FrancophonIA/ELRC3.0 huggingface dataset:
English: Tell your doctor if you have used more Trydonis than you should and if you experience any of these symptoms.
Danish: Fortæl lægen, hvis du har brugt for meget Trydonis, og hvis du oplever nogle af disse symptomer.
English: The maximum dose is two inhalations of Trydonis twice daily.
Danish: Den maksimale dosis er to inhalationer af Trydonis to gange dagligt.
English: Genotoxicity of Trydonis has not been evaluated, however, the single active components were devoid of genotoxic activity in the conventional test systems.
Danish: De enkelte aktive komponenter var imidlertid uden genotoksisk aktivitet i de konventionelle testsystemer.
English: There are no relevant data on the use of Trydonis in patients with severe hepatic impairment and the medicinal product should be used with caution in these patients (see section 4.4 and section 5.2).
Danish: Der er ingen relevante data for anvendelsen af Trydonis hos patienter med svært nedsat leverfunktion, og lægemidlet bør anvendes med forsigtighed hos disse patienter (se pkt.
English: The European Medicines Agency has waived the obligation to submit the results of studies with Trydonis in all subsets of the paediatric population in COPD (see section 4.2 for information on paediatric use).
Danish: Det Europæiske Lægemiddelagentur (EMA) har dispenseret fra kravet om at fremlægge resultaterne af studier med Trydonis i alle undergrupper af den pædiatriske population ved KOL (se pkt.
English: If this occurs you should stop using Trydonis and use your quick-acting “reliever” inhaler straightaway to treat the shortness of breath and wheezing.
Danish: Hvis dette opstår, skal du straks holde op med at bruge Trydonis, og bruge din hurtigtvirkende ”lindrende” inhalator for at behandle stakåndethed og en hvæsende vejrtrækning.
English: What you need to know before you use Trydonis Do not use Trydonis:
Danish: Det skal du vide, før du begynder at bruge Trydonis Brug ikke Trydonis:
English: If you have or have had any medical problems or any allergies or if you are not sure if you can use Trydonis, talk to your doctor or pharmacist before using the inhaler.
Danish: Hvis du har eller har haft nogle medicinske problemer eller allergier, eller hvis du er i tvivl om du kan bruge Trydonis, skal du kontakte lægen eller apotekspersonalet, før du bruger inhalatoren.
English: Trydonis contains beclometasone dipropionate, formoterol and glycopyrronium in a solution formulation resulting in an aerosol with extrafine particles with an average mass median aerodynamic diameter (MMAD) of around 1.1 micrometres and co-deposition of the three components.
Danish: Trydonis indeholder beclometasondipropionat, formoterol og glycopyrronium i en opløsning, der er formuleret således, at der dannes en aerosol med ekstrafine partikler med en gennemsnitlig massemedian aerodynamisk diameter (MMAD) på ca. 1,1 mikrometer, og en ko-deponering af alle tre komponenter.
English: However, in a 104-week rat inhalation carcinogenicity study and an oral 26-week carcinogenicity study in transgenic Tg.rasH2 mice, glycopyrronium bromide showed no carcinogenic potential and published data concerning longterm studies conducted with beclometasone dipropionate and formoterol fumarate in rats do not indicate a clinically relevant carcinogenic potential.
Danish: I et inhalations-karcinogenicitetsstudie på 104 uger af rotter og i et oralt 26 ugers karcinogenicitetsstudie af transgene Tg.rasH2-mus viste glycopyrroniumbromid imidlertid ikke karcinogenicitet, og offentliggjorte data fra langvarige studier udført med beclometasondipropionat og formoterolfumarate af rotter indikerer ikke klinisk relevant karcinogenicitet.
English: Trydonis was also statistically significantly superior to a fixed combination of beclometasone dipropionate and formoterol, to tiotropium and to a fixed combination of indacaterol and glycopyrronium in terms of improvement in quality of life (measured by the Saint George Respiratory Questionnaire - SGRQ - total score).
Danish: Trydonis var også statistisk signifikant bedre end en fast kombination af beclometasondipropionat og formoterol, end tiotropium og en fast kombination af indacaterol og glycopyrronium hvad angår en forbedring af livskvaliteten (målt ved Saint George Respiratory Questionnaire - SGRQ - total score).
English: The use of Trydonis with the AeroChamber Plus spacer in COPD patients increased the lung delivery of beclometasone 17-monopropionate, formoterol and glycopyrronium (maximum plasma concentration increased by 15%, 58% and 60% respectively).
Danish: Anvendelsen af Trydonis sammen med AeroChamber Plus-spaceren til KOL-patienter øgede leveringen af beclometason-17-monopropionat, formoterol og glycopyrronium i lungerne (maksimal plasmakoncentration var forhøjet med hhv. 15 %, 58 % og 60 %).
English: If signs suggesting allergic reactions occur, in particular, angioedema (including difficulties in breathing or swallowing, swelling of the tongue, lips and face), urticaria or skin rash, Trydonis should be discontinued immediately and alternative therapy instituted.
Danish: Hvis der opstår tegn, der tyder på allergiske reaktioner, især angioødem (herunder vejrtræknings- eller synkebesvær, hævelse af tunge, læber og ansigt), urticaria eller hududslæt, skal Trydonis straks seponeres, og der skal iværksættes en alternativ behandling.
English: The recommended dose is two inhalations of Trydonis twice daily.
Danish: Den anbefalede dosis er to inhalationer af Trydonis to gange dagligt.
English: Trydonis is for inhalation use.
Danish: Trydonis er til inhalation.
English: Simulations performed with a pharmacokinetic model showed that even when covariates had extreme values (body weight less than 40 kg and concomitant glomerular filtration rate below 27 mL/min/1.73 m²), exposure to Trydonis active substances remains in approximately a 2.5-fold range compared to the exposure in a typical patient with median covariate values.
Danish: Simuleringer udført med en farmakokinetisk model viste, at selv når kovariaterne havde ekstreme værdier (legemsvægt under 40 kg og samtidig glomerulær filtrationshastighed under 27 ml/min/1,73 m²), forblev eksponeringen over for de aktive stoffer i Trydonis ca. 2,5 gange højere, sammenlignet med eksponeringen hos en typisk patient med mediane kovariate værdier.
English: Trydonis can reduce exacerbations (flare-ups) of COPD symptoms.
Danish: Trydonis kan nedsætte eksacerbationer (pludselige forværringer) af KOLsymptomer.
English: There are no relevant clinical data on the use of Trydonis during breast-feeding in humans.
Danish: Der er ingen relevante kliniske data for anvendelsen af Trydonis under amning hos mennesker.
English: Caution is also required when Trydonis is used by patients with thyrotoxicosis, diabetes mellitus, pheochromocytoma and untreated hypokalaemia.
Danish: Det er også nødvendigt at udvise forsigtighed, når Trydonis anvendes af patienter med tyrotoksikose, diabetes mellitus, fæokromocytom og ubehandlet hypokaliæmi.
English: Content of the pack and other information What Trydonis contains
Danish: Pakningsstørrelser og yderligere oplysninger Trydonis indeholder:
English: There is no relevant use of Trydonis in the paediatric population (under 18 years of age) for the indication of COPD.
Danish: Det er ikke relevant at anvende Trydonis hos den pædiatriske population (under 18 år) til indikationen kronisk obstruktiv lungesygdom (KOL).
English: If you are allergic to beclometasone dipropionate, formoterol fumarate dihydrate and glycopyrronium or to any of the other ingredients of this medicine (listed in section 6).
Danish: Hvis du er allergisk over for beclometasondipropionat formoterolfumaratdihydrat og glycopyrronium eller et af de øvrige indholdsstoffer i Trydonis (angivet i punkt 6).
English: The combination of Trydonis with some other COPD medicines or medicines such as diuretics (medicines that make the body lose water, to treat heart disease or high blood pressure), can cause a sharp fall in your blood level of potassium.
Danish: Kombinationen af Trydonis med nogle andre lægemidler mod KOL, eller lægemidler som f.eks. diuretika (lægemidler, der får kroppen til at udskille vand, til at behandle hjertesygdom eller højt blodtryk), kan forårsage et brat fald i niveauet i kalium i blodet.
English: Cleaning of the Trydonis inhaler
Danish: Rengøring af Trydonis-inhalatoren
English: For beclometasone dipropionate, this results in a more potent effect than formulations with a non-extrafine particle size distribution (100 micrograms of beclometasone dipropionate extrafine in Trydonis are equivalent to 250 micrograms of beclometasone dipropionate in a non-extrafine formulation).
Danish: For beclometasondipropionat fører dette til en kraftigere virkning end for formuleringer med en fordeling af partikelstørrelsen, der ikke er ekstrafin (100 mikrogram ekstrafint beclometasondipropionat i Trydonis svarer til 250 mikrogram beclometasondipropionat i en formulering, der ikke er ekstrafin).
English: The most frequently reported adverse reactions with Trydonis were oral candidiasis (which occurred in 0.8% of the exposed subjects), which is normally associated with inhaled corticosteroids; muscle spasms (0.4%), which can be attributed to the long-acting beta2-agonist component; dry mouth (0.4%), which is a typical anticholinergic effect.
Danish: De hyppigst rapporterede bivirkninger med Trydonis var oral candidiasis (som opstod hos 0,8 % af de eksponerede personer), hvilket normalt er forbundet med inhalerede kortikosteroider, muskelspasmer (0,4 %), som kan tilskrives den langtidsvirkende beta2-agonist-komponent, mundtørhed (0,4 %), som er en typisk antikolinerg virkning.
English: The long-term co-administration of Trydonis with other anticholinergic-containing medicinal products has not been studied and is therefore not recommended (see section 4.4).
Danish: Den langvarige administration af Trydonis sammen med andre lægemidler, der indeholder antikolinergika, er ikke blevet undersøgt, og de bør derfor ikke anvendes (se pkt.
English: It is preferable to avoid the use of Trydonis during labour due to the inhibitory effects of formoterol on uterine contractions.
Danish: Det er bedst ikke at anvende Trydonis under fødslen, på grund af den hæmmende virkning af formoterol på livmoderkontraktioner.
English: Trydonis significantly improved dyspnoea (measured as the Transition Dyspnoea Index - TDI - focal score) after 26 weeks of treatment compared with baseline (by 1.71 units; p < 0.001), but the adjusted mean difference versus a fixed combination of beclometasone dipropionate and formoterol was not statistically significant (0.21 units; p = 0.160).
Danish: Trydonis forbedrede dyspnø signifikant (målt som transitionalt dyspnøindeks - TDI - fokal score) efter 26 ugers behandling sammenlignet med baseline (med 1,71 enheder, p < 0,001), men den justerede gennemsnitlige forskel versus en fast kombination af beclometasondipropionat og formoterol var ikke statistisk signifikant (0,21 enheder, p = 0,160).
English: An overdose of Trydonis may produce signs and symptoms due to the individual component's actions, including those seen with overdose of other beta2-agonists or anticholinergics and consistent with the known inhaled corticosteroid class effects (see section 4.4).
Danish: En overdosering af Trydonis kan give tegn og symptomer, der kan skyldes virkningerne af de enkelte komponenter, herunder tegn og symptomer ved overdosering med andre beta2-agonister eller antikolinergika, og som svarer til de kendte klassevirkninger for kortikosteroider (se pkt.
English: Trydonis should be administered with caution in patients with active or quiescent pulmonary tuberculosis, fungal and viral infections in the airways.
Danish: Trydonis skal administreres med forsigtighed hos patienter med aktiv eller latent lungetuberkulose, samt ved svampeinfektioner og virale infektioner i luftvejene.
English: Similar effects were seen when comparing Trydonis with the extemporary triple combination.
Danish: Der blev observeret tilsvarende virkninger, når Trydonis blev sammenlignet med den ekstemporære trippelkombination.
English: • Disulfiram, a medicine used in the treatment of people with alcoholism (drinking problems) or metronidazole, an antibiotic to treat infection in your body can cause side effects (e.g. feeling sick, being sick, stomach pain) due to the small amount of alcohol in Trydonis.
Danish: • disulfiram, et lægemiddel, der bruges til at behandle personer med alkoholisme (alkoholproblemer) eller metronidazol, et antibiotikum, der bruges til at behandle infektion i din krop kan forårsage bivirkninger (f.eks. kvalme, opkastning, mavesmerter) på grund af den lille mængde alkohol i Trydonis.
English: It is recommended that treatment with Trydonis should not be stopped abruptly.
Danish: Det frarådes at stoppe behandlingen med Trydonis pludseligt.
English: If you develop worsening shortness of breath or wheezing (breathing with a whistling sound), straight after inhaling your medicine, stop using Trydonis inhaler and use your quick-acting “reliever” inhaler straightaway.
Danish: Hvis du udvikler en forværring af din stakåndethed eller hvæsende vejrtrækning (vejrtrækningen har en pibende lyd) umiddelbart efter du indånder dit lægemiddel, skal du holde op med at bruge Trydonis-inhalatoren, og du skal øjeblikkeligt bruge din hurtigtvirkende ”lindrende” inhalator.
English: Trydonis comes in a pressurised container (coated aluminium), with a metering valve.
Danish: Trydonis leveres i en trykbeholder (belagt aluminium) med en doseringsventil.
English: Trydonis is provided with a dose counter or dose indicator on the back of the inhaler, which shows how many actuations are left.
Danish: Trydonis leveres med en dosistæller eller dosisindikator bag på inhalatoren, som viser hvor mange pust, der er tilbage.
English: Trydonis should be used with caution in patients with cardiac arrhythmias, especially third degree atrioventricular block and tachyarrhythmias (accelerated and/or irregular heart beat), idiopathic subvalvular aortic stenosis, hypertrophic obstructive cardiomyopathy, severe heart disease (particularly acute myocardial infarction, ischaemic heart disease, congestive heart failure), occlusive vascular diseases (particularly arteriosclerosis), arterial hypertension and aneurysm.
Danish: Trydonis bør anvendes med forsigtighed hos patienter med hjertearytmier, især tredjegrads atrioventrikulært blok og takyarytmier (accelereret og/eller uregelmæssigt hjerteslag), idiopatisk subvalvulær aortastenose, hypertrofisk obstruktiv kardiomyopati, svær hjertesygdom (især akut myokardieinfarkt, iskæmisk hjertesygdom, kongestivt hjertesvigt), okklusiv karsygdom (især arteriosklerose), arteriel hypertension og aneurisme.
English: A responder analysis showed that a significantly greater percentage of patients had a clinically significant improvement (reduction versus baseline of greater than or equal to 4) after 26 and 52 weeks with Trydonis than with a fixed combination of beclometasone dipropionate and formoterol and with tiotropium.
Danish: En analyse af patienter, der responderede, viste, at en signifikant større procentdel af patienterne havde en klinisk signifikant forbedring (reduktion versus baseline, der var større end eller lig med 4) efter 26 og 52 uger med Trydonis end med en fast kombination af beclometasondipropionat og formoterol og med tiotropium.
English: A decision must be made whether to discontinue breast-feeding or to discontinue/abstain from Trydonis therapy taking into account the benefit of breast-feeding for the child and the benefit of therapy for the mothers.
Danish: Det skal besluttes, om amning skal ophøre eller behandling med Trydonis seponeres, idet der tages højde for fordelene ved amning for barnet i forhold til de terapeutiske fordele for mødrene.
English: The study compared data obtained after treatment with a single dose of Trydonis (4 inhalations of 100/6/25 micrograms, a non-marketed formulation containing twice the approved strength of glycopyrronium) or a single dose of the extemporary combination of beclometasone dipropionate/formoterol (4 inhalations of 100/6 micrograms) plus glycopyrronium (4 inhalations of 25 micrograms).
Danish: Studiet sammenlignede data opnået efter behandling med en enkeltdosis Trydonis (4 inhalationer med 100/6/25 mikrogram, en ikke-markedsført formulering, der indeholder to gange den godkendte styrke af glycopyrronium), eller en enkeltdosis af den ekstemporære kombination af beclometasondipropionat/formoterol (4 inhalationer med 100/6 mikrogram) plus glycopyrronium (4 inhalationer med 25 mikrogram).
English: If you are already using Trydonis
Danish: Hvis du allerede bruger Trydonis
English: A responder analysis showed that a significantly greater percentage of patients had a clinically significant improvement (focal score greater than or equal to 1) after 26 weeks with Trydonis than with a fixed combination of beclometasone dipropionate and formoterol (57.4% versus 51.8%; p = 0.027).
Danish: En analyse af patienter, der responderede, viste, at en signifikant større procentdel af patienterne havde en klinisk signifikant forbedring (fokal score større end eller lig med 1) efter 26 uger med Trydonis end med en fast kombination af beclometasondipropionat og formoterol (57,4 % versus 51,8 %; p = 0,027).
English: Compared with tiotropium, Trydonis significantly improved IC by 39 mL (p = 0.025) and 60 mL (p = 0.001) after 26 and 52 weeks of treatment respectively.
Danish: Sammenlignet med tiotropium forbedrede Trydonis signifikant IC med 39 ml (p = 0,025) og 60 ml (p = 0,001) efter hhv. 26 og 52 ugers behandling.
English: If you stop using Trydonis
Danish: Hvis du holder op med at bruge Trydonis
English: In an inhalation study in telemetered dogs, the cardiovascular system was a major target system for acute effects of Trydonis (increase in heart rate, decrease in blood pressure, ECG changes at higher doses), effects probably mainly related to the beta2-adrenergic activity of formoterol and the anti-muscarinic activity of glycopyrronium.
Danish: I et inhalationsstudie af hunde i telemetri var det kardiovaskulære system et større målsystem for Trydonis' akutte virkninger (øget hjertefrekvens, nedsat blodtryk, EKG-ændringer ved større doser), virkninger, der sandsynligvis er relateret til den beta2-adrenerge aktivitet af formoterol, og den antimuskarine aktivitet af glycopyrronium.
English: No differences were observed when comparing Trydonis and the extemporary triple combination made of fluticasone and vilanterol fixed combination plus tiotropium.
Danish: Der blev ikke observeret nogen forskel ved sammenligning med Trydonis og den ekstemporære trippelkombination bestående af fluticason og vilanterol fast kombination plus tiotropium.
English: In repeat dose inhalation studies with Trydonis in rats and dogs of up to 13 weeks duration, the main observed alterations were related to effects on the immune system (probably due to systemic corticosteroid effects of beclometasone dipropionate and its active metabolite beclometasone17-monopropionate) and on the cardiovascular system (probably related to the beta2-adrenergic activity of formoterol and the anti-muscarinic activity of glycopyrronium).
Danish: I inhalationsstudier af op til 13 ugers varighed med gentagne doser Trydonis af rotter og hunde, var de vigtigste observerede ændringer relateret til virkningen på immunsystemet (sandsynligvis fra de systemiske kortikosteroidvirkninger af beclometasondipropionat, og dens aktive metabolit beclometason-17-monopropionat), og på det kardiovaskulære system (sandsynligvis relateret til den beta2-adrenerge aktivitet af formoterol, og den antimuskarine aktivitet af glycopyrronium).
English: If you forget to use Trydonis
Danish: Hvis du har glemt at bruge Trydonis
English: In addition, compared with both a fixed combination of beclometasone dipropionate and formoterol and with tiotropium, Trydonis significantly prolonged the time to first exacerbation (hazard ratio 0.80 and 0.84 respectively; p = 0.020 and 0.015 respectively), with no differences between Trydonis and the extemporary triple combination made of beclometasone dipropionate and formoterol fixed combination plus tiotropium (hazard ratio 1.06).
Danish: Desuden forlængede Trydonis signifikant tiden til den første eksacerbationer, sammenlignet med både en fast kombination af beclometasondipropionat og formoterol og med tiotropium (hazard ratio hhv. 0,80 og 0,84, p = hhv. 0,020 og 0,015), uden nogen forskelle mellem Trydonis og den ekstemporære trippelkombination bestående af beclometasondipropionat og formoterol fastdosiskombination plus tiotropium (hazard ratio 1,06).
English: Single dose pharmacokinetic data (see section 5.2) have demonstrated that in comparison to routine use without a spacer device, the use of Trydonis with the AeroChamber Plus spacer device increased the total systemic exposure (AUC0-t) to glycopyrronium.
Danish: 5.2) har påvist, at ved sammenligning med rutinemæssig anvendelse uden en spacer-anordning, forlængede anvendelsen af Trydonis med AeroChamber Plus spacer-anordningen den totale systemiske eksponering (AUC0-t) over for glycopyrronium.
English: Trydonis 87 micrograms/5 micrograms/9 micrograms pressurised inhalation, solution
Danish: Trydonis 87 mikrogram/5 mikrogram/9 mikrogram inhalationsspray, opløsning
English: You and your doctor must make a decision whether to discontinue breast-feeding or to discontinue/abstain from Trydonis therapy taking into account the benefit of breast-feeding for your child and the benefit of therapy for you.
Danish: Du skal sammen med lægen beslutte, om amning skal ophøre eller behandling med Trydonis stoppes, idet der tages højde for fordelene ved amning for barnet i forhold til de terapeutiske fordele for dig.
English: In patients with severe renal impairment, including those with end-stage renal disease requiring dialysis, especially if associated with a significant body weight reduction, Trydonis should be used only if the expected benefit outweighs the potential risk (see section 5.2).
Danish: Hos patienter med svært nedsat nyrefunktion, herunder med nyresygdom i slutstadiet, der kræver dialyse, især hvis det er forbundet med en signifikant reduktion af legemsvægten, bør Trydonis kun anvendes, hvis den forventede fordel opvejer den mulige risiko (se pkt.
English: Therefore, as a precautionary measure, it is preferable to avoid the use of Trydonis during pregnancy and during labour.
Danish: For en sikkerheds skyld bør Trydonis derfor undgås under graviditeten og fødsel.
English: You should not use Trydonis during breast-feeding.
Danish: Du må ikke anvende Trydonis under amning.
English: No differences were observed when comparing Trydonis and the extemporary triple combination made of a fixed combination of beclometasone dipropionate and formoterol plus tiotropium (difference of 3 mL in pre-dose FEV1 after 52 weeks of treatment).
Danish: Der blev ikke observeret nogen forskelle ved sammenligning af Trydonis og den ekstemporære trippelkombination bestående af en fastdosiskombination af beclometasondipropionat og formoterol plus tiotropium (forskel på 3 ml i FEV1 før dosering efter 52 ugers behandling).
English: No differences were observed when comparing Trydonis with the extemporary triple combination made of beclometasone dipropionate and formoterol fixed combination plus tiotropium (moderate/severe exacerbation rate: 0.46 versus 0.45 events per patient/year).
Danish: Der blev ikke observeret nogen forskelle, når Trydonis blev sammenlignet med den ekstemporære trippelkombination bestående af beclometasondipropionat og formoterol fastdosiskombination plus tiopropium (hyppigheden af moderate/svære eksacerbationer: 0,46 versus 0,45 hændelser pr. patient/år).
English: Compared with a fixed combination of indacaterol and glycopyrronium, Trydonis improved average pre-dose FEV1 over the 52-week treatment period by 22 mL (p=0.018).
Danish: Sammenlignet med en fastdosiskombination af indacaterol og glycopyrronium forbedrede Trydonis den gennemsnitlige FEV1 inden dosering i løbet af den 52-ugers behandlingsperiode med 22 ml (p = 0,018).
English: Trydonis is a pressurised inhalation, solution.
Danish: Trydonis er en inhalationsspray, opløsning.