Euroopa Liit - eesti - EMA (European Medicines Agency)

actavis group ptc ehf    - pioglitasoonvesinikkloriid - suhkurtõbi, tüüp 2 - diabeetis kasutatavad ravimid - pioglitazone is indicated as second or third line treatment of type-2 diabetes mellitus as described below:as monotherapy:in adult patients (particularly overweight patients) inadequately controlled by diet and exercise for whom metformin is inappropriate because of contraindications or intolerance;as dual oral therapy in combination with:metformin, in adult patients (particularly overweight patients) with insufficient glycaemic control despite maximal tolerated dose of monotherapy with metformin;a sulphonylurea, only in adult patients who show intolerance to metformin or for whom metformin is contraindicated, with insufficient glycaemic control despite maximal tolerated dose of monotherapy with a sulphonylurea;as triple oral therapy in combination with:metformin and a sulphonylurea, in adult patients (particularly overweight patients) with insufficient glycaemic control despite dual oral therapy. pioglitazone on ka näidatud koos insuliini tüüp-2 diabeet täiskasvanud patsientidel, kellel on ebapiisav glycaemic kontrolli insuliini, kellele metformiin ei sobi, sest vastunäidustusi või talumatust. pärast algatamist ravi pioglitazone, patsiente tuleks läbi vaadata pärast 3 kuni 6 kuud hinnata piisavust ravi (e. vähendada hba1c). patsientidel, kes ei näita piisava vastuse, pioglitazone tuleks lõpetada. arvestades võimalikke riske pikaajalise ravi, arstid tuleks kinnitada järgmiste korraliste kommentaare, mis kasu pioglitazone on hooldatud.