FrancophonIA/ELRC3.0 huggingface dataset:
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.
Danish: De oftest ordinerede antibiotika mod sinuitis er ß-lactamer (amoxicillin med eller uden clavulansyre, orale andenog tredjegenerations cefalosporiner), makrolider og fluorquinoloner mod pneumokokker.
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.
Danish: Den relative kontraindikation hos patienter med glukose-6-fosfatdehydrogenase (G6PD)-mangel blev bibeholdt i advarselsafsnittet af produktresuméet, da den er godkendt i alle medlemsstater på nær én.
English: As a fluoroquinolone antibacterial agent, levofloxacin inhibits DNA synthesis by acting on the DNA/DNA-gyrase complex and topoisomerase IV.
Danish: Som andre antibiotika i fluorquinolon-klassen hæmmer levofloxacin DNA-syntesen ved indvirkning på DNA/DNA-gyrase-komplekset og topoisomerase IV.
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.
Danish: Efter vurdering af forslaget og besvarelserne fra indehaveren af markedsføringstilladelsen og efter drøftelserne i udvalget vedtog CHMP som konklusion harmoniserede sæt produktinformationer for filmovertrukne tabletter og infusionsvæske for Tavanic og relaterede navne for de respektive lægemiddelformer.
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.
Danish: Den foreslåede harmoniserede lavere dosering på 250 mg til akut eksacerbation af kronisk bronkitis og til komplicerede infektioner i hud og underliggende væv blev drøftet yderligere på baggrund af den farmakokinetiske/farmakodynamiske profil af levofloxacin, infektionens art og den mest sandsynlige bakterielle ætiologiske agens.
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:
Danish: For at præcisere levofloxacins rolle ved denne indikation foreslog indehaveren af markedsføringstilladelsen først følgende ordlyd for tabletter og i.v.-opløsning:
English: The European Respiratory Society guideline (ERS, 2005) proposes levofloxacin as an alternative antibiotic for both hospital and community management of AECB with no risk factors for P. aeruginosa.
Danish: Vejledningen fra European Respiratory Society (ERS, 2005) nævner levofloxacin som behandlingsalternativ både i og uden for hospitalsmiljøet til akutte eksacerbationer af kronisk bronkitis uden risikofaktorer for P. aeruginosa.
English: • Chronic bacterial prostatitis (tablets and IV solution): 500 mg for 28 days;
Danish: • Kronisk bakteriel prostatitis (tabletter og i.v.-opløsning): 500 mg i 28 dage
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).
Danish: Tavanic findes som filmovertrukne tabletter (250 mg og 500 mg) og som infusionsvæske, opløsning (5 mg/ml med pakningsstørrelserne 250 mg/50 ml og 500 mg/100 ml).
English: Other Sections of the SPC
Danish: Andre afsnit i produktresuméet
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.
Danish: • Benign intrakraniel hypertension, på linje med ændringerne af mærkningen i USA for levofloxacin i april 2012.
English: This indication has been approved in all MS for both tablets and IV formulation, except in one MS.
Danish: Denne indikation er godkendt både for tabletterne og i.v.-formuleringen i alle medlemsstater bortset fra én.
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.
Danish: Denne indikation havde siden 2001 været godkendt i en enkelt medlemsstat for begge tabletter i overensstemmelse med nationale anbefalinger (som profylakse efter eksponering og til kurativ behandling af miltbrand) og for i.v.-opløsningen (til kurativ behandling).
English: Five additional studies since then have been performed by the MAH.
Danish: Fem yderligere undersøgelser er siden udført af indehaveren af markedsføringstilladelsen.
English: As mentioned above, resistance of E.coli to fluoroquinolon and the need for prescribers to consider local prevalence resistance was included in this section.
Danish: Som nævnt blev der i dette afsnit indsat en bemærkning om resistens af E. coli over for fluorquinoloner og nødvendigheden af at tage hensyn til den lokale resistensforekomst.
English: Tablets - Inhalation Anthrax: post-exposure prophylaxis and curative treatment IV solution - Inhalation Anthrax: curative treatment
Danish: tabletter - Lunge-miltbrand: profylakse efter eksponering samt kurativ behandling injektionsvæske - lunge-miltbrand: kurativ behandling
English: Uncomplicated UTIs indication has been approved for 250 mg tablets of levofloxacin as in all MS except in three MS.
Danish: Indikationen ukomplicerede urinvejsinfektioner er godkendt for levofloxacin, tabletter, 250 mg, i alle medlemsstater bortset fra tre.
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:
Danish: På grundlag af de aktuelt foreliggende data og under hensyntagen til gældende behandlingsretningslinjer og ordlyden af det gældende produktresumé for andre fluorquinolon-produkter for denne indikation foreslog indehaveren af markedsføringstilladelsen følgende begrænsede ordlyd:
English: Therefore, on the basis of the efficacy data provided by the MAH for ABS, Pharmacokinetic/Pharmacodynamic considerations and the extensive risk profile of levofloxacin, it was agreed that the wording for the ABS indication should be in line with the wording agreed for other the fluoroquinolon agents.
Danish: På grundlag af de data, indehaveren af markedsføringstilladelsen har forelagt vedrørende virkning ved akut bakteriel sinuitis, og ud fra farmakokinetiske/farmakodynamiske overvejelser og den omfattende risikoprofil af levofloxacin, blev det derfor afgjort, at indikationen akut bakteriel sinuitis får samme ordlyd som fastlagt for andre fluorquinoloner.
English: • Uncomplicated cystitis (tablets only): 250 mg once daily for 3 days;
Danish: • Ukompliceret cystitis (kun tabletter): 250 mg én gang dagligt i 3 dage
English: The proposal presented by the MAH reflected the latest scientific information including Core Safety Information (harmonisation of the safety sections of the SmPC: 4.3 to 4.9) agreed in April 2011 as an outcome of the PSUR worksharing, recent safety reviews of fluoroquinolones and new worldwide data on safety of fluoroquinolon.
Danish: Forslaget fra indehaveren af markedsføringstilladelsen afspejlede de nyeste videnskabelige oplysninger, herunder centrale sikkerhedsoplysninger (harmonisering af produktresuméets sikkerhedsafsnit: 4.3 til 4.9), der blev godkendt i april 2011 som resultat af PSUR
English: Based on the review of all the data currently available, the MAH proposed to harmonise the wording for levofloxacin tablets and IV solution to be recommended in PN and complicated urinary tract infections with consideration being given to official guidance on the appropriate use of antibacterial agents.
Danish: Efter gennemgang af alle de aktuelt foreliggende data foreslog indehaveren af markedsføringstilladelsen at harmonisere ordlyden for levofloxacin (tabletter og injektionsvæske), således at det anbefales anvendt ved pyelonefritis og komplicerede urinvejsinfektioner under hensyntagen til officielle retningslinjer for hensigtsmæssig brug af antibiotika.
English: the CHMP has recommended the variation to the terms of the marketing authorisations for which the summary of product characteristics, labelling and package leaflets are set out in Annex III for Tavanic and associated names (see Annex I).
Danish: • udvalget godtog den harmonisering af produktresuméet, etiketteringen og indlægssedlerne, der er foreslået af indehaverne af markedsføringstilladelsen, anbefalede CHMP ændring af betingelserne for de markedsføringstilladelser, for hvilke produktresumé, etikettering og indlægsseddel fremgår af bilag III for Tavanic og relaterede navne (se bilag I).
English: This indication is approved for both tablets and IV formulation of levofloxacin.
Danish: Indikationen er godkendt både for tabletformuleringen og i.v.-formuleringen af levofloxacin.
English: Although levofloxacin is not considered the drug of choice for the treatment of AECB, it is recommended as one of the possible alternatives for the treatment in the case of frequent exacerbations and in the case of severe chronic obstructive pulmonary disease (COPD).
Danish: Levofloxacin regnes ikke som førstevalgsbehandling ved akut eksacerbation af kronisk bronkitis, men anbefales som et af de mulige behandlingsalternativer ved hyppige eksacerbationer og ved svær kronisk obstruktiv lungesygdom (KOL).
English: Betalactams, macrolides, and fluoroquinolones are the most commonly used antibiotics for the treatment of AECB.
Danish: ß-lactamer, makrolider og fluorquinoloner mod pneumokokker er de mest anvendte antibiotika til behandling af samfundserhvervet pneumoni.
English: The harmonised therapeutic indications for Tavanic, film coated tablets 250 mg and 500 mg and for solution for infusion 5mg/ml which have been agreed are:
Danish: Der blev vedtaget følgende harmoniserede terapeutiske indikationer for Tavanic, filmovertrukne tabletter, 250 mg og 500 mg, og infusionsvæske, 5 mg/ml:
English: Acute bacterial sinusitis Acute exacerbations of chronic bronchitis Community-acquired pneumonia Complicated skin and soft tissue infections
Danish: Akutte eksacerbationer af kronisk bronkitis Samfundserhvervet pneumoni Komplicerede infektioner i hud og underliggende væv
English: • Complicated skin and soft tissue infections
Danish: Infektioner i hud og underliggende væv
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)”.
Danish: Alle produktresuméer baseret på den gensidige anerkendelsesprocedure nævner “akut bakteriel sinuitis” under indikationer med præcisionen: “(med passende dosering i henhold til nationale og/eller lokale retningslinjer for luftvejsinfektioner)”.
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.
Danish: Samfundserhvervet pneumoni hos patienter med ekstra risikofaktorer eller med indlæggelsesbehov ved kendt eller formodet bakteriel resistens mod sædvanligt anvendte klasser af antiinfektiva (i henhold til anamnesen eller nationale og/eller regionale resistensdata) eller ved svigt af foregående antiinfektiv behandling.
English: In this harmonisation procedure the MAH claimed for RTIs indications (restricted), SSTIs, complicated and uncomplicated UTIs, chronic bacterial prostatitis and anthrax treatment.
Danish: Ved denne harmoniseringsprocedure påberåbte indehaveren af markedsføringstilladelsen sig indikationerne luftvejsinfektioner (begrænset), infektioner i hud og underliggende væv, komplicerede og ukomplicerede urinvejsinfektioner, kronisk bakteriel prostatitis og behandling af miltbrand.
English: For the above-mentioned infections Tavanic should be used only when it is considered inappropriate to use antibacterial agents that are commonly recommended for the initial treatment of these infections.
Danish: Til ovennævnte infektioner bør Tavanic udelukkende anvendes, når det anses for uhensigtsmæssigt at anvende de antibiotika, der sædvanligvis anbefales til initial behandling af sådanne infektioner.
English: Uncomplicated urinary tract infections (uUTIs)
Danish: Ukomplicerede urinvejsinfektioner
English: Inhalation Anthrax: postexposure prophylaxis and curative treatment (see section 4.4)
Danish: Lunge-miltbrand: Profylakse efter eksponering og kurativ behandling (se afsnit 4.4)
English: Levofloxacin is currently indicated in adults for the treatment of respiratory tract infections (RTIs), SSTIs, complicated and uncomplicated UTIs and chronic bacterial prostatitis (CBP).
Danish: Levofloxacin er på nuværende tidspunkt indiceret til voksne til behandling af luftvejsinfektioner, infektioner i hud og underliggende væv, komplicerede og ukomplicerede urinvejsinfektioner og kronisk bakteriel prostatitis.
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.
Danish: Akut bakteriel sinuitis (baseret på en velfunderet diagnose i henhold til nationale og/eller lokale retningslinjer for behandling af luftvejssygdomme) ved svære tilfælde med risiko for komplikationer (såsom frontal-, sfenoidal-, etmoidal- eller pansinuitis), eller ved kendt eller formodet bakteriel resistens mod sædvanlige antiinfektiva (i henhold til anamnesen eller nationale og/eller regionale resistensdata) eller ved svigt af foregående antiinfektiv behandling.
English: Therefore, levofloxacin is active against a diverse range of common causative pathogens for sinusitis, acute exacerbation of chronic bronchitis (AECB), community-acquired pneumonia (CAP), urinary tract infections (UTIs) and skin and soft tissue infections (SSTIs).
Danish: Levofloxacin er derfor aktivt mod et bredt udsnit af almindelige patogener, der er årsag til sinuitis, akut eksacerbation af kronisk bronkitis, samfundserhvervet pneumoni, urinvejsinfektioner og infektioner i hud og underliggende væv.
English: There were three pivotal studies supporting this indication.
Danish: Denne indikation var dokumenteret ved tre hovedundersøgelser.
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.
Danish: Denne indikation er godkendt for levofloxacin-tabletter i alle ovennævnte medlemsstater bortset fra én, enten nationalt eller via den gensidige anerkendelsesprocedure.
English: • Inhalation Anthrax: postexposure prophylaxis and curative treatment (see section 4.4).
Danish: • Lunge-miltbrand: Profylakse efter eksponering og kurativ behandling (se afsnit 4.4)
English: Section 4.2 - Posology and method of administration
Danish: Afsnit 4.2 - Dosering og indgivelsesmåde
English: Acute bacterial exacerbations of chronic bronchitis (adequately diagnosed according to national and/or local guidelines on the treatment of respiratory tract infections) in patients with severe underlying COPD and/or other risk factors, 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.
Danish: Akut bakteriel eksacerbation af kronisk bronkitis (baseret på en velfunderet diagnose i henhold til nationale og/eller lokale retningslinjer for behandling af luftvejssygdomme) hos patienter med svær underliggende KOL og/eller andre risikofaktorer eller ved kendt eller formodet bakteriel resistens mod sædvanlige antiinfektiva (i henhold til anamnesen eller nationale og/eller regionale resistensdata) eller svigt af foregående antiinfektiv behandling.
English: A warning on the need to have an adequate diagnosis of ABS and AECB before the use of levofloxacin is added.
Danish: Der tilføjes en advarsel om, at der kræves en velunderbygget diagnose af akut bakteriel sinuitis og akut eksacerbation af kronisk bronkitis, før levofloxacin anvendes.
English: The evidence was provided by the MAH including a cumulative review of all fatal cases due to hepatibilary disorders.
Danish: Denne dokumentation, der blev fremlagt af indehaveren af markedsføringstilladelsen, omfattede en samlet gennemgang af alle tilfælde med fatalt udfald forårsaget af sygdomme i lever og galdeveje.
English: Levofloxacin is also indicated in a few atypical indications like urosepsis, digestive and hepatobiliary infections, Anthrax curative treatment, and hospital-acquired pneumonia (HAP).
Danish: Levofloxacin er desuden indiceret til enkelte atypiske indikationer som urosepsis, infektioner i fordøjelseskanalen, hepatobiliære infektioner, kurativ behandling af miltbrand samt nosokomiel pneumoni.
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).
Danish: Levofloxacin er godkendt til de tre almindeligste indikationer ved luftvejsinfektioner: akut bakteriel sinuitis, akut eksacerbation af kronisk bronkitis og samfundserhvervet pneumoni.
English: The CAP indication is approved for both tablets and IV formulation of levofloxacin.
Danish: Indikationen samfundserhvervet pneumoni er godkendt både for tabletformuleringen og i.v.-formuleringen af levofloxacin.
English: Therefore, the recommended dose for AECB and for cSSTIs were amended accordingly i.e. 250 mg once daily is deleted.
Danish: Den anbefalede dosis ved akut eksacerbation af kronisk bronkitis og ved komplicerede infektioner i hud og underliggende væv blev rettet ind efter dette, dvs. 250 mg én gang dagligt udgår.
English: A 750 mg strength in film coated tablet and as solution for infusion 750 mg/150 ml was approved in some MS.
Danish: Nogle medlemsstater godkendte en 750 mg filmovertrukken tablet og en infusionsvæske, opløsning, i pakningsstørrelsen 750 mg/150 ml.
English: The CSP was considered when harmonising the listed adverse reactions between national SmPCs of Tavanic.
Danish: De centrale sikkerhedsoplysninger blev taget i betragtning ved harmonisering af de nationale produktresuméer for Tavanic vedrørende de anførte bivirkninger.
English: • Community-acquired pneumonia
Danish: Samfundserhvervet pneumoni
English: However, considering that AECB can be a less severe infection, with high spontaneous resolution rate for which bacteria can be found in only 50% of all exacerbations and in order to better reflect the current treatment guidelines the following wording was agreed by the MAH to be harmonised in the EU:
Danish: Indehaveren af markedsføringstilladelsen indvilligede imidlertid i, at nedenstående ordlyd harmoniseres i EU, dels fordi akut eksacerbation af kronisk bronkitis kan være en mindre svær infektion med høj spontan helbredelsesrate, ved hvilken der kun findes bakterier ved 50 % af alle eksacerbationer, dels for bedre at afspejle de gældende behandlingsretningslinjer:
English: Acute exacerbation of chronic bronchitis (AECB)
Danish: Akut eksacerbation af kronisk bronkitis
English: Whereas
Danish: 14 dage
English: Therefore, it was agreed to reflect in the SmPCs for both tablets and IV that Tavanic is indicated for the treatment of CAP in adults only when it is considered inappropriate to use antibacterial agents that are commonly recommended for the initial treatment of these infections.
Danish: Det blev derfor afgjort, at produktresuméet for både tabletter og i.v.-formulering skal fastslå, at Tavanic udelukkende er indiceret til behandling af samfundserhvervet pneumoni hos voksne, når det anses for uhensigtsmæssigt at anvende de antibiotika, som sædvanligvis anbefales til initial behandling af sådanne infektioner.
English: This indication has been approved for levofloxacin tablets in all MS identified above via nationally or MRP.
Danish: Denne indikation er godkendt for levofloxacin som tabletter i alle ovennævnte medlemsstater via nationale procedurer eller den gensidige anerkendelsesprocedure.
English: The pivotal study was CAPSS-101, a large registration study that showed levofloxacin to be equivalent to ciprofloxacin in well-documented chronic bacterial prostatitis, and these data have ever since been supplemented by two published studies.
Danish: Kronisk bakteriel prostatitis (eller “prostatitis”) er godkendt som indikation for levofloxacin i alle medlemsstater undtagen to. Hovedundersøgelsen var CAPSS-101, en stor undersøgelse, som indgik i dokumentationen til ansøgningen om markedsføringstilladelse og viste, at levofloxacin er ækvivalent med ciprofloxacin ved veldokumenteret kronisk bakteriel prostatitis.
English: The most important pathogens in these indications are S. pneumoniae, H. influenzae with the addition of intracellular/atypical bacteria for CAP. Hospital-acquired pneumonia (HAP) is also a RTI for which levofloxacin was approved for in two MS and for which the MAH is not pursuing its maintenance as summarised below.
Danish: Nosokomiel pneumoni er ligeledes en luftvejsinfektion, som levofloxacin er godkendt til i to medlemsstater, og som indehaveren af markedsføringstilladelsen ikke søger opretholdt, hvilket fremgår af nedenstående sammenfatning.
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.
Danish: De anvendes som monoterapi eller kombinationsterapi, afhængigt af risiciene for patienten og sygdommens sværhed.
English: Tavanic film coated tablets is indicated for the treatment of AECB in adults only when it is considered inappropriate to use antibacterial agents that are commonly recommended for the initial treatment of these infections.
Danish: Tavanic, filmovertrukne tabletter, er udelukkende indiceret til behandling af akut bakteriel sinuitis hos voksne, når det anses for uhensigtsmæssigt at anvende de antibiotika, som sædvanligvis anbefales til initial behandling af sådanne infektioner.
English: • ABS (tablets only): 500 mg once daily for 10-14 days of treatment;
Danish: • Akut bakteriel sinuitis (kun 1 tablet): 500 mg én gang dagligt i 10-14 dage
English: Inhalation Anthrax
Danish: Lunge-miltbrand
English: • AECB (tablets only): 250 - 500 mg once daily for 7 - 10 days;
Danish: • Akut eksacerbation af kronisk bronkitis (kun tabletter): 250-500 mg én gang dagligt i 7-10 dage
English: The MAH agreed that Tavanic film coated tablets is indicated for the treatment of ABS in adults only when it is considered inappropriate to use antibacterial agents that are commonly recommended for the initial treatment of these infections.
Danish: Indehaveren af markedsføringstilladelsen tilsluttede sig, at Tavanic, filmovertrukne tabletter, udelukkende er indiceret til behandling af akut bakteriel sinuitis hos voksne, når det anses for uhensigtsmæssigt at anvende de antibiotika, der sædvanligvis anbefales til initial behandling af sådanne infektioner.
English: • PN and cUTIs (tablets and IV solution): 250 - 500 mg once daily for 7-10 days;
Danish: • Pyelonefritis og komplicerede urinvejsinfektioner (tabletter og i.v.-opløsning): 250-500 mg én gang dagligt i 7-10 dage