FrancophonIA/ELRC3.0 huggingface dataset:
English: Patients who are undergoing chemotherapy and/or radiotherapy, who are taking steroids, who are undergoing dental surgery, who do not receive routine dental care, who have gum disease, who are smokers, or who were previously treated with a bisphosphonate (used to treat or prevent bone disorders) may have a higher risk of developing osteonecrosis of the jaw.
Danish: Patienter, som får kemoterapi og/eller strålebehandling, tager steroider, får foretaget tandoperation, ikke får rutinemæssig tandpleje, har sygdom i gummerne, ryger eller tidligere er blevet behandlet med en bisfosfonat (der anvendes til at behandle eller forebygge knoglesygdomme), kan have en større risiko for at udvikle osteonekrose i kæberne.
English: This medicinal product contains less than 1 mmol (23 mg) sodium per dose, i.e. essentially ‘sodiumfree'.
Danish: Denne medicin indeholder mindre end 1 mmol (23 mg) natrium pr. dosis, dvs. den er i det væsentlige natriumfri.
English: The cases from safety database did report multiple risk factors including underlying malignancy, bone metastases; concomitant therapy with steroids, angiogenesis inhibitors, radiotherapy but the exact underlying cause for the osteonecrosis was not ascertained.
Danish: Tilfældene fra sikkerheds databasen rapporterede om multifaktorielle risiko faktorer inklusive underliggende malignitet, knoglemetastaser; samtidig behandling med steroider angiogenesehæmmere, stråleterapi, men den underliggende årsag til osteonekrose blev ikke fastslået.
English: Patients should also be administered an oral calcium supplement of 500 mg and 400 IU vitamin D daily.
Danish: Patienterne bør også tage oralt calciumtilskud på 500 mg samt 400 IE D-vitamin dagligt.
English: This resulted in exaggerated pharmacological effects considered to be related to the compound's inhibition of skeletal calcium metabolisation, resulting in periparturient hypocalcaemia, a bisphosphonate class effect, dystocia and early termination of the study.
Danish: Dette resulterede i unormalt store farmakologiske virkninger, der menes at være relateret til stoffets hæmning af knogle-calcium-metabolismen, resulterende i periparturient hypokalcæmi, en klasseeffekt for bisfosfonater, dystoci og afslutning af forsøget før tid.
English: Uncommon (may affect up to 1 in 100 people): - Pain in the mouth, teeth and/or jaw, swelling or non-healing sores inside the mouth or jaw, discharge, numbness or a feeling of heaviness in the jaw, or loosening of a tooth.
Danish: Ikke almindelig (kan forekomme hos op til 1 ud af 100 personer): - Smerter i munden, tænder og/eller kæberne, hævelse eller ikke helende sår inde i munden eller kæben, udsivning, følelsesløshed eller følelsen af tyngde i kæberne eller løsnen af en tand.
English: The hydration status of patients must be assessed prior to and following administration of Zoledronic acid medac to ensure that they are adequately hydrated.
Danish: Patienternes hydreringsstatus skal vurderes før og efter administrationen af Zoledronsyre medac for at sikre, de er tilstrækkeligt hydrerede.
English: In use stability: Chemical and physical in-use stability after dilution has been demonstrated for 24 hours at 2-8°C and 25°C.
Danish: Stabilitet under brug: Kemisk og fysisk stabilitet under brug efter fortynding er blevet påvist i 24 timer ved 2-8 °C og 25 °C
English: During post-marketing experience the following reactions have been reported (frequency rare): Atypical subtrochanteric and diaphyseal femoral fractures (bisphopsphonate class adverse reaction).
Danish: Efter markedsføringen er følgende bivirkninger blevet rapporteret (sjælden hyppighed): Atypiske subtrokantære og diafyseale femurfrakturer (bisfosfonat klassevirkning).
English: In long-term animal studies, zoledronic acid inhibits bone resorption without adversely affecting the formation, mineralisation or mechanical properties of bone.
Danish: I langvarige dyreforsøg inhiberer zoledronsyre knogleresorptionen uden negativ påvirkning af knogledannelse, knoglemineralisation eller knoglernes mekaniske egenskaber.
English: In patients with mild to moderate renal impairment, reduced doses should be prepared as instructed below.
Danish: Patienter med let til moderat nedsat nyrefunktion skal have nedsatte doser, der tilberedes som beskrevet nedenfor.
English: Anxiety, sleep disturbance Confusion
Danish: Angst, søvnforstyrrelser
English: - Talk to your doctor if you have ear pain, discharge from the ear, and/or an ear infection.
Danish: - Sig det til lægen, hvis du får øresmerter, udflåd fra øret og/eller betændelse i øret.
English: Blurred vision, scleritis and orbital inflammation
Danish: Sløret syn, skleritis og orbital inflammation
English: Additional information on handling of Zoledronic acid medac, including guidance on preparation of reduced doses, is provided in section 4.2.
Danish: Yderligere information om håndtering af Zoledronsyre medac, inklusive vejledning om forberedelse af nedsatte doser, er angivet i pkt.
English: Patients being treated with Zoledronic acid medac should not be treated with such medicinal products concomitantly or any other bisphosphonate, since the combined effects of these agents are unknown.
Danish: Patienter, som behandles med Zoledronsyre medac, bør ikke samtidig behandles med sådanne lægemidler eller andre bisfosfonater, da den kombinerede virkning af disse stoffer er ukendt.
English: Table 6: Proportion of complete responders by day in the combined TIH studies
Danish: Tabel 6: Andel af patienter med fuldt respons pr. dag i de kombinerede TIH-studier
English: • Cancer, co-morbid conditions (e.g. anaemia, coagulopathies, infection), smoking.
Danish: • Kræft, komorbide sygdomme (f.eks. anæmi, koagulopatier, infektion), rygning.
English: - Zoledronic acid medac must only be given by healthcare professionals trained in administering bisphosphonates intravenously, i.e. through a vein.
Danish: - Zoledronsyre medac må kun gives af sundhedspersonale, som er trænet til at administrere bisfosfonater intravenøst, dvs. gennem en blodåre.
English: - Prevention of skeletal related events (pathological fractures, spinal compression, radiation or surgery to bone, or tumour-induced hypercalcaemia) in adult patients with advanced malignancies involving bone.
Danish: - Forebyggelse af skeletrelaterede hændelser (patologiske frakturer, spinal kompression, strålebehandling eller operation af knogler, eller tumorinduceret hyperkalcæmi) hos voksne patienter med fremskredne maligniteter, som omfatter knoglerne.
English: Zoledronic acid 4 mg was also studied in a double-blind, randomised, placebo-controlled trial in 228 patients with documented bone metastases from breast cancer to evaluate the effect of 4 mg zoledronic acid on the skeletal related event (SRE) rate ratio, calculated as the total number of SRE events (excluding hypercalcaemia and adjusted for prior fracture), divided by the total risk period.
Danish: Zoledronsyre 4 mg blev også undersøgt i et dobbeltblindt, randomiseret, placebokontrolleret studie hos 228 patienter med dokumenterede knoglemetastaser fra brystkræft, for at evaluere virkningen af 4 mg zoledronsyre på ratioen for forekomst af skeletrelaterede hændelser (SRE) beregnet som det totale antal af SRE'er (eksklusiv hyperkalcæmi og justeret for tidligere frakturer) delt med den totale risikoperiode.
English: After dilution: From a microbiological point of view the medicinal product should be used immediately.
Danish: Efter fortynding: Ud fra et mikrobiologisk synspunkt skal lægemidlet anvendes straks.
English: Longer-term repeat administration at doses bracketing the highest intended human therapeutic dose of zoledronic acid produced toxicological effects in other organs, including the gastrointestinal tract, liver, spleen and lungs, and at intravenous injection sites.
Danish: Længerevarende gentagen administration af doser svarende til den højeste dosis af zoledronsyre beregnet til human terapi havde toksikologiske virkninger på andre organer, herunder mave-tarm-kanal, lever, milt og lunger, og på intravenøse injektionssteder.
English: In the clinical programme patients aged 1 to < 3 years received 0.025 mg/kg zoledronic acid (up to a maximum single dose of 0.35 mg) every 3 months and patients aged 3 to 17 years received 0.05 mg/kg zoledronic acid (up to a maximum single dose of 0.83 mg) every 3 months.
Danish: I det kliniske program fik patienter i alderen 1 til <3 år 0,025 mg/kg zoledronsyre (op til en maksimal engangsdosis på op til 0,35 mg) hver 3. måned, og patienter i alderen 3-17 år fik 0,05 mg/kg zoledronsyre (i en maksimal engangsdosis på op til 0,83 mg) hver 3. måned.
English: The type of adverse reactions observed in this population were similar to those previously seen in adults with advanced malignancies involving the bone (see section 4.8).
Danish: Typen af bivirkninger, der blev observeret i denne population, var sammenlignelig med tidligere observerede bivirkninger hos voksne med fremskredne maligniteter, der involverer knoglerne (se pkt.
English: - Blurred vision, tearing of the eye, eye sensitivity to light.
Danish: - Sløret syn, tåreflåd, lysfølsomhed i øjnene.
English: Your doctor, pharmacist or nurse knows how to store Zoledronic acid medac properly (see section 6).
Danish: Lægen, apotekspersonalet eller sundhedspersonalet ved, hvordan Zoledronsyre medac skal opbevares korrekt (se pkt.
English: The frequencies for each of these identified risks are shown in Table 1.
Danish: Hyppighederne for hver af disse identificerede risici er vist i Tabel 1.
English: The recommended dose in the prevention of skeletal related events in patients with advanced malignancies involving bone is 4 mg zoledronic acid every 3 to 4 weeks.
Danish: Anbefalet dosis til forebyggelse af skeletrelaterede hændelser hos patienter med fremskredne maligniteter, som omfatter knoglerne, er 4 mg zoledronsyre hver 3.-4. uge.
English: Zoledronic acid medac is not recommended for use in adolescents and children below the age of 18 years.
Danish: Børn og unge Zoledronsyre medac bør ikke bruges til børn og unge under 18 år.
English: Caution is advised when zoledronic acid is administered with medicinal products known to cause hypocalcaemia, as they may have a synergistic effect resulting in severe hypocalcaemia (see section 4.5).
Danish: Der skal udvises forsigtighed, når zoledronsyre gives sammen med lægemidler, der vides at forårsage hypokalcæmi, da de kan have en synergistisk effekt, resulterende i svær hypokalcæmi (se pkt 4.5).
English: In Phase I dose finding studies in patients with mild to moderate tumour-induced hypercalcaemia (TIH), effective doses tested were in the range of approximately 1.2 - 2.5 mg.
Danish: I dosisfindende fase I-studier med patienter med let til moderat tumorindiceret hyperkalcæmi (TIH) var den afprøvede effektive dosis cirka 1,2-2,5 mg.
English: A subset had recurrence of symptoms when rechallenged with zoledronic acid or another bisphosphonate.
Danish: En undergruppe havde tilbagevendende symptomer ved gentagen behandling med zoledronsyre eller med andre bisfosfonater.
English: Caution is advised when bisphosphonates are administered with aminoglycosides, calcitonin or loop diuretics, since these agents may have an additive effect, resulting in a lower serum calcium level for longer periods than required (see section 4.4).
Danish: Der tilrådes forsigtighed, når bisfosfonater administreres sammen med aminoglykosider, calcitonin eller loop-diuretika, da disse stoffer kan have en additiv virkning og give et lavere serum-calciumniveau i længere perioder end påkrævet (se pkt.
English: - Sudden coldness with fainting, limpness or collapse.
Danish: - Pludselig opstået kuldefølelse med besvimelse, slaphed eller kollaps.
English: Zoledronic acid was well tolerated when administered subcutaneously to rats and intravenously to dogs at doses up to 0.02 mg/kg daily for 4 weeks.
Danish: Zoledronsyre blev fint tolereret, når den blev administreret subkutant til rotter og intravenøst til hunde i doser indtil 0,02 mg/kg dagligt i 4 uger.
English: In addition to being a potent inhibitor of bone resorption, zoledronic acid also possesses several antitumour properties that could contribute to its overall efficacy in the treatment of metastatic bone disease.
Danish: Ud over at være en potent hæmmer af knogleresorption har zoledronsyre også adskillige anti-tumor egenskaber, der kan bidrage til den samlede virkning i behandling af metastaserende knoglesygdom.
English: Administration of 0.001 mg/kg/day subcutaneously in rats and 0.005 mg/kg intravenously once every 2-3 days in dogs for up to 52 weeks was also well tolerated.
Danish: Subkutan administration af 0,001 mg/kg/dag til rotter og 0,005 mg/kg intravenøst en gang hver 2.-3. dag til hunde i op til 52 uger blev også fint tolereret.
English: Patients treated with Zoledronic acid medac should be given the package leaflet and the patient reminder card.
Danish: Patienter, der behandles med Zoledronsyre medac, skal have indlægssedlen og patientens memokort udleveret.
English: In paediatric patients with severe osteogenesis imperfecta, zoledronic acid seems to be associated with more pronounced risks for acute phase reaction, hypocalcaemia and unexplained tachycardia, in comparison to pamidronate, but this difference declined after subsequent infusions.
Danish: Hos pædiatriske patienter med svær osteogenesis imperfecta menes zoledronsyre, ved sammenligning med pamidronat, at være forbundet med mere udbredte risici for akut fasereaktion, hypokalcæmi og uforklarlig takykardi, men forskellen aftog ved efterfølgende infusioner.
English: Median time to relapse (re-increase of albumin-corrected serum calcium ≥ 2.9 mmol/l) was 30 to 40 days for patients treated with zoledronic acid versus 17 days for those treated with pamidronate 90 mg (p-values: 0.001 for 4 mg and 0.007 for 8 mg zoledronic acid).
Danish: Mediantid til recidiv (fornyet stigning af albuminkorrigeret serum-calcium ≥2,9 mmol/l) var 30-40 dage for patienter i behandling med zoledronsyre i forhold til 17 dage for patienter i behandling med 90 mg pamidronat (p-værdier: 0,001 for 4 mg og 0,007 for 8 mg zoledronsyre).
English: In a second study including solid tumours other than breast or prostate cancer, zoledronic acid 4 mg significantly reduced the proportion of patients with an SRE, delayed the median time to first SRE by > 2 months, and reduced the skeletal morbidity rate.
Danish: I et andet studie, der inkluderende andre solide tumorer end bryst- eller prostatacancer, reducerede zoledronsyre 4 mg signifikant andelen af patienter med SRE'er, forsinkede mediantiden til første SRE med >2 måneder og reducerede den skeletale morbiditetsrate.
English: Patients with TIH and evidence of deterioration in renal function should be appropriately evaluated with consideration given as to whether the potential benefit of treatment with zoledronic acid outweighs the possible risk.
Danish: Patienter med TIH og verificeret forværret nyrefunktion bør evalueres på relevant vis, og det bør overvejes, om den potentielle gavn af behandling med zoledronsyre opvejer de mulige risici.
English: - 3.8 ml for 3.0 mg dose
Danish: 3,8 ml til 3,0 mg dosis
English: 6.6 Special precautions for disposal and other handling Additional information on handling of Zoledronic acid medac 4 mg/100 ml solution for infusion, including guidance on the preparation of reduced doses using the Zoledronic acid medac ready-to-use bottle, is provided in section 4.2.
Danish: 6.6 Regler for bortskaffelse og anden håndtering Yderligere information om håndtering af Zoledronsyre medac 4 mg/100 ml infusionsvæske, opløsning, inklusive vejledning om forberedelse af nedsatte doser ved brug af flasken med Zoledronsyre medac, der er klar til brug, er angivet i pkt.
English: It is especially important that you tell your doctor if you are also taking: - Aminoglycosides (medicines used to treat severe infections), calcitonin (a type of medicine used to treat post-menopausal osteoporosis and hypercalcaemia), loop diuretics (a type of medicine to treat high blood pressure or oedema) or other calcium-lowering medicines, since the combination of these with bisphosphonates may cause the calcium level in the blood to become too low.
Danish: Det er især vigtigt, at du fortæller det til lægen, hvis du også tager: - Aminoglykosider (en type medicin til behandling af alvorlige infektioner), calcitonin (en type medicin til behandling knogleskørhed efter menopausen og til for højt calcium), slyngediuretika (vanddrivende medicin til behandling af forhøjet blodtryk eller væskesamlinger) eller anden medicin, der sænker calcium, da kombinationen af disse stoffer og bisfosfonater kan forårsage, at blodets indhold af calcium bliver for lavt.
English: • The readily prepared Zoledronic acid medac infusion solution should preferably be used immediately.
Danish: • Den nyfremstillede Zoledronsyre medac infusionsopløsning skal helst anvendes straks.
English: The frequencies for each of these identified risks are shown in Table 2.
Danish: Hyppighederne for hver af disse identificerede risici er vist i Tabel 2.
English: - Osteonecrosis has also very rarely been seen occurring with other bones than the jaw, especially the hip or thigh.
Danish: - Der er i meget sjældne tilfælde set osteonekrose af andre knogler end kæben, særligt af hoften eller låret.
English: Zoledronic acid medac treatment should be resumed at the same dose as that given prior to treatment interruption.
Danish: Behandling med Zoledronsyre medac bør genoptages med samme dosis, som blev givet før afbrydelse af behandlingen.
English: After initiating the infusion of zoledronic acid, the plasma concentrations of zoledronic acid rapidly increased, achieving their peak at the end of the infusion period, followed by a rapid decline to < 10% of peak after 4 hours and < 1% of peak after 24 hours, with a subsequent prolonged period of very low concentrations not exceeding 0.1% of peak prior to the second infusion of zoledronic acid on day 28.
Danish: Efter påbegyndelse af infusion med zoledronsyre øges plasmakoncentrationen af zoledronsyre hurtigt, og maksimal koncentration nås ved slutningen af infusionsperioden, efterfulgt af et hurtigt fald til <10 % af maksimalkoncentrationen efter 4 timer og <1 % af maksimalkoncentrationen efter 24 timer, med en efterfølgende forlænget periode med meget lave koncentrationer, der ikke overstiger 0,1 % af den maksimale koncentration inden den 2. infusion af zoledronsyre på dag 28.
English: The safety margins relative to renal effects were narrow in the long-term repeat-dose parenteral animal studies but the cumulative no adverse event levels (NOAELs) in the single dose (1.6 mg/kg) and multiple dose studies of up to one month (0.06 - 0.6 mg/kg/day) did not indicate renal effects at doses equivalent to or exceeding the highest intended human therapeutic dose.
Danish: Sikkerhedsmargenerne i forbindelse med renal påvirkning var smalle i langvarige dyrestudier med gentaget parenteral administration, men det kumulativ niveau af ingen uønskede hændelser (NOAELs) ved studier med enkeltdoser (1,6 mg/kg) og flere doser på op til en måned (0,060,6 mg/kg/dag) tydede ikke på renal påvirkning ved doser svarende til eller højere end den højeste dosis beregnet til human terapi.
English: Very rare (may affect up to 1 in 10,000 people): - Fainting due to low blood pressure.
Danish: Meget sjælden (kan forekomme hos op til 1 ud af 10.000 personer): - Besvimelse på grund af lavt blodtryk.
English: Austria medac Gesellschaft für klinische Spezialpräparate mbH Theaterstr.
Danish: Østrig medac Gesellschaft für klinische Spezialpräparate mbH Theaterstr.
English: Contact your doctor and dentist immediately if you experience any problems with your mouth or teeth such as loose teeth, pain or swelling, or non-healing of sores or discharge, as these could be signs of a condition called osteonecrosis of the jaw.
Danish: Kontakt straks lægen eller tandlægen, hvis du oplever problemer med munden eller tænderne, såsom løse tænder, smerter eller hævelse, eller ikke helende sår eller udsivning, da disse kan være symptomer på en tilstand, der kaldes osteonekrose i kæberne.
English: The European Medicines Agency has waived the obligation to submit the results of studies with the reference medicinal product containing zoledronic acid in all subsets of the paediatric population in the treatment of tumour-induced hypercalcaemia and prevention of skeletal-related events in patients with advanced malignancies involving bone (see section 4.2 for information on paediatric use).
Danish: Det Europæiske Lægemiddelagentur har dispenseret fra kravet om at fremlægge resultaterne af studier med referencelægemidlet, som indeholder zoledronsyre, i alle undergrupper af den pædiatriske population ved behandling af tumorinduceret hyperkalcæmi (TIH) og forebyggelse af skeletrelaterede hændelser hos patienter med fremskredne maligniteter, som omfatter knoglerne (se pkt.
English: The time to onset for occurrence of osteonecrosis also has similar pattern when compared to osteonecrosis of the jaw/external auditory canal.
Danish: Tidsrummet til opstarten af osteonekrose har også lignende mønstre sammenlignet med osteonekrose af kæben/øregangen.
English: Can't be sold separately.
Danish: Del af en multipakning, kan ikke sælges enkeltvis.
English: Zoledronic acid does not inhibit human P450 enzymes in vitro, shows no biotransformation and in animal studies < 3% of the administered dose was recovered in the faeces, suggesting no relevant role of liver function in the pharmacokinetics of zoledronic acid.
Danish: Zoledronsyre inhiberer ikke humane P450-enzymer in vitro og udviser ingen biotransformation, og i dyreforsøg blev <3 % af den administrerede dosis genfundet i fæces, hvilket antyder, at leverfunktionen ikke spiller en væsentlig rolle for zoledronsyres farmakokinetiske egenskaber.
English: Zoledronic acid is not recommended for patients presenting with severe renal impairment prior to initiation of therapy, which is defined for this population as CLcr < 30 ml/min.
Danish: Zoledronsyre anbefales ikke til patienter, der før behandlingen påbegyndes, har svært nedsat nyrefunktion, som i denne population er defineret som CLcr <30 ml/min.
English: Clinical studies in tumour-induced hypercalcaemia (TIH) demonstrated that the effect of zoledronic acid is characterised by decreases in serum calcium and urinary calcium excretion.
Danish: Resultater fra kliniske studier vedrørende behandling af TIH Kliniske studier af tumorinduceret hyperkalcæmi (TIH) viser, at virkningen af zoledronsyre er karakteriseret ved fald i serum-calcium og urinudskillelse af calcium.
English: • Since no data are available on the compatibility of Zoledronic acid medac with other intravenously administered substances, Zoledronic acid medac must not be mixed with other medications/substances and should always be given through a separate infusion line.
Danish: • Da der ikke eksisterer data om forligeligheden af Zoledronsyre medac med andre intravenøst administrerede stoffer, må Zoledronsyre medac ikke blandes med andre lægemidler eller stoffer og bør altid administreres gennem en separat infusionsslange.
English: If you have pre-existing hypocalcaemia, it must be corrected before initiating the first dose of Zoledronic acid medac.
Danish: Hvis du har hypokalcæmi, skal den korrigeres, inden du får den første dosis af Zoledronsyre medac.
English: In clinical trials 69 patients who relapsed or were refractory to initial treatment (zoledronic acid 4 mg, 8 mg or pamidronate 90 mg) were retreated with 8 mg zoledronic acid.
Danish: I kliniske studier blev 69 patienter, som fik recidiv eller som var refraktære over for den indledende behandling (zoledronsyre 4 mg, 8 mg eller pamidronat 90 mg), genbehandlet med 8 mg zoledronsyre.
English: In a third phase III randomised, double-blind trial, zoledronic acid 4 mg or 90 mg pamidronate every 3 to 4 weeks were compared in patients with multiple myeloma or breast cancer with at least one bone lesion.
Danish: I et tredje randomiseret, dobbeltblindt fase III-studie blev zoledronsyre 4 mg eller 90 mg pamidronat administreret hver 3.-4. uge sammenlignet hos patienter med myelomatose eller brystcancer og mindst én knoglelæsion.