FrancophonIA/ELRC3.0 huggingface dataset:
English: The CHMP considered the efficacy of amoxicillin in tripled therapy for Helicobacter pylori eradication adequately demonstrated in adults and in children, as a first line or as rescue therapy.
Danish: CHMP fandt virkningen af amoxicillin i tripelkombinationsbehandling til eradikation af Helicobacter pylori tilfredsstillende påvist hos voksne og børn som førstevalgsbehandling og som redningsbehandling.
English: There are few well-designed randomised controlled trials in patients comparing efficacy of different antibiotics.
Danish: Der er kun få veltilrettelagte, randomiserede, kontrollerede undersøgelser med sammenligning af forskellige antibiotika hos patienter.
English: • The committee considered the identified divergences for Amoxil and associated names, for the indications, posology, contraindications, special warnings and precaution for use, as well as the remaining sections of the SmPC, labelling and package leaflet.
Danish: • udvalget behandlede de konstaterede divergenser for Amoxil og relaterede navne hvad angår indikationer, dosering, kontraindikationer, særlige advarsler og forsigtighedsregler vedrørende brugen samt de øvrige punkter i produktresuméet, etiketteringen og indlægssedlen
English: The variability across member states linked to the prevailing background level of resistance is reflected in those recommendations.
Danish: Disse anbefalinger afspejler forskellene mellem medlemsstaterne hvad angår det fremherskende baggrundsniveau af resistens.
English: In addition considering the resistance rate of specific microorganisms, a general warning against the use of amoxicillin for the treatment of some types of infection unless the pathogen is already documented and known to be susceptible or very likely to be susceptible was requested to be included, together with a cross reference to section 5.1 for more details on the specific pathogens.
Danish: I betragtning af resistensandelen blandt specifikke mikroorganismer tilføjes desuden en generel advarsel mod at anvende amoxicillin til behandling af visse typer infektioner, medmindre den patogene organisme er identificeret og vides eller med stor sandsynlighed antages at være følsom, med krydshenvisning til punkt 5.1 vedrørende detaljer om specifikke patogener.
English: The doses recommended in various national SmPCs in adults and children above 40kg range from 250mg - 1mg TID, expressed differently and are comprised in the proposed harmonised posology.
Danish: I de forskellige nationale produktresuméer anbefales en dosering til voksne og børn over 40 kg på 250 mg-1 mg tre gange dagligt, hvilket udtrykkes forskelligt og er omfattet af den foreslåede harmoniserede dosering.
English: In addition the MAH provided data from recognised animal models to support the prophylaxis and treatment indication.
Danish: Derudover fremlagde indehaveren af markedsføringstilladelsen data fra anerkendte dyremodeller til underbygning af profylakse- og behandlingsindikationen.
English: Acute cystitis, asymptomatic bacteriuria in pregnancy and acute pyelonephritis- all formulations
Danish: Akut cystitis, asymptomatisk graviditetsbetinget bakteriuri og akut pyelonefritis - alle formuleringer
English: • In addition, the committee reviewed the documentation submitted by the MAH in support of the proposed harmonised Quality documentation (Module 3).
Danish: • derudover gennemgik udvalget markedsføringstilladelsesindehaverens dokumentation af det påtænkte harmoniserede afsnit om kvalitet (modul 3)
English: These included bronchitis, acute lung disease, urethritis, gonococcal infection, male genital infections, gonorrhoea, enteritis with bacteraemia and intra-abdominal infections such as peritonitis, cholecystitis and acute cholangitis, serious infections caused by haemophilus influenza.
Danish: Disse indikationer er bronkitis, akut lungesygdom, uretritis, gonokokinfektioner, infektioner i de mandlige genitalier, gonorré, enteritis med bakteriæmi, intraabdominale infektioner såsom peritonitis, kolecystitis og akut kolangitis samt alvorlige infektioner forårsaget af Haemophilus influenzae.
English: The MAH proposed a harmonised set of indications on the different indication authorised in the MSs, however when single broad indications (e.g. infections caused by amoxicillin-sensitive organisms) were approved these were not taken into account.
Danish: Indehaveren af markedsføringstilladelsen foreslog et harmoniseret sæt indikationer baseret på de forskellige indikationer, der er godkendt i medlemsstaterne, dog bortset fra godkendte brede enkeltindikationer (f.eks. infektioner forårsaget af amoxicillinfølsomme organismer).
English: The MAH presented numerous non-clinical studies conducted between 1983 and 2007 assessing the efficacy of amoxicillin in preventing and treating endocarditis in animal models.
Danish: Indehaveren af markedsføringstilladelsen forelagde en lang række ikke-kliniske undersøgelser udført mellem 1983 og 2007 til vurdering af amoxicillin til forebyggelse og behandling af endokarditis i dyremodeller.
English: Furthermore many reviews and recommendations in the literature, together with consensus and evidence based treatment guidelines, consider amoxicillin to be an important therapeutic option in the treatment of adult and paediatric bacterial meningitis.
Danish: I mange oversigter og anbefalinger i litteraturen og i konsensus- og evidensbaserede behandlingsretningslinjer anses amoxicillin desuden for en vigtig behandlingsmulighed ved bakteriel meningitis hos voksne og børn.
English: In addition the MAH presented an open study in 30 adults comparing amoxicillin (1 g amoxicillin four-times daily) to chloramphenicol (1g TID until defervesence followed by 500 mg four times a day (QID) for one week), a study comparing the efficacy of 3 g oral amoxicillin daily to 2 g oral amoxicillin given with 1 g probenecid in 8 patients and two open label, noncomparative studies in 12 and 7 patients that further supported use in this indication.
Danish: Desuden forelagde indehaveren af markedsføringstilladelsen dels en åben undersøgelse hos 30 voksne, hvor amoxicillin (1 g amoxicillin fire gange dagligt) blev sammenlignet med chloramphenicol (1 g tre gange dagligt indtil defervescens, efterfulgt af 500 mg fire gange dagligt i en uge), dels en undersøgelse, der sammenlignede 3 g oralt amoxicillin dagligt med 2 g oralt amoxicillin indgivet sammen med 1 g probenecid til 8 patienter, og dels to åbne, ikke sammenlignende undersøgelser hos 12 og 7 patienter, der yderligere støttede anvendelsen ved denne indikation.
English: The MAH presented six clinical trials conducted between 1975 and 1986 as well as a more recent review of antibiotics in postpartum infection.
Danish: Indehaveren af markedsføringstilladelsen fremlagde seks kliniske undersøgelser udført mellem 1975 og 1986 samt en nyere gennemgang af antibiotika ved postpartum-infektion.
English: Amoxil is indicated in both adults and children for the oral and parenteral treatment of many common infections, including bone/joint, skin/soft tissue and those of the urinary, respiratory, gastrointestinal and genital tracts.
Danish: Amoxil er indiceret til både voksne og børn til oral og parenteral behandling af mange almindelige infektioner, bl.a. i knogler/led, hud/underliggende væv, urinveje, luftveje, mave-tarmkanal og kønsveje.
English: The MAH has provided a number of controlled clinical trials in adults and children with amoxicillin generally in triple therapy as first (9 trials including one specifically in children and a meta-analysis of 22 studies), second (4 trials) and to a lesser extent third (1 trial) line, further supported by uncontrolled studies.
Danish: Indehaveren af markedsføringstilladelsen har forelagt en række kontrollerede kliniske undersøgelser hos voksne og børn med amoxicillin, hovedsagelig i tripel-kombinationsbehandling som førstevalgsbehandling (9 undersøgelser, heraf én specifikt vedrørende børn, og én metaanalyse at 22 undersøgelser), andetvalgsbehandling (4 undersøgelser) og i mindre omfang tredjevalgsbehandling (1 undersøgelse), hvilket yderligere underbygges af ukontrollerede undersøgelser.
English: Helicobacter pylori eradication - oral formulations
Danish: Eradikation af Helicobacter pylori - orale formuleringer
English: In addition the MAH presented 4 clinical studies conducted between 1990 and 2005 in patients with dentoalveolar abscesses of different severity and an outcome audit to determine the influence of different antibiotic therapy on outcome treatment of acute dentoalveolar infection.
Danish: Derudover fremlagde indehaveren af markedsføringstilladelsen fire kliniske undersøgelser udført mellem 1990 og 2005 hos patienter med dentoalveolære abscesser af forskellig sværhedsgrad og en audit af udfald vedrørende virkningen af forskellige antibiotika på udfaldet ved behandling af akut dentoalveolær infektion.
English: Female genital infection - parenteral formulation
Danish: Infektioner i de kvindelige kønsveje - parenteral formulering
English: This clinical data, while limited, supports the efficacy of amoxicillin in prevention of bacteraemia as well as in treatment of infectious endocarditis.
Danish: Disse kliniske data er begrænsede, men underbygger virkningen af amoxicillin til forebyggelse af bakteriæmi og til behandling af infektiøs endokarditis.
English: (Severe) dental abscess with spreading cellulitis- all formulations
Danish: (Svær) dental absces med udbredt cellulitis - alle formuleringer
English: As this section was not included in national SmPCs, the MAH proposal for a general wording considering the SmPC of the fixed combination amoxicillin/clavulanic SmPC (EMEA/H/A-30/979) was accepted by the CHMP with minor modifications.
Danish: Da dette punkt ikke indgik i de nationale produktresuméer, foreslog markedsføringstilladelsesindehaveren en generel ordlyd, der afspejlede produktresuméet for den faste kombination amoxicillin/clavulansyre (EMEA/H/A-30/979).
English: While there is a paucity of clinical studies that evaluated antibiotic therapy in late stages of Lyme disease, the MAH provided three studies investigating the efficacy of amoxicillin in treatment of stages II/III Lyme disease.
Danish: Der er kun få kliniske undersøgelser, der vurderede antibiotisk behandling i sene stadier af Lyme-sygdom, men indehaveren af markedsføringstilladelsen fremlagde tre undersøgelser af virkningen af amoxicillin til behandling af Lyme-sygdom i stadium II/III.
English: Most of the existing statements on interactions across the MSs were considered supported (probenecid, allopurinol, tetracyclines, oral anticoagulants, methotrexate) and the MAH's proposed harmonised wording was accepted by the CHMP.
Danish: De fleste eksisterende angivelser i medlemsstaterne om interaktioner fandtes velunderbyggede (probenecid, allopurinol, tetracykliner, orale antikoagulantia, methotrexat), og den af markedsføringstilladelsesindehaveren foreslåede ordlyd blev godkendt af CHMP.
English: Therefore the CHMP considered this indication no longer appropriate for amoxicillin.
Danish: CHMP fandt derfor ikke længere denne indikation hensigtsmæssig for amoxicillin.
English: Sulfasalazine plasma concentration may be reduced with aminopenicillins, however studies do not support this effect for amoxicillin and no relevant reports were identified in the safety database of the MAH; therefore it was considered acceptable to remove this statement.
Danish: Aminopenicilliner kan reducere plasmakoncentrationen af sulfasalazin, en virkning, som undersøgelserne dog ikke viser for amoxicillin, og der blev ikke fundet relevante indberetninger i sikkerhedsdatabasen hos indehaveren af markedsføringstilladelsen.
English: While not many guidelines are in place for this type of infection, several learned societies recommend amoxicillin as a first choice treatment.
Danish: Der er ikke mange retningslinjer for denne type infektion, men flere videnskabelige selskaber anbefaler amoxicillin som førstevalgsbehandling.
English: The paucity of good quality clinical trials is acknowledged, however the few controlled and uncontrolled studies show the efficacy of amoxicillin for the treatment of bacterial meningitis, particularly when the pathogen is known to be susceptible to amoxicillin.
Danish: Der er ikke mange kliniske undersøgelser af god kvalitet, men de få kontrollerede og ukontrollerede undersøgelser viser virkningen af amoxicillin til behandling af bakteriel meningitis, navnlig når patogenet vides at være følsomt for amoxicillin.
English: Many national and European guidelines recommend amoxicillin as one of several treatment options for AECB in adults patients with increased dyspnoea, sputum volume and sputum purulence or in case of exacerbations in patients with severe chronic obstructive pulmonary disease (COPD).
Danish: I mange nationale og europæiske retningslinjer anbefales amoxicillin som et af flere behandlingsvalg ved akutte eksacerbationer af kronisk bronkitis hos voksne patienter med øget dyspnø, spytmængde og spytpurulens og til patienter med eksacerbationer af svær kronisk obstruktiv lungelidelse (KOL).
English: The MAH provided data demonstrating that amoxicillin achieves good tissue penetration and has been used for the treatment of bacteraemia, associated with a number of its approved indications.
Danish: Indehaveren af markedsføringstilladelsen fremlagde data, der viser, at amoxicillin opnår god vævspenetration og er blevet anvendt til behandling af bakteriæmi i forbindelse med en række af de godkendte indikationer.
English: The indication “dental abscess with spreading cellulitis” for the oral formulation and “severe dental abscess with spreading cellulitis” for the parenteral formulation was therefore considered acceptable by CHMP.
Danish: CHMP kunne derfor godtage indikationen "dental absces med udbredt cellulitis" for den orale formulering og "svær dental absces med udbredt cellulitis" for den parenterale formulering.
English: In addition, the MAH presented three studies on the efficacy of amoxicillin in the prevention of bacteraemia following dental extractions, an open study and two case studies of amoxicillin in treatment of endocarditis.
Danish: Der blev desuden forelagt tre undersøgelser af amoxicillin til forebyggelse af bakteriæmi efter tandudtrækning: En åben undersøgelse og to case-undersøgelser af amoxicillin til behandling af endokarditis.
English: The evidence provided, although not recent, demonstrates that amoxicillin has been used to treat a variety of genital infections in females with variable results.
Danish: Den forelagte evidens var ikke af nyere dato, men viser, at amoxicillin med varierende resultat har været anvendt til behandling af en række forskellige genitale infektioner hos kvinder.
English: The MAH presented 4 clinical trials, comparing the efficacy of oral amoxicillin to chloramphenicol or ampicillin in adults and children.
Danish: Indehaveren af markedsføringstilladelsen forelagde fire kliniske undersøgelser, hvor oralt amoxicillin blev sammenlignet med chloramphenicol eller ampicillin hos voksne og børn.
English: In the paediatric studies submitted, amoxicillin showed comparable efficacy to that of the comparators and comparable responses rates to that seen in adults, better greater efficacy was seen with the higher doses.
Danish: I de forelagte pædiatriske undersøgelser havde amoxicillin en virkning svarende til sammenligningspræparaterne og samme responsrate som hos voksne, idet virkningen var størst med de højeste doser.
English: The CHMP considered that the parenteral route was adequate for the more severe infections of the ear nose and throat.
Danish: CHMP anså den parenterale rute for hensigtsmæssig til sværere ørenæse-hals-infektioner.
English: Amoxil contains amoxicillin (as amoxicillin sodium or amoxicillin trihydrate), a moderate-spectrum, bacteriolytic, β-lactam antibiotic used to treat bacterial infections caused by susceptible microorganisms.
Danish: Amoxil indeholder amoxicillin (som amoxicillinnatrium eller amoxicillintrihydrat), der er et bakteriolytisk ß-lactamantibiotikum med moderat spektrum til behandling af bakterielle infektioner forårsaget af følsomme mikroorganismer.
English: Acute otitis media (AOM) - oral formulations
Danish: Akut otitis media - orale formuleringer
English: The CHMP was of the view that the susceptibility of the organism to amoxicillin should be confirmed by laboratory results prior to initiating treatment with amoxicillin and requested that a warning to that effect be included in section 4.4 (and cross referred in section 4.1).
Danish: CHMP fandt, at der bør foretages følsomhedsbestemmelse før påbegyndelse af behandling med amoxicillin, og udvalget anmodede om indsættelse af en advarsel herom i punkt 4.4 (med krydshenvisning til punkt 4.1).
English: Treatment with oral amoxicillin at a dose 1000mg TID or 500mg TID for 7 to 10 days produced similar results to other antibiotics with clinical response rates ranging from 86% to 90% and bacteriological response rates ranging from 82% to 92%.
Danish: Behandling med oralt amoxicillin i doseringen 1 000 mg tre gange dagligt eller 500 mg tre gange dagligt i 7-10 dage gav samme resultater som andre antibiotika, idet den kliniske responsrate var 86-90 % og den bakteriologiske responsrate var 82-92 %.
English: The data submitted shows that amoxicillin can penetrate the meninges well when inflamed, in both children and adults.
Danish: De forelagte data viser, at amoxicillin er i stand til at penetrere inflammerede meninges hos børn og voksne.
English: Acute bacterial sinusitis (ABS) - oral formulations
Danish: Akut bakteriel sinuitis (ABS) - orale formuleringer
English: The possible interaction with oral contraceptives through an effect on the gut flora was removed, in line with the recent Coordination Group for Mutual Recognition and Decentralised Procedures - Human (CMDh) recommendation to remove this interaction from the PI of numerous antibiotics including amoxicillin (CMDh/326/2015, Rev.0).
Danish: Dette fulgte den nylige anbefaling fra koordinationsgruppen vedrørende gensidig anerkendelse og decentral procedurelægemidler til mennesker (CMDh) om at slette denne interaktion fra produktinformationen for en lang række antibiotika, herunder amoxicillin (CMDh/326/2015, Rev.0).
English: The MAH presented five randomised double blind trials conducted between 1981 and 1989 comparing the efficacy of amoxicillin to other antibiotics, one open study, 9 non-comparative studies and a review in patients with various acute skin infections.
Danish: Indehaveren af markedsføringstilladelsen fremlagde fem randomiserede, dobbeltblindede undersøgelser, der var udført mellem 1981 og 1989 og sammenlignede amoxicillin med andre antibiotika, én åben undersøgelse, ni ikke-sammenlignende undersøgelser og en oversigtsartikel vedrørende forskellige akutte hudinfektioner.
English: The CHMP considered that these studies demonstrated that amoxicillin continues to be an efficacious treatment for CAP.
Danish: CHMP fandt, at disse undersøgelser godtgjorde, at amoxicillin fortsat er effektivt til behandling af samfundserhvervet pneumoni.
English: Bacteraemia that occurs in association with or is suspected to be associated with, any of the infections listed above - Parenteral formulation
Danish: Manifest eller formodet bakteriæmi ved enhver af de ovennævnte infektioner - parenteral formulering
English: The MAH has taken into consideration the current dataset, recommendations from recent evidence based and consensus European or national clinical prescribing guidelines in support of the use of amoxicillin in the claimed indications as well as the CHMP guidelines on the evaluation of medicinal products indicated for treatment of bacterial infections and its addendum (CPMP/EWP/558/95 rev 2 and EMA/CHMP/351889/2013).
Danish: Til at underbygge anvendelsen af amoxicillin til de påberåbte indikationer har indehaveren af markedsføringstilladelsen anvendt det nuværende datasæt, anbefalinger fra nyere evidens- og konsensusbaserede europæiske eller nationale retningslinjer samt CHMP's retningslinjer for vurdering af lægemidler til behandling af bakterielle infektioner og tillægget hertil (CPMP/EWP/558/95 rev. 2 og EMA/CHMP/351889/2013).
English: Therefore the CMHP was of the view that this indication was acceptable for amoxicillin but in view of the increasingly high resistance rates, requested to cross refer to additional information in section 4.4 regarding the need for the pathogen to be known or strongly suspected as susceptible to amoxicillin before treatment initiation.
Danish: CHMP kunne derfor godkende denne indikation for amoxicillin, men med krydshenvisning til supplerende oplysninger i punkt 4.4 om nødvendigheden af, at patogenet vides eller stærkt formodes at være følsomt for amoxicillin, hvilket havde baggrund i de stigende resistensrater.
English: In addition the MAH provided results of several small clinical trials in children and in adults as well as case studies that support the efficacy of amoxicillin for the treatment of bacterial meningitis.
Danish: Desuden fremlagde indehaveren af markedsføringstilladelsen flere små kliniske undersøgelser hos børn og hos voksne foruden case-undersøgelser, der støtter virkningen af amoxicillin til behandling af bakteriel meningitis.
English: Therefore, the CHMP considered this indication adequate.
Danish: CHMP fandt derfor denne indikation hensigtsmæssig.
English: The CHMP considered that while fluoroquinolones are widely regarded as optimal for the treatment of typhoid fever in adults, in areas with high rates of fluoroquinolones-resistance, amoxicillin remains an appropriate alternative for the treatment of typhoid fever.
Danish: Uanset den udbredte opfattelse af fluorquinoloner som det optimale behandlingsvalg til tyfus hos voksne anså CHMP fortsat amoxicillin for et egnet alternativ til behandling af tyfus i områder med høj forekomst af fluorquinolonresistens.
English: Grounds for the variation to the terms of the marketing authorisations
Danish: Begrundelse for ændringen af betingelserne for markedsføringstilladelserne Ud fra følgende betragtninger:
English: In clinical trials amoxicillin given either at a dose of 1000mg twice a day (BID) or at a dose of 500mg BID or three times a day (TID) was found to have similar response rates to the comparators (successful clinical and microbiological outcomes in ≥81% and ≥ 85% of patients, respectively).
Danish: I de kliniske undersøgelser gav amoxicillin i en dosering på 1 000 mg to gange dagligt eller 500 mg to eller tre gange dagligt samme responsrate som sammenligningspræparaterne (vellykket klinisk og mikrobiologisk udfald hos hhv. ≥81 % og ≥ 85 % af patienterne).
English: The CHMP was of the view that amoxicillin is a suitable treatment option for AOM in both adults and children.
Danish: CHMP fandt, at amoxicillin er et egnet behandlingsvalg til akut otitis media hos både voksne og børn.
English: Lyme disease- all formulations
Danish: Lyme-sygdom - alle formuleringer
English: The CHMP was therefore of the view that amoxicillin remains a valid therapeutic option in this indication.
Danish: CHMP betragtede derfor fortsat amoxicillin som et gyldigt behandlingsvalg til denne indikation.
English: However the CHMP considered that due to the seriousness of the condition and in line with the European Society of Cardiology (ESC), American Heart Association (AHA), British Society of Antimicrobial Chemotherapy (BSAC) and British Cardiac Society (BCS) guidelines only the parenteral formulation was useful in treatment of endocarditis and requested that the indication be removed from the oral formulation.
Danish: På baggrund af sygdommens alvorlighed fandt CHMP imidlertid, at kun den parenterale formulering var nyttig til behandling af endokarditis, hvilket er på linje med retningslinjerne fra European Society of Cardiology (ESC), American Heart Association (AHA), British Society of Antimicrobial Chemotherapy (BSAC) og British Cardiac Society (BCS).
English: The MAH updated the section in line with the SmPC Guideline which was accepted by CHMP.
Danish: Indehaveren af markedsføringstilladelsen ajourførte dette punkt i overensstemmelse med retningslinjerne for produktresuméer, hvilket blev godtaget af CHMP.
English: Acute streptococcal tonsillitis and pharyngitis - oral formulations
Danish: Akut streptokoktonsillitis og -faryngitis - orale formuleringer