natgillin/translations-raw huggingface dataset:
Marketing Authorisation Holder AstraZeneca AB 
Imetnik dovoljenja za promet z zdravilom AstraZeneca AB
Temporary interruption of treatment with this medicinal product is recommended for patients who develop volume depletion until the depletion is corrected (see section 4.8). 
Če se pri bolniku pojavi zmanjšanje volumna, pride v poštev začasna prekinitev zdravljenja s tem zdravilom, dokler zmanjšanje ni odpravljeno (glejte poglavje 4.8).
Adverse reaction originates from saxagliptin or dapagliflozin post-marketing surveillance data. 
Neželeni učinki izvirajo iz podatkov o spremljanju med obdobjem trženja saksagliptina oz. dapagliflozina.
In the concomitant study, the adjusted mean change from baseline in body weight at Week 24 (excluding data after rescue) was −2.05 kg (95 % CI [−2.52, −1.58]) in the saxagliptin 5 mg plus dapagliflozin 10 mg plus metformin group and −2.39 kg (95 % CI [−2.87, −1.91]) in the dapagliflozin 10 mg plus metformin group, while the saxagliptin 5 mg plus metformin group had no change (0.00 kg) (95 % CI [−0.48, 0.49]). 
V sočasni študiji je bila prilagojena povprečna sprememba telesne mase 24. teden v primerjavi z izhodiščem (izključujoč podatke po reševalnem ukrepanju) -2,05 kg (95 % IZ -2,52, -1,58) v skupini s kombinacijo 5 mg saksagliptina, 10 mg dapagliflozina in metformina in -2,39 kg (95 % IZ2,87, -1,91) v skupini z 10 mg dapagliflozina in metforminom; v skupini, ki je prejemala 5 mg saksagliptina in metformin, spremembe ni bilo (0,00 kg, 95 % IZ -0,48, 0,49).
- The other ingredients are: - tablet core: microcrystalline cellulose (E460i), croscarmellose sodium (E468), anhydrous lactose (see section 2 ‘Qtern contains lactose'), magnesium stearate (E470b), dental type silica (E551). 
• Druge sestavine so: - Jedro tablete: mikrokristalna celuloza (E460i), premreženi natrijev karmelozat (E468), brezvodna laktoza (glejte poglavje 2, "Zdravilo Qtern vsebuje lakozo"), magnezijev stearat (E470b), silicijev dioksid, dentalni (E551).
This results in a glucose-dependent increase in insulin secretion, thus reducing fasting and post-prandial blood glucose concentrations. 
Posledica je od glukoze odvisno izločanje insulina in znižanje koncentracije glukoze v krvi na tešče in postprandialno.
This group of events was reported in 3.2 % and 1.8 % of patients who received dapagliflozin 10 mg and placebo, respectively. 
Ta skupina učinkov je bila opisana pri 3,2 % bolnikov, ki so prejemali 10 mg dapagliflozina, in pri 1,8 % tistih, ki so prejemali placebo.
Effect of saxagliptin or dapagliflozin on other medicinal products Saxagliptin: Saxagliptin did not meaningfully alter the pharmacokinetics of metformin, glibenclamide (a CYP2C9 substrate), pioglitazone [a CYP2C8 (major) and CYP3A4 (minor) substrate], digoxin (a P-gp substrate), simvastatin (a CYP3A4 substrate), the active components of a combined oral contraceptive (ethinylestradiol and norgestimate), diltiazem or ketoconazole. 
Vpliv saksagliptina ali dapagliflozina na druga zdravila Saksagliptin: Saksagliptin ni pomembno spremenil farmakokinetike metformina, glibenklamida (substrat CYP2C9), pioglitazona [substrat CYP2C8 (pomembno) in CYP3A4 (manj pomembno)], digoksina (substrat P-gp), simvastatina (substrat CYP3A4), učinkovin v kombiniranih peroralnih kontraceptivih (etinilestradiola in norgestimata), diltiazema ali ketokonazola.
Patients were randomised to one of three double-blind treatment groups to receive saxagliptin 5 mg and dapagliflozin 10 mg added to metformin, saxagliptin 5 mg and placebo added to metformin, or dapagliflozin 10 mg and placebo added to metformin. 
Bolnike so randomizirali v eno od treh dvojno slepih terapevtskih skupin, tako da so prejemali 5 mg saksagliptina in 10 mg dapagliflozina, dodanih metforminu, ali 5 mg saksagliptina in placebo, dodana metforminu, ali 10 mg dapagliflozina in placebo, dodana metforminu.
Saxagliptin: After a single dose of saxagliptin in subjects with mild, moderate or severe renal impairment (or ESRD) classified on the basis of creatinine clearance the mean AUC values of saxagliptin were 1.2-, and up to 2.1- and 4.5- fold higher, respectively, than AUC values in subjects with normal renal function. 
Saksagliptin: Po enkratnem odmerku saksagliptina pri bolnikih z blago, zmerno oziroma hudo okvaro ledvic (ali končno odpovedjo ledvic), opredeljeno glede na očistek kreatinina, je bila AUC saksagliptina 1,2-krat do 2,1-krat, oziroma 4,5-krat višja kot AUC pri osebah z normalnim delovanjem ledvic.
Vulvovaginitis, balanitis and related genital infection include the following preferred terms: vulvovaginal mycotic infection, balanoposthitis, genital infection fungal, vaginal infection, and vulvovaginitis. 
Vulvovaginitis, balanitis in sorodne okužbe spolovil obsegajo naslednje prednostne izraze: vulvovaginalna glivična okužba, balanopostitis, glivična okužba spolovil, okužba nožnice in vulvovaginitis.
Saxagliptin/dapagliflozin combination: There is no information available on overdose with Qtern. 
Kombinacija saksagliptina/dapagliflozina: Informacij o prevelikem odmerjanju zdravila Qtern ni.
Skin lesions were not observed at an increased incidence in saxagliptin clinical trials. 
V kliničnih preskušanjih saksagliptina niso opazili večje pojavnosti kožnih sprememb.
Use with medicinal products known to cause hypoglycaemia If Qtern is used in combination with insulin secretagogue (sulphonylurea), a reduction in the dose of sulphonylurea may be required to minimize the risk of hypoglycaemia (see section 4.4). 
Če je zdravilo Qtern uporabljeno v kombinaciji z insulinskim sekretagogom (sulfonilsečnino), je lahko potrebno zmanjšanje odmerka sulfonilsečnine, da bi zmanjšali tveganje za hipoglikemijo (glejte poglavje 4.4).
Rash has been seen with both saxagliptin and dapagliflozin when given separately (see section 4). 
Izpuščaj so opažali tako med uporabo saksagliptina kot med uporabo dapagliflozina, če sta bila uporabljena ločeno (glejte poglavje 4).
The modest lowering effects on BP were consistent over time and a similar number of subjects had systolic BP < 130 mmHg or diastolic BP < 80 mmHg at Week 24 across the treatment groups. 
Zmeren učinek na znižanje krvnega tlaka se je ohranil skozi čas in po 24 tednih je imelo v terapevtskih skupinah sistolični KT < 130 mmHg ali diastolični KT < 80 mmHg podobno število bolnikov.
Dapagliflozin: In in vitro studies, dapagliflozin neither inhibited cytochrome P450 (CYP) 1A2, CYP2A6, CYP2B6, CYP2C8, CYP2C9, CYP2C19, CYP2D6, CYP3A4, nor induced CYP1A2, CYP2B6 or CYP3A4. 
Dapagliflozin: V študijah in vitro dapagliflozin ni ne zavrl citokroma P450 (CYP) 1A2, CYP2A6, CYP2B6, CYP2C8, CYP2C9, CYP2C19, CYP2D6, CYP3A4, ne induciral CYP1A2, CYP2B6 ali CYP3A4.
Light brown to brown, biconvex, 0.8 cm round, film-coated tablet, with “5/10” printed on one side, and “1122” printed on the other side, in blue ink. 
Svetlorjave do rjave bikonveksne 0,8 cm velike okrogle filmsko obložene tablete, ki imajo z modrim črnilom na eni strani natisnjeno oznako "5/10" in na drugi strani oznako "1122".
Treatments 
Zdravljenje
Your doctor may ask you to stop taking Qtern until you recover to prevent dehydration. 
Za preprečitev dehidracije vam lahko zdravnik naroči, da nehajte jemati zdravilo Qtern, dokler si ne opomorete.
Uncommon - thirst - constipation - awakening from sleep at night to pass urine - dry mouth - weight decreased - increases in creatinine or urea (shown in laboratory blood tests) - decrease in kidney function - skin rash that may include raised bumps, skin irritation, or unpleasant itchiness - difficulties in getting or maintaining an erection (erectile dysfunction). 
Občasni - žeja - zaprtost - prebujanje ponoči, da bi šli na vodo - suha usta - zmanjšanje telesne mase - zvišanje kreatinina ali sečnine (to se pokaže v laboratorijskih preiskavah krvi) - zmanjšano delovanje ledvic - izpuščaj na koži, ki lahko obsega dvignjene bulice, draženje kože ali neprijetno srbenje - težave z doseganjem ali vzdrževanjem erekcije (erektilna disfunkcija) - preobčutljivostne reakcije - srbenje v predelu spolovil (genitalni pruritus ali vulvovaginalni pruritus) ali nelagodje pri uriniranju.
Concomitant administration of saxagliptin with the potent inhibitor of CYP3A4/5 ketoconazole, increased the Cmax and AUC of saxagliptin by 62 % and 2.5-fold, respectively, and the corresponding values for the active metabolite were decreased by 95 % and 88 %, respectively. 
Sočasna uporaba saksagliptina z močnim zaviralcem CYP3A4/5 ketokonazolom je zvišala Cmax saksagliptina za 62 % in njegovo AUC za 2,5-krat ter je znižala Cmax aktivnega presnovka za 95 % in njegovo AUC za 88 %.
They included adverse events of gastric neoplasm, pancreatic cancer with hepatic metastases, and invasive ductal breast carcinoma in the saxagliptin plus dapagliflozin plus metformin group. 
Obsegale so novotvorbo želodca, raka trebušne slinavke z metastazami v jetrih in invaziven duktalen karcinom dojke v skupini, ki je prejemala saksagliptin, dapagliflozin in metformin.
HbA1c (%) at week 24 Baseline (mean) 
HbA1c (%) 24. teden Izhodišče (povprečje)
If any of the above apply to you (or you are not sure), talk to your doctor, pharmacist or nurse before taking Qtern. 
Če kaj od naštetega velja za vas (ali če ste negotovi), se pred začetkom jemanja zdravila Qtern posvetujte z zdravnikom, farmacevtom ali medicinsko sestro.
Lower limb amputations 
Znižanje števila limfocitov
Interactions with other oral anti-diabetic or cardiovascular medicinal products Saxagliptin: Saxagliptin did not meaningfully alter the pharmacokinetics of dapagliflozin, metformin, glibenclamide, pioglitazone, digoxin, diltiazem or simvastatin. 
Medsebojno delovanje z drugimi peroralnimi antidiabetiki ali zdravili za srce in ožilje Saksagliptin: Saksagliptin ni pomembno spremenil farmakokinetike dapagliflozina, metformina, glibenklamida, pioglitazona, digoksina, diltiazema ali simvastatina.
Use with medicinal products known to cause hypoglycaemia Both saxagliptin and dapagliflozin can individually increase the risk of hypoglycaemia when combined with an insulin secretagogue. 
Tako saksagliptin kot dapagliflozin lahko vsak zase povečata tveganje za hipoglikemijo, če sta uporabljena v kombinaciji s kakšnim insulinskim sekretagogom.
Saxagliptin produced gastrointestinal toxicity in dogs, including bloody/mucoid faeces and enteropathy at higher doses with a NOEL 4 and 2 times the human exposure for saxagliptin and the major metabolite, respectively at RHD. 
Saksagliptin je povzročil gastrointestinalne toksične učinke pri psih, vključno s krvavim ali mukoidnim blatom, in enteropatijo pri večjih odmerkih; NOEL je bila 4-kratnik človeške izpostavljenosti saksagliptinu in 2-kratnik človeške izpostavljenosti glavnemu presnovku, ki je dosežena s priporočenim odmerkom za človeka.
Therefore, renal function and risk of volume depletion should be taken into account prior to starting treatment with Qtern. 
Zato je treba pred začetkom zdravljenja z zdravilom Qtern upoštevati delovanje ledvic in tveganje za zmanjšanje volumna.
Dapagliflozin: The mean plasma terminal half-life (t1/2) for dapagliflozin was 12.9 hours following a single oral dose of dapagliflozin 10 mg to healthy subjects. 
Dapagliflozin: Po enkratnem peroralnem odmerku 10 mg dapagliflozina pri zdravih osebah je bil povprečni plazemski terminalni razpolovni čas (t1/2) dapagliflozina 12,9 ure.
Creatinine renal clearance decreased haematocrit increased 
Preiskave zmanjšan ledvični očistek kreatinina
- Urinary tract infection, seen commonly (may affect up to 1 in 10 people). 
- Okužba sečil je pogosta (pojavi se lahko pri največ 1 od 10 bolnikov).
Studies in animals with saxagliptin have shown reproductive toxicity at high doses (see section 5.3). 
Študije saksagliptina na živalih so pri velikih odmerkih pokazale toksične učinke na sposobnost razmnoževanja (glejte poglavje 5.3).
- If it is more than 12 hours since you should have taken your dose, skip the missed dose. 
- Če je od tedaj, ko bi morali vzeti odmerek, minilo že več kot 12 ur, izpuščenega odmerka ne vzemite.
Summary of the safety profile of saxagliptin plus dapagliflozin The combination of saxagliptin 5 mg and dapagliflozin 10 mg in 1169 adults with type 2 diabetes mellitus (T2DM) and inadequate glycaemic control on metformin has been evaluated in three Phase 3, randomised, double-blind, active/placebo-control, parallel group, multi-centre clinical trials for up to 52 weeks (see section 5.1). 
Povzetek varnostnih značilnosti kombinacije saksagliptina in dapagliflozina Kombinacijo 5 mg saksagliptina in 10 mg dapagliflozina so pri 1169 odraslih s sladkorno boleznijo tipa 2 (SBT2) in glikemijo, neustrezno urejeno z metforminom, ocenili v treh randomiziranih, dvojno slepih, z učinkovino/placebom nadzorovanih multicentričnih kliničnih preskušanjih 3. faze z vzporednimi skupinami, ki so trajala do 52 tednov (glejte poglavje 5.1).
Anaphylactic reactions including anaphylactic shock 
Bolezni imunskega sistema preobčutljivostne reakcije anafilaktične reakcije, vključno z anafilaktičnim šokom
Dapagliflozin: At steady-state (20 mg once-daily dapagliflozin for 7 days), subjects with type 2 diabetes mellitus and mild, moderate or severe renal impairment (as determined by iohexol plasma clearance) had mean systemic exposures of dapagliflozin of 32 %, 60 % and 87 % higher, respectively, than those of subjects with type 2 diabetes mellitus and normal renal function. 
Dapagliflozin: V stanju dinamičnega ravnovesja (uporaba dapagliflozina 20 mg enkrat na dan 7 dni) so imeli bolniki s sladkorno boleznijo tipa 2 z blago okvaro ledvic za 32 %, tisti z zmerno okvaro za 60 % in tisti s hudo okvaro za 87 % (stopnja okvare je bila ugotovljena s plazemskim očistkom ioheksola) večjo povprečno sistemsko izpostavljenost dapagliflozinu kot bolniki s sladkorno boleznijo tipa 2 in normalnim delovanjem ledvic.
Dapagliflozin: In interaction studies conducted in healthy subjects, using mainly a single-dose design, dapagliflozin did not alter the pharmacokinetics of metformin, pioglitazone [a CYP2C8 (major) and CYP3A4 (minor) substrate], sitagliptin, glimepiride (a CYP2C9 substrate), hydrochlorothiazide, bumetanide, valsartan, digoxin (a P-gp substrate) or warfarin (S-warfarin, a CYP2C9 substrate), or the anticoagulatory effects of warfarin as measured by INR. 
Dapagliflozin: V študijah medsebojnega delovanja pri zdravih osebah, večinoma z enkratnim odmerkom, dapagliflozin ni spremenil farmakokinetike metformina, pioglitazona [substrat CYP2C8 (pomembno) in CYP3A4 (manj pomembno)], sitagliptina, glimepirida (substrat CYP2C9), hidroklorotiazida, bumetanida, valsartana, digoksina (substrat P-gp) ali varfarina (S-varfarin, substrat CYP2C9) ali antikoagulantnih učinkov varfarina, merjenih z INR.
The removal of dapagliflozin by haemodialysis has not been studied. 
Odstranjevanje dapagliflozina s hemodializo ni raziskano.
Difference from saxagliptin + metformin (adjusted mean (95 % CI) 
Razlika od saksagliptina + metformina (prilagojeno povprečje (95 % IZ)
Placebo + saxagliptin 5 mg + metformin (N=160) 
Placebo + 5 mg saksagliptina + metformin (N = 160)
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. 
Pri zdravih preiskovancih je bila po uporabi enega 5 mg odmerka saksagliptina povprečna AUC saksagliptina v plazmi 78 ng h/ml, njegovega glavnega presnovka pa 214 ng h/ml.
Qtern 5 mg/10 mg film-coated tablets are light brown to brown, biconvex, round, film-coated tablets, with “5/10” printed on one side, and “1122” printed on the other side, in blue ink. 
Filmsko obložene tablete zdravila Qtern 5 mg/10 mg so svetlorjave do rjave bikonveksne okrogle filmsko obložene tablete, ki imajo z modrim črnilom na eni strani natisnjeno oznako "5/10" in na drugi strani oznako "1122".
There was no food effect observed for saxagliptin. 
Vpliva hrane na saksagliptin niso opazili.
Approximately 70 g of glucose was excreted in the urine per day (corresponding to 280 kcal/day) at a dapagliflozin dose of 10 mg/day in subjects with type 2 diabetes mellitus for 12 weeks. 
Med 12-tedensko uporabo 10 mg dapagliflozina na dan se je pri bolnikih s sladkorno boleznijo tipa 2 v urinu izločilo približno 70 g glukoze na dan (to ustreza 280 kcal/dan).
Rare cases of diabetic ketoacidosis (DKA), including life-threatening and fatal cases, have been reported in patients treated with SGLT2 inhibitors, including dapagliflozin. 
Pri bolnikih, zdravljenih z zaviralci SGLT2 (vključno z dapagliflozinom), so poročali o redkih primerih diabetične ketoacidoze (DKA), med njimi tudi o smrtno nevarnih in smrtnih primerih.
Qtern should not be used while breast-feeding. 
Zdravila Qtern se med obdobjem dojenja ne sme uporabljati.
Saxagliptin: The metabolism of saxagliptin is primarily mediated by cytochrome P450 3A4/5 (CYP3A4/5). 
Farmakokinetično medsebojno delovanje Saksagliptin: Presnova saksagliptina poteka predvsem s citokromom P450 3A4/5 (CYP3A4/5).
The exposure of the active metabolite and the plasma DPP-4 activity inhibition over a dose interval were not influenced by rifampicin (see section 4.4). 
Rifampicin v odmernem intervalu ni vplival na izpostavljenost aktivnemu presnovku ali na zavrtje aktivnosti DPP-4 v plazmi (glejte poglavje 4.4).
Difference from dapagliflozin + metformin (adjusted mean (95 % CI) 
Razlika od dapagliflozina + metformina (prilagojeno povprečje (95 % IZ)
Skin and subcutaneous tissue disorders 
Bolezni kože in podkožja izpuščaj dermatitis
Subjects with adverse events of renal impairment had lower mean eGFR values at baseline of 61.8 ml/min/1.73m2 compared to 93.6 ml/min/1.73m2 in the overall population. 
Preiskovanci z neželenim učinkom okvare ledvic so imeli izhodiščno nižjo eGFR (61,8 ml/min/1,73 m2) kot celotna populacija
This medicinal product has not been studied in severe renal impairment (CrCl < 30 ml/min or eGFR < 30 ml/min/1.73 m2) or end-stage renal disease (ESRD). 
To zdravilo ni bilo raziskano pri bolnikih s hudo okvaro ledvic (očistek kreatinina < 30 ml/min ali eGFR < 30 ml/min/1,73 m2) in bolnikih s končno odpovedjo ledvic.
The steady-state 24-hour urinary glucose excretion was highly dependent on renal function and 85, 52, 18 and 11 g of glucose/day was excreted by subjects with type 2 diabetes mellitus and normal renal function or mild, moderate or severe renal impairment, respectively. 
Štiriindvajseturno izločanje glukoze v urinu v stanju dinamičnega ravnovesja je bilo močno odvisno od delovanja ledvic: pri bolnikih s sladkorno boleznijo tipa 2 z normalnim delovanjem ledvic je bilo 85 g glukoze/dan, z blago okvaro ledvic 52 g/dan, z zmerno okvaro 18 g/dan in s hudo okvaro 11 g/dan.
In patients with normal renal function or mild renal impairment (baseline eGFR ≥ 60 ml/min/1.73m2), events related to decreased renal function were reported in 1.3 % and 0.8 % of patients who received dapagliflozin 10 mg and placebo, respectively. 
Pri bolnikih z normalnim delovanjem ledvic ali blago okvaro ledvic (izhodiščni eGFR ≥ 60 ml/min/1,73 m2) so o neželenih učinkih, povezanih z zmanjšanim delovanjem ledvic, poročali pri 1,3 % prejemnikov 10 mg dapagliflozina in 0,8 % prejemnikov placeba.
Effects on fertility were observed using saxagliptin 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 saksagliptina, ki so povzročili očitne znake toksičnosti (glejte poglavje 5.3).
Do not take Qtern if any of the above apply to you. 
Ne vzemite zdravila Qtern, če kaj od naštetega velja za vas.
Three hundred twenty (320) subjects were randomised equally into either the dapagliflozin added to saxagliptin plus metformin treatment group or placebo plus saxagliptin plus metformin treatment group. 
Tristodvajset (320) bolnikov so v enakem številu randomizirali ali na dapagliflozin, dodan saksagliptinu in metforminu, ali na placebo, dodan saksagliptinu in metforminu.
Add-on therapy with saxagliptin in patients inadequately controlled on dapagliflozin plus metformin A 24-week randomised, double-blind, placebo-controlled study conducted on patients with type 2 diabetes mellitus and inadequate glycaemic control (HbA1c ≥ 7 % and ≤ 10.5 %) on metformin and dapagliflozin alone, compared the sequential addition of 5 mg saxagliptin to 10 mg dapagliflozin and metformin, to the addition of placebo to 10 mg dapagliflozin and metformin, 153 patients were randomised into the saxagliptin added to dapagliflozin plus metformin treatment group, and 162 patients were randomised into the placebo added to dapagliflozin plus metformin treatment group. 
24-tedenska randomizirana, dvojno slepa, s placebom kontrolirana študija pri bolnikih s sladkorno boleznijo tipa 2 in neustrezno urejeno glikemijo (HbA1c ≥ 7 % in ≤ 10,5 %) z metforminom in dapagliflozinom samima, je primerjala zaporedno dodajanje 5 mg saksagliptina kombinaciji 10 mg dapagliflozina in metformina ter dodajanje placeba k 10 mg dapagliflozina in metforminu; 153 bolnikov je bilo randomiziranih na saksagliptin, dodan dapagliflozinu in metforminu, 162 bolnikov pa na placebo, dodan dapagliflozinu in metforminu.
Qtern contains the active substances saxagliptin and dapagliflozin. 
Zdravilo Qtern vsebuje učinkovini saksagliptin in dapagliflozin.
Pharmacokinetic interactions 
Farmakodinamično medsebojno delovanje
An increase in cases of lower limb amputation (primarily of the toe) has been observed in ongoing long-term, clinical studies with another SGLT2 inhibitor. 
V dolgoročnih kliničnih študijah z drugim zaviralcem SGLT2, ki še potekajo, so opazili povečano število primerov amputacij na spodnjih okončinah (predvsem prstov na nogah).
Saxagliptin produced reversible skin lesions (scabs, ulcerations and necrosis) in extremities (tail, digits, scrotum and/or nose) in cynomolgus monkeys. 
Pri opicah cynomolgus je saksagliptin povzročil reverzibilne kožne spremembe (kraste, razjede in nekrozo) na udih (rep, prsti, modnik in/ali nos).
Pack sizes of 14, 28, and 98 film-coated tablets in calendar blisters Pack size of 30 film-coated tablets in blisters 
Velikosti pakiranj s 14, 28 in 98 filmsko obloženimi tabletami v koledarskih pretisnih omotih.
Saxagliptin: In subjects with mild (Child-Pugh class A), moderate (Child-Pugh class B), or severe (Child-Pugh class C) hepatic impairment the exposures to saxagliptin were 1.1-, 1.4- and 1.8-fold higher, respectively, and the exposures to BMS-510849 (saxagliptin metabolite) were 22 %, 7 % and 33 % lower, respectively, than those observed in healthy subjects. 
Saksagliptin: V primerjavi z zdravimi osebami je bila pri bolnikih z blago okvaro jeter (Child-Pugh razred A) izpostavljenost saksagliptinu 1,1-krat večja in izpostavljenost BMS-510849 (presnovek saksagliptina) 22 % manjša, z zmerno okvaro jeter (Child-Pugh razred B) 1,4-krat večja oziroma 7 %
Adverse events of genital infection were reported in 3.0 % in the saxagliptin plus dapagliflozin plus metformin group, 0.9 % of saxagliptin plus metformin group and 5.9 % of subjects in the dapagliflozin plus metformin group. 
O neželenem učinku okužbe spolovil so poročali pri 3,0 % prejemnikov kombinacije saksagliptina, dapagliflozina in metformina, pri 0,9 % prejemnikov kombinacije saksagliptina in metformina ter pri 5,9 % prejemnikov kombinacije dapagliflozina in metformina.
There is limited experience in clinical trials in patients with hepatic impairment. 
Pri bolnikih z okvaro jeter je izkušenj iz kliničnih preskušanj malo.
In a pre- and postnatal 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 telesne mase mladičev; NOEL je bila 488-kratnik človeške izpostavljenosti saksagliptinu in 45-kratnik človeške izpostavljenosti njegovemu glavnemu presnovku, dosežene s priporočenim odmerkom za človeka).
If you are not sure, talk to your doctor, pharmacist, or nurse before taking Qtern. 
Če ste negotovi, se pred začetkom jemanja zdravila Qtern posvetujte z zdravnikom, farmacevtom ali medicinsko sestro.