FrancophonIA/ELRC3.0 huggingface dataset:
English: Levofloxacin has a broad in vitro antibacterial spectrum that includes Gram-positive organisms such as Streptococcus pneumoniae regardless of resistance phenotype, methicillin-susceptible Staphylococcus aureus and Streptococci spp., fastidious Gram-negative bacteria such as Haemophilus influenzae, Moraxella catarrhalis and Enterobacteriaceae such as Escherichia coli and Klebsiella spp., and organisms responsible for atypical infection such as Legionella, Mycoplasma and Chlamydophila.
Slovenian: Levofloksacin ima širok spekter protibakterijskega delovanja in vitro, ki vključuje po Gramu pozitivne organizme, kot so Streptococcus pneumoniae, ne glede na fenotip odpornosti, za meticilin občutljivi Staphylococcus aureus in Streptococci spp., občutljive po Gram negativne bakterije, kot so Haemophilus influenzae, Moraxella catarrhalis in Enterobacteriaceae, kot sta Escherichia coli in Klebsiella spp., ter organizmi, ki povzročajo atipične okužbe, npr. Legionella, Mycoplasma in Chlamydophila.
English: With regards the contra indication in patients with glucose-6phosphate dehydrogenase (G6PD) deficiency it was agreed to keep this relative contra indication in the warning section of the SmPC as it was approved in all but one MS.
Slovenian: V zvezi s kontraindikacijo pri bolnikih s pomanjkanjem glukoza-6-fosfat-dehidrogenaze (G6PD) so se dogovorili, da bo ta relativna kontraindikacija ostala v poglavju z opozorili v povzetku glavnih značilnosti zdravila, ker je bila odobrena v vseh, razen v eni državi članici.
English: The warning under sub-heading “Interference with laboratory tests” was updated mainly to include sentence on M. tuberculosis, which is considered class labelling and which is included in the Company Core Data Sheet (CCDS).
Slovenian: Opozorilo pod podnaslovom „Vpliv na laboratorijske teste“ je bilo posodobljeno tako, da vsebuje stavek o M. tuberculosis, ki naj bi označeval ves razred in ki je vključen v seznam osnovnih podatkov podjetja (CCDS).
English: In addition, information on the hepatotoxicity was complemented to refer that reported cases of jaundice and severe liver injury with levofloxacin, include cases with fatal acute liver failure, primarily in patients with severe underlying diseases.
Slovenian: Poleg tega so bile informacije o hepatotoksičnosti dopolnjene tako, da navajajo prijavljene primere zlatenice in hude poškodbe jeter z levofloksacinom ter vključujejo primere akutne odpovedi jeter s smrtnim izidom, predvsem pri bolnikih s hudimi osnovnimi boleznimi.
English: Grounds for the variation to the terms of the marketing authorisations
Slovenian: Razlogi za spremembo pogojev dovoljenj za promet z zdravilom
English: The committee noted that for another fluoroquinolon agent a placebo-controlled study failed to show superiority over placebo in terms of clinical response.
Slovenian: Odbor je opozoril, da študija z drugo fluorokinolonsko učinkovino, nadzorovana s placebom, ni dokazala prednosti zdravila v primerjavi s placebom, kar zadeva klinični odziv.
English: The harmonised warning on dysglycaemia was further amended in light of the recent reported cases of hypoglycaemic coma with fluoroquinolon agents.
Slovenian: Usklajeno opozorilo o disglikemiji je bilo nadalje spremenjeno z vidika nedavno prijavljenih primerov hipoglikemične kome pri uporabi fluorokinolonskih učinkovin.
English: In clinical practice, the most commonly prescribed antibiotics for sinusitis are betalactams (amoxicillin with or without clavulanic acid, oral second and third-generation cephalosporins), macrolides, and antipneumococcal fluoroquinolones.
Slovenian: V klinični praksi so najpogosteje predpisani antibiotiki za sinusitis betalaktami (amoksicilin s klavulansko kislino ali brez nje, peroralni cefalosporini druge in tretje generacije), makrolidi in antipnevmokokni fluorokinoloni.
English: Tavanic (levofloxacin) is a synthetic antibacterial agent of the fluoroquinolone class and is the S(-) enantiomer of the racemic drug substance ofloxacin.
Slovenian: Tavanic (levofloksacin) je sintetično protibakterijsko sredstvo iz razreda fluorokinolonov in je S(-) enantiomer racematne snovi ofloksacina.
English: The European Society of Clinical Microbiology and Infectious Diseases (ESCMID) endorses the “Guideline for the management of adult lower respiratory tract infections” that establishes quinolones as second-choice treatment in case of clinically relevant pneumococcal resistance against amoxicillin and tetracyclines, or major intolerance.
Slovenian: Evropska zveza za klinično mikrobiologijo in infekcijske bolezni (European Society of Clinical Microbiology and Infectious Diseases - ESCMID) je sprejela „Smernice za obvladovanje okužb spodnjih dihal pri odraslih“, ki določajo kinolone za zdravljenje druge izbire v primeru klinično pomembne odpornosti pnevmokokov na amoksicilin in tetracikline ali v primeru pomembne netolerance.
English: A cross reference to the warning sections with regards resistance patterns was agreed.
Slovenian: Dogovorili so se tudi za navzkrižni sklic na poglavje z opozorili o vzorcih odpornosti.
English: To more concisely define the role of levofloxacin in this indication, the MAH initially proposed the following harmonised wording for the tablets and IV solution:
Slovenian: Za jasnejšo opredelitev vloge levofloksacina pri tej indikaciji je imetnik dovoljenja za promet z zdravilom sprva predlagal naslednje usklajeno besedilo za tablete in i.v.
English: Betalactams, macrolides and antipneumococcal fluoroquinolones are the most commonly used antibiotics for the treatment of CAP, as monotherapy or in combination, depending on the patient risks and the severity.
Slovenian: Betalaktami, makrolidi in antipnevmokokni fluorokinoloni so najpogosteje uporabljeni antibiotiki za zdravljenje ZBP kot monoterapija ali v kombinaciji, odvisno od tveganj za bolnika in od resnosti bolezni.
English: • The committee considered the identified divergences for Tavanic and associated names regarding the therapeutic indications and the posology and method of administration sections, as well as in the remaining sections of the SmPCs
Slovenian: • Odbor je upošteval ugotovljena razhajanja za zdravilo Tavanic in povezana imena v poglavjih o terapevtskih indikacijah, odmerjanju in načinu uporabe ter v preostalih poglavjih povzetkov glavnih značilnosti zdravila.
English: In conclusion, based on the assessment of the MAH proposal and responses and following the discussions of the committee, the CHMP adopted harmonised sets of Product Information documents for the film-coated tablets and solution for infusion of Tavanic and associated names, taking into account the pharmaceutical forms.
Slovenian: Na podlagi ocene predloga in odzivov imetnika dovoljenja za promet z zdravilom ter po razpravah v odbor CHMP je ta sprejel usklajene sklope dokumentov z informacijami o zdravilu za filmsko obložene tablete in raztopino za infundiranje Tavanic in povezana imena, pri čemer je upošteval farmacevtske oblike.
English: For the majority of the approved indications, the posology was overall harmonised in practically all MS, the MAH proposed the following dosing recommendations:
Slovenian: Za večino odobrenih indikacij je odmerjanje v splošnem usklajeno v praktično vseh državah članicah, imetnik dovoljenja za promet z zdravilom pa je predlagal naslednja priporočila za odmerjanje:
English: Since uUTI is defined as a presence of episodes of acute cystitis and acute pyelonephritism, the MAH proposed to harmonise this indication for “uncomplicated cystitis” to better reflect the patients population included in the study.
Slovenian: Ker je nezapletena okužba sečil opredeljena kot prisotnost epizod akutnega cistitisa in akutnega pielonefritizma, je imetnik dovoljenja za promet z zdravilom predlagal uskladitev te indikacije v „nezapleteni cistitis“, ki bi bolje odražala populacijo bolnic, zajetih v to študijo.
English: The warning on hepatobiliary disorders was updated to reflect the current evidence suggesting a causal relationship between levofloxacin and hepatotoxicity which may result in a fatal outcome.
Slovenian: Opozorilo o boleznih jeter, žolčnika in žolčevodov je bilo posodobljeno tako, da odraža trenutne dokaze, ki kažejo na vzročno razmerje med levofloksacinom in hepatotoksičnostjo, ki ima lahko tudi smrten izid.
English: A warning on severe bullous reactions was proposed by the MAH due to the seriousness of these reactions and considering that bullous eruptions were already included in section 4.8 of the SmPC.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predlagal opozorilo o hudih buloznih reakcijah zaradi resnosti teh reakcij in z upoštevanjem, da so bile bulozni izbruhi že zajeti v poglavju 4.8 povzetka glavnih značilnosti zdravila.
English: Precaution for use in inhalation of anthrax was moved from section 5.1 to this section to warn prescribers on the need to refer to further guidance in this situation.
Slovenian: Previdnostni ukrep za inhalacijski vranični prisad je bil premaknjen iz poglavja 5.1 v to poglavje in opozarja zdravnike, ki predpisujejo zdravilo, na potrebo po vpogledu v nadaljnjo dokumentacijo v zvezi s to okoliščino.
English: The proposed harmonised lower dosage for AECB and for cSSTIs of 250 mg was further discussed in light of pharmacokinetic/pharmacodinamic profile of levofloxacin, the nature of infection and the most probable causative bacterial agent.
Slovenian: Predlagani usklajeni manjši odmerek za AEKB in zapletene okužbe kože in mehkih tkiv, 250 mg, je bil nadalje obravnavan z vidika farmakokinetičnega/farmakodinamičnega profila levofloksacina, narave okužbe in najverjetnejše bakterije povzročiteljice.
English: Current treatment guidelines usually recommend antipneumococcal fluoroquinolones for severe ABS, or where previous treatment has failed, or for infections involving resistant pneumococci.
Slovenian: Trenutne smernice za zdravljenje običajno priporočajo antipnevmokokne fluorokinolone za hujše primere akutnega bakterijskega sinusitisa oz. primere, pri katerih je bilo predhodno zdravljenje neuspešno, ali za okužbe, ki vključujejo odporne pnevmokoke.
English: Overall, levofloxacin showed to be at least as effective as other treatment recommended as first-line options, e.g. intravenous ceftriaxone and/or oral cefuroxime axetil plus macrolides and also to amoxicillin/clavulanic acid.
Slovenian: V splošnem je bilo za levofloksacin dokazano, da je vsaj tako učinkovit kot druga zdravila, ki so priporočena kot prva izbira - npr. intravenski ceftriakson in/ali peroralni cefuroksim aksetil z makrolidi ter amoksicilin/klavulanska kislina.
English: As a fluoroquinolone antibacterial agent, levofloxacin inhibits DNA synthesis by acting on the DNA/DNA-gyrase complex and topoisomerase IV.
Slovenian: Levofloksacin kot fluorokinolonsko protibakterijsko sredstvo zavira tvorbo DNK tako, da deluje na kompleks giraze DNK/DNK in topoizomerazo IV.
English: • Complicated skin and soft tissue infections
Slovenian: • zapletene okužbe kože in mehkih tkiv
English: Tavanic solution for infusion is indicated in adults for the treatment of the following infections (see sections 4.4 and 5.1):
Slovenian: Raztopina za infundiranje Tavanic je indicirana pri odraslih za zdravljenje naslednjih okužb (glejte poglavji 4.4 in 5.1):
English: Further amendment was agreed with regards the duration of treatment for pyelonephritis and for cUTIs to be in line with the European Association of Urology (EAU) guidelines 2010 recommendations for levofloxacin treatment duration of 7-10 days for acute uncomplicated pyelonephritis, and 7-14 days (IV followed by possible oral switch) for severe cases (EAU guidelines 2010).
Slovenian: Dogovorili so se o nadaljnjih spremembah trajanja zdravljenja za pielonefritis in zapletene okužbe sečil, ki naj bo skladno s priporočili smernic Evropskega združenja za urologijo (European Association of Urology - EAU) iz leta 2010 o trajanju zdravljenja z levofloksacinom 7-10 dni za akutni nezapleteni pielonefritis in 7-14 dni (i.v.
English: The warning on the superinfection was amended in line with the standard wording on this point included in the PI for all antibacterial agents.
Slovenian: Opozorilo o superinfekciji je bilo prilagojeno v skladu z ustreznim standardnim besedilom, ki je vključeno v informacije o zdravilu za vsa protibakterijska sredstva.
English: Complicated UTIs (cUTIs) including pyelonephritis (PN), has been submitted and approved in all except one EU MS, where only the indication for acute pyelonephritis (APN) was approved.
Slovenian: Zapletene okužbe sečil, vključno s pielonefritisom, so bile predložene in odobrene v vseh državah članicah EU razen v eni, kjer je bila odobrena samo indikacija za akutni pielonefritis.
English: Tavanic is available as film coated tablets (250 mg and 500 mg) and as solution for infusion (5mg/ml in presentations of 250mg/50ml and 500mg/100ml).
Slovenian: Zdravilo Tavanic je na voljo v obliki filmsko obloženih tablet (250 mg in 500 mg) in kot raztopina za infundiranje (5 mg/ml v pakiranjih po 250 mg/50 ml in 500 mg/100 ml).
English: Chronic bacterial prostatitis
Slovenian: Kronični bakterijski prostatitis
English: Uncomplicated cystitis (see section 4.4)
Slovenian: • nezapleteni cistitis (glejte poglavje 4.4)
English: This strength and presentation was linked with the indication for HAP which the MAH did not claim for in this harmonisation procedure.
Slovenian: Ta jakost in pakiranje sta bila povezana z indikacijo za bolnišnično pljučnico, ki je imetnik dovoljenja za promet z zdravilom ni uveljavljal v tem postopku usklajevanja.
English: Uncomplicated UTIs indication has been approved for 250 mg tablets of levofloxacin as in all MS except in three MS.
Slovenian: Indikacija za nezapletene okužbe sečil je bila odobrena za 250 mg tablete levofloksacina v vseh državah članicah, razen v treh.
English: The CHMP noted the MAH proposal for an harmonised text for this section.
Slovenian: Odbor CHMP je preučil predlog imetnika dovoljenja za promet z zdravilom za usklajeno besedilo tega poglavja.
English: Three pivotal studies supported this indication, granted in the EU since 1997.
Slovenian: To indikacijo, ki je v EU odobrena od leta 1997, so podprle tri ključne študije.
English: Therefore, the recommended dose for AECB and for cSSTIs were amended accordingly i.e. 250 mg once daily is deleted.
Slovenian: Zato sta bila priporočena odmerka za AEKB in zapletene okužbe kože in mehkih tkiv ustrezno prilagojena, tako da je bil odmerek 250 mg enkrat dnevno izbrisan.
English: The CHMP noted the MAH proposal for this section and further agreed on a number of revisions.
Slovenian: Odbor CHMP je proučil predlog imetnika dovoljenja za promet z zdravilom za to poglavje in se strinjal s številnimi spremembami.
English: This indication is approved for levofloxacin tablets in all MS identified above via nationally or mutual recognition procedure (MRP) with exception of one MS.
Slovenian: Ta indikacija je odobrena za tablete levofloksacina v vseh državah članicah, ki so navedene zgoraj, z nacionalnim postopkom ali postopkom z medsebojnim priznavanjem, razen v eni državi članici.
English: Therefore a specific warning for the pattern of resistance to fluoroquinolones resistance to E. coli is included in section 4.4 of the SmPC.
Slovenian: Zato je v poglavje 4.4 povzetka glavnih značilnosti zdravila vključeno posebno opozorilo na vzorec odpornosti E. coli proti fluorokinolonom.
English: • ABS (tablets only): 500 mg once daily for 10-14 days of treatment;
Slovenian: • ABS (samo tablete): 500 mg enkrat dnevno za 10-14 dni zdravljenja;
English: In this regard, it is noted that the 500 mg dosage given once daily by oral route allow to reach a plasmatic peak concentration (Cmax) as of 5 to 6 mg/l and a Cmax/MIC ratio of 10-12 and an AUC of approximately 50 mg.h/l corresponding to an AUC/MIC ratio as of 50-100.
Slovenian: 5 do 6 mg/l in razmerja Cmaks./MIK 10-12 ter vrednosti AUC približno 50 mg.h/l, kar ustreza razmerju AUC/MIK 50-100.
English: The MAH voluntarily withdrew the marketing authorisation (MA) for the 750 mg film coated tablets and varied the terms of the MAs for the solution for infusion to remove the 150 ml presentation during this referral procedure.
Slovenian: Imetnik dovoljenja za promet z zdravilom je v času tega napotitvenega postopka prostovoljno umaknil dovoljenje za filmsko obložene tablete 750 mg in spremenil pogoje dovoljenja za promet z zdravilom za raztopino za infundiranje, tako da je umaknil pakiranje 150 ml.
English: Five additional studies since then have been performed by the MAH.
Slovenian: Od tedaj je imetnik dovoljenja za promet izvedel še pet dodatnih študij.
English: All MRP SmPCs list “Acute bacterial sinusitis” in the indication section and also specified “(adequately diagnosed according to national and/or local guidelines on the treatment of respiratory tract infections)”.
Slovenian: Vsi povzetki glavnih značilnosti zdravila v postopku z medsebojnim priznavanjem navajajo „akutni bakterijski sinusitis“ v poglavju z indikacijami in specifično „(ustrezno diagnosticiran v skladu z nacionalnimi in/ali lokalnimi smernicami za zdravljenje okužb dihal)“.
English: Acute exacerbation of chronic bronchitis (AECB)
Slovenian: Akutna eksacerbacija kroničnega bronhitisa (AEKB)
English: The evidence was provided by the MAH including a cumulative review of all fatal cases due to hepatibilary disorders.
Slovenian: Dokaze je predložil imetnik dovoljenja za promet z zdravilom, vključno s kumulativnim pregledom vseh smrtnih primerov zaradi bolezni jeter, žolčnika in žolčevodov.
English: In addition the warning section of the SmPC now refers to the co-resistance of the fluroquinolones including levofloxacin to MRSA.
Slovenian: Poleg tega poglavje z opozorili v povzetku glavnih značilnosti zdravila zdaj navaja soodpornost MRSA proti fluorokinolonom, vključno z levofloksacinom.
English: Skin and Soft Tissue Infections (SSTIs)
Slovenian: Okužbe kože in mehkih tkiv (OKMT)
English: • Benign intracranial hypertension, in line with recent labelling changes made in the US in April 2012 for levofloxacin; These cases should be kept under closely monitoring and further discussed in future PSURs.
Slovenian: • benigna intrakranialna hipertenzija, v skladu z nedavnimi spremembami označevanja za levofloksacin v ZDA aprila 2012.
English: In addition, this section of the SmpC was updated to reflect the core safety profile agreed in April 2011 as an outcome of the PSUR worksharing procedure.
Slovenian: Poleg tega je bilo to poglavje povzetka glavnih značilnosti zdravila posodobljeno tako, da odraža osnovni varnostni profil, ki je bil sprejet aprila 2011 kot izid projekta z deljenim delom PSUR (z zadnjimi podatki dopolnjeno redno poročilo o varnosti zdravila).
English: Community-acquired pneumonia in patients with additional risk factors or requiring hospitalization, or in case of known or suspected bacterial resistance to commonly used classes of anti-infectives (according to history of patients or national and /or regional resistance data), or if previous antiinfective treatment has failed.
Slovenian: Zunajbolnišnična pljučnica pri bolnikih z dodatnimi dejavniki tveganja ali pri bolnikih, ki potrebujejo hospitalizacijo, ali v primeru znane ali domnevne odpornosti bakterij na običajno uporabljene razrede protivnetnih zdravil (v skladu z anamnezo bolnikov ali nacionalnimi in/ali regijskimi podatki o odpornosti) ali če je bilo predhodno protivnetno zdravljenje neuspešno.
English: Based on the current available data, considering the current treatment guidelines and also taking into account the current SmPC wording for other fluororoquinolon products with regards this indication, the MAH proposed the following restricted wording:
Slovenian: Na podlagi trenutno razpoložljivih podatkov in ob upoštevanju trenutnih smernic za zdravljenje ter trenutnega besedila glavnih značilnosti zdravila za druga zdravila s fluorokinoloni v zvezi s to indikacijo je imetnik dovoljenja za promet z zdravilom predlagal naslednje omejeno besedilo:
English: Levofloxacin is approved in the most three common RTIs indications: acute bacterial sinusitis (ABS), acute exacerbation of chronic bronchitis (AECB) and community-acquired pneumonia (CAP).
Slovenian: Levofloksacin je odobren za tri najpogostejše indikacije pri okužbah dihal: akutni bakterijski sinusitis (ABS), akutno eksacerbacijo kroničnega bronhitisa (AEKB) in zunajbolnišnično pljučnico (ZBP).
English: • Pyelonephritis and complicated urinary tract infections (see section 4.4)
Slovenian: • pielonefritis in zapletene okužbe sečil (glejte poglavje 4.4)
English: • Uncomplicated cystitis (tablets only): 250 mg once daily for 3 days;
Slovenian: • nezapleteni cistitis (samo tablete): 250 mg enkrat dnevno za 3 dni;
English: The Core Safety Profile (CSP) approved as an outcome of the PSUR work-sharing procedure finalised on 1 April 2011 was considered.
Slovenian: Upoštevali so osnovni varnostni profil (CSP), ki je bil odobren 1. aprila 2011 kot izid projekta z deljenim delom PSUR (z zadnjimi podatki dopolnjeno redno poročilo o varnosti zdravila).
English: Acute bacterial sinusitis (adequately diagnosed according to national and/or local guidelines on the treatment of respiratory tract infections) in severe cases at risk of complications (such as frontal, sphenoidal, ethmoidal or pansinusitis), or in case of known or suspected bacterial resistance to commonly used classes of anti-infectives (according to history of patients or national and /or regional resistance data), or if previous anti-infective treatment has failed.
Slovenian: Akutni bakterijski sinusitis (ustrezno diagnosticiran v skladu z nacionalnimi in/ali lokalnimi smernicami za zdravljenje okužb dihal) v hudih primerih s tveganjem za zaplete (kot so čelni, sfenoidalni, etmoidni ali pansinusitis), v primeru znane ali domnevne odpornosti bakterij proti običajno uporabljenim razredom protivnetnih zdravil (v skladu z anamnezo bolnikov ali nacionalnimi in/ali regijskimi podatki o odpornosti) ali če je bilo predhodno protivnetno zdravljenje neuspešno.
English: This indication was only approved in one MS for both tablets (for post-exposure prophylaxis and curative treatment of anthrax) and IV solution (for the curative treatment) since 2001 in accordance with national recommendations.
Slovenian: Ta indikacija je odobrena samo v eni državi članici za tablete (za profilakso po izpostavitvi in za kurativno zdravljenje vraničnega prisada) in za i.v.
English: Complicated urinary tract infections (cUTIs) including pyelonephritis (PN)
Slovenian: Zapletene okužbe sečil, vključno s pielonefritisom
English: The CSP was considered when harmonising the listed adverse reactions between national SmPCs of Tavanic.
Slovenian: Pri usklajevanju neželenih učinkov med nacionalnimi povzetki glavnih značilnosti zdravila Tavanic je bil upoštevan osnovni varnostni profil (CSP).
English: Following all the changes in the SPC there are several corresponding changes to the Package Leaflet.
Slovenian: Po spremembah povzetka glavnih značilnosti zdravila so več ustreznih sprememb vnesli še v navodilo za uporabo.
English: • Inhalation Anthrax: postexposure prophylaxis and curative treatment (see section 4.4).
Slovenian: • inhalacijski vranični prisad: profilaksa po izpostavitvi in kurativno zdravljenje (glejte poglavje 4.4)
English: In this harmonisation procedure the MAH claimed for RTIs indications (restricted), SSTIs, complicated and uncomplicated UTIs, chronic bacterial prostatitis and anthrax treatment.
Slovenian: V tem postopku usklajevanja imetnik dovoljenja za promet uveljavlja indikacije za zdravljenje okužb dihal (z omejitvami), okužb kože in mehkih tkiv, zapletenih in nezapletenih okužb sečil, kroničnega bakterijskega prostatitisa in vraničnega prisada.