natgillin/translations-raw huggingface dataset:
Jentadueto is not recommended in patients with hepatic impairment due to the active substance metformin (see sections 4.3 and 5.2).
Zdravila Jentadueto zaradi zdravilne učinkovine metformina ne priporočajo za bolnike z jetrno okvaro (glejte poglavji 4.3 in 5.2).
All patients should continue their diet with an adequate distribution of carbohydrate intake during the day.
Vsi bolniki morajo nadaljevati dieto z ustrezno porazdelitvijo vnosa ogljikovih hidratov čez dan. Bolniki s preveliko telesno maso morajo nadaljevati dieto z zmanjšano energijsko vrednostjo.
Linagliptin 5 mg once daily and 2.5 mg twice daily provided comparable (CI: -0.07; 0.19) significant HbA1c reductions of -0.80% (from baseline 7.98%), and -0.74% (from baseline 7.96%) compared to placebo.
Linagliptin je v odmerkih po 5 mg enkrat na dan in 2,5 mg dvakrat na dan v primerjavi s placebom primerljivo (IZ: -0,07; 0,19) in pomembno znižal raven HbA1c, in sicer za -0,80 % (z izhodiščne ravni 7,98 %) in -0,74 % (z izhodiščne ravni 7,96 %).
Patients received metformin and/or sulphonylurea and/or insulin as background therapy.
Za osnovno zdravljenje so bolniki jemali metformin in/ali sulfonilsečnino in/ali insulin.
Linagliptin cardiovascular safety study (CAROLINA) CAROLINA was a randomized study in 6033 patients with early type 2 diabetes and increased CV risk or established complications who were treated with linagliptin 5 mg (3023) or glimepiride 1-4mg (3010) added to standard of care (including background therapy with metformin in 83% of patients) targeting regional standards for HbA1c and CV risk factors.
Študija o srčno-žilni varnosti linagliptina (CAROLINA) CAROLINA je bila randomizirana študija, v kateri je sodelovalo 6033 bolnikov s sladkorno boleznijo tipa 2 v zgodnji fazi in s povečanim srčno-žilnim tveganjem ali ugotovljenimi zapleti, ki so se zdravili z linagliptinom 5 mg (3023) ali glimepiridom 1-4 mg (3010), dodanima standardni terapiji (vključno z osnovnim zdravljenjem z metforminom pri 83 % bolnikov) na podlagi regionalnih standardov za vrednosti HbA1c in tveganja za srčno-žilne bolezni.
The mean HbA1c at baseline was 8.0%.
Povprečna izhodiščna vrednost HbA1c je bila 8,0 %.
Cardiac function
Delovanje srca
Frequency of adverse reaction
Pogostnost neželenih učinkov
The overall incidence of adverse events and serious adverse events in patients receiving linagliptin was similar to that in patients receiving placebo.
Pojavnost neželenih učinkov in resnih neželenih učinkov pri bolnikih, ki so jemali linagliptin, je bila podobna kot pri bolnikih, ki so jemali placebo.
Linagliptin plus metformin
Linagliptin in metformin
Co-administration of a single 5 mg oral dose of linagliptin and multiple 200 mg oral doses of ritonavir, a potent inhibitor of P-glycoprotein and CYP3A4, increased the AUC and Cmax of linagliptin approximately twofold and threefold, respectively.
Pri sočasnem dajanju enkratnega peroralnega odmerka linagliptina po 5 mg in večkratnih 200 mg peroralnih odmerkih ritonavirja, močnega zaviralca P-glikoproteina in CYP3A4, sta se povečali AUC in Cmax linagliptina, in sicer za približno dvakrat oziroma trikrat.
if you have uncontrolled diabetes, with, for example, severe hyperglycaemia (high blood glucose), nausea, vomiting, diarrhoea, rapid weight loss, lactic acidosis (see “Risk of lactic acidosis” below) or ketoacidosis.
- če imate hudo oslabljeno delovanje ledvic, - če imate nenadzorovano sladkorno bolezen, na primer s hudo hiperglikemijo (visoko ravnijo sladkorja v krvi), siljenjem na bruhanje, bruhanjem, drisko, hitro izgubo telesne mase, laktacidozo (glejte spodaj "Tveganje za laktacidozo") ali ketoacidozo.
Linagliptin binds selectively to DPP-4 and exhibits a > 10,000 fold selectivity versus DPP-8 or DPP-9 activity in vitro.
Njegova selektivnost za DPP-4 je in vitro več kot 10.000-krat večja kot za DPP-8 ali DPP-9.
10 x 1 film-coated tablets 14 x 1 film-coated tablets 28 x 1 film-coated tablets 30 x 1 film-coated tablets 56 x 1 film-coated tablets 60 x 1 film-coated tablets 84 x 1 film-coated tablets 90 x 1 film-coated tablets 98 x 1 film-coated tablets 100 x 1 film-coated tablets 120 x 1 film-coated tablets
10 x 1 filmsko obložena tableta 14 x 1 filmsko obložena tableta 28 x 1 filmsko obložena tableta 30 x 1 filmsko obložena tableta 56 x 1 filmsko obložena tableta 60 x 1 filmsko obložena tableta 84 x 1 filmsko obložena tableta 90 x 1 filmsko obložena tableta 98 x 1 filmsko obložena tableta 100 x 1 filmsko obložena tableta 120 x 1 filmsko obložena tableta
Total daily dose of linagliptin is equal to 5 mg
Dnevni odmerek linagliptina je 5 mg.
Linagliptin cardiovascular and renal safety study (CARMELINA) CARMELINA was a randomized study in 6979 patients with type 2 diabetes with increased CV risk evidenced by a history of established macrovascular or renal disease who were treated with linagliptin 5 mg (3494) or placebo (3485) added to standard of care targeting regional standards for HbA1c, CV risk factors and renal disease.
Študija o srčno-žilni in ledvični varnosti linagliptina (CARMELINA) Študija CARMELINA je bila randomizirana študija, v kateri je sodelovalo 6979 bolnikov s sladkorno boleznijo tipa 2 in povečanim srčno-žilnim tveganjem, glede na anamnezo ugotovljenih makrovaskularnih ali ledvičnih bolezni, ki so se zdravili z linagliptinom 5 mg (3494) ali placebom (3485), dodanima standardni terapiji na podlagi regionalnih standardov za vrednosti HbA1c, tveganja za srčno-žilne bolezni in ledvične bolezni.
There was no meaningful change from baseline in body weight in either group.
Telesna masa se v nobeni od skupin ni pomembno spremenila glede na izhodiščno.
Difference from placebo (adjusted mean) (95% CI) Patients (n, %) achieving HbA1c
Razlika v primerjavi s placebom (prilagojena srednja vrednost) (95-odstotni IZ) Bolniki (n, %), ki so dosegli HbA1c < 7 % Bolniki (%), ki so prejeli reševalno zdravilo
In controlled clinical trials, maximum metformin hydrochloride plasma levels (Cmax) did not exceed 5 microgram/ml, even at maximum doses.
Največja koncentracija metforminijevega klorida v plazmi (Cmax) v kontroliranih kliničnih preskušanjih tudi ob največjih odmerkih ni presegla 5 μg/ml.
Symptoms of lactic acidosis are non-specific such as feeling or being very sick, vomiting, stomach ache with muscle cramps, a general feeling of not being well with severe tiredness, and difficulty in breathing.
Simptomi laktacidoze so nespecifični, na primer močna slabost ali siljenje na bruhanje, bruhanje, trebušne bolečine z mišičnimi krči, splošno slabo počutje z izrazito utrujenostjo in oteženo dihanje.
You are advised to follow the recommendations for skin and foot care that you are given by your doctor or nurse.
Upoštevajte priporočila svojega zdravnika ali medicinske sestre o negi kože in stopal.
In a 24-week placebo-controlled factorial study of initial therapy, linagliptin 2.5 mg twice daily in combination with metformin (500 mg or 1,000 mg twice daily) provided significant improvements in glycaemic parameters compared with either monotherapy as summarised in Table 3 (mean baseline HbA1c 8.65%).
V 24-tedenski s placebom nadzorovani faktorski študiji začetnega zdravljenja je linagliptin v odmerkih po 2,5 mg dvakrat na dan v kombinaciji z metforminom (500 mg ali 1.000 mg dvakrat na dan) pomembno izboljšal glikemične parametre, in sicer v primerjavi z obema monoterapijama, kar je povzeto v preglednici 3 (srednja izhodiščna raven HbA1c 8,65 %).
The pharmacokinetics of linagliptin has been extensively characterised in healthy subjects and patients with type 2 diabetes.
Farmakokinetiko linagliptina so obsežno proučevali pri zdravih preizkušancih in bolnikih s sladkorno boleznijo tipa 2.
• Inhibitors of both OCT1 and OCT2 (such as crizotinib, olaparib) may alter efficacy and renal elimination of metformin.
• zaviralci OCT1 in OCT2 (npr. krizotinib, olaparib) lahko spremeni učinkovitost in izločanje metformina skozi ledvice.
Jentadueto 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 4.4.
Metformin 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.
When linagliptin and metformin were administered in combination with a sulphonylurea, hypoglycaemia was the most frequently reported adverse event (linagliptin plus metformin plus sulphonylurea 23.9% and 16.0% in placebo plus metformin plus sulphonylurea).
Pri zdravljenju z linagliptinom in metforminom v kombinaciji s sulfonilsečnino je bil najpogostejši neželeni dogodek, o katerem so poročali, hipoglikemija (23,9 % za linagliptin + meformin + sulfonilsečnino in 16,0 % za placebo + meformin + sulfonilsečnino).
Linagliptin as add on to a combination of metformin and empagliflozin therapy In patients inadequately controlled with metformin and empagliflozin (10 mg (n=247) or 25 mg (n=217)), 24-weeks treatment with add-on therapy of linagliptin 5 mg provided adjusted mean HbA1c reductions from baseline by -0.53% (significant difference to add-on placebo -0.32% (95% CI -0.52, -0.13) and -0.58% (significant difference to add-on placebo -0.47% (95% CI -0.66; -0.28), respectively.
Linagliptin kot dodatno zdravilo h kombinaciji metformina in emagliflozina Pri bolnikih, neustrezno zdravljenih z metforminom in empagliflozinom (10 mg (n = 247) ali 25 mg (n = 217)), je 24-tedensko zdravljenje z linagliptinom 5 mg, kot dodatnim zdravilom, znižalo prilagojene povprečne vrednosti HbA1c od izhodišča za -0,53 % (pomembna razlika v primerjavi z dodatnim zdravljenjem s placebom -0,32 % (95 % IZ -0,52; -0,13) in -0,58 % (pomembna razlika v primerjavi z dodatnim zdravljenjem s placebom -0,47 % (95 % IZ -0,66; -0,28).
The pharmacokinetics of linagliptin was generally similar in healthy subjects and in patients with type 2 diabetes.
Farmakokinetika linagliptina je bila pri zdravih preizkušancih in bolnikih s sladkorno boleznijo tipa 2 v glavnem podobna.
Metabolism plays a subordinate role in the elimination of linagliptin.
Presnavljanje je pri izločanju linagliptina sekundarnega pomena.
Linagliptin also showed significant improvements in fasting plasma glucose (FPG) by -21.1 mg/dl and 2-hour postprandial glucose (PPG) by -67.1 mg/dl compared to placebo, as well as a greater portion of patients achieving a target HbA1c of < 7.0% (28.3% on linagliptin versus 11.4% on placebo).
Hkrati je linagliptin pomembno izboljšal raven glukoze v plazmi na tešče, in sicer za -21,1 mg/dl, in raven glukoze 2 uri po jedi, za -67,1 mg/dl v primerjavi s placebom, poleg tega je večji delež bolnikov dosegel ciljno raven HbA1c, ki je < 7,0 % (28,3 % pri linagliptinu, v primerjavi z 11,4 % pri placebu).
Posology for renally impaired patients GFR ml/min Metformin
Preglednica 1: Odmerjanje za bolnike z ledvično okvaro GFR ml/min Metformin
• 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,
• pomembno znižanje absolutnega tveganja za katerikoli s sladkorno boleznijo povezan zaplet v skupini z metforminom (29,8 dogodka/1000 bolnikovih let) v primerjavi s samo dieto (43,3 dogodka/1000 bolnikovih let), p = 0,0023, in v primerjavi z združenima skupinama na monoterapiji s sulfonilsečnino in insulinom (40,1 dogodka/1000 bolnikovih let), p = 0,0034;
INFORMATION IN BRAILLE Jentadueto 2.5 mg/850 mg
PODATKI V BRAILLOVI PISAVI Jentadueto 2,5 mg/850 mg
Change in clinical status of patients with previously controlled type 2 diabetes As Jentadueto contains metformin, a patient with previously well controlled type 2 diabetes on Jentadueto who develops laboratory abnormalities or clinical illness (especially vague and poorly defined illness) should be evaluated promptly for evidence of ketoacidosis or lactic acidosis.
Ker vsebuje zdravilo Jentadueto metformin, je treba stanje bolnika z dotlej dobro urejeno sladkorno boleznijo tipa 2 s tem zdravilom, nemudoma oceniti, kadar se pri njem pojavijo laboratorijske nepravilnosti ali klinična bolezen (zlasti nedoločena ali slabo opredeljena), da bi odkrili znake ketoacidoze ali laktacidoze.
If bullous pemphigoid is suspected, Jentadueto should be discontinued.
Če obstaja sum na bulozni pemfigoid, je treba zdravjenje z zdravilom Jentadueto ukiniti.
You should not exceed the maximum recommended daily dose of 5 mg linagliptin and 2,000 mg metformin hydrochloride.
Največjega priporočenega dnevnega odmerka, ki je 5 mg linagliptina in 2000 mg metforminijevega klorida, ne smete prekoračiti.
Metformin hydrochloride stimulates intracellular glycogen synthesis by acting on glycogen synthase.
Z delovanjem na glikogen-sintazo metforminijev klorid spodbuja intracelularno sintezo glikogena.
In a cardiovascular and renal safety study (CARMELINA) with median observation period of 2.2 years, adjudicated acute pancreatitis was reported in 0.3% of patients treated with linagliptin and in 0.1% of patients treated with placebo.
V študiji o srčno-žilni in ledvični varnosti (CARMELINA), z mediano obdobja opazovanja 2,2 leti, je bilo ugotovljeno, da so o akutnem pankreatitisu poročali pri 0,3 % bolnikov, zdravljenih z linagliptinom, in pri 0,1 % bolnikov, zdravljenih s placebom.
Linagliptin 5 mg showed superiority over 1 mg with regard to trough DPP-4 inhibition (72% vs 32%, p=0.0050) and a numerically larger reduction with regard to adjusted mean change from baseline in HbA1c (-0.63% vs -0.48%, n.s.).
Linagliptin 5 mg je pokazal superiornost nad 1 mg odmerkom pri najnižjem zaviranju DPP-4 (72 % v primerjavi z 32 %, p = 0,0050) in številčno večje zmanjšanje prilagojene spremembe mediane glede na izhodiščno vrednost HbA1c (-0,63 % v primerjavi z -0,48 %, »ni statistično značilno«).
INFORMATION IN BRAILLE Jentadueto 2.5 mg/1,000 mg
PODATKI V BRAILLOVI PISAVI Jentadueto 2,5 mg/1000 mg
The efficacy and safety of linagliptin in combination with metformin in patients with insufficient glycaemic control on metformin monotherapy was evaluated in a double-blind placebo-controlled study of 24 weeks duration.
Učinkovitost in varnost linagliptina v kombinaciji z metforminom so pri bolnikih z nezadostno urejeno glikemijo med monoterapijo z metforminom ocenili v dvojno slepi, s placebom nadzorovani 24-tedenski študiji.
In the pooled analysis of the seven placebo-controlled trials, the overall incidence of adverse events in patients treated with placebo and metformin was comparable to that seen with linagliptin 2.5 mg and metformin (54.3 and 49.0%).
V analizi zbranih podatkov iz sedmih s placebom nadzorovanih preskušanj je bila skupna pojavnost neželenih dogodkov pri bolnikih, ki so jemali placebo in metformin, primerljiva z njihovo pojavnostjo pri tistih, ki so jemali po 2,5 mg linagliptina in metformin (54,3 % in 49,0 %).
Some patients have had the following side effects while taking Jentadueto: - Common (may affect up to 1 in 10 people): diarrhoea, blood enzyme increase (lipase increase),
Pri nekaterih bolnikih so se med jemanjem zdravila Jentadueto pojavili naslednji neželeni učinki: - Pogosti (pojavijo se lahko pri do 1 od 10 bolnikov): driska, zvišana raven encima v krvi
Metformin should 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
Metformin 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 4.5.
You should not use Jentadueto if you are pregnant.
Če ste noseči, zdravila Jentadueto ne smete uporabljati.
In the treated population, severe hypoglycaemic events (requiring assistance) were reported in 3.0% of patients on linagliptin and in 3.1% on placebo.
Pri zdravljeni populaciji so o hudih hipoglikemičnih dogodkih (kjer je bila potrebna pomoč) poročali pri 3,0 % bolnikov, ki so jemali linagliptin, in pri 3,1 % bolnikov, ki so jemali placebo.
Among patients who were using sulfonylurea at baseline, the incidence of severe hypoglycaemia was 2.0% in linagliptin-treated patients and 1.7% in placebo treated patients.
Med bolniki, ki so ob izhodišču jemali sulfonilsečnino, je bila pojavnost hude hipoglikemije 2,0 % pri bolnikih, ki so se zdravili z linagliptinom, in 1,7 % pri bolnikih, ki so se zdravili s placebom.
The most frequently reported adverse reaction for linagliptin plus metformin was diarrhoea (1.6%) with a comparable rate on metformin plus placebo (2.4%).
Najpogostnejši neželeni učinek, o katerem so poročali pri kombinaciji linagliptina z metforminom, je bil driska (1,6 %), katerega razmerje je bilo podobno kot pri kombinaciji metformina in placeba
- The active substances are linagliptin and metformin hydrochloride.
- Učinkovini sta linagliptin in metforminijev klorid.
How to take Jentadueto
Kako jemati zdravilo Jentadueto
Clinically meaningful interactions would not be expected with other sulphonylureas (e.g., glipizide, tolbutamide, and glimepiride) which, like glibenclamide, are primarily eliminated by CYP2C9.
Pri drugih sulfonilsečninah (npr. glipizidu, tolbutamidu in glimepiridu), ki se tako kot glibenklamid primarno izločajo prek CYP2C9, predvidoma ne prihaja do klinično pomembnih interakcij.
It is especially important to mention the following: - 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 for the treatment of high blood pressure (ACE inhibitors and angiotensin II
Posebno pomembno je omeniti naslednje: - zdravila, ki povečajo nastajanje urina (diuretiki), - zdravila za zdravljenje bolečine in vnetja (nesteroidna protivnetna zdravila in zaviralci COX-2,
Monitoring of renal function is necessary to aid in prevention of metformin-associated lactic acidosis, particularly in the elderly (see sections 4.3 and 4.4).
Da bi, zlasti pri starejših, preprečili z metforminom povezano laktacidozo, je treba bolnikom spremljati ledvično delovanje (glejte poglavji 4.3 in 4.4).
isavuconazole) may decrease the renal elimination of metformin and thus lead to an increase in metformin plasma concentration.
lahko zmanjša izločanje metformina skozi ledvice, kar lahko vodi v povečanje koncentracije metformina v plazmi;
No dose adjustment of linagliptin is recommended in patients with renal impairment; therefore, linagliptin may be continued as a single entity tablet at the same total daily dose of 5 mg if Jentadueto is discontinued due to evidence of renal impairment.
Zdravljenje z linagliptinom se lahko nadaljuje z eno tableto pri enakem skupnem dnevnem odmerku po 5 mg, če zdravilo Jentadueto ukinemo zaradi znakov ledvične okvare.
trimethoprime, vandetanib, isavuconazole, crizotinib, olaparib).
cimetidin, dolutegravir, ranolazin, trimetoprim, vandetanib, izavukonazol, krizotinib, olaparib),
Linagliptin is a P-glycoprotein substrate, and inhibits P-glycoprotein mediated transport of digoxin with low potency.
Linagliptin je substrat za P-glikoprotein in šibko zavira prenos digoksina, ki ga posreduje P-glikoprotein.
- Pack sizes of 10 x 1, 14 x 1, 28 x 1, 30 x 1, 56 x 1, 60 x 1, 84 x 1, 90 x 1, 98 x 1, 100 x 1 and 120 x 1 film-coated tablets and multipacks containing 120 (2 packs of 60 x 1), 180 (2 packs of 90 x 1) and 200 (2 packs of 100 x 1) film-coated tablets in aluminium lidding foil and PVC/polychlorotrifluoro ethylene/PVC based forming foil perforated unit dose blisters.
- Velikosti pakiranja po 10 x 1, 14 x 1, 28 x 1, 30 x 1, 56 x 1, 60 x 1, 84 x 1, 90 x 1, 98 x 1, 100 x 1 in 120 x 1 filmsko obložena tableta in večkratna pakiranja po 120 (2 enoti po 60 x 1), 180 (2 enoti po 90 x 1) in 200 (2 enoti po 100 x 1) filmsko obloženih tablet v perforiranih enoodmernih pretisnih omotih iz aluminijaste pokrivne folije in PVC/poliklortrifluoroetilen/PVC osnovne folije.
In one study linagliptin was given as add-on to metformin plus sulphonylurea.
V eni od študij je bil metforminu in sulfonilsečnini dodan linagliptin.
Under steady-state conditions, linagliptin exposure in patients with mild renal impairment was comparable to healthy subjects.
V stanju dinamičnega ravnovesja je bila izpostavljenost linagliptinu pri bolnikih z blago ledvično okvaro primerljiva izpostavljenosti pri zdravih preizkušancih.
Caution should be exercised in patients with a history of pancreatitis.
Pri bolnikih s pankreatitisom v anamnezi je potrebna previdnost.
Linagliptin also showed significant improvements in patients achieving a target HbA1c of < 7.0% (31.2% on linagliptin versus 9.2% on placebo), and also for fasting plasma glucose (FPG) with -12.7 mg/dl reduction compared to placebo.
Pomembno je izboljšal tudi doseganje ciljne ravni HbA1c, in sicer na < 7,0 % (31,2 % pri linagliptinu v primerjavi z 9,2 % pri placebu) ter raven glukoze v plazmi na tešče, z zmanjšanjem za -12,7 mg/dl v primerjavi s placebom.
The observed incidence of hypoglycaemia in patients treated with linagliptin was similar to placebo.
Pojavnost hipoglikemije je bila pri bolnikih, ki so se zdravili z linagliptinom, podobna kot pri placebu.
Patients switching from co-administration of linagliptin and metformin For patients switching from co-administration of linagliptin and metformin, Jentadueto should be initiated at the dose of linagliptin and metformin already being taken.
Bolniki, ki so do zamenjave zdravila sočasno jemali linagliptin in metformin Bolnikom, ki so do zamenjave zdravila sočasno jemali linagliptin in metformin, je treba zdravljenje začeti z enakima odmerkoma teh dveh zdravil, kot so ju jemali dotlej.
In the overall study observation period adjudicated acute pancreatitis was reported in 0.3% of patients treated with linagliptin and in 0.1% of patients treated with placebo.
V celotnem obdobju študijskega opazovanja je bilo ugotovljeno, da so o akutnem pankreatitisu poročali pri 0,3 % bolnikov, ki so se zdravili z linagliptinom, in 0,1 % bolnikov, ki so se zdravili s placebom.
The NOAEL for maternal-, embryo-fetal-, and offspring toxicity in rats was 49 times human exposure.
Odmerek, pri katerem še ni opaziti toksičnega učinka (NOAEL) na samice, zarodke in plodove ter potomce pri podganah, je bil 49-krat večji od izpostavljenosti za človeka.
Co-administration with 5 mg linagliptin did not alter the steady-state pharmacokinetics of levonorgestrel or ethinylestradiol.
Pri sočasnem jemanju 5 mg linagliptina se farmakokinetika levonorgestrela ali etinilestradiola v stanju dinamičnega ravnovesja ni spremenila.
The steady-state pharmacokinetics of 5 mg linagliptin were not changed by concomitant administration of a single 1.75 mg dose glibenclamide (glyburide).
V stanju dinamičnega ravnovesja se farmakokinetika linagliptina po 5 mg odmerku pri sočasnem dajanju enkratnega odmerka po 1,75 mg glibenklamida (gliburida) ni spremenila.
Co-administration of multiple doses of linagliptin and metformin did not meaningfully alter the pharmacokinetics of either linagliptin or metformin in healthy volunteers and patients.
Sočasno dajanje večkratnih odmerkov linagliptina in metformina niti pri zdravih prostovoljcih niti bolnikih ni pomembneje spremenilo njune farmakokinetike.
Metformin accumulation occurs at acute worsening of renal function and increases the risk of lactic acidosis.
Pri akutnem poslabšanju delovanja ledvic se začne metformin kopičiti, kar poveča tveganje za laktacidozo.
Metformin is excreted in human milk in small amounts.
Pri ljudeh se v mleko izloča majhna količina metformina.