FrancophonIA/ELRC3.0 huggingface dataset:
English: As it is unknown whether the risk for seizure with bupropion is related to bupropion or a metabolite of bupropion, and there are no data demonstrating comparability of plasma concentrations with repeated dosing, there is uncertainty whether repeated-dose administration naltrexone / bupropion may be associated with a similar rate of seizures as bupropion SR 300 mg.
Slovenian: Ker ni znano, ali je tveganje epileptičnih napadov pri uporabi bupropiona povezano z bupropionom ali presnovkom bupropiona in ker ni podatkov, ki bi prikazovali primerjavo plazemskih koncentracij pri večkratnih odmerkih, obstaja negotovost glede tega, ali je morda dajanje naltreksona/bupropiona v večkratnih odmerkih povezano s podobno pojavnostjo epileptičnih napadov kot bupropion SR 300 mg.
English: • Medicines to treat depression (such as desipramine, venlafaxine, imipramine, paroxetine, citalopram) or other mental health problems (such as risperidone, haloperidol, thioridazine);
Slovenian: • zdravila za zdravljenje depresije (kot so dezipramin, venlafaksin, imipramin, paroksetin, citalopram) ali drugih duševnih težav (kot so risperidon, haloperidol, tioridazin);
English: • medicines to help you to sleep (sedatives such as diazepam).
Slovenian: • zdravila za uspavanje (pomirjevala, kot je diazepam);
English: The derived value for renal excretion of naltrexone after oral administration, adjusting for plasma protein binding, is 89 mL/min.
Slovenian: Izpeljana vrednost za izločanje naltreksona po peroralni aplikaciji skozi ledvice s prilagoditvijo za vezavo na proteine v plazmi znaša 89 ml/min.
English: Submission of final study report by 31
Slovenian: Predložitev končnega poročila o študiji do 31. marca 2022
English: Accumulation:
Slovenian: Akumulacija:
English: Blue, biconvex, round tablet of 12.0-12.2 mm diameter debossed with “NB-890” on one side.
Slovenian: Modra okrogla bikonveksna tableta s premerom 12,0-12,2 mm, ki ima na eni strani vtisnjeno oznako “NB-890”.
English: The safety and efficacy of naltrexone / bupropion in children and adolescents below 18 have not yet been established.
Slovenian: Pediatrična populacija Varnost in učinkovitost naltreksona/bupropiona pri otrocih in mladostnikih, mlajših od 18 let, še nista bili dokazani.
English: The initial dose is usually one tablet (8 mg naltrexone hydrochloride / 90 mg bupropion hydrochloride) once a day in the morning.
Slovenian: Začetni odmerek je običajno ena tableta (8 mg naltreksonijevega klorida/90 mg bupropionijevega klorida) enkrat dnevno, in sicer zjutraj.
English: - Erythema multiforme and Stevens Johnson Syndrome Not known - frequency cannot be estimated from the available data in people taking
Slovenian: - multiformni eritem in Stevens-Johnsonov sindrom: neznana - pogostnosti ni mogoče oceniti iz razpoložljivih podatkov za bolnike, ki jemljejo zdravilo Mysimba.
English: Because naltrexone and bupropion metabolic products are excreted in the urine and elderly people are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.
Slovenian: Ker se presnovni produkti naltreksona in bupropiona izločajo z urinom in ker je pri starostnikih bolj verjetno, da imajo zmanjšano ledvično funkcijo, je treba previdno določiti odmerek, koristno pa je tudi spremljati ledvično funkcijo.
English: Skip the missed dose and take your next dose at the next usual time.
Slovenian: Preskočite izpuščeni odmerek in ob predvidenem času vzemite naslednji odmerek.
English: Fever, muscle rigidity, rhabdomyolysis, hypotension, stupor, coma, and respiratory failure have been reported mainly when bupropion was part of multiple drug overdoses.
Slovenian: povišani telesni temperaturi, mišični rigidnosti, rabdomiolizi, hipotenziji, stuporju, komi in okvari respiratorne funkcije so v glavnem poročali takrat, ko je bil bupropion del prevelikega odmerjanja več zdravil.
English: Although most subjects recovered without sequelae, deaths associated with overdoses of bupropion alone have been reported in subjects ingesting large doses of the drug.
Slovenian: Čeprav je večina preiskovancev okrevala brez posledic, so poročali o smrtnih izidih v povezavi s prevelikimi odmerki bupropiona samostojno pri preiskovancih, ki so zaužili velike odmerke zdravila.
English: As NB is a fixed combination of two active ingredients, in addition to the terms listed in Table 1, additional adverse reactions seen with one of the active substances may potentially occur.
Slovenian: Ker je NB fiksna kombinacija dveh učinkovin, se lahko poleg neželenih učinkov, navedenih v preglednici 1, pojavijo tudi tisti, ki so jih opazili pri eni učinkovini.
English: Due to the antagonistic effect of naltrexone at the opioid receptor, patients taking naltrexone / bupropion may not fully benefit from treatment with opioid-containing medicinal products, such as cough and cold remedies, antidiarrhoeal preparations and opioid analgesics.
Slovenian: Bolniki, ki jemljejo naltrekson/bupropion, zaradi antagonističnega učinka naltreksona na opioidne receptorje morda ne bodo deležni vseh koristi od zdravljenja z zdravili, ki vsebujejo opioide, kot so zdravila proti kašlju in prehladu, antidiaroični pripravki in opioidni analgetiki.
English: Following oral administration of 200 mg of 14C-bupropion hydrochloride in humans, 87% and 10% of the radioactive dose were recovered in the urine and feces, respectively.
Slovenian: Po peroralni uporabi 200 mg 14C-bupropionijevega klorida pri človeku se je 87 % radioaktivnega odmerka izločilo z urinom, 10 % pa z blatom.
English: Similar clinical drug interactions resulting in increased pharmacokinetic exposure of CYP2D6 substrates have also been observed with bupropion as a single medicinal product with desipramine and venlafaxine.
Slovenian: Podobne klinične interakcije z drugimi zdravili, ki vodijo do povečane farmakokinetične izpostavljenosti substratov encima CYP2D6, so opazili pri uporabi bupropiona kot samostojnega zdravila z dezipraminom in venlafaksinom.
English: The list of terms in Table 2 provides information on the adverse reactions of the individual components naltrexone (N) and bupropion (B) identified in their respective approved SmPCs for different indications.
Slovenian: Na seznamu pojmov v preglednici 2 so navedeni tudi podatki o neželenih učinkih za posamezni učinkovini, naltrekson (N) in bupropion (B), identificiranih v zadevnih odobrenih povzetkih glavnih značilnosti zdravila za različne indikacije.
English: However, approximately 12% of subjects took a concomitant opioid or opioid-like medicinal product while enrolled in the naltrexone / bupropion clinical studies, the majority of whom continued study treatment without interruption of naltrexone / bupropion dose, without untoward consequences.
Slovenian: Vendar je približno 12 % preiskovancev med vključitvijo v klinične študije z naltreksonom/bupropionom sočasno jemalo opioid ali opioidu podobno zdravilo, večina teh pa je nadaljevala zdravljenje v študiji brez prekinitve prejemanja odmerkov naltreksona/bupropiona in brez neugodnih posledic.
English: No studies have been conducted in children and adolescents under the age of 18.
Slovenian: Pri otrocih in mladostnikih, mlajših od 18 let, študije niso bile opravljene.
English: Other major metabolic routes are the formation of the metabolites 2-hydroxy-3-O-methyl naltrexone and 2-hydroxy-3-O-methyl-6-beta-naltrexol, believed to be mediated by catechol-O-methyl transferases (COMT), and glucuronidation, thought to be mediated by UGT1A1 and UGT2B7.
Slovenian: Drugi pomembni presnovni poti sta tvorba presnovkov 2-hidroksi-3-O-metil naltrekson in 2-hidroksi-3-O-metil-6-beta-naltreksol, ki jih posredujejo katehol-O-metil transferaze (COMT), in glukuronidacija, ki poteka prek UGT1A1 in UGT2B7.
English: Naltrexone was negative in the following in vitro genotoxicity studies: bacterial reverse mutation assay (Ames test), the heritable translocation assay, CHO cell sister chromatid exchange assay, and the mouse lymphoma gene mutation assay.
Slovenian: Naltrekson je imel negativne rezultate pri naslednjih in vitro študijah genotoksičnosti: preskus bakterijske reverzne mutacije (Amesov test), preskus dedne translokacije, preskus izmenjave med sestrskima kromatidama v celicah CHO in preskus genske mutacije mišjega limfoma.
English: There were no cases of seizures in the placebo group.
Slovenian: V skupini, ki je prejemala placebo, ni bilo nobenega primera epileptičnih napadov.
English: There is no clinical experience establishing the safety of naltrexone / bupropion in patients with a recent history of myocardial infarction, unstable heart disease or NYHA class III or IV congestive heart failure.
Slovenian: Ni kliničnih izkušenj, ki bi dokazovale varnost uporabe naltreksona/bupropiona pri bolnikih, ki so imeli v zadnjem času miokardni infarkt, nestabilno bolezen srca ali kongestivno srčno popuščanje razreda III ali IV po NYHA.
English: Bupropion is associated with a dose-related risk of seizures, with bupropion sustained release (SR) 300 mg yielding an estimated seizure incidence of 0.1%.
Slovenian: Bupropion je povezan z od odmerka odvisnim tveganjem epileptičnih napadov, ob uporabi bupropiona s podaljšanim sproščanjem (SR) v odmerku 300 mg ocenjena pojavnost epileptičnih napadov znaša 0,1 %.
English: Studies NB-301, NB-303, and NB-304 included periodic instruction from the study sites to reduce caloric intake and increase physical activity, while NB-302 included an intensive behavioral modification program consisting of 28 group counseling sessions over 56 weeks, as well as a prescribed rigorous diet and exercise regimen.
Slovenian: Študije NB-301, NB-303 in NB-304 so vključevale periodična navodila izvajalcev študije za zmanjšanje vnosa kalorij in povečanje telesne dejavnosti, študija NB-302 pa je vključevala intenziven program za spremembo vedenja, sestavljen iz 28 skupinskih svetovalnih srečanj v 56 tednih, in predpisano shemo za strogo dieto in telesno dejavnost.
English: PHARMACEUTICAL FORM AND CONTENTS 28 prolonged-release tablets 112 prolonged-release tablets
Slovenian: 112 tablet s podaljšanim sproščanjem 28 tablet s podaljšanim sproščanjem
English: Limited clinical data suggest a higher incidence of adverse reactions (e.g., nausea, vomiting, and neuropsychiatric adverse reactions - see section 4.8) in patients receiving bupropion concurrently with either levodopa or amantadine.
Slovenian: Omejeni klinični podatki prikazujejo večjo pojavnost neželenih učinkov (npr. navzea, bruhanje in nevropsihiatrični neželeni učinki - glejte poglavje 4.8) pri bolnikih, ki bupropion prejemajo sočasno z levodopo ali amantadinom.
English: Binding of β-endorphin to mu-opioid receptors on POMC neurons mediates a negative feedback loop on POMC neurons leading to a decrease in the release of α-MSH.
Slovenian: Z vezavo β-endorfina na mu-opioidne receptorje na nevronih POMC se aktivira negativna povratna zanka na nevronih POMC, ki vodi do zmanjšanega sproščanja α-MSH.
English: A meta-analysis of placebo-controlled clinical trials of antidepressants in adult subjects with psychiatric disorders showed an increased risk of suicidal behaviour with antidepressants compared to placebo in subjects less than 25 years old.
Slovenian: Metaanaliza s placebom nadzorovanih kliničnih preskušanj antidepresivov pri odraslih preiskovancih s psihiatričnimi motnjami je pokazala, da obstaja pri bolnikih, mlajših od 25 let, pri uporabi antidepresivov večje tveganje za pojav samomorilnega vedenja kot pri uporabi placeba.
English: If you feel depressed, contemplate suicide, have a history of attempting suicide or any other mental health problems, you should inform your doctor before taking this medicine.
Slovenian: Če ste depresivni, imate samomorilne misli oziroma ste že poskušali storiti samomor ali imate kakršne koli duševne motnje, morate o tem obvestiti svojega zdravnika, preden začnete jemati to zdravilo.
English: There were no consistent changes in naltrexone or bupropion metabolites related to varying degrees of hepatic impairment.
Slovenian: Za presnovke naltreksona ali bupropiona ni bilo konsistentnih sprememb, povezanih z različnimi stopnjami jetrne okvare.
English: No activation of mania or hypomania was reported in the clinical trials evaluating effects of naltrexone / bupropion in obese subjects, which excluded subjects receiving antidepressants.
Slovenian: O aktivaciji manije ali hipomanije niso poročali v kliničnih preskušanjih, v katerih so ovrednotili učinke naltreksona/bupropiona pri debelih preiskovancih, pri čemer so bili preiskovanci, ki prejemajo antidepresive, izključeni.
English: • Medicines used to treat epilepsy such as valproate, carbamazepine, phenytoin or phenobarbital.
Slovenian: • zdravila, ki se uporabljajo za zdravljenje epilepsije, kot so valproat, karbamazepin, fenitoin ali fenobarbital.
English: The additional undesirable effects occurring with either of the individual components (bupropion or naltrexone) when used for non-obesity indications are summarized in Table 2.
Slovenian: Dodatni neželeni učinki, ki se lahko pojavijo s posamično učinkovino (bupropion ali naltrekson), če se uporabljajo za druge indikacije, razen debelost, so povzeti v preglednici 2.
English: Acute ingestion of doses in excess of 10 times the maximum therapeutic dose of bupropion (equivalent to approximately in excess of 8 times the recommended daily dose of naltrexone / bupropion) has been reported.
Slovenian: Poročali so o akutnem zaužitju odmerkov, ki so za 10-krat presegali največji terapevtski odmerek bupropiona (kar ustreza približno 8-kratniku priporočenega dnevnega odmerka kombinacije naltrekson/bupropion).
English: Bupropion and its metabolites inhibit CYP2D6.
Slovenian: Bupropion in njegovi presnovki zavirajo encim CYP2D6.
English: Mysimba contains 2 active substances: naltrexone hydrochloride and bupropion hydrochloride and is used in obese or overweight adults to manage weight together with a reduced calorie diet and physical exercise.
Slovenian: Zdravilo Mysimba vsebuje 2 učinkovini: naltreksonijev klorid in bupropionijev klorid, uporablja pa se pri debelih odraslih ali odraslih s čezmerno telesno maso za uravnavanje telesne mase skupaj z dieto z zmanjšano vsebnostjo kalorij in telesno dejavnostjo.
English: Blood pressure and pulse should be measured prior to initiation of therapy with naltrexone / bupropion and should be assessed at regular intervals consistent with usual clinical practice.
Slovenian: Pred uvedbo zdravljenja z naltreksonom/bupropionom je treba izmeriti krvni tlak in frekvenco srčnega utripa ter ju v rednih časovnih presledkih ocenjevati v skladu z običajno klinično prakso.
English: The fraction of the oral dose of bupropion excreted unchanged was 0.5%, a finding consistent with the extensive metabolism of bupropion.
Slovenian: Delež peroralnega odmerka bupropiona, ki se je izločil v nespremenjeni obliki, je znašal 0,5 %, kar je v skladu z obsežno presnovo bupropiona.
English: During naltrexone / bupropion clinical studies, the use of concomitant opioid or opioid-like medicinal products, including analgesics or antitussives were excluded.
Slovenian: Med kliničnimi študijami z naltreksonom/bupropionom je bila izključena sočasna uporaba opioidov ali opioidom podobnih zdravil, vključno z analgetiki in antitusiki.
English: Mysimba should not be used during pregnancy, or while breast-feeding.
Slovenian: Zdravilo Mysimba se ne sme uporabljati med nosečnostjo in v obdobju dojenja.
English: In addition, in subjects who did not have type 2 diabetes, there were reductions in fasting insulin and HOMA-IR, a measure of insulin resistance, in naltrexone / bupropion-treated subjects.
Slovenian: Poleg tega so pri preiskovancih, ki niso imeli sladkorne bolezni tipa 2, opazili znižanje vrednosti insulina na tešče in HOMA-IR, merila insulinske rezistence, pri preiskovancih, zdravljenih z naltreksonom/bupropionom.
English: It is recommended that patients with moderate or severe renal impairment initiate treatment with one tablet in the morning for the first week of treatment, and escalate to one tablet in the morning and one tablet in the evening from Week 2 onwards.
Slovenian: Priporoča se, da bolniki z zmerno ali hudo ledvično okvaro začnejo zdravljenje z eno tableto zjutraj prvi teden zdravljenja, nato pa povečajo na eno tableto zjutraj in eno tableto zvečer od 2. tedna naprej.
English: Drugs which require metabolic activation by CYP2D6 in order to be effective (e.g., tamoxifen), may have reduced efficacy when administered concomitantly with inhibitors of CYP2D6 such as bupropion.
Slovenian: Zdravilom, ki za učinkovanje potrebujejo aktivacijo presnove z encimom CYP2D6 (npr. tamoksifen), se lahko zmanjša učinkovitost, če se uporabijo sočasno z zaviralci encima CYP2D6, kot je bupropion.
English: The results of a single dose relative bioavailability study in healthy subjects demonstrated that naltrexone / bupropion tablets, when dose adjusted, are bioequivalent based on AUC0-∞ mean ratio and 90% confidence intervals to naltrexone immediate release (IR) or bupropion prolonged release (PR) administered as single agents.
Slovenian: Rezultati študije relativne biološke uporabnosti z enkratnim odmerkom pri zdravih preiskovancih so pokazali, da so tablete kombinacije naltrekson/bupropion, ob prilagoditvi na velikost odmerkov, glede povprečnega razmerja AUC0-∞ in 90-odstotnega intervala zaupanja biološko enakovredne tabletam naltreksona s takojšnjim sproščanjem (IR) ali tabletam bupropiona s podaljšanim sproščanjem (PR), če se uporabljajo kot samostojno zdravilo.
English: Naltrexone / bupropion should be discontinued and not restarted in patients who experience a seizure while being treated with the medicinal product.
Slovenian: Kombinacijo naltrekson/bupropion je treba ukiniti in je ne ponovno uvesti pri bolnikih, ki so imeli epileptični napad med zdravljenjem s tem zdravilom.
English: Other serious reactions reported with overdoses of bupropion alone included hallucinations, loss of consciousness, sinus tachycardia, and ECG changes such as conduction disturbances (including QRS prolongation) or arrhythmias.
Slovenian: Drugi resni neželeni učinki, o katerih so poročali pri prevelikem odmerjanju bupropiona samostojno, vključujejo halucinacije, izgubo zavesti, sinusno tahikardijo in spremembe v zapisih EKG-ja, kot so motnje prevajanja po srcu (vključno s podaljšanjem QRS) ali aritmije.
English: In a cardiovascular outcomes trial (CVOT) of patients at increased risk of a cardiovascular event, mean increases from baseline in systolic and diastolic blood pressure of approximately 1 mmHg compared to placebo were also observed.
Slovenian: V preskušanju, v katerem so preučevali kardiovaskularne izide bolnikov, pri katerih je tveganje za kardiovaskularne dogodke povečano, so opazili tudi povprečno povečanje sistoličnega in diastoličnega krvnega tlaka od izhodišča za približno 1 mmHg v primerjavi s placebom.
English: Naltrexone/bupropion is not recommended in patients over 75 years of age.
Slovenian: Kombinacije naltrekson/bupropion ne priporočajo za bolnike, starejše od 75 let.
English: Do not take Mysimba with:
Slovenian: Zdravila Mysimba ne jemljite skupaj s/z:
English: Naltrexone / bupropion may be used with caution after chronic opioid use has been stopped for 7 to 10 days in order to prevent precipitation of withdrawal.
Slovenian: Kombinacija naltrekson/bupropion se sme previdno uporabljati šele 7 do 10 dni po prekinitvi kroničnega zdravljenja z opioidi, da se prepreči sproženje odtegnitvenih simptomov.
English: NAME OF THE MARKETING AUTHORISATION HOLDER Orexigen
Slovenian: IME IMETNIKA DOVOLJENJA ZA PROMET Z ZDRAVILOM Orexigen
English: • Some medicines used to treat irregular heart rhythm (such as propafenone, flecainide);
Slovenian: • nekatera zdravila, ki se uporabljajo za zdravljenje nepravilnega srčnega ritma (kot sta propafenon in flekainid);
English: • Some medicines for Parkinson's disease (such as levodopa, amantadine or orphenadrine);
Slovenian: • nekatera zdravila za zdravljenje Parkinsonove bolezni (kot so levodopa, amantadin ali orfenadrin);
English: Although in placebo-controlled clinical trials with naltrexone / bupropion for the treatment of obesity in adult subjects, no suicides or suicide attempts were reported in studies up to 56 weeks duration with naltrexone / bupropion, suicidality events (including suicidal ideation) have been reported in subjects of all ages treated with naltrexone / bupropion post-marketing.
Slovenian: Čeprav v s placebom nadzorovanih kliničnih preskušanjih z naltreksonom/bupropionom za zdravljenje debelosti pri odraslih preiskovancih niso poročali o samomorih ali poskusih samomora v študijah z naltreksonom/bupropionom, ki so trajale do 56 tednov, pa so pri preiskovancih vseh starosti, ki so bili zdravljeni z naltreksonom/bupropionom v obdobju trženja zdravila, poročali o samomorilnih dogodkih
English: If you forget to take Mysimba
Slovenian: Če ste pozabili vzeti zdravilo Mysimba
English: This medicine works on areas on the brain involved in the control of food intake and energy expenditure.
Slovenian: vključene v nadzor vnosa hrane in porabe energije.
English: Swallow your tablets whole.
Slovenian: Tablete pogoltnite cele.
English: • antihistamines (medicines to treat hayfever, itch, and other allergic reactions) that cause sleepiness (such as chlorphenamine); medicines to lower sugar levels in your blood (such as insulin, sulphonylureas such as glyburide or glibenclamide, and meglitinides such as nateglinide or repaglinide);
Slovenian: • teofilin (uporablja se za zdravljenje astme); • antihistaminiki (zdravila za zdravljenje senenega nahoda, srbenja in drugih alergijskih reakcij), ki povzročijo zaspanost (npr. klorfenamin); zdravila za znižanje ravni sladkorja v krvi (npr. insulin, sulfonilsečnine, kot sta gliburid ali glibenklamid, in meglitinidi, kot sta nateglinid ali repaglinid);
English: 4.5 Interaction with other medicinal products and other forms of interaction
Slovenian: 4.5 Medsebojno delovanje z drugimi zdravili in druge oblike interakcij Zaviralci monoaminooksidaze (zaviralci MAO)
English: Naltrexone / bupropion should not be used in children and adolescents.
Slovenian: Kombinacija naltrekson/bupropion se ne sme uporabljati pri otrocih in mladostnikih.
English: • Some medicines used to treat high blood pressure (beta-blockers such as metoprolol, and clonidine, a centrally acting antihypertensive);
Slovenian: • nekatera zdravila, ki se uporabljajo za zdravljenje visokega krvnega tlaka (antagonisti adrenergičnih receptorjev beta, kot je metoprolol, in klonidin, centralno delujoči antihipertenziv);
English: Naltrexone / bupropion should be used with caution in patients with active coronary artery disease (e.g., ongoing angina or recent history of myocardial infarction) or history of cerebrovascular disease.
Slovenian: Kombinacijo naltrekson/bupropion je treba uporabljati previdno pri bolnikih z aktivno koronarno boleznijo (npr. aktivno angino pektoris ali nedavnim miokardnim infarktom) ali cerebrovaskularno boleznijo v anamnezi.
English: Non-clinical data on individual components reveal no special hazard for humans based on conventional studies of safety, pharmacology, repeated dose toxicity, genotoxicity, and carcinogenic potential.
Slovenian: Predklinični podatki o posameznih sestavinah na osnovi običajnih študij varnosti, farmakologije, toksičnosti pri ponavljajočih odmerkih, genotoksičnosti in kancerogenega potenciala ne kažejo posebnega tveganja za človeka.
English: Naltrexone / bupropion has not been studied in conjunction with alpha-adrenergic blockers or clonidine.
Slovenian: Kombinacije naltrekson/bupropion niso preučevali v povezavi z antagonisti adrenergičnih receptorjev alfa ali klonidinom.
English: There is no experience with the use of forced diuresis, dialysis, hemoperfusion, or exchange transfusion in the management of combined use of bupropion and naltrexone overdoses.
Slovenian: S forsirano diurezo oziroma uporabo dialize, hemoperfuzije ali izmenjalne transfuzije pri ukrepanju v primeru prevelikega odmerjanja pri kombinirani uporabi bupropiona in naltreksona ni izkušenj.