FrancophonIA/ELRC3.0 huggingface dataset:
English: Additional clinical experience has been generated with Kyprolis monotherapy in patients with relapsed and refractory multiple myeloma.
Slovenian: Dodatne klinične izkušnje je prinesla monoterapija z zdravilom Kyprolis pri bolnikih z recidivnim in refraktarnim diseminiranim plazmocitomom.
English: Female patients of child bearing potential (and/or their partners) must use effective contraception measures during and for one month following treatment.
Slovenian: Ženske v rodni dobi (in/ali njihovi partnerji) morajo uporabljati učinkovito kontracepcijo med zdravljenjem in še en mesec po njem.
English: A cross-study comparison of the adverse reactions occurring in the Kyprolis and dexamethasone (Kd) arm of study 2011-003 vs the Kyprolis, lenalidomide and dexamethasone (KRd) arm of study PX-171-009 suggest that there may be a potential dose relationship for the following adverse reactions: cardiac failure (Kd 8.2%, KRd 6.4%), dyspnoea (Kd 30.9%, KRd 22.7%), hypertension (Kd 25.9%, KRd 15.8%), and pulmonary hypertension (Kd 1.3%, KRd 0.8%).
Slovenian: Medsebojna primerjava neželenih učinkov, ki so se pojavili v študiji 2011-003 v skupini z zdravilom Kyprolis in deksametazonom (Kd) in v študiji PX-171-009 v skupini z zdravilom Kyprolis, lenalidomidom in deksametazonom (KRd), kaže, da so z odmerkom morda lahko povezani sledeči neželeni učinki: srčno popuščanje (Kd 8,2 %, KRd 6,4 %), dispneja (Kd 30,9 %, KRd 22,7 %), hipertenzija (Kd 25,9 %, KRd 15,8 %) in pljučna hipertenzija (Kd 1,3 %, KRd 0,8 %).
English: Do not take Kyprolis if you are breast-feeding.
Slovenian: Ne jemljite zdravila Kyprolis, če dojite.
English: A 30 minute infusion resulted in a similar half-life and AUC, but 2- to 3-fold lower Cmax compared to that observed with a 2 to 10 minute infusion of the same dose.
Slovenian: Po 30-minutnem infundiranju sta bila razpolovni čas in AUC enaka, Cmax pa je bila 2- do 3-krat nižja kot po 2 do 10 minutnem infundiranju enakega odmerka.
English: Serious adverse reactions that may occur during Kyprolis treatment include: cardiac failure, myocardial infarction, cardiac arrest, myocardial ischaemia, interstitial lung disease, pneumonitis, acute respiratory distress syndrome, acute respiratory failure, pulmonary hypertension, dyspnoea, hypertension including hypertensive crises, acute kidney injury, tumour lysis syndrome, infusion related reaction, gastrointestinal haemorrhage, intracranial haemorrhage, pulmonary haemorrhage, thrombocytopenia, hepatic failure, hepatitis B virus reactivation, PRES, thrombotic microangiopathy and TTP/HUS.
Slovenian: Med resnimi neželenimi učinki, ki se lahko pojavijo med zdravljenjem z zdravilom Kyprolis, so: srčno popuščanje, miokardni infarkt, zastoj srca, ishemija miokarda, intersticijska bolezen pljuč, pnevmonitis, sindrom akutne dihalne stiske, akutna respiratorna insuficienca, pljučna hipertenzija, dispneja, hipertenzija, vključno s hipertenzivnimi krizami, akutna poškodba ledvic, sindrom lize tumorja, z infundiranjem povezana reakcija, gastrointestinalna krvavitev, intrakranialna krvavitev, pljučna krvavitev, trombocitopenija, odpoved jeter, ponovna aktivacija virusa hepatitisa B, PRES, trombotična mikroangiopatija in TTP/HUS.
English: Appropriate dose reduction for the starting dose of lenalidomide in patients with baseline renal impairment should be considered according to the recommendations in the lenalidomide summary of product characteristics.
Slovenian: Pri bolnikih z izhodiščno okvaro ledvic je potrebno upoštevati primerno zmanjšanje začetnega odmerka lenalidomida v skladu s priporočili v povzetku glavnih značilnosti lenalidomida.
English: The most common adverse reactions (occurring in > 20% of subjects) were: anaemia, fatigue, thrombocytopenia, nausea, diarrhoea, pyrexia, dyspnoea, respiratory tract infection, cough and neutropenia.
Slovenian: Najpogostejši neželeni učinki (pojavili so se pri > 20 % preiskovancev) so bili: anemija, utrujenost, trombocitopenija, navzea, driska, zvišana telesna temperatura, dispneja, okužba dihal, kašelj in nevtropenija.
English: • Feeling too hot
Slovenian: • občutek pretirane vročine,
English: • Headaches, confusion, seizures (fits), visual loss, and high blood pressure (hypertension), which may be symptoms of a neurologic condition known as posterior reversible encephalopathy syndrome (PRES).
Slovenian: • Glavoboli, zmedenost, epileptični krči (konvulzije), izguba vida in visok krvni tlak (hipertenzija); to so lahko simptomi nevrološke motnje, imenovane sindrom posteriorne reverzibilne encefalopatije (PRES).
English: • Urinary tract infection (infection of structures that carry urine)
Slovenian: • okužba sečil (okužba organov, ki proizvajajo in odvajajo urin),
English: Kyprolis is to be administered by intravenous infusion.
Slovenian: Zdravilo Kyprolis je treba uporabiti v intravenski infuziji.
English: This study evaluated Kyprolis at an initial dose of 20 mg/m2, which was increased to 56 mg/m2 on cycle 1, day 8, administered twice weekly for 3 out of 4 weeks as a 30 minute infusion until progression or unacceptable toxicity.
Slovenian: Ta študija je ocenila zdravilo Kyprolis v začetnem odmerku 20 mg/m2, ki so ga 8. dan 1. ciklusa povečali na 56 mg/m2, zdravilo pa so uporabljali v 30-minutni infuziji dvakrat na teden v 3 od 4 tednov do napredovanja bolezni ali nesprejemljivih toksičnih učinkov.
English: • Difficulty breathing, including shortness of breath at rest or with activity or a cough (dyspnoea), rapid breathing, feeling like you can't breathe in enough air, wheezing, or cough, which can be signs of lung toxicity
Slovenian: • Težko dihanje, vključno s kratko sapo v mirovanju ali med naporom ali kašelj (dispneja), hitro dihanje, občutek, da ne morete vdihniti dovolj zraka, piskajoče dihanje ali kašelj; to so lahko znaki toksičnega delovanja na pljuča.
English: Carfilzomib is eliminated primarily via metabolism with subsequent excretion of its metabolites in urine.
Slovenian: Karfilzomib se izloči predvsem s presnovo in poznejšim izločanjem presnovkov v urinu.
English: Acute renal failure was reported more frequently in patients with advanced relapsed and refractory multiple myeloma who received Kyprolis monotherapy.
Slovenian: Akutna odpoved ledvic je bila pogostejša pri bolnikih z napredovalim recidivnim ali refraktarnim diseminiranim plazmocitomom, ki so prejemali zdravilo Kyprolis v monoterapiji.
English: Patients who had the following were excluded from the trial: creatinine clearance rates < 15 mL/min, NYHA Class III to IV congestive heart failure, myocardial infarction within the last 4 months or those with left ventricular ejection fraction (LVEF) < 40%.
Slovenian: V preskušanje niso bili vključeni bolniki, ki so imeli kaj od naslednjega: hitrost očistka kreatinina < 15 ml/min, kongestivno srčno popuščanje v razredih III. oz. IV. po NYHA, miokardni infarkt v zadnjih 4 mesecih ali bolniki z iztisnim deležem levega prekata (LVEF) < 40 %.
English: If tolerated, the dose should be increased on day 8 of cycle 1 to 56 mg/m2 (maximum dose 123 mg).
Slovenian: Če bolnik ta odmerek ustrezno prenese, je treba 8. dan 1. ciklusa odmerek povečati na 56 mg/m2 (največji odmerek 123 mg).
English: Overall, the subject incidence of certain adverse events (including cardiac arrhythmias, cardiac failure (see section 4.4), dyspnoea, leukopenia and thrombocytopenia) in clinical trials with Kyprolis was higher for patients who were ≥ 75 years of age compared to patients who were < 75 years of age.
Slovenian: V celoti je bila incidenca določenih neželenih učinkov (med njimi motenj srčnega ritma, srčnega popuščanja (glejte poglavje 4.4), dispneje, levkopenije in trombocitopenije) v kliničnih preskušanjih z zdravilom Kyprolis večja med bolniki, starimi ≥ 75 let, kot med bolniki, starimi < 75 let.
English: Patients with New York Heart Association (NYHA) Class III and IV heart failure, recent myocardial infarction, and conduction abnormalities uncontrolled by medicinal products were not eligible for the clinical trials.
Slovenian: Bolniki, ki so imeli srčno popuščanje v razredih III. ali IV. po klasifikaciji Newyorškega združenja za srce (NYHA - New York Heart Association), nedaven miokardni infarkt ali prevodne motnje, neobvladane z zdravili, niso bili primerni za vključitev v klinična preskušanja.
English: • Fever, chills or shaking, joint pain, muscle pain, facial flushing, or swelling of the face, lips, tongue and/or throat which may cause difficulty breathing or swallowing (angioedema), weakness, shortness of breath, low blood pressure, fainting, chest tightness, or chest pain can occur as a reaction to the infusion
Slovenian: • Zvišana telesna temperatura, mrzlica ali tresenje, bolečine v sklepih, mišične bolečine, zardevanje obraza, oteklost obraza, ustnic, jezika in/ali grla, ki lahko povzroči težko dihanje ali požiranje (angioedem), šibkost, kratka sapa, nizek krvni tlak, omedlevica, tiščanje v prsnem košu ali bolečina v prsnem košu se lahko pojavijo kot reakcija na infuzijo.
English: At the higher dose of 56 mg/m2, there was not only a greater inhibition of CT-L subunits (≥ 90%) compared to those at 15 to 20 mg/m2, but also a greater inhibition of other proteasome subunits (LMP7, MECL1, and LMP2).
Slovenian: Z večjim odmerkom 56 mg/m2 so poleg večjega zavrtja podenot CT-L (≥ 90 %) v primerjavi z odmerki od 15 do 20 mg/m2 zabeležili tudi večje zavrtje drugih proteasomskih podenot (LMP7, MECL1 in LMP2).
English: Patients with moderate or severe renal impairment were enrolled in Kyprolis-dexamethasone combination studies, but were excluded from Kyprolis-lenalidomide combination studies.
Slovenian: Bolniki z zmerno ali hudo okvaro ledvic so bili vključeni v študije, v katerih so kombinirali zdravilo Kyprolis in deksametazon, vendar pa so bili izključeni iz študij, v katerih so kombinirali zdravilo Kyprolis in lenalidomid.
English: The disease status and other baseline characteristics were well-balanced between the two arms, including age (64 years, range 31-91 years), gender (56% male), ECOG performance status (48% with performance status 1), high-risk genetic mutations, consisting of the genetic subtypes t(4;14), t(14;16), or deletion 17p in ≥ 60% of plasma cells (13%), unknown-risk genetic mutations, which included subjects with results not collected or not analysed (47%), and baseline ISS stage III disease (20%).
Slovenian: Stanje bolezni in druge izhodiščne značilnosti so bile med obema skupinama dobro uravnotežene in sicer to velja za starost (64 let, razpon 31 - 91 let), spol (56 % moških), stanje zmogljivosti po ECOG (48 % s stanjem zmogljivosti 1), zelo tvegane mutacije genov, ki so obsegale genske podtipe t(4;14), t(14;16) ali delecijo 17p v ≥ 60 % plazmatk (13 %), mutacije genov z neznanim tveganjem, vključno z bolniki, pri katerih rezultati niso bili zbrani ali niso bili analizirani (47 %) in izhodiščno III. stadij bolezni po ISS (20 %).
English: • For subsequent drops to < 0.5 x 109/L, follow the same recommendations as above and consider 1 dose level reduction when restarting Kyprolisa
Slovenian: • Pri naslednjih znižanjih na < 0,5 x 109/l upoštevajte enaka priporočila kot zgoraj, ob ponovnem začetku uporabe zdravila Kyprolis pa razmislite o zmanjšanju odmerka za 1 ravena
English: In phase 3 clinical studies the incidence of adverse events of acute renal failure was higher in subjects with lower baseline creatinine clearance than that among subjects with higher baseline creatinine clearance.
Slovenian: V kliničnih študijah 3. faze je bila incidenca neželenih učinkov akutne odpovedi ledvic višja pri preiskovancih z nižjim izhodiščnim očistkom kreatinina kot med preiskovanci z višjim izhodiščnim očistkom kreatinina.
English: Kyprolis can be administered directly by intravenous infusion or optionally administered in an intravenous bag.
Slovenian: Zdravilo Kyprolis je mogoče uporabiti neposredno v intravenski infuziji, lahko pa se ga uporabi tudi v intravenski vrečki.
English: Thromboprophylaxis is recommended in patients being treated with Kyprolis in combination with dexamethasone or with lenalidomide and dexamethasone, and should be based on an assessment of the patient's underlying risks and clinical status.
Slovenian: Za bolnike, ki prejemajo zdravilo Kyprolis v kombinaciji z deksametazonom ali z lenalidomidom in deksametazonom, je priporočljiva tromboprofilaksa, ki mora temeljiti na oceni bolnikovih osnovnih tveganj in kliničnega stanja.
English: The PFS benefit of Kd was consistently observed in all subgroups, including patients ≥ 75 years of age (n = 143), patients with high risk (n = 210) genetic mutations, and patients with baseline creatinine clearance of 30 - < 50 mL/min (n = 128).
Slovenian: Korist Kd za PFS je bila dosledno opazna v vseh podskupinah, vključno z bolniki, starimi ≥ 75 let (n = 143), bolniki z genetskimi mutacijami z velikim tveganjem (n = 210) in bolniki z izhodiščnim očistkom kreatinina 30 - < 50 ml/min (n = 128).
English: The Cmax and AUC following a 2 to 10 minute intravenous infusion of 27 mg/m2 was 4,232 ng/mL and 379 ng•hr/mL, respectively.
Slovenian: Po 2 do 10 minutni intravenski infuziji odmerka 27 mg/m2 je bila Cmax 4.232 ng/ml in AUC 379 ng•hr/ml.
English: Other medicines and Kyprolis
Slovenian: Druga zdravila in zdravilo Kyprolis
English: PHARMACEUTICAL FORM Powder for solution for infusion.
Slovenian: FARMACEVTSKA OBLIKA Prašek za raztopino za infundiranje.
English: • Swollen ankles, feet or hands, loss of appetite, passing less urine, or abnormal blood test results, which may be symptoms of kidney problems or kidney failure
Slovenian: • Oteklost gležnjev, stopal ali dlani, izguba teka, izločanje manj urina ali nenormalni izvidi preiskav krvi; to so lahko simptomi težav z ledvicami ali odpovedi ledvic.
English: It is recommended to control hypertension prior to starting and during treatment.
Slovenian: Pred začetkom zdravljenja in med zdravljenjem je priporočljivo nadzorovati hipertenzijo.
English: The safety and efficacy of Kyprolis were evaluated in a phase 3, randomised, open-label, multicentre study of Kyprolis plus dexamethasone (Kd) versus bortezomib plus dexamethasone (Vd).
Slovenian: Varnost in učinkovitost zdravila Kyprolis so ocenili v randomizirani, odprti multicentrični študiji 3. faze z zdravilom Kyprolis v kombinaciji z deksametazonom (Kd) v primerjavi s kombinacijo bortezomiba in deksametazona (Vd).
English: HR (95% CI); 1-sided p-valueb
Slovenian: HR (95 % IZ); 1-stranska p-vrednostb
English: Stop Kyprolis until TLS is resolved (see section 4.2).
Slovenian: Prekinite uporabo zdravila Kyprolis, dokler sindrom lize tumorja ne mine (glejte poglavje 4.2).
English: Kyprolis in combination with dexamethasone for the treatment of patients with relapsed multiple myeloma - study 2011-003 (ENDEAVOR)
Slovenian: Zdravilo Kyprolis v kombinaciji z deksametazonom za zdravljenje bolnikov z recidivnim diseminiranim plazmocitomom - študija 2011-003 (ENDEAVOR)
English: Kyprolis can make some conditions worse or cause serious side effects, which may be fatal, such as heart problems, lung problems, kidney problems, tumour lysis syndrome (a life-threatening condition that occurs when cancer cells break and release their content to the bloodstream), reactions to the Kyprolis infusion, unusual bruising or bleeding, (including internal bleeding), blood clots in your veins, liver problems, certain blood conditions, or a neurological condition known as PRES. See ‘Conditions you need to look out for' in section 4.
Slovenian: Zdravilo Kyprolis lahko poslabša nekatera stanja ali povzroči resne neželene učinke, ki so lahko smrtni, kot so težave s srcem, pljuči ali ledvicami, sindrom lize tumorja (življenjsko ogrožujoče stanje, ki se pojavi, ko rakave celice odmrejo in sprostijo svojo vsebino v krvni obtok), reakcije na infundiranje zdravila Kyprolis, nenavadne podplutbe ali krvavitve (vključno z notranjimi krvavitvami), krvnimi strdki v venah, težave z jetri, določene krvne motnje ali nevrološka motnja, imenovana PRES (sindrom posteriorne reverzibilne encefalopatije).
English: Dehydration Hyperkalaemia Hypomagnesaemia Hyponatraemia Hypercalcaemia Hypocalcaemia Hypophosphataemia Hyperuricaemia Hypoalbuminaemia
Slovenian: Presnovne in prehranske motnje hipokaliemija hiperglikemija zmanjšanje apetita dehidracija hiperkaliemija hipomagneziemija hiponatriemija hiperkalciemija hipokalciemija hipofosfatemija hiperurikemija hipoalbuminemija sindrom lize tumorja
English: Cases of thrombotic microangiopathy, including thrombotic thrombocytopenic purpura and haemolytic uraemic syndrome (TTP/HUS) have been reported in patients who received Kyprolis.
Slovenian: Med zdravljenjem z zdravilom Kyprolis so poročali o primerih trombotične mikroangiopatije, vključno s trombotično trombocitopenično purpuro in hemolitično-uremičnim sindromom (TTP/HUS - thrombotic thrombocytopenic purpura and haemolytic uraemic syndrome).
English: • Redness of the skin
Slovenian: • srbenje kože,
English: White to off-white lyophilised powder.
Slovenian: Bel ali skoraj bel liofiliziran prašek.
English: • Pain in limbs, hands or feet
Slovenian: • bolečine v okončinah, dlaneh ali stopalih,
English: Carfilzomib was rapidly and extensively metabolised.
Slovenian: Karfilzomib se hitro in v veliki meri presnovi.
English: A pre-planned second interim OS analysis was performed after 189 deaths in the Kd arm and 209 deaths in the Vd arm. At the time of the analysis, 80% of the targeted events were registered.
Slovenian: Predhodno načrtovana druga vmesna analiza celokupnega preživetja je bila opravljena po 189 smrtih v skupini Kd in 209 smrtih v skupini Vd.
English: Kyprolis will be given as an infusion into a vein.
Slovenian: Zdravilo Kyprolis boste dobili kot infuzijo v veno.
English: By preventing the breakdown of proteins in cancer cells, which are more likely to contain more abnormal proteins, Kyprolis causes the death of cancer cells.
Slovenian: Zdravilo Kyprolis povzroči odmrtje rakavih celic, tako da prepreči razgradnjo beljakovin v rakavih celicah, ki bolj verjetno vsebujejo več neobičajnih beljakovin.
English: As Kyprolis is administered in combination with other medicinal products, the summary of product characteristics of these other medicinal products must be consulted prior to initiation of treatment with Kyprolis.
Slovenian: Ker je zdravilo Kyprolis uporabljeno v kombinaciji z drugimi zdravili, je potrebno pred uvedbo zdravljenja z zdravilom Kyprolis pogledati informacije o teh zdravilih v njihovih povzetkih glavnih značilnosti zdravila.
English: Serious adverse events related to worsening renal function were more common in subjects with baseline renal dysfunction (see section 4.2).
Slovenian: Resni neželeni učinki, povezani s poslabšanjem delovanja ledvic, so bili pri bolnikih z izhodiščno motenim delovanjem ledvic pogostejši (glejte poglavje 4.2).
English: PFS months median (95% CI)a
Slovenian: Mediana mesecev PFS (95 % IZ)a
English: • Inflammation of the nose and throat
Slovenian: • vnetje nosu in žrela,
English: The study showed significant improvement in PFS for patients in the Kd arm over those in the Vd arm (HR: 0.53, 95% CI: 0.44, 0.65 [p value < 0.0001]) (see figure 3).
Slovenian: Študija je pokazala značilno boljše preživetje brez napredovanja bolezni (PFS) pri bolnikih v skupini Kd kot pri bolnikih v skupini Vd (HR: 0,53, 95 % IZ: 0,44, 0,65 [p-vrednost < 0,0001]) (glejte sliko 3).
English: The second study was conducted in 23 relapsed multiple myeloma patients with creatinine clearance ≥ 75 mL/min (n = 13) and patients with end stage renal disease (ESRD) requiring dialysis (n = 10).
Slovenian: Drugo študijo so izvedli pri 23 bolnikih z recidivom diseminiranega plazmocitoma in očistkom kreatinina ≥ 75 ml/min (n = 13) in bolnikih s končno odpovedjo ledvic, ki so potrebovali dializno zdravljenje (n = 10).
English: Similar PFS results were observed in patients who had received prior treatment with bortezomib (HR 0.56, 95% CI: 0.44, 0.73) and patients who had not received prior treatment with bortezomib (HR 0.48, 95% CI: 0.36, 0.66).
Slovenian: Rezultati PFS so bili podobni pri bolnikih, ki so predhodno prejemali bortezomib (HR 0,56, 95 % IZ: 0,44, 0,73), in tistih, ki ga predhodno niso prejemali (HR 0,48, 95 % IZ: 0,36, 0,66).
English: Kyprolis, as a single agent, was administered intravenously over 2 to 10 minutes at doses up to 20 mg/m2.
Slovenian: Zdravilo Kyprolis so kot monoterapijo uporabili intravensko v 2 do 10 minutah v odmerkih do 20 mg/m2.
English: Baseline hepatic function status had no marked effect on the total systemic exposure (AUClast) of carfilzomib following single or repeat-dose administration (geometric mean ratio in AUClast at the 27 mg/m2 dose in cycle 1, day 16 for mild and moderate impairment versus normal hepatic function were 144.4% and 126.1%, respectively; and at the 56 mg/m2 dose in cycle 2, day 1 were 144.7% and 121.1%).
Slovenian: Izhodiščno stanje delovanja jeter ni izrazito vplivalo na celotno sistemsko izpostavljenost (AUClast) karfilzomibu po enkratnem in po ponavljajočih se odmerkih (geometrična sredina razmerja AUClast ob odmerku 27 mg/m2 16. dan 1. ciklusa v primerjavi z normalnim delovanjem jeter je bila pri blagi okvari jeter 144,4 % in pri zmerni okvari 126,1 %, ob odmerku 56 mg/m2 1. dan 2. ciklusa pa pri blagi okvari 144,7 % in pri zmerni okvari
English: Patients with moderate or severe hepatic impairment were excluded from Kyprolis studies in combination with either lenalidomide and dexamethasone or dexamethasone alone.
Slovenian: Bolniki z zmerno ali hudo okvaro jeter niso bili vključeni ne v študije zdravila Kyprolis v kombinaciji z lenalidomidom in deksametazonom ali v kombinaciji s samim deksametazonom.
English: • For subsequent drops to < 10 x 109/L, follow the same recommendations as above and consider 1 dose level reduction when restarting Kyprolisa
Slovenian: • Pri naslednjih znižanjih na < 10 x 109/l upoštevajte enaka priporočila kot zgoraj, ob ponovnem začetku uporabe zdravila Kyprolis pa razmislite o zmanjšanju odmerka za 1 ravena
English: Cardiac disorders are known adverse drug reactions of carfilzomib.
Slovenian: Srčne bolezni so znan neželeni učinek karfilzomiba.
English: Nonetheless, considering the fast elimination of carfilzomib, notably a rapid decline in systemic concentration 5 minutes after the end of infusion, the risk of clinically relevant interactions with substrates of OATP1B1 and UGT1A1 is probably low.
Slovenian: Vseeno je tveganje za klinično pomembne interakcije s substrati OATP1B1 in UGT1A1 verjetno nizko, če upoštevamo hitro izločanje karfilzomiba, zlasti hitro znižanje sistemske koncentracije 5 minut po koncu infuzije.
English: Kyprolis is a medicine that contains the active substance carfilzomib.
Slovenian: Zdravilo Kyprolis vsebuje učinkovino karfilzomib.
English: If tolerated, the dose should be increased on day 8 of cycle 1 to 27 mg/m2 (maximum dose 60 mg).
Slovenian: Če bolnik ta odmerek ustrezno prenese, je treba 8. dan 1. ciklusa odmerek povečati na 27 mg/m2 (največji odmerek 60 mg).
English: Acute respiratory distress syndrome (ARDS), acute respiratory failure, and acute diffuse infiltrative pulmonary disease such as pneumonitis and interstitial lung disease have occurred in patients receiving Kyprolis.
Slovenian: Med zdravljenjem z zdravilom Kyprolis so se pojavili sindrom akutne dihalne stiske (ARDS - Acute Respiratory Distress Syndrome), akutna dihalna odpoved in akutna infiltrativna pljučna bolezen, na primer pnevmonitis in intersticijska bolezen pljuč.
English: No starting dose adjustment for Kyprolis is recommended in patients with baseline mild, moderate, or severe renal impairment or patients on chronic dialysis based on available pharmacokinetic data (see section 5.2).
Slovenian: Na podlagi razpoložljivih farmakokinetičnih podatkov ni priporočeno prilagajanje začetnega odmerka zdravila Kyprolis pri bolnikih z izhodiščno blago, zmerno ali hudo okvaro ledvic ter pri bolnikih na kronični dializi (glejte poglavje 5.2).
English: • Very high blood pressure, severe chest pain, severe headache, confusion, blurred vision, nausea and vomiting, or severe anxiety, which may be signs of a condition known as hypertensive crisis
Slovenian: • Zelo visok krvni tlak, huda bolečina v prsnem košu, hud glavobol, zmedenost, zamegljen vid, slabost v želodcu in bruhanje ali huda tesnobnost; to so lahko znaki motnje, imenovane hipertenzivna kriza.