{"id":58205,"date":"2024-02-27T18:23:28","date_gmt":"2024-02-27T18:23:28","guid":{"rendered":"https:\/\/medsname.com\/trajenta-duo\/"},"modified":"2026-05-08T09:18:45","modified_gmt":"2026-05-08T09:18:45","slug":"trajenta-duo","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/trajenta-duo\/","title":{"rendered":"Trajenta Duo"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Trajenta Duo?<\/h3>\n<p style=\"margin:0;\"><strong>Trajenta Duo<\/strong> je tableta s fixn\u00ed kombinac\u00ed <strong>linagliptin (2.5 mg)<\/strong> a <strong>metforminu (500 mg nebo 1000 mg)<\/strong> po dobu <strong>diabetu 2. typu<\/strong>. It pairs complementary mechanisms: metformin reduces hepatic glucose production and improves insulin sensitivity, while linagliptin (a DPP-4 inhibitor) raises incretin hormones to stimulate glucose-dependent insulin release and suppress glucagon. Expected HbA1c reduction: <strong>1,5\u20132,0 procentn\u00edch bod\u016f<\/strong>. <strong>Neovliv\u0148uje hmotnost<\/strong> and very low hypoglycaemia risk as a combination. Usual dose: one tablet twice daily with meals. Main side effects are metformin GI upset in the first 1&ndash;2 weeks. The linagliptin component needs no renal dose adjustment; the metformin component follows standard rules &mdash; avoid if eGFR &lt; 30. Avoid in type&nbsp;1 diabetes, DKA, eGFR &lt; 30, and severe hepatic impairment.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">What Is Trajenta Duo?<\/h2>\n<p>Trajenta Duo is a fixed-dose combination oral antidiabetic tablet containing <strong>linagliptin (2.5 mg)<\/strong> a <strong>metformin hydrochlorid (500 mg nebo 1000 mg)<\/strong>, manufactured by Boehringer Ingelheim. Available in packs of 30, 60, 90 or 180 tablets. It is used when monotherapy with either component is not enough, or as initial combination therapy when HbA1c is substantially above target.<\/p>\n<h2 class=\"wp-block-heading\">How Does Trajenta Duo Work?<\/h2>\n<p>Trajenta Duo combines two complementary mechanisms that do not overlap:<\/p>\n<ul>\n<li><strong>Metformin<\/strong> \u2014 aktivuje AMP-aktivovanou protein kin\u00e1zu (AMPK) v j\u00e1trech, \u010d\u00edm\u017e sni\u017euje produkci gluk\u00f3zy v j\u00e1trech. Tak\u00e9 zlep\u0161uje perifern\u00ed citlivost na inzulin ve svalech a tukov\u00e9 tk\u00e1ni. Nestimuluje uvol\u0148ov\u00e1n\u00ed inzulinu \u2014 tak\u017ee samotn\u00fd nezp\u016fsobuje hypoglyk\u00e9mii.<\/li>\n<li><strong>linagliptin<\/strong> \u2014 inhibitor DPP-4 (\u201cgliptin\u201d). Blokuje enzym, kter\u00fd rozkl\u00e1d\u00e1 GLP-1 a GIP, \u010d\u00edm\u017e zvy\u0161uje hladinu aktivn\u00edch inkretin\u016f. To stimuluje <em>z\u00e1visl\u00e9 na gluk\u00f3ze<\/em> uvol\u0148ov\u00e1n\u00ed inzulinu a potla\u010duje glukagon \u2014 pouze kdy\u017e je hladina gluk\u00f3zy v krvi zv\u00fd\u0161en\u00e1.<\/li>\n<\/ul>\n<p>Proto\u017ee \u017e\u00e1dn\u00e1 ze slo\u017eek nestimuluje uvol\u0148ov\u00e1n\u00ed inzulinu nez\u00e1visle na hladin\u011b gluk\u00f3zy v krvi, kombinace m\u00e1 velmi n\u00edzk\u00e9 riziko hypoglyk\u00e9mie. Typick\u00e9 sn\u00ed\u017een\u00ed HbA1c: <strong>1,5\u20132,0 procentn\u00edch bod\u016f<\/strong>. Vliv na hmotnost: neutr\u00e1ln\u00ed nebo m\u00edrn\u011b sni\u017euj\u00edc\u00ed hmotnost (d\u00edky metforminu).<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1n\u00ed<\/h2>\n<p><strong>Obvykl\u00e1 d\u00e1vka:<\/strong> jedna tableta dvakr\u00e1t denn\u011b, s sn\u00eddan\u00ed a ve\u010de\u0159\u00ed. D\u00e1vka je individualizov\u00e1na na z\u00e1klad\u011b p\u0159edchoz\u00ed terapie, c\u00edlov\u00e9 hodnoty HbA1c a ren\u00e1ln\u00ed funkce.<\/p>\n<ul>\n<li><strong>U\u017e\u00edvejte s j\u00eddlem<\/strong> \u2014 zlep\u0161uje sn\u00e1\u0161enlivost metforminu.<\/li>\n<li><strong>Vynechali jste d\u00e1vku?<\/strong> Vynechejte ji \u2014 dal\u0161\u00ed u\u017eijte v obvyklou dobu.<\/li>\n<li><strong>D\u00e1vkov\u00e1n\u00ed p\u0159i ren\u00e1ln\u00edm posti\u017een\u00ed:<\/strong> The linagliptin component needs no renal dose adjustment; the metformin component follows standard rules &mdash; avoid if eGFR &lt; 30.<\/li>\n<li><strong>P\u0159eru\u0161te pod\u00e1v\u00e1n\u00ed p\u0159i pod\u00e1n\u00ed IV kontrastu, p\u0159ed operac\u00ed nebo p\u0159i akutn\u00edm onemocn\u011bn\u00ed<\/strong> s dehydratac\u00ed.<\/li>\n<li>P\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed metforminu kontrolujte hladinu vitaminu B12 ro\u010dn\u011b.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>Ne\u017e\u00e1douc\u00ed \u00fa\u010dinky metforminu (obvykle prvn\u00ed 1\u20132 t\u00fddny):<\/strong><\/p>\n<ul>\n<li>Pr\u016fjem, nevolnost, b\u0159i\u0161n\u00ed k\u0159e\u010de, plynatost, kovov\u00e1 chu\u0165 v \u00fastech, ztr\u00e1ta chuti k j\u00eddlu<\/li>\n<\/ul>\n<p><strong>Ne\u017e\u00e1douc\u00ed \u00fa\u010dinky DPP-4 inhibitoru:<\/strong><\/p>\n<ul>\n<li>Infekce horn\u00edch cest d\u00fdchac\u00edch, nazofaryngitida, bolest hlavy<\/li>\n<li>Vz\u00e1cn\u011b pankreatitida, t\u011b\u017ek\u00e1 artralgie, bul\u00f3zn\u00ed pemfigoid<\/li>\n<\/ul>\n<p><strong>Vz\u00e1cn\u00e9, ale z\u00e1va\u017en\u00e9:<\/strong><\/p>\n<ul>\n<li>Lakt\u00e1tov\u00e1 acid\u00f3za zp\u016fsoben\u00e1 metforminem \u2014 velmi vz\u00e1cn\u011b; t\u00e9m\u011b\u0159 v\u017edy p\u0159i AKI, sepse nebo hypoxii<\/li>\n<li>Deficit vitaminu B12 (p\u0159i dlouhodob\u00e9m u\u017e\u00edv\u00e1n\u00ed metforminu)<\/li>\n<li>Akutn\u00ed pankreatitida \u2014 p\u0159eru\u0161te l\u00e9\u010dbu p\u0159i siln\u00e9 bolesti b\u0159icha<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Sulfonylmo\u010doviny, inzulin, meglitinidy<\/strong> \u2014 aditivn\u00ed hypoglykemizuj\u00edc\u00ed \u00fa\u010dinek; d\u00e1vky t\u011bchto l\u00e9k\u016f m\u016f\u017ee b\u00fdt nutn\u00e9 sn\u00ed\u017eit, aby se p\u0159ede\u0161lo hypoglyk\u00e9mii.<\/li>\n<li><strong>IV jodovan\u00fd kontrast<\/strong> &mdash; hold Trajenta Duo pre- and post-procedure if eGFR &lt; 60.<\/li>\n<li><strong>Kationick\u00e9 l\u00e9ky<\/strong> (cimetidin, dolutegravir, ranolazin) \u2014 zvy\u0161uj\u00ed hladinu metforminu.<\/li>\n<li><strong>Inhibitory karboanhydr\u00e1zy<\/strong> (acetazolamid, topiram\u00e1t) \u2014 zv\u00fd\u0161en\u00e9 riziko acid\u00f3zy.<\/li>\n<li><strong>Siln\u00e9 inhibitory CYP3A4<\/strong> \u2014 m\u016f\u017ee zv\u00fd\u0161it hladinu saxagliptinu (neplat\u00ed pro sitagliptin\/linagliptin\/vildagliptin).<\/li>\n<li><strong>Kortikosteroidy, thiazidy, beta-2 agonist\u00e9<\/strong> \u2014 m\u016f\u017ee zv\u00fd\u0161it hladinu gluk\u00f3zy v krvi.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Who Should Not Take Trajenta Duo?<\/h2>\n<ul>\n<li>Diabetes mellitus 1. typu nebo diabetick\u00e1 ketoacid\u00f3za<\/li>\n<li>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed posti\u017een\u00ed (eGFR &lt; 30)<\/li>\n<li>T\u011b\u017ek\u00e9 jatern\u00ed po\u0161kozen\u00ed<\/li>\n<li>Akutn\u00ed onemocn\u011bn\u00ed s rizikem tk\u00e1\u0148ov\u00e9 hypoxie<\/li>\n<li>Historie p\u0159ecitliv\u011blosti na kteroukoli slo\u017eku<\/li>\n<li>Historie pankreatitidy (relativn\u00ed)<\/li>\n<li>T\u011bhotenstv\u00ed a kojen\u00ed<\/li>\n<li>P\u0159ed a 48 hodin po intraven\u00f3zn\u00edm pod\u00e1n\u00ed jodovan\u00e9 kontrastn\u00ed l\u00e1tky, pokud eGFR &lt; 60<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Store Trajenta Duo below 30&deg;C in a dry place, in the original blister pack. Keep out of reach of children.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Is Trajenta Duo the same as taking Trajenta and metformin separately?<\/h3>\n<p>Klinicky ano \u2014 stejn\u00e9 molekuly ve stejn\u00fdch d\u00e1vk\u00e1ch. Fixn\u00ed kombinace zlep\u0161uje adherenci, sni\u017euje po\u010det tablet a obvykle stoj\u00ed m\u00e9n\u011b ne\u017e dv\u011b slo\u017eky zakoupen\u00e9 samostatn\u011b. Nev\u00fdhodou je men\u0161\u00ed flexibilita d\u00e1vkov\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Will Trajenta Duo cause hypoglycaemia?<\/h3>\n<p>On its own, very rarely. Neither DPP-4 inhibitors nor metformin stimulates insulin release independent of glucose. Hypoglycaemia becomes a concern only when Trajenta Duo is combined with a sulfonylurea, meglitinide, or insulin.<\/p>\n<h3 class=\"wp-block-heading\">Will I gain weight on Trajenta Duo?<\/h3>\n<p>Ne. Tato kombinace je neutr\u00e1ln\u00ed v\u016f\u010di hmotnosti nebo m\u00edrn\u011b sni\u017euje hmotnost, co\u017e je hlavn\u00ed d\u016fvod, pro\u010d je up\u0159ednost\u0148ov\u00e1na p\u0159ed kombinacemi zalo\u017een\u00fdmi na sulfonylure\u00e1ch u pacient\u016f s nadv\u00e1hou.<\/p>\n<h3 class=\"wp-block-heading\">How long before Trajenta Duo starts working?<\/h3>\n<p>Hladina gluk\u00f3zy nala\u010dno za\u010dne klesat do t\u00fddne. Maxim\u00e1ln\u00ed \u00fa\u010dinek na HbA1c je po 12 t\u00fddnech. Pokud HbA1c neklesne alespo\u0148 o 0,5 % po 3 m\u011bs\u00edc\u00edch u c\u00edlov\u00e9 d\u00e1vky, m\u016f\u017ee b\u00fdt nutn\u00e1 dal\u0161\u00ed terapie.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol while taking Trajenta Duo?<\/h3>\n<p>St\u0159\u00eddm\u00e1 konzumace alkoholu s j\u00eddlem je obvykle bezpe\u010dn\u00e1. Vyhn\u011bte se n\u00e1razov\u00e9mu pit\u00ed \u2014 zvy\u0161uje riziko lakt\u00e1tov\u00e9 acid\u00f3zy (metformin) a m\u016f\u017ee naru\u0161it funkci jater.<\/p>\n<h3 class=\"wp-block-heading\">Where can I buy Trajenta Duo online?<\/h3>\n<p>You can order Trajenta Duo (Linagliptin 2.5 mg + Metformin 500\/1000 mg (twice daily)) from MedsBase in packs of 30, 60, 90 or 180 tablets. We ship worldwide, with discreet packaging and genuine WHO-GMP certified manufacturer stock.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed l\u00e9ky na diabetes<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/januvia\/\">Januvia \u2014 monoterapie sitagliptinem<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/trajenta\/\">Trajenta \u2014 monoterapie linagliptinem<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/glycomet-sr\/\">Glycomet SR \u2014 Metformin s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/jardiance-empagliflozin\/\">Jardiance \u2014 Empagliflozin (alternativa SGLT-2)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/forxiga-dapagliflozin\/\">Forxiga \u2014 dapagliflozin (alternativa SGLT-2)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/diabetes-medication\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky na diabetes<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed.<\/strong> Tato str\u00e1nka slou\u017e\u00ed pouze pro informativn\u00ed \u00fa\u010dely a nenahrazuje l\u00e9ka\u0159skou pomoc kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. V\u017edy u\u017e\u00edvejte fixn\u00ed kombinace pro diabetes pod l\u00e9ka\u0159sk\u00fdm dohledem s monitorov\u00e1n\u00edm funkce ledvin, jater a hladiny vitaminu B12.<\/div>\n<p class=\"medsbase-link-boost-2026-05-08\" data-marker=\"mb-link-boost-glycomet-sr\">Patients discontinuing the linagliptin component of <a href=\"https:\/\/medsbase.com\/cs\/trajenta-duo\/\">Trajenta Duo<\/a> while continuing metformin may transition directly to <a href=\"https:\/\/medsbase.com\/cs\/glycomet-sr\/\">Glycomet SR (metformin hydrochloride 500\u20131000&nbsp;mg SR)<\/a>, available in the same 500&nbsp;mg and 1000&nbsp;mg SR strengths as the original combination tablet.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Chronick\u00e1 onemocn\u011bn\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/prazopill-xl\/\">Prazopill XL<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/paracip\/\">Paracip<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lasix\/\">Lasix<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/domin-injection\/\">Domin Injection<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/aziderm-cream\/\">Aziderm Cream<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Dual-action control<br \/>\n\u2705 Regulates blood sugar<br \/>\n\u2705 Combines two medications<br \/>\n\u2705 Zlep\u0161uje citlivost na inzul\u00edn<br \/>\n\u2705 Manages type 2 diabetes<\/p>\n<p>Trajenta Duo contains Linagliptin &amp; Metformin.<\/p>","protected":false},"featured_media":58206,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3230,3231],"product_tag":[3278,3255,4443],"class_list":{"0":"post-58205","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-diabetes","9":"product_cat-diabetes-medication","10":"product_tag-linagliptin","11":"product_tag-metformin","12":"product_tag-trajenta-duo","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/58205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=58205"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/58206"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=58205"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=58205"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=58205"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=58205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}