FrancophonIA/ELRC3.0 huggingface dataset:
English: While you take Envarsus your doctor also needs to know if you are taking potassium supplements or certain diuretics used for heart failure, hypertension and kidney disease (e.g. amiloride, triamterene, or spironolactone), nonsteroidal anti-inflammatory substances (NSAIDs, e.g. ibuprofen) used for fever, inflammation and pain, anticoagulants (blood thinners), or oral medicines for diabetes.
Danish: Mens du tager Envarsus, skal din læge også vide det, hvis du tager kaliumtilskud eller visse typer vanddrivende medicin, der anvendes mod hjertesvigt, forhøjet blodtryk eller nyresygdom (f.eks. amilorid, triamteren eller spironolakton), ikke-steroide betændelseshæmmende lægemidler (NSAID'er, f.eks. ibuprofen), der anvendes mod feber, betændelse og smerter, blodfortyndende lægemidler (antikoagulantia) eller orale lægemidler mod sukkersyge.
English: In all, there appears to be no significant difference in the pattern of adverse events suspected to be causally related to study drug between once daily Envarsus and tacrolimus immediate-release capsules (Prograf).
Danish: Hos alle lader der ikke til at være nogen signifikant forskel i mønsteret af bivirkninger, som formodes at være kausalt relateret til forsøgslægemidlet, mellem Envarsustabletter, der indtages én gang dagligt og tacrolimus-kapsler med øjeblikkelig udløsning (Prograf).
English: Metabolism and nutrition disorders diabetes mellitus, hyperglycaemic conditions, hyperkalaemia anorexia, metabolic acidoses, other electrolyte abnormalities, hyponatraemia, fluid overload, hyperuricaemia, hypomagnesaemia, hypokalaemia, hypocalcemia, appetite decreased, hypercholesterolaemia, hyperlipidaemia, hypertriglyceridaemia, hypophosphateaemia dehydration, hypoglycaemia, hypoproteinaemia, hyperphosphataemia
Danish: Metabolisme og ernæring diabetes mellitus, hyperglykæmiske tilstande, hyperkaliæmi anoreksi, metabolisk acidose, andre elektrolytforstyrrelser, hyponatræmi, overhydrering, hyperurikæmi, hypomagnesiæmi, hypokaliæmi, hypokalcæmi, nedsat appetit, hyperkolesterolæmi , hyperlipidæmi, hypertriglyceridæmi, hypofosfatæmi dehydrering, hypoglykæmi, hypoproteinæmi, hyperfosfatæmi
English: Very common side effects (may affect more than 1 in 10 people): - increased blood sugar, diabetes mellitus, increased potassium in the blood - difficulty in sleeping - trembling, headache - increased blood pressure - liver function tests abnormal - diarrhoea, nausea - kidney problems
Danish: Meget almindelige bivirkninger (kan forekomme hos flere end 1 ud af 10 behandlede): - Forhøjet blodsukker, sukkersyge, øget kalium i blodet - Søvnproblemer - Rysten, hovedpine - Forhøjet blodtryk - Unormal leverfunktionstest - Diarré, kvalme - Nyreproblemer
English: Factors such as low haematocrit and protein levels, which result in an increase in the unbound fraction of tacrolimus, or corticosteroid-induced increased metabolism, are considered to be responsible for the higher clearance rates observed following transplantation.
Danish: Den øgede clearance, der observeres efter transplantation, anses for at skyldes faktorer som f.eks. lave hæmatokrit- og proteinniveauer, som medfører en øget ubunden fraktion af tacrolimus, eller kortikosteroidinduceret øget metabolisme.
English: What Envarsus is and what it is used for 2.
Danish: Virkning og anvendelse 2.
English: Medication errors, including inadvertent, unintentional or unsupervised substitution of immediate- or prolonged-release tacrolimus formulations, have been observed with tacrolimus.
Danish: Medicineringsfejl, herunder utilsigtet, uforsætlig eller uovervåget substitution af tacrolimusformuleringer med øjeblikkelig udløsning eller depottabletter, er observeret med tacrolimus.
English: Among the most frequent adverse reactions (at least in 2% of patients) in clinical studies in liver transplant patients receiving Envarsus were tremor, headache, fatigue, hyperkalaemia, hypertension, renal failure, blood creatinine increased, dizziness, hepatitis C, muscle spasms, tinea infection, leukopenia, sinusitis, and upper respiratory tract infections (URTI), all of which are known to occur in the respective patient population under immunosuppressive treatment.
Danish: Blandt de hyppigste bivirkninger (hos mindst 2 % af patienter) i kliniske studier med levertransplanterede patienter, der fik Envarsus, var tremor, hovedpine, træthed, hyperkaliæmi, hypertension, nyresvigt, forhøjet blodkreatinin, svimmelhed, hepatitis C, muskelkramper, tineainfektion, leukopeni, sinusitis og infektion i de øvre luftveje, som alle vides at forekomme hos den pågældende patientpopulation i immunsuppressiv behandling.
English: Envarsus contains lactose
Danish: Envarsus indeholder lactose
English: Gastrointestinal disorders diarrhoea, nausea gastrointestinal signs and symptoms, vomiting, gastrointestinal and abdominal pains, gastrointestinal inflammatory conditions, gastrointestinal haemorrhages, gastrointestinal ulceration and perforation, ascites, stomatitis and ulceration, constipation, dyspeptic signs and symptoms, flatulence, bloating and distension, loose stools acute and chronic pancreatitis, peritonitis, ileus paralytic, gastrooesophageal reflux disease, impaired gastric emptying pancreatic pseudocyst, subileus
Danish: Mave-tarmkanalen diarré, kvalme gastrointestinale tegn og symptomer, opkastning, gastrointestinale og abdominalsmerter, gastrointestinale betændelsestilstande, gastrointestinale blødninger, gastrointestinal ulceration og perforation, ascites, stomatitis og ulceration, obstipation, dyspeptiske tegn og symptomer, flatulens, oppustethed og udspilethed, løs afføring akut og kronisk pankreatitis, peritonitis, paralytisk ileus, gastroøsofageal reflukssygdom, nedsat ventrikeltømning pseudocyster i pancreas, subileus
English: Medication errors, including inadvertent, unintentional or unsupervised substitution of immediate- or prolonged-release tacrolimus formulations, have been observed.
Danish: Medicineringsfejl, herunder utilsigtet, uforsætlig eller uovervåget substitution af tacrolimusformuleringer med øjeblikkelig udløsning eller depottabletter, er observeret.
English: As the pharmacokinetics of tacrolimus are unaffected by renal function (see section 5.2), no dose adjustment is required.
Danish: Da tacrolimus' farmakokinetik er upåvirket af nyrefunktionen (se pkt.
English: Endocrine disorders hirsutism
Danish: Det endokrine system hirsutisme
English: - medicines known as “statins”, used to treat elevated cholesterol and triglycerides - phenytoin or phenobarbital, used to treat epilepsy - prednisolone and methylprednisolone, belonging to the class of corticosteroids and used to treat inflammations or suppress the immune system (e.g. in transplant rejection) - carbamazepine, used to prevent and control seizures - metamizole, used to treat pain and high fever - nefazodone, used to treat depression - herbal preparations containing St. John's Wort (Hypericum perforatum)
Danish: (ujævnt hjerteslag) - lægemidler kendt som “statiner”, der anvendes til behandling af forhøjet kolesteroltal og triglycerider - fenytoin eller fenobarbital, der anvendes til behandling af epilepsi - prednisolon og methylprednisolon, der tilhører gruppen af kortikosteroider og anvendes til at behandle betændelse og undertrykke immunforsvaret (f.eks. mod afstødning af transplantat) - carbamazepin, der anvendes til at forebygge og kontrollere krampeanfald - metamizol, der anvendes til behandling af smerter og høj feber - nefazodon, der anvendes til behandling af depression - naturlægemidler, der indeholder prikbladet perikum (Hypericum perforatum).
English: Nervous system disorders headache, tremor nervous system disorders seizures, disturbances in consciousness, peripheral neuropathies, dizziness, paraesthesias and dysaesthesias, writing impaired encephalopathy, central nervous system haemorrhages and cerebrovascular accidents, coma, speech and language ab-normalities, paralysis and paresis, amnesia hypertonia myasthenia
Danish: Nervesystemet hovedpine, tremor forstyrrelser i nervesystemet, krampeanfald, bevidsthedsforstyrrelser, perifer neuropati, svimmelhed, paræstesi og dysæstesi, nedsat evne til at skrive encefalopati, blødninger i centralnervesystemet, og slagtilfælde, koma, tale- og sprogforstyrrelser, paralyse og parese, amnesi hypertoni myasteni
English: Blood and lymphatic system disorders anaemia, thrombocytopenia, leukopenia, red blood cell analyses abnormal, leukocytosis coagulopathies, pancytopenia, neutropenia, coagulation and bleeding analyses, abnormal thrombotic thrombocytopenic purpura, hypoprothrombinaemia, thrombotic microangiopathy pure red cell aplasia, agranulocytosis, haemolytic anaemia
Danish: Blod og lymfesystem anæmi, trombocytopeni, leukopeni, abnorme analyser af røde blodlegemer, leukocytose koagulopatier, pancytopeni, neutropeni, abnorme analyser af koagulation og blødning trombotisk trombocytopenisk purpura, hypoprotrombinæmi, trombotisk mikroangiopati ren erytrocyt aplasi, agranulocytose, hæmolytisk anæmi
English: Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including medicines obtained without a prescription and herbal preparations.
Danish: Fortæl det altid til lægen eller apotekspersonalet, hvis du tager anden medicin eller har gjort det for nylig.
English: This medicinal product should only be prescribed, and changes in immunosuppressive therapy be initiated, by physicians experienced in immunosuppressive therapy and the management of transplant patients.
Danish: Kun læger med erfaring i immunsuppressiv behandling og behandling af transplanterede patienter må ordinere dette lægemiddel og initiere ændringer i den immunsuppressive behandling.
English: diltiazem and verapamil) - anti-arrhythmic substances (e.g. amiodarone) used to control arrhythmia (uneven beating of the heart)
Danish: nifedipin, nicardipin, diltiazem og verapamil) - lægemidler mod arytmi (f.eks. amiodaron), der anvendes til behandling af rytmeforstyrrelser
English: Tacrolimus is a known CYP3A4 inhibitor; thus, concomitant use of tacrolimus with medicinal products known to be metabolised by CYP3A4 may affect the metabolism of such medicinal products.
Danish: Derfor kan samtidig brug af tacrolimus med andre lægemidler, der vides at blive metaboliseret af CYP3A4, påvirke metabolismen af sådanne lægemidler.
English: Allograft transplant patients maintained on twice daily Prograf (immediate-release) or Advagraf (once daily) dosing requiring conversion to once daily Envarsus should be converted on a 1:0.7 (mg:mg)
Danish: Allograft-transplanterede patienter vedligeholdt på dosering med Prograf (øjeblikkelig udløsning) to gange dagligt eller Advagraf (én gang dagligt), som skal skifte til Envarsus én gang dagligt, skal skifte i forholdet 1:0,7 (mg:mg) total daglig dosis, så Envarsus-vedligeholdelsesdosen skal derfor være 30 % lavere end Prograf- eller Advagraf-dosen.
English: Envarsus blood levels can be affected by other medicines you take, and blood levels of other medicines can be affected by taking Envarsus, which may require interruption, an increase or a decrease in Envarsus dose.
Danish: Blodkoncentationer af Envarsus kan påvirkes af anden medicin, du tager, og koncentrationer af anden medicin kan påvirkes af at tage Envarsus.
English: Vascular disorders hypertension thromboembolic and ischaemic events, vascular hypotensive disorders, haemorrhage, peripheral vascular disorders venous thrombosis deep limb, shock, infarction
Danish: Vaskulære sygdomme hypertension tromboemboliske og iskæmiske hændelser, vaskulære hypotensive lidelser, blødning, perifere vaskulære lidelser dyb venetrombose, shock, infarkt
English: However, owing to the nephrotoxic potential of tacrolimus, careful monitoring of renal function is recommended (including serial serum creatinine concentrations, calculation of creatinine clearance, and monitoring of urine output).
Danish: Omhyggelig monitorering af nyrefunktionen (herunder serumkreatinin koncentrationer, beregning af kreatininclearance og monitorering af diurese) anbefales dog på grund af tacrolimus' potentielle nefrotoksicitet.
English: Envarsus 0.75 mg prolonged-release tablets Envarsus 1 mg prolonged-release tablets Envarsus 4 mg prolonged-release tablets
Danish: Envarsus 0,75 mg depottabletter Envarsus 1 mg depottabletter Envarsus 4 mg depottabletter
English: The FKBP12-tacrolimus complex specifically and competitively binds to and inhibits calcineurin, leading to a calcium-dependent inhibition of T-cell signal transduction pathways, thereby preventing transcription of a discrete set of cytokine genes.
Danish: FKBP12-tacrolimuskomplekset bindes specifikt og kompetitivt til calcineurin, som det hæmmer.
English: Investigations liver function tests abnormal blood alkaline phosphatase increased, weight increased amylase increased, ECG abnormal, heart rate and pulse investigations abnormal, weight decreased, blood lactate dehydrogenase increased echocardiogram abnormal,
Danish: vægtstigning øget amylase, abnormt ekg, abnorm hjertefrekvens og puls, vægttab, forhøjet laktatdehydroge nase i blodet,
English: Cardiac disorders ischaemic coronary artery disorders, tachycardia heart failures, ventricular arrhythmias and cardiac arrest, supraventricular arrhythmias, cardiomyopathies, ventricular hypertrophy, palpitations pericardial effusion
Danish: Hjerte iskæmisk koronararteriesygdom, takykardi hjertesvigt, ventrikulære arytmier og hjertestop, supraventrikulære arytmier, kardiomyopati, ventrikulær hypertrofi, palpitationer,
English: How to take Envarsus
Danish: Sådan skal du tage Envarsus
English: Envarsus 0.75 mg prolonged-release tablets are oval, white to off-white uncoated tablet, debossed with “0.75” on one side and “TCS” on the other side.
Danish: Envarsus 0,75 mg depottabletter er ovale, hvide til grålighvide, uovertrukne tabletter præget med "0.75" på den ene side og "TCS" på den anden side.
English: A negative effect of tacrolimus on male fertility in the form of reduced sperm count and motility was observed in rats (see section 5.3).
Danish: Tracrolimus havde en negativ virkning på hanrotters fertilitet i form af et nedsat antal sædceller og nedsat sædmotilitet (se pkt.
English: Envarsus contains lactose.
Danish: Envarsus indeholder lactose.
English: Respiratory, thoracic and mediastinal disorders parenchymal lung disorders, dyspnoea, pleural effusion, cough, pharyngitis, nasal congestion and inflammations respiratory failures, respiratory tract disorders, asthma acute respiratory distress syndrome
Danish: Luftveje, thorax og mediastinum parenkymatøs lungesygdom, dyspnø, pleuraekssudat, hoste, pharyngitis, tilstoppet næse og betændelse i næsen respirationssvigt, luftvejslidelser, astma akut respiratorisk distresssyndrom
English: Envarsus 0.75 mg prolonged-release tablets tacrolimus
Danish: Envarsus 0,75 mg depottabletter tacrolimus
English: Pure red cell aplasia
Danish: Ren erytrocyt aplasi
English: CYP3A4 inhibitors potentially leading to increased tacrolimus blood levels Clinically, the following substances have been shown to increase tacrolimus blood levels: Strong interactions have been observed with antifungal agents such as ketoconazole, fluconazole, itraconazole, voriconazole and isavuconazole, the macrolide antibiotic erythromycin, HIV protease inhibitors (e.g. ritonavir, nelfinavir, saquinavir) or Hepatitis C Virus (HCV) protease inhibitors (e.g. telaprevir, boceprevir, and the combination of ombitasvir and paritaprevir with ritonavir, when used with and without dasabuvir), the pharmacokinetic enhancer cobicistat, and the tyrosine kinase inhibitors nilotinib and imatinib.
Danish: Der er set kraftige interaktioner med svampemidler såsom ketoconazol, fluconazol, itraconazol, voriconazol og isavuconazol, det makrolide antibiotikum erythromycin, hiv-proteasehæmmere (f.eks. ritonavir, nelfinavir, saquinavir) eller hepatitis C-virus (HCV)-proteasehæmmere (f.eks. telaprevir, boceprevir og kombinationen af ombitasvir og paritaprevir sammen med ritonavir, når det anvendes med og uden dasabuvir), den farmakokinetiske forstærker cobicistat og tyrosinkinasehæmmerne nilotinib og imatinib.
English: Tacrolimus therapy should be initiated after considering ciclosporin blood concentrations and the clinical condition of the patient.
Danish: Blodkoncentrationerne af ciclosporin og patientens kliniske tilstand skal tages i betragtning, før behandling med tacrolimus påbegyndes.
English: abdominal pain, indigestion, constipation, passing wind, bloating, loose stools - bile duct disorders, yellowing of the skin due to liver problems, liver tissue damage and inflammation of the liver - itching, rash, hair loss, acne, increased sweating - pain in joints, limbs or back, muscle cramps - insufficient function of the kidneys, reduced production of urine, impaired or painful urination - general weakness, fever, collection of fluid in your body, pain and discomfort, increase of the enzyme alkaline phosphatase in your blood, weight gain, feeling of temperature disturbed - insufficient function of your transplanted organ
Danish: mavesmerter, fordøjelsesbesvær, forstoppelse, flatulens, oppustethed, løs afføring - Galdevejslidelser, gulfarvning af huden på grund af leverproblemer, ødelæggelse af levervæv og leverbetændelse - Kløe, udslæt, hårtab, akne, øget svedafsondring - Smerter i led, lemmer eller ryg, muskelkramper - Utilstrækkelig nyrefunktion, nedsat urindannelse, forringet eller smertefuld vandladning - Almen svækkelse, feber, væskeansamling i kroppen, smerter og ubehag, stigning i enzymet alkalin-fosfatase i blodet, vægtstigning, ændret opfattelse af legemstemperatur - Utilstrækkelig funktion af det transplanterede organ
English: No studies have been conducted with conversion of patients from Advagraf to Envarsus; however, data from healthy volunteers would suggest that the same conversion rate is applicable as with the conversion from Prograf to Envarsus.
Danish: Data fra raske forsøgspersoner tyder dog på, at samme skifterate gælder som ved skift fra Prograf til Envarsus.
English: Prophylaxis of liver transplant rejection
Danish: Profylakse af levertransplantatafstødning
English: A negative effect of tacrolimus on male fertility in the form of reduced sperm count and motility was observed in rats.
Danish: Hos rotter havde tracrolimus en negativ virkning på hannernes fertilitet i form af et nedsat antal sædceller og nedsat sædmotilitet.
English: Oval, white to off-white uncoated tablet, debossed with “0.75” on one side and “TCS” on the other side.
Danish: Oval, hvid til grålighvid uovertrukket tablet præget med "0.75" på den ene side og "TCS" på den anden side.
English: Excipient with known effect:
Danish: Ikke kendte bivirkninger (hyppighed ikke kendt):
English: Please contact your doctor immediately, should you experience severe effects.
Danish: Hvis du oplever alvorlige bivirkninger, bør du straks kontakte din læge.
English: Prophylaxis of kidney transplant rejection
Danish: Profylakse af nyretransplantatafstødning
English: Envarsus 4 mg prolonged-release tablets tacrolimus
Danish: Envarsus 4 mg depottabletter tacrolimus
English: Envarsus 4 mg prolonged-release tablets are oval, white to off-white uncoated tablet, debossed with “4” on one side and “TCS” on the other side.
Danish: Envarsus 4 mg depottabletter er ovale, hvide til grålighvide, uovertrukne tabletter præget med "4" på den ene side og "TCS" på den anden side.
English: Envarsus 1 mg prolonged-release tablets tacrolimus
Danish: Envarsus 1 mg depottabletter tacrolimus
English: - if you feel strong abdominal pain accompanied or not with other symptoms, such as chills,
Danish: - hvis du får kraftige mavesmerter enten med eller uden andre symptomer, såsom kulderystelser, feber, kvalme og opkastning.
English: The educational material for Healthcare Professionals should include information on the following key elements: - The authorised indications - The need for prescribing and dispensing with attention to pharmaceutical form (prolonged-release) and posology (once daily administration).
Danish: - Vigtigheden af at ordinering og udlevering skal tage hensyn til lægemiddelform (depotpræparat) og dosering (administration én gang dagligt).
English: Chiesi Pharmaceuticals B.V. Tel: + + 31 0 88 5016400
Danish: Tel: + 31 0 88 5016400
English: hallucination, mental disorders - fits, disturbances in consciousness, tingling and numbness (sometimes painful) in the hands and feet, dizziness, impaired writing ability, nervous system disorders - blurred vision, increased sensitivity to light, eye disorders - ringing sound in your ears - reduced blood flow in the heart vessels, faster heartbeat - bleeding, partial or complete blocking of blood vessels, reduced blood pressure - shortness in breath, disorders of the respiratory tissues in the lung, collection of liquid around the lung, inflammation of the pharynx, cough, flu-like symptoms - stomach problems such as inflammation or ulcer causing abdominal pain or diarrhoea, bleeding in the stomach, inflammation or ulcer in the mouth, collection of fluid in the belly, vomiting,
Danish: hallucinationer, forstyrret sindstilstand - Anfald, bevidsthedsforstyrrelser, prikken og følelsesløshed (undertiden smertefuld) i hænder og fødder, svimmelhed, nedsat skriveevne, forstyrrelser i nervesystemet - Sløret syn, øget lysfølsomhed, problemer med øjnene - Ringen for øret - Nedsat blodgennemstrømning i hjertets blodkar, øget puls - Blødning, delvis eller fuldstændig blokering af blodkar, nedsat blodtryk - Kortåndethed, lidelser i lungevæv, væskeansamling omkring lungen, betændelse i svælget,
English: Envarsus 1 mg prolonged-release tablets are oval, white to off-white uncoated tablet, debossed with “1” on one side and “TCS” on the other side
Danish: Envarsus 1 mg depottabletter er ovale, hvide til grålighvide, uovertrukne tabletter præget med "1" på den ene side og "TCS" på den anden side.
English: Hepatobiliary disorders bile duct disorders, hepatocellular damage and hepatitis, cholestasis and jaundice venoocclusive liver disease, hepatic artery thrombosis hepatic failure
Danish: Lever og galdeveje galdevejslidelser, hepatocellulær skade og hepatitis, kolestase og gulsot venookklusiv leversygdom, hepatisk arterietrombose leversvigt
English: Renal and urinary disorders renal impairment renal failure, renal failure acute, nephropathy toxic, renal tubular necrosis, urinary abnormalities, oliguria, bladder and urethral symptoms haemolytic uraemic syndrome, anuria nephropathy , cystitis haemorrhag ic
Danish: Nyrer og urinveje nedsat nyrefunktion nyresvigt, akut nyresvigt, toksisk nefropati, nekrose i de renale tubuli, abnormiteter i urinen, oliguri, symptomer i blære og urinrør hæmolytisk uræmisk syndrom, anuri nefropati, hæmoragisk cystitis
English: Cardiac disorders
Danish: abnormt ekkokardiogram
English: Tel: + 34 93 494 8000
Danish: Chiesi España, S.A.U Tel: + 34 93 494 8000
English: If signs of toxicity such as severe adverse reactions are noted (see section 4.8), the dose of Envarsus may need to be reduced.
Danish: Ved tegn på toksicitet som f.eks. alvorlige bivirkninger (se pkt.
English: Musculoskeletal and connective tissue disorders arthralgia, back pain, muscle cramps, pain in limb joint disorders mobility decreased
Danish: Knogler, led, muskler og bindevæv artralgi, rygsmerter, muskelkramper, smerter i ekstremiteter ledsygdomme nedsat mobilitet
English: Conversion of Prograf- or Advagraf-treated patients to Envarsus - allograft transplant patients Envarsus is not interchangeable with other existing tacrolimus containing medicinal products (immediate-release or prolonged-release) on an equal dose by dose basis.
Danish: Envarsus kan ikke substitueres med andre eksisterende lægemidler, der indeholder tacrolimus (tabletter med øjeblikkelig udløsning eller depottabletter) på et tilsvarende dosis-for-dosis-grundlag.