FrancophonIA/ELRC3.0 huggingface dataset:
English: No dose adjustment is required for patients with mild (Child-Pugh Class A) or moderate (Child-Pugh Class B) hepatic impairment.
Danish: Dosisjustering er ikke påkrævet til patienter med let (Child-Pugh-klasse A) eller moderat (Child-Pughklasse B) leverinsufficiens.
English: • If severe signs and/or symptoms persist for more than 48 hours after initiation of corticosteroids, Xospata should be interrupted until signs and symptoms are no longer severe.
Danish: • Hvis alvorlige tegn og/eller symptomer varer ved i mere end 48 timer efter initiering af kortikosteroider, skal Xospata afbrydes, indtil tegnene og symptomerne ikke længere er alvorlige.
English: Xospata is not recommended during pregnancy and in women of childbearing potential not using effective contraception.
Danish: Xospata bør ikke anvendes under graviditeten og til kvinder i den fertile alder, som ikke anvender sikker prævention.
English: Astellas Pharma a/s Tlf: +45 43 430355
Danish: Danmark Astellas Pharma a/s Tlf: +45 43 430355
English: The ADMIRAL study is a Phase 3, open-label, multicentre, randomised clinical study of adult patients with relapsed or refractory AML with a FLT3 mutation as determined by the LeukoStrat® CDx FLT3 Mutation Assay.
Danish: ADMIRAL-studiet er et åbent, randomiseret klinisk multicenterstudie i fase 3 med voksne patienter med recidiverende eller refraktær AML med FLT3-mutation, der blev konstateret ved LeukoStrat CDx FLT3 Mutation Assay.
English: Strong inhibitors of CYP3A and/or P-gp (e.g., voriconazole, itraconazole, posaconazole, clarithromycin, erythromycin, captopril, carvedilol, ritonavir, azithromycin) can increase gilteritinib plasma concentrations.
Danish: Stærke hæmmere af CYP3A og/eller P-gp (f.eks. voriconazol, itraconazol, posaconazol, clarithromycin, erythromycin, captopril, carvedilol, ritonavir, azithromycin) kan øge plasmakoncentrationen af gilteritinib.
English: Repeat dose toxicity
Danish: Toksicitet ved gentagne doser
English: 0.6 0.6 Uncommon
Danish: 0,6 0,6 Ikke almindelig
English: Based on in vitro data, gilteritinib may reduce the effects of medicinal products that target 5HT2B receptor or sigma nonspecific receptor (e.g., escitalopram, fluoxetine, sertraline).
Danish: Baseret på in vitro-data kan gilteritinib nedsætte virkningen af lægemidler, der er rettet mod 5HT2Breceptoren eller uspecifikke sigmareceptorer (f.eks. escitalopram, fluoxetin eller sertralin).
English: Caution is required when concomitantly prescribing gilteritinib with medicinal products that are strong inhibitors of CYP3A and/or P-gp (such as, but not limited to, voriconazole, itraconazole, posaconazole and clarithromycin ) because they can increase gilteritinib exposure.
Danish: Forsigtighed er påkrævet ved samtidig ordinering af gilteritinib og lægemidler, der er stærke hæmmere af CYP3A og/eller P-gp (såsom, men ikke begrænset til, voriconazol, itraconazol, posaconazol og clarithromycin), da de kan øge eksponeringen for gilteritinib.
English: Contact your doctor straight away if you have a change in your heartbeat, or if you feel dizzy, lightheaded, or faint.
Danish: Kontakt straks din læge, hvis din hjerterytme ændrer sig, hvis du føler dig svimmel eller ør, eller besvimer.
English: In general, gilteritinib exhibited linear, dose-proportional pharmacokinetics after single and multiple dose administration at doses ranging from 20 to 450 mg in patients with relapsed or refractory AML.
Danish: Generelt udviste gilteritinib lineær, dosisproportional farmakokinetik efter administration af en enkelt og flere doser i dosisintervaller fra 20 til 450 mg hos patienter med recidiverende eller refraktær AML.
English: Pregnant women should be informed of the potential risk to a foetus (see sections 4.6 and 5.3).
Danish: Gravide kvinder skal informeres om den potentielle risiko for fosteret (se pkt.
English: • Treatment can be resumed 30 days after HSCT if engraftment was successful, the patient did not have grade ≥2 acute graft versus host disease and was in CRc.c a. Grade 1 is mild, Grade 2 is moderate, Grade 3 is serious, Grade 4 is life-threatening.
Danish: • Behandlingen kan genoptages 30 dage efter HSCT, hvis transplantationen var vellykket, patienten ikke havde akut graft versus host-sygdom af grad ≥2 og var i CRc c..
English: Before taking gilteritinib, relapsed or refractory AML patients must have confirmation of FMS-like tyrosine kinase 3 (FLT3) mutation (internal tandem duplication [ITD] or tyrosine kinase domain [TKD]) using a validated test.
Danish: Inden start af gilteritinib-behandling skal patienter med recidiverende eller refraktær AML have bekræftet FMS-lignende tyrosinkinase 3-mutation (FLT3-mutation) (intern tandemduplikation [ITD] eller tyrosinkinasedomæne [TKD]) via en valideret test.
English: PARTICULARS TO APPEAR ON THE OUTER PACKAGING OUTER CARTON WITH BLUE BOX
Danish: YDRE KARTON MED BLÅ BOKS
English: In the repeated dose toxicity studies in rats and dogs, target organs of toxicity were the gastrointestinal tract (heamorrhage in dogs), lymphohaematopoietic system (lymphocyte necrosis and bone marrow hypocellularity with changes in haematological parameters), eye (inflammation and lens opacity in rats, fundus colour change in dogs, retinal vacuolation), lung (interstitial pneumonia in rats and inflammation in dogs), kidney (renal tubule changes with a positive urine occult blood reaction) and liver (hepatocyte vacuolation), urinary bladder (epithelial vacuolation), epithelial tissue (ulcer and inflammation), and phospholipidosis (lung and kidney in rats).
Danish: I studierne af toksicitet ved gentagne doser i rotter og hunde, var målorganerne for toksiciteten mavetarm-kanalen (hæmoragi i hunde), det lymfehæmotopoietiske system (lymfocytnekrose og hypocellularitet i knoglemarv med forandringer i de hæmatologiske parametre), øjne (inflammation og uklare linser i rotter, fundusfarveændringer i hunde, retinal vakuolisering), lunger (interstitiel pneumoni i rotter og inflammation i hunde), nyrer (renaltubulære forandringer med positiv reaktion på okkult blod i urin) og lever (hepatocytvakuolisering), urinblære (epitelvakuolisering), epitelvæv (ulcus og inflammation) og phospholipidose (lunge og nyre i rotter).
English: Your doctor will carry out regular blood tests before and during treatment with Xospata.
Danish: Yderligere opfølgning i løbet af behandlingen med Xospata Din læge vil foretage blodprøver regelmæssigt før og i løbet af behandlingen med Xospata.
English: - Management of differentiation syndrome.
Danish: - Behandling af differentieringssyndrom.
English: Gilteritinib fumarate is a FLT3 and AXL inhibitor.
Danish: Gilteritinibfumarat hæmmer FLT3 og AXL.
English: In particular, tell your doctor, pharmacist or nurse if you are taking any of the following medicines: - medicines used to treat tuberculosis, such as rifampicin; - medicines used to treat epilepsy, such as phenytoin; - medicines used to treat fungal infections such as voriconazole, posaconazole or itraconazole; - medicines used to treat bacterial infections such as erythromycin, clarithromycin or azithromycin; - medicines used to treat high blood pressure (hypertension) such as captopril or carvedilol; - medicines used to treat infections with the human immunodeficiency virus (HIV) such as ritonavir; - medicines used to treat depression such as escitalopram, fluoxetine or sertraline; - St. John's wort (also known as Hypericum perforatum), a herbal medicine used to treat depression.
Danish: Det er især vigtigt, at du fortæller det til lægen, apotekspersonalet eller sygeplejersken, hvis du tager et af følgende lægemidler: - lægemidler, der bruges til at behandle tuberkulose, f.eks. rifampicin, - lægemidler, der bruges til at behandle epilepsi, f.eks. phenytoin, - lægemidler, der bruges til at behandle svampeinfektioner, f.eks. voriconazol, posaconazol eller itraconazol, - lægemidler, der bruges til at behandle bakterieinfektioner, f.eks. erythromycin, clarithromycin eller azithromycin, - lægemidler, der bruges til at behandle højt blodtryk (hypertension), f.eks. captopril eller carvedilol, - lægemidler, der bruges til at behandle infektioner med human immundefektvirus (hiv), f.eks.
English: A concentration-related increase in change from baseline of QTcF was observed across gilteritinib doses ranging from 20 to 450 mg.
Danish: Der sås en koncentrationsrelateret stigning i ændringen fra baseline i QTcF for alle doser i intervallet fra 20 mg til 450 mg.
English: Median steady-state maximum concentration (Cmax) is 282.0 ng/mL (CV% = 50.8), and area under the plasma concentration curve during 24-hour dosing interval (AUC0-24) is 6180 ng·h/mL (CV% = 46.4) after once-daily dosing of 120 mg gilteritinib.
Danish: Medianen for maksimumkoncentrationen (Cmax) ved steady-state er 282,0 ng/ml (CV% = 50,8), og området under plasmakoncentrationskurven i løbet af et doseringsinterval på 24 timer (AUC0-24) er 6180 ng t/ml (CV% = 46,4) efter dosering af 120 mg gilteritinib en gang dagligt.
English: Gilteritinib has been associated with differentiation syndrome (see section 4.8).
Danish: Gilteritinib er blevet forbundet med differentieringssyndrom (se pkt.
English: PRES is a rare, reversible, neurological disorder which can present with rapidly evolving symptoms including seizure, headache, confusion, visual and neurological disturbances, with or without associated hypertension and altered mental status.
Danish: PRES er en sjælden, reversibel neurologisk lidelse, som kan optræde med hurtigt udviklende symptomer, herunder kramper, hovedpine, konfusion, visuelle og neurologiske forstyrrelser, med eller uden relateret hypertension og ændret mentaltilstand.
English: What Xospata is used for
Danish: Hvad bruges Xospata til?
English: Gilteritinib exposure increased approximately 1.5-fold in patients with relapsed or refractory AML when co-administered with a strong CYP3A and/or P-gp inhibitor (see section 4.4).
Danish: Gilteritinib-eksponeringen steg med cirka 1,5 gange hos patienter med recidiverende eller refraktær AML, når gilteritinib blev administreret samtidigt med en stærk CYP3A og/eller P-gphæmmer (se pkt.
English: Differentiation syndrome can happen any time during the first 3months of Xospata treatment from as early as 2 days after starting.
Danish: Differentieringssyndrom kan opstå når som helst i løbet af de første 3 måneder af behandlingen med Xospata fra så tidligt som 2 dage efter, at du er startet.
English: If severe signs and/or symptoms persist for more than 48 hours after initiation of corticosteroids, Xospata should be interrupted until signs and symptoms are no longer severe (see sections 4.2 and 4.8).
Danish: Hvis alvorlige tegn og/eller symptomer varer ved i mere end 48 timer efter initiering af kortikosteroider, skal Xospata afbrydes, indtil tegnene og symptomerne ikke længere er alvorlige (se pkt.
English: PRES is a rare, reversible, neurological disorder, which can present with rapidly evolving symptoms including seizure, headache, confusion, visual and neurological disturbances, with or without associated hypertension.
Danish: PRES er en sjælden, reversibel neurologisk lidelse, som kan optræde med hurtigt udviklende symptomer, herunder krampe, hovedpine, konfusion, visuelle og neurologiske forstyrrelser, med eller uden relateret hypertension.
English: These may be signs of a condition called PRES (see section 4.
Danish: Dette kan være tegn på en tilstand, der kaldes PRES (se afsnit 4 - Bivirkninger).
English: The effect of hepatic impairment on gilteritinib pharmacokinetics was studied in subjects with mild (Child-Pugh Class A) and moderate (Child-Pugh Class B) hepatic impairment.
Danish: Virkningen af leverinsufficiens på gilteritinibs farmakokinetik blev undersøgt hos forsøgspersoner med let (Child-Pugh-klasse A) og moderat (Child-Pugh-klasse B) leverinsufficiens.
English: CYP3A and/or P-gp inhibitors
Danish: CYP3A- og/eller P-gp-hæmmere
English: Transporter drug-drug interactions
Danish: Interaktioner mellem lægemiddel og transportører
English: Blood creatine phosphokinase increased*
Danish: Forhøjet alkalisk phosphatase i blodet*
English: 53.9 6.3 Very common
Danish: 53,9 6,3 Meget almindelig
English: The predicted mean change from baseline of QTcF at the mean steady-state Cmax (282.0 ng/mL) at the 120 mg daily dose was 4.96 msec with an upper 1-sided 95% CI = 6.20 msec.
Danish: Den forventede gennemsnitlige ændring i QTcF fra baseline ved gennemsnitlig steady-state-Cmax (282,0 ng/ml) med den daglige dosis på 120 mg var 4,96 ms med et øvre 1-sidet CI på 95 % = 6,20 ms.
English: 29.8 1.9 Very common
Danish: 29,8 1,9 Meget almindelig
English: Symptoms of posterior reversible encephalopathy syndrome
Danish: Symptomer på posterior reversibelt encefalopati-syndrom
English: Complete remission
Danish: Komplet remission CR
English: QT prolongation can be observed in the first two months of treatment with gilteritinib.
Danish: 4.8 og 5.1) QT-forlængelse kan forekomme i de første to måneder af behandlingen med gilteritinib.
English: - if you are allergic to gilteritinib or any of the other ingredients of this medicine (listed in section
Danish: Tag ikke Xospata - hvis du er allergisk over for gilteritinib eller et af de øvrige indholdsstoffer i Xospata (angivet i afsnit 6).
English: • cytarabine 20 mg twice daily by subcutaneous (SC) or intravenous (IV) for 10 days (days 1 through 10) (LoDAC)
Danish: • 20 mg cytarabin to gange dagligt subkutant (s.c.) eller intravenøst (i.v.)
English: Xospata 40 mg film-coated tablets gilteritinib
Danish: Xospata 40 mg filmovertrukne tabletter gilteritinib
English: Breast-feeding should be discontinued during treatment with Xospata and for at least two months after the last dose.
Danish: Amning skal ophøre under behandling med Xospata og i mindst to måneder efter den sidste dosis.
English: In healthy adults, gilteritinib Cmax and AUC decreased by approximately 26% and less than 10%, respectively, when a single 40 mg dose of gilteritinib was co-administered with a high fat meal compared to gilteritinib exposure in fasted state.
Danish: Hos raske voksne faldt Cmax med cirka 26 % og AUC med mindre end 10 % for gilteritinib, når en enkelt dosis på 40 mg gilteritinib blev administreret samtidigt med et måltid med højt fedtindhold, sammenlignet med gilteritinib-eksponeringen under faste.
English: Therefore, electrocardiogram (ECG) should be performed prior to initiation of treatment, on day 8 and 15 of cycle 1, and prior to the start of the next three subsequent months of treatment.
Danish: Derfor skal der tages et elektrokardiogram (EKG) inden initiering af gilteritinibbehandling, på dag 8 og 15 i cyklus 1, og inden starten på de tre efterfølgende måneder i behandlingen.
English: Detailed information on this medicinal product is available on the website of the European Medicines Agency http://www.ema.europa.eu.
Danish: Yderligere oplysninger om dette lægemiddel findes på Det Europæiske Lægemiddelagenturs hjemmesidehttp://www.ema.europa.eu.
English: A single, 10 mg dose of gilteritinib co-administered with itraconazole (200 mg once daily for 28 days), a strong CYP3A and/or P-gp inhibitor, to healthy subjects resulted in an approximate 20% increase in mean Cmax and 2.2-fold increase in mean AUCinf relative to subjects administered a single dose of gilteritinib alone.
Danish: En enkelt dosis gilteritinib på 10 mg administreret samtidigt med itraconazol (200 mg én gang dagligt i 28 dage), som er en stærk CYP3A- og/eller P-gp-hæmmer, til raske forsøgspersoner resulterede i en stigning på cirka 20 % i gennemsnitlig Cmax og en stigning på 2,2 gange i gennemsnitlig AUCinf i forhold til forsøgspersoner, der alene fik en enkelt dosis gilteritinib.
English: For patients who achieved a CR/CRh, the median time to first response was 3.7 months (range, 0.9 to 10.6 months) in the gilteritinib arm and 1.2 months (range: 1 to 2.6 months) in the salvage chemotherapy arm.
Danish: For de patienter, der opnåede en CR/CRh, var mediantiden til første respons 3,7 måneder (interval 0,9 til 10,6 måneder) i gilteritinib-gruppen og 1,2 måneder (interval: 1 til 2,6 måneder) i gruppen, der fik salvage-kemoterapi.
English: An electrocardiogram (ECG) should be performed before initiation of gilteritinib treatment, on day 8 and 15 of cycle 1 and prior to the start of the next three subsequent months of treatment (see sections 4.4 and 4.8).
Danish: Der skal tages et elektrokardiogram (EKG) inden initiering af gilteritinib-behandlingen, på dag 8 og 15 af cyklus 1 og inden starten på de tre efterfølgende måneder i behandlingen (se pkt.
English: Additionally, the pharmacokinetics of cephalexin (a sensitive MATE1 substrate) were not significantly (Cmax and AUC decreased by less than 10%) affected after once daily administration of gilteritinib (200 mg) for 15 days in patients with FLT3-mutated relapsed or refractory AML.
Danish: Desuden blev farmakokinetikken af cephalexin (et sensitivt MATE1-substrat) ikke påvirket signifikant (Cmax og AUC faldt med mindre end 10 %) efter administration af gilteritinib (200 mg) én gang dagligt i 15 dage hos patienter med FLT3-muteret, recidiverende eller refraktær AML.
English: Talk to you doctor, pharmacist or nurse straight away: - if you have any of the following symptoms: fever, trouble breathing, rash, dizziness or lightheadedness, rapid weight gain, swelling of your arms or legs.
Danish: Kontakt straks lægen, apotekspersonalet eller sygeplejersken: - hvis du får et af følgende symptomer: feber, vejrtrækningsbesvær, udslæt, svimmelhed eller ørhed, hurtig vægtstigning, hævelser af arme eller ben.
English: After a single dose of [14C] -gilteritinib, gilteritinib is primarily excreted in faeces with 64.5% of the total administered dose recovered in faeces.
Danish: C]-gilteritinib udskilles gilteritinib primært i fæces, hvor 64,5 % af den samlede administrerede dosis blev genfundet i fæces.
English: If you have any further questions about your treatment, please contact your doctor.
Danish: Kontakt lægen, hvis du har yderligere spørgsmål om din behandling.
English: What you need to know before you take Xospata Do not take Xospata
Danish: Det skal du vide, før du begynder at tage Xospata
English: Concomitant use of Xospata with strong CYP3A/P-gp inducers (e.g., phenytoin, rifampin and St. John's Wort) should be avoided because they can decrease gilteritinib plasma concentrations.
Danish: Samtidig anvendelse af Xospata og stærke CYP3A/P-gp-induktorer (f.eks. phenytoin, rifampin og prikbladet perikon) skal undgås, da de kan sænke plasmakoncentrationen af gilteritinib.
English: You should not breast-feed during treatment with Xospata and for at least 2 months after stopping the treatment.
Danish: Du må ikke amme, mens du er i behandling med Xospata, og i mindst 2 måneder efter at du er holdt op med behandlingen.
English: Astellas Pharma Kft. Tel.: +36 1 577 8200
Danish: Magyarország Astellas Pharma Kft. Tel.: +36 1 577 8200
English: 17.2 7.2 Very common
Danish: 17,2 7,2 Meget almindelig
English: Females of reproductive potential should be advised to have a pregnancy test within seven days prior to starting treatment with Xospata and to use effective contraception during treatment with Xospata and for at least 6 months after stopping treatment.
Danish: Kvinder i den fertile alder skal rådes til at få foretaget en graviditetstest inden for syv dage, inden initiering af behandling med Xospata, og at bruge sikker prævention under behandling med Xospata og i mindst 6 måneder efter behandlingsophør.
English: The median time to best response of CR/CRh was 3.8 months (range, 0.9 to 16 months) in the gilteritinib arm and 1.2 months (range: 1 to 2.6 months) in the salvage chemotherapy arm.
Danish: Mediantiden til bedste respons for CR/CRh var 3,8 måneder (interval 0,9 til 16 måneder) i gilteritinib-gruppen og 1,2 måneder (interval: 1 til 2,6 måneder) i gruppen, der fik salvage-kemoterapi.
English: The pharmacokinetics of midazolam (a sensitive CYP3A4 substrate) were not significantly (Cmax and AUC increased approximately 10%) affected after once-daily administration of gilteritinib (300 mg) for 15 days in patients with FLT3-mutated relapsed or refractory AML.
Danish: Farmakokinetikken af midazolam (et sensitivt CYP3A4-substrat) blev ikke påvirket signifikant (Cmax og AUC steg med cirka 10 %) efter administration af gilteritinib (300 mg) én gang dagligt i 15 dage hos patienter med FLT3-muteret, recidiverende eller refraktær AML.
English: Vistor hf Sími: +354 535 7000
Danish: Sími: +354 535 7000
English: • mitoxantrone 8 mg/m2, etoposide 100 mg/m2 and cytarabine 1000 mg/m2 once daily by IV for 5 days (days 1 through 5) (MEC)
Danish: • 8 mg/m mitoxantron, 100 mg/m etoposid og 1000 mg/m cytarabin i.v.
English: Xospata is indicated as monotherapy for the treatment of adult patients who have relapsed or refractory acute myeloid leukaemia (AML) with a FLT3 mutation (see sections 4.2 and 5.1).
Danish: Xospata er indiceret som monoterapi til behandling af voksne patienter, der har recidiverende eller refraktær akut myeloid leukæmi (AML) med FLT3-mutation (se pkt.
English: Placental transfer of gilteritinib was shown in the rat resulting in transfer of radioactivity to the foetus similar to that observed in maternal plasma.
Danish: I rotter er vist overførsel af gilteritinib via placenta, idet transport af radioaktivitet til fostret svarede til niveauet i maternel plasma.
English: Some possible side effects may be serious:
Danish: Nogle bivirkninger kan være alvorlige: - Differentieringssyndrom.
English: Results indicate unbound gilteritinib exposure in subjects with mild or moderate hepatic impairment is comparable to that observed in subjects with normal hepatic function.
Danish: Resultaterne tyder på, at eksponeringen for ubundet gilteritinib hos forsøgspersoner med let eller moderat leverinsufficiens er sammenlignelig med den, der sås hos forsøgspersoner med normal leverfunktion.
English: Symptoms have resolved after discontinuation of treatment (see sections 4.2 and 4.4).
Danish: Symptomerne forsvandt efter seponering af behandlingen (se pkt.
English: Xospata dosing
Danish: Dosering af Xospata
English: Discontinuation of Xospata in patients who develop PRES is recommended (see sections 4.2 and 4.8).
Danish: Seponering af Xospata hos patienter, der udvikler PRES, anbefales (se pkt.
English: Astellas Pharma GmbH Tel.: +49 (0)89 454401
Danish: Deutschland Astellas Pharma GmbH Tel.: +49 (0)89 454401
English: 13.8 2.5 Very common
Danish: 13,8 2,5 Meget almindelig
English: c. CRh was defined as marrow blasts <5%, partial haematologic recovery absolute neutrophil count ≥0.5
Danish: CRh var defineret som marvblaster <5 %, delvis hæmatologisk bedring var absolut neutrofiltal 9/l og trombocytter ≥50 × 10
English: Electrocardiogram QT prolonged
Danish: Hjerte Forlænget QT på elektrokardiogram
English: Astellas Pharma Puh/Tel: +358 (0)9 85606000
Danish: Suomi/Finland Astellas Pharma Puh/Tel: +358 (0)9 85606000
English: Men taking Xospata whose partners are able to become pregnant should use an effective method of contraception during treatment of Xospata and for at least 4 months after stopping the treatment.
Danish: Mænd, som tager Xospata, hvis partnere kan blive gravide, skal bruge en sikker præventionsmetode, mens de er i behandling med Xospata, og i mindst 4 måneder efter at de er holdt op med behandlingen.
English: If differentiation syndrome is suspected, corticosteroid therapy should be initiated along with hemodynamic monitoring until symptom resolution.
Danish: Hvis der er mistanke om differentieringssyndrom, skal kortikosteroid-behandling initieres sammen med hæmodynamisk monitorering, indtil symptomerne er ophørt.
English: • Patient information leaflet
Danish: • Patientinformationskort
English: Males with female partners of reproductive potential should be advised to use effective contraception during treatment and for at least 4 months after the last dose of Xospata.
Danish: Mænd med kvindelige partnere i den fertile alder skal rådes til at bruge sikker prævention under behandlingen og i mindst 4 måneder efter den sidste dosis Xospata.