البلد: إسرائيل
اللغة: الإنجليزية
المصدر: Ministry of Health
EMPAGLIFLOZIN; METFORMIN HYDROCHLORIDE
BOEHRINGER INGELHEIM ISRAEL LTD.
A10BD20
FILM COATED TABLETS
EMPAGLIFLOZIN 12.5 MG; METFORMIN HYDROCHLORIDE 500 MG
PER OS
Required
BOEHRINGER INGELHEIM PHARMA GMBH & CO.KG
METFORMIN AND EMPAGLIFLOZIN
Jardiance duo is indicated in adults aged 18 years and older with type 2 diabetes mellitus as an adjunct to diet and exercise to improve glycaemic control• in patients inadequately controlled on their maximally tolerated dose of metformin alone.• in patients inadequately controlled with metformin in combination with other glucose-lowering medicinal products, including insulin.• in patients already being treated with the combination of empagliflozin and metformin as separate tablets.
2017-09-27
PATIENT LEAFLET IN ACCORDANCE WITH THE PHARMACISTS' REGULATIONS (PREPARATIONS) - 1986 This medicine is to be supplied upon physician’s prescription only JARDIANCE DUO ™ 5 MG / 500 MG Each tablet contains 5 mg empagliflozin and 500 mg metformin hydrochloride (metformin HCl) JARDIANCE DUO ™ 12.5 MG / 500 MG Each tablet contains 5 12. mg empagliflozin and 500 mg metformin hydrochloride (metformin HCl) JARDIANCE DUO ™ 5 MG / 850 MG Each tablet contains 5 mg empagliflozin and 850 mg metformin hydrochloride (metformin HCl) JARDIANCE DUO ™ 12.5 MG / 850 MG Each tablet contains 12.5 mg empagliflozin and 850 mg metformin hydrochloride (metformin HCl) JARDIANCE DUO ™ 5 MG / 1000 MG Each tablet contains 5 mg empagliflozin and 1000 mg metformin hydrochloride (metformin HCl) JARDIANCE DUO ™ 12.5 MG / 1000 MG Each tablet contains 5 12. mg empagliflozin and 1000 mg metformin hydrochloride (metformin HCl) FILM-COATED TABLETS *Inactive ingredients and allergens in the medicine - see section 6 - "Additional information". READ THE ENTIRE LEAFLET CAREFULLY BEFORE YOU START USING THIS MEDICINE. This leaflet contains concise information about this medicine. If you have any further questions, contact your physician or pharmacist. This medicine has been prescribed for your treatment. Do not pass it on to others. It may harm them, even if it seems to you that their medical condition is similar. Jardiance Duo is not intended for patients with type 1 diabetes or for patients with diabetic ketoacidosis. IMPORTANT INFORMATION: Metformin, one of the ingredients in Jardiance Duo, may cause a rare but a serious side effect called lactic acidosis, which is manifested by accumulation of lactic acid in the blood and may cause death. Lactic acidosis is a medical emergency and must be treated in a hospital. Stop taking Jardiance Duo and consult your physician right away if you get any of the signs of lactic acidosis (see also section 2 - "Special warnings related to the use of the medicine" and section 4 – "Side effects"). 1. WHAT IS اقرأ الوثيقة كاملة
Jardiance Duo Updated patient information 5/500, 5/850, 5/1000, 12.5/500, 12.5/850, 12.5/1000 Mar 2020 1 THE FORMAT OF THIS LEAFLET WAS DEFINED BY MOH AND ITS CONTENT CHECKED AND APPROVED BY MOH IN NOVEMBER 2017 AND UPDATED ACCORDING TO MOH GUIDELINES IN MAR 2020 JARDIANCE DUO PRESCRIBING INFORMATION WARNING: LACTIC ACIDOSIS POSTMARKETING CASES OF METFORMIN-ASSOCIATED LACTIC ACIDOSIS HAVE RESULTED IN DEATH, HYPOTHERMIA, HYPOTENSION, AND RESISTANT BRADYARRHYTHMIAS. THE ONSET OF METFORMIN-ASSOCIATED LACTIC ACIDOSIS IS OFTEN SUBTLE, ACCOMPANIED ONLY BY NONSPECIFIC SYMPTOMS SUCH AS MALAISE, MYALGIAS, RESPIRATORY DISTRESS, SOMNOLENCE, AND ABDOMINAL PAIN. METFORMIN-ASSOCIATED LACTIC ACIDOSIS WAS CHARACTERIZED BY ELEVATED BLOOD LACTATE LEVELS (>5 MMOL/LITER), ANION GAP ACIDOSIS (WITHOUT EVIDENCE OF KETONURIA OR KETONEMIA), AN INCREASED LACTATE/PYRUVATE RATIO; AND METFORMIN PLASMA LEVELS GENERALLY >5 MCG/ML _[SEE WARNINGS AND PRECAUTIONS (8.1)]_. RISK FACTORS FOR METFORMIN-ASSOCIATED LACTIC ACIDOSIS INCLUDE RENAL IMPAIRMENT, CONCOMITANT USE OF CERTAIN DRUGS (E.G., CARBONIC ANHYDRASE INHIBITORS SUCH AS TOPIRAMATE), AGE 65 YEARS OLD OR GREATER, HAVING A RADIOLOGICAL STUDY WITH CONTRAST, SURGERY AND OTHER PROCEDURES, HYPOXIC STATES (E.G., ACUTE CONGESTIVE HEART FAILURE), EXCESSIVE ALCOHOL INTAKE, AND HEPATIC IMPAIRMENT. STEPS TO REDUCE THE RISK OF AND MANAGE METFORMIN-ASSOCIATED LACTIC ACIDOSIS IN THESE HIGH RISK GROUPS ARE PROVIDED IN THE FULL PRESCRIBING INFORMATION _[SEE DOSAGE AND ADMINISTRATION (5.2), _ _CONTRAINDICATIONS (7), WARNINGS AND PRECAUTIONS (8.1), DRUG INTERACTIONS (10.2), AND USE IN SPECIFIC _ _POPULATIONS (11.6, 11.7)]. _ IF METFORMIN-ASSOCIATED LACTIC ACIDOSIS IS SUSPECTED, IMMEDIATELY DISCONTINUE JARDIANCE DUO AND INSTITUTE GENERAL SUPPORTIVE MEASURES IN A HOSPITAL SETTING. PROMPT HEMODIALYSIS IS RECOMMENDED _[SEE _ _WARNINGS AND PRECAUTIONS (8.1)]._ 1 NAME OF THE MEDICINAL PRODUCT Jardiance duo 5mg/500mg film-coated tablets Jardiance duo 5mg/850mg film-coated tablets Jardiance duo 5mg/1000mg film-coated اقرأ الوثيقة كاملة