FrancophonIA/ELRC3.0 huggingface dataset:
English: Novel histopathology findings were observed at all doses tested in female rats in ovaries (tertiary follicles/luteal cysts) in addition to irregular oestrous cycles, hyperplasia of mammary gland, and vaginal mucification already observed in adult animals (the lowest dose tested corresponded to an exposure margin of 6 or more, depending on the age of the pups).
Slovenian: Na novo so opažali histopatološke spremembe pri vseh odmerkih, preskušenih pri podganjih samicah, v jajčnikih (terciarni folikli/lutealne ciste), poleg nerednih estrusnih ciklov, hiperplazije mlečnih žlez in vaginalne mucifikacije, ki so jih že ugotovili pri odraslih živalih (najmanjši preskušeni odmerek je ustrezal presežku izpostavljenosti pri ljudeh za 6-krat ali več, odvisno od starosti mladičev).
English: The printed package leaflet of the medicinal product must state the name and address of the manufacturer responsible for the release of the concerned batch.
Slovenian: V natisnjenem navodilu za uporabo zdravila morata biti navedena ime in naslov izdelovalca,
English: Rare (may affect up to 1 in 1,000 people):
Slovenian: Redki (lahko se pojavijo pri največ 1 od 1.000 bolnikov):
English: There is no experience in patients treated for constipation induced by partial opioid mu-agonists (e.g. buprenorphine).
Slovenian: Pri bolnikih, zdravljenih zaradi zaprtja, povzročenega z delnimi opioidnimi mu-agonisti (npr. buprenorfinom), ni izkušenj.
English: If any of the above apply to you, or you are not sure, talk to your doctor or pharmacist before taking Rizmoic.
Slovenian: Če karkoli od zgoraj navedenega velja za vas ali če ste negotovi, se pred začetkom jemanja zdravila Rizmoic posvetujte z zdravnikom ali farmacevtom.
English: Other medicines and Rizmoic
Slovenian: Druga zdravila in zdravilo Rizmoic
English: - if you have severe liver disease such as alcoholic liver disease, viral liver infection or impaired liver function.
Slovenian: - če imate hudo bolezen jeter, na primer alkoholno bolezen jeter, virusno okužbo jeter ali zmanjšano delovanje jeter;
English: Naldemedine functions as a peripherally-acting mu-opioid receptor antagonist in tissues such as the gastrointestinal tract, thereby decreasing the constipating effects of opioids without reversing the central nervous system (CNS)-mediated opioid effects.
Slovenian: Naldemedin deluje kot periferno delujoč antagonist mu-opioidnih receptorjev v tkivih, kot so prebavila, in s tem zmanjšuje učinke opioidov, ki povzročajo zaprtje, ne da bi odpravil učinke opioid, ki jih posreduje centralno živčevje (CŽ).
English: Patients having disruptions to the blood-brain barrier (e.g., primary brain malignancies, central nervous system (CNS) metastases or other inflammatory conditions, active multiple sclerosis and advanced Alzheimer's disease) may be at increased risk of opioid withdrawal or reduced analgesia.
Slovenian: Pri bolnikih s prekinitvijo krvno-možganske pregrade (npr. primarne maligne bolezni možganov, metastaze v centralnem živčevju (CŽ) ali druga vnetna stanja, aktivna multipla skleroza in napredovala Alzheimerjeva bolezen) je lahko tveganje za sindrom odtegnitve opioidov ali zmanjšane analgezije zvečano.
English: The primary endpoint for Studies V9231 and V9232 was the proportion of SBM responders, defined as: ≥3 SBMs per week and a change from baseline of ≥1 SBM per week for at least 9 out of the 12 study weeks and 3 out of the last 4 weeks.
Slovenian: Primarni opazovani dogodek v študijah V9231 in V9232 je bil delež bolnikov, ki so se odzvali na zdravljenje z ozirom na SBM, definirano kot: ≥ 3 SBM na teden in sprememba od izhodišča za ≥ 1 SBM na teden v najmanj 9 od 12 tednih študije in 3 od zadnjih 4 tednov.
English: If obstruction or perforation are suspected, naldemedine must be discontinued (see section 4.3).
Slovenian: Če posumimo na zaporo ali perforacijo, moramo naldemedin ukiniti (glejte poglavje 4.3).
English: Plasma concentrations of naldemedine in subjects with ESRD requiring dialysis were similar when naldemedine was administered either pre- or post-haemodialysis, indicating that naldemedine was not removed from the blood by haemodialysis.
Slovenian: Plazemske koncentracije naldemedina pri preiskovancih z ESRD, pri kateri je bila potrebna hemodializa, so bile podobne, če so dajali naldemedin bodisi pred hemodializo bodisi po njej, kar kaže na to, da se naldemedin ne odstranjuje iz krvi s hemodializo.
English: 8465RX,
Slovenian: 8465RX, Nizozemska
English: No human data on the effect of naldemedine on fertility are available.
Slovenian: Podatki o vplivu naldemedina na plodnost pri ljudeh niso na voljo.
English: Speak to your doctor immediately and stop taking Rizmoic.
Slovenian: Takoj se posvetujte z zdravnikom in prenehajte jemati zdravilo Rizmoic;
English: The peak plasma concentration and area under the plasma concentration-time curve increased in an almost dose-proportional manner within the dose range of 0.1 to 100 mg. A slight accumulation
Slovenian: Najvišja koncentracija v plazmi in površina pod krivuljo plazemska koncentracija-čas sta se v razponu odmerkov od 0,1 do 100 mg zvečali na skoraj sorazmerno odmerku.
English: The overall benefit-risk of naldemedine should be considered in these patients with close monitoring for symptoms of opioid withdrawal.
Slovenian: Pri teh bolnikih je treba upoštevati celotno razmerje koristi in tveganja naldemedina in jih skrbno spremljati glede simptomov odtegnitve opioidov.
English: In studies V9222 and V9236, OIC was confirmed through a 2-week run-in period and was defined as ≤5 SBMs during the 14 consecutive days prior to the randomisation and ≥1 of the following bowel symptoms in ≥25% of all BMs regardless of the use of rescue laxatives: presence of straining during bowel movement, feeling of incomplete evacuation, passage of hard stools or small pellets.
Slovenian: V študijah V9222 in V9236 so OIC potrdili v 2-tedenskem uvajalnim obdobjem, opredeljeno pa je bilo kot ≤ 5 SBM v 14 zaporednih dneh pred randomizacijo in ≥ 1 od naslednjih črevesnih simptomov pri ≥ 25 % vseh BM ne glede na uporabo rešilnih odvajal: prisotnost napenjanja med iztrebljanjem, občutek nepopolne izraznitve, odvajanje trdega blata ali majhnih kroglic.
English: From baseline to week 1**
Slovenian: od izhodišča do 1. tedna**
English: In studies V9222 and V9236, the mean age of the subjects was 64.3 years; 51.8% were 65 years of age or older; 39.4% were women and 97.1% were Japanese.
Slovenian: V študijah V9222 in V9236 je bila povprečna starost preiskovancev 64,3 leta; 51,8 % jih je bilo starih 65 let ali več; 39,4 % jih je bilo žensk in 97,1 % jih je bilo Japoncev.
English: Opioid withdrawal syndrome is a cluster of three or more of the following signs or symptoms: dysphoric mood, nausea or vomiting, muscle aches, lacrimation or rhinorrhea, pupillary dilation or piloerection or sweating, diarrhoea, yawning, fever or insomnia.
Slovenian: Sindrom odtegnitve opioidov je skupina treh ali več naslednjih znakov ali simptomov: disforično razpoloženje, navzea ali bruhanje, bolečine v mišicah, solzenje ali izcedek iz nosu (rinoreja), razširitev zenic ali piloerekcija ali znojenje, driska, zehanje, zvišana telesna temperatura ali nespečnost.
English: Additionally, naldemedine is a substrate of the P-glycoprotein (P-gp) efflux transporter, which may also be involved in reducing naldemedine penetration into the CNS.
Slovenian: Poleg tega je naldemedin substrat izločevalnega prenašalca P-glikoproteina (P-gp), ki je tudi lahko vpleten v zmanjšanje penetracije naldemedina v CŽ.
English: Patients with known or suspected gastrointestinal obstruction or perforation or patients at increased risk of recurrent obstruction, due to the potential for gastrointestinal perforation (see section 4.4).
Slovenian: Bolniki z znano ali domnevno gastrointestinalno obstrukcijo ali perforacijo ali bolniki z zvečanim tveganjem za ponovitev obstrukcije, zaradi možnosti gastrointestinalne perforacije (glejte poglavje 4.4).
English: The recommended dose of naldemedine is 200 micrograms (one tablet) daily.
Slovenian: Priporočeni odmerek naldemedina je 200 mikrogramov (ena tableta) na dan.
English: A patient who took a single dose of naldemedine 1 mg experienced severe drug withdrawal syndrome, including nausea and stomach cramping and was given esomeprazole and ondansetron for nausea and midazolam hydrochloride for stomach cramping.
Slovenian: Pri enem bolniku, ki je vzel enkraten odmerek naldemedina 1 mg, se je pojavil hud sindrom odtegnitve zdravila, vključno z navzeo in krči v želodcu; prejel je esomeprazol in ondansetron proti navzei ter midazolamijev klorid proti krčem v želodcu.
English: In the non-LIR subgroup, consistent with the results in the LIR subgroup, a greater proportion of responders was observed with naldemedine (54.3%) compared with placebo (38.9%) and the difference between groups (15.6%) was statistically significant (p=0.0009).
Slovenian: V podskupini non-LIR so v skladu z rezultati v skupini LIR ugotovili večji delež bolnikov, ki so se odzvali na zdravilo, pri naldemedinu (54,3 %) v primerjavi s placebom (38,9 %), razlika med skupinama (15,6 %) je bila statistično značilna (p=0,0009).
English: Annex IV Scientific conclusions and grounds for the variation to the terms of the marketing authorisation(s)
Slovenian: ZNANSTVENI ZAKLJUČKI IN PODLAGA ZA SPREMEMBO POGOJEV DOVOLJENJA (DOVOLJENJ) ZA PROMET Z ZDRAVILOM
English: No dose adjustment is required in patients older than 65 years of age (see section 5.2).
Slovenian: Starejši bolniki Pri bolnikih, starejših od 65 let, prilagajanje odmerka ni potrebno (glejte poglavje 5.2).
English: For Study V9235, long term efficacy data defined as the change in frequency of BMs at week 52 from baseline, assessed as a secondary endpoint, showed that subjects in the naldemedine group had improvements in the frequency of BMs compared with subjects in the placebo group in both LIR (3.10 vs 1.90, p=0.0210) and non-LIR (4.26 vs 3.39, p=0.1349) subgroups.
Slovenian: V študiji V9235 so dolgoročni podatki glede učinkovitosti, opredeljeni kot sprememba pogostnosti BM od izhodišča do 52. tedna, ocenjeni kot sekundarni opazovani dogodek, pokazali, da se je pri bolnikih v skupini z naldemedinom izboljšala pogostnost BM v primerjavi z bolniki v skupini s placebom tako v podskupini LIR (3,10 proti 1,90; p=0,0210) kot v podskupini non-LIR (4,26 proti
English: Naldemedine is not removed from the body by haemodialysis.
Slovenian: Naldemedin se ne odstranjuje iz telesa s hemodializo.
English: Cases of possible opioid withdrawal syndrome have been reported in the naldemedine clinical programme (see section 4.8).
Slovenian: V kliničnem programu z naldemedinom so poročali o primerih možnega sindroma odtegnitve opioidov (glejte poglavje 4.8).
English: In Studies V9231, V9232 and V9235, the mean age of the subjects in these three studies was 53.2 years; 14.8% were 65 years of age or older; 62.0% were women; 80.2% were white.
Slovenian: V študijah V9231, V9232 in V9235 je bila povprečna starost preiskovancev 53,2 let; 14,8 % jih je bilo starih 65 let ali več; 62,0 % je bilo žensk; 80,2 % je bilo belcev.
English: [Carbonyl-14C]-naldemedine-derived radioactivity was excreted into milk in lactating rats.
Slovenian: Radioaktivnost, ki je izvirala iz [karbonil-14C]-naldemedina, se je pri doječih podganah izločala v mleko.
English: In Study V9232, they were back pain (53.6%); pain (10.2%) and arthralgia (7.8%).
Slovenian: V študiji V9232 so to bile bolečina v hrbtu (53,6 %); bolečina (10,2 %) in artralgija (7,8 %).
English: Store in the original package in order to protect the tablets from light and moisture.
Slovenian: Shranjujte v originalni ovojnini za zagotovitev zaščite tablet pred svetlobo in vlago.
English: In Studies V9231 and V9232, patients who, based on concomitant medication records, were on laxative therapy prior to entering the study and who stopped its use within 30 days prior to Screening, and had self-reported OIC, were considered to be a LIR.
Slovenian: V študijah V9231 in V9232 so bolniki, ki so se na podlagi spremljajočih kartotek o zdravljenju zdravili z odvajali pred vključitvijo v študijo in ki so odvajala prenehali uporabljati v 30 dneh pred presejanjem in so poročali o OIC, veljali za LIR.
English: If you have taken more Rizmoic than you should, talk to your doctor or go to the hospital.
Slovenian: Če ste vzeli večji odmerek zdravila Rizmoic, kot bi smeli Če ste vzeli večji odmerek zdravila Rizmoic, kot bi smeli, se posvetujte z zdravnikom ali pojdite v bolnišnico.
English: Stop taking Rizmoic and contact your doctor if you develop opioid withdrawal symptoms.
Slovenian: Prenehajte jemati zdravilo Rizmoic in se posvetujte z zdravnikom, če se pri vas razvijejo simptomi odtegnitve opioidov;
English: The most commonly reported adverse reactions in patients with chronic non-cancer pain and OIC were abdominal pain (7.8%), diarrhoea (5.9%), nausea (3.6%), and vomiting (1.1%).
Slovenian: Neželeni učinki, o katerih so najpogosteje poročali pri bolnikih s kronično nerakasto bolečino in OIC, so bili bolečina v trebuhu (7,8 %), driska (5,9 %), navzea (3,6 %) in bruhanje (1,1 %).
English: Based on this, naldemedine is expected to exert its anti-constipating effects on opioids without reversing their CNS-mediated analgesic effects.
Slovenian: Na podlagi tega pričakujemo, da bo naldemedin izrazil svoje učinke na opioide, ki delujejo proti zaprtju, ne da bi odpravil njihove analgetične učinke preko CŽ.
English: In the run-in and treatment periods for all three studies, bisacodyl was used as rescue laxative if patients had not had a BM for 72 hours and were allowed one-time use of an enema if after 24 hours of taking bisacodyl, they still had not had a BM.
Slovenian: V uvodnem obdobju in obdobju zdravljenja v vseh treh študijah so kot rešilno odvajalo uporabljali bisakodil, če bolniki niso imeli BM 72 ur.
English: Patients receiving a stable opioid morphine equivalent daily dose of ≥ 30 mg for at least 4 weeks before enrollment and self-reported OIC were eligible to participate.
Slovenian: Primerni za sodelovanje v študiji so bili bolniki, ki so prejemali stabilen odmerek opioida, enakovreden dnevnemu odmerku morfina ≥ 30 mg, vsaj 4 tedne pred vključitvijo, in so sami poročali o OIC.
English: In Studies V9231 and V9232, patients had to either not be using laxatives or be willing to discontinue laxative use at the time of Screening and be willing to use only the provided rescue laxatives during the Screening and Treatment Periods.
Slovenian: V študijah V9231 in V9232 so bili bolniki, ki bodisi niso uporabljali odvajal ali pa so bili pripravljeni jemanje odvajal v času presejanja prekiniti in v času presejanja in zdravljenja uporabljati samo rešilna odvajala, ki so jih imeli na voljo.
English: Concomitant use of naldemedine with moderate inducers (e.g. efavirenz) has not been established, and patients should be monitored (see section 4.4).
Slovenian: Sočasne uporabe naldemedina z zmernimi induktorji (npr. efavirenz) niso proučili in je bolnike treba spremljati (glejte poglavje 4.4).
English: Store in the original package in order to protect from light and moisture.
Slovenian: Shranjujte v originalni ovojnini za zagotovitev zaščite pred svetlobo in vlago.
English: The efficacy and safety of naldemedine has been established in patients with chronic non-cancer pain and OIC and in patients with cancer and OIC.
Slovenian: Klinična učinkovitost in varnost Učinkovitost in varnost naldemedina so dokazali pri bolnikih s kronično nerakasto bolečino in OIC in pri bolnikih z rakom in OIC.
English: The primary endpoint for Study V9236 and the secondary endpoint, without multiplicity adjustment, for Study V9222 were the proportion of SBM responders during the 2-week Treatment Period.
Slovenian: Primarni opazovani dogodek v študiji V9236 in sekundarni opazovani dogodek, brez prilagoditve za večkratnost, v študiji V9222 je bil delež bolnikov, ki so se odzvali na zdravljenje z ozirom na SBM
English: Package leaflet: Information for the patient Rizmoic 200 micrograms film-coated tablets naldemedine This medicine is subject to additional monitoring.
Slovenian: Navodilo za uporabo Rizmoic 200 mikrogramov filmsko obložene tablete naldemedin Za to zdravilo se izvaja dodatno spremljanje varnosti.
English: Patients with cardiovascular conditions
Slovenian: Bolniki z boleznimi srca in ožilja
English: Gastrointestinal adverse reactions
Slovenian: Gastrointestinalni neželeni učinki
English: Concomitant use of strong CYP3A inhibitors such as grapefruit juice, itraconazole, ketoconazole, ritonavir, indinavir, saquinavir, telithromycin and clarithromycin should be avoided.
Slovenian: Sočasni uporabi močnih inhibitorjev CYP3A, npr. soka grenivke, itrakonazola, ketokonazola, ritonavirja, indinavirja, sakvinavirja, telitromicina in klaritromicina, se je treba izogibati.
English: Cases of gastrointestinal perforation have been reported in post-marketing setting, including fatal cases, when naldemedine was used in patients who were at an increased risk of gastrointestinal perforation.
Slovenian: O primerih gastrointestinalne perforacije so poročali v okviru trženja zdravila, vključno s smrtnimi primeri, kadar so naldemedin uporabljali pri bolnikih, pri katerih je bilo tveganje gastrointestinalne perforacije zvečano.
English: The mean baseline opioid morphine equivalent daily dosage was 132.42 mg, 120.93 mg, and 122.06 mg per day for Studies V9231, V9232 and V9235 respectively.
Slovenian: Povprečni izhodiščni dnevni odmerek opioida je bil enakovreden odmerku morfina 132,42 mg v študiji V9231, 120,93 mg v študiji V9232 in 122,06 mg na dan v študiji V9235.
English: Concomitant use with strong CYP3A inducers is not recommended (see section 4.5).
Slovenian: Sočasna uporaba z močnimi induktorji CYP3A ni priporočljiva (glejte poglavje 4.5).
English: Naldemedine was found to have no clinically relevant adverse effects on fertility or reproductive performance in male and female rats (see section 5.3).
Slovenian: Ugotovili so, da naldemedin nima klinično pomembnih neželenih učinkov na plodnost ali reproduktivno uspešnost pri samcih in samicah podgan (glejte poglavje 5.3).
English: In the LIR subgroup, a greater proportion of responders was observed with naldemedine (46.4%) compared with placebo (30.2%) and the difference between groups (16.2%) was statistically significant (p<0.0001).
Slovenian: (46,4 %) v primerjavi s placebom (30,2 %), razlika med skupinama (16,2 %) je bila statistično značilna (p < 0,0001).
English: If use with strong CYP3A inhibitors is unavoidable, monitor for adverse reactions (see section 4.4).
Slovenian: Če je uporaba z močnimi inhibitorji CYP3A neizogibna, bolnika spremljajte glede neželenih učinkov (glejte poglavje 4.4).
English: Naldemedine 3-G was a minor metabolite in plasma, with a relative exposure to naldemedine of less than 3%.
Slovenian: Naldemedin 3-G je bil manj pomemben presnovek v plazmi, z relativno izpostavljenostjo manj kot
English: Stopping Rizmoic while continuing to take your opioid medicine may cause the constipation to return.
Slovenian: Če prenehate jemati zdravilo Rizmoic, opioidno zdravilo pa jemljete še naprej, se lahko zaprtje ponovi.
English: Do not use this medicine after the expiry date which is stated on the carton and blisters after EXP.
Slovenian: Tega zdravila ne smete uporabljati po datumu izteka roka uporabnosti, ki je naveden na škatli in pretisnih omotih poleg oznake EXP. Rok uporabnosti zdravila se izteče na zadnji dan navedenega meseca.
English: The majority of these gastrointestinal adverse reactions were of mild to moderate severity and resolved without discontinuation of naldemedine treatment.
Slovenian: Večina teh gastrointestinalnih neželenih učinkov je bila blago do zmerno izražena in je izzvenela brez prekinitve zdravljenja z naldemedinom.
English: Rizmoic is a round, approximately 6.5 mm diameter, yellow film-coated tablet debossed with '222' and the Shionogi logo on one side and '0.2' on the other side.
Slovenian: Izgled zdravila Rizmoic in vsebina pakiranja Zdravilo Rizmoic je okrogla rumena filmsko obložena tableta s premerom približno 6,5 mm z vtisnjenim napisom '222' in logotipom družbe Shionogi na eni strani in '0.2' na drugi strani.
English: Concomitant use of P-gp inhibitors such as cyclosporine may increase plasma concentrations of naldemedine.
Slovenian: Sočasna uporaba inhibitorjev P-gp, na primer ciklosporina, lahko zveča plazemske koncentracije naldemedina.
English: In Study V9231, the three most common types of pain were back pain (62.0%); neck pain (8.3%) and osteoarthritis (5.3%).
Slovenian: V študiji V9231 so bile tri najpogostejše vrste bolečine bolečina v hrbtu (62,0 %); bolečina v vratu (8,3 %) in osteoartritis (5,3 %).
English: If you forget to take Rizmoic
Slovenian: Če ste pozabili vzeti zdravilo Rizmoic
English: It is unknown whether naldemedine/metabolites are excreted in human milk.
Slovenian: Ni znano, ali se naldemedin ali njegovi presnovki izločajo v mleko pri ljudeh.
English: Shionogi SLU Tel: +34 911 239 258 contacta@shionogi.eu
Slovenian: Shionogi SLU Tel: +34 911 239 258
English: You should not drink large amounts of grapefruit juice whilst taking Rizmoic.
Slovenian: Zdravilo Rizmoic skupaj s pijačo Ne pijte velikih količin soka grenivke tačas ko jemljete zdravilo Rizmoic.
English: All study participants took laxatives previously for the treatment of OIC.
Slovenian: Vsi udeleženci študije so predhodno jemali odvajala za zdravljenje
English: • You can take Rizmoic with or without laxatives.
Slovenian: • Zdravilo Rizmoic lahko jemljete z odvajali ali brez njih.
English: The peak plasma concentration was reduced by 35% and time to achieve peak plasma concentration was delayed from 0.75 hours in the fasted state to 2.5 hours in the fed state, whereas no significant difference was observed in the area under the plasma concentration-time curve by food intake.
Slovenian: Najvišja koncentracija v plazmi se je znižala za 35 %, čas za dosego najvišje koncentracije v plazmi pa se je podaljšal z 0,75 ure na tešče na 2,5 ure po obroku,
English: The safety and efficacy of naldemedine was also evaluated in 2 randomised, double-blind and placebocontrolled studies (V9222 and V9236) in patients with cancer and OIC.
Slovenian: Klinične študije pri bolnikih z rakom in OIC Varnost in učinkovitost naldemedina so ovrednotili tudi v 2 randomiziranih, dvojno slepih in s placebom kontroliranih študijah (V9222 in V9236) pri bolnikih z rakom in OIC.
English: Opioid withdrawal syndrome
Slovenian: Sindrom odtegnitve opioidov
English: Concomitant use of moderate CYP3A inhibitors such as fluconazole, may increase the plasma concentration of naldemedine.
Slovenian: Sočasna uporaba zmernih inhibitorjev CYP3A, na primer flukonazola, lahko zveča plazemsko koncentracijo naldemedina.
English: The most commonly reported adverse reactions in patients with cancer and OIC were diarrhoea (24.5%) and abdominal pain (3.9%).
Slovenian: Neželena učinka, o katerih so najpogosteje poročali pri bolnikih z rakom in OIC, sta bila driska (24,5 %) in bolečina v trebuhu (3,9 %).
English: Overall, whilst the limitations in the evidence base solely for Naldemedine are acknowledged it is considered that supporting information is also provided by other agents in the class which are mechanistically indistinguishable from Naldemedine and which have similar effects on the GI tract.
Slovenian: Zaradi omejene baze dokazov samo za naldemedin so koristne tudi informacije o drugih zdravilih v tej skupini, ki imajo podoben mehanizemdelovanja kot naldemedin in imajo podobne učinke na GI trakt.
English: What Rizmoic is and what it is used for
Slovenian: Kaj vsebuje navodilo Kaj je zdravilo Rizmoic in za kaj ga uporabljamo
English: Concomitant use of naldemedine with strong CYP3A inducers (e.g. St. John's wort (Hypericum perforatum), rifampicin, carbamazepine, phenobarbital and phenytoin) leads to a decrease in naldemedine exposure and may reduce the efficacy of naldemedine.
Slovenian: Sočasna uporaba naldemedina z močnimi induktorji CYP3A (npr. šentjanževka (Hypericum perforatum), rifampicin, karbamazepin, fenobarbital in fenitoin) zmanjša izpostavljenost naldemedinu in lahko zmanjša učinkovitost naldemedina.