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SwedishArticle Contents
Package leaflet: Information for the patient
Komboglyze 2.5 mg/850 mg
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
-Keep this leaflet. You may need to read it again.
-If you have any further questions, ask your doctor, pharmacist or nurse.
-This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
-If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.
What is in this leaflet:
1.What Komboglyze is and what it is used for
2.What you need to know before you take Komboglyze
3.How to take Komboglyze
4.Possible side effects
5.How to store Komboglyze
6.Contents of the pack and other information
1.What Komboglyze is and what it is used for
This medicine contains two different substances called:
saxagliptin, part of a class of medicines called
Both belong to a group of medicines called oral
What Komboglyze is used for
This medicine is used to treat a type of diabetes called ‘type 2 diabetes’.
How Komboglyze works
Saxagliptin and metformin work together to control your blood sugar. They increase the levels of insulin after a meal. They also lower the amount of sugar made by your body. Along with diet and exercise, this helps lower your blood sugar. This medicine can be used alone or together with other antidiabetic medicines, including insulin.
To control your diabetes, you still need to diet and exercise, even when you are taking this medicine. So it is important to keep following the advice about diet and exercise from your doctor or nurse.
2. What you need to know before you take Komboglyze
Do not take Komboglyze
-If you are allergic to saxagliptin, metformin or any of the other ingredients of this medicine (listed in section 6);
-If you have had a serious allergic (hypersensitive) reaction to any other similar medications that you take to control your blood sugar.
Symptoms of a serious allergic reaction may include:
-Rash
-Raised red patches on your skin (hives)
-Swelling of the face, lips, tongue, and throat that may cause difficulty in breathing or
swallowing.
If you have these symptoms, stop taking this medicine and call your doctor or nurse right away.
If you have ever had a diabetic coma;
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. Ketoacidosis is a condition in which substances called ‘ketone bodies’ accumulate in the blood and which can lead to a diabetic
If you have severely reduced kidney function or problems with your liver;
If you have recently had a heart attack or if you have heart failure or serious problems with your blood circulation or difficulties in breathing which could be a sign of heart problems;
If you have a severe infection or are dehydrated (have lost a lot of water from your body);
If you are
If you drink a large amount of alcohol (either every day or only from time to time) (please see section “Komboglyze with alcohol”);
Do not take this medicine if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking this medicine.
Warnings and precautions: Risk of lactic acidosis
Komboglyze may cause a very rare, but very serious side effect called lactic acidosis, particularly if your kidneys are not working properly. The risk of developing lactic acidosis is also increased with uncontrolled diabetes, serious infections, prolonged fasting or alcohol intake, dehydration (see further information below), liver problems and any medical conditions in which a part of the body has a reduced supply of oxygen (such as acute severe heart disease).
If any of the above apply to you, talk to your doctor for further instructions.
Stop taking Komboglyze for a short time if you have a condition that may be associated with dehydration (significant loss of body fluids) such as severe vomiting, diarrhoea, fever, exposure to heat or if you drink less fluid than normal. Talk to your doctor for further instructions.
Stop taking Komboglyze and contact a doctor or the nearest hospital immediately if you experience some of the symptoms of lactic acidosis, as this condition may lead to coma. 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
Lactic acidosis is a medical emergency and must be treated in a hospital.
Talk to your doctor or pharmacist before taking Komboglyze
If you have type 1 diabetes (your body does not produce any insulin). This medicine should not be used to treat this condition;
If you have or have had a disease of the pancreas;
If you are taking insulin or an antidiabetic medicine known as ‘sulphonylurea’, your doctor may want to reduce your dose of insulin or the sulphonylurea when you take either of them together with this medicine, in order to avoid low blood sugar;
If you have had allergic reactions to any other medicines that you take to control the amount of sugar in your blood;
If you have a problem or take a medicine that can lower your body’s defence against infections;
If you have ever had heart failure or you have other risk factors for developing heart failure such as problems with your kidneys. Your doctor will advise you of the signs and symptoms of heart failure. You should call your doctor, pharmacist or nurse immediately if you experience any of these symptoms. Symptoms can include, but are not limited to, increasing shortness of breath, rapid increase in weight and swelling of the feet (pedal oedema);
If you need to have major surgery, you must stop taking Komboglyze during and for some time after the procedure. Your doctor will decide when you must stop and when to restart your treatment with Komboglyze.
Diabetic skin lesions are a common complication of diabetes. Rash has been seen with saxagliptin and with certain
If any of the above apply to you, or if you are not sure talk to your doctor or pharmacist before taking this medicine.
Kidney tests or checks
During treatment with this medicine, your doctor will check your kidney function at least once a year or more frequently if you are elderly and/or if you have worsening kidney function.
Children and adolescents
Komboglyze is not recommended for use in children and adolescents under 18 years. It is not known if this medicine is safe and effective when used in children and adolescents under 18 years of age.
Other medicines and Komboglyze
If you need to have an injection of contrast medium that contains iodine into your bloodstream, for example in the context of an
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. You may need more frequent blood glucose and kidney function tests, or your doctor may adjust the dosage of Komboglyze. It is especially important to mention the following:
cimetidine, a medicine used to treat stomach problems
ketoconazole which is used to treat fungal infections
bronchodilators
diltiazem which is used for high blood pressure
rifampicin, an antibiotic used to treat infections such as tuberculosis
corticosteroids, which are used to treat inflammation in diseases like asthma and arthritis
carbamazepine, phenobarbital or phenytoin, which are used to control fits (seizures) or
medicines which increase urine production (diuretics)
medicines used to treat pain and inflammation (NSAID and
certain medicines for the treatment of high blood pressure (ACE inhibitors and angiotensin II receptor antagonists).
If any of the above apply to you, or if you are not sure, talk to your doctor or pharmacist before taking this medicine.
Komboglyze with alcohol
Avoid excessive alcohol intake while taking Komboglyze since this may increase the risk of lactic acidosis (see “Warnings and precautions”).
Pregnancy and
Do not take this medicine if you are pregnant or might become pregnant. This is because it may affect the baby.
Do not take this medicine if you are
Ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
Saxagliptin and metformin have a negligible influence on the ability to drive and use machines. Hypoglycaemia may affect your ability to drive and use machines or work with safe foothold and there is a risk of hypoglycaemia when taking this medicine in combination with medicines known to cause hypoglycaemia such as insulin and sulphonylureas.
3.How to take Komboglyze
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
If your doctor prescribes this medicine together with a sulphonylurea or insulin, remember to take this other medicine as directed by your doctor to achieve the best results for your health.
How much to take
The amount of this medicine that you will take varies depending on your condition and the doses you currently take of metformin and/or individual tablets of saxagliptin and metformin. Your doctor will tell you exactly the dose of this medicine to take.
The recommended dosing is one tablet twice a day.
If you have reduced kidney function, your doctor may prescribe a lower dose.
How to take this medicine
Take this medicine by mouth.
Take with a meal to lower your chance of getting an upset stomach.
Diet and exercise
To control your diabetes, you still need to diet and exercise, even when you are taking this medicine. So it is important to keep following the advice about diet and exercise from your doctor or nurse. In particular, if you are following a diabetic weight control diet, keep on with this while you are taking this medicine.
If you take more Komboglyze than you should
If you take more Komboglyze tablets than you should, talk to a doctor or go to a hospital straight away. Take the medicine pack with you.
If you forget to take Komboglyze
If you forget to take a dose of this medicine, take it as soon as you remember. However, if it is time for your next dose, skip the missed dose and take your next dose at the usual time.
Do not take a double dose of this medicine to make up for a forgotten dose.
If you stop taking Komboglyze
Keep taking this medicine until your doctor tells you to stop. This is to help keep your blood sugar under control.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4.Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Stop taking Komboglyze and contact a doctor immediately if you notice any of the following serious side effects:
Lactic acidosis, Komboglyze may cause a very rare (may affect up to 1 user in 10,000), but very serious side effect called lactic acidosis (see section “Warnings and precautions”). If this happens you must stop taking Komboglyze and contact a doctor or the nearest hospital immediately, as lactic acidosis may lead to coma.
Severe and persistent pain in the abdomen (stomach area) which might reach through to your back, as well as nausea and vomiting, as it could be a sign of an inflamed pancreas (pancreatitis).
You should call your doctor if you experience the following side effect:
severe joint pain.
Other side effects of Komboglyze include:
Common (may affect up to 1 in 10 people)
headache
muscle pain (myalgia)
being sick or indigestion (dyspepsia)
infection of the structures that carry urine (urinary tract infection)
infection of the upper airways
inflamed nose or throat such as with a cold or sore throat
inflamed stomach (gastritis) or gut, sometimes caused by an infection
infection of your sinuses, sometimes with a feeling of pain and fullness behind your cheeks and eyes (sinusitis)
flatulence
dizziness
tiredness (fatigue).
Uncommon (may affect up to 1 in 100 people)
joint pain (arthralgia)
difficulties in getting or maintaining an erection (erectile dysfunction).
Side effects seen when taking saxagliptin alone:
Common
dizziness
tiredness (fatigue).
Some patients have experienced constipation at a frequency not known (cannot be determined from the available data) when saxagliptin was used alone or in combination.
Some patients have had a small reduction in the number of one type of white blood cells (lymphocytes) shown in a blood test when saxagliptin was used alone or in combination. In addition, some patients have reported rash and skin reactions (hypersensitivity) while taking saxagliptin.
During
Side effects seen when taking metformin alone:
Very common (may affect more than 1 in 10 people)
nausea, vomiting
diarrhoea or stomach pain
loss of appetite.
Common
a metallic taste in your mouth.
Very rare
decreased vitamin B12 levels
liver problems (hepatitis)
redness of the skin (rash) or itching.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects you can help provide more information on the safety of this medicine.
5.How to store Komboglyze
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the blister and the carton after EXP. The expiry date refers to the last day of that month.
Store below 25°C.
Do not use this medicine if the package is damaged or shows signs of tampering.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.
6.Contents of the pack and other information
What Komboglyze contains
The active substances are saxagliptin and metformin hydrochloride. Each
The other ingredients (excipients) are:
Tablet core: povidone K30, magnesium stearate.
Printing ink: shellac, indigo carmine aluminium lake (E132).
What Komboglyze looks like and contents of the pack
Komboglyze 2.5 mg/850 mg
Komboglyze is available in aluminium foil blister. The pack sizes are 14, 28, 56 and 60
Not all pack sizes may be marketed in your country.
Marketing Authorisation Holder
AstraZeneca AB
Sweden
Manufacturer
AstraZeneca GmbH
Tinsdaler Weg 183
22880 Wedel
Germany
AstraZeneca UK Limited
Silk Road Business Park
Macclesfield
Cheshire
SK10 2NA
United Kingdom
Contrada Fontana del Ceraso
Italy
For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder:
België/Belgique/Belgien | Lietuva |
AstraZeneca S.A./N.V. | UAB AstraZeneca Lietuva |
Tel: +32 2 370 48 11 | Tel: +370 5 2660550 |
България | Luxembourg/Luxemburg |
АстраЗенека България ЕООД | AstraZeneca S.A./N.V. |
Тел.: +359 (2) 44 55 000 | Tél/Tel: +32 2 370 48 11 |
Česká republika | Magyarország |
AstraZeneca Czech Republic s.r.o. | AstraZeneca Kft. |
Tel: +420 222 807 111 | Tel.: +36 1 883 6500 |
Danmark | Malta |
AstraZeneca A/S | Associated Drug Co. Ltd |
Tlf: +45 43 66 64 62 | Tel: +356 2277 8000 |
Deutschland | Nederland |
AstraZeneca GmbH | AstraZeneca BV |
Tel: +49 41 03 7080 | Tel: +31 79 363 2222 |
Eesti | Norge |
AstraZeneca | AstraZeneca AS |
Tel: +372 6549 600 | Tlf: +47 21 00 64 00 |
Ελλάδα | Österreich |
AstraZeneca A.E. | AstraZeneca Österreich GmbH |
Τηλ: +30 2 106871500 | Tel: +43 1 711 31 0 |
España | Polska |
AstraZeneca Farmacéutica Spain, S.A. | AstraZeneca Pharma Poland Sp. z o.o. |
Tel: +34 91 301 91 00 | Tel.: +48 22 245 73 00 |
France | Portugal |
AstraZeneca | AstraZeneca Produtos Farmacêuticos, Lda. |
Tél: +33 1 41 29 40 00 | Tel: +351 21 434 61 00 |
Hrvatska | România |
AstraZeneca d.o.o. | AstraZeneca Pharma SRL |
Tel: +385 1 4628 000 | Tel: +40 21 317 60 41 |
Ireland | Slovenija |
AstraZeneca Pharmaceuticals (Ireland) DAC | AstraZeneca UK Limited |
Tel: +353 1609 7100 | Tel: +386 1 51 35 600 |
Ísland | Slovenská republika |
Vistor hf. | AstraZeneca AB, o.z. |
Sími: +354 535 7000 | Tel: +421 2 5737 7777 |
Italia | Suomi/Finland |
AstraZeneca S.p.A. | AstraZeneca Oy |
Tel: +39 02 9801 1 | Puh/Tel: +358 10 23 010 |
Κύπρος | Sverige |
Αλέκτωρ Φαρµακευτική Λτδ | AstraZeneca AB |
Τηλ: +357 22490305 | Tel: +46 8 553 26 000 |
Latvija | United Kingdom |
SIA AstraZeneca Latvija | AstraZeneca UK Ltd |
Tel: +371 67377100 | Tel: +44 1582 836 836 |
This leaflet was last revised in
- Micardisplus
- Nucala
- Alimta
- Zoledronic acid hospira
- Tandemact
- Selincro
Prescription drugs listed:
Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu.
Package leaflet: Information for the patient
Komboglyze 2.5 mg/1,000 mg
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
-Keep this leaflet. You may need to read it again.
-If you have any further questions, ask your doctor, pharmacist or nurse.
-This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
-If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.
What is in this leaflet:
1.What Komboglyze is and what it is used for
2.What you need to know before you take Komboglyze
3.How to take Komboglyze
4.Possible side effects
5.How to store Komboglyze
6.Contents of the pack and other information
1. What Komboglyze is and what it is used for
This medicine contains two different substances called:
saxagliptin, part of a class of medicines called
Both belong to a group of medicines called oral
What Komboglyze is used for
This medicine is used to treat a type of diabetes called ‘type 2 diabetes’.
How Komboglyze works
Saxagliptin and metformin work together to control your blood sugar. They increase the levels of insulin after a meal. They also lower the amount of sugar made by your body. Along with diet and exercise, this helps lower your blood sugar. This medicine can be used alone or together with other antidiabetic medicines, including insulin.
To control your diabetes, you still need to diet and exercise, even when you are taking this medicine. So it is important to keep following the advice about diet and exercise from your doctor or nurse.
2. What you need to know before you take Komboglyze
Do not take Komboglyze
-If you are allergic to saxagliptin, metformin or any of the other ingredients of this medicine (listed in section 6);
-If you have had a serious allergic (hypersensitive) reaction to any other similar medications that you take to control your blood sugar.
Symptoms of a serious allergic reaction may include:
-Rash
-Raised red patches on your skin (hives)
-Swelling of the face, lips, tongue, and throat that may cause difficulty in breathing or
swallowing.
If you have these symptoms, stop taking this medicine and call your doctor or nurse right away.
If you have ever had a diabetic coma;
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. Ketoacidosis is a condition in which substances called ‘ketone bodies’ accumulate in the blood and which can lead to a diabetic
If you have severely reduced kidney function or problems with your liver;
If you have recently had a heart attack or if you have heart failure or serious problems with your blood circulation or difficulties in breathing which could be a sign of heart problems;
If you have a severe infection or are dehydrated (have lost a lot of water from your body);
If you are
If you drink a large amount of alcohol (either every day or only from time to time) (please see section “Komboglyze with alcohol”);
Do not take this medicine if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking this medicine.
Warnings and precautions: Risk of lactic acidosis
Komboglyze may cause a very rare, but very serious side effect called lactic acidosis, particularly if your kidneys are not working properly. The risk of developing lactic acidosis is also increased with uncontrolled diabetes, serious infections, prolonged fasting or alcohol intake, dehydration (see further information below), liver problems and any medical conditions in which a part of the body has a reduced supply of oxygen (such as acute severe heart disease).
If any of the above apply to you, talk to your doctor for further instructions.
Stop taking Komboglyze for a short time if you have a condition that may be associated with dehydration (significant loss of body fluids) such as severe vomiting, diarrhoea, fever, exposure to heat or if you drink less fluid than normal. Talk to your doctor for further instructions.
Stop taking Komboglyze and contact a doctor or the nearest hospital immediately if you experience some of the symptoms of lactic acidosis, as this condition may lead to coma. 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
Lactic acidosis is a medical emergency and must be treated in a hospital.
Talk to your doctor or pharmacist before taking Komboglyze
If you have type 1 diabetes (your body does not produce any insulin). This medicine should not be used to treat this condition;
If you have or have had a disease of the pancreas;
If you are taking insulin or an antidiabetic medicine known as ‘sulphonylurea’, your doctor may want to reduce your dose of insulin or the sulphonylurea when you take either of them together with this medicine, in order to avoid low blood sugar;
If you have had allergic reactions to any other medicines that you take to control the amount of sugar in your blood;
If you have a problem or take a medicine that can lower your body’s defence against infections;
If you have ever had heart failure or you have other risk factors for developing heart failure such as problems with your kidneys. Your doctor will advise you of the signs and symptoms of heart failure. You should call your doctor, pharmacist or nurse immediately if you experience any of these symptoms. Symptoms can include, but are not limited to, increasing shortness of breath, rapid increase in weight and swelling of the feet (pedal oedema);
If you need to have major surgery, you must stop taking Komboglyze during and for some time after the procedure. Your doctor will decide when you must stop and when to restart your treatment with Komboglyze.
Diabetic skin lesions are a common complication of diabetes. Rash has been seen with saxagliptin and with certain
If any of the above apply to you, or if you are not sure talk to your doctor or pharmacist before taking this medicine.
Kidney tests or checks
During treatment with this medicine, your doctor will check your kidney function at least once a year or more frequently if you are elderly and/or if you have worsening kidney function.
Children and adolescents
Komboglyze is not recommended for use in children and adolescents under 18 years. It is not known if this medicine is safe and effective when used in children and adolescents under 18 years of age.
Other medicines and Komboglyze
If you need to have an injection of contrast medium that contains iodine into your bloodstream, for example in the context of an
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. You may need more frequent blood glucose and kidney function tests, or your doctor may adjust the dosage of Komboglyze. It is especially important to mention the following:
cimetidine, a medicine used to treat stomach problems
ketoconazole which is used to treat fungal infections
bronchodilators
diltiazem which is used for high blood pressure
rifampicin, an antibiotic used to treat infections such as tuberculosis
corticosteroids, which are used to treat inflammation in diseases like asthma and arthritis
carbamazepine, phenobarbital or phenytoin, which are used to control fits (seizures) or
medicines which increase urine production (diuretics)
medicines used to treat pain and inflammation (NSAID and
certain medicines for the treatment of high blood pressure (ACE inhibitors and angiotensin II receptor antagonists).
If any of the above apply to you, or if you are not sure, talk to your doctor or pharmacist before taking this medicine.
Komboglyze with alcohol
Avoid excessive alcohol intake while taking Komboglyze since this may increase the risk of lactic acidosis (see “Warnings and precautions”).
Pregnancy and
Do not take this medicine if you are pregnant or might become pregnant. This is because it may affect the baby.
Do not take this medicine if you are
Ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
Saxagliptin and metformin have a negligible influence on the ability to drive and use machines. Hypoglycaemia may affect your ability to drive and use machines or work with safe foothold and there is a risk of hypoglycaemia when taking this medicine in combination with medicines known to cause hypoglycaemia such as insulin and sulphonylureas.
3. How to take Komboglyze
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
If your doctor prescribes this medicine together with a sulphonylurea or insulin, remember to take this other medicine as directed by your doctor to achieve the best results for your health.
How much to take
The amount of this medicine that you will take varies depending on your condition and the doses you currently take of metformin and/or individual tablets of saxagliptin and metformin. Your doctor will tell you exactly the dose of this medicine to take.
The recommended dosing is one tablet twice a day.
If you have reduced kidney function, your doctor may prescribe a lower dose.
How to take this medicine
Take this medicine by mouth.
Take with a meal to lower your chance of getting an upset stomach.
Diet and exercise
To control your diabetes, you still need to diet and exercise, even when you are taking this medicine. So it is important to keep following the advice about diet and exercise from your doctor or nurse. In particular, if you are following a diabetic weight control diet, keep on with this while you are taking this medicine.
If you take more Komboglyze than you should
If you take more Komboglyze tablets than you should, talk to a doctor or go to a hospital straight away. Take the medicine pack with you.
If you forget to take Komboglyze
If you forget to take a dose of this medicine, take it as soon as you remember. However, if it is time for your next dose, skip the missed dose and take your next dose at the usual time.
Do not take a double dose of this medicine to make up for a forgotten dose.
If you stop taking Komboglyze
Keep taking this medicine until your doctor tells you to stop. This is to help keep your blood sugar under control.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Stop taking Komboglyze and contact a doctor immediately if you notice any of the following serious side effects:
Lactic acidosis, Komboglyze may cause a very rare (may affect up to 1 user in 10,000), but very serious side effect called lactic acidosis (see section “Warnings and precautions”). If this happens you must stop taking Komboglyze and contact a doctor or the nearest hospital immediately, as lactic acidosis may lead to coma.
Severe and persistent pain in the abdomen (stomach area) which might reach through to your back, as well as nausea and vomiting, as it could be a sign of an inflamed pancreas (pancreatitis).
You should call your doctor if you experience the following side effect:
severe joint pain.
Other side effects of Komboglyze include:
Common (may affect up to 1 in 10 people)
headache
muscle pain (myalgia)
being sick or indigestion (dyspepsia)
infection of the structures that carry urine (urinary tract infection)
infection of the upper airways
inflamed nose or throat such as with a cold or sore throat
inflamed stomach (gastritis) or gut, sometimes caused by an infection
infection of your sinuses, sometimes with a feeling of pain and fullness behind your cheeks and eyes (sinusitis)
flatulence
dizziness
tiredness (fatigue).
Uncommon (may affect up to 1 in 100 people)
joint pain (arthralgia)
difficulties in getting or maintaining an erection (erectile dysfunction).
Side effects seen when taking saxagliptin alone:
Common
dizziness
tiredness (fatigue).
Some patients have experienced constipation at a frequency not known (cannot be determined from the available data) when saxagliptin was used alone or in combination.
Some patients have had a small reduction in the number of one type of white blood cells (lymphocytes) shown in a blood test when saxagliptin was used alone or in combination. In addition, some patients have reported rash and skin reactions (hypersensitivity) while taking saxagliptin.
During
Side effects seen when taking metformin alone:
Very common (may affect more than 1 in 10 people)
nausea, vomiting
diarrhoea or stomach pain
loss of appetite.
Common
a metallic taste in your mouth.
Very rare
decreased vitamin B12 levels
liver problems (hepatitis)
redness of the skin (rash) or itching.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Komboglyze
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the blister and the carton after EXP. The expiry date refers to the last day of that month.
Store below 25°C.
Do not use this medicine if the package is damaged or shows signs of tampering.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.
6. Contents of the pack and other information
What Komboglyze contains
The active substances are saxagliptin and metformin hydrochloride. Each
The other ingredients (excipients) are:
Tablet core: povidone K30, magnesium stearate.
Printing ink: shellac, indigo carmine aluminium lake (E132).
What Komboglyze looks like and contents of the pack
Komboglyze 2.5 mg/1,000 mg
Komboglyze is available in aluminium foil blister. The pack sizes are 14, 28, 56 and 60
Not all pack sizes may be marketed in your country.
Marketing Authorisation Holder
AstraZeneca AB
Sweden
Manufacturer
AstraZeneca GmbH
Tinsdaler Weg 183
22880 Wedel
Germany
AstraZeneca UK Limited
Silk Road Business Park
Macclesfield
Cheshire
SK10 2NA
United Kingdom
Contrada Fontana del Ceraso
Italy
For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder:
België/Belgique/Belgien | Lietuva |
AstraZeneca S.A./N.V. | UAB AstraZeneca Lietuva |
Tel: +32 2 370 48 11 | Tel: +370 5 2660550 |
България | Luxembourg/Luxemburg |
АстраЗенека България ЕООД | AstraZeneca S.A./N.V. |
Тел.: +359 (2) 44 55 000 | Tél/Tel: +32 2 370 48 11 |
Česká republika | Magyarország |
AstraZeneca Czech Republic s.r.o. | AstraZeneca Kft. |
Tel: +420 222 807 111 | Tel.: +36 1 883 6500 |
Danmark | Malta |
AstraZeneca A/S | Associated Drug Co. Ltd |
Tlf: +45 43 66 64 62 | Tel: +356 2277 8000 |
Deutschland | Nederland |
AstraZeneca GmbH | AstraZeneca BV |
Tel: +49 41 03 7080 | Tel: +31 79 363 2222 |
Eesti | Norge |
AstraZeneca | AstraZeneca AS |
Tel: +372 6549 600 | Tlf: +47 21 00 64 00 |
Ελλάδα | Österreich |
AstraZeneca A.E. | AstraZeneca Österreich GmbH |
Τηλ: +30 2 106871500 | Tel: +43 1 711 31 0 |
España | Polska |
AstraZeneca Farmacéutica Spain, S.A. | AstraZeneca Pharma Poland Sp. z o.o. |
Tel: +34 91 301 91 00 | Tel.: +48 22 245 73 00 |
France | Portugal |
AstraZeneca | AstraZeneca Produtos Farmacêuticos, Lda. |
Tél: +33 1 41 29 40 00 | Tel: +351 21 434 61 00 |
Hrvatska | România |
AstraZeneca d.o.o. | AstraZeneca Pharma SRL |
Tel: +385 1 4628 000 | Tel: +40 21 317 60 41 |
Ireland | Slovenija |
AstraZeneca Pharmaceuticals (Ireland) DAC | AstraZeneca UK Limited |
Tel: +353 1609 7100 | Tel: +386 1 51 35 600 |
Ísland | Slovenská republika |
Vistor hf. | AstraZeneca AB, o.z. |
Sími: +354 535 7000 | Tel: +421 2 5737 7777 |
Italia | Suomi/Finland |
AstraZeneca S.p.A. | AstraZeneca Oy |
Tel: +39 02 9801 1 | Puh/Tel: +358 10 23 010 |
Κύπρος | Sverige |
Αλέκτωρ Φαρµακευτική Λτδ | AstraZeneca AB |
Τηλ: +357 22490305 | Tel: +46 8 553 26 000 |
Latvija | United Kingdom |
SIA AstraZeneca Latvija | AstraZeneca UK Ltd |
Tel: +371 67377100 | Tel: +44 1582 836 836 |
This leaflet was last revised in
Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu.
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