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SEGLUROMET(ertugliflozin and metformin hydrochloride tablets)(三十一)
2018-06-21 12:31:26 来源: 作者: 【 】 浏览:19883次 评论:0
including ertugliflozin. Instruct patients to check ketones (when possible) if symptoms consistent with ketoacidosis occur even if blood glucose is not elevated. If symptoms of ketoacidosis (including nausea, vomiting, abdominal pain, tiredness, and labored breathing) occur, instruct patients to discontinue SEGLUROMET and seek medical advice immediately [see Warnings and Precautions (5.3)].
 
Acute Kidney Injury 
 
Inform patients that acute kidney injury has been reported during use of SEGLUROMET. Advise patients to seek medical advice immediately if they have reduced oral intake (due to acute illness or fasting) or increased fluid losses (due to vomiting, diarrhea, or excessive heat exposure), as it may be appropriate to temporarily discontinue SEGLUROMET use in those settings [see Warnings and Precautions (5.4)].
 
Monitoring of Renal Function 
 
Inform patients about the importance of regular testing of renal function when receiving treatment with SEGLUROMET [see Warnings and Precautions (5.4)].
 
Serious Urinary Tract Infections 
 
Inform patients of the potential for urinary tract infections, which may be serious. Provide them with information on the symptoms of urinary tract infections. Advise them to seek medical advice if such symptoms occur [see Warnings and Precautions (5.5)].
 
Amputation 
 
Inform patients of the potential for an increased risk of amputations. Counsel patients about the importance of routine preventative foot care. Instruct patients to monitor for new pain or tenderness, sores or ulcers, or infections involving the leg or foot and to seek medical advice immediately if such signs or symptoms develop [see Warnings and Precautions (5.6)].
 
Genital Mycotic Infections in Females (e.g., Vulvovaginitis) 
 
Inform female patients that vaginal yeast infections may occur and provide them with information on the signs and symptoms of vaginal yeast infection. Advise them of treatment options and when to seek medical advice [see Warnings and Precautions (5.8)].
 
Genital Mycotic Infections in Males (e.g., Balanitis or Balanoposthitis) 
 
Inform male patients that yeast infections of the penis (e.g., balanitis or balanoposthitis) may occur, especially in uncircumcised males. Provide them with information on the signs and symptoms of balanitis and balanoposthitis (rash or redness of the glans or foreskin of the penis). Advise them of treatment options and when to seek medical advice [see Warnings and Precautions (5.8)].
 
Laboratory Tests 
 
Due to the mechanism of action of ertugliflozin, inform patients that their urine will test positive for glucose while taking SEGLUROMET.
 
SPL UNCLASSIFIED SECTION 
 
Manufactured for: Merck Sharp & Dohme Corp., a subsidiary of
MERCK & CO., INC., Whitechouse Station, NJ 08889, USA
 
For patent information: www.merck.com/product/patent/home.html
 
Copyright © 2017 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. 
All rights reserved.
 
uspi-mk8835b-t-1712r000
 
MEDICATION GUIDE 
 
Medication Guide
SEGLUROMET™ (seg-LUR-oh-me
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