the blood (known as lactic acidosis) such as drowsiness or dizziness, severe nausea or vomiting, abdominal pain, irregular heart beat or deep, rapid breathing; redness of the skin, itching; decreased vitamin B12 levels (paleness, tiredness, mental symptoms such as confusion or memory disturbances).
• Zelo redki (pojavijo se lahko pri največ 1 od 10.000 bolnikov): boleče grlo, nahod, zvišana telesna temperatura, znaki visoke koncentracije mlečne kisline v krvi (kar imenujemo laktacidoza), kot so dremavost ali omotičnost, huda slabost ali bruhanje, bolečine v trebuhu, neredno bitje srca ali globoko hitro dihanje, rdečina kože, srbenje, znižane vrednosti vitamina B12 (bledica, utrujenost, psihični simptomi, kot sta zmedenost ali motnje spomina).
A greater proportion of cases were reported when vildagliptin was administered in combination with an ACE inhibitor.
O večjem deležu primerov so poročali ob jemanju vildagliptina v kombinaciji z zaviralcem angiotenzinske konvertaze (zaviralcem ACE).
• Very common (may affect more than 1 in 10 people): nausea, vomiting, diarrhoea, pain in and around the stomach (abdominal pain), loss of appetite.
• Zelo pogosti (pojavijo se lahko pri več kot 1 od 10 bolnikov): slabost, bruhanje, driska, bolečina v želodcu in okrog njega (bolečine v trebuhu), izguba apetita.
The administration of vildagliptin results in a rapid and complete inhibition of DPP-4 activity resulting in increased fasting and postprandial endogenous levels of the incretin hormones GLP-1 and GIP.
Uporaba vildagliptina povzroči hitro in popolno zaviranje delovanja DPP-4, kar povzroča zvišanje endogenih koncentracij hormonov inkretinov GLP-1 in GIP na tešče in po obroku.
Vildagliptin added to patients whose glycaemic control was not satisfactory despite treatment with metformin monotherapy resulted after 6-month treatment in additional statistically significant mean reductions in HbA1c compared to placebo (between group differences of -0.7% to -1.1% for vildagliptin 50 mg and 100 mg, respectively).
Vildagliptin, ki so ga dodajali bolnikom, pri katerih glikemija ni bila zadovoljivo urejena kljub zdravljenju z metforminom v monoterapiji, je po 6-mesečnem zdravljenju povzročil dodatno statistično značilno povprečno znižanje HbA1c v primerjavi s placebom (razlika med skupinama -0,7 % za odmerek 50 mg vildagliptina in -1,1 % za odmerek 100 mg vildagliptina).