FrancophonIA/ELRC3.0 huggingface dataset:
English: Neparvis improved survival with a significant reduction in all-cause mortality of 2.8% (Neparvis, 17%, enalapril, 19.8%).
Slovenian: Zdravilo Neparvis je izboljšalo preživetje s statistično značilnim zmanjšanjem umrljivosti iz kateregakoli vzroka za 2,8 % (Neparvis 17 %, enalapril 19,8 %).
English: • lithium, a medicine used to treat some types of psychiatric illness.
Slovenian: • litija, zdravila, ki ga uporabljamo za zdravljenje nekaterih vrst duševnih bolezni.
English: In the enalapril group, 75% of patients remained on the target dose of 10 mg twice daily at the end of the study (mean daily dose of 18.9 mg).
Slovenian: V skupini z enalaprilom je 75 % bolnikov ob koncu študije vztrajalo pri ciljnem odmerku 10 mg dvakrat na dan (povprečni dnevni odmerek je bil 18,9 mg).
English: Following oral administration, 52-68% of sacubitril (primarily as LBQ657) and ~13% of valsartan and its metabolites are excreted in urine; 37-48% of sacubitril (primarily as LBQ657) and 86% of valsartan and its metabolites are excreted in faeces.
Slovenian: Po peroralnem odmerjanju se 52-68 % sakubitrila (predvsem v obliki substance LBQ657) in približno 13 % valsartana in njegovih presnovkov izloči z urinom, medtem ko se 37-48 % sakubitrila (predvsem v obliki substance LBQ657) in 86 % valsartana in njegovih presnovkov izloči z blatom.
English: Administration with food has no clinically significant impact on the systemic exposures of sacubitril, LBQ657 and valsartan.
Slovenian: Odmerjanje skupaj s hrano nima klinično pomembnega vpliva na sistemsko izpostavljenost sakubitrilu, substanci LBQ657 in valsartanu.
English: They were then randomised to the double-blind period of the study, during which they received either Neparvis 200 mg or enalapril 10 mg twice daily [Neparvis (n=4,209); enalapril (n=4,233)].
Slovenian: Po tem obdobju so jih vključili v obdobje randomiziranega dvojno slepega zdravljenja, v katerem so prejemali bodisi zdravilo Neparvis 200 mg ali enalapril 10 mg dvakrat na dan [Neparvis (n=4.209); enalapril (n=4.233)].
English: Concomitant use of potassium-sparing diuretics (triamterene, amiloride), mineralocorticoid antagonists (e.g. spironolactone, eplerenone), potassium supplements, salt substitutes containing potassium or other agents (such as heparin) may lead to increases in serum potassium, and to increases in serum creatinine.
Slovenian: Sočasna uporaba diuretikov, ki varčujejo s kalijem, (triamterena, amilorida), antagonistov mineralokortikoidov (npr. spironolaktona, eplerenona), nadomestkov kalija, nadomestkov soli, ki vsebujejo kalij, ali drugih učinkovin (kot je heparin) lahko poveča vrednosti kalija in kreatinina v serumu.
English: The active metabolite of sacubitril (LBQ657) and valsartan are OATP1B1, OATP1B3, OAT1 and OAT3 substrates; valsartan is also a MRP2 substrate.
Slovenian: Aktivni presnovek sakubitrila (substanca LBQ657) in valsartan sta substrata OATP1B1, OATP1B3, OAT1 in OAT3, valsartan pa je tudi substrat MRP2.
English: Sacubitril, LBQ657 and valsartan are highly bound to plasma proteins (94-97%).
Slovenian: Sakubitril, substanca LBQ657 in valsartan se veliki meri vežejo na beljakovine v plazmi (v 94-97 %).
English: The safety of Neparvis in patients with chronic heart failure was evaluated in the pivotal phase 3 study PARADIGM-HF, which compared patients treated twice daily with Neparvis 97 mg/103 mg (n=4,203) or enalapril 10 mg (n=4,229).
Slovenian: Varnost uporabe zdravila Neparvis pri bolnikih s kroničnim popuščanjem srca so ocenjevali v ključni študiji faze 3 z nazivom PARADIGM-HF, v kateri so primerjali bolnike, ki so dvakrat na dan prejemali zdravilo Neparvis v odmerku 97 mg/103 mg (n=4.203) oziroma enalapril v odmerku 10 mg (n=4.229).
English: However, a mild transient interference of sacubitril with the early phase of fracture healing in adults cannot be excluded.
Slovenian: Ni pa mogoče izključiti manjšega prehodnega vpliva sakubitrila na celjenje v zgodnji fazi po zlomu kosti pri odraslih.
English: PVC/PVDC/Aluminium blisters.
Slovenian: Pretisni omoti iz PVC/PVDC/aluminija.
English: Therefore, caution should be exercised when sildenafil or another PDE5 inhibitor is initiated in patients treated with Neparvis.
Slovenian: Iz tega razloga je pri uvedbi sildenafila ali katerega od drugih zaviralcev PDE5 bolnikom, ki prejemajo zdravilo Neparvis, potrebna previdnost.
English: • Concomitant use with ACE inhibitors (see sections 4.4 and 4.5).
Slovenian: • Sočasna uporaba z zaviralci ACE (glejte poglavji 4.4 in 4.5).
English: You will usually start by taking 24 mg/26 mg or 49 mg/51 mg twice a day (one tablet in the morning and one tablet in the evening).
Slovenian: Praviloma boste zdravljenje začeli z odmerkom 24 mg/26 mg ali 49 mg/51 mg dvakrat na dan (eno tableto zjutraj in eno tableto zvečer).
English: In juvenile rats treated with sacubitril (postnatal days 7 to 70), there was a reduction in age-related bone mass development and bone elongation.
Slovenian: Pri mladih podganah, ki so jim dajali sakubitril (od 7. do 70. postnatalnega dne), se je zmanjšal obseg s starostjo povezanega povečevanja kostne mase in rasti kosti v dolžino.
English: Use of Neparvis may be associated with an increased risk of hyperkalaemia, although hypokalaemia may also occur (see section 4.8).
Slovenian: Uporaba zdravila Neparvis je lahko povezana s povečanjem tveganja za hiperkaliemijo, lahko pa pride tudi do hipokaliemije (glejte poglavje 4.8).
English: The relative risk reduction was 16% compared with enalapril (see Table 2).
Slovenian: Relativno zmanjšanje tveganja je znašalo 16 % v primerjavi z uporabo enalaprila (glejte preglednico 2).
English: In elderly patients, volume-depleted patients (including those on diuretic therapy), or patients with compromised renal function, concomitant use of Neparvis and NSAIDs may lead to an increased risk of worsening of renal function.
Slovenian: Pri starejših bolnikih, bolnikih s hipovolemijo (med katere sodijo tudi bolniki, ki prejemajo diuretike) in pri bolnikih z zmanjšanim delovanjem ledvic lahko sočasna uporaba zdravila Neparvis in nesteroidnih protivnetnih zdravil povečuje tveganje za poslabšanje ledvične funkcije.
English: Figure 1 Kaplan-Meier curves for the primary composite endpoint and the CV death component
Slovenian: Slika 1 Kaplan-Meierjevi krivulji za primarni sestavljeni cilj opazovanja in za kardiovaskularno smrt posamezno
English: Time to occurrence of CV death in PARADIGM-HF
Slovenian: Čas do kardiovaskularne smrti v študiji PARADIGM-HF
English: The exposure of LBQ657 in patients with moderate (30 ml/min/1.73 m
Slovenian: Izpostavljenost substanci LBQ657 pri bolnikih z zmerno okvaro ledvic (30 ml/min/1,73 m
English: • if you have diabetes or impaired kidney function and you are being treated with a blood pressure lowering medicine containing aliskiren (see “Other medicines and Neparvis”).
Slovenian: • če imate sladkorno bolezen ali zmanjšano delovanje ledvic in se zdravite z zdravilom za zniževanje krvnega tlaka, ki vsebuje aliskiren (glejte pod naslovom "Druga zdravila in zdravilo Neparvis").
English: However, LBQ657 and valsartan are highly bound to plasma protein and therefore unlikely to be effectively removed by dialysis.
Slovenian: Ker pa se substanca LBQ657 in valsartan v veliki meri vežeta na beljakovine v plazmi, ju verjetno ni mogoče učinkovito odstranjevati iz telesa z dializo.
English: Discontinuation of therapy due to an adverse reaction in the double-blind period of the PARADIGM-HF study occurred in 450 Neparvis-treated patients (10.7%) and 516 enalapril-treated patients (12.2%).
Slovenian: Do prekinitve zdravljenja zaradi neželenega učinka je v obdobju dvojno slepega zdravljenja v študiji PARADIGM-HF prišlo pri 450 bolnikih, ki so prejemali zdravilo Neparvis, (10,7 %) in pri 516 bolnikih, ki so prejemali enalapril, (12,2 %).
English: Co-administration of Neparvis and furosemide had no effect on the pharmacokinetics of Neparvis but reduced Cmax and AUC of furosemide by 50% and 28%, respectively.
Slovenian: Sočasna uporaba zdravila Neparvis in furosemida ni vplivala na farmakokinetiko zdravila Neparvis, je pa znižala Cmax furosemida za 50 % in zmanjšala njegovo AUC za 28 %.
English: The oral absolute bioavailability of sacubitril and valsartan is estimated to be more than 60% and 23%, respectively.
Slovenian: Peroralna absolutna biološka uporabnost sakubitrila je ocenjena na več kot 60 %, valsartana pa na 23 %.
English: There is no experience in patients with end-stage renal disease and use of Neparvis is not recommended.
Slovenian: Pri bolnikih s končno ledvično odpovedjo ni na voljo nobenih izkušenj in uporaba zdravila Neparvis pri teh bolnikih ni priporočena.
English: The dose should be doubled at 2-4 weeks to the target dose of one tablet of 97 mg/103 mg twice daily, as tolerated by the patient (see section 5.1).
Slovenian: Odmerek je treba na 2-4 tedne podvojiti do ciljnega odmerka, ki je ena tableta 97 mg/103 mg dvakrat na dan, in pri tem upoštevati, kako bolnik prenaša zdravilo (glejte poglavje 5.1).
English: The pharmacokinetics of Neparvis (sacubitril, LBQ657 and valsartan) are similar between male and female subjects.
Slovenian: Farmakokinetika zdravila Neparvis (sakubitrila, substance LBQ657 in valsartana) je pri moških in ženskah približno enaka.
English: Monitoring of serum potassium is recommended, especially in patients who have risk factors such as renal impairment, diabetes mellitus or hypoaldosteronism or who are on a high potassium diet or on mineralocorticoid antagonists (see section 4.2).
Slovenian: Priporočeno je spremljanje vrednosti kalija v serumu, zlasti pri bolnikih z dejavniki tveganja, kot so okvara ledvic, sladkorna bolezen, ali hipoaldosteronizem, oziroma pri bolnikih na dieti s povečanim vnosom kalija ali tistih, ki prejemajo antagoniste mineralokortikoidov (glejte poglavje 4.2).
English: The 49 mg/51 mg and 97 mg/103 mg tablets are also supplied in multipacks of 168 tablets (3 packs of 56 tablets).
Slovenian: Tablete v jakostih 49 mg/51 mg in 97 mg/103 mg so na voljo tudi v skupnih pakiranjih po 168 tablet (3 pakiranja po 56 tablet).
English: Neparvis is not recommended for mothers who are breastfeeding.
Slovenian: Uporaba zdravila Neparvis ni priporočljiva za doječe matere.
English: Time to first occurrence of CV death or heart failure hospitalisations in PARADIGM-HF
Slovenian: Čas do prvega pojava kardiovaskularne smrti ali hospitalizacije zaradi srčnega popuščanja v študiji PARADIGM-HF
English: If patients experience clinically significant hyperkalaemia adjustment of concomitant medicinal products, or temporary down-titration or discontinuation is recommended.
Slovenian: Če pri bolnikih pride do klinično pomembne hiperkaliemije, je priporočeno prilagajanje odmerkov sočasno uporabljanih zdravil ali začasno znižanje odmerka oziroma prekinitev odmerjanja.
English: • The combination of Neparvis with an ACE inhibitor is contraindicated due to the increased risk of angioedema (see section 4.3).
Slovenian: • Kombinacija zdravila Neparvis z zaviralcem ACE je kontraindicirana, ker povečuje tveganje za angioedem (glejte poglavje 4.3).
English: Based on the comparison of plasma and CSF exposures, LBQ657 crosses the blood brain barrier to a limited extent (0.28%).
Slovenian: Na osnovi primerjave izpostavljenosti v plazmi in cerebrospinalnem likvorju je mogoče sklepati, da substanca LBQ657 v manjši meri (0,28 %) prehaja preko krvno-možganske pregrade.
English: PARADIGM-HF was a multinational, randomised, double-blind study of 8,442 patients comparing Neparvis to enalapril, both given to adult patients with chronic heart failure, NYHA class II-IV and reduced ejection fraction (left ventricular ejection fraction [LVEF] ≤40%, amended later to ≤35%) in addition to other heart failure therapy.
Slovenian: PARADIGM-HF je bila multinacionalna, randomizirana, dvojno slepa študija z 8.442 bolniki, v kateri so primerjali zdravilo Neparvis z enalaprilom, oba pa so poleg drugih zdravil za srčno popuščanje dajali odraslim bolnikom, ki so imeli kronično popuščanje srca razredov II-IV po klasifikaciji NYHA in zmanjšan iztisni delež (iztisni delež levega prekata, angl. left ventricular ejection fraction [LVEF] ≤40 %, kar so kasneje spremenili na ≤35 %).
English: Whilst there is no controlled epidemiological data on the risk with ARBs, similar risks may exist for this class of medicinal product.
Slovenian: Čeprav ni na voljo podatkov glede tveganja pri uporabi zaviralcev receptorjev angiotenzina II iz kontroliranih epidemioloških študij, lahko podobno tveganje obstaja tudi pri tej skupini zdravil.
English: Neparvis was superior to enalapril, reducing the risk of cardiovascular death or heart failure hospitalisations to 21.8% compared to 26.5% for enalapril treated patients.
Slovenian: Zdravilo Neparvis je bilo boljše kot enalapril, saj je zmanjšalo tveganje za kardiovaskularno smrt ali hospitalizacijo zaradi srčnega popuščanja na 21,8 % v primerjavi z zmanjšanjem na 26,5 % pri bolnikih, ki so prejemali enalapril.
English: • The active substances are sacubitril and valsartan.
Slovenian: • Učinkovini sta sakubitril in valsartan.
English: Patients with SBP <100 mmHg were not studied (see section 5.1).
Slovenian: Uporabe zdravila pri bolnikih s sistoličnim krvnim tlakom <100 mmHg niso proučevali (glejte poglavje 5.1).
English: If patients experience tolerability issues (systolic blood pressure [SBP] ≤95 mmHg, symptomatic hypotension, hyperkalaemia, renal dysfunction), adjustment of concomitant medicinal products, temporary down-titration or discontinuation of Neparvis is recommended (see section 4.4).
Slovenian: Če imajo bolniki težave s prenašanjem zdravila (sistolični krvni tlak, ki ne presega 95 mmHg, simptomatsko hipotenzijo, hiperkaliemijo, moteno delovanje ledvic), je priporočeno prilagajanje odmerjanja sočasnih zdravil oziroma začasno znižanje odmerka ali prekinitev odmerjanja zdravila Neparvis (glejte poglavje 4.4).
English: Non-steroidal anti-inflammatory agents (NSAIDs), including selective cyclooxygenase-2 (COX-2) inhibitors
Slovenian: Nesteroidna protivnetna zdravila (NSAIDs), vključno s selektivnimi zaviralci ciklooksigenaze-2 (COX-2)
English: The use of Neparvis is not recommended during the first trimester of pregnancy and is contraindicated during the second and third trimesters of pregnancy (see section 4.3).
Slovenian: V prvem trimesečju nosečnosti uporaba zdravila Neparvis ni priporočena, v drugem in tretjem trimesečju pa je kontraindicirana (glejte poglavje 4.3).
English: Approximate tablet dimensions 15.1 mm x 6.0 mm.
Slovenian: Tablete so velike približno 15,1 mm x 6,0 mm.
English: • nitroglycerine, a medicine used to treat angina.
Slovenian: • nitroglicerina, zdravila, ki ga uporabljamo pri zdravljenju angine pektoris.
English: • painkillers of the type called non-steroidal anti-inflammatory medicines (NSAIDs) or selective cyclooxygenase-2 (Cox-2) inhibitors.
Slovenian: • vrste zdravil proti bolečinam, ki jih imenujemo nesteroidna protivnetna zdravila ali selektivni zaviralci ciklooksigenaze-2 (zaviralci COX-2).
English: Neparvis should be used with caution in these patients and the recommended starting dose is 24 mg/26 mg twice daily (see sections 4.4 and 5.2).
Slovenian: Pri teh bolnikih je pri uporabi zdravila Neparvis potrebna previdnost in priporočeni začetni odmerek je 24 mg/26 mg dvakrat na dan (glejte poglavji 4.4 in 5.2).
English: This risk reduction was consistently observed across subgroups including: gender, age, race, geography, NYHA class (II/III), ejection fraction, renal function, history of diabetes or hypertension, prior heart failure therapy, and atrial fibrillation.
Slovenian: Zmanjšanje tveganja, ki so ga opažali, je bilo podobno v vseh podskupinah, na katere so bolnike razdelili po spolu, starosti, rasni pripadnosti, geografski razporeditvi, razredu po klasifikaciji NYHA (II/III), iztisnem deležu, ledvični funkciji, anamnezi sladkorne bolezni ali hipertenzije, predhodnem zdravljenju srčnega popuščanja in prisotnosti atrijske fibrilacije.
English: Hyperkalaemia
Slovenian: Hiperkaliemija
English: Patients with a prior history of angioedema were not studied.
Slovenian: Bolnikov z angioedemom v anamnezi niso proučevali.
English: Since CYP450-enzyme-mediated metabolism of sacubitril and valsartan is minimal, co-administration with medicinal products that impact CYP450 enzymes is not expected to impact the pharmacokinetics.
Slovenian: Ker se sakubitril in valsartan v majhnem obsegu presnavljata z encimi CYP450, pri sočasni uporabi zdravil, ki vplivajo na encime CYP450, ni pričakovati pomembnega vpliva na farmakokinetiko.
English: Neparvis is used to treat a type of long-term heart failure in adults.
Slovenian: Zdravilo Neparvis se uporablja za dolgotrajno zdravljenje srčnega popuščanja,pri odraslih.
English: In PARADIGM-HF, angioedema was reported in 0.5% of patients treated with Neparvis, compared with 0.2% of patients treated with enalapril.
Slovenian: V študiji PARADIGM-HF so o angioedemu poročali pri 0,5 % bolnikov, ki so prejemali zdravilo Neparvis, v primerjavi z 0,2 % tistih bolnikov, ki so prejemali enalapril.
English: Non-clinical data (including studies with sacubitril and valsartan components and/or Neparvis) reveal no special hazard for humans based on conventional studies of safety pharmacology, repeated dose toxicity, genotoxicity, carcinogenic potential and fertility.
Slovenian: Predklinični podatki (ki izhajajo iz raziskav s posameznimi sestavinami - s sakubitrilom oziroma z valsartanom - in/ali z zdravilom Neparvis) na osnovi običajnih študij farmakološke varnosti, toksičnosti pri ponavljajočih odmerkih, genotoksičnosti, kancerogenega potenciala in plodnosti ne kažejo posebnega tveganja za človeka.
English: The 24 mg/26 mg, 49 mg/51 mg and 97 mg/103 mg strengths are in some publications referred to as 50, 100 or 200 mg.
Slovenian: Jakosti 24 mg/26 mg, 49 mg/51 mg oziroma 97 mg/103 mg so v nekaterih publikacijah navajali kot odmerke 50 mg, 100 mg oziroma 200 mg.
English: Therefore, when initiating therapy with Neparvis in patients receiving metformin, the clinical status of the patient should be evaluated.
Slovenian: Iz tega razloga je pri bolnikih, ki prejemajo metformin, ob uvedbi zdravila Neparvis treba oceniti bolnikov klinični status.
English: A higher incidence of angioedema was observed in Black patients treated with Neparvis (2.4%) and enalapril (0.5%) (see section 4.4).
Slovenian: Angioedem so z večjo pogostnostjo opažali pri bolnikih črne rase, in sicer pri tistih, ki so prejemali zdravilo Neparvis (2,4 %), in tistih, ki so prejemali enalapril (0,5 %) (glejte poglavje 4.4).
English: The valsartan contained within Neparvis is more bioavailable than the valsartan in other marketed tablet formulations (see section 5.2).
Slovenian: Valsartan, ki ga vsebuje zdravilo Neparvis, ima boljšo biološko uporabnost kot valsartan v drugih formulacijah tablet, ki so dostopne na trgu (glejte poglavje 5.2).
English: Sacubitril is readily converted to LBQ657 by carboxylesterases 1b and 1c; LBQ657 is not further metabolised to a significant extent.
Slovenian: Sakubitril se s karboksilesterazama 1b in 1c z lahkoto pretvori v substanco LBQ657, ta pa se ne presnavlja naprej v pomembnem obsegu.
English: Black patients have an increased susceptibility to develop angioedema (see section 4.8).
Slovenian: Bolniki črne rase so bolj nagnjeni k razvoju angioedema (glejte poglavje 4.8).
English: Multipack: 196 (7 packs of 28) film-coated tablets
Slovenian: Skupno pakiranje: 196 (7 pakiranj po 28) filmsko obloženih tablet
English: The effects of Neparvis on amyloid-β concentrations in CSF and brain tissue were assessed in young (2-4 years old) cynomolgus monkeys treated with Neparvis (24 mg sacubitril/26 mg valsartan/kg/day) for two weeks.
Slovenian: Vpliv zdravila Neparvis na koncentracijo amiloida-β v cerebrospinalnem likvorju in možganskem tkivu so ocenjevali pri mladih (od 2 do 4-letnih) opicah cinomolgus, ki so jim zdravilo Neparvis (24 mg sakubitrila/26 mg valsartana/kg/dan) odmerjali dva tedna.
English: This prevents sustained activation of the renin-angiotensin-aldosterone system that would result in vasoconstriction, renal sodium and fluid retention, activation of cellular growth and proliferation, and subsequent maladaptive cardiovascular remodelling.
Slovenian: S tem preprečuje dolgotrajno aktiviranost sistema renin-angiotenzin-aldosteron, ki bi sicer povzročala vazokonstrikcijo, zadrževanje natrija in tekočine v ledvicah, aktivirala rast in razmnoževanje celic in posledično omogočila maladaptivno remodeliranje srca in žilja.
English: Treatment should not be initiated unless SBP is ≥100 mmHg.
Slovenian: Zdravila se ne sme uvajati, če sistolični krvni tlak pri bolniku ne znaša ≥100 mmHg.
English: During the Neparvis run-in period, 10.4% of patients permanently discontinued, 5.9% because of an adverse reaction, most commonly renal dysfunction (1.8%), hypotension (1.7%) and hyperkalemia (1.3%).
Slovenian: V obdobju uvajalnega zdravljenja z zdravilom Neparvis je sodelovanje dokončno prekinilo 10,4 % bolnikov, in sicer 5,9 % zaradi neželenega učinka, najbolj pogosto zaradi ledvične disfunkcije (1,8 %), hipotenzije (1,7 %) in hiperkaliemije (1,3 %).
English: As they may be at higher risk for angioedema, caution is recommended if Neparvis is used in these patients.
Slovenian: Pri njih je lahko tveganje za angioedem povečano, zato je pri uporabi zdravila Neparvis pri teh bolnikih potrebna previdnost.
English: In the Neparvis group, 76% of patients remained on the target dose of 200 mg twice daily at the end of the study (mean daily dose of 375 mg).
Slovenian: V skupini z zdravilom Neparvis je 76 % bolnikov ob koncu študije vztrajalo pri ciljnem odmerku 200 mg dvakrat na dan (povprečni dnevni odmerek je bil 375 mg).
English: Very common (may affect more than 1 in 10 people):
Slovenian: Zelo pogosti (lahko se pojavijo pri več kot 1 od 10 ljudi):
English: Combination of Neparvis with aliskiren is potentially associated with a higher frequency of adverse events such as hypotension, hyperkalaemia and decreased renal function (including acute renal failure) (see sections 4.3 and 4.4).
Slovenian: Uporaba zdravila Neparvis v kombinaciji z aliskirenom bi lahko povečala pogostnost neželenih dogodkov, kot so hipotenzija, hiperkaliemija in zmanjšano delovanje ledvic (vključno z akutno ledvično odpovedjo) (glejte poglavji 4.3 in 4.4).
English: Symptomatic hypotension is more likely to occur if the patient has been volume-depleted, e.g. by diuretic therapy, dietary salt restriction, diarrhoea or vomiting.
Slovenian: Verjetnost za simptomatsko hipotenzijo je večja pri bolnikih s hipovolemijo zaradi na primer zdravljenja z diuretiki, diete z zmanjšanim vnosom soli, diareje ali bruhanja.
English: Increases in CSF Aβ1-40 and 1-42 were not observed in a two-week healthy volunteer study in humans (see section 5.1).
Slovenian: Pri ljudeh v dvotedenski študiji pri zdravih prostovoljcih zvišanja koncentracij amiloida-β 1-40 in 1-42 v likvorju niso opažali (glejte poglavje 5.1).
English: If a dose is missed, the patient should take the next dose at the scheduled time.
Slovenian: Če bolnik pozabi vzeti odmerek, naj vzame samo naslednji odmerek po razporedu.
English: In this study CSF Aβ clearance in cynomolgus monkeys was reduced, increasing CSF Aβ1-40, 1-42 and 1-38 levels; there was no corresponding increase in Aβ levels in the brain.
Slovenian: V tej študiji je prišlo do zmanjšanja izločanja amiloida-β iz likvorja opic cinomolgus, kar je povzročilo zvišanje koncentracij amiloida-β 1-40, 1-42 in 1-38 v likvorju, medtem ko koncentracije amiloida- β v možganih niso bile ustrezno zvišane.
English: Administration of Neparvis 194 mg sacubitril/206 mg valsartan once daily for two weeks to healthy subjects was associated with an increase in CSF Aβ1-38 compared to placebo; there were no changes in concentrations of CSF Aβ1-40 and 1-42.
Slovenian: Odmerjanje zdravila Neparvis v odmerku 194 mg sakubitrila in 206 mg valsartana enkrat na dan dva tedna je pri zdravih osebah povzročilo zvišanje koncentracije amiloida-β1-38 v likvorju v primerjavi s placebom, pri tem pa se koncentraciji amiloida-β1-40 in amiloida-β1-42 nista spremenili.