FrancophonIA/ELRC3.0 huggingface dataset:
English: The reported events occurred in young (premenopausal) women (median age 36 years) receiving thalidomide for non-multiple myeloma indications, had an onset within 6 months of initiating treatment and reversed upon discontinuation of thalidomide.
Croatian: Prijavljeni događaji javili su se u mlađih žena u predmenopauzi (medijan dobi 36 godina) koje su primale talidomid za indikacije koje se nisu odnosile na multipli mijelom, započeli su unutar 6 mjeseci od početka liječenja i povukli su se nakon završetka liječenja talidomidom.
English: • You have heterosexual intercourse without using an effective method of contraception.
Croatian: • Imate spolne odnose s osobama suprotnog spola bez uporabe učinkovite metode zaštite od začeća.
English: Within each frequency grouping, adverse reactions are presented in order of decreasing seriousness.
Croatian: Unutar svake skupine učestalosti nuspojave su prikazane u padajućem nizu prema ozbiljnosti.
English: In a one-year dog study, enlarged and/or blue discoloration of mammary glands and prolonged estrus were observed in females at exposures equal to 1.8 or greater than 3.6-fold the human exposure, respectively.
Croatian: U jednogodišnjem ispitivanju na psima primijećene su uvećane i/ili pomodrjele mliječne žlijezde te produljeni reproduktivni ciklusi u ženki pri ekspozicijama jednakim 1,8 puta ili većim od 3,6 puta od ekspozicije u ljudi.
English: • Pain in the upper abdomen and/or back, which may be severe and which remains for a few days, possibly accompanied by nausea, vomiting, fever and a rapid pulse - these symptoms may be due to the inflammation of the pancreas (pancreatitis).
Croatian: • bol u gornjem dijelu trbuha i/ili leđa koja može biti jaka i koja traje nekoliko dana, može biti popraćena mučninom, povraćanjem, vrućicom i ubrzanim pulsom - ti simptomi mogu nastati zbog upale gušterače (pankreatitis)
English: • He understands the need for the use of a condom if engaged in sexual activity with a pregnant woman or a woman of childbearing potential not using effective contraception (even if the man has had a vasectomy), during treatment, during dose interruption and for at least 7 days following discontinuation of treatment.
Croatian: • Shvaća potrebu za uporabom prezervativa u slučaju spolne aktivnosti s trudnicom ili ženom u reproduktivnoj dobi koja ne upotrebljava učinkovitu kontracepciju (čak i kada je muškarac imao vazektomiju), tijekom liječenja, tijekom pauza u uzimanju lijeka i tijekom najmanje 7 dana nakon završetka liječenja.
English: Data from in vitro studies and clinical trials suggest that the immunomodulatory, anti-inflammatory and anti-neoplastic effects of thalidomide may be related to suppression of excessive tumour necrosis factor-alpha (TNF-) production, down-modulation of selected cell surface adhesion molecules involved in leukocyte migration and anti-angiogenic activity.
Croatian: Podaci iz in vitro ispitivanja i kliničkih ispitivanja upućuju na to da imunomodulatorni, protuupalni i antineoplastični učinci talidomida mogu biti povezani sa supresijom prekomjernog stvaranja čimbenika nekroze tumora alfa (TNF-), supresijom odabranih adhezivnih molekula stanične površine koje su uključene u migraciju leukocita i antiangiogenu aktivnost.
English: Studies conducted in healthy subjects and patients with multiple myeloma suggest that thalidomide is not influenced to any significant extent by renal or hepatic function (see section 5.2).
Croatian: Ispitivanja provedena u zdravih ispitanika i bolesnika s multiplim mijelomom upućuju na činjenicu da funkcije jetre ili bubrega ne utječu u značajnijem opsegu na talidomid (vidjeti dio 5.2).
English: For men taking Thalidomide Celgene who have a female partner who is able to become pregnant, please see section 2 “What you need to know before you take Thalidomide Celgene”.
Croatian: Za muškarce koji uzimaju Thalidomide Celgene, a imaju partnericu koja bi mogla zatrudnjeti, vidjeti dio 2 „Što morate znati prije nego počnete uzimati Thalidomide Celgene“.
English: WARNING
Croatian: UPOZORENJE
English: Amenorrhea
Croatian: Amenoreja
English: • She should be capable of complying with effective contraceptive measures
Croatian: • Sposobna je pridržavati se mjera učinkovite kontracepcije.
English: • Severe blood infection (sepsis) accompanied by fever, chills and severe shaking, and possibly complicated by low blood pressure and confusion (septic shock).
Croatian: • teška infekcija krvi (sepsa) popraćena vrućicom, zimicom i jakom tresavicom koja se može komplicirati niskim krvnim tlakom i smetenošću (septični šok)
English: Patients should be monitored and dose delay, reduction or discontinuation may be required (see section 4.2).
Croatian: Bolesnike valja nadzirati, a može biti potrebna odgoda doze, smanjivanje doze ili prekid liječenja (vidjeti dio 4.2).
English: Melphalan and prednisone were dosed at 0.25 mg/kg/day and 2 mg/kg/day respectively on days 1 to 4 of each 6 weeks cycle.
Croatian: Melfalan i prednizon davani su u dozama od 0,25 mg/kg/dan odnosno 2 mg/kg/dan od 1. do 4. dana svakog 6-tjednog ciklusa.
English: Other medicines and Thalidomide Celgene
Croatian: Drugi lijekovi i Thalidomide Celgene
English: Patients with known risk factors for MI, including prior thrombosis, should be closely monitored and action should be taken to try to minimise all modifiable risk factors (e.g. smoking, hypertension, and hyperlipidaemia).
Croatian: Bolesnike s poznatim čimbenicima rizika za infarkt miokarda, uključujući i prethodnu trombozu, potrebno je pomno nadzirati i poduzeti mjere kako bi se smanjili svi promjenjivi čimbenici rizika (npr. pušenje, hipertenzija i hiperlipidemija).
English: Table 2: Recommended dose modifications for thalidomide -related neuropathy in first line treatment of multiple myeloma
Croatian: Tablica 2: Preporučene promjene doze kod neuropatije povezane s talidomidom kao prvom linijom liječenja multiplog mijeloma
English: Patients should be advised of the signs and symptoms of these reactions by their prescribers and should be told to seek medical attention immediately if they develop these symptoms.
Croatian: Liječnici koji propisuju lijek moraju upozoriti bolesnike na znakove i simptome tih reakcija te ih uputiti da, u slučaju pojave navedenih simptoma, odmah potraže medicinsku pomoć.
English: • Shaking (tremor).
Croatian: • tresavica (nevoljno drhtanje)
English: Dispensing of thalidomide to women of childbearing potential should occur within 7 days of the prescription and following a medically supervised negative pregnancy test result.
Croatian: Izdavanje talidomida ženama u reproduktivnoj dobi treba obaviti unutar 7 dana od propisivanja i nakon negativnih rezultata testiranja na trudnoću pod liječničkim nadzorom.
English: • Patient cards and/or equivalent tools: o verification that appropriate counselling has taken place o documentation of childbearing potential status o check box (or similar) which physician ticks to confirm that patient is using effective contraception (if woman of childbearing potential) o verification of initial negative pregnancy test prior to start of treatment (if woman of childbearing potential) o pregnancy test dates and results
Croatian: • kartice za bolesnika i/ili ekvivalentne materijale: o potvrda da je provedeno odgovarajuće savjetovanje o dokumentacija o statusu reproduktivnog potencijala o lista provjere (ili slično) na kojoj će liječnik označiti polja kako bi potvrdio da bolesnik upotrebljava učinkovitu kontracepciju (ako se radi o ženi u reproduktivnoj dobi) o potvrda početnog negativnog testa na trudnoću prije početka liječenja (ako se radi o ženi u reproduktivnoj dobi) o datumi i rezultati testova na trudnoću
English: • All treatment initiation forms and/or equivalent tool should contain the following elements: o Teratogenicity warning o Patients receive appropriate counselling prior to treatment initiation o Date of counselling o Affirmation of patient understanding regarding the risk of thalidomide and the PPP measures o Patient details, signature and date o Prescriber name, signature and date o Aim of this document i.e. as stated in the PPP: “The aim of the treatment initiation form is to protect patients and any possible foetuses by ensuring that patients are fully informed of and understand the risk of teratogenicity and other adverse reactions associated with the use of thalidomide.
Croatian: • svi obrasci za početak liječenja i/ili ekvivalentni materijal trebaju sadržavati sljedeće elemente: o upozorenje o teratogenosti o napomenu da bolesnici primaju odgovarajuće savjetovanje prije početka liječenja o datum savjetovanja o potvrda da bolesnik shvaća rizike primjene talidomida i PPP mjere o pojedinosti o bolesniku, potpis i datum o ime propisivača, potpis i datum o cilj ovog dokumenta tj. kako je navedeno u PPP-u: „Cilj obrasca za početak liječenja je zaštita bolesnika i svih mogućih fetusa osiguravanjem da su bolesnici u potpunosti informirani o te da razumiju rizike teratogenosti i drugih nuspojava povezanih s uporabom talidomida.
English: No specific dose adjustments are recommended for the elderly ≤ 75 years of age.
Croatian: Nisu preporučene posebne prilagodbe doze kod starijih osoba u dobi
English: Patients and physicians are advised to be observant for signs and symptoms of bleeding including petechiae, epistaxis and gastrointestinal haemorrhage, especially in case of concomitant medicinal product prone to inducing bleeding (see sections 4.5 and 4.8).
Croatian: Bolesnicima i liječnicima se savjetuje da paze na znakove i simptome krvarenja uključujući petehiju, epistaksu i gastrointestinalno krvarenje, osobito u slučaju istodobne terapije lijekovima koji bi mogli potaknuti krvarenje (vidjeti dijelove 4.5 i 4.8).
English: In addition, you must not become pregnant while taking Thalidomide Celgene.
Croatian: Osim toga, ne smijete ni zatrudnjeti dok uzimate Thalidomide Celgene.
English: Additional adverse reactions from post-marketing experience with thalidomide and not seen in the pivotal study include febrile neutropenia and pancytopenia.
Croatian: Dodatne nuspojave iz iskustva s talidomidom nakon stavljanja lijeka na tržište, a koje nisu primijećene u pivotalnom ispitivanju, uključuju febrilnu neutropeniju i pancitopeniju.
English: The MAH shall perform the required pharmacovigilance activities and interventions detailed in the agreed RMP presented in Module 1.8.2 of the Marketing Authorisation and any agreed subsequent updates of the RMP.
Croatian: Nositelj odobrenja obavljat će zadane farmakovigilancijske aktivnosti i intervencije, detaljno objašnjene u dogovorenom Planu upravljanja rizikom (RMP), a koji se nalazi u Modulu 1.8.2
English: Cases of viral reactivation have been reported in patients receiving thalidomide, including serious cases of herpes zoster or hepatitis B virus (HBV) reactivation.
Croatian: U bolesnika koji su primali talidomid zabilježeni su slučajevi reaktivacije virusa, uključujući ozbiljne slučajeve reaktivacije virusa herpes zostera ili hepatitisa B (HBV).
English: Thalidomide Celgene contains an active substance called thalidomide.
Croatian: Thalidomide Celgene sadrži djelatnu tvar zvanu talidomid.
English: Patients should be monitored for liver function, particularly in case of pre-existing liver disorder or concomitant use of medicinal product susceptible to induce liver dysfunction (see section 4.8).
Croatian: Bolesnike treba nadzirati zbog funkcije jetre, osobito u slučaju prethodnog poremećaja funkcije jetre ili istodobnog liječenja lijekovima koji mogu potaknuti disfunkciju jetre (vidjeti dio 4.8).
English: • These defects can include shortened arms or legs, malformed hands or feet, eye or ear defects,
Croatian: • Te mane mogu uključivati skraćene ruke ili noge, izobličene šake ili stopala, oštećenja oka ili uha i teškoće s unutarnjim organima.
English: • All educational brochures for patients should contain the following information o That thalidomide is teratogenic o That thalidomide may cause ischaemic heart disease, (including myocardial infarction) o Description of the patient card and its use in the individual Member State o Guidance on handling Thalidomide Celgene for patients, caregivers and family members o National or other applicable specific arrangements for a prescription for thalidomide to be dispensed o That thalidomide must not be given to any other person o That the patient should not donate blood o That the patient should tell their doctor about any adverse events o That any unused capsules should be returned to the pharmacist at the end of the treatment
Croatian: • sve edukacijske brošure za bolesnike trebaju sadržavati sljedeće informacije: o da je talidomid teratogen o da talidomid može prouzročiti ishemijsku bolest srca (uključujući infarkt miokarda) o opis kartice za bolesnika i njenu uporabu u pojedinoj državi članici o smjernice za rukovanje s lijekom Thalidomide Celgene za bolesnike, njegovatelje i članove obitelji o državne i druge primjenjive specifične dogovore za recept za izdavanje talidomida o da se talidomid ne smije davati drugim osobama o da bolesnik ne smije darivati krv o da bolesnik mora obavijestiti svog liječnika o bilo kojoj nuspojavi o da na kraju liječenja sve neupotrijebljene kapsule treba vratiti ljekarniku
English: The melphalan recommended starting dose is 0.1 to 0.2 mg/kg daily according to bone marrow reserve along with a further 50 % dose reduction for moderate (creatinine clearance: ≥ 30 but < 50 mL/minute) or severe (CrCl: < 30 mL/minute) renal insufficiency.
Croatian: Preporučena početna doza melfalana je od 0,1 do 0,2 mg/kg na dan sukladno rezervi koštane srži uz dodatno sniženje doze za 50 % kod umjerene (klirens kreatinina: ≥ 30 ali < 50 ml/min) ili teške (CrCl: < 30 ml/min) bubrežne insuficijencije.
English: As such the metabolism of thalidomide is not expected to be affected by hepatic or renal dysfunction.
Croatian: Ne očekuje se da će na metabolizam talidomida kao takav utjecati disfunkcija jetre ili bubrega.
English: Skin irritation, sores or swelling in the mouth, throat, eyes, nose and around the genitals, oedema and fever and flulike symptoms may occur.
Croatian: Mogu se pojaviti i iritacija kože, ranice ili oticanje u ustima, grlu, očima, nosu i oko spolnih organa, te oteklina, vrućica i simptomi nalik gripi.
English: Counselling
Croatian: Savjetovanje
English: • He understands that if his female partner becomes pregnant whilst he is taking thalidomide or 7 days after he has stopped taking thalidomide, he should inform his treating physician immediately and that it is recommended to refer the female partner to a physician specialised or experienced in teratology for evaluation and advice.
Croatian: • Shvaća da ako njegova partnerica zatrudni dok on uzima talidomid ili tijekom 7 dana nakon prestanka uzimanja talidomida, o tome odmah mora obavijestiti svog liječnika, a partnericu je preporučeno uputiti liječniku koji je specijaliziran ili ima iskustvo u teratologiji, zbog procjene i savjeta.
English: • A condition affecting the skin caused by inflammation of small blood vessels, along with pain in the joints and fever (leukocytoclastic vasculitis).
Croatian: • Stanje koje utječe na kožu a uzrokovano je upalom malih krvnih žila, uz bol u zglobovima i vrućicu (leukocitoklastični vaskulitis).
English: The extent of thalidomide metabolism by the liver cytochrome P450 system is minimal and intact thalidomide is not excreted by the kidney.
Croatian: Opseg metabolizma talidomida posredovan jetrenim sustavom citokroma P450 minimalan je, a nepromijenjeni se talidomid ne izlučuje bubrezima.
English: Thalidomide Celgene in combination with melphalan and prednisone is indicated as first line treatment of patients with untreated multiple myeloma, aged ≥ 65 years or ineligible for high dose chemotherapy.
Croatian: Thalidomide Celgene u kombinaciji s melfalanom i prednizonom indiciran je kao prva linija liječenja bolesnika s neliječenim multiplim mijelomom, u dobi od 65 godina i starijih ili onih nepodobnih za kemoterapijsko liječenje visokim dozama.
English: Adverse reactions for haematological disorders are provided compared to the comparator arm, as the comparator has a significant effect on these disorders (Table 4).
Croatian: Hematološke nuspojave prikazane su u usporedbi s nuspojavama zabilježenim u skupini koja je primala usporedni lijek jer usporedni lijek ima značajan učinak na te poremećaje (tablica 4).
English: Once the patient has been stabilised on the anticoagulation treatment and any complications of the thromboembolic event have been managed, the thalidomide treatment may be restarted at the original dose dependent upon a benefit-risk assessment.
Croatian: Nakon stabiliziranja bolesnikovog stanja primjenom antikoagulantnog liječenja te zbrinjavanja svih komplikacije tromboembolijskog događaja, može se ponovno započeti liječenje početnom dozom talidomida, ovisno o procjeni odnosa koristi i rizika.
English: • Viral infections, including herpes zoster (also known as ‘shingles', a viral disease that causes a painful skin rash with blisters) and recurrence of hepatitis B infection (which can cause yellowing of the skin and eyes, dark brown-coloured urine, right-sided stomach pain, fever and feeling nauseous or being sick).
Croatian: • virusne infekcije, uključujući herpes zoster (virusna bolest koja na koži uzrokuje bolan osip s mjehurićima) i ponovnu pojavu infekcije hepatitisom B (koja može prouzročiti žutu boju kože i očiju, tamnosmeđu boju mokraće, bol na desnoj strani trbuha, vrućicu i osjećaj mučnine ili povraćanje).
English: Neutropenia Leukopenia Anaemia
Croatian: Neutropenija Leukopenija Anemija
English: Discontinue treatment
Croatian: Prekinuti liječenje
English: Thalidomide is a powerful human teratogen, inducing a high frequency (about 30 %) of severe and live-threatening birth defects such as: ectromelia (amelia, phocomelia, hemimelia) of the upper and/or lower extremities, microtia with abnormality of the external acoustic meatus (blind or absent), middle and internal ear lesions (less frequent), ocular lesions (anophthalmia, microphthalmia), congenital heart disease, renal abnormalities.
Croatian: Talidomid je snažan humani teratogen koji inducira visoku učestalost (približno 30 %) teških i po život opasnih urođenih anomalija poput: ektromelije (amelije, fokomelije, hemimelije) gornjih i/ili donjih udova, mikrotije s abnormalnostima vanjskog slušnog hodnika (zatvoren prema srednjem uhu ili se nije razvio), lezija srednjeg i unutarnjeg uha (manje često), lezija oka (anoftalmija, mikroftalmija), urođene bolesti srca, abnormalnosti bubrega.
English: Neutropenia
Croatian: Neutropenija
English: • She understands the need to commence the treatment as soon as thalidomide is dispensed following a negative pregnancy test
Croatian: • Uviđa potrebu za početkom liječenja odmah po izdavanju talidomida nakon negativnog testa na trudnoću.
English: Table 3 contains only the adverse reactions for which a causal relationship with medicinal product treatment could reasonably be established observed in the pivotal study and from post-marketing experience.
Croatian: Tablica 3 sadrži samo nuspojave za koje je bilo moguće logički utvrditi uzročnu povezanost s liječenjem talidomidom opažene u pivotalnom ispitivanju i nakon stavljanja lijeka u promet.
English: The MAH should also agree with each Member State prior to the launch of the product:
Croatian: Nositelj odobrenja će također dogovoriti sa svakom državom članicom prije stavljanja lijeka u promet:
English: You must not donate blood during Thalidomide Celgene treatment and for at least 7 days after stopping treatment.
Croatian: Ne smijete darivati krv tijekom liječenja lijekom Thalidomide Celgene i najmanje 7 dana nakon završetka liječenja.
English: Deep vein thrombosis*
Croatian: Duboka venska tromboza*
English: The incidence of neutropenia grade 3 or 4 reported as adverse reactions was higher in multiple myeloma patients receiving MPT (Melphalan, Prednisone, Thalidomide) than in those receiving MP (Melphalan, Prednisone): 42.7 % versus 29.5 % respectively (study IFM 99-06).
Croatian: Incidencija neutropenije 3. ili 4. stupnja, prijavljene kao nuspojava, bila je viša u bolesnika s multiplim mijelomom koji su primali MPT (melfalan, prednizon, talidomid) nego u onih koji su primali MP (melfalan, prednizon): 42,7 % naspram 29,5 % (ispitivanje IFM 99-06).
English: Women of childbearing potential/Contraception in males and females Women of childbearing potential must use one effective method of contraception for at least 4 weeks before start of treatment, during treatment including during dose interruptions, and until at least 4 weeks after thalidomide treatment (see section 4.4).
Croatian: Žene u reproduktivnoj dobi/kontracepcija u muškaraca i žena Žene u reproduktivnoj dobi moraju upotrebljavati jednu učinkovitu metodu kontracepcije najmanje 4 tjedna prije početka liječenja, tijekom liječenja, uključujući tijekom pauza u uzimanju lijeka i još najmanje 4 tjedna nakon završetka liječenja talidomidom (vidjeti dio 4.4).
English: • if you are pregnant or think you may be pregnant or are planning to become pregnant, as Thalidomide Celgene causes birth defects and foetal death.
Croatian: • ako ste trudni ili mislite da biste mogli biti trudni ili planirate zatrudnjeti jer Thalidomide
English: OTHER SPECIAL WARNING(S), IF NECESSARY
Croatian: DRUGO(A) POSEBNO(A) UPOZORENJE(A), AKO JE POTREBNO Uzimati isključivo prema uputama liječnika.
English: • Bleeding from the stomach or bowels (gastrointestinal haemorrhage).
Croatian: • krvarenje iz želuca ili crijeva (gastrointestinalno krvarenje)
English: Melphalan dosing: reduce by 50 % for moderate (creatinine clearance: ≥ 30 but < 50 mL/min) or severe (CrCl: < 30mL/min) renal insufficiency e
Croatian: d Doziranje melfalana: smanjiti dozu za 50 % kod umjerene (klirens kreatinina: ≥ 30 ali < 50 ml/min) ili teške (CrCl: < 30 ml/min) bubrežne insuficijencije.
English: Treatment must be initiated and monitored under the supervision of physicians with expertise in managing immunomodulatory or chemotherapeutic agents and a full understanding of the risks of thalidomide therapy and monitoring requirements (see section 4.4).
Croatian: Liječenje mora započeti i pratiti liječnik s iskustvom u primjeni imunomodulatora ili kemoterapeutika koji u potpunosti shvaća rizike liječenja talidomidom i potrebu za nadzorom bolesnika (vidjeti dio 4.4).
English: These pregnancy tests should be performed on the day of the prescribing visit or in the 3 days prior to the visit to the prescriber.
Croatian: Te testove na trudnoću potrebno je napraviti na dan posjeta liječniku prilikom kojeg se propisuje lijek ili 3 dana prije posjeta propisivaču.
English: This may be due to blood clots in the veins of your leg (deep vein thrombosis), which is a common side effect.
Croatian: To može biti zbog krvnih ugrušaka u venama nogu (duboka venska tromboza), što je česta nuspojava.
English: No time dependency of the pharmacokinetics has been observed.
Croatian: Nije uočena farmakokinetika ovisna o vremenu.
English: Results from IFM 99-06, a Phase 3, randomised, open label, parallel group, multicentre study have demonstrated a survival advantage when thalidomide is used in combination with melphalan and prednisone for 12 cycles of 6 weeks in the treatment of newly diagnosed multiple myeloma patients.
Croatian: Rezultati randomiziranog, otvorenog, multicentričnog ispitivanja faze 3 IFM 99-06 na paralelnim skupinama, pokazali su prednost u preživljenju pri primjeni talidomida u kombinaciji s melfalanom i prednizonom tijekom 12 ciklusa u trajanju od 6 tjedana u liječenju novo dijagnosticiranih bolesnika s multiplim mijelomom.
English: White opaque capsules marked “Thalidomide Celgene 50 mg”.
Croatian: Bijele neprozirne kapsule s oznakom „Thalidomide Celgene 50 mg“.
English: For men taking Thalidomide Celgene Thalidomide passes into semen.
Croatian: Za muškarce koje uzimaju Thalidomide Celgene Talidomid prelazi u spermu.
English: Thalidomide Celgene should be taken as a single dose at bedtime, to reduce the impact of somnolence.
Croatian: Thalidomide Celgene primjenjuje se u pojedinačnoj dozi prije spavanja kako bi se smanjile negativne posljedice somnolencije.