FrancophonIA/ELRC3.0 huggingface dataset:
English: While modafinil is not a directacting dopamine receptor agonist, in vitro and in vivo data indicate that modafinil binds to the dopamine transporter and inhibits dopamine reuptake.
Slovenian: Medtem ko modafinil ni neposredno delujoči agonist receptorjev dopamina, podatki in vitro in in vivo kažejo, da se modafinil veže na prenašalca dopamina in zavira ponovni privzem dopamina.
English: Hospitalisation and surveillance of psychomotor status; cardiovascular monitoring or surveillance until the patient's symptoms have resolved are recommended.
Slovenian: Priporočajo se hospitalizacija in nadzor psihomotoričnega stanja, srčno-žilni nadzor ali opazovanje, dokler simptomi ne minejo.
English: While improvement was reported on the number of accidents or near accidents during the commute, no account was taken for the type or duration of the commute and no baseline values were collected.
Slovenian: Poročali so o izboljšanju števila nezgod ali skorajšnjih nezgod med prevozom na delo, vendar pa ni bila upoštevana vrsta ali trajanje prevoza, ravno tako pa niso bile zbrane izhodiščne vrednosti.
English: - If you get any side effects which worry you, talk to your doctor, pharmacist or nurse.
Slovenian: - Če dobite katerikoli neželeni učinek, ki vas skrbi, se pogovorite z zdravnikom, farmacevtom ali medicinsko sestro.
English: Uncommon: hypercholesterolaemia, hyperglycaemia, diabetes mellitus, increased appetite,
Slovenian: Občasni: hiperholesterolemija, hiperglikemija, diabetes mellitus, povečan apetit
English: • Have ever had depression, low mood, anxiety, psychosis (loss of contact with reality) or mania (over-excitement or feeling of extreme happiness) or bipolar disorder because Modafinil containing medicinal products may make your condition worse.
Slovenian: • če ste kdajkoli imeli depresijo, poslabšano razpoloženje, napad tesnobe, psihozo (izgubo stika z realnostjo) ali manijo (preveliko razburjenje ali občutek izjemne sreče) ali bipolarno motnjo, saj zdravila, ki vsebujejo modafinil, lahko poslabšajo vaše stanje;
English: Modafinil also does not inhibit the activities of adenylyl cyclase, catechol-O-methyltransferase, glutamic acid decarboxylase MAO-A or B, nitric oxide synthetase, phosphodiesterases II-VI, or tyrosine hydroxylase.
Slovenian: Modafinil prav tako ne zavira adenililciklaze, katehol-O-metiltransferaze, dekarboksilaze glutaminske kisline, MAO-A ali B, sintetaze dušikovega oksida, fosfodiesteraz II-VI ali tirozin-hidroksilaze.
English: While small short-term improvements could be observed in objective sleep measurements, the more pronounced effects were seen in subjective measurements of sleepiness.
Slovenian: Čeprav so opazili majhna kratkotrajna izboljšanja pri objektivnih meritvah spanja, so bili bolj izraženi učinki pri subjektivnih meritvah zaspanosti.
English: 6.2 Incompatibilities [To be completed nationally]
Slovenian: 6.2 Inkompatibilnost [Izpolni država članica]
English: The effects of modafinil on the subjective sleepiness should be interpreted with caution, due to possible unblinding of treatment during the trials because of the neuropsychiatric profile of modafinil.
Slovenian: Učinke modafinila na subjektivno zaspanost je treba interpretirati previdno zaradi možnega prenehanja zaslepljenosti zdravljenja med preskušanji zaradi nevropsihiatričnega profila modafinila.
English: Note: This SPC and package leaflet is the version valid at the time of Commission Decision.
Slovenian: Opomba: Ta različica povzetka glavnih značilnosti zdravila in navodila za uporabo je različica, ki je veljavna ob izdaji sklepa Evropske komisije.
English: This medicinal product is authorised in the Member States of the EEA under the following names: [See Annex I - To be completed nationally]
Slovenian: Zdravilo je v državah članicah EGP pridobilo dovoljenje za promet z naslednjimi imeni: [Glejte Dodatek I - Izpolni država članica]
English: Common: abnormal liver function tests, dose related increases in alkaline phosphatase and gamma glutamyl transferase have been observed.
Slovenian: Pogosti: opaženi so bili nenormalni testi jetrne funkcije, z odmerkom povezana povišanja ravni alkalne fosfataze in gama-glutamil transferaze
English: • The Committee considered that there are significant risks associated to modafinil use, including risk of serious cardiovascular disorders, neuropsychiatric disorders and skin and hypersensitivity disorders.
Slovenian: • Odbor je menil, da obstajajo pomembna tveganja, povezana z uporabo modafinila, vključno s tveganjem resnih srčno-žilnih bolezni, nevropsihiatričnih motenj ter kožnih in preobčutljivostnih motenj.
English: However, animal exposure on a mg/kg dose basis to modafinil in the general toxicology, reproductive and carcinogenicity studies was greater than the expected exposure, calculated on a similar basis, in humans.
Slovenian: Vendar pa je bila izpostavljenost živali glede na mg/kg modafinila pri študijah splošne toksičnosti, razmnoževanja in kancerogenosti večja kot pričakovana izpostavljenost pri ljudeh, izračunana na podobni podlagi.
English: Patients using steroidal contraceptives
Slovenian: Bolniki, ki uporabljajo hormonsko kontracepcijo
English: Animal exposure to modafinil, based on actual plasma levels in the general toxicology, reproductive and carcinogenicity studies, was less than or similar to that expected in humans.
Slovenian: Izpostavljenost živali modafinilu, ki temelji na dejanskih ravneh v plazmi pri študijah splošne toksičnosti, razmnoževanja in kancerogenosti, je bila manjša ali podobna kot pričakovane koncentracije pri ljudeh.
English: Modafinil tablets are not recommended in patients with a history of left ventricular hypertrophy or cor pulmonale and in patients with mitral valve prolapse who have experienced the mitral valve prolapse syndrome when previously receiving CNS stimulants.
Slovenian: Tablete modafinila niso priporočene za bolnike z anamnezo hipertrofije levega prekata ali cor pulmonale in pri bolnikih s prolapsom mitralne zaklopke, pri katerih se je sindrom prolapsa mitralne zaklopke pojavil med predhodnim zdravljenjem s stimulansi osrednjega živčevja.
English: In clinical trials, all the hypersensitivity related terms were reported more commonly in association to modafinil than to placebo.
Slovenian: V kliničnih preskušanjih so o vseh izrazih, povezanih s preobčutljivostjo, pogosteje poročali v povezavi z modafinilom kot s placebom.
English: The MAHs will access and submit data on the study on recreational use and diversion among university students in the UK, being developed by the Centre for Public Health, School of Pharmacy and Biomolecular Sciences - Liverpool John Moores University.
Slovenian: Imetniki dovoljenj za promet z zdravili bodo dostopali do podatkov študije rekreativne uporabe med univerzitetnimi študenti v Združenem kraljestvu, ki jo izvaja Center za javno zdravje pri Šoli za farmacevtske in biomolekularne znanosti na Univerzi Johna Mooresa v Liverpoolu, ter te podatke predložili.
English: Czech Republic Torrex Chiesi CZ, s.r.o.
Slovenian: Torrex Chiesi CZ, s.r.o.
English: Steroidal contraceptives: The effectiveness of steroidal contraceptives may be impaired due to induction of CYP3A4/5 by modafinil.
Slovenian: Hormonska kontracepcija: Učinkovitost hormonske kontracepcije se lahko zmanjša zaradi indukcije CYP3A4/5 z modafinilom.
English: In 2007, concerns relating to serious psychiatric disorders (suicidal thoughts/behaviour, symptoms of psychosis and mania) and serious skin and subcutaneous tissue disorders (including erythema multiforme and Stevens-Johnson syndrome) prompted a review of the available data from clinical trials and spontaneous adverse reaction reports by the Pharmacovigilance Working Party (PhVWP).
Slovenian: Leta 2007 so zadržki zaradi resnih psihiatričnih motenj (samomorilne misli/vedenje, simptomi psihoze in manije) ter resnih obolenj kože in podkožja (vključno z multiformnim eritemom in Stevens-Johnsonovim sindromom) privedli do tega, da je delovna skupina za farmakovigilanco začela pregled razpoložljivih podatkov iz kliničnih preskušanj in spontanih poročil o neželenih učinkih.
English: WHAT MODAFINIL CONTAINING MEDICINAL PRODUCTS IS AND WHAT IT IS USED FOR
Slovenian: KAJ SO ZDRAVILA, KI VSEBUJEJO MODAFINIL, IN ZA KAJ JIH UPORABLJAMO
English: There are limited data available on the use of modafinil in elderly patients.
Slovenian: Podatkov o uporabi modafinila pri starejših bolnikih je malo.
English: Shift Work Sleep Disorder
Slovenian: Motnja spanja zaradi izmenskega dela
English: In placebo controlled studies in this indication, 6 patients withdrew from the modafinil group due to a cardiovascular adverse event while only one patient withdrew in the placebo group.
Slovenian: V študijah za to indikacijo, nadzorovanih s placebom, se je iz skupine, ki je prejemala modafinil, zaradi srčno-žilnega neželenega dogodka umaknilo 6 preiskovancev, iz skupine, ki je prejemala placebo, pa se je umaknil en bolnik.
English: The cardiovascular comorbidities in OSA lead to difficulties in interpreting this observation.
Slovenian: Sočasne srčno-žilne bolezni pri OSA otežujejo interpretacijo te ugotovitve.
English: In study 305 (a phase 3 randomised, double-blind, placebo-controlled study), a modest but statistically significant improvement was observed in the MSLT score.
Slovenian: V študiji 305 (randomizirani, dvojno zaslepljeni, s placebom nadzorovani študiji 3. faze) so ugotovili skromno, vendar statistično pomembno izboljšanje vrednosti testa MSLT.
English: Although modafinil-induced wakefulness can be attenuated by the 1-adrenoceptor antagonist, prazosin, in other assay systems (e.g. vas deferens) responsive to -adrenoceptor agonists, modafinil is inactive.
Slovenian: Čeprav lahko antagonist 1-adrenoreceptorja, prazosin, zmanjša budnost, ki jo sproži modafinil, je bil v drugih sistemih testiranja (npr. semenovod), odzivnih na agoniste -adrenoreceptorja, modafinil neaktiven.
English: However, a higher incidence of cardiovascular adverse events when compared to placebo was observed in the modafinil clinical trials, seems to be consistent across the indications and is not seen exclusively in OSA patients.
Slovenian: Vendar se zdi, da je večja pojavnost srčno-žilnih neželenih dogodkov v primerjavi s placebom, ugotovljena v kliničnih preskušanjih modafinila, skladna pri vseh indikacijah in se ne pojavlja samo pri bolnikih z OSA.
English: In this assessment of the benefit-risk profile of modafinil in its different indications, the CHMP reviewed available data from pre-clinical and clinical studies, spontaneous reports, published literature and other data submitted by the MAHs as relevant.
Slovenian: CHMP je v tej oceni profila koristi in tveganja modafinila v različnih indikacijah pregledal podatke iz predkliničnih in kliničnih študij, spontanih poročil, objavljene literature in drugih informacij, ki so jih imetniki dovoljenj za promet z zdravili predložili kot pomembne.
English: This type of events was also observed in clinical trials, and frequently time to onset was suggestive of a temporal association with the product.
Slovenian: Tovrstne dogodke so opazili tudi v kliničnih preskušanjih, pri čemer je čas do nastopa kazal na časovno povezavo z zdravilom.
English: In non-clinical models, equal wakefulness-promoting doses of methylphenidate and amphetamine increase neuronal activation throughout the brain, whereas modafinil unlike classical psychomotor stimulants, predominantly affects brain regions implicated in regulating arousal, sleep, wake and vigilance.
Slovenian: Pri nekliničnih modelih so enaki odmerki metilfenidata in amfetamina, ki spodbujajo budnost, povečali aktivacijo nevronov v možganih, medtem ko je modafinil v nasprotju s klasičnimi psihomotoričnimi stimulansi vplival na območja v možganih, vpletena v uravnavanje vzburjenja, spanja, zbujanja in budnosti.
English: A causal association between hypersensitivity reactions and modafinil is supported both by postmarketing data and data from clinical trials.
Slovenian: Vzročno povezavo med preobčutljivostnimi reakcijami in modafinilom podpirajo podatki iz obdobja trženja zdravila in podatki iz kliničnih preskušanj.
English: In particular, the MAH discussed in their detailed grounds: o the clinical relevance of the differences observed on objective measures of wakefulness o whether the entry criteria of the studies were appropriate o the lack of supportive evidence of possible unblinding o the benefit for a specific subpopulation of patients
Slovenian: Imetnik dovoljenja za promet z zdravilom je v podrobni utemeljitvi razpravljal zlasti o: o kliničnem pomenu razlik, opaženih pri objektivnih merilih budnosti, o primernosti vključitvenih meril študij, o pomanjkanju podpornih dokazov možnega prenehanja zaslepljenosti, o koristi za specifično podskupino bolnikov.
English: Because of the newly identified risks of psychiatric and skin reactions in conjunction with cardiovascular risks, but also evidence of significant off label use and concerns about potential abuse, misuse or diversion, a formal review of the full benefit-risk balance of modafinil was initiated by the CHMP through an article 31 referral procedure.
Slovenian: Zaradi novo odkritih tveganj za psihiatrične in kožne reakcije v povezavi s kardiovaskularnimi tveganji ter dokazov o pomembni uporabi zunaj obsega indikacij in zadržkov o morebitni zlorabi, nepravilni uporabi in rekreativni uporabi je CHMP po napotitvi v skladu s členom 31 začel uraden pregled celotnega razmerja med koristmi in tveganji modafinila.
English: Pregnancy There is limited data on the use of modafinil in pregnant women.
Slovenian: Nosečnost Podatkov o uporabi modafinila pri nosečnicah je malo.
English: Caution should be exercised in giving modafinil to patients with a history of psychiatric disorders including psychosis, depression , mania, major anxiety, agitation, insomnia or substance abuse (see below).
Slovenian: Previdnost je potrebna pri dajanju modafinila bolnikom z anamnezo psihiatričnih motenj, vključno s psihozo, depresijo, manijo, večjo anksioznostjo, agitacijo, nespečnostjo ali zlorabo drog (glejte spodaj).
English: A fatal outcome was reported in 3 cases (cardiomyopathy, cardiac failure and syncope).
Slovenian: Poročali so o 3 primerih s smrtnim izidom (kardiomiopatija, srčno popuščanje in sinkopa).
English: Modafinil is a racemic compound, and the enantiomers have different pharmacokinetics where the elimination t1/2 of the R-isomer is three times that of the S-isomer in adult humans.
Slovenian: Enantiomeri imajo drugačno farmakokinetiko, kadar je pri odraslih ljudeh t1/2 eliminacije izomera R trikrat večji od t1/2 eliminacije izomera S.
English: Patients will abnormal findings should receive further specialist evaluation and treatment before Modafinil treatment is considered.
Slovenian: Bolnike z nenormalnimi rezultati naj dodatno ocenijo in zdravijo specialisti, preden se razmisli o zdravljenju z modafinilom.
English: The SAG considered that amongst OSA patients fully optimised on disease modifying treatment (such as CPAP) and in which all other causes of sleepiness have been treated, only a small subpopulation of patients could potentially benefit from modafinil treatment.
Slovenian: SAG je ugotovila, da je med bolniki z OSA, ki so bili vključeni v popolnoma optimizirano zdravljenje, ki spreminja potek bolezni (kot je CPAP), in so bili zdravljeni za vse ostale vzroke zaspanosti, le majhen delež bolnikov, ki bi lahko imelo koristi od zdravljenja z modafinilom.
English: • Have had alcohol or drug problems in the past.
Slovenian: • če ste imeli težave z zlorabo alkohola ali nedovoljenih drog.
English: In non-clinical models, modafinil has weak to negligible interactions with receptors involved in the regulation of sleep/wake states (e.g., adenosine, benzodiazepine, dopamine, GABA, histamine, melatonin, norepinephrine, orexin, and serotonin).
Slovenian: Pri nekliničnih modelih je imel modafinil šibke do zanemarljive interakcije z receptorji, vključenimi v uravnavanje stanja spanje/budnost (npr. adenozinom, benzodiazepinom, dopaminom, GABA, histaminom, melatoninom, noradrenalinom, oreksinom in serotoninom).
English: Infections and infestations Uncommon: pharyngitis, sinusitis
Slovenian: Infekcijske in parazitske bolezni Občasni: faringitis, sinusitis
English: It is noted that in a number of cases leading to discontinuation there was a very tight temporal association between modafinil and the events, and that in many cases the patients were young and had no known risk factors.
Slovenian: Treba je dodati, da so pri številnih preiskovancih, ki so prekinili sodelovanje v študiji, ugotovili tesno časovno povezavo med modafinilom in dogodki, v večini primerov pa so bili preiskovanci mladi in brez znanih dejavnikov tveganja.
English: Unknown: delusions
Slovenian: Neznana: blodnje
English: A significant number of adverse reactions relating to psychiatric disorders have been reported spontaneously.
Slovenian: Med spontanimi poročili je bilo pomembno število neželenih učinkov v zvezi s psihiatričnimi motnjami.
English: Modafinil should be discontinued at the first sign of rash and not restarted (see section 4.8).
Slovenian: Ob prvih znakih izpuščaja je treba zdravljenje z modafinilom prekiniti in se ne sme ponovno uvesti (glejte poglavje 4.8).
English: As a consequence, the CHMP has recommended the maintenance of the Marketing Authorisations, subject to the conditions set out in annex IV, for which the amendments to the Summary of Product Characteristics and Package Leaflet are set out in Annex III for modafinil-containing products (see Annex I).
Slovenian: CHMP je zato priporočil ohranitev dovoljenj za promet z zdravili, ki vsebujejo modafinil (glejte Dodatek I), za katera veljajo pogoji v Dodatku IV in katerih dopolnila povzetka glavnih značilnosti zdravila in navodila za uporabo so navedena v Dodatku III.
English: It is therefore recommended that the Summary of Product Characteristics be updated to reflect the skin, hypersensitivity, neuropsychiatric and cardiovascular adverse reactions observed.
Slovenian: Zato se priporoča posodobitev povzetka glavnih značilnosti zdravila, da bo odražal ugotovljene neželene učinke na koži, preobčutljivost, nevropsihiatrične in srčno-žilne neželene učinke.
English: Modafinil should be discontinued in patients who develop arrhythmia or moderate to severe hypertension and not restarted until the condition has been adequately evaluated and treated.
Slovenian: Pri bolnikih, ki razvijejo aritmijo ali zmerno do hudo hipertenzijo, je treba zdravljenje z modafinilom prekiniti in se ne sme ponovno uvesti, dokler ni stanje ustrezno ocenjeno in zdravljeno.
English: In the two phase 3 randomised, double blind, placebo-controlled, multicenter studies presented, results obtained with both objective efficacy measures used were consistent and demonstrated statistically significant benefits of modafinil when compared to placebo.
Slovenian: Rezultati dveh predloženih randomiziranih, dvojno zaslepljenih, s placebom nadzorovanih, multicentričnih študij 3. faze, pridobljeni z obema objektivnima meriloma učinkovitosti, so bili skladni in so dokazali statistično pomembne koristi modafinila v primerjavi s placebom.
English: This can be taken once daily (in the morning) or divided into two doses a day (50 mg in the morning and 50 mg at midday).
Slovenian: Običajni odmerek je 100 mg na dan. Tega lahko vzamete enkrat na dan (zjutraj) ali razdeljeno v dva odmerka na dan (50 mg zjutraj in 50 mg opoldne).
English: This included serious cases of moderate chest pain linked to symptomatic mitral valve prolapse, increased heart rate, congestive heart failure, cardiomegaly, palpitations, syncope and bradycardia.
Slovenian: To je zajemalo resne primere zmerne bolečine v prsnem košu, povezane s simptomatskim prolapsom mitralne zaklopke, povečan srčni utrip, kongestivno srčno popuščanje, kardiomegalijo, palpitacije, sinkopo in bradikardijo.
English: In patients with cirrhosis, the oral clearance of modafinil was decreased by approximately 60%, and the steady-state concentration doubled, compared with values in healthy subjects.
Slovenian: Pri bolnikih s cirozo se je peroralni očistek modafinila v primerjavi z vrednostmi pri zdravih preizkušancih zmanjšal za približno 60 %, koncentracija pri dinamičnem ravnovesju pa se je podvojila.
English: What Modafinil containing medicinal products looks like and the contents of the pack [To be completed nationally]
Slovenian: Izgled zdravil, ki vsebujejo modafinil, in vsebina pakiranja [Izpolni država članica]
English: Cardiovascular risks
Slovenian: Srčno-žilna tveganja
English: Anticonvulsants: Co-administration of potent inducers of CYP activity, such as carbamazepine and phenobarbital, could reduce the plasma levels of modafinil.
Slovenian: Antikonvulzivi: Sočasno dajanje močnih induktorjev CYP, kot sta karbamazepin in fenobarbital, lahko zmanjšajo plazemske ravni modafinila.
English: This can be taken once daily (in the morning) or divided into two doses a day (100 mg in the morning and 100 mg at midday).
Slovenian: Običajni odmerek je 200 mg na dan. Tega lahko vzamete enkrat na dan (zjutraj) ali ga razdelite v dva dnevna odmerka (100 mg zjutraj in 100 mg opoldne).
English: There is inadequate information to determine safety and efficacy of dosing in patients with renal impairment (see section 5.2).
Slovenian: Podatki za določanje varnosti in učinkovitosti odmerjanja pri bolnikih z ledvično okvaro so nezadostni (glejte poglavje 5.2).
English: In addition, the difference between modafinil and placebo was very small (6-10%) for robust differences in MWT.
Slovenian: Poleg tega je bila za robustne razlike v rezultatih testa MWT razlika med modafinilom in placebom zelo majhna (6-10 %).
English: If psychiatric symptoms develop in association with modafinil treatment, modafinil should be discontinued and not restarted.
Slovenian: Če se razvijejo psihiatrični simptomi v povezavi z zdravljenjem z modafinilom, je treba zdravljenje z modafinilom prekiniti in se ne sme ponovno začeti.
English: Teva Pharma B.V. Computerweg 10, 3542 DR Utrecht The Netherlands
Slovenian: Computerweg 10, 3542 DR Utrecht The Netherlands
English: The precise mechanism(s) through which modafinil promotes wakefulness is unknown.
Slovenian: Natančen(ni) mehanizem(i), s katerim(i) modafinil spodbuja budnost, ni(so) znan(i).
English: • Medicines for thinning the blood (e.g. warfarin).
Slovenian: (npr. diazepam); - zdravila za redčenje krvi (npr. varfarin).
English: Data will be presented in future modafinil PSURs.
Slovenian: Podatki bodo predloženi v prihodnjih PSUR za modafinil.
English: Modafinil containing medicinal products can cause blurred vision or dizziness in up to 1 in 10 people.
Slovenian: Vpliv na sposobnost upravljanja vozil in strojev Zdravila, ki vsebujejo modafinil, lahko povzročijo zamegljen vid ali omotico pri do 1 od 10 bolnikov.
English: Common: blurred vision Uncommon: abnormal vision, dry eye
Slovenian: Pogosti: zamegljen vid Občasni: nenormalen vid, suhe oči
English: If any of these side effects become troublesome or you experience any side effects not listed, please tell your doctor pharmacist or nurse.
Slovenian: Če katerikoli neželeni učinek postane moteč ali če opazite katerikoli neželeni učinek, ki ni omenjen v tem navodilu, obvestite svojega zdravnika, farmacevta ali medicinsko sestro.
English: • The Committee therefore considered that the benefit risk balance: Is positive under normal conditions of use for excessive sleepiness associated to narcolepsy Is not positive under normal conditions of use for excessive sleepiness associated to obstructive sleep apnoea
Slovenian: • Odbor je zato menil, da je razmerje med koristmi in tveganji: pozitivno pri normalnih pogojih uporabe za čezmerno zaspanost, povezano z narkolepsijo; ni pozitivno pri normalnih pogojih uporabe za čezmerno zaspanost, povezano z obstruktivno apnejo med spanjem; ni pozitivno pri normalnih pogojih uporabe za čezmerno zaspanost, povezano z motnjo spanja zaradi izmenskega dela; ni pozitivno pri normalnih pogojih uporabe za čezmerno zaspanost, povezano z idiopatsko hipersomnijo.
English: There is inadequate information to determine safety and efficacy of dosing in patients with renal impairment.
Slovenian: Podatki za določanje varnosti in učinkovitosti odmerjanja pri bolnikih z ledvično okvaro so nezadostni.