FrancophonIA/ELRC3.0 huggingface dataset:
English: 1 Adverse reactions reported in the SmPC of at least one of the individual components, but not observed as adverse reactions in the clinical development of Trydonis
Croatian: 1Nuspojave prijavljene u sažetku opisa svojstava lijeka najmanje jedne od pojedinačnih komponenti, ali nisu uočene kao nuspojave u kliničkom razvoju lijeka Trydonis.
English: The long-term co-administration of Trydonis with other anticholinergic-containing medicinal products has not been studied and is therefore not recommended (see section 4.4).
Croatian: Dugotrajna istodobna primjena lijeka Trydonis s drugim antikolinergičkim lijekovima nije ispitana pa se stoga ne preporučuje (vidjeti dio 4.4).
English: There are no relevant data on the use of Trydonis in patients with severe hepatic impairment and the medicinal product should be used with caution in these patients (see section 4.4 and section 5.2).
Croatian: Nema relevantnih podataka o primjeni lijeka Trydonis u bolesnika s teškim oštećenjem funkcije jetre pa je u tih bolesnika lijek potrebno primjenjivati s oprezom (vidjeti dio 4.4 i dio 5.2).
English: There is no relevant use of Trydonis in the paediatric population (under 18 years of age) for the indication of COPD.
Croatian: Nema relevantne primjene lijeka Trydonis u pedijatrijskoj populaciji (mlađoj od 18 godina) za indikaciju kronične opstruktivne plućne bolesti (KOPB).
English: Carcinogenicity studies have not been performed with Trydonis.
Croatian: Ispitivanja kancerogenosti lijeka Trydonis nisu provedena.
English: If any of the above applies to you, tell your doctor before you use Trydonis.
Croatian: Ako se nešto od navedenog odnosi na Vas, obavijestite svog liječnika prije nego što primijenite
English: However, in a 104-week rat inhalation carcinogenicity study and an oral 26-week carcinogenicity study in transgenic Tg.rasH2 mice, glycopyrronium bromide showed no carcinogenic potential and published data concerning longterm studies conducted with beclometasone dipropionate and formoterol fumarate in rats do not indicate a clinically relevant carcinogenic potential.
Croatian: Međutim, u inhalacijskom ispitivanju kancerogenosti na štakorima u trajanju od 104 tjedna, te u ispitivanju kancerogenosti pri peroralnoj primjeni na transgeničnim miševima Tg.rasH2 u trajanju od 26 tjedana, glikopironijev bromid nije pokazao kancerogeni potencijal, a objavljeni podaci iz dugoročnih ispitivanja provedenih s beklometazondipropionatom i formoterolfumaratom u štakora ne upućuju na klinički značajan kancerogeni potencijal.
English: There are no relevant clinical data on the use of Trydonis during breast-feeding in humans.
Croatian: Nema relevantnih kliničkih podataka o primjeni lijeka Trydonis tijekom dojenja u ljudi.
English: Additionally, due to the anticholinergic effect of glycopyrronium, the long-term co-administration of Trydonis with other anticholinergic-containing medicinal products is not recommended (see section 4.5).
Croatian: Nadalje, zbog antikolinergičkog učinka glikopironija, ne preporučuje se dugotrajna istodobna primjena lijeka Trydonis s drugim antikolinergičkim lijekovima (vidjeti dio 4.5).
English: • if you have any heart problems, such as angina (heart pain, pain in the chest), a recent heart attack (myocardial infarction), heart failure, narrowing of the arteries around your heart (coronary heart disease), disease of your heart valves or any other abnormalities of your heart or if you have a condition known as hypertrophic obstructive cardiomyopathy (also known as HOCM, a condition where the heart muscle is abnormal).
Croatian: • ako imate bilo kakvih srčanih tegoba, kao što su angina (srčana bol, bol u prsnom košu), nedavni srčani udar (infarkt miokarda), zatajenje srca, suženje arterija srca (koronarna bolest), bolest srčanih zalistaka ili neku drugu abnormalnost srca ili ako imate stanje poznato pod nazivom hipertrofična opstruktivna kardiomiopatija (stanje u kojem je srčani mišić abnormalan).
English: A decision must be made whether to discontinue breast-feeding or to discontinue/abstain from Trydonis therapy taking into account the benefit of breast-feeding for the child and the benefit of therapy for the mothers.
Croatian: Potrebno je odlučiti da li prekinuti dojenje ili prekinuti liječenje/suzdržati se od liječenja lijekom Trydonis uzimajući u obzir korist dojenja za dijete i korist liječenja za ženu.
English: Cleaning of the Trydonis inhaler
Croatian: Čišćenje Trydonis inhalatora
English: The combination of Trydonis with some other COPD medicines or medicines such as diuretics (medicines that make the body lose water, to treat heart disease or high blood pressure), can cause a sharp fall in your blood level of potassium.
Croatian: Kombinacija lijeka Trydonis s nekim drugim lijekovima za KOPB ili lijekovima kao što su diuretici (lijekovi koji uzrokuju izlučivanje vode iz tijela, za liječenje srčane bolesti ili visokog krvnog tlaka), može uzrokovati naglo sniženje razine kalija u krvi.
English: No specific studies have been performed with Trydonis with regard to the safety in human fertility.
Croatian: Nisu provedena posebna ispitivanja lijeka Trydonis s obzirom na njegovu sigurnost za plodnost u ljudi.
English: You should not use Trydonis during breast-feeding.
Croatian: Ne smijete primjenjivati Trydonis tijekom dojenja.
English: Some medicines may increase the effects of Trydonis and your doctor may wish to monitor you carefully if you are taking these medicines (including some medicines for HIV: ritonavir, cobicistat).
Croatian: Neki lijekovi mogu povećati učinke lijeka Trydonis i ako uzimate takve lijekove (uključujući neke lijekove za HIV: ritonavir, kobicistat), Vaš liječnik će Vas možda htjeti pažljivo pratiti.
English: The systemic exposure to beclometasone dipropionate, formoterol and glycopyrronium has been investigated in a pharmacokinetic study conducted in healthy subjects.
Croatian: Sistemska izloženost beklometazondipropionatu, formoterolu i glikopironiju ispitana je u farmakokinetičkom ispitivanju provedenom u zdravih ispitanika.
English: Simulations performed with a pharmacokinetic model showed that even when covariates had extreme values (body weight less than 40 kg and concomitant glomerular filtration rate below 27 mL/min/1.73 m²), exposure to Trydonis active substances remains in approximately a 2.5-fold range compared to the exposure in a typical patient with median covariate values.
Croatian: Simulacije provedene na farmakokinetičkom modelu pokazale su da, čak i kad kovarijate imaju ekstremne vrijednosti (tjelesna težina manja od 40 kg i istodobna brzina glomerularne filtracije manja od 27 ml/min/1,73 m²), izloženost djelatnim tvarima lijeka Trydonis ostaje veća za približno 2,5 puta u usporedbi s izloženošu u uobičajenog bolesnika s medijanom vrijednosti kovarijata.
English: Trydonis can reduce exacerbations (flare-ups) of COPD symptoms.
Croatian: Trydonis može smanjiti egzacerbacije (razbuktavanje) simptoma
English: The use of Trydonis with the AeroChamber Plus spacer in COPD patients increased the lung delivery of beclometasone 17-monopropionate, formoterol and glycopyrronium (maximum plasma concentration increased by 15%, 58% and 60% respectively).
Croatian: Primjena lijeka Trydonis s komorom za inhaliranje AeroChamber Plus u bolesnika s KOPB-om povećala je dopiranje beklometazon 17-monopropionata, formoterola i glikopironija do pluća (maksimalne koncentracije u plazmi bile su povećane za 15 %, 58 % odnosno 60 %).
English: An overdose of Trydonis may produce signs and symptoms due to the individual component's actions, including those seen with overdose of other beta2-agonists or anticholinergics and consistent with the known inhaled corticosteroid class effects (see section 4.4).
Croatian: Predoziranje lijekom Trydonis može izazvati znakove i simptome zbog djelovanja pojedinačnih komponenti, uključujući one opažene kod predoziranja drugim beta-2 agonistima i antikolinergicima i sukladne poznatim učincima skupine inhalacijskih kortikosteroida (vidjeti dio 4.4).
English: The pharmacokinetics of formoterol has not been studied in patients with hepatic impairment; however, as formoterol is primarily eliminated via hepatic metabolism, an increased exposure can be expected in patients with severe hepatic impairment.
Croatian: Bolesnici s oštećenjem funkcije jetre Farmakokinetika formoterola nije ispitana u bolesnika s oštećenjem funkcije jetre; međutim, budući da se formoterol prvenstveno eliminira putem metabolizma u jetri, u bolesnika s teškim oštećenjem funkcije jetre može se očekivati povećana izloženost.
English: Trydonis should be discontinued immediately, the patient assessed and alternative therapy instituted if necessary.
Croatian: Potrebno je odmah prekinuti primjenu lijeka Trydonis, procijeniti bolesnika i, ako je potrebno, uvesti drugu terapiju.
English: Trydonis is used as a maintenance treatment for your COPD.
Croatian: Trydonis se primjenjuje kao terapija održavanja kod KOPB-a.
English: The recommended dose is two inhalations of Trydonis twice daily.
Croatian: Odrasli Preporučena doza je dva udaha lijeka Trydonis dvaput na dan.
English: infusion (6420 L versus 323 L), reflecting the slower elimination after inhalation.
Croatian: Prividni volumen distribucije (Vz) udahnutog glikopironija bio je povećan u usporedbi s intravenskom (i.v.) infuzijom (6420 l naspram 323 l), što odražava sporiju eliminaciju nakon inhalacije.
English: If you forget to use Trydonis
Croatian: Ako ste zaboravili primijeniti Trydonis
English: If you stop using Trydonis
Croatian: Ako prestanete primjenjivati Trydonis
English: Trydonis should be used with caution in patients with cardiac arrhythmias, especially third degree atrioventricular block and tachyarrhythmias (accelerated and/or irregular heart beat), idiopathic subvalvular aortic stenosis, hypertrophic obstructive cardiomyopathy, severe heart disease (particularly acute myocardial infarction, ischaemic heart disease, congestive heart failure), occlusive vascular diseases (particularly arteriosclerosis), arterial hypertension and aneurysm.
Croatian: Trydonis je potrebno primjenjivati uz oprez u bolesnika sa srčanim aritmijama, osobito atrioventrikularnim blokom trećeg stupnja i tahiaritmijama (ubrzanim i/ili nepravilnim otkucajima srca), idiopatskom subvalvularnom aortalnom stenozom, hipertrofičnom opstruktivnom kardiomiopatijom, teškom bolešću srca (osobito akutnim infarktom miokarda, ishemijskom bolešću srca, kongestivnim zatajenjem srca), okluzivnim krvožilnim bolestima (osobito arteriosklerozom), arterijskom hipertenzijom i aneurizmom.
English: Trydonis should be administered with caution in patients with active or quiescent pulmonary tuberculosis, fungal and viral infections in the airways.
Croatian: Trydonis je potrebno primjenjivati uz oprez u bolesnika s aktivnom ili latentnom plućnom tuberkulozom te gljivičnim i virusnim infekcijama dišnih puteva.
English: It is recommended that treatment with Trydonis should not be stopped abruptly.
Croatian: Ne preporučuje se naglo prekinuti liječenje lijekom Trydonis.
English: If this occurs you should stop using Trydonis and use your quick-acting “reliever” inhaler straightaway to treat the shortness of breath and wheezing.
Croatian: Ako se to dogodi, morate prestati primjenjivati Trydonis i uzeti svoj inhalator s brzodjelujućim lijekom za brzo ublažavanje simptoma radi liječenja nedostatka zraka i piskanja.
English: • Disulfiram, a medicine used in the treatment of people with alcoholism (drinking problems) or metronidazole, an antibiotic to treat infection in your body can cause side effects (e.g. feeling sick, being sick, stomach pain) due to the small amount of alcohol in Trydonis.
Croatian: • disulfiramom, lijekom koji se primjenjuje za liječenje osoba s alkoholizmom (problem s prekomjernim pijenjem) ili metronidazolom, antibiotikom koji se primjenjuje za liječenje infekcije u tijelu (metronidazol) može uzrokovati nuspojave (npr. mučninu, povraćanje, bol u trbuhu) zbog male količine alkohola u lijeku Trydonis.
English: If you develop worsening shortness of breath or wheezing (breathing with a whistling sound), straight after inhaling your medicine, stop using Trydonis inhaler and use your quick-acting “reliever” inhaler straightaway.
Croatian: Ako Vam se pogorša nedostatak zraka ili piskanje (zviždanje pri disanju) neposredno nakon udisanja lijeka, prestanite koristiti inhalator Trydonis i smjesta upotrijebite inhalator s brzodjelujućim lijekom za brzo ublažavanje simptoma.
English: A responder analysis showed that a significantly greater percentage of patients had a clinically significant improvement (focal score greater than or equal to 1) after 26 weeks with Trydonis than with a fixed combination of beclometasone dipropionate and formoterol (57.4% versus 51.8%; p = 0.027).
Croatian: Analiza bolesnika s terapijskim odgovorom pokazala je da je postotak bolesnika s klinički značajnim poboljšanjem (fokalni rezultat veći ili jednak 1) bio značajno veći nakon 26 tjedana liječenja lijekom Trydonis nego fiksnom kombinacijom beklometazondipropionata i formoterola (57,4 % naspram 51,8 %; p = 0,027).
English: Trydonis significantly improved dyspnoea (measured as the Transition Dyspnoea Index - TDI - focal score) after 26 weeks of treatment compared with baseline (by 1.71 units; p < 0.001), but the adjusted mean difference versus a fixed combination of beclometasone dipropionate and formoterol was not statistically significant (0.21 units; p = 0.160).
Croatian: Transition Dyspnoea Index, TDI]) nakon 26 tjedana liječenja u usporedbi s početnim vrijednostima (za 1,71 jedinica; p < 0,001), ali prilagođena srednja vrijednost razlike naspram fiksne kombinacije beklometazondipropionata i formoterola nije bila statistički značajna (0,21 jedinica; p = 0,160).
English: For glycopyrronium, the maximum plasma concentration was similar after administration of the fixed or extemporary combination, while the systemic exposure was slightly higher after administration of Trydonis than with the extemporary combination.
Croatian: Maksimalna koncentracija glikopironija u plazmi bila je slična nakon primjene fiksne i ex tempore kombinacije, dok je sistemska izloženost bila nešto veća nakon primjene lijeka Trydonis nego ex tempore kombinacije.
English: Trydonis comes in a pressurised container (coated aluminium), with a metering valve.
Croatian: Trydonis se isporučuje u spremniku pod tlakom (obloženom aluminijem) s odmjernim ventilom.
English: There are no or limited amount of data from the use of Trydonis in pregnant women.
Croatian: Nema podataka ili su podaci o primjeni lijeka Trydonis u trudnica ograničeni.
English: No differences were observed when comparing Trydonis and the extemporary triple combination made of a fixed combination of beclometasone dipropionate and formoterol plus tiotropium (difference of 3 mL in pre-dose FEV1 after 52 weeks of treatment).
Croatian: Nisu bile opažene razlike kad se Trydonis uspoređivao s ex tempore trostrukom fiksnom kombinacijom beklometazondipropionata i formoterola uz tiotropij (razlika od 3 ml u FEV1 prije doziranja nakon 52 tjedna liječenja).
English: If you are already using Trydonis
Croatian: Ako već primjenjujete Trydonis
English: Trydonis can be used at the recommended dose in patients with mild to moderate renal impairment.
Croatian: Trydonis se može primjenjivati u preporučenoj dozi u bolesnika s blagim do umjerenim oštećenjem funkcije bubrega.
English: Related to Trydonis
Croatian: Povezano s lijekom Trydonis
English: The most frequently reported adverse reactions with Trydonis were oral candidiasis (which occurred in 0.8% of the exposed subjects), which is normally associated with inhaled corticosteroids; muscle spasms (0.4%), which can be attributed to the long-acting beta2-agonist component; dry mouth (0.4%), which is a typical anticholinergic effect.
Croatian: izloženih ispitanika), koja je uobičajeno povezana s inhalacijskim kortikosteroidima; mišićni grčevi (0,4 %), koji se mogu pripisati komponenti dugodjelujućih beta-2 agonista; suha usta (0,4 %), što je uobičajeni antikolinergički učinak.
English: How to use Trydonis
Croatian: Kako primjenjivati Trydonis
English: In an inhalation study in telemetered dogs, the cardiovascular system was a major target system for acute effects of Trydonis (increase in heart rate, decrease in blood pressure, ECG changes at higher doses), effects probably mainly related to the beta2-adrenergic activity of formoterol and the anti-muscarinic activity of glycopyrronium.
Croatian: Sigurnosna farmakologija U inhalacijskom ispitivanju na telemetrijski praćenim psima, glavni ciljni sustav akutnih učinaka lijeka Trydonis bio je kardiovaskularni sustav (povećanje srčane frekvencije, sniženje krvnog tlaka, promjene u EKG-u pri višim dozama), učinaka vjerojatno povezanih s beta-2 adrenergičkim djelovanjem formoterola i antimuskarinskim djelovanjem glikopironija.
English: In patients with severe renal impairment, including those with end-stage renal disease requiring dialysis, especially if associated with a significant body weight reduction, Trydonis should be used only if the expected benefit outweighs the potential risk (see section 5.2).
Croatian: U bolesnika s teškim oštećenjem funkcije bubrega, uključujući one sa završnim stadijem bubrežne bolesti koji zahtijevaju dijalizu, osobito ako je prisutno i značajno smanjenje tjelesne težine, Trydonis se smije primjenjivati samo ako je očekivana korist veća od mogućeg rizika (vidjeti dio 5.2).
English: Use of Trydonis in patients with severe renal impairment or end-stage renal disease requiring dialysis, especially if associated with significant body weight reduction, should be considered only if the expected benefit outweighs the potential risk (see section 4.4 and section 5.2).
Croatian: Primjena lijeka Trydonis u bolesnika s teškim oštećenjem funkcije bubrega kojima je potrebna dijaliza, osobito ako je povezana sa značajnim smanjenjem tjelesne težine, može se uzeti u obzir samo ako je očekivana korist veća od mogućeg rizika (vidjeti dio 4.4 i dio 5.2).
English: Trydonis is not indicated for the treatment of acute episodes of bronchospasm, or to treat an acute COPD exacerbation (i.e. as a rescue therapy).
Croatian: Trydonis nije indiciran za liječenje akutnih epizoda bronhospazma ili za liječenje akutne egzacerbacije
English: Single dose pharmacokinetic data (see section 5.2) have demonstrated that in comparison to routine use without a spacer device, the use of Trydonis with the AeroChamber Plus spacer device increased the total systemic exposure (AUC0-t) to glycopyrronium.
Croatian: Farmakokinetički podaci o primjeni jedne doze (vidjeti dio 5.2) pokazali su da je primjena lijeka Trydonis sa AeroChamber Plus komorom za inhaliranje, u usporedbi s rutinskom primjenom bez komore za inhaliranje, povećala ukupnu sistemsku izloženost (AUC0-t) glikopironiju.
English: No differences were observed when comparing Trydonis and the extemporary triple combination made of fluticasone and vilanterol fixed combination plus tiotropium.
Croatian: Nisu opažene razlike kad se Trydonis uspoređivao s ex tempore trostrukom fiksnom kombinacijom flutikazona i vilanterola uz tiotropij.
English: Trydonis is a pressurised inhalation, solution.
Croatian: Trydonis je stlačeni inhalat, otopina.
English: Trydonis 87 micrograms/5 micrograms/9 micrograms pressurised inhalation, solution
Croatian: Trydonis 87 mikrograma/5 mikrograma/9 mikrograma stlačeni inhalat, otopina
English: For beclometasone dipropionate, this results in a more potent effect than formulations with a non-extrafine particle size distribution (100 micrograms of beclometasone dipropionate extrafine in Trydonis are equivalent to 250 micrograms of beclometasone dipropionate in a non-extrafine formulation).
Croatian: Posljedica toga je jači učinak beklometazondipropionata nego u formulacijama s distribucijom čestica čija veličina nije vrlo sitna (100 mikrograma beklometazondipropionata u vrlo sitnim česticama u lijeku Trydonis odgovara 250 mikrograma beklometazondipropionata u formulaciji koja se ne raspršuje u vrlo sitne čestice).
English: Keep this medicine out of the sight and reach of children.
Croatian: Kako čuvati Trydonis Lijek čuvajte izvan pogleda i dohvata djece.
English: In patients with severe hepatic impairment, Trydonis should be used only if the expected benefit outweighs the potential risk (see section 5.2).
Croatian: U bolesnika s teškim oštećenjem funkcije jetre, Trydonis se smije primjenjivati samo ako je očekivana korist veća od mogućeg rizika (vidjeti dio 5.2).
English: Compared with tiotropium, Trydonis significantly improved IC by 39 mL (p = 0.025) and 60 mL (p = 0.001) after 26 and 52 weeks of treatment respectively.
Croatian: U usporedbi s tiotropijem,Trydonis je značajno poboljšao inspiracijski kapacitet za 39 ml (p = 0,025) odnosno 60 ml (p = 0,001) nakon 26 odnosno 52 tjedna liječenja.
English: Trydonis is provided with a dose counter or dose indicator on the back of the inhaler, which shows how many actuations are left.
Croatian: Na stražnjoj strani inhalatora Trydonis nalazi se brojač doza ili pokazivač doza koji pokazuje koliko je potisaka preostalo.
English: Compared with tiotropium, Trydonis also reduced the rate of severe exacerbations (i.e. excluding moderate exacerbations) by 32% (rate: 0.067 versus 0.098 events per patient/year; p = 0.017).
Croatian: U usporedbi s tiotropijem, Trydonis je također smanjio stopu teških egzacerbacija (tj. isključujući umjerene egzacerbacije) za 32 % (stopa: 0,067 naspram 0,098 događaja po bolesniku godišnje; p = 0,017).
English: The bioavailability of swallowed beclometasone dipropionate is negligible; however, pre-systemic conversion to beclometasone 17-monopropionate results in 41% of the dose being absorbed as the active metabolite.
Croatian: Bioraspoloživost progutanog beklometazondipropionata je zanemariva; međutim, zbog predsistemske konverzije u beklometazon 17-monopropionat, 41 %
English: Compared with a fixed combination of indacaterol and glycopyrronium, Trydonis improved average pre-dose FEV1 over the 52-week treatment period by 22 mL (p=0.018).
Croatian: U usporedbi s fiksnom kombinacijom indakaterola i glikopironija, Trydonis je poboljšao prosječni FEV1 prije doziranja tijekom razdoblja liječenja u trajanju od 52 tjedna za 22 ml (p = 0,018).
English: The pharmacokinetics of beclometasone dipropionate in patients with hepatic impairment has not been studied, however, as beclometasone dipropionate undergoes a very rapid metabolism via esterase enzymes present in intestinal fluid, serum, lungs and liver to form the more polar products beclometasone 21-monopropionate, beclometasone 17-monopropionate and beclometasone, hepatic impairment is not expected to modify the pharmacokinetics and safety profile of beclometasone dipropionate.
Croatian: međutim, budući da esteraze prisutne u crijevnom soku, serumu, plućima i jetri vrlo brzo metaboliziraju beklometazondipropionat u polarnije produkte beklometazon 21-monopropionat, beklometazon 17-monopropionat i beklometazon, ne očekuje se da će oštećenje funkcije jetre promijeniti farmakokinetiku i sigurnosni profil beklometazondipropionata.
English: Similar effects were seen when comparing Trydonis with the extemporary triple combination.
Croatian: Trydonis uspoređivao s ex tempore trostrukom kombinacijom.
English: Compared with tiotropium, Trydonis improved pre-dose FEV1 by 51 mL after 26 weeks of treatment and by 61 mL after 52 weeks of treatment.
Croatian: usporedbi s tiotropijem, Trydonis je poboljšao FEV1 prije doziranja za 51 ml nakon 26 tjedana liječenja i za 61 ml nakon 52 tjedna liječenja.
English: Hypersensitivity reactions, including erythema, lips, face, eye and pharyngeal oedema
Croatian: manje često reakcije preosjetljivosti, uključujući eritem, edem usana, lica, očiju i ždrijela rijetko
English: Compared with a fixed combination of beclometasone dipropionate and formoterol, Trydonis significantly improved 2-hour post dose FEV1 by 117 mL after 26 weeks of treatment and by 103 mL after 52 weeks of treatment (p < 0.001).
Croatian: U usporedbi s fiksnom kombinacijom beklometazondipropionata i formoterola, Trydonis je značajno poboljšao FEV1 dva sata poslije doziranja za 117 ml nakon 26 tjedana liječenja te za 103 ml nakon 52 tjedna liječenja (p < 0,001).