{"id":55154,"date":"2023-12-20T10:12:31","date_gmt":"2023-12-20T10:12:31","guid":{"rendered":"https:\/\/medsname.com\/glyxambi-empagliflozin\/"},"modified":"2026-05-01T10:49:12","modified_gmt":"2026-05-01T10:49:12","slug":"glyxambi-empagliflozin","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/glyxambi-empagliflozin\/","title":{"rendered":"Glyxambi (Empagliflozin)"},"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;\">\u26a1 R\u0103spuns rapid \u2014 Ce este Glyxambi?<\/h3>\n<p style=\"margin:0;\"><strong>Glyxambi<\/strong> este un comprimat cu doz\u0103 fix\u0103 combinat\u0103 de <strong>empagliflozin (inhibitor SGLT-2)<\/strong> \u0219i <strong>linagliptin (inhibitor DPP-4)<\/strong> (Empagliflozin 10 sau 25 mg + Linagliptin 5 mg) utilizat pentru <strong>diabetului de tip 2<\/strong>. Combin\u0103 dou\u0103 mecanisme non-insulinotrope: empagliflozin determin\u0103 excre\u021bia glucozei prin urin\u0103 de c\u0103tre rinichi (pentru beneficii glicemice, de greutate, tensiune arterial\u0103, insuficien\u021b\u0103 cardiac\u0103 \u0219i renal\u0103), \u00een timp ce linagliptin cre\u0219te nivelul hormonilor incretini pentru a stimula eliberarea de insulin\u0103 dependent\u0103 de glucoz\u0103. Reducerea a\u0219teptat\u0103 a HbA1c: <strong>1,0\u20131,3 puncte<\/strong> \u2014 mai mult dec\u00e2t fiecare component\u0103 individual\u0103. Pierderea a\u0219teptat\u0103 \u00een greutate: 2\u20133 kg. <strong>Risc foarte sc\u0103zut de hipoglicemie<\/strong> singur. Dozare o dat\u0103 pe zi, cu sau f\u0103r\u0103 m\u00e2ncare. Efecte secundare principale: infec\u021bii genitale cu ciuperci, infec\u021bii ale tractului urinar \u0219i cazuri rare de cetoacidoz\u0103 diabetic\u0103 (empagliflozin); pancreatit\u0103 sau artralgie rare (linagliptin). Evita\u021bi \u00een cazul diabetului de tip 1, cetoacidoz\u0103 diabetic\u0103, eGFR &lt; 30 \u0219i insuficien\u021b\u0103 hepatic\u0103 sever\u0103.<\/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>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<h2 class=\"wp-block-heading\">Ce este Glyxambi?<\/h2>\n<p>Glyxambi este un comprimat oral antidiabetic cu doz\u0103 fix\u0103 combinat\u0103, care con\u021bine dou\u0103 ingrediente active: <strong>empagliflozin<\/strong> (inhibitor SGLT-2) \u0219i <strong>linagliptin<\/strong> (inhibitor DPP-4), \u00een concentra\u021bii de Empagliflozin 10 sau 25 mg + Linagliptin 5 mg. Fabricat de Boehringer Ingelheim \/ Eli Lilly; disponibil \u00een cutii de 30, 60, 90 sau 180 de comprimate. Este prescris pentru adul\u021bii cu diabet zaharat de tip 2 \u2014 de obicei ad\u0103ugat la metformin\u0103 sau ini\u021biat la pacien\u021bii cu hiperglicemie semnificativ\u0103 care ar beneficia de dou\u0103 mecanisme non-insulinotrope \u00eentr-un singur comprimat.<\/p>\n<h2 class=\"wp-block-heading\">Cum func\u021bioneaz\u0103 Glyxambi?<\/h2>\n<p>Cele dou\u0103 componente \u021bintesc hiperglicemia prin c\u0103i complet separate \u2014 una independent\u0103 de insulin\u0103, una bazat\u0103 pe incretin\u0103:<\/p>\n<ul>\n<li><strong>Empagliflozin<\/strong> blocheaz\u0103 SGLT-2 \u00een tubulul renal proximal, determin\u00e2nd excre\u021bia a 70\u201390 g de glucoz\u0103 \u00een urin\u0103 zilnic. Acest lucru scade nivelul de glucoz\u0103 din s\u00e2nge independent de insulin\u0103 \u0219i reduce, de asemenea, greutatea (2\u20133 kg), tensiunea arterial\u0103 (3\u20135 mmHg), spitaliz\u0103rile pentru insuficien\u021b\u0103 cardiac\u0103 (studiile EMPEROR) \u0219i progresia bolii renale cronice (EMPA-KIDNEY).<\/li>\n<li><strong>Linagliptin<\/strong> blocheaz\u0103 enzima DPP-4, cresc\u00e2nd nivelul hormonelor incretine GLP-1 \u0219i GIP. Acest lucru stimuleaz\u0103 <em>dependent\u0103 de glucoz\u0103<\/em> eliberarea de insulin\u0103 \u0219i suprim\u0103 glucagonul \u2014 doar atunci c\u00e2nd nivelul de glucoz\u0103 din s\u00e2nge este ridicat. Linagliptinul este unic printre inhibitorii DPP-4 prin faptul c\u0103 nu necesit\u0103 ajustarea dozei \u00een func\u021bie de func\u021bia renal\u0103.<\/li>\n<\/ul>\n<p>Deoarece niciuna dintre componente nu stimuleaz\u0103 direct eliberarea de insulin\u0103 \u00eentr-un mod independent de glucoz\u0103, Glyxambi are un <strong>risc foarte sc\u0103zut de hipoglicemie<\/strong> singur. Reducere a\u0219teptat\u0103 a HbA1c: <strong>1,0\u20131,3 puncte procentuale<\/strong> fa\u021b\u0103 de fiecare component\u0103 luat\u0103 separat.<\/p>\n<h2 class=\"wp-block-heading\">Doza \u0219i administrare<\/h2>\n<p><strong>Doza uzual\u0103:<\/strong> o tablet\u0103 o dat\u0103 pe zi diminea\u021ba, cu sau f\u0103r\u0103 alimente. Doza ini\u021bial\u0103 depinde de terapia anterioar\u0103 \u0219i de \u021binta glicemic\u0103.<\/p>\n<ul>\n<li><strong>A\u021bi omis o doz\u0103?<\/strong> Lua\u021bi comprimatul c\u00e2nd v\u0103 aminti\u021bi, dac\u0103 nu au trecut mai mult de 12 ore; altfel omite\u021bi-l.<\/li>\n<li><strong>Dozare renal\u0103:<\/strong> empagliflozin este limitat la eGFR &gt; 20 pentru indica\u021biile IC\/IRC (&gt; 30 pentru controlul glicemic); linagliptin nu necesit\u0103 ajustare de doz\u0103 renal\u0103. Combina\u021bia este de obicei evitat\u0103 dac\u0103 eGFR &lt; 30.<\/li>\n<li><strong>Reguli pentru zilele de boal\u0103:<\/strong> suspendare \u00een timpul afec\u021biunilor acute cu v\u0103rs\u0103turi, diaree sau aport oral redus (risc de CAD euglicemic \u0219i IRA). Relua\u021bi c\u00e2nd m\u00e2nca\u021bi \u0219i be\u021bi normal.<\/li>\n<li><strong>Nu \u00eencepe\u021bi<\/strong> \u00een termen de 48 de ore dup\u0103 o interven\u021bie chirurgical\u0103 major\u0103 sau administrarea de contrast IV.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Efecte Secundare<\/h2>\n<p><strong>Efecte adverse frecvente (\u00een principal din componenta empagliflozin):<\/strong><\/p>\n<ul>\n<li>Infec\u021bii fungice genitale (candidiaz\u0103) \u2014 p\u00e2n\u0103 la 10% dintre utilizatori<\/li>\n<li>Infec\u021bii ale tractului urinar<\/li>\n<li>Poliurie, deshidratare u\u0219oar\u0103, ame\u021beli posturale \u00een primele 2 s\u0103pt\u0103m\u00e2ni<\/li>\n<li>Cre\u0219tere moderat\u0103 a colesterolului LDL<\/li>\n<\/ul>\n<p><strong>Din componenta linagliptin:<\/strong><\/p>\n<ul>\n<li>Rinofaringit\u0103, cefalee, tulbur\u0103ri gastrointestinale u\u0219oare<\/li>\n<\/ul>\n<p><strong>Pu\u021bin frecvente, dar importante:<\/strong><\/p>\n<ul>\n<li><strong>Cetoacidoz\u0103 diabetic\u0103 (DKA)<\/strong> \u2014 rar; poate ap\u0103rea la niveluri aproape normale de glicemie (\u201ccetoacidoz\u0103 euglicemic\u0103\u201d). Simptome: grea\u021b\u0103, v\u0103rs\u0103turi, dureri abdominale, respira\u021bie profund\u0103. \u00centrerupe\u021bi administrarea medicamentului \u0219i c\u0103uta\u021bi \u00eengrijire medical\u0103 urgent\u0103.<\/li>\n<li><strong>Deple\u021bie de volum, insuficien\u021b\u0103 renal\u0103 acut\u0103<\/strong> \u2014 risc crescut la pacien\u021bii care iau diuretice sau \u00een caz de boal\u0103 acut\u0103<\/li>\n<li><strong>Pancreatit\u0103 acut\u0103, artralgii severe, pemfigoid bulos<\/strong> \u2014 efecte rare ale clasei DPP-4<\/li>\n<li><strong>Gangrena Fournier<\/strong> \u2014 extrem de rar, dar grav<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>Diuretice (de ans\u0103 \u0219i tiazidice)<\/strong> \u2014 pierdere adi\u021bional\u0103 de volum; lua\u021bi \u00een considerare reducerea dozei de diuretic.<\/li>\n<li><strong>Insulin\u0103, sulfoniluree, meglitinide<\/strong> \u2014 efect hipoglicemiant adi\u021bional; poate fi necesar\u0103 reducerea dozei pentru a evita hipoglicemia.<\/li>\n<li><strong>Rifampicin\u0103<\/strong> \u2014 reduce nivelul ambelor componente.<\/li>\n<li><strong>Antihipertensive<\/strong> \u2014 efect aditiv de sc\u0103dere a tensiunii arteriale.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Cine nu ar trebui s\u0103 ia Glyxambi?<\/h2>\n<ul>\n<li>Diabet zaharat de tip 1<\/li>\n<li>Cetoacidoz\u0103 diabetic\u0103 \u2014 istoric recent sau actual<\/li>\n<li>Insuficien\u021b\u0103 renal\u0103 sever\u0103 (eGFR &lt; 30)<\/li>\n<li>Deple\u021bie sever\u0103 de volum sau hipotensiune<\/li>\n<li>Insuficien\u021b\u0103 hepatic\u0103 sever\u0103<\/li>\n<li>Istoric de pancreatit\u0103 (relativ)<\/li>\n<li>Hipersensibilitate cunoscut\u0103 la oricare component\u0103<\/li>\n<li>Sarcin\u0103 \u0219i al\u0103ptare<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Depozitare<\/h2>\n<p>P\u0103stra\u021bi Glyxambi la sub 30\u00b0C \u00eentr-un loc uscat. Depozita\u021bi \u00een afara accesului copiilor.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">De ce s\u0103 combina\u021bi un inhibitor SGLT-2 \u0219i un inhibitor DPP-4 \u00eentr-o singur\u0103 tablet\u0103?<\/h3>\n<p>Cele dou\u0103 clase ac\u021bioneaz\u0103 prin mecanisme complet diferite care nu se suprapun, astfel \u00eenc\u00e2t reducerea HbA1c a combina\u021biei este aditiv\u0103 (1,0\u20131,3 puncte) \u0219i nu redundant\u0103. Ambele sunt neutre din punct de vedere al greut\u0103\u021bii sau favorabile, iar ambele prezint\u0103 un risc foarte sc\u0103zut de hipoglicemie, f\u0103c\u00e2nd combina\u021bia potrivit\u0103 pentru pacien\u021bii care au nevoie de un control suplimentar al glicemiei f\u0103r\u0103 a ad\u0103uga riscul asociat insulinelor sau sulfonilureelor.<\/p>\n<h3 class=\"wp-block-heading\">Glyxambi m\u0103 va ajuta s\u0103 sl\u0103besc?<\/h3>\n<p>Da, modest \u2014 de obicei 2\u20133 kg \u00een 6\u201312 luni. Pierderea \u00een greutate se datoreaz\u0103 componentei empagliflozin\u0103 (eliminarea glucozei prin urin\u0103). Linagliptina este neutr\u0103 din punct de vedere al greut\u0103\u021bii.<\/p>\n<h3 class=\"wp-block-heading\">Glyxambi protejeaz\u0103 inima \u0219i rinichii?<\/h3>\n<p>Componenta empagliflozin\u0103 are dovezi puternice din studiile EMPA-REG, EMPEROR-Reduced, EMPEROR-Preserved \u0219i EMPA-KIDNEY pentru protec\u021bia cardiovascular\u0103, insuficien\u021ba cardiac\u0103 \u0219i protec\u021bia renal\u0103. Linagliptina este neutr\u0103 din punct de vedere cardiovascular \u00een studiul CARMELINA. Astfel, combina\u021bia p\u0103streaz\u0103 beneficiile cardio-renale ale empagliflozinei.<\/p>\n<h3 class=\"wp-block-heading\">Glyxambi va provoca hipoglicemie?<\/h3>\n<p>Singur, foarte rar. Niciuna dintre componente nu stimuleaz\u0103 eliberarea de insulin\u0103 \u00eentr-un mod independent de glucoz\u0103. Hipoglicemia devine o preocupare atunci c\u00e2nd Glyxambi este combinat cu o sulfoniluree, meglitinid\u0103 sau insulin\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Dar infec\u021biile fungice?<\/h3>\n<p>Infec\u021biile fungice genitale sunt cel mai frecvent efect secundar (p\u00e2n\u0103 la 10% dintre utilizatori, \u00een special femei). De obicei sunt u\u0219oare \u0219i u\u0219or de tratat. Majoritatea pacien\u021bilor nu trebuie s\u0103 \u00eentrerup\u0103 tratamentul cu Glyxambi.<\/p>\n<h3 class=\"wp-block-heading\">Unde pot cump\u0103ra Glyxambi online?<\/h3>\n<p>Pute\u021bi comanda Glyxambi (Empagliflozin 10 sau 25 mg + Linagliptin 5 mg) de la MedsBase \u00een cutii de 30, 60, 90 sau 180 de comprimate. Livr\u0103m \u00een \u00eentreaga lume, cu ambalaj discret \u0219i stoc original certificat WHO-GMP de la produc\u0103tor.<\/p>\n<h2 class=\"wp-block-heading\">Medicamente \u00eenrudite pentru Diabet<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/jardiance-empagliflozin\/\">Jardiance \u2014 monoterapie cu Empagliflozin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/trajenta\/\">Trajenta \u2014 monoterapie cu Linagliptin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/forxiga-dapagliflozin\/\">Forxiga \u2014 Dapagliflozin\u0103 (alternativ\u0103 SGLT-2)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/januvia\/\">Januvia \u2014 Sitagliptin\u0103 (alternativ\u0103 DPP-4)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/trajenta-duo\/\">Trajenta Duo \u2014 Linagliptin + Metformin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/glycomet-sr\/\">Glycomet SR \u2014 Metformin cu eliberare prelungit\u0103<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/diabetes-medication\/\"><strong>Vizualiza\u021bi toate Medicamentele pentru Diabet<\/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 Dezaprobare medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are doar scop informativ \u0219i nu \u00eenlocuie\u0219te sfatul medical al unui profesionist calificat din domeniul s\u0103n\u0103t\u0103\u021bii. Combina\u021biile de inhibitori SGLT-2 prezint\u0103 un risc mic dar serios de cetoacidoz\u0103 euglicemic\u0103 \u2014 utiliza\u021bi \u00eentotdeauna sub \u00eendrumare medical\u0103 cu respectarea regulilor pentru zilele de boal\u0103.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>Afec\u021biuni cronice<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/symbicort-turbohaler\/\">Symbicort Turbohaler<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/trivastal-la\/\">Trivastal LA<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/lefuheal\/\">Lefuheal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/ketanov-injection\/\">Injectie Ketanov<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/hydrosar\/\">Hydrosar<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Regleaz\u0103 nivelul zah\u0103rului din s\u00e2nge<br \/>\n\u2705 Reduce riscul de boli cardiace<br \/>\n\u2705 Promoveaz\u0103 <a href=\"https:\/\/medsbase.com\/ro\/rybelsus-an-effective-solution-for-weight-loss\/\" title=\"Rybelsus o solu\u021bie eficient\u0103 pentru pierderea \u00een greutate\">pierdere \u00een greutate<\/a><br \/>\n\u2705 <a href=\"https:\/\/medsbase.com\/ro\/how-to-lower-your-blood-pressure\/\" title=\"Cum s\u0103-\u021bi reduci tensiunea arterial\u0103\">Scade tensiunea arterial\u0103<\/a><br \/>\n\u2705 \u00cembun\u0103t\u0103\u021be\u0219te func\u021bia renal\u0103<\/p>\n<p><span style=\"color: #999999;\">Glyxambi con\u021bine Empagliflozin \u0219i Linagliptin<\/span><\/p>","protected":false},"featured_media":55155,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3230,3231],"product_tag":[3870,3872,3278],"class_list":{"0":"post-55154","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-empagliflozin","11":"product_tag-glyxambi","12":"product_tag-linagliptin","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/55154","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=55154"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/55155"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=55154"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=55154"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=55154"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=55154"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}