FrancophonIA/ELRC3.0 huggingface dataset:
English: In patients with TSC and refractory seizures, a conditional logistic regression analysis based on the core phase of Study CRAD001M2304 to estimate the probability of seizure response versus Time Normalized(TN)-Cmin stratified by age sub-group, indicated that a 2-fold increase in TN-Cmin was associated with a 2.172-fold increase (95% CI: 1.339, 3.524) in the odds for a seizure response over the observed TN-Cmin ranges of 0.97 ng/ml to 16.40 ng/ml.
Slovenian: Pri bolnikih s tuberozno sklerozo in neodzivno epilepsijo je pogojna logistična regresijska analiza podatkov osnovnega dela študije CRAD001M2304 za oceno verjetnosti za odziv z zmanjšanjem pogostnosti napadov glede na časovno normalizirane vrednosti Cmin (TN-Time Normalized -Cmin ) s stratifikacijo na starostne skupine pokazala, da je dvakrat višja TN-Cmin povezana z 2,172-kratnim povečanjem (95-odstotni IZ: 1,339; 3,524) obeta za odziv z zmanjšanjem pogostnosti napadov v opazovanem okviru vrednosti TN-Cmin od 0,97 ng/ml do 16,40 ng/ml.
English: Final analysis includes patients who crossed over from the placebo group; median duration of exposure to everolimus of 204.1 weeks
Slovenian: Končna analiza je vključevala bolnike, ki so prešli iz placebo skupine; mediano trajanje izpostavljenosti everolimusu je bilo 204,1 tedna.
English: The active substance is everolimus.
Slovenian: Učinkovina je everolimus.
English: After administration of the prepared suspension, 25 ml of water should be added and be stirred with the same spoon to re-suspend any remaining particles.
Slovenian: Po zaužitju pripravljene suspenzije je treba doliti 25 ml vode in vsebino premešati z isto žličko, da se porazdelijo še preostali delci.
English: The most common adverse reactions leading to discontinuation were pneumonitis (including interstitial lung disease), fatigue, dyspnoea, and stomatitis.
Slovenian: Najpogostejši neželeni učinki, zaradi katerih je bilo treba prekiniti zdravljenje, so bili pljučnica (vključno z intersticijsko boleznijo pljuč), utrujenost, dispneja in stomatitis.
English: Baseline seizure frequency was a significant factor in the seizure response (with an odds ratio of 0.978 [95% CI: 0.959, 0.998]).
Slovenian: Izhodiščna pogostnost napadov je pomemben napovedni dejavnik za odziv z zmanjšanjem pogostnosti napadov (z razmerjem obetov 0,978 [95-odstotni IZ: 0,959; 0,998]).
English: Renal function
Slovenian: Ledvična funkcija
English: 12 to <18 years n=26
Slovenian: 12 do <18 let n=26
English: In healthy subjects taking a single 9 mg dose (3 x 3 mg) of Votubia dispersible tablets in suspension, high fat meals reduced AUC by 11.7% and the peak blood concentration Cmax by 59.8%.
Slovenian: Pri zdravih osebah, ki so vzele enkraten odmerek 9 mg (3 x 3 mg) zdravila Votubia disperzibilne tablete v obliki suspenzije, je uživanje obrokov z visoko vsebnostjo maščob zmanjšalo AUC za 11,7 %, najvišjo koncentracijo v krvi Cmax pa za 59,8 %.
English: Median Cmin normalised to mg/m dose was lower for the younger age groups, indicating that everolimus clearance (normalised to body surface area) was higher in younger patients.
Slovenian: Mediana vrednost Cmin pri normalizaciji na višino odmerka v mg/m je bila nižja pri mlajših starostnih skupinah, kar pomeni, da je bil pri mlajših bolnikih očistek everolimusa (normaliziran na telesno površino) večji.
English: Take the 10 ml oral syringe and pull out the plunger, removing it completely from the barrel of the syringe.
Slovenian: Vzemite 10-mililitrsko brizgo in iz nje potegnite bat, tako da ga v celoti odstranite iz telesa brizge.
English: In rabbits, embryotoxicity was evident in an increase in late resorptions.
Slovenian: Pri kuncih se je toksičnost za zarodek kazala s porastom pozne resorpcije.
English: If Votubia is taken with orally administered CYP3A4 substrates with a narrow therapeutic index (e.g. pimozide, terfenadine, astemizole, cisapride, quinidine, ergot alkaloid derivatives or carbamazepine), the patient should be monitored for undesirable effects described in the product information of the orally administered CYP3A4 substrate (see section 4.5).
Slovenian: Pri jemanju zdravila Votubia skupaj s peroralnimi substrati CYP3A4 z nizkim terapevtskim indeksom (na primer s pimozidom, terfenadinom, astemizolom, cisapridom, kinidinom, derivati ergot alkaloidov ali karbamazepinom) je treba bolnika spremljati glede neželenih učinkov, ki so navedeni v informacijah o zdravilu posameznega peroralnega substrata CYP3A4 (glejte poglavje 4.5).
English: Use an oral syringe or a small glass for preparing and taking the Votubia suspension only - do not use it for anything else.
Slovenian: Za pripravljanje in uživanje suspenzije zdravila Votubia lahko uporabljate samo brizgo za peroralno dajanje ali majhen kozarec - tega pa ne uporabljajte za druge namene.
English: Post-transplant renal impairment (creatinine clearance range 11-107 ml/min) did not affect the pharmacokinetics of everolimus in transplant patients.
Slovenian: Okvara ledvic po presaditvi organa (z očistkom kreatinina od 11 do 107 ml/min) ni vplivala na farmakokinetiko everolimusa.
English: AUC ↑ 3.7-fold Cmax ↑ 2.2-fold
Slovenian: AUC ↑ 3,7-krat Cmax ↑ 2,2-krat verapamil
English: Similarly, the proportion of patients achieving at least 30% reductions in SEGA volume was 71.4% (70/98) and 77.3% (51/66) at weeks 96 and 192 after start of everolimus treatment.
Slovenian: Podobno je bil delež bolnikov, ki so dosegli vsaj 30-odstotno zmanjšanje volumna SEGA 71,4 % (70/98) v 96. tednu in 77,3% (51/66) v 192. tednu od začetka zdravljenja z everolimusom.
English: Long-term follow-up to a median duration of 67.8 months (range: 4.7 to 83.2) demonstrated sustained efficacy.
Slovenian: Z dolgotrajnim spremljanjem bolnikov, ki je mediano trajalo 67,8 meseca (v obsegu od 4,7 do 83,2 meseca) so dokazali ohranjeno učinkovitost.
English: Examples of live vaccines are: intranasal influenza, measles, mumps, rubella, oral polio, BCG (Bacillus Calmette-Guérin), yellow fever, varicella, and TY21a typhoid vaccines.
Slovenian: Primeri živih cepiv so: intranazalno cepivo proti gripi, cepiva proti ošpicam, mumpsu, rdečkam, peroralno cepivo proti poliomielitisu, cepivo BCG (Bacillus Calmette-Guérin), cepivi proti rumeni mrzlici in noricam ter cepivo vrste TY21a proti tifoidni mrzlici.
English: Based on non-clinical findings, male and female fertility may be compromised by treatment with everolimus (see section 5.3).
Slovenian: Na podlagi predkliničnih ugotovitev je lahko pri zdravljenju z everolimusom ogrožena plodnost pri moških in ženskah (glejte poglavje 5.3).
English: 10 The patient must drink all of the oral suspension from the glass.
Slovenian: Bolnik mora spiti vso peroralno suspenzijo iz kozarca.
English: Dose monitoring
Slovenian: Spremljanje odmerjanja
English: For paediatric patients with SEGA who do not require immediate treatment, completion of the recommended childhood series of live virus vaccinations is advised prior to the start of therapy according to local treatment guidelines.
Slovenian: Pri pediatričnih bolnikih, ki imajo SEGA in ne potrebujejo takojšnjega zdravljenja, je priporočeno pred začetkom zdravljenja zaključiti za otroke priporočeno serijo cepljenj z živimi cepivi v skladu z lokalnimi smernicami.
English: Therefore, absorption and subsequent elimination of everolimus may be influenced by products that affect CYP3A4 and/or PgP.
Slovenian: Zato na absorpcijo in kasneje na eliminacijo everolimusa lahko vplivajo snovi, ki vplivajo na CYP3A4 in/ali na P-glikoprotein.
English: • If you need to take a higher dose or need to use more than 5 dispersible tablets, split the dose and repeat the steps using the same oral syringe or small glass.
Slovenian: • Če morate vzeti višji odmerek ali več kot 5 disperzibilnih tablet, celotno količino razdelite na dva odmerka in ponovite postopek pripravljanja z isto brizgo za peroralno dajanje oziroma z istim majhnim kozarcem.
English: • Severe hepatic impairment (Child-Pugh C): Votubia is only recommended if the desired benefit outweighs the risk.
Slovenian: • huda okvara jeter (razreda C po Child-Pughovi lestvici): uporaba zdravila Votubia je priporočena samo v primeru, da želena korist odtehta tveganje.
English: Draw up about 5 ml of water by slowly pulling the plunger out until it is at the 5 ml mark on the syringe.
Slovenian: V brizgo potegnite približno 5 ml vode tako, da počasi vlečete bat iz brizge, dokler ne doseže oznake 5 ml na brizgi.
English: The major target organs were male and female reproductive systems (testicular tubular degeneration, reduced sperm content in epididymides and uterine atrophy) in several species; lungs (increased alveolar macrophages) in rats and mice; pancreas (degranulation and vacuolation of exocrine cells in monkeys and minipigs, respectively, and degeneration of islet cells in monkeys), and eyes (lenticular anterior suture line opacities) in rats only.
Slovenian: Glavni tarčni organi so bili reproduktivni sistemi samcev in samic (tubulna degeneracija mod, zmanjšana vsebnost semenčic v obmodkih in atrofija maternice) pri več živalskih vrstah, pri podganah in miših pljuča (pomnožitev alveolarnih makrofagov), pri opicah in prašičkih trebušna slinavka (degranulacija in vakuolizacija eksokrinih celic trebušne slinavke pri opicah in prašičkih ter degeneracija celic Langerhansovih otočkov samo pri opicah) in samo pri podganah oči (motnjave leče v črti sprednje spojnice).
English: Grading based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v3.0
Slovenian: Stopnje izraženosti so opredeljene skladno s Skupnimi terminološkimi kriteriji za neželene dogodke verzija 3.0 (Common Terminology Criteria for Adverse Events, CTCAE) Ameriškega onkološkega inštituta (National Cancer Institute, NCI).
English: Studies in animals have shown reproductive toxicity effects including embryotoxicity and foetotoxicity (see section 5.3).
Slovenian: Študije na živalih so pokazale škodljive učinke na sposobnost razmnoževanja, vključno s škodljivim delovanjem na zarodek in plod (glejte poglavje 5.3).
English: Median time to angiomyolipoma progression was 11.4 months in the placebo arm and was not reached in the everolimus arm (HR 0.08; 95% CI: 0.02, 0.37; p<0.0001).
Slovenian: Mediana časa do napredovanja angiomiolipoma je znašala 11,4 meseca pri skupini, ki je prejemala placebo, pri skupini, ki je prejemala everolimus, pa ni bila dosežena (razmerje ogroženosti (HR) 0,08; 95 % IZ: 0,02, 0,37; p<0,0001).
English: LT target of 3-7 ng/ml
Slovenian: LT ciljna koncentracija 3-7 ng/ml
English: The median age for the total population was 10.1 years (range: 2.2-56.3; 28.4% <6 years, 30.9% 6 to <12 years, 22.4% 12 to <18 years and 18.3% >18 years).
Slovenian: Mediana starost bolnikov v celotni populaciji je bila 10,1 leta (od 2,2 do 56,3 leta; 28,4 % bolnikov starih <6 let, 30,9 % od 6 do <12 let, 22,4 % od 12 do <18 let in 18,3 % >18 let).
English: If you are taking an anti-seizure medicine, a change in the dose of the anti-seizure medicine (increase or decrease) may make a change in the Votubia dose necessary.
Slovenian: Če jemljete antiepileptike, bo morda ob spremembi odmerka antiepileptika (pri zvišanju ali znižanju odmerka) treba spremeniti tudi odmerek zdravila Votubia.
English: It is used to treat children aged 2 years and above and adults with partial seizures with or without secondary generalisation (epilepsy) associated with a genetic disorder called tuberous sclerosis complex (TSC) and which are not controlled by other antiepileptic medicines.
Slovenian: Uporablja se za zdravljenje otrok, ki so stari 2 leti ali več, in odraslih z žariščnimi epileptičnimi napadi s sekundarno generalizacijo ali brez nje (epilepsija), ki so povezani z genetsko boleznijo, ki jo imenujemo tuberozna skleroza, in sicer v primerih, ko napadov ni mogoče obvladovati z drugimi protiepileptičnimi zdravili.
English: Population pharmacokinetic model simulations showed that a starting dose of 7 mg/m would be necessary to attain Cmin within the 5 to 15 ng/ml range in patients younger than 3 years of age.
Slovenian: Simulacija s populacijskim modelom farmakokinetike je pokazala, da je pri bolnikih, ki so stari manj kot 3 leta, za doseganje vrednosti Cmin v okviru od 5 do 15 ng/ml potreben začetni odmerek 7 mg/m2.
English: In cases where the revised dose is not a multiple of 2.5 mg, it should be rounded to the next available tablet strength.
Slovenian: V primeru, ko novi odmerek ni večkratnik odmerka 2,5 mg, je treba odmerek prilagoditi najbližji jakosti tablet.
English: In patients with SEGA, the geometric mean Cmin values normalised to mg/m dose in patients aged <10 years and 10-18 years were lower by 54% and 40%, respectively, than those observed in adults (>18 years of age), suggesting that everolimus clearance was higher in younger patients.
Slovenian: Pri bolnikih s SEGA so bile vrednosti geometričnega povprečja Cmin, normalizirane na enoto odmerjanja mg/m2, pri bolnikih, ki so bili stari manj kot 10 let oziroma 10-18 let, za 54 % oziroma za 40 % nižje od tovrstnih vrednosti pri odraslih (starih več kot 18 let), kar kaže na večji očistek everolimusa pri mlajših bolnikih.
English: The entire contents of the syringe should be administered.
Slovenian: Zaužiti je treba celotno vsebino brizge.
English: If you are being treated for TSC with angiomyolipoma of the kidney, Votubia will only be prescribed for you by a doctor with experience in treating patients with TSC.
Slovenian: Če se zdravite zaradi tuberozne skleroze z angiomiolipomom ledvice, vam zdravilo Votubia lahko predpiše samo zdravnik, ki ima izkušnje z zdravljenjem bolnikov s tuberozno sklerozo.
English: 6 to <12 years n=37
Slovenian: 6 do <12 let n=37
English: Table 8 Change in primary SEGA volume over time
Slovenian: Preglednica 8 Časovni potek spreminjanja volumna primarnega SEGA
English: Patients with SEGA associated with TSC:
Slovenian: Bolniki s SEGA v povezavi s TSC:
English: In vitro, everolimus is a competitive inhibitor of CYP3A4 and a mixed inhibitor of CYP2D6.
Slovenian: In vitro je everolimus kompetitivni zaviralec CYP3A4 in mešan zaviralec CYP2D6.
English: The estimated angiomyolipoma progression-free rates at 24 months and 48 months were 91.6% and 83.1%, respectively.
Slovenian: Ocenjeni delež bolnikov brez napredovanja angiomiolipoma je bil po 24 mesecih 91,6 % in po 48 mesecih 83,1 %.
English: It is reported, however, that CYP3A4 activity is reduced at birth and increases during the first year of life, which could affect the clearance in this patient population.
Slovenian: Pri bolnikih, ki so stari manj kot 1 leto, farmakokinetike everolimusa niso proučevali, vendar poročajo, da je ob rojstvu aktivnost sistema CYP3A4 zmanjšana in se poveča v prvem letu življenja, kar bi lahko vplivalo na očistek zdravila pri tej skupini bolnikov.
English: In EXIST-3 (Study CRAD001M2304), everolimus increased pre-dose concentrations of the antiepileptics carbamazepine, clobazam, and the clobazam metabolite N-desmethylclobazam by about 10%.
Slovenian: V študiji EXIST-3 (študija CRAD001M2304) je everolimus za približno 10 % zvišal koncentracije antiepileptikov pred naslednjim odmerjanjem in sicer koncentracije karbamazepina, klobazama in presnovka klobazama N-desmetil-klobazama.
English: Blood glucose
Slovenian: Glukoza v krvi
English: The effect of everolimus on infantile/epileptic spasms or on seizures associated with Lennox-Gastaut syndrome has not been studied and is not established for generalised-onset seizures and subjects without cortical tubers.
Slovenian: Učinek everolimusa ni bil preučevan pri infantilnih spazmih ali epileptičnih napadih, ki so povezani z Lennox-Gastautovim sindromom, in ni dokazan pri generaliziranih epileptičnih napadih od začetka napada in pri bolnikih brez kortikalnih tuberov.
English: Higher proportions of responders were evident for all response categories in the Votubia LT and HT arms relative to placebo (Figure 1).
Slovenian: V vseh kategorijah odzivov so opažali večje deleže odzivnih bolnikov v skupinah z zdravilom Votubia z izpostavljenostjo LT oziroma HT kot v skupini s placebom (slika 1).
English: Do not take a double dose to make up for the forgotten tablets.
Slovenian: Ne vzemite dvojnega odmerka, če ste pozabili vzeti prejšnje tablete.
English: Put the filled oral syringe in the clean, empty glass with the tip pointing up.
Slovenian: Napolnjeno brizgo za peroralno dajanje položite v čist prazen kozarec, tako da bo vrh brizge obrnjen navzgor.
English: Stomatitis is the most commonly reported adverse reaction in patients treated with Votubia (see sections 4.4 and 4.8).
Slovenian: Stomatitis je najpogosteje poročan neželeni učinek pri bolnikih, ki prejemajo zdravilo Votubia (glejte poglavji 4.4 in 4.8).
English: Switching pharmaceutical forms
Slovenian: Menjava farmacevtske oblike zdravila
English: Additional adverse reactions of relevance observed in oncology clinical studies and post-marketing spontaneous reports, were cardiac failure, pulmonary embolism, deep vein thrombosis, impaired wound healing and hyperglycaemia.
Slovenian: Dodatni pomembni neželeni učinki, ki so jih opažali v onkoloških kliničnih študijah in spontanih poročilih na podlagi izkušenj po prihodu zdravila na trg, so bili srčno popuščanje, pljučna embolija, globoka venska tromboza, počasnejše celjenje ran in hiperglikemija.
English: • 10 ml oral syringe with 1 ml increments (for single use): see figure below
Slovenian: • 10-mililitrsko brizgo za peroralno dajanje z merilnimi oznakami po 1 ml (za enkratno uporabo):
English: The angiomyolipoma best overall response rate had increased to 58.0% (95% CI: 48.3, 67.3), with a rate of stable disease of 30.4% (Table 4).
Slovenian: Delež bolnikov z najboljšim splošnim odzivom angiomiolipoma se je povečal na 58,0 % (95 % IZ: 48,3, 67,3), pri čemer je bil delež bolnikov s stabilno boleznijo 30,4 % (preglednica 4).
English: No dose adjustment is required (see section 5.2).
Slovenian: Prilagajanje odmerkov ni potrebno (glejte poglavje 5.2).
English: • The co-administration of the PgP inhibitor, cyclosporine, enhances the exposure of everolimus in the brain cortex, which is consistent with the inhibition of PgP at the blood-brain barrier.
Slovenian: • sočasna uporaba zaviralca P-glikoproteina ciklosporina poveča izpostavljenost everolimusu v možganski skorji, kar je skladno z inhibicijo P-glikoproteina v krvno-možganski pregradi.
English: Simulations of multiple dose pharmacokinetics support the dosing recommendations in subjects with hepatic impairment based on their Child-Pugh status.
Slovenian: Farmakokinetični podatki, pridobljeni s simulacijo večkratnega odmerjanja podpirajo priporočila za odmerjanje pri bolnikih z različnimi stopnjami okvare jeter po Child-Pughovi lestvici.
English: In clinical studies and post-marketing spontaneous reports, everolimus has been associated with renal failure events (including fatal outcome), proteinuria and increased serum creatinine.
Slovenian: V poročilih iz kliničnih študij in spontanih poročilih na podlagi izkušenj po prihodu zdravila na trg so everolimus povezovali s primeri ledvične odpovedi (vključno s smrtnim izidom), s proteinurijo in z zvišano vrednostjo kreatinina v serumu.
English: For patients not receiving concomitant strong inducers at the start of everolimus treatment, the co-administration may require an increased Votubia dose.
Slovenian: Bolniki, ki na začetku zdravljenja z everolimusom sočasno ne prejemajo močnih induktorjev, lahko ob začetku sočasne uporabe potrebujejo višji odmerek zdravila Votubia.
English: Food, however, had no apparent effect on the post absorption phase concentration-time profile 24 hours post-dose of either dosage form.
Slovenian: Vendar pa hrana, po fazi absorpcije, ni opazno vplivala na spreminjanje koncentracije everolimusa s časom v obdobju 24 ur po odmerku pri nobeni obliki odmerjanja.
English: In clinical studies and post-marketing spontaneous reports, everolimus has been associated with cases of pneumocystis jirovecii (carinii) pneumonia (PJP, PCP), some with fatal outcome (see section 4.4).
Slovenian: Glede na poročila iz kliničnih študij in spontana poročila po prihodu zdravila na trg je everolimus povezan s primeri pljučnice, povzročene s Pneumocystis jiroveci (carinii) (PJP, PCP), ki se je pri nekaj bolnikih končala s smrtjo (glejte poglavje 4.4).
English: Caregivers are advised to avoid contact with suspensions of Votubia tablets.
Slovenian: Negovalcem svetujemo, da se izogibajo stiku s suspenzijo iz tablet Votubia.
English: Re-initiate Votubia at same dose.
Slovenian: Ponovno začnite zdravljenje z zdravilom Votubia v enakem odmerku.
English: In the first study, the average AUC of everolimus in 8 subjects with moderate hepatic impairment (Child-Pugh B) was twice that found in 8 subjects with normal hepatic function.
Slovenian: V prvi študiji je bila pri 8 osebah z zmerno okvaro jeter (razreda B po Child-Pughovi lestvici) povprečna vrednost AUC everolimusa dvakrat višja od tiste pri 8 osebah z normalnim delovanjem jeter.
English: During the double-blind period, reduction of SEGA volume was evident within the initial 12 weeks of Votubia treatment: 29.7% (22/74) of patients had ≥50% reductions in volume and 73.0% (54/74) had ≥30% reductions in volume.
Slovenian: Med dvojno-slepim obdobjem študije je bilo zmanjšanje volumna SEGA opazno v prvih 12 tednih zdravljenja z zdravilom Votubia: pri 29,7 % bolnikov (22/74) je prišlo do najmanj 50-odstotnega zmanjšanja volumna in pri 73,0 % bolnikov (54/74) do najmanj 30-odstotnega zmanjšanja volumna.
English: Furthermore, almost twice as many patients in the placebo arm experienced seizure exacerbation relative to the Votubia LT and HT arms.
Slovenian: Poleg tega je bil delež bolnikov, pri katerih je prišlo do stopnjevanja napadov, skoraj dvakrat večji v skupini s placebom kot v skupinah z zdravilom Votubia z izpostavljenostjo LT oziroma HT.
English: Therefore it is assumed that steady-state could be reached earlier in patients <3 years of age (see section 4.2 for dosing recommendations).
Slovenian: Zato se domneva, da se pri bolnikih, mlajših od 3 let, lahko stanje dinamičnega ravnovesja doseže prej (za priporočila glede odmerjanja glejte poglavje 4.2).
English: Votubia is an anti-tumour medicine which can block certain cells in the body from growing.
Slovenian: Votubia je protitumorsko zdravilo, ki lahko zavira rast določenih telesnih celic.
English: If symptoms are moderate, consideration should be given to interruption of therapy until symptoms improve.
Slovenian: Pri zmerno izraženih simptomih je treba razmisliti o prekinitvi zdravljenja do izboljšanja stanja.
English: Grade 3 & 4 (<50x10
Slovenian: Stopnja 3 in 4 (<50x10
English: Minor kidney changes were seen in the rat (exacerbation of age-related lipofuscin in tubular epithelium, increases in hydronephrosis) and mouse (exacerbation of background lesions).
Slovenian: Manjše spremembe ledvic so opažali pri podganah (povečanje količine starostnega lipofuscina v tubulnem epitelu, več hidronefroz) in pri miših (poslabšanje že prej prisotnih lezij).
English: Assess the everolimus trough level 2 weeks after discontinuation of one of multiple strong CYP3A4 inducers.
Slovenian: Najnižjo koncentracijo everolimusa pred naslednjim odmerjanjem je treba izmeriti 2 tedna po ukinitvi enega od več močnih induktorjev CYP3A4.
English: No patient required surgical intervention for SEGA during the entire course of the study.
Slovenian: V celotnem času trajanja študije pri nobenem bolniku ni bil potreben kirurški poseg zaradi SEGA.
English: Patients with seizures receiving concomitant strong CYP3A4 inducers (e.g., enzyme inducing antiepileptics carbamazepine, phenobarbital, and phenytoin) at the start of treatment with everolimus require an increased starting dose to attain trough concentrations of 5 to 15 ng/ml (see Table 1).
Slovenian: Bolniki, ki imajo epilepsijo in prejemajo močne induktorje CYP3A4 (npr. antiepileptike, ki inducirajo encime: karbamazepin, fenobarbital in fenitoin), na začetku zdravljenja z everolimusom potrebujejo višji začetni odmerek za doseganje najnižje koncentracije pred naslednjim odmerjanjem od 5 do 15 ng/ml (glejte preglednico 1).