FrancophonIA/ELRC3.0 huggingface dataset:
English: Variations to the drug product - atorvastatin calcium, small, round film-coated tablets - are comprehensively documented and the amendments proposed regarding the harmonisation are considered acceptable by the CHMP.
Slovenian: Spremembe zdravila - atorvastatin kalcij, majhne, okrogle, filmsko obložene tablete - so razumljivo dokumentirane in CHMP meni, da so predlagane spremembe glede uskladitve sprejemljive.
English: The similarities between the two clinical trials as well as the timing of completion of the studies allowed for a joint review in support of an indication for atorvastatin in the prevention of cardiovascular disease.
Slovenian: Podobnosti med kliničnima preskušanjema ter čas zaključka študij sta omogočila skupen pregled v podporo indiciranju atorvastatina za preprečevanje kardiovaskularne bolezni.
English: The proposal for changes to the large, oval tablets is also considered to be acceptable.
Slovenian: Prav tako meni, da je sprejemljiv predlog glede spremembe v velike ovalne tablete.
English: The dose of atorvastatin in patients with homozygous familial hypercholesterolemia is 10 to 80 mg daily (see section 5.1).
Slovenian: Odmerek atorvastatina pri bolnikih s homozigotno družinsko hiperholesterolemijo je od 10 do 80 mg dnevno (glejte poglavje 5.1).
English: Section 4.7 - Effects on ability to drive and use machines The majority of markets currently have the proposed harmonised wording, which is in line with the SmPC guideline dated September 2009.
Slovenian: Poglavje 4.7 - Vpliv na sposobnost vožnje in upravljanja s stroji Na večini tržišč se trenutno uporablja predlagano usklajeno besedilo, ki je v skladu s smernico za povzetek glavnih značilnosti zdravila iz septembra 2009.
English: As requested by the CHMP the reference to nefazodone as a concomitant treatment was removed.
Slovenian: Na zahtevo CHMP je bila navedba nefazodona kot sočasnega zdravljenja izbrisana.
English: The following wording was agreed by the CHMP: ‘Prevention of cardiovascular disease
Slovenian: CHMP je potrdil naslednje besedilo: „Preprečevanje kardiovaskularne bolezni
English: Information regarding Concomitant treatment with other medications has been included in section 4.5.
Slovenian: Podatki o sočasnem zdravljenju z drugimi zdravili so bili vključeni v poglavje 4.5.
English: In line with the SmPC guidance, dated September 2009, brief and qualitative statement covering the nonclinical safety profile of atorvastatin have been included.
Slovenian: V skladu s smernico za povzetek glavnih značilnosti zdravila iz septembra 2009 so bile vključene kratke in kvalitativne izjave o nekliničnem varnostnem profilu atorvastatina.
English: Data were reviewed for all doses combined (10-80mg) vs placebo, and adverse events were grouped by categories of organ systems.
Slovenian: Pregledali so skupne podatke za vse odmerke (10-80 mg) in jih primerjali s placebom, neželene učinke pa so razporedili po skupinah organskih sistemov.
English: Information on paediatric studies has not been included in this procedure as the Art 29 paediatric referral has no bearing on this Art 30 harmonisation referral.
Slovenian: Podatki o pediatričnih študijah niso bili vključeni v ta postopek, saj pediatrični napotitveni postopek v skladu s členom 29 ne vpliva na ta napotitveni postopek za uskladitev v skladu s členom 30.
English: Section 4.4 - Special warnings and precautions for use The list of clinically relevant CYP3A4-inhibitors or transporter inhibitors has been made more general including inhibitors for which there is no interaction data available but where significant interaction could be assumed, since an increased risk can be expected for all potent CYP3A4 or OATP1B1 inhibitors.
Slovenian: Poglavje 4.4 - Posebna opozorila in previdnostni ukrepi Seznam klinično pomembnih zaviralcev CYP3A4 ali zaviralcev prenašalcev je posplošen in vključuje tudi zaviralce, za katere ni razpoložljivih podatkov o interakciji, vendar se lahko domneva, da bi prišlo do pomembne interakcije, saj je povišano tveganje pričakovano pri vseh močnih zaviralcih CYP3A4 ali OATP1B1.
English: Discontinuation due to adverse reactions occurred in 5.2% of patients on atorvastatin compared to 4.0% of the patients on placebo.
Slovenian: Zdravljenje z atorvastatinom so zaradi neželenih učinkov prekinili pri 5,2 odstotka bolnikov ter pri 4.0 odstotka bolnikov, zdravljenih s placebom.
English: The main areas of disharmony which were addressed by the MAH related to the indication, posology, special warnings and precaution for use, interaction with other medicinal products, pregnancy and lactation, undesirable effects, pharmacodynamic properties, pharmacokinetic properties and preclinical safety data.
Slovenian: Glavna področja neskladnosti, ki jih je obravnaval imetnik dovoljenja za promet z zdravilom so se nanašala na indikacije, odmerjanje, posebna opozorila in previdnostne ukrepe, interakcijo z drugimi zdravili, nosečnost in dojenje, neželene učinke, farmakodinamične lastnosti, farmakokinetične lastnosti in predklinične podatke o varnosti.
English: Use in the elderly
Slovenian: Uporaba pri starejših bolnikih:
English: The following wording was agreed by the CHMP: ‘{PRODUCT NAME} is contraindicated in patients:
Slovenian: CHMP je potrdil naslednje besedilo: „Zdravilo {IME ZDRAVILA} je kontraindicirano pri bolnikih:
English: Following agreement of the Statin Class wording by the PhVWP in November 2009, the agreed text has been included.
Slovenian: V skladu s sklepom delovne skupine za farmakovigilanco o izrazoslovju za razrede statinov iz novembra 2009 je bilo vključeno usklajeno besedilo.
English: The following wording was agreed by the CHMP:
Slovenian: CHMP je potrdil naslednje besedilo:
English: ‘Renal impairment No adjustment of dose is required (see section 4.4).
Slovenian: „Okvara ledvic Prilagajanje odmerka ni potrebno (glejte poglavje 4.4).
English: - during pregnancy, while breast-feeding and in women of child-bearing potential not using appropriate contraceptive measures (see section 4.6).'
Slovenian: - pri nosečnicah, doječih materah in ženskah v rodni dobi, ki ne uporabljajo ustreznih kontracepcijskih sredstev (glejte poglavje 4.6).“
English: - with hypersensitivity to the active substance or to any of the excipients of this medicinal product
Slovenian: - ki so preobčutljivi za zdravilno učinkovino ali katerokoli pomožno snov v tem zdravilu
English: Contraindications with regard to drug interactions were not included in this section as it is addressed in section 4.5.
Slovenian: Kontraindikacije glede interakcije z drugimi zdravili v to poglavje niso bile vključene, saj so navedene v poglavju 4.5.
English: The four cut-off ranges as proposed by the MAH take into account the dose proportional increase in AUC exposure over the 1080 mg atorvastatin dose range and the available strengths (10, 20, 40, and 80 mg) of atorvastatin tablets.
Slovenian: Štiri mejne vrednosti, ki jih je predlagal imetnik dovoljenja za promet z zdravilom, upoštevajo vpliv na izpostavljenost AUC pri sorazmernem povečanju odmerka v razponu od 10 do 80 mg atorvastatina in razpoložljivih jakostih tablet atorvastatina (10, 20, 40 in 80 mg).
English: The MAH considered it important that physicians be aware of the potential increased risk in this population and monitor these patients for skeletal muscle effects, and a cross-reference to section 4.4 has been added referring to precautionary information regarding patient history of renal impairment as a potential risk factor for development of rhabdomyolysis and recommending closer monitoring for muscle symptoms.
Slovenian: Imetnik dovoljenja za promet z zdravilom je menil, da je pomembno, da se zdravniki zavedajo možnega povišanega tveganja pri tej populaciji in pri bolnikih spremljajo vpliv na skeletne mišice, dodano pa je bilo tudi navzkrižno sklicevanje na poglavje 4.4, ki se nanaša na previdnostne informacije glede anamneze okvarjenega delovanja ledvic, ki je lahko možen dejavnik tveganja za razvoj rabdomiolize, in vsebuje priporočilo za natančnejše nadziranje mišičnih simptomov.
English: Section 4.5- Interaction with other medicinal products and other forms of interaction For pharmacokinetic interactions, introductory information has been retained in the text, whilst the interaction information as well as the corresponding clinical recommendation such as cut-off values for special dosage recommendations or other recommendations has been included.
Slovenian: Poglavje 4.5 - Medsebojno delovanje z drugimi zdravili in druge oblike interakcij Podatki o farmakokinetičnih interakcijah so bili v besedilu ohranjeni, vključeni pa so bili podatki o interakcijah in ustrezna klinična priporočila, na primer priporočila o mejnih vrednostih za posebne odmerke ali druga priporočila.
English: There is no evidence to support a particular timeframe by which to discontinue atorvastatin treatment prior to conception.
Slovenian: Dokazov, ki bi podprli določeno časovno obdobje, v katerem bi bilo treba pred zanositvijo prekiniti zdravljenje z atorvastatinom, ni.
English: The MAH's proposal regarding hypercholesterolaemia indications were mostly supported except for the proposal to include the wording that: ‘Lipitor also raises HDL-cholesterol and lowers the LDL/HDL and total cholesterol/HDL ratios'.
Slovenian: Predlogi imetnika dovoljenja za promet z zdravilom glede indikacije hiperholesterolemije so bili v večini podprti, razen predloga za vključitev besedila: „Zdravilo Lipitor tudi zvišuje raven HDL-holesterola in zmanjšuje razmerje LDL/HDL in razmerje skupni holesterol/HDL“.
English: The MAH has submitted supporting data and arguments relating to these main areas, which have been assessed and considered acceptable by the CHMP.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predložil podatke v podporo in utemeljitev teh glavnih področij, CHMP pa je podatke in utemeljitev ovrednotil in menil, da so sprejemljivi.
English: The dose should be individualised according to baseline LDL-C levels, the goal of therapy, and patient response.
Slovenian: Odmerek je potrebno prilagoditi posamezniku v skladu z izhodiščno ravnjo LDL-holesterola, ciljem terapije in bolnikovim odzivom.
English: {PRODUCT NAME} is contraindicated in patients with active liver disease (see section 4.3).
Slovenian: Zdravilo {IME ZDRAVILA} je kontraindicirano pri bolnikih z aktivno boleznijo jeter (glejte poglavje 4.3).
English: As "insomnia" and "nightmares" have already been included in the SmPC and "memory loss" is found as "amnesia", additional terms were not considered to be necessary by the MAH, in order to fulfill the PhVWP Statin Class wording, and this proposal was accepted by the CHMP.
Slovenian: Ker sta izraza 'nespečnost' in 'nočne more' že bila vključena v povzetek glavnih značilnosti zdravila in ker je 'izguba spomina' navedena kot 'amnezija', je imetnik dovoljenja za promet z zdravilom menil, da dodatni izrazi za skladnost z izrazoslovjem za razrede statinov delovne skupine za farmakovigilanco niso potrebni, CHMP pa je potrdil ta predlog.
English: - The information derived from a compassionate use study in the homozygous familial hypercholesterolemia patient population has been moved to section 5.1 as suggested by the CHMP.
Slovenian: - Podatki, pridobljeni iz študij sočutne uporabe zdravila pri bolnikih s homozigotno družinsko hiperholesterolemijo, so bili v skladu s predlogom CHMP prestavljeni v poglavje 5.1.
English: Myopathy has not been included in the list of contraindications since no contraindication regarding myopathy was agreed for previous Art 30 procedures for pravastatin, simvastatin and fluvastatin.
Slovenian: Miopatija ni bila vključena na seznam kontraindikacij, saj pri predhodnih postopkih v skladu s členom 30 za pravastatin, simvastatin in fluvastatin ni bilo soglasja glede kontraindikacij pri miopatiji.
English: Paediatric use Paediatric use should only be carried out by specialists.
Slovenian: Uporaba pri otrocih Uporabo pri otrocih lahko predpišejo le pediatri.
English: The information that rare reports of congenital anomalies have been received following exposure to HMG-CoA reductase inhibitors has been included.
Slovenian: Vključeni so bili tudi podatki o prejetih poročilih glede prirojenih nepravilnostih po izpostavljenosti zaviralcem reduktaze HMG-CoA.
English: Regarding the time of medication intake and meals, the information is taken from the MRP SmPC, where it is recommended that each daily dose is given all at once, and at any time of the day, with or without food.
Slovenian: Podatki glede časa jemanja zdravila in obrokov so vzeti iz povzetka glavnih značilnosti zdravila iz postopka z medsebojnim priznavanjem, kjer je priporočeno, da se dnevni odmerek zdravila da naenkrat, kadarkoli v dnevu, s hrano ali brez nje.
English: ‘Hypercholesterolaemia ‘{PRODUCT NAME} is indicated as an adjunct to diet for reduction of elevated total cholesterol (totalC), LDL-cholesterol (LDL-C), apolipoprotein B, and triglycerides in patients with primary hypercholesterolaemia including familial hypercholesterolaemia (heterozygous variant) or combined (mixed) hyperlipidaemia (Corresponding to Types IIa and IIb of the Fredrickson classification) when response to diet and other nonpharmacological measures is inadequate.
Slovenian: „Hiperholesterolemija „Zdravilo {IME ZDRAVILA} je indicirano kot dodatek k dieti za znižanje povišane ravni skupnega holesterola, LDL holesterola, apolipoproteina B in trigliceridov pri bolnikih s primarno hiperholesterolemijo, vključno z družinsko hiperholesterolemijo (heterozigotna varianta) ali kombinirano (mešano) hiperlipidemijo (ki ustreza tipoma IIa in IIb po Fredricksonovi klasifikaciji), kadar je odziv na dieto in druge nefarmakološke ukrepe neustrezen.
English: The remaining undesirable effects mentioned in the PhVWP Statin Class wording have also been included.
Slovenian: Vključeni so bili tudi preostali navedeni neželeni učinki v skladu z izrazoslovjem za razrede statinov delovne skupine za farmakovigilanco.
English: The patient should be placed on a standard cholesterol-lowering diet before receiving {PRODUCT NAME} and should continue on this diet during treatment with {PRODUCT NAME}.
Slovenian: Bolnik mora pred jemanjem zdravila {IME ZDRAVILA} pričeti s standardno dieto za zniževanje ravni holesterola in z njo nadaljevati med zdravljenjem z zdravilom {IME ZDRAVILA}.
English: Heterozygous familial hypercholesterolaemia
Slovenian: Heterozigotna družinska hiperholesterolemija
English: - A review of the MAH's clinical trial data did not reveal a muscle safety concern in the renal impairment population and a review of the medical literature suggested that statins can be used safely in patients with chronic kidney disease (CKD).
Slovenian: - Pregled podatkov imetnika dovoljenja za promet z zdravilom, pridobljenih iz kliničnih preskušanj, ne zbuja zadržkov glede varnosti mišic pri bolnikih z okvarjenim delovanjem ledvic, pregled medicinske literature pa kaže, da je uporaba statinov pri bolnikih s kronično boleznijo ledvic varna.
English: The MAH has provided satisfactory justification for the proposed atorvastatin dosing recommendations associated with the specific fold-increases of atorvastatin exposure during coadministration with the interacting drugs.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predložil ustrezno utemeljitev za predlagana priporočila glede odmerjanja atorvastatina v zvezi s specifičnimi večkratnimi povečanji izpostavljenosti atorvastatinu med sočasno uporabo z drugimi zdravili z medsebojnim vplivom.
English: The proposed SmPC changes were based on data from the Anglo-Scandinavian Cardiac Outcomes Trial - Lipid-Lowering Arm (ASCOT-LLA), and the Collaborative Atorvastatin Diabetes Study (CARDS).
Slovenian: Predlagane spremembe povzetka glavnih značilnosti zdravila temeljijo na podatkih iz preskušanja ASCOT-LLA (Anglo-Scandinavian Cardiac Outcomes Trial - Lipid-Lowering Arm - Angleškoskandinavsko preskušanje rezultatov srčnih dogodkov - skupina za znižanje ravni lipidov) in študije CARDS (Collaborative Atorvastatin Diabetes Study - Skupna študija o atorvastatinu in sladkorni bolezni, CARDS).
English: Atorvastatin should be used as an adjunct to other lipid-lowering treatments (e.g. LDL apheresis) in these patients or if such treatments are unavailable.
Slovenian: Pri teh bolnikih je treba atorvastatin uporabljati kot dodatek k drugim vrstam zdravljenja za znižanje ravni lipidov (na primer LDL-afereze) ali če druge vrste zdravljenja niso na voljo.
English: For the hypercholesterolaemia indication, the MAH proposes removing the additional text around guidelines.
Slovenian: Imetnik dovoljenja za promet z zdravilom za indikacijo hiperholesterolemije priporoča izbris dodatnega besedila pri smernicah.
English: Hepatic impairment {PRODUCT NAME} should be used with caution in patients with hepatic impairment (see sections 4.4 and 5.2).
Slovenian: Pri bolnikih z okvaro jeter je treba zdravilo {IME ZDRAVILA} uporabljati previdno (glejte poglavji 4.4 in 5.2).
English: Clinical particulars
Slovenian: Klinični podatki
English: - The MAH has followed the request by the CHMP to include a recommendation for caution for patients with hepatic impairment in section 4.2, with cross references to sections 4.4 and 5.2 of the harmonised SmPC.
Slovenian: - Imetnik dovoljenja za promet z zdravilom je upošteval zahtevo CHMP in v poglavje 4.2 vključil priporočilo za posebno previdnost pri bolnikih z okvarjenim delovanjem jeter z navzkrižnim sklicevanjem na poglavji 4.4 in 5.2 usklajenega povzetka glavnih značilnosti zdravila.
English: The MAH has used the MRP text as the harmonised SmPC including the proposed harmonised wording for special populations such as the elderly, paediatrics, gender differences, patients with renal and hepatic insufficiency and SLOC1B1 polymorphism (and its effects on atorvastatin exposure) have been included.
Slovenian: Imetnik dovoljenja za promet z zdravilom je uporabil besedilo iz postopka z medsebojnim priznavanjem kot usklajeni povzetek glavnih značilnosti zdravila in vključil predlagano usklajeno besedilo za posebne populacije, kot so starejši bolniki, otroci, bolniki z ledvično in jetrno insuficienco, ter za razlike med spoloma in polimorfizem SLOC1B1 (in njegove učinke na izpostavljenost atorvastatinu).
English: Hypercholesterolemia
Slovenian: Hiperholesterolemija
English: The MAH conducted a review of the pooled data from the 17 completed placebo-controlled clinical trials in the atorvastatin clinical trial database as of June 24, 2008, when the review was initiated.
Slovenian: Imetnik dovoljenja za promet z zdravilom je po začetku pregleda dne 24. junija 2008 pregledal kumulativne podatke 17 zaključenih, s placebom nadzorovanih kliničnih preskušanj iz zbirke podatkov kliničnih preskušanj z atorvastatinom.
English: Lower starting doses of atorvastatin for potent CYP3A4 inhibitors and lower maximum doses of atorvastatin for both potent and moderate CYP3A4 inhibitors have been recommended as requested by the CHMP.
Slovenian: V skladu z zahtevo CHMP so bili priporočeni manjši začetni odmerki atorvastatina za močne zaviralce CYP3A4 ter manjši največji odmerki atorvastatina za močne in zmerne zaviralce CYP3A4.
English: A contraindication in patients during pregnancy, while breast-feeding and in women of child-bearing potential not using appropriate contraceptive measures was included.
Slovenian: Vključena je bila kontraindikacija za nosečnice, doječe matere in ženske v rodni dobi, ki ne uporabljajo ustreznih kontracepcijskih sredstev.
English: Section 4.2 - Posology and method of administration No differences are made in dosing recommendations for the treatment of hypercholesterolaemia related to the starting dose regimen and the dose titration in 4 week intervals.
Slovenian: Pri priporočilih za odmerjanje ni nobenih razlik med začetnim režimom odmerjanja pri zdravljenju hiperholesterolemije in titracijo odmerka v štiri tedenskih intervalih.
English: • the scope of the referral was the harmonisation of the summary of products characteristics, labelling and package leaflet
Slovenian: • Napotitveni postopek je obsegal uskladitev povzetka glavnih značilnosti zdravila, označevanja in navodila za uporabo.
English: The CHMP agreed with the MAH's proposal.
Slovenian: CHMP se je strinjal s predlogom imetnika dovoljenja za promet z zdravilom.
English: {PRODUCT NAME} is also indicated to reduce total-C and LDL-C in patients with homozygous familial hypercholesterolaemia as an adjunct to other lipid-lowering treatments (e.g. LDL apheresis) or if such treatments are unavailable.'
Slovenian: Zdravilo {IME ZDRAVILA} je indicirano tudi za zniževanje ravni skupnega holesterola in LDL-holesterola pri bolnikih s homozigotno družinsko hiperholesterolemijo kot dodatek k drugim vrstam zdravljenja za znižanje ravni lipidov (na primer LDL-afereze) ali če druge vrste zdravljenja niso na voljo.“
English: The adverse events in the database were all mapped to MedDRA dictionary terms.
Slovenian: Vsi neželeni učinki v zbirki podatkov so bili navedeni v skladu s seznamom izrazov MedDRA.
English: Summaries of the studies investigating the effect of atorvastatin on Atherosclerosis (REVERSAL study), Acute Coronary Syndrome (MIRACL trial), the Prevention of Cardiovascular Disease (ASCOT-LLA and CARDS trials), Recurrent Stroke (SPARCL study) were included.
Slovenian: Vključeni so bili povzetki študij, ki so proučevale učinek atorvastatina na aterosklerozo (študija REVERSAL), na akutni koronarni sindrom (preskušanje MIRACL), preprečevanje kardiovaskularne bolezni (preskušanji ASCOT-LLA in CARDS) in ponavljajoče kapi (študija SPARCL) V to poglavje so bili vključeni tudi podatki iz študije sočutne uporabe zdravila pri bolnikih s homozigotno družinsko hiperholesterolemijo.
English: This review identified a number of new adverse events that have been added to the atorvastatin CDS and hence also to the SmPC, as well as some changes to the frequencies of existing adverse events.
Slovenian: Med pregledom so odkrili vrsto novih neželenih učinkov, ki so jih dodali na podatkovni list s temeljnimi podatki in posledično v povzetek glavnih značilnosti zdravila, ter spremembe pogostosti pojavljanja obstoječih neželenih učinkov.
English: Hence, the MAH has not included this wording in the proposed harmonised SmPC.
Slovenian: Zato imetnik dovoljenja za promet z zdravilom tega besedila ni vključil v predlagani usklajeni povzetek glavnih značilnosti zdravila.
English: The temporary suspension of atorvastatin during fusidic acid therapy has been included in line with the Type II MRP variation (DE/H/0109/001- 004/II/094).
Slovenian: V skladu z variacijo tipa II po postopku z medsebojnim priznavanjem (DE/H/0109/001-004/II/094) je bila vključena tudi začasna prekinitev uporabe atorvastatina med zdravljenjem s fusidno kislino.
English: The MAH proposes the inclusion of the contraindication in patients during pregnancy, while breastfeeding and in women of childbearing potential not using appropriate contraceptive measures with a cross reference to section 4.3 of the SmPC.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predlagal vključitev kontraindikacije za nosečnice, doječe matere in ženske v rodni dobi, ki ne uporabljajo ustreznih kontracepcijskih sredstev, z navzkrižnim sklicevanjem na poglavje 4.3 povzetka glavnih značilnosti zdravila.
English: The information in Section 4.5 (text and table formats) has been rearranged such that drug interactions are now grouped under either “Effect of co-administered drugs on atorvastatin” or “Effect of atorvastatin on co-administered drugs.” As requested by the CHMP, the MAH has included mechanistic information and extrapolations.
Slovenian: Podatki v poglavju 4.5 (v obliki besedila in preglednic) so bili preurejeni tako, da so interakcije z drugimi zdravili zdaj navedene skupaj v odstavku „Vpliv sočasne uporabe drugih zdravil na atorvastatin“ ali „Vpliv atorvastatina na druga sočasno uporabljena zdravila“.