FrancophonIA/ELRC3.0 huggingface dataset:
English: The most common site of spontaneous bleeding was the gastrointestinal tract (1.7% rate with prasugrel and 1.3% rate with clopidogrel); the most frequent site of provoked bleeding was the arterial puncture site (1.3% rate with prasugrel and 1.2% with clopidogrel).
Croatian: Najčešće mjesto spontanog krvarenja bio je gastrointestinalni trakt (stopa od 1,7% kod primjene prasugrela i stopa od 1,3% kod primjene klopidogrela), a najčešće mjesto izazvanog krvarenja je mjesto punkcije arterije (stopa od 1,3% kod primjene prasugrela i stopa od 1,2% kod primjene klopidogrela).
English: What Prasugrel Mylan is and what it is used for
Croatian: Što je Prasugrel Mylan i za što se koristi
English: If you are breast-feeding, ask your doctor or pharmacist for advice before taking any medicine.
Croatian: Ako dojite, obratite se svom liječniku ili ljekarniku za savjet prije nego uzmete bilo koji lijek.
English: If you then take Prasugrel Mylan and experience allergic reactions that may be recognised as a rash, itching, a swollen face, swollen lips or shortness of breath you need to tell your doctor immediately.
Croatian: Ako počnete uzimati Prasugrel Mylan i dobijete alergijsku reakciju, koju možete prepoznati kao osip, svrbež, oticanje lica, oticanje usana ili nedostatak zraka, morate odmah obavijestiti svog liječnika.
English: Approximately 98% of patients (in each of the treatment groups) received antithrombins (heparin, low molecular weight heparin, bivalirudin, or other agent) directly in support of PCI.
Croatian: Približno 98% bolesnika (u svakoj od liječenih skupina) primalo je antitrombinske lijekove (heparin, heparin male molekulske težine, bivalirudin ili druge lijekove) kao izravnu potporu PCI-ju.
English: In clinical pharmacology studies, after adjusting for body weight, the AUC of the active metabolite was approximately 19% higher in Chinese, Japanese, and Korean subjects compared to that of Caucasians, predominantly related to higher exposure in Asian subjects <60 kg.
Croatian: U kliničkim farmakološkim ispitivanjima je nakon korekcije za tjelesnu težinu AUC aktivnog metabolita bio približno 19% veći u ispitanika kineskog, japanskog i korejskog podrijetla nego u bijelaca, što je uglavnom bilo povezano s većom izloženošću u Azijata tjelesne težine < 60 kg.
English: If you weigh less than 60 kg or are more than 75 years of age, the dose is 5 mg Prasugrel Mylan per day.
Croatian: Ako imate manje od 60 kg ili ste stariji od 75 godina, doza lijeka Prasugrel Mylan iznosi 5 mg na dan.
English: In the All ACS population, analysis of each of the secondary endpoints showed a significant benefit (p<0.001) for prasugrel versus clopidogrel.
Croatian: U populaciji svih bolesnika s ACS-om analiza svake od sekundarnih mjera ishoda pokazala je značajnu korist (p < 0,001) od primjene prasugrela u odnosu na klopidogrel.
English: What Prasugrel Mylan looks like and contents of the pack
Croatian: Kako Prasugrel Mylan izgleda i sadržaj pakiranja
English: Talk to your doctor before taking Prasugrel Mylan.
Croatian: Obratite se svom liječniku prije nego uzmete Prasugrel Mylan.
English: There was an increased incidence of tumours (hepatocellular adenomas) in mice exposed for 2 years to high doses (>75 times human exposure), but this was considered secondary to prasugrel-induced enzyme-induction.
Croatian: Incidencija tumora (hepatocelularnih adenoma) bila je povećana u miševa koji su dvije godine bili izloženi visokim dozama (> 75 puta veća izloženost nego u ljudi), ali se to smatralo posljedicom enzimske indukcije izazvane prasugrelom.
English: In the phase 3 clinical trial these patients were at greater risk of bleeding, including fatal bleeding, compared to patients <75 years of age.
Croatian: U fazi III kliničkog ispitivanja ti su bolesnici bili izloženi većem riziku od krvarenja, uključujući i ona sa smrtnim ishodom, u usporedbi s bolesnicima mlađima od 75 godina.
English: You should tell your doctor immediately if you develop a medical condition called Thrombotic Thrombocytopaenic Purpura (or TTP) that includes fever and bruising under the skin that may appear as red pinpoint dots, with or without unexplained extreme tiredness, confusion, yellowing of the skin or eyes (jaundice) (see section 4 ‘Possible side effects').
Croatian: Morate odmah obavijestiti liječnika ako se razvije bolest koja se zove trombotična trombocitopenična purpura (TTP), a koja uključuje vrućicu i nastajanje potkožnih modrica koje se mogu pojaviti kao okrugle, crvene točkice veličine vrška pribadače, a mogu je, ali ne moraju, pratiti neobjašnjiv izrazit umor, smetenost, žutilo kože ili očiju (žutica) (vidjeti dio 4 „Moguće nuspojave”).
English: • ‘non-steroidal anti-inflammatory drugs' for pain and fever (such as ibuprofen, naproxen, etoricoxib).
Croatian: • nesteroidnim protuupalnim lijekovima protiv bolova i vrućice (poput ibuprofena, naproksena, etorikoksiba).
English: Patients <60 kg
Croatian: Bolesnici tjelesne težine < 60 kg
English: The benefit was primarily due to a significant decrease in non-fatal MI (see Table 3).
Croatian: Korist se primarno temeljila na značajnom smanjenju broja nesmrtonosnih infarkta miokarda (vidjeti Tablicu 3).
English: In a study of healthy subjects, AUC of the active metabolite was unaffected by a high fat, high calorie meal, but Cmax was decreased by 49% and the time to reach Cmax (Tmax) was increased from 0.5 to 1.5 hours.
Croatian: U ispitivanju zdravih ispitanika punomastan, visoko kaloričan obrok nije utjecao na AUC aktivnog metabolita, ali je njegov Cmax smanjen za 49%, a vrijeme do nastupa Cmax (Tmax) produljeno s 0,5 na 1,5 sati.
English: Therefore, the use of prasugrel in patients at increased risk of bleeding should only be considered when the benefits in terms of prevention of ischaemic events are deemed to outweigh the risk of serious bleedings.
Croatian: Stoga se primjena prasugrela u bolesnika s povećanim rizikom od krvarenja smije razmotriti samo onda kada se procijeni da dobrobit u smislu prevencije ishemijskih događaja nadilazi rizik od ozbiljnih krvarenja.
English: In the large phase 3 clinical trial, the mean estimated exposure (AUC) of the active metabolite was 19% higher in very elderly patients (≥75 years of age) compared to subjects <75 years of age.
Croatian: U velikom kliničkom ispitivanju, u fazi III, prosječna procijenjena izloženost (AUC) aktivnom metabolitu bila je 19% veća u vrlo starih bolesnika (≥ 75 godina) u usporedbi s ispitanicima mlađima od 75 godina.
English: A treatment of up to 12 months is recommended unless the discontinuation of Prasugrel Mylan is clinically indicated (see sections 4.4 and 5.1).
Croatian: Preporučuje se liječenje u trajanju do 12 mjeseci osim ako je obustava primjene lijeka Prasugrel Mylan klinički indicirana (vidjeti dijelove 4.4 i 5.1).
English: BGP Products SRL Tel: + 40 372 579 000
Croatian: BGB Products SRL Tel: + 40 372 579 000
English: Other therapies, such as heparin and GP IIb/IIIa inhibitors, were administered at the discretion of the physician.
Croatian: Drugi lijekovi poput heparina ili inhibitora GP IIb/IIIa primjenjivani su u skladu s procjenom liječnika.
English: • Periodic safety update reports (PSURs)
Croatian: • Periodička izvješća o neškodljivosti lijeka (PSUR)
English: An increased risk of bleeding is possible when Prasugrel Mylan is co-administered with heparin.
Croatian: Moguć je povećan rizik od krvarenja kada se Prasugrel Mylan primjenjuje istodobno s heparinom.
English: Prasugrel Mylan can be concomitantly administered with medicinal products metabolised by cytochrome P450 enzymes (including statins), or medicinal products that are inducers or inhibitors of cytochrome P450 enzymes.
Croatian: Prasugrel Mylan se može primjenjivati istodobno s lijekovima koji se metaboliziraju pomoću enzima citokroma P450 (uključujući statine) kao i s lijekovima koji su induktori ili inhibitori enzima citokroma P450.
English: • Haematoma (bleeding under the skin at the site of an injection, or into a muscle, causing swelling)
Croatian: • hematomi (potkožna krvarenja na mjestu davanja injekcije, ili krvarenja u mišić koja uzrokuju oticanje)
English: Prasugrel showed superior efficacy compared to clopidogrel in reducing the primary composite outcome events as well as the pre-specified secondary outcome events, including stent thrombosis (see Table 3).
Croatian: Prasugrel je bio djelotvorniji od klopidogrela u smanjenju broja objedinjenih događaja primarne mjera ishoda kao i unaprijed definiranih događaja koji su činili sekundarne mjere ishoda, uključujući trombozu stenta (vidjeti Tablicu 3).
English: carton only:
Croatian: samo na kutiji:
English: Approximately 40% of patients (in each of the treatment groups) received GP IIb/IIIa inhibitors in support of PCI (no information available regarding the type of GP IIb/IIIa inhibitor used).
Croatian: Približno 40% bolesnika (u svakoj od liječenih skupina) primalo je inhibitore GP IIb/IIIa kao potporu PCI-ju (nema podataka o vrsti primijenjenih GP IIb/IIIa inhibitora).
English: The mean exposure (AUC) of the active metabolite of prasugrel is approximately 30 to 40% higher in healthy subjects and patients with a body weight of <60 kg compared to those weighing ≥60 kg.
Croatian: Prosječna izloženost (AUC) aktivnom metabolitu prasugrela je približno 30 do 40% veća u zdravih ispitanika i bolesnika tjelesne težine manje od 60 kg u usporedbi s onima čija je težina ≥ 60 kg.
English: Your doctor should prescribe a daily dose of 5 mg of Prasugrel Mylan if you weigh less than 60 kg - renal (kidney) disease or moderate liver problems - taking certain types of medicines (see ‘Taking other medicines' below) - planned surgery (including some dental procedures) in the next seven days.
Croatian: Liječnik Vam mora propisati dnevnu dozu od 5 mg lijeka Prasugrel Mylan ako imate manje od 60 kg. - ako imate neku bubrežnu bolest ili umjerene tegobe s jetrom - ako uzimate određene vrste lijekova (vidjeti „Drugi lijekovi i Prasugrel Mylan” u nastavku) - ako imate zakazanu operaciju (uključujući i neke stomatološke zahvate) u sljedećih 7 dana.
English: The benefits associated with prasugrel were independent of the use of other acute and long-term cardiovascular therapies, including heparin/low molecular weight heparin, bivalirudin, intravenous GP IIb/IIIa inhibitors, lipid-lowering medicinal products, beta-blockers, and angiotensin converting enzyme inhibitors.
Croatian: Korist od primjene prasugrela bila je neovisna o akutnoj ili dugoročnoj primjeni drugih lijekova za liječenje bolesti srca i krvnih žila, uključujući heparin ili heparin male molekulske težine, bivalirudin, intravensku primjenu inhibitora GP IIb/IIIa, lijekove za snižavanje lipida, blokatore beta adrenergičkih receptora i inhibitore angiotenzin konvertirajućeg enzima.
English: All ACS population
Croatian: Populacija svih bolesnika s ACS-om
English: PHARMACEUTICAL FORM AND CONTENTS Film-coated tablet 28 film-coated tablets 30 film-coated tablets METHOD AND ROUTE(S) OF ADMINISTRATION Read the package leaflet before use.
Croatian: OBLIK I SADRŽAJ Filmom obložena tableta 28 filmom obložene tablete 30 filmom obložene tablete NAČIN I PUT(EVI) PRIMJENE LIJEKA Prije uporabe pročitajte uputu o lijeku.
English: These included definite or probable stent thrombosis at study end (0.9% vs 1.8%; HR 0.498; CI 0.364, 0.683); CV death, nonfatal MI, or urgent target vessel revascularisation through 30 days (5.9% vs 7.4%; HR 0.784; CI 0.688,0.894); all cause death, nonfatal MI, or nonfatal stroke through study end (10.2% vs 12.1%; HR 0.831; CI 0.751, 0.919); CV death, non-fatal MI, nonfatal stroke or rehospitalisation for cardiac ischaemic event through study end (11.7% vs 13.8%; HR 0.838; CI 0.762, 0.921).
Croatian: Hazard Ratio, HR): 0,498; CI: 0,364; 0,683); smrt zbog KV uzroka, nesmrtonosni IM ili hitna revaskularizacija ciljne krvne žile do 30. dana (5,9% u odnosu na 7,4%; HR: 0,784; CI: 0,688; 0,894); smrt zbog bilo kojeg uzroka, nesmrtonosni infarkt miokarda ili nesmrtonosni moždani udar do završetka ispitivanja (10,2% u odnosu na 12,1%; HR: 0,831; CI: 0,751; 0,919); smrt zbog KV uzroka, nesmrtonosni IM, nesmrtonosni moždani udar ili ponovna hospitalizacija zbog srčanog ishemijskog događaja do završetka ispitivanja (11,7% u odnosu na 13,8%; HR: 0,838; CI: 0,762; 0,921).
English: In pre- and post-natal rat studies, maternal treatment had no effect on the behavioural or reproductive development of the offspring at doses up to an exposure 240 times the recommended daily human maintenance dose (based on mg/m²).
Croatian: U istraživanjima prenatalnog i postnatalnog razvoja na štakorima, davanje lijeka majci nije imalo učinka na razvoj ponašanja niti na reproduktivni razvoj potomaka pri dozama koje su dovele do 240 puta veće izloženosti od one koja se postiže u ljudi kod primjene preporučene dnevne doze održavanja (na temelju mg/m²).
English: Analysis of the composite endpoint in the All ACS population (combined UA/NSTEMI and STEMI cohorts) was contingent on showing statistical superiority of prasugrel versus clopidogrel in the UA/NSTEMI cohort (p<0.05).
Croatian: Analiza objedinjenog ishoda u populaciji svih bolesnika s akutnim koronarnim sindromom (združene UA/NSTEMI i STEMI kohorte) ovisila je o dokazivanju statističke superiornosti prasugrela u odnosu na klopidogrel u kohorti bolesnika koji su imali UA/NSTEMI (p < 0,05).
English: Rifampicin (600 mg daily), a potent inducer of CYP3A and CYP2B6, and an inducer of CYP2C9, CYP2C19, and CYP2C8, did not significantly change the pharmacokinetics of prasugrel.
Croatian: Rifampicin (600 mg na dan), snažan induktor CYP3A i CYP2B6 te induktor CYP2C9, CYP2C19 i CYP2C8, nije značajno promijenio farmakokinetiku prasugrela.
English: Although not studied in specific interaction studies, prasugrel has been co-administered in the phase 3 clinical trial with low molecular weight heparin, bivalirudin, and GP IIb/IIIa inhibitors (no information available regarding the type of GP IIb/IIIa inhibitor used) without evidence of clinically significant adverse interactions.
Croatian: Iako nisu provedena specifična ispitivanja interakcija, prasugrel se u fazi III kliničkog ispitivanja primjenjivao s heparinom male molekulske mase, bivalirudinom i inhibitorima GP IIb/IIIa (nema podataka o vrsti GP IIb/IIIa inhibitora) bez znakova klinički značajnih štetnih interakcija.
English: The usual dose of prasugrel is 10 mg per day.
Croatian: Uobičajena doza prasugrela je 10 mg na dan.
English: In the phase 3 clinical trial (TRITON) key exclusion criteria included an increased risk of bleeding; anaemia; thrombocytopaenia; a history of pathological intracranial findings.
Croatian: U kliničkom ispitivanju faze III (TRITON) glavni kriteriji za isključenje bili su, između ostalog, povećan rizik od krvarenja, anemija, trombocitopenija te patološki intrakranijalni nalazi u anamnezi.
English: Prasugrel Mylan can also be concomitantly administered with ASA, heparin, digoxin, and medicinal products that elevate gastric pH, including proton pump inhibitors and H2 blockers.
Croatian: Prasugrel Mylan se također može primjenjivati istodobno s ASK-om, heparinom, digoksinom i lijekovima koji povisuju želučani pH, uključujući i inhibitore protonske pumpe i blokatore H2 receptora.
English: The phase 3 TRITON study compared prasugrel with clopidogrel, both co-administered with ASA and other standard therapy.
Croatian: U fazi III ispitivanja pod nazivom TRITON uspoređivao se prasugrel s klopidogrelom, pri čemu su se oba primjenjivala istodobno s ASK-om i drugim standardnim lijekovima.
English: For patients with active bleeding for whom reversal of the pharmacological effects of prasugrel is required, platelet transfusion may be appropriate.
Croatian: U bolesnika s aktivnim krvarenjem u kojih je potrebno antagonizirati farmakološke učinke prasugrela možda će biti primjerena transfuzija trombocita.
English: • While you are taking Prasugrel Mylan:
Croatian: • Dok uzimate Prasugrel Mylan:
English: In the All ACS population, prasugrel was associated with a lower incidence of CV death, non-fatal MI, or non-fatal stroke compared to clopidogrel, regardless of baseline characteristics such as age, sex, body weight, geographical region, use of GP IIb/IIIa inhibitors, and stent type.
Croatian: U populaciji svih bolesnika s ACS-om primjena prasugrela je u usporedbi s primjenom klopidogrela bila povezana s nižom incidencijom smrti zbog KV uzroka, nesmrtonosnog IM odnosno nesmrtonosnog moždanog udara, bez obzira na početne karakteristike poput dobi, spola, tjelesne težine, geografske regije, primjene inhibitora GP IIb/IIIa ili vrstu stenta.
English: What you need to know before you take Prasugrel Mylan
Croatian: Što morate znati prije nego počnete uzimati Prasugrel Mylan
English: Ketoconazole (400 mg daily), a selective and potent inhibitor of CYP3A4 and CYP3A5, did not affect prasugrel-mediated inhibition of platelet aggregation or the prasugrel active metabolite's AUC and Tmax, but decreased the Cmax by 34% to 46%.
Croatian: Ketokonazol (400 mg na dan), selektivan i snažan inhibitor CYP3A4 i CYP3A5, nije utjecao na prasugrelom posredovanu inhibiciju agregacije trombocita niti na AUC i Tmax aktivnog metabolita prasugrela, ali je smanjio njegov Cmax za 34% do 46%.
English: Higher inhibition of platelet aggregation was observed in patients switched to prasugrel 10 mg compared with those treated with clopidogrel 150 mg.
Croatian: Veća inhibicija agregacije trombocita primijećena je u bolesnika prebačenih na prasugrel u dozi od 10 mg u odnosu na one liječene klopidogrelom u dozi od 150 mg.
English: Titanium dioxide (E171)
Croatian: Film ovojnica poli(vinilni alkohol) talk titanijev dioksid (E171)
English: • Bleeding from your rectum, blood in your stools or black stools
Croatian: • krvarenje iz završnog dijela debelog crijeva, krv u stolici ili crnu stolicu
English: The use of Prasugrel Mylan in patients ≥75 years of age is generally not recommended and should only be undertaken with caution after a careful individual benefit/risk evaluation by the prescribing physician indicates that benefits in terms of prevention of ischaemic events outweigh the risk of serious bleedings.
Croatian: Primjena lijeka Prasugrel Mylan u bolesnika u dobi od ≥ 75 godina općenito se ne preporučuje i smije se provoditi uz oprez tek nakon što liječnik propisivač pažljivo procijeni korist i rizik u pojedinog bolesnika i zaključi da dobrobit u smislu prevencije ishemijskih događaja nadilazi rizik od ozbiljnih krvarenja.
English: Prasugrel Mylan is contraindicated in patients with severe hepatic impairment (Child Pugh class C).
Croatian: Prasugrel Mylan je kontraindiciran u bolesnika s teškim oštećenjem jetre (Child-Pugh stadij C).
English: Prasugrel has no or negligible influence on the ability to drive and use machines.
Croatian: Prasugrel ne utječe ili zanemarivo utječe na sposobnost upravljanja vozilima i rada sa strojevima.
English: Prasugrel Mylan is to be administered concomitantly with acetylsalicylic acid (ASA).
Croatian: Prasugrel Mylan se mora primjenjivati zajedno s acetilsalicilatnom kiselinom (ASK).
English: Therefore, CYP3A inhibitors such as azol antifungals, HIV protease inhibitors, clarithromycin, telithromycin, verapamil, diltiazem, indinavir, ciprofloxacin, and grapefruit juice are not anticipated to have a significant effect on the pharmacokinetics of the active metabolite.
Croatian: Stoga se ne predviđa da bi inhibitori CYP3A4 poput azolnih antimikotika, inhibitora HIV proteaze, klaritromicina, telitromicina, verapamila, diltiazema, indinavira, ciprofloksacina ili soka od grejpa imali značajan učinak na farmakokinetiku aktivnog metabolita.
English: Pharmacokinetics of prasugrel and its inhibition of platelet aggregation are similar in patients with moderate renal impairment (GFR 30<50 ml/min/1.73 m²) and healthy subjects.
Croatian: Farmakokinetika prasugrela i njegova inhibicija agregacije trombocita podjednake su u ispitanika s umjerenim oštećenjem bubrega (brzina glomerularne filtracije 30 < 50 ml/min/1,73 m²) i zdravih ispitanika.
English: For patients who received their last dose of thienopyridine within 4 to 7 days prior to CABG, the frequencies decreased to 11.3% (9 of 80 patients) in the prasugrel group and 3.4% (3 of 89 patients) in the clopidogrel group.
Croatian: Među bolesnicima koji su primili posljednju dozu tienopiridina u roku od 4 do 7 dana prije CABG-a, učestalost se smanjila na 11,3% (9 od 80 bolesnika) u skupini koja je primala prasugrel, odnosno na 3,4% (3 od 89 bolesnika) u skupini koja je primala klopidogrel.
English: In healthy subjects, patients with stable atherosclerosis, and patients with ACS receiving prasugrel, there was no relevant effect of genetic variation in CYP3A5, CYP2B6, CYP2C9, or CYP2C19 on the pharmacokinetics of prasugrel or its inhibition of platelet aggregation.
Croatian: U zdravih ispitanika, bolesnika sa stabilnom aterosklerozom i bolesnika s ACS-om koji su primali prasugrel nisu zabilježeni značajni učinci genetskih varijacija na CYP3A5, CYP2B6, CYP2C9 ili CYP2C19 na farmakokinetiku prasugrela odnosno na njegov učinak na inhibiciju agregacije trombocita.
English: Although bleeding was increased with prasugrel, an analysis of the composite endpoint of death from any cause, nonfatal myocardial infarction, nonfatal stroke, and non-CABG-related TIMI major haemorrhage favoured prasugrel compared to clopidogrel (Hazard ratio, 0.87; 95% CI, 0.79 to 0.95; p=0.004).
Croatian: Iako je broj krvarenja bio povećan uz primjenu prasugrela, rezultati analize objedinjenih ishoda koji su uključivali smrt zbog bilo kojeg uzroka, nesmrtonosni infarkt miokarda, nesmrtonosni moždani udar i značajno krvarenje (prema TIMI) nevezano uz CABG govorili su u prilog prasugrela u usporedbi s klopidogrelom (HR: 0,87; 95% CI: 0,79 do 0,95; p = 0,004).
English: A 5 mg maintenance dose should be used.
Croatian: Mora se primjenjivati doza održavanja od 5 mg.
English: Prasugrel Mylan reduces the chances of you having a further heart attack or stroke or of dying from one of these atherothrombotic events.
Croatian: Prasugrel Mylan smanjuje vjerojatnost ponovnog srčanog udara, moždanog udara ili smrti kao posljedice nekog od tih aterotrombotskih događaja.
English: Table 2 summarises haemorrhagic and non-haemorrhagic adverse reactions in TRITON, or that were spontaneously reported, classified by frequency and system organ class.
Croatian: Tablici 2 su sažeto prikazane hemoragijske i nehemoragijske nuspojave u ispitivanju TRITON ili iz spontanih prijava, klasificirane prema učestalosti i klasifikaciji organskih sustava.
English: Study TADO teste the use of prasugrel (n=171) vs placebo (n=170) in patients, ages 2 to less than 18 years of age, with sickle cell anaemia for reduction of vaso occlusive crisis in a phase III study.
Croatian: Ispitivanje TADO bilo je ispitivanje faze III u kojem se ispitivala primjena prasugrela (n = 171) naspram placeba (n = 170) za smanjenje vazookluzivne krize u bolesnika s anemijom srpastih stanica u dobi od 2 do manje od 18 godina.
English: You should show the doctor your pack of Prasugrel Mylan.
Croatian: Pokažite liječniku pakiranje lijeka Prasugrel Mylan.
English: Concomitant administration of Prasugrel Mylan with coumarin derivatives other than warfarin has not been studied.
Croatian: Nije ispitivana istodobna primjena lijeka Prasugrel Mylan s derivatima kumarina osim varfarina.
English: Patients ≥75 years of age have greater sensitivity to bleeding and higher exposure to the active metabolite of prasugrel (see sections 4.4, 4.8, 5.1 and 5.2).
Croatian: Bolesnici u dobi od ≥ 75 godina skloniji su krvarenju i izloženi su većoj koncentraciji aktivnog metabolita prasugrela (vidjeti dijelove 4.4, 4.8, 5.1 i 5.2).
English: Therefore, prasugrel can be administered without regard to food; however, the administration of prasugrel loading dose in the fasted state may provide most rapid onset of action (see section 4.2).
Croatian: Stoga se prasugrel može davati neovisno o obroku, no primjena udarne doze prasugrela natašte može omogućiti najbrži nastup djelovanja (vidjeti dio 4.2).