FrancophonIA/ELRC3.0 huggingface dataset:
English: IVEMEND is used in adults, adolescents, and children aged 6 months or older in combination with other medicines to prevent nausea and vomiting caused by chemotherapy (cancer treatment) that is a strong or moderate trigger of nausea and vomiting.
Danish: IVEMEND anvendes hos voksne, unge og børn i alderen 6 måneder eller derover i kombination med anden medicin til at forebygge kvalme og opkastning i forbindelse med kemoterapi (behandling af cancer), som er en kraftig eller moderat udløser af kvalme og opkastning.
English: Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu.
Danish: Du kan finde yderligere oplysninger om dette lægemiddel på Det Europæiske Lægemiddelagenturs (EMAs) hjemmeside http://www.ema.europa.eu
English: Stop taking IVEMEND and see a doctor immediately if you notice any of the following side effects, which may be serious, and for which you may need urgent medical treatment: - Hives, rash, itching, difficulty breathing or swallowing, or a serious decrease of blood pressure (frequency not known, cannot be estimated from the available data); these are signs of a serious allergic reaction.
Danish: Stop med at tage IVEMEND og kontakt straks lægen, hvis De bemærker en eller flere af følgende bivirkninger, som kan være alvorlige, og for hvilke akut lægebehandling kan være nødvendig: - Nældefeber, udslæt, kløe, vejrtræknings- eller synkebesvær eller et alvorligt blodtryksfald (hyppigheden er ikke kendt, kan ikke estimeres ud fra forhåndenværende data); disse symptomer er tegn på alvorlig allergisk reaktion - Reaktioner på infusionsstedet ved eller nær ved infusionsstedet.
English: Renal impairment: A single 240 mg dose of oral aprepitant was administered to patients with severe renal impairment (CrCl< 30 ml/min) and to patients with end stage renal disease (ESRD) requiring haemodialysis.
Danish: Nedsat nyrefunktion: En enkelt dosis à 240 mg oral aprepitant blev administreret til patienter med svært nedsat nyrefunktion (CrCl<30 ml/min) og til hæmodialysepatienter i det sene stadie (end stage) af nyresygdom (ESRD).
English: In a toxicity study in juvenile dogs treated with fosaprepitant from postnatal day 14 to day 42, a decreased testicular weight and Leydig cell size were seen in the males at 6 mg/kg/day and increased uterine weight, hypertrophy of the uterus and cervix, and oedema of vaginal tissues were seen in females from 4 mg/kg/day.
Danish: I et toksicitetsstudie med unge hunde, som blev behandlet med fosaprepitant fra dag 14 til dag 42 postnatalt, blev der set reduceret testikelvægt og størrelse af Leydig-celler hos hanner ved 6 mg/kg/dag, og øget uterusvægt, hypertrofi af livmoderen og livmoderhalsen og ødemer i det vaginale væv blev set hos hunner fra 4 mg/kg/dag.
English: The majority of severe ISRs, including thrombophlebitis and vasculitis, were reported with concomitant vesicant (e.g., anthracycline-based) chemotherapy administration, particularly when associated with extravasation.
Danish: De fleste alvorlige reaktioner på infusionsstedet, inklusive tromboflebit og vaskulit, blev rapporteret ved samtidig administration af vesicant (f.eks. antracyklin-baseret) kemoterapi, navnlig i forbindelse med ekstravasation.
English: Inhibition of CYP3A4 by fosaprepitant could result in elevated plasma concentrations of these active substances, potentially causing serious or lifethreatening reactions.
Danish: Fosaprepitants hæmning af CYP3A4 kan medføre forhøjet plasmakoncentration af disse aktive substanser, hvilket kan medføre potentielt alvorlige eller livstruende reaktioner (se pkt.
English: **N: Number of adult patients included in the intention to treat population.
Danish: *Primært endepunkt står med fed. **N: Antal voksne patienter inkluderet i intention to treat-populationen.
English: Some less common ADRs in the adult population were not observed in the paediatric studies.
Danish: Nogle mindre almindelige bivirkninger i den voksne population blev ikke observeret i de pædiatriske studier.
English: Sodium hydroxide (E524) (for pH adjustment) and/or Hydrochloric acid diluted (E507) (for pH adjustment)
Danish: Natriumhydroxid (E524) (til justering af pH) og/eller Saltsyre, fortyndet (E507) (til justering af pH)
English: 12 - 17 years old 115mg, 80mg, 80mg
Danish: 115 mg, 80 mg, 80 mg
English: Table 7: Percent of adult patients receiving Highly Emetogenic Chemotherapy responding by treatment group and phase - Cycle 1
Danish: Tabel 7: Procent voksne patienter, der fik højemetogen kemoterapi, og responderede pr. behandlingsgruppe og -fase - cyklus 1
English: Additionally, in a placebo-controlled clinical trial in adult patients receiving MEC, safety was evaluated for 504 patients receiving a single dose of IVEMEND 150 mg compared to 497 patients receiving the control regimen.
Danish: Yderligere, i et placebokontrolleret klinisk studie med voksne, der fik MEC, var sikkerheden desuden blevet vurderet hos 504 patienter, der fik en enkeltdosis IVEMEND 150 mg sammenlignet med 497 patienter, der fik kontrolregimet.
English: The recommended dose is 150 mg administered as an infusion over 20-30 minutes on Day 1, initiated approximately 30 minutes prior to chemotherapy (see section 6.6).
Danish: Den anbefalede dosis er 150 mg indgivet som infusion over 20-30 minutter på dag 1 og initieres ca. 30 minutter før kemoterapi (se pkt.
English: The solution for infusion is given to you by a health care professional, such as a doctor or nurse, via an intravenous infusion (a drip) approximately 30 minutes before you start the chemotherapy treatment in adults or 60 - 90 minutes before you start the chemotherapy treatment in children and adolescents.
Danish: Opløsningen gives som drop (intravenøs infusion) af en læge eller sygeplejerske ca. 30 minutter før du begynder på kemoterapibehandling hos voksne, eller 6090 minutter før du begynder på kemoterapi hos børn og unge.
English: Maximum dose 80 mg
Danish: Maksimal dosis 80 mg
English: 5-HT3 antagonists
Danish: 5-HT3-antagonister
English: Intravenous administration in paediatric patients aged 6 months and older is recommended through a central venous catheter and should be administered over 30 minutes in patients aged 12 years and older or over 60 minutes in patients less than 12 years of age (See section 6.6).
Danish: Intravenøs administration via et centralt venekateter anbefales hos pædiatriske patienter i alderen 6 måneder og derover, og infusionen skal administreres over 30 minutter hos patienter i alderen 12 år og derover eller over 60 minutter hos patienter under 12 år (se pkt.
English: The adverse reactions profiles in the Multiple-Cycle extension of HEC and MEC studies in adults for up to 6 additional cycles of chemotherapy were generally similar to those observed in Cycle 1.
Danish: Bivirkningsprofilen i gentagne kemoterapibehandlinger (multi-cyklus) i HEC- og MEC-studierne med voksne i op til 6 efterfølgende kemoterapicykler var generelt de samme, som sås i første cyklus.
English: 10 ml Type I clear glass vial with a chlorobutyl or bromobutyl rubber stopper and an aluminum seal with a grey plastic flip off cap.
Danish: Et 10 ml type I hætteglas af klart glas med gummiprop af chlorobutyl eller bromobutyl og aluminiumsforsegling med gråt plastik flip-off låg.
English: Interaction studies with fosaprepitant 150 mg and 5-HT3 antagonists have not been conducted; however, in clinical interaction studies, the oral aprepitant regimen did not have clinically important effects on the pharmacokinetics of ondansetron, granisetron, or hydrodolasetron (the active metabolite of dolasetron).
Danish: Der er ikke udført interaktionsstudier med fosaprepitant 150 mg og 5-HT3-antagonister; i kliniske interaktionsstudier havde oral aprepitant dog ingen betydende klinisk indvirkning på farmakokinetikken for ondansetron, granisetron eller hydrodolasetron (dolasetrons aktive metabolit).
English: Some adverse reactions that are commonly observed in the adult population were not observed in the paediatric studies.
Danish: Nogle bivirkninger, der blev observeret hyppigt i den voksne population, blev ikke observeret i de pædiatriske studier.
English: In patients with ESRD undergoing haemodialysis, the AUC0- of total aprepitant decreased by 42 % and Cmax decreased by 32 %.
Danish: For hæmodialysepatienter med nyresygdom i det sene stadie faldt AUC0- for total-aprepitant med 42% og Cmax faldt med 32%.
English: If a corticosteroid, such as dexamethasone, is co-administered, administer 50% of the recommended corticosteroid dose on days 1 and 2.
Danish: Hvis et kortikosteroid, såsom dexamethason, administreres samtidigt, administreres 50% af den anbefalede kortikosteroiddosis på dag 1 og dag 2.
English: For additional information on the co-administration with corticosteroids, see section 4.5.
Danish: Yderligere oplysninger om administration sammen med kortikosteroider fremgår af pkt.
English: No hemolysis was found with the commercial formulation up to a fosaprepitant concentration of 1 mg/ml in human whole blood and washed human erythrocytes.
Danish: Hæmolyse blev ikke fundet med de kommercielle formuleringer af fosaprepitant ved koncentrationer op til 1 mg/ml i humant fuldblod og humane vaskede erytrocytter.
English: Aprepitant cannot be removed by haemodialysis.
Danish: Aprepitant kan ikke fjernes ved hæmodialyse.
English: In a randomized, parallel, double-blind, placebo-controlled study, IVEMEND 150 mg (N=502) in combination with ondansetron and dexamethasone was compared with ondansetron and dexamethasone alone (control regimen) (N=498) in adult patients receiving a moderately emetogenic chemotherapy regimen.
Danish: I et randomiseret, parallelt, dobbeltblindet, placebokontrolleret studie blev IVEMEND 150 mg (N=502) i kombination med ondansetron og dexamethason sammenlignet med ondansetron og dexamethason alene (kontrolregime) (N=498) hos voksne patienter, der fik moderat emetogen kemoterapi.
English: Multiday chemotherapy regimens include chemotherapy regimens in which HEC or MEC is administered for 2 or more days.
Danish: Flere dages behandling med kemoterapiregimer inkluderer kemoterapiregimer, hvor HEC eller MEC administreres over 2 eller flere dage.
English: Instructions of how to reconstitute and dilute IVEMEND 150 mg
Danish: Instruktion i at blande og fortynde IVEMEND 150 mg:
English: Concomitant administration of fosaprepitant with herbal preparations containing St. John's Wort (Hypericum perforatum) is not recommended.
Danish: Samtidig administration af fosaprepitant og urtemedicin, der indeholder perikon (Hypericum perforatum), frarådes.
English: Gently invert the bag 2-3 times.
Danish: Vend forsigtigt posen op og ned 2-3 gange.
English: Following a single intravenous 150-mg dose of fosaprepitant administered as a 20-minute infusion to healthy adult volunteers, the mean AUC0-∞ of aprepitant was 35.0 µg•hr/ml and the mean maximal aprepitant concentration was 4.01 µg/ml.
Danish: Efter en enkelt intravenøs dosis på 150 mg fosaprepitant indgivet som en 20-minutters infusion til raske voksne frivillige var aprepitants gennemsnitlige AUC0-∞ 35,0 µg•t/ml, og aprepitants gennemsnitlige maksimumkoncentration var 4,01 µg/ml.
English: Fosaprepitant placebo, aprepitant placebo, and dexamethasone placebo (in the evenings on Days 3 and 4) were used to maintain blinding (see section 4.2).
Danish: Fosaprepitant placebo, aprepitant placebo og dexamethason placebo (om aftenen på dag 3 og 4) blev anvendt til blindingen (se pkt.
English: As a weak inhibitor of CYP3A4, the fosaprepitant 150 mg single dose can cause a transient increase in plasma concentrations of co-administered active substances that are metabolised through CYP3A4.
Danish: Som en svag hæmmer af CYP3A4 kan fosaprepitant 150 mg enkeltdosis medføre en forbigående stigning i plasmakoncentrationen af samtidigt administrerede aktive substanser, som metaboliseres gennem CYP3A4.
English: The powder is contained in a clear glass vial with a rubber stopper and an aluminum seal with a grey plastic flip off cap.
Danish: Pulveret er i et hætteglas af klart glas med gummiprop og aluminiumsforsegling med gråt plastik flipoff låg.
English: Following a single 150 mg fosaprepitant dose, a transient moderate increase for two days possibly followed by a mild decrease in exposure of immunosuppressants metabolised by CYP3A4 (e.g. cyclosporine, tacrolimus, everolimus and sirolimus) is expected.
Danish: Efter en enkelt 150 mg fosaprepitant-dosis forventes en forbigående moderat stigning efterfulgt af et let fald i eksponeringen af immunsuppressiva, der metaboliseres af CYP3A4 (fx ciclosporin, tacrolimus, everolimus og sirolimus).
English: The most common adverse reactions reported at a greater incidence in adults treated with the aprepitant regimen than with standard therapy in patients receiving HEC were: hiccups (4.6 % versus 2.9 %), alanine aminotransferase (ALT) increased (2.8 % versus 1.1 %), dyspepsia (2.6 % versus 2.0 %), constipation (2.4 % versus 2.0 %), headache (2.0 % versus 1.8 %), and decreased appetite (2.0 % versus 0.5 %).
Danish: De hyppigste bivirkninger, der blev rapporteret med en højere frekvens hos voksne i aprepitantbehandling end hos patienter i standardbehandling med HEC, var: hikke (4,6% versus 2,9%), øget ALAT (2,8% versus 1,1%), dyspepsi (2,6% versus 2,0%), obstipation (2,4% versus 2,0%), hovedpine (2,0% versus 1,8%) og nedsat appetit (2,0% versus 0,5%).
English: Immunosuppressants
Danish: Immunsuppressiva
English: Positron emission tomography (PET) imaging studies, using a highly specific NK1-receptor tracer, in healthy young men administered a single intravenous dose of 150 mg fosaprepitant (N=8) demonstrated brain NK1 receptor occupancy of ≥100 % at Tmax, and 24 hours, ≥97 % at 48 hours, and between 41 % and 75 % at 120 hours, following dosing.
Danish: Ved brug af en meget specifik NK1-receptortracer har positron emissionstomografi (PET)-studier af raske unge mænd, der fik en enkelt intravenøs dosis på 150 mg fosaprepitant (N=8) vist, at ≥ 100 % af hjernens NK1-receptorer ved Tmax er okkuperet i 24 timer, ≥ 97 % i 48 timer og mellem 41 % og 75 % i 120 timer efter dosering.
English: The most common adverse reaction reported at a greater incidence in patients treated with the aprepitant regimen than with standard therapy in patients receiving MEC was fatigue (1.4 % versus 0.9 %).
Danish: Den hyppigste bivirkning, der blev rapporteret med en højere frekvens hos patienter i aprepitantbehandling end hos patienter i standardbehandling med MEC, var træthed (1,4% versus 0,9%).
English: In patients on chronic warfarin therapy, the prothrombin time (INR) should be monitored closely during treatment with and for 14 days following the use of IVEMEND for the prevention of chemotherapy induced nausea and vomiting (see section 4.4).
Danish: Hos patienter i kronisk warfarinbehandling bør protrombintiden (INR) monitoreres tæt under behandling med IVEMEND og i 14 dage efter for at undgå kvalme og opkastning forårsaget af kemoterapi (se pkt.
English: Paediatric patients aged 6 months and older, and not less than 6 kg The recommended dose regimen of IVEMEND, to be administered with a 5-HT3 antagonist, with or without a corticosteroid, for the prevention of nausea and vomiting associated with administration of single or multi-day chemotherapy regimens of Highly Emetogenic Chemotherapy (HEC) or Moderately Emetogenic Chemotherapy (MEC), is shown in Table 3.
Danish: Pædiatriske patienter i alderen 6 måneder og derover, som vejer mindst 6 kg Det anbefalede dosisregime for IVEMEND, som skal administreres sammen med en 5-HT3antagonist, med eller uden et kortikosteroid, til forebyggelse af kvalme og opkastning i forbindelse med administration af 1-dages eller flere dages behandling med kemoterapiregimer af højemetogen kemoterapi (HEC) eller moderat emetogen kemoterapi (MEC), er vist i tabel 3.
English: The geometric mean volume of distribution at steady state (Vdss) of aprepitant estimated from a single 150 mg intravenous dose of fosaprepitant is approximately 82 l in humans.
Danish: Den geometriske gennemsnitsværdi af distributionsvolumen ved steady state (Vdss) for aprepitant, vurderet ud fra en enkelt intravenøs dosis på 150 mg fosaprepitant, er ca. 82 liter hos mennesker.
English: In a pooled analysis of 3 active-controlled clinical studies in paediatric patients (aged 6 months to 17 years) receiving either HEC or MEC and a single dose of IVEMEND at or above the recommended 1day regimen dose, safety was evaluated for 139 patients receiving the 1-day regimen of IVEMEND.
Danish: I en poolet analyse af 3 aktivt kontrollerede kliniske studier hos pædiatriske patienter (i alderen 6 måneder til 17 år), der fik enten HEC eller MEC og en enkeltdosis IVEMEND ved eller over den anbefalede dosis for 1-dages regimet, blev sikkerheden vurderet for 139 patienter, der fik 1-dages regimet med IVEMEND.
English: Patients with moderate to severe hepatic impairment There are limited data in patients with moderate hepatic impairment and no data in patients with severe hepatic impairment.
Danish: Patienter med moderat til svært nedsat leverfunktion Der foreligger begrænsede data for patienter med moderat nedsat leverfunktion og ingen data for patienter med svært nedsat leverfunktion.
English: In patients with severe renal impairment, the AUC0- of total aprepitant (unbound and protein bound) decreased by 21 % and Cmax decreased by 32 %, relative to healthy subjects.
Danish: Hos patienter med svært nedsat nyrefunktion faldt AUC0- for total-aprepitant (ubundet og proteinbundet) med 21% og Cmax faldt med 32% set i forhold til raske forsøgspersoner.
English: Fosaprepitant regimen (N =502) **
Danish: Fosaprepitant regime (N =502) **
English: MSD Danmark ApS Tlf: + 45 4482 4000 dkmail@merck.com
Danish: Danmark MSD Danmark ApS Tlf: +45 4482 4000 dkmail@merck.com
English: These fertility studies did not indicate direct or indirect harmful effects with respect to mating performance, fertility, embryonic/foetal development, or sperm count and motility (see section 5.3).
Danish: Disse fertilitetsstudier viste hverken direkte eller indirekte skadelige virkninger med hensyn til parring, fertilitet, embryonal-/føtaludvikling, eller sædkvalitet og -motilitet (se pkt.
English: Table 8: Percent of adult patients receiving Moderately Emetogenic Chemotherapy responding by treatment group and phase
Danish: Tabel 8: Procent voksne patienter, der fik moderat emetogen kemoterapi, og responderede pr. behandlingsgruppe og -fase
English: Plasma concentrations of fosaprepitant are below quantifiable levels within 30 minutes of the completion of infusion.
Danish: Fosaprepitants plasmakoncentrationer kan ikke påvises 30 minutter efter afslutning af infusion.
English: - The other ingredients are: disodium edetate (E386), polysorbate 80 (E433), lactose anhydrous, sodium hydroxide (E524) (for pH adjustment) and/or hydrochloric acid diluted (E507) (for pH adjustment).
Danish: • Øvrige indholdsstoffer: Dinatriumedetat (E386); polysorbat 80 (E433); lactose, vandfri; natriumhydroxid (E524) (til justering af pH) og/eller saltsyre, fortyndet (E507) (til justering af pH).
English: The fosaprepitant 150 mg single dose did not induce CYP3A4 on Days 1 and 4 in the midazolam interaction study.
Danish: Fosaprepitant 150 mg som enkeltdosis inducerede ikke CYP3A4 på dag 1 og 4 i interaktionsstudiet med midazolam.
English: Conclusions regarding the influence of moderate hepatic impairment (Child-Pugh class B) on aprepitant pharmacokinetics cannot be drawn from available data.
Danish: Der kan ikke drages konklusioner ud fra tilgængelige data vedrørende indvirkning af moderat nedsat leverfunktion (Child-Pugh klasse B) på aprepitants farmakokinetik.
English: Fosaprepitant 150 mg administered as a single intravenous dose on Day 1 increased the AUC0-∞ of midazolam by 77 % on Day 1 and had no effect on Day 4 when midazolam was co-administered as a single oral dose of 2 mg on Days 1 and 4.
Danish: Fosaprepitant 150 mg givet som en enkelt intravenøs dosis på dag 1 øgede AUC0-∞ for midazolam med 77% på dag 1 og havde ingen indvirkning på dag 4, når midazolam blev givet samtidigt som en enkelt oral dosis på 2 mg på dag 1 og 4.
English: If a corticosteroid, such as dexamethasone, is coadministered, administer 50% of the recommended corticosteroid dose on days 1 through 4
Danish: Hvis et kortikosteroid, såsom dexamethason, administreres samtidigt, administreres 50% af den anbefalede kortikosteroiddosis på dag 1 til og med dag 4
English: In humans, fosaprepitant administered intravenously was rapidly converted to aprepitant within 30 minutes following the end of infusion.
Danish: I mennesker omdannedes fosaprepitant, administreret intravenøst, hurtigt til aprepitant inden for 30 minutter efter endt infusion.
English: Paediatric Patients Receiving 1-Day Fosaprepitant Regimen The efficacy of the 1-day fosaprepitant regimen in paediatric patients was extrapolated from that demonstrated in adults receiving the 1-day fosaprepitant regimen as described in the 1-Day Regimen of Fosaprepitant in Adults subsection.
Danish: Pædiatriske patienter, der fik 1-dages fosaprepitantregime Virkningen af det 1-dages fosaprepitantregime hos pædiatriske patienter blev ekstrapoleret fra den virkning, som blev påvist hos voksne, der fik det 1-dages fosaprepitantregime som beskrevet i underafsnittet 1-dages regimet med fosaprepitant hos voksne.
English: Single day chemotherapy regimens include those regimens in which HEC or MEC is administered for a single day only.
Danish: 1-dages behandling med kemoterapiregimer inkluderer regimer, hvor HEC eller MEC kun administreres på en enkelt dag.
English: Therefore, breast-feeding is not recommended during treatment with IVEMEND.
Danish: Derfor frarådes amning under behandling med IVEMEND.
English: Paediatric patients 12 years and older
Danish: Pædiatriske patienter i alderen 12 år og derover
English: Infusion of 100 mg fosaprepitant over 15 minutes with diltiazem 120 mg 3 times daily, resulted in a 1.5-fold increase of aprepitant AUC.
Danish: Infusion af 100 mg fosaprepitant over 15 minutter sammen med 120 mg diltiazem 3 gange dagligt medførte en stigning af aprepitants AUC på 1,5 gange.
English: Concomitant administration of fosaprepitant with active substances that strongly induce CYP3A4 activity (e.g. rifampicin, phenytoin, carbamazepine, phenobarbital) should be avoided as the combination could result in reductions of the plasma concentrations of aprepitant that may result in decreased efficacy.
Danish: Samtidig administration af fosaprepitant og aktive substanser, som er stærke induktorer af CYP3A4aktivitet (fx rifampicin, phenytoin, carbamazepin, phenobarbital) bør undgås, da kombinationen medfører reducerede plasmakoncentrationer af aprepitant, hvilket kan resultere i nedsat virkning.
English: Hypersensitivity to the active substance or to polysorbate 80 or any of the other excipients listed in section 6.1.
Danish: Overfølsomhed over for det aktive stof eller over for polysorbat 80 eller over for et eller flere af hjælpestofferne anført i pkt.
English: Metabolites are excreted in urine and via biliary excretion in faeces.
Danish: Metabolitterne udskilles i urinen og via galden i fæces.
English: Interaction studies with fosaprepitant 150 mg and diltiazem have not been conducted; however, the following study with 100 mg of fosaprepitant should be considered when using IVEMEND 150 mg with diltiazem.
Danish: Der er ikke udført interaktionsstudier med fosaprepitant 150 mg og diltiazem; følgende studie med 100 mg fosaprepitant bør dog tages i betragtning ved anvendelse af IVEMEND 150 mg sammen med diltiazem.
English: Paediatric patients 2 to less than 12 years
Danish: Pædiatriske patienter i alderen 2 år til under 12 år
English: Alternative Dosing for Single Day Chemotherapy Regimens For paediatric patients receiving single day HEC or MEC, IVEMEND may be administered as an intravenous infusion through a central venous catheter on Day 1.
Danish: Alternativ dosering for 1-dages kemoterapiregimer Hos pædiatriske patienter, der får 1-dages behandling med HEC eller MEC, kan IVEMEND administreres som en intravenøs infusion via et centralt venekateter på dag 1.