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EMA Approval

Repaglinide Krka

A10BX02

repaglinide

Drugs used in diabetes

repaglinide

Diabetes Mellitus, Type 2

Basic Information

EMA regulatory identification and product classification information

EMA Identifiers

ATC CodeA10BX02
EMA European Classification

Overview Summary

Comprehensive product overview and regulatory summary

This is a summary of the European public assessment report (EPAR). It explains how the Committee for Medicinal Products for Human Use (CHMP) assessed the studies performed, to reach its recommendations on how to use the medicine.

If you need more information about your medical condition or your treatment, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist. If you want more information on the basis for the CHMP recommendations, read the scientific discussion (also part of the EPAR).

Authorisations (1)

EMEA/H/C/001066

Krka, d.d., Novo mesto,Šmarješka cesta 6,8501 Novo mesto,Slovenia

Authorised

November 3, 2009

Active Substances (1)

repaglinide

Documents (9)

Repaglinide Krka : EPAR - Public assessment report

November 15, 2009

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Committee for medicinal products for human use, summary of positive opinion for Repaglinide Krka

July 22, 2009

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Repaglinide Krka : EPAR - Procedural steps taken and scientific information after authorisation (archive)

August 15, 2012

CHANGES_SINCE_INITIAL_AUTHORISATION

Repaglinide Krka : EPAR - Public assessment report

November 15, 2009

CHANGES_SINCE_INITIAL_AUTHORISATION

Committee for medicinal products for human use, summary of positive opinion for Repaglinide Krka

July 22, 2009

CHANGES_SINCE_INITIAL_AUTHORISATION

Repaglinide Krka : EPAR - Product Information

November 15, 2009

DRUG_PRODUCT_INFORMATION

Repaglinide Krka : EPAR - Procedural steps taken and scientific information after authorisation

February 4, 2025

CHANGES_SINCE_INITIAL_AUTHORISATION

Repaglinide Krka : EPAR - All Authorised presentations

November 15, 2009

AUTHORISED_PRESENTATIONS

Repaglinide Krka : EPAR - Summary for the public

November 15, 2009

OVERVIEW_DOCUMENT

Overview Q&A (8)

Question

Other information about Repaglinide Krka

Answer

The European Commission granted a marketing authorisation valid throughout the European Union for Repaglinide Krka to Krka, d.d., Novo mesto on 4 November 2009.

Question

How is Repaglinide Krka used?

Answer

Repaglinide Krka is taken before meals, normally up to 15 minutes before each main meal. The dose is adjusted to give the best control. A doctor should regularly test the patient’s blood glucose to find the lowest effective dose. Repaglinide Krka can also be used for type-2-diabetes patients whose blood glucose levels are usually controlled well on diet, but are experiencing temporary loss of blood glucose control.

The recommended starting dose is 0.5 mg. This dose may need to be increased after one or two weeks.

If patients are transferred from another anti-diabetes medicine, the recommended starting dose is 1 mg.

Repaglinide Krka is not recommended for patients below 18 years of age because of a lack of information on safety and effectiveness in this age group.

Question

How does Repaglinide Krka work?

Answer

Type-2 diabetes is a disease in which the pancreas does not make enough insulin to control the level of glucose in the blood or when the body is unable to use insulin effectively. Repaglinide Krka helps the pancreas to produce more insulin at mealtimes and is used to control type-2 diabetes.

Question

What is Repaglinide Krka?

Answer

Repaglinide Krka is a medicine that contains the active substance repaglinide. It is available as round tablets (white: 0.5 mg; yellow: 1 mg; pink: 2 mg).

Repaglinide Krka is a ‘generic medicine’. This means that Repaglinide Krka is similar to a ‘reference medicine’ already authorised in the European Union (EU) called NovoNorm.

Question

What is Repaglinide Krka used for?

Answer

Repaglinide Krka is used in patients who have type-2 diabetes (non-insulin-dependent diabetes). It is used together with diet and exercise to lower blood glucose (sugar) levels in patients whose hyperglycaemia (high blood glucose levels) cannot be controlled by diet, weight reduction and exercise.

The medicine can only be obtained with a prescription.

Question

How has Repaglinide Krka been studied?

Answer

Because Repaglinide Krka is a generic medicine, studies have been limited to tests to determine that it is bioequivalent to the reference medicine, NovoNorm. Two medicines are bioequivalent when they produce the same levels of the active substance in the body.

Question

What are the benefit and risk of Repaglinide Krka?

Answer

Because Repaglinide Krka is a generic medicine and is bioequivalent to the reference medicine, its benefit and risk are taken as being the same as the reference medicine's.

Question

Why has Repaglinide Krka been approved?

Answer

The Committee for Medicinal Products for Human Use (CHMP) concluded that, in accordance with EU requirements, Repaglinide Krka has been shown to have comparable quality and to be bioequivalent to NovoNorm. Therefore, the CHMP’s view was that, as for NovoNorm, the benefit outweighs the identified risk. The Committee recommended that Repaglinide Krka be given marketing authorisation.

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