FrancophonIA/ELRC3.0 huggingface dataset:
English: The CHMP considered that according to almost all existing guidance, all patients with erosions or ulcers associated with H. pylori infection should undergo therapy to eradicate the organism.
Slovenian: CHMP je menil, da bi morali v skladu s skoraj vsemi obstoječimi smernicami pri vseh bolnikih z erozijami ali razjedami, ki so povezane z okužbo s H. pylori, opraviti eradikacijo tega organizma.
English: Regarding special populations, dose adjustment is not needed in patients with impaired renal function, as omeprazole is almost completely metabolized by CYP450, renal impairment does therefore not influence the pharmacokinetics.
Slovenian: V zvezi s posebnimi populacijami bolnikov prilagajanje odmerka ni potrebno pri bolnikih z okvarjenim delovanjem ledvic, saj CYP450 skoraj popolnoma presnovi omeprazol in zato okvarjeno delovanje ledvic ne vpliva na farmakokinetiko.
English: In most patients healing occurs within two weeks.
Slovenian: Pri večini bolnikov pride do ozdravitve v dveh tednih.
English: The likelihood of developing reflux symptoms or oesophageal epithelial injury is a function of a quantitative abnormality of the number of reflux events and/or oesophageal acid exposure.
Slovenian: Verjetnost pojava simptomov refluksa ali poškodb ezofagealnega epitela je funkcija kvantitativne nenormalnosti števila refluksnih dogodkov in/ali ezofagealni izpostavitvi kislini.
English: Whilst definition of what constitutes typical reflux disease may differ, in general terms, GERD is applied to patients with symptoms suggestive of reflux or complications thereof, but not necessarily with oesophageal inflammation.
Slovenian: Čeprav se definicije, kaj predstavlja tipično refluksno bolezen, razlikujejo, na splošno GERB velja za bolnike s simptomi, ki nakazujejo refluks ali njegove zaplete, vendar ne nujno z vnetjem požiralnika.
English: “Losec gastro-resistant tablets are indicated for the treatment of reflux symptoms (e.g. heartburn, acid regurgitation) in adults”
Slovenian: „Losec gastrorezistentne tablete so indicirane za zdravljenje simptomov refluksa (npr. zgage, regurgitacije kisline) pri odraslih.“
English: The CHMP agreed on specific dosage and treatment duration recommendations for each individual indication for paediatric patients, taking into account the patients age (≥ 1 year of age, ≥ 2 years of age and children and adolescents over 4 years of age) and weight.
Slovenian: CHMP se je strinjal s specifičnimi priporočili o odmerjanju in trajanju zdravljenja za vsako posamezno indikacijo pri otrocih, pri čemer se upošteva starost (starost ≥ 1 leto, starost ≥ 2 leti ter otroci, starejši od 4 let, in mladostniki) in telesna masa bolnika.
English: Based on the above, the CHMP considers the benefit/risk ratio of Losec to be favourable and the harmonised Product Information documents to be approvable.
Slovenian: CHMP na osnovi navedenega meni, da je razmerje koristi in tveganja za zdravilo Losec ugodno in da je mogoče usklajene dokumente z informacijami o zdravilu odobriti.
English: Patients are also instructed to consult a doctor if they have had previous gastric ulcer or gastrointestinal surgery, in case of jaundice, hepatic impairment, or liver disease and if they are on continuous symptomatic treatment of indigestion or heartburn for 4 or more weeks.
Slovenian: Bolnike se tudi pouči, da se posvetujejo z zdravnikom, če so v preteklosti imeli želodčno razjedo ali kirurški poseg na prebavilih, v primeru zlatenice, okvarjenega delovanja jeter ali bolezni jeter in če zdravijo slabo prebavo ali zgago simptomatsko neprekinjeno že 4 tedne ali dlje.
English: The SPC also provides guidance on dose adjustments and practical advice on the administration of the formulations.
Slovenian: V povzetku glavnih značilnosti zdravila so tudi priporočila o prilagoditvah odmerka ter praktični nasveti o uporabi formulacij.
English: The CHMP discussed the association of omeprazole with the occurrence of bone fracture/hip fracture in the elderly, especially osteoporosis affected population.
Slovenian: CHMP je razpravljal o povezavi omeprazola s pojavnostjo zloma kosti/zloma kolka pri starostnikih, zlasti v populaciji z osteoporozo.
English: The CHMP considered that dual therapies are less effective than triple therapies, but that they could be considered in cases where known hypersensitivity precludes use of any triple combination.
Slovenian: CHMP meni, da so dvotirna zdravljenja manj učinkovita kot tritirna zdravljenja, vendar so možna izbira v primerih, ko znana preobčutljivost izključuje uporabo vseh tritirnih kombinacij.
English: Patients with impaired hepatic function should be advised by a doctor before taking Losec.
Slovenian: Bolniki z okvarjenim delovanjem jeter se morajo pred uporabo zdravila Losec posvetovati z zdravnikom.
English: h) “Treatment of Zollinger-Ellison syndrome”
Slovenian: h) „Zdravljenje Zollinger-Ellisonovega sindroma“
English: The use of endoscopy and/or x-ray in case of acid related ulcers is no longer necessary according to current practice and these techniques are therefore omitted.
Slovenian: V skladu s trenutno prakso uporaba endoskopije in/ali rentgenskega slikanja v primerih razjed, povezanih s kislino, ni več potrebna, zato je bila omemba teh tehnik izvzeta.
English: Appropriate information on the drug product was also provided, and the physical appearance, manufacture, specification, stability, shelf-life, storage were covered.
Slovenian: Predložene so bile tudi ustrezne informacije o zdravilu, ki so obsegale videz, izdelavo, specifikacijo, obstojnost, rok uporabnosti in shranjevanje.
English: The latest guidelines include symptoms as the most important part for the diagnosis of GERD.
Slovenian: Zadnje smernice kot najpomembnejšo komponento za diagnozo GERB navajajo simptome.
English: In particular, the indications and their associated posology recommendations were harmonised.
Slovenian: Predvsem so bile usklajene indikacije in z njimi povezana priporočila o odmerjanju.
English: The CHMP agreed that the available data on administration of the MUPS tablet immediately after a high-fat breakfast shows delayed and decreased absorption of omeprazole.
Slovenian: CHMP se je strinja, da razpoložljivi podatki o uporabi tablet MUPS neposredno po zajtrku z visoko vsebnostjo maščob kažejo zakasnjeno ali zmanjšano absorpcijo omeprazola.
English: Concomitant use of omeprazole and clopidogrel is therefore discouraged
Slovenian: Sočasna uporaba omeprazola in klopidogrela se zato odsvetuje.
English: The interaction with tacrolimus and phenytoin were retained and monitoring was recommended but an interaction with methotrexate was considered unwarranted.
Slovenian: Interakcija med takrolimusom in fenitoinom je bila ohranjena s priporočilom spremljanja, interakcija z metotraksatom pa se je štela za neutemeljeno.
English: The selection of antibiotics should consider the individual patient's drug tolerance, and should be undertaken in accordance with national, regional and local resistance patterns and treatment guidelines.
Slovenian: Pri izbiri antibiotikov je treba upoštevati bolnikovo prenašanje zdravila ter nacionalne, regionalne ter lokalne vzorce odpornosti in smernice za zdravljenje.
English: The CHMP assessed the potential omeprazole-clopidogrel interaction and considered that a warning is warranted, given the potential seriousness of the observed adverse events.
Slovenian: CHMP je ovrednotil možno interakcijo med omeprazolom in klopidogrelom ter menil, da je opozorilo utemeljeno glede na možno resnost opaženih neželenih učinkov.
English: If symptom control has not been achieved after four weeks treatment with 20 mg daily, further investigation is recommended.
Slovenian: Če v štirih tednih zdravljenja z 20 mg dnevno ne pride do obvladanja simptomov, so potrebne dodatne preiskave.
English: Identified or suspected adverse drug reactions are listed in this sections.
Slovenian: V tem poglavju so navedene ugotovljene neželene reakcije in sumi nanje.
English: The recommended initial dose is 60 mg daily.
Slovenian: Priporočeni začetni odmerek je 60 mg na dan.
English: An additional statement was inserted for the infusion and injection formulations, stating that based on clinical trials, excessive doses have not led to any dose-related adverse reactions.
Slovenian: Vstavljena je bila dodatna izjava za formulaciji za infundiranje in injiciranje, da so v kliničnih preskušanjih ugotovili, da preveliki odmerki ne povzročijo neželenih reakcij, ki bi bile odvisne od odmerka.
English: This indication is not generally accepted and the use of PPIs in the treatment of chemical pneumonia is not advocated in the various guidance on treatment/prevention of this pneumonia.
Slovenian: Ta indikacija na splošno ni sprejeta in različne smernice o zdravljenju/preprečevanju kemijske pljučnice ne priporočajo uporabe zaviralcev protonske črpalke za zdravljenje te pljučnice.
English: There are currently 4 separate formulations of Losec on the market: gastro-resistant tablets, capsules, powder for solution for infusion and powder for solution for injection.
Slovenian: Trenutno so v prometu štiri različne formulacije zdravila Losec: gastrorezistentne tablete, kapsule, prašek za raztopino za infundiranje in prašek za raztopino za injiciranje.
English: For most indications, a 40 mg daily dose is recommended, although in patients with Zollinger-Ellison Syndrome the recommended initial dose is 60 mg daily.
Slovenian: Za večino indikacij se priporoča 40 mg odmerek, vendar je pri bolnikih z Zollinger-Ellisonovim sindromom priporočeni začetni odmerek 60 mg na dan.
English: The CHMP noted that study data showed that 20 mg once daily produces a more pronounced and consistent inhibition than the lower doses and therefore agreed on a maximum daily dose of 20 mg. Selftreatment should be limited to a maximum period of 14 days, and the patient should be instructed to consult a doctor if symptoms persist.
Slovenian: CHMP je ugotovil, da podatki študije kažejo, da odmerek 20 mg enkrat na dan povzroči izrazitejše in doslednejše zaviranje kot manjši odmerki, zato se je strinjal, da je največji dnevni odmerek 20 mg. Samozdravljenje je treba omejiti na največ 14 dni in bolnika je treba poučiti, da se posvetuje z zdravnikom, če simptomi ne izzvenijo.
English: The indication for the treatment of Zollinger Ellison syndrome is already harmonised throughout the EU and the CHMP considered this indication to be approvable.
Slovenian: Indikacija za zdravljenje Zollinger-Ellisonovega sindroma je že usklajena v EU, zato je CHMP menil, da je to indikacijo možno odobriti.
English: The SPC states that for the tablet and capsule formulations the clinical trial safety experience shows that the adverse event profile in children up to 16 years of age is generally the same as for adults in short- as well as in long-term treatment and that there is no long-term data on the effects on puberty and growth.
Slovenian: V povzetku glavnih značilnosti zdravila je navedeno, da so za tablete in kapsule v kliničnem preskušanju varnosti ugotovili, da je profil neželenih učinkov pri otrocih do 16 leta starosti na splošno enak kot pri odraslih na kratkotrajnem in dolgotrajnem zdravljenju ter da ni dolgoročnih podatkov o učinkih na puberteto in rast.
English: g) Acid-related dyspepsia
Slovenian: g) Dispepsija, povezana s kislino
English: The CHMP was of the opinion that prolonged acid inhibition by PPIs may promote vitamin B12 malabsorption and inserted a warning stating that omeprazole may reduce the absorption of vitamin B12 and that this should be considered in patients on long-term therapy.
Slovenian: CHMP je tudi menil, da lahko podaljšano zaviranje kisline z zaviralci protonske črpalke spodbudi malabsorpcijo vitamina B12, in vstavil opozorilo, da lahko omeprazol zmanjša absorpcijo vitamina B12 in da je treba to upoštevati pri bolnikih z dolgotrajnim zdravljenjem.
English: In most patients healing occurs within four weeks.
Slovenian: Pri večini bolnikov do ozdravitve pride v štirih tednih.
English: Proximal gastric ulcers are often large, tend to heal slowly, and may be more prone to recur.
Slovenian: Proksimalne razjede želodca so pogosto večje, se počasneje zdravijo in so bolj nagnjene k ponovitvam.
English: With this proposal, prescription only tablets and capsules will have the same indications for all strengths (bioequivalence between the tablets and the capsules of same strength has been demonstrated), as will the solutions for infusion and injection.
Slovenian: S tem predlogom bi tablete in kapsule na recept imele enake indikacije za vse jakosti (biološka enakovrednost med tabletami in kapsulami enake jakosti je bila dokazana) kot tudi raztopini za infundiranje in injiciranje.
English: Regarding the eradication of H. pylori in peptic ulcer disease, a number of triple-regimen therapies (Losec plus two antibiotics) are proposed.
Slovenian: V zvezi z eradikacijo H. pylori pri bolnikih s peptičnimi razjedami so bila predlagana številna tritirna zdravljenja (zdravilo Losec in dva antibiotika).
English: Regarding the interaction with clopidogrel, in line with the prescription-only recommendation, patients should specifically tell their doctor or pharmacist if they are taking clopidogrel.
Slovenian: V zvezi z interakcijo s klopidogrelom in v skladu s priporočili za oblike, ki se izdajajo na recept, morajo bolniki zdravnika ali farmacevta obvestiti, da jemljejo klopidogrel.
English: After consultation of the Cardiovascular subgroup of the Efficacy Working Party, the CHMP confirmed that a PK and PD interaction between CYP2C19 inhibitors and clopidogrel is observed, although the clinical implication of this finding is not clear.
Slovenian: Po posvetovanju s kardiovaskularno podskupino pri delovni skupini za učinkovitost je CHMP potrdil, da je ugotovljena farmakokinetična in farmakodinamična interakcija med zaviralci CYP2C19 in klopidogrelom, čeprav klinična posledica tega odkritja ni jasna.
English: After discussing the various existing texts in the national SPCs and noting that experience on use of intravenous formulations of Losec in paediatric patients is limited, the CHMP adopted the following harmonised indications in adults for Losec for intravenous use, as an alternative to oral therapy:
Slovenian: Po razpravi o različnih obstoječih besedilih v nacionalnih povzetkih glavnih značilnosti zdravila in ugotovitvi, da je izkušenj z uporabo intravenskih formulacij zdravila Losec pri otrocih malo, je CHMP kot alternativo peroralnemu zdravljenju sprejel naslednje usklajene indikacije za intravensko uporabo zdravila Losec pri odraslih bolnikih:
English: It is administered as a prodrug and specifically and dose-proportionally inhibits the gastric H+/K+-ATPase (proton pump) and thereby inhibits H+ ion transfer into the gastric lumen, which is responsible for acid secretion in the parietal cells of the stomach.
Slovenian: Omeprazol specifično in v odvisnosti od odmerka zavira želodčno H+/K+ATPazo (protonsko črpalko) in s tem zavira prenos H+ ionov v želodčno svetlino, ki je odgovorna za izločanje kisline v parietalnih celicah želodca.
English: Relief of symptoms after the start of treatment with PPIs may take time, therefore a statement informing patients that 2-3 days might be needed before symptom improvement is perceived was also added.
Slovenian: Do olajšanja simptomov lahko pride šele po določenem času po začetku jemanja zaviralcev protonske črpalke, zato je bila dodana izjava, ki bolnike pouči, da je za izboljšanje simptomov lahko potrebno 2-3 dni.
English: In patients with impaired hepatic function, however, a daily dose of 10-20 mg may be sufficient.
Slovenian: Pri bolnikih z okvarjenim delovanjem jeter pa lahko zadostuje dnevni odmerek 10-20 mg.
English: Information on the need for regular surveillance when exceeding a treatment period of one year was inserted and patients with long-term recurrent symptoms of indigestion or heartburn should see their doctor at regular intervals, especially patients over 55 years as the increasing age is a risk factor for the development of gastric disorders.
Slovenian: Vstavljene so bile informacije o tem, da je potrebno redno spremljanje, če zdravljenje traja dlje kot eno leto, in da morajo bolniki z dolgotrajnimi ponavljajočimi se simptomi slabe prebave ali zgage redno obiskovati zdravnika, zlasti bolniki, starejši od 55 let, saj je starost dejavnik tveganja za pojav želodčnih bolezni.
English: The CHMP considered this indication to be approvable.
Slovenian: CHMP je menil, da je to indikacijo možno odobriti.
English: The statement “symptomatic treatment”, provides some guidance to the physician on how to handle an overdose.
Slovenian: Izjava o „simptomatskem zdravljenju“ zdravnika do določene mere vodi pri obravnavi prevelikega odmerjanja.
English: The most common and effective treatment of peptic oesophagitis or symptomatic GERD is to reduce gastric acid secretion with either H2 blockers or a PPI and the CHMP therefore considered this indication approvable.
Slovenian: Najpogostejše in najučinkovitejše zdravljenje peptičnega ezofagitisa ali simptomatske GERB je zmanjšanje izločanja želodčne kisline bodisi z blokatorji H2 bodisi z zaviralci protonske črpalke, zato je CHMP menil, da je to indikacijo možno odobriti.
English: Omeprazole is a substituted benzimidazole belonging to the therapeutic group of proton pump inhibitors (PPIs).
Slovenian: Omeprazol je substitutiran benzimidazol, ki spada v terapevtsko skupino zaviralcev protonske črpalke.
English: A statement on the potential increased or decreased absorption of active substances with a gastric pH dependent absorption due to decreased intragastric acidity was inserted.
Slovenian: Vstavljena je bila izjava o možnem povečanju ali zmanjšanju absorpcije zdravilnih učinkovin z absorpcijo, odvisno od želodčnega pH, zaradi zmanjšane kislosti v želodcu.
English: Due to the high potential risk to patients, a statement contraindicating use in patients hypersensitive to omeprazole, substituted benzimidazoles or to any of the excipients was adopted by the CHMP.
Slovenian: Zaradi velike možnosti tveganja za bolnike je CHMP sprejel izjavo o kontraindikaciji uporabe pri bolnikih, ki so preobčutljivi za omeprazol, substituirane benzimidazole ali katero koli pomožno snov.
English: Peptic ulcers are associated with increased risk of upper gastrointestinal complications, such as bleedings, but the same may not be true for the superficial erosions commonly seen during treatment with NSAIDs.
Slovenian: Peptične razjede so povezane z večjim tveganjem zapletov v zgornjih prebavilih, kot so krvavitve, vendar to ne velja za površinske erozije, ki jih pogosto opazimo med zdravljenjem z nesteroidnimi protivnetnimi zdravili.
English: b) “Treatment of reflux oesophagitis” and “Long-term management of patients with healed reflux oesophagitis”
Slovenian: b) „Zdravljenje refluksnega ezofagitisa“ in „Dolgotrajno obvladovanje pri bolnikih z ozdravljenim refluksnim ezofagitisom“
English: The proposed harmonisations mainly concern the drug product and the MAH provided satisfactory information on the appearance, polymorphisms, specifications and stability of the drug substances (omeprazole magnesium for the MUPS tablets, omeprazole for the capsules and omeprazole sodium for the injection and infusion formulations).
Slovenian: Predlagane uskladitve v glavnem zadevajo zdravilo, imetnik dovoljenja za promet z zdravilom je predložil zadovoljive podatke o videzu, polimorfizmih, specifikaciji in stabilnosti snovi v zdravilu (omeprazol magnezij za tablete MUPS, omeprazol za kapsule in omeprazol natrij za obliki za injiciranje in infundiranje).
English: Therefore, prevention of relapse of gastric ulcers is a reasonable course of action.
Slovenian: Zato je preprečevanje ponovitve razjed želodca utemeljen ukrep.
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 various presentations of Losec and associated names, taking into account the pharmaceutical forms and differentiating between the prescription-only and the OTC presentations.
Slovenian: Na osnovi vrednotenja predloga in odgovorov imetnika dovoljenja za promet z zdravilom ter razprave znotraj Odbora je CHMP sprejel usklajen nabor informacij o zdravilu za različne oblike zdravila Losec in z njim povezanih imen, pri čemer je upošteval farmacevtske oblike in razlikoval med oblikami, ki se izdajajo na recept in brez recepta.
English: The CHMP noted data showing that omeprazole does not increase the incidence or seriousness of the side effects in the poor metaboliser population and considered that although poor metabolisers show 5 to 10 times higher mean AUC than subjects having a functional CYP2C19 enzyme, there is no evidence that patients who are poor CYP2C19 metabolisers are at increased risk when treated with omeprazole at recommended doses..
Slovenian: CHMP je upošteval podatke, ki kažejo, da omeprazol ne zveča pojavnosti ali resnosti neželenih učinkov v populaciji s slabo presnovo, in razpravljal, da čeprav bolniki s slabo presnovo kažejo od 5do 10-krat večjo povprečno vrednost AUC kot osebe s funkcionalnim encimom CYP2C19, ni dokazov, da bi bili bolniki, ki slabo presnavljajo s CYP2C19, in so zdravljeni z omeprazolom v priporočenih odmerkih, zaradi tega izpostavljeni večjemu tveganju.
English: Nelfinavir coadministration is contraindicated, atazanavir co-administration is not recommended.
Slovenian: Sočasna uporaba nelfinavirja je kontraindicirana, sočasna uporaba atazanavirja pa ni priporočljiva.
English: Losec (omeprazole) was included in the list of products for SPC harmonisation and a referral was triggered in order to resolve divergences and harmonise the nationally authorised SPCs across Europe.
Slovenian: Zdravilo Losec (omeprazol) je bilo vključeno na seznam zdravil za usklajevanje povzetkov glavnih značilnosti zdravila, zato je bil sprožen napotitveni postopek, da bi se razrešile razlike med nacionalno odobrenimi povzetki glavnih značilnosti zdravila v Evropi in da bi se ti uskladili.
English: The CHMP considered the IV formulations to be alternatives to oral therapy in adult patients where the use of oral medicinal products is inappropriate.
Slovenian: formulacije alternative peroralnemu zdravljenju pri odraslih bolnikih, pri katerih je uporaba peroralnih zdravil neprimerna.
English: Reflux oesophagitis results from the combination of excessive gastro-oesophageal reflux of gastric juice and impaired oesophageal clearance of the refluxate.
Slovenian: Refluksni ezofagitis nastane zaradi kombinacije čezmernega gastroezofagealnega refluksa želodčnega soka in okvarjenega ezofagealnega očistka refluksata.
English: • Treatment of Zollinger-Ellison syndrome”
Slovenian: • zdravljenje Zollinger-Ellisonovega sindroma.
English: The CHMP considered that the available scientific information sufficiently demonstrates the efficacy of omeprazole in the treatment of heartburn and acid reflux and its superiority to placebo, in particular for the short-term OTC use of 20 mg daily.
Slovenian: CHMP je menil, da razpoložljivi znanstveni podatki zadostno dokazujejo učinkovitost omeprazola pri zdravljenju zgage in refluksa kisline v primerjavi s placebom, zlasti kratkotrajno zdravljenje z odmerkom 20 mg na dan oblike, ki je na voljo brez recepta.
English: The CHMP considered that the currently available information is not sufficient for a warning in the SPC, however, due to the concerns raised, the outcome of the proposed MAH epidemiological study on the risk of falls and fractures will be assessed in order to determine the implications for the Losec SPC.
Slovenian: CHMP je menil, da trenutno razpoložljivi podatki ne zadostujejo za opozorilo v povzetku glavnih značilnosti zdravila, vendar se bo zaradi sproženih zadržkov ovrednotil rezultat epidemiološke študije tveganja padcev in zlomov, ki jo je predlagal imetnik dovoljenja za promet z zdravilom, da se ugotovijo posledice za povzetek glavnih značilnosti zdravila Losec.
English: The CHMP considered that the available data does not allow concluding on whether patients with erosions alone benefit from the treatment with PPI.
Slovenian: CHMP je menil, da na podlagi razpoložljivih podatkov ni mogoče zaključiti, ali je zdravljenje z zaviralci protonske črpalke koristno za bolnike, ki imajo samo erozije.