FrancophonIA/ELRC3.0 huggingface dataset:
English: The company that markets Zoledronic Acid Accord will provide a card to inform patients receiving Zoledronic Acid Accord about the risk of osteonecrosis of the jaw and to instruct them to contact their doctor if they get symptoms.
Slovenian: Podjetje, ki trži zdravilo Zoledronska kislina Accord, bo pripravilo kartico, s katero bo bolnike seznanilo s tveganjem pojava osteonekroze čeljustnic in jih pozvalo, naj v primeru pojava simptomov poiščejo zdravniško pomoč.
English: Zoledronic Acid Accord contains the active substance zoledronic acid and is a ‘generic medicine'.
Slovenian: Zdravilo Zoledronska kislina Accord vsebuje učinkovino zoledronsko kislino in je „generično zdravilo“.
English: Other information about Zoledronic Acid Accord
Slovenian: Druge informacije o zdravilu Zoledronska kislina Accord
English: What is Zoledronic Acid Accord and what is it used for?
Slovenian: Kaj je zdravilo Zoledronska kislina Accord in za kaj se uporablja?
English: Why is Zoledronic Acid Accord authorised in the EU?
Slovenian: Zakaj je bilo zdravilo Zoledronska kislina Accord odobreno v EU?
English: By preventing the breakdown of bones, Zoledronic Acid Accord also helps to reduce the amount of calcium released into the blood.
Slovenian: Zdravilo Zoledronska kislina Accord s preprečevanjem razgradnje kostne mase pripomore tudi k znižanju ravni kalcija, ki se sprosti v kri.
English: There was no need for ‘bioequivalence' studies to investigate whether Zoledronic Acid Accord is absorbed similarly to the reference medicine to produce the same level of the active substance in the blood.
Slovenian: Izvedba študije „bioekvivalence“, s katero bi raziskali, ali se zdravilo Zoledronska kislina Accord absorbira podobno kot referenčno zdravilo in tako doseže enako raven učinkovine v krvi, ni bila potrebna, ker se zdravilo Zoledronska kislina Accord daje z infundiranjem v veno, zaradi česar učinkovina vstopi neposredno v krvni obtok.
English: Therefore, the Agency's view was that, as for Zometa, the benefit outweighs the identified risk and it can be authorised for use in the EU.
Slovenian: Zato je menila, da koristi zdravila Zoledronska kislina Accord enako kot pri zdravilu Zometa odtehtajo znana tveganja in se zdravilo lahko odobri v EU.
English: The active substance in Zoledronic Acid Accord, zoledronic acid, is a bisphosphonate.
Slovenian: Učinkovina zdravila Zoledronska kislina Accord, zoledronska kislina, je difosfonat.
English: Zoledronic Acid Accord (zoledronic acid)
Slovenian: Zoledronska kislina Accord (zoledronska kislina)
English: How has Zoledronic Acid Accord been studied?
Slovenian: Kako je bilo zdravilo Zoledronska kislina Accord raziskano?
English: How is Zoledronic Acid Accord used?
Slovenian: Kako se zdravilo Zoledronska kislina Accord uporablja?
English: How does Zoledronic Acid Accord work?
Slovenian: Kako zdravilo Zoledronska kislina Accord deluje?
English: The medicine is given as an infusion (drip) into a vein.
Slovenian: Zdravilo Zoledronska kislina Accord se daje z infundiranjem (kapalno infuzijo) v veno.
English: It is not recommended for patients with severely reduced kidney function.
Slovenian: Zdravilo Zoledronska kislina Accord ni priporočljivo pri bolnikih, ki imajo težko ledvično okvaro.
English: This summary was last updated in June 2017.
Slovenian: Povzetek je bil nazadnje posodobljen junija 2017.
English: Protection starts 21 days after vaccination and lasts for 112 days.
Slovenian: Zaščita se začne 21 dni po cepljenju in traja 112 dni.
English: Oedema disease is found worldwide and usually occurs in the first few weeks of life of the piglets.
Slovenian: Edemska bolezen je prisotna po vsem svetu in se običajno pojavi v prvih nekaj tednih življenja pujskov.
English: The full EPAR for Vepured can be found on the Agency's website: ema.europa.eu/Find medicine/Veterinary medicines/European public assessment reports.
Slovenian: Celotno evropsko javno poročilo o oceni zdravila Vepured je na voljo na spletni strani agencije: ema.europa.eu/Find medicine/Veterinary medicines/European public assessment reports.
English: What is Vepured and what is it used for?
Slovenian: Kaj je zdravilo Vepured in za kaj se uporablja?
English: It is not intended to provide practical advice on how to use Vepured.
Slovenian: Povzetek ni namenjen zagotavljanju praktičnih nasvetov o njegovi uporabi.
English: It results in damage to blood vessels, causing fluid build up in the tissues of the stomach and bowel and affecting the blood supply of the brain, and can lead to death within 24 to 48 hours.
Slovenian: Posledica je poškodba krvnih žil, kar povzroči nabiranje tekočine v tkivih trebuha in črevesja in vpliva na oskrbo možganov s krvjo ter lahko povzroči pogin v 24 do 48 urah.
English: This is a summary of the European public assessment report (EPAR) for Vepured.
Slovenian: To je povzetek evropskega javnega poročila o oceni zdravila (EPAR) za zdravilo Vepured.
English: The Agency's Committee for Medicinal Products for Veterinary Use (CVMP) concluded that Vepured's benefits are greater than its risks and recommended that it be approved for use in the EU.
Slovenian: Odbor za zdravila za uporabo v veterinarski medicini (CVMP) pri agenciji je zaključil, da so koristi zdravila Vepured večje od z njim povezanih tveganj, in priporočil, da se odobri za uporabo v EU.
English: Vepured also reduced the weight loss of pigs in herds affected with the disease.
Slovenian: Zdravilo Vepured je zmanjšalo tudi izgubo telesne mase pri prašičih v čredah, prizadetih s to boleznijo.
English: What benefits of Vepured have been shown in studies?
Slovenian: Kakšne koristi je zdravilo Vepured izkazalo v študijah?
English: What are the risks associated with Vepured?
Slovenian: Kakšna tveganja so povezana z zdravilom Vepured?
English: Other information about Vepured:
Slovenian: Druge informacije o zdravilu Vepured
English: Why is Vepured approved?
Slovenian: Zakaj je bilo zdravilo Vepured odobreno?
English: The most common side effects with Vepured (which may affect more than 1 in 10 animals) are mild inflammation at the injection site that resolves within 3 days of vaccination without treatment, mild depression on the day of vaccination and an increase in body temperature of maximum 1.1 °C which returns to normal within 1 day.
Slovenian: Najpogostejši neželeni učinki zdravila Vepured (ki lahko prizadenejo več kot 1 od 10 živali) so blago vnetje na mestu injiciranja, ki izzveni brez zdravljenja v treh dneh po cepljenju, blaga depresija na dan cepljenja in dvig telesne temperature za največ 1,1°C, ki se v enem dnevu povrne na normalno.
English: Vepured is given to piglets from 2 days of age as a single injection into the muscle in the neck.
Slovenian: Zdravilo Vepured se daje pujskom, starejšim od dveh dni, kot enkratna injekcija v vratno mišico.
English: The withdrawal period for meat from pigs treated with Vepured is ‘zero' days, which means there is no mandatory waiting time.
Slovenian: Karenca za meso prašičev, zdravljenih z zdravilom Vepured, je nič dni, kar pomeni, da ni obvezne čakalne dobe.
English: Vepured contains verotoxin 2e that has been modified and inactivated so it can no longer cause disease.
Slovenian: Zdravilo Vepured vsebuje verotoksin 2e, ki je bil modificiran in inaktiviran, tako da ne more več povzročiti bolezni.
English: A field study involving 2- to 3-day-old piglets, 1,173 of which were vaccinated with Vepured and 1,048 piglets given a dummy injection, showed that Vepured prevented death of virtually all the piglets from oedema disease over a 115 day period and there was a significant reduction in signs of the disease which included difficulty breathing, oedema (fluid retention) and signs related to the nervous system.
Slovenian: Terenska študija, ki je vključevala od 2 do 3 dni stare pujske, od katerih je bilo 1 173 cepljenih z zdravilom Vepured, 1 048 pa je prejelo injekcijo brez zdravilne učinkovine, je pokazala, da je zdravilo Vepured preprečilo pogin skoraj vseh pujskov z edemsko boleznijo v obdobju 115 dni, občutno pa so se zmanjšali tudi znaki bolezni, ki so vključevali oteženo dihanje, edem (zastajanje vode) in znake, povezane z živčnim sistemom.
English: E. coli verotoxoid vaccine (inactivated recombinant)
Slovenian: Cepivo z verotoksoidom iz E. coli (inaktivirano rekombinantno)
English: In the future, if the animals are exposed to the bacteria producing the unmodified toxin, their immune system will be able to make antibodies against the toxin more quickly.
Slovenian: Če bo v prihodnosti žival ponovno izpostavljena bakteriji, ki proizvaja nemodificiran toksin, bo njen imunski sistem tako hitreje tvoril protitelesa proti toksinu, kar bo pripomoglo k obrambi pred boleznijo.
English: Vepured is available as a suspension for injection and can only be obtained with a prescription.
Slovenian: Zdravilo Vepured je na voljo v obliki suspenzije za injiciranje in se predpisuje in izdaja le na recept.
English: Vepured is a vaccine containing modified, inactivated verotoxin 2e.
Slovenian: Zdravilo Vepured je cepivo, ki vsebuje modificiran, inaktiviran verotoksin 2e.
English: Vepured contains adjuvants (aluminium hydroxide and DEAE-dextran) to enhance the immune response.
Slovenian: Zdravilo Vepured vsebuje tudi „adjuvansa“ (aluminijev hidroksid in DEAE-dekstran) za povečanje imunskega odziva.
English: Oedema disease is caused by a bacterial toxin (poison) known as verotoxin 2e that is produced by certain strains of Escherichia coli.
Slovenian: Edemsko bolezen povzroči bakterijski toksin (strup), znan kot verotoksin 2e in ga proizvajajo določeni sevi bakterije Escherichia coli.
English: Vepured is a veterinary vaccine used to protect piglets against oedema disease (caused by verotoxin 2e produced by E. coli) and to reduce the loss of daily weight gain until slaughter.
Slovenian: Zdravilo Vepured je cepivo za uporabo v veterinarski medicini, ki se uporablja za zaščito pujskov pred edemskimi boleznimi (ki jih povzroča verotoksin 2e iz E. coli) in za zmanjšanje izgube dnevnega pridobivanja telesne mase do zakola.
English: For practical information about using Vepured, animal owners or keepers should read the package leaflet or contact their veterinarian or pharmacist.
Slovenian: Za praktične informacije o uporabi zdravila Vepured naj lastniki ali skrbniki živali preberejo navodilo za uporabo ali se posvetujejo z veterinarjem ali farmacevtom.
English: When Vepured is given to pigs, the animal's immune system recognises the toxin contained in the vaccine as ‘foreign' and makes antibodies against it.
Slovenian: Ko pujski prejmejo zdravilo Vepured, njihov imunski sistem prepozna toksin, ki ga vsebuje cepivo, kot tujek in proti njemu tvori protitelesa.
English: How is Vepured used?
Slovenian: Kako se zdravilo Vepured uporablja?
English: For more information about treatment with Vepured, animal owners or keepers should read the package leaflet or contact their veterinarian or pharmacist.
Slovenian: Za več informacij o zdravljenju z zdravilom Vepured naj lastniki ali skrbniki živali preberejo navodilo za uporabo ali se posvetujejo z veterinarjem ali farmacevtom.
English: The European Commission granted a marketing authorisation valid throughout the EU for Vepured on 17 August 2017.
Slovenian: Evropska komisija je dovoljenje za promet z zdravilom Vepured, veljavno po vsej Evropski uniji, izdala
English: How does Vepured work?
Slovenian: Kako zdravilo Vepured deluje?
English: • Aronson JK (editor).
Slovenian: • Aronson JK (urednik).
English: • contraindications were sometimes relative rather than absolute.
Slovenian: • kontraindikacije so bile včasih relativne in ne absolutne.
English: ANNEX II
Slovenian: Dodatek II
English: In several countries there was no information in section 4.2 on this group of patients.
Slovenian: V več državah v poglavju 4.2 ni bilo informacij o tej skupini bolnikov.
English: • Sweetman SC (editor), Martindale: The Complete Drug Reference 36.
Slovenian: • Sweetman SC (urednik), Martindale: The Complete Drug Reference 36.
English: Press <http://www.medicinescomplete.com/> (Accessed Sep-Nov 2009)
Slovenian: Press <http://www.medicinescomplete.com/> (dostop: september-november 2009)
English: Section 4.8 Undesirable Effects
Slovenian: Poglavje 4.8 Neželeni učinki
English: Specific treatment advice was not included as treatment protocols may vary between countries.
Slovenian: Nasveti glede specifičnega zdravljenja niso bili vključeni, saj se lahko protokoli zdravljenja med posameznimi državami razlikujejo.
English: • lack of data concerning safety in specific patients groups was the only justification for listing certain contraindications;
Slovenian: • nezadostni podatki o varnosti pri posameznih skupinah bolnikov so bili edina utemeljitev za navajanje določenih kontraindikacij;
English: A total of 214 patients (age range 64 - 81 years) were included in this trial.
Slovenian: V to preskušanje je bilo vključenih skupaj 214 bolnikov (starih od 64 do 81 let).
English: The paragraph ‘Clinical/Efficacy Studies' has been slightly rewording for more clarity.
Slovenian: Odstavek „Klinične študije/študije učinkovitosti“ je bil zaradi večje jasnosti nekoliko preoblikovan.
English: Section 4.5 Interaction with Other Medicinal Products and Other Forms of Interaction
Slovenian: Poglavje 4.5 Medsebojno delovanje z drugimi zdravili in druge oblike interakcij
English: Furthermore, the addition of an ACE inhibitor may further attenuate this effect.
Slovenian: Poleg tega lahko dodajanje zaviralca ACE ta učinek še zmanjša.
English: Differences in level of detail existed between Member States for special warnings and precautions for use.
Slovenian: Med državami članicami so bile razlike v podrobnostih glede posebnih opozoril in previdnostnih ukrepov.
English: Overall summary of the scientific evaluation of Vascace Plus and associated names (see Annex I)
Slovenian: Splošni povzetek znanstvenega vrednotenja zdravila Vascace Plus in povezanih imen (glejte Dodatek I)
English: It presented in a succinct manner some important facts on these two molecules.
Slovenian: V strnjeni obliki predstavlja nekatera pomembna dejstva o teh dveh molekulah.
English: Combination therapy with antihypertensive agents is rarely necessary.
Slovenian: Kombinacijska terapija z antihipertenzivnimi zdravili je le redko potrebna.
English: Information on pharmacokinetics of hydrochlorothiazide in special populations has been added to section 5.2.
Slovenian: Podatki o farmakokinetiki hidroklorotiazida pri posebnih populacijah so bili dodani v poglavje 5.2.
English: The proposed text included a general statement concerning emergency treatment of angioedema.
Slovenian: Predlagano besedilo je vključevalo splošno izjavo o nujnosti zdravljenja angioedema.
English: The warning may be based on concerns about crossreactivity with sulfonamide antibiotics, which are know to aggravate porphyria.
Slovenian: Opozorilo morda temelji na pomislekih o navzkrižnih reakcijah s sulfonamidnimi antibiotiki, za katere je znano, da poslabšujejo porfirijo.
English: Therefore, Vascace Plus is not recommended for patients with severe renal impairment (see section 4.3)”.
Slovenian: Zato se zdravilo Vascace Plus ne priporoča za zdravljenje bolnikov s hudo okvaro ledvic (glejte poglavje 4.3).“
English: In the SPC of several countries the same or slightly modified wording was used.
Slovenian: V povzetku glavnih značilnosti zdravila je bilo v več državah uporabljeno enako ali nekoliko spremenjeno besedilo.
English: This wording of the therapeutic indications for Vascace Plus was identical in many EU countries.
Slovenian: To besedilo za terapevtske indikacije za zdravilo Vascace Plus je bilo enako v več državah EU.
English: It is widely known that thiazides as a class can increase uric acid levels (Meyler; Martindale).
Slovenian: Splošno znano je, da lahko tiazidi kot skupina povečajo koncentracijo sečne kisline (Meyler; Martindale).
English: Treatment is difficult and rather infrequent, since patients with cirrhosis have a tendency towards low blood pressure.
Slovenian: Zdravljenje je težko in redko, saj so bolniki s cirozo nagnjeni k nizkemu krvnemu tlaku.
English: Children The CHMP agreed that the use of Vascace Plus is not recommended in children.
Slovenian: Otroci CHMP se je strinjal, da uporaba zdravila Vascace Plus pri otrocih ni priporočljiva.
English: The proposed summary of the safety profile has been updated by the MAH taking into account the most recent guidelines and the definition of “frequency” used in the studies as supporting evidence.
Slovenian: Predlagani povzetek varnostnega profila je imetnik dovoljenja za promet z zdravilom posodobil ter pri tem upošteval najnovejše smernice in opredelitev izraza „pogostnost“, ki je v študijah uporabljen kot podporni dokaz.
English: Also the MAH presented the studies published which evaluated the combination of cilazapril and hydrochlorothiazide: Pordy et al (1995; 1994), Martina et al (1994), Yodfat et al. (1994), and Sanchez
Slovenian: Imetnik dovoljenja za promet z zdravilom je predstavil tudi objavljene študije, ki so ocenjevale kombinacijo cilazaprila in hidroklorotiazida: Pordy et al. (1995; 1994), Martina et al. (1994), Yodfat et al. (1994) in Sanchez (1989).
English: The pathophysiological association between liver impairment, cardiovascular function and arterial hypertension is complex.
Slovenian: Patofiziološka povezava med okvaro jeter, kardiovaskularno funkcijo in arterijsko hipertenzijo je kompleksna.
English: This was based on results of an epidemiological study which found that exposure to ACE inhibitors restricted to the first trimester of pregnancy was associated with increased risk of major congenital malformations including central nervous system and kidney malformations.
Slovenian: To je temeljijo na rezultatih epidemiološke študije, ki je pokazala, da je izpostavljenost zaviralcem ACE, omejena na prvo trimesečje nosečnosti, povezana s povečanim tveganjem hujših prirojenih nepravilnosti, vključno s centralnim živčnim sistemom in malformacijami ledvic.
English: The CHMP agreed to change the text “Pregnancy and lactation (see section 4.6)” under this section to “Second and third trimesters of pregnancy (see sections 4.4 and 4.6)”.
Slovenian: CHMP je potrdil spremenjeno besedilo v poglavju „Nosečnost in dojenje (glejte poglavje 4.6)“, ki se zdaj glasi „Drugo in tretje trimesečje nosečnosti (glejte poglavji 4.4 in 4.6)“.
English: In addition, a long-term, randomized, blinded, parallel group, multicenter study was conducted specifically in elderly patients with mild to moderate hypertension.
Slovenian: Poleg tega je bila izvedena tudi dolgotrajna, randomizirana, slepa, vzporedna in multicentrična študija, v kateri so sodelovali predvsem starejši bolniki z blago do zmerno hipertenzijo.
English: The CHMP considered a number of areas of disharmony in the Product Information.
Slovenian: CHMP je preučil več neusklajenih področij v informacijah o zdravilu.
English: Electrolyte disturbances including hypokalaemia, hyponatraemia and dehydration are mainly associated with thiazides, whilst ACE inhibitors can cause hyperkalaemia.
Slovenian: Elektrolitske motnje, vključno s hipokaliemijo, hiponatriemijo in dehidracijo, so povezane predvsem s tiazidi, medtem ko lahko zaviralci ACE povzročijo hiperkaliemijo.
English: In some SPCs, relative contraindications were discussed in section 4.4 (Special Warnings and Precautions), rather than in section 4.3;
Slovenian: V nekaterih povzetkih glavnih značilnosti zdravila so bile relativne kontraindikacije navedene v poglavju 4.4 (Posebna opozorila in previdnostni ukrepi) in ne v poglavju 4.3;
English: The CHMP noted that the substitution of the free combination of the active substances given at the same dose is an acceptable indication based on the long experience of concomitant use.
Slovenian: CHMP je menil, da je zamenjava kombinacije zdravilnih učinkovin z istimi odmerki sprejemljiva indikacija, utemeljena na podlagi dolgoročnih izkušenj s sočasno uporabo.
English: Over 600 of these patients received the cilazapril/hydrochlorothiazide combination for 6 months and more, and approximately 200 of these patients were treated with the combination for one year or longer.
Slovenian: Več kot 600 bolnikov je kombinacijo cilazaprila/hidroklorotiazida prejemalo šest mesecev ali dlje, okoli 200 bolnikov izmed teh pa se je s kombinacijo obeh zdravilnih učinkovin zdravilo eno leto ali dlje.
English: SCIENTIFIC CONCLUSIONS AND GROUNDS FOR AMENDMENT OF THE SUMMARY OF PRODUCT CHARACTERISTICS, LABELLING AND PACKAGE LEAFLET PRESENTED BY THE EUROPEAN MEDICINES AGENCY
Slovenian: Znanstveni zaključki in podlaga za dopolnilo povzetka glavnih značilnosti zdravila, označevanja in navodila za uporabo, ki jih je predstavila Evropska agencija za zdravila
English: In other countries a modified statement including also impaired liver function was given, or patients with liver impairment were contraindicated.
Slovenian: V drugih državah je bila vključena spremenjena izjava, ki je vključevala tudi okvarjeno delovanje jeter, ali pa je bilo zdravilo za bolnike z okvarjenim delovanjem jeter kontraindicirano.
English: Some SPCs recommend that fluid and electrolyte disturbances should be corrected before starting treatment.
Slovenian: Nekateri povzetki glavnih značilnosti zdravila priporočajo, da je treba tekočinske in elektrolitske motnje pred pričetkom zdravljenja odpraviti.
English: The CHMP endorsed most of the MAH's proposal except for pregnancy.
Slovenian: CHMP je potrdil večino predlogov imetnika dovoljenja za promet z zdravilom, razen glede nosečnosti.
English: Section 4.4 Special Warnings and Precautions for Use
Slovenian: Poglavje 4.4 Posebna opozorila in previdnostni ukrepi
English: Section 5.3 Preclinical safety data
Slovenian: 5.3 Predklinični podatki o varnosti
English: The 76 non-responders were treated with combination therapy.
Slovenian: 76 bolnikov, ki se na zdravljenje z monoterapijo ni odzvalo, so zdravili s kombinacijsko terapijo.
English: It reflected the relevant information on nonclinical safety data with cilazapril and hydrochlorothiazide.
Slovenian: Vsebovalo je pomembne informacije o nekliničnih podatkih o varnosti v zvezi s cilazaprilom in hidroklorotiazidom.
English: Of these patients with mild to moderate hypertension (sitting diastolic blood pressure 95 - 115 mm hg), 1.027 patients were treated with the cilazapril/hydrochlorothiazide combination, 453 patients with cilazapril and 366 with hydrochlorothiazide alone and 238 patients received placebo.
Slovenian: Izmed teh bolnikov z blago do zmerno hipertenzijo (diastolični krvni tlak v sedečem položaju 95-115 mm Hg) je bilo 1 027 bolnikov zdravljenih s kombinacijo cilazaprila/hidroklorotiazida, 453 bolnikov samo s cilazaprilom in 366 bolnikov samo s hidroklorotiazidom, 238 bolnikov pa je prejelo placebo.
English: Moreover, according to the PhVWP recommendation, angiotensin converting enzyme inhibitors are contraindicated in second and third trimesters of pregnancy but not during the first trimester of pregnancy or lactation.
Slovenian: Poleg tega so ob upoštevanju priporočila delovne skupine za farmakovigilanco zaviralci angiotenzinske konvertaze kontraindicirani v drugem in tretjem trimesečju nosečnosti, ne pa tudi v prvem trimesečju in v času dojenja.
English: A very cautious treatment is required due to the therapeutic properties of cilazapril and a cross reference to section 4.4 has been added.
Slovenian: Zaradi terapevtskih značilnosti cilazaprila je potrebno zelo pazljivo zdravljenje, zato je bil dodan sklic na poglavje 4.4.
English: The number of products for Vascace Plus is considerably higher than for cilazapril alone, since numerous molecules had been added where a potential interaction with hydrochlorothiazide was suspected.
Slovenian: Število izdelkov za zdravilo Vascace Plus je bistveno večje kot samo za cilazapril, saj so bile v primeru suma na možno interakcijo s hidroklorotiazidom dodane številne molekule.
English: A diuretic such as hydrochlorothiazide enhances efficacy of the ACE inhibitor by stimulating the renin-angiotensin system and shifting the hypertensive state to a more renin-dependent condition.
Slovenian: Diuretik, kot je hidroklorotiazid, povečuje učinkovitost zaviralca ACE, tako da spodbuja sistem reninangiotenzin, hipertenzivno stanje pa spreminja v stanje, ki je bolj odvisno od renina.