FrancophonIA/ELRC3.0 huggingface dataset:
English: The Phase III clinical development programme included approximately 4,000 patients with a clinical diagnosis of COPD and comprised two 6-month randomised, placebo- and active-controlled studies (ACLIFORM-COPD and AUGMENT), a 6-month extension of the AUGMENT study and a further 12-month randomised controlled study.
Slovenian: V 3. fazo kliničnega razvojnega programa so vključili 4.000 bolnikov s klinično diagnosticirano KOPB, ki je vključevala 6-mesečni randomizirani, aktivno in s placebom nadzorovani študiji (ACLIFORM-COPD in AUGMENT), 6-mesečno podaljšanje študije AUGMENT in nadaljnjo 12-mesečno randomizirano, nadzorovano študijo.
English: In long-term safety studies, Brimica Genuair was associated with sustained efficacy when administered over a one-year treatment period with no evidence of tachyphylaxis.
Slovenian: V dolgotrajnih študijah varnosti je bilo zdravilo Brimica Genuair povezano s trajno učinkovitostjo brez pojava tahifilaksije, tudi če so bolnike z njim zdravili eno leto.
English: β2-adrenergic agonists may produce increases in pulse rate and blood pressure, electrocardiogram (ECG) changes such as T wave flattening, ST segment depression and prolongation of the QTcinterval in some patients.
Slovenian: Agonisti β2-adrenergičnih receptorjev lahko pri nekaterih bolnikih zvišajo srčni utrip in krvni tlak, povzročijo spremembe v elektrokardiogramu (EKG), kot so sploščitev vala T, depresija spojnice ST in podaljšanje intervala QTc.
English: Due to its anticholinergic activity, Brimica Genuair should be used with caution in patients with symptomatic prostatic hyperplasia, urinary retention or narrow-angle glaucoma (even though direct contact of the product with the eyes is very unlikely).
Slovenian: Zaradi njegovega antiholinergičnega delovanja je treba zdravilo Brimica Genuair uporabljati previdno pri bolnikih s simptomatično hiperplazijo prostate, zastajanjem urina ali glavkomom zaprtega zakotja (čeprav neposreden stik zdravila z očmi ni zelo verjeten).
English: Nevertheless, it is considered unlikely that Brimica Genuair administered at the recommended dose will affect fertility in humans.
Slovenian: Ni verjetno, da bi dajanje priporočenih odmerkov zdravila Brimica Genuair vplivalo na plodnost pri ljudeh.
English: Brimica Genuair should be used with caution in patients with severe cardiovascular disorders, convulsive disorders, thyrotoxicosis and phaeochromocytoma.
Slovenian: Zdravilo Brimica Genuair je treba pri bolnikih s hudimi srčno-žilnimi boleznimi, konvulzivnimi motnjami, tirotoksikozo in feokromocitomom uporabljati previdno.
English: By opening the airways, the medicine helps relieve symptoms such as shortness of breath.
Slovenian: Zdravilo z odprtjem dihalne poti pomaga lajšati simptome, kot je zadihanost.
English: The hydrolysis occurs both chemically (non-enzymatically) and enzymatically by esterases, butyrylcholinesterase being the main human esterase involved in the hydrolysis.
Slovenian: Do hidrolize pride tako kemično (neencimsko) kot tudi encimsko z esterazami, kjer je butirilholinesteraza glavna esteraza pri človeku, ki je vključena v hidrolizo.
English: • Medicines called beta blockers that may be used to treat high blood pressure or other heart problems (such as atenolol or propranolol) or to treat glaucoma (such as timolol).
Slovenian: • zdravila, imenovana antagonisti receptorjev beta, ki jih lahko uporabljamo pri zdravljenju visokega krvnega tlaka ali drugih težav s srcem (npr. atenolol ali propranolol) ali pri zdravljenju glavkoma (npr. timolol);
English: Co-administration of Brimica Genuair with other anticholinergic and/or long-acting β2-adrenergic agonist containing medicinal products has not been studied and is not recommended.
Slovenian: Sočasno dajanje zdravila Brimica Genuair z drugimi zdravili, ki vsebujejo antiholinergike in/ali dolgo delujoče agoniste β2-adrenergičnih receptorjev, ni bilo raziskano, zato ni priporočeno.
English: Formoterol is eliminated primarily by metabolism.
Slovenian: Formoterol se v osnovi izloča s presnovo.
English: What Brimica Genuair is and what it is used for
Slovenian: Kaj je zdravilo Brimica Genuair in za kaj ga uporabljamo
English: Brimica Genuair contains lactose
Slovenian: Zdravilo Brimica Genuair vsebuje laktozo
English: If you see halos around lights or coloured images, have eye pain or discomfort or suffer temporary blurring of vision, go to see your doctor for advice as soon as possible.
Slovenian: Če vidite kolobarje okoli luči ali obarvanih slik, če vas začne boleti ali ščemeti v očeh ali če se vam začasno zamegli vid, se čim prej posvetujte z zdravnikom.
English: Bronchodilation is induced by causing direct relaxation of airway smooth muscle as a consequence of the increase in cyclic AMP through activation of adenylate cyclase.
Slovenian: Bronhodilatacijo inducira neposredna sprostitev gladkih mišic dihalnih poti, ki je posledica zvišane ravni cikličnega adenozinmonofosfata zaradi aktivacije adenilat-ciklaze.
English: Store your inhaler with the protective cap in place until it is time to inhale your medicine, then remove the cap and start at Step 1.6.
Slovenian: Dokler ni čas za inhaliranje zdravila, shranjujte inhalator z zaščitnim pokrovčkom na mestu, nato pokrovček odstranite in začnite s korakom 1.6.
English: The inhaler is supplied sealed in a protective aluminium laminate bag containing a silica gel desiccant sachet, placed in a cardboard carton.
Slovenian: Inhalator je zavarjen v zaščitni vrečki iz aluminijevega laminata s sušilnim sredstvom iz silikagela, ki je pakirana v kartonsko škatlo.
English: Studies in rats have shown slight reductions in fertility only at dose levels much higher than the maximum human exposure to aclidinium and formoterol (see section 5.3).
Slovenian: Študije na podganah so pokazale rahlo zmanjšanje plodnosti samo pri odmerkih, ki so bili veliko višji od največje izpostavljenosti človeka aklidiniju in formoterolu (glejte poglavje 5.3).
English: Rare (may affect up to 1 in 1,000 people) - Sudden difficulty in breathing or swallowing, swelling of the tongue, throat, lips or face, skin rash and/or itching - these may be signs of an allergic reaction
Slovenian: Redki (lahko se pojavijo pri največ 1 od 1.000 bolnikov) - nenadno oteženo dihanje ali požiranje, otekanje jezika, žrela, ustnic ali obraza, izpuščaj in/ali srbeča koža - to so lahko znaki alergijske reakcije.
English: The bag and the desiccant should be thrown away.
Slovenian: Vrečko in sušilno sredstvo je treba zavreči.
English: EU/1/14/963/001 1 inhaler with 60 doses EU/1/14/963/002 3 inhalers each with 60 doses EU/1/14/963/003 1 inhaler with 30 doses
Slovenian: EU/1/14/963/002 3 inhalatorji, ki vsebujejo vsak po 60 odmerkov EU/1/14/963/003 1 inhalator, ki vsebuje 30 odmerkov
English: Brimica Genuair improved daily symptoms of COPD such as ‘breathlessness', ‘chest symptoms', ‘cough and sputum' (assessed by E-RS total score) as well as overall night-time symptoms, overall early morning symptoms and symptoms limiting early morning activities compared to placebo, aclidinium and formoterol but the improvements were not always statistically significant.
Slovenian: Zdravilo Brimica Genuair je v primerjavi s placebom, aklidinijem in formoterolom (vsi p < 0,05) izboljšalo tudi dnevne simptome KOPB, kot so »zasoplost«, »simptomi v prsnem košu«, »kašelj in sputum«, (ocenjene na osnovi celokupne ocene E-RS) ter nočne in zgodnje jutranje simptome ter simptome, ki bolnika omejujejo pri zgodnjih jutranjih aktivnostih, vendar izboljšanja niso bila vedno statistično značilna.
English: What Brimica Genuair looks like and contents of the pack Brimica Genuair is a white or almost white inhalation powder.
Slovenian: Izgled zdravila Brimica Genuair in vsebina pakiranja Zdravilo Brimica Genuair je bel ali skoraj bel prašek za inhaliranje.
English: This medicine contains two active ingredients called aclidinium and formoterol fumarate dihydrate.
Slovenian: Zdravilo vsebuje dve učinkovini, imenovani aklidinij in formoterolijev fumarat dihidrat.
English: Studies in animals have shown foetotoxicity only at dose levels much higher than the maximum human exposure to aclidinium and adverse effects in reproduction studies with formoterol at very high systemic exposure levels (see section 5.3).
Slovenian: Študije na živalih so pokazale fetotoksičnost samo pri odmerkih, ki so bili veliko višji od največje izpostavljenosti človeka aklidiniju, in neželene učinke pri reprodukcijskih študijah formoterola pri zelo visoki sistemski izpostavljenosti (glejte poglavje 5.3).
English: Brimica Genuair is not indicated for the treatment of acute episodes of bronchospasm.
Slovenian: Zdravilo Brimica Genuair ni indicirano za zdravljenje akutnih epizod bronhospazma.
English: These include: o corticosteroids that you take by mouth (such as prednisolone), o diuretics (such as furosemide or hydrochlorothiazide), o certain medicines used to treat breathing conditions (such as theophylline).
Slovenian: Med njimi so: o kortikosteroidi, ki jih lahko zaužijete peroralno (kot je prednizolon), o diuretiki (kot je furosemid ali hidroklorotiazid), o določena zdravila za zdravljenje težav z dihanjem (na primer teofilin),
English: Pooled efficacy analysis of the two 6-month Phase III studies demonstrated a statistically significant reduction of 29% in the rate of moderate or severe exacerbations (requiring treatment with antibiotics or corticosteroids or resulting in hospitalisations) with Brimica Genuair compared to placebo (rates per patient per year: 0.29 vs. 0.42, respectively; p=0.036).
Slovenian: Zbirna analiza učinkovitosti v 6-mesečni študiji 3. faze je pokazala statistično značilno 29-odstotno zmanjšanje v razmerju do zmernih ali hudih poslabšanj (ki jih je bilo treba zdraviti z antibiotiki ali kortikosteroidi ali zaradi katerega je bila potrebna hospitalizacija) z zdravilom Brimica Genuair v primerjavi s placebom (razmerje na bolnika na leto: 0,29 v. 0,42; p = 0,036).
English: Brimica Genuair has no or negligible influence on the ability to drive and use machines.
Slovenian: Zdravilo Brimica Genuair nima vpliva ali ima zanemarljiv vpliv na sposobnost vožnje in upravljanja s stroji.
English: If you forget a dose of Brimica Genuair, just take it as soon as possible and take your next dose at the usual time.
Slovenian: Če ste pozabili uporabiti zdravilo Brimica Genuair Če pozabite vzeti odmerek zdravila Brimica Genuair, ga enostavno vzemite čim prej, svoj naslednji odmerek pa vzemite ob običajnem času.
English: Brimica Genuair is used for adult patients who have breathing difficulties due to a lung disease called chronic obstructive pulmonary disease (COPD), in which the airways and air sacs in the lungs become damaged or blocked.
Slovenian: Zdravilo Brimica Genuair uporabljamo pri odraslih bolnikih, ki imajo težave z dihanjem zaradi pljučne bolezni, ki se imenuje kronična obstruktivna pljučna bolezen (KOPB), pri kateri se dihalna pot in zračni mešički pljuč poškodujejo oziroma zamašijo.
English: Brimica Genuair should be administered with caution to patients being treated with medicinal products known to prolong the QTc interval such as monoamine oxidase inhibitors, tricyclic antidepressants, antihistamines or macrolides because the action of formoterol, a component of Brimica Genuair, on the cardiovascular system may be potentiated by these medicinal products.
Slovenian: Zdravilo Brimica Genuair je treba pri bolnikih, ki prejemajo zdravila, ki dokazano podaljšujejo interval QTc, kot so zaviralci monoaminooksidaze, triciklični antidepresivi, antihistaminiki ali makrolidi, uporabljati previdno zaradi njihove možne okrepitve delovanja formoterola, učinkovine zdravila Brimica Genuair, na srčno-žilni sistem.
English: As studies in rats have shown excretion of small amounts of aclidinium (and/or its metabolites) and formoterol into milk, the use of Brimica Genuair by breast-feeding women should only be considered if the expected benefit to the woman is greater than any possible risk to the infant.
Slovenian: Študije na podganah so pokazale izločanje majhnih količin aklidinija (in/ali presnovkov) in formoterola v materino mleko, zato je treba o nadaljevanju zdravljenja z zdravilom Brimica Genuair pri doječih materah razmišljati samo, če se pričakuje, da koristi za mater odtehtajo morebitna tveganja za novorojenca.
English: Getting Started:
Slovenian: Začetek:
English: As a consequence of the differential density of muscarinic receptors and β2-adrenoceptors in the central and peripheral airways of the lung, muscarinic antagonists should be more effective in relaxing central airways and β2-adrenergic agonists should be more effective in relaxing peripheral airways; relaxation of both central and peripheral airways with combination treatment may contribute to its beneficial effects on lung function.
Slovenian: Zaradi različne gostote muskarinskih receptorjev in β2-adrenergičnih receptorjev v centralnih in perifernih pljučnih dihalnih poteh bi morali biti muskarinski antagonisti učinkovitejši pri sproščanju centralnih dihalnih poti, agonisti β2-adrenergičnih receptorjev pa pri sproščanju perifernih dihalnih poti.
English: In vitro studies have shown that aclidinium at the therapeutic dose or its metabolites do not inhibit or induce any of the cytochrome P450 (CYP450) enzymes and do not inhibit esterases (carboxylesterase, acetylcholinesterase and butyrylcholinesterase).
Slovenian: V študijah in vitro so pokazali, da aklidinij ali njegovi presnovki pri terapevtskem odmerku ne zavirajo ali inducirajo nobenega od encimov citokroma P450 (CYP450), kot tudi ne zavirajo esteraz (karboksilesteraza, acetilholinesteraza in butirilholinesteraza).
English: Although no formal in vivo drug interaction studies have been performed with Brimica Genuair, it has been used concomitantly with other COPD medicinal products including short-acting β2-adrenergic bronchodilators, methylxanthines, and oral and inhaled steroids without clinical evidence of drug interactions.
Slovenian: Čeprav formalnih študij o medsebojnem delovanju in vivo niso izvedli, so zdravilo Brimica Genuair sočasno uporabljali z drugimi zdravili za KOPB, vključno s kratko delujočimi agonisti β2-adrenergičnih receptorjev (bronhodilatatorjev), metilksantini ter steroidi za peroralno jemanje in inhalacijo, pri čemer niso zasledili kliničnih znakov medsebojnega delovanja zdravil.
English: Following intravenous administration of radiolabelled aclidinium 400 micrograms to healthy subjects, approximately 1% of the dose was excreted as unchanged aclidinium bromide in the urine.
Slovenian: Po intravenskem dajanju 400 mikrogramov radiološko označenega aklidinija zdravim osebam se je približno 1 % odmerka izločil v obliki nespremenjenega aklidinijevega bromida z urinom.
English: Following inhalation of Brimica Genuair 340/12 micrograms, with plasma sampling up to 24 hours post-dose, the terminal elimination half-life observed for aclidinium bromide ranged from 11-33 hours and for formoterol from 12-18 hours.
Slovenian: Po inhalaciji zdravila Brimica Genuair 340/12 mikrogramov so z vzorčenjem plazme do 24 ur po odmerku ugotovili trajanje končnega razpolovnega časa izločanja aklidinijevega bromida od 11 do 33 ur in formoterola od 12 do 18 ur.
English: Following inhalation of aclidinium 200 micrograms and 400 micrograms by healthy subjects or patients with COPD, the urinary excretion of unchanged aclidinium was very low at about 0.1% of the administered dose, indicating that renal clearance plays a minor role in the total aclidinium clearance from plasma.
Slovenian: Ko so zdrave osebe ali bolniki s KOPB inhalirali 200 mikrogramov in 400 mikrogramov aklidinija, je bila mera nespremenjenega aklidinija, izločenega z urinom, zelo nizka, približno 0,1 % danega odmerka, kar kaže, da ima ledvični očistek majhno vlogo pri celotnem očistku aklidinija iz plazme.
English: There is limited evidence on the management of overdose with Brimica Genuair.
Slovenian: O obvladovanju prevelikega odmerjanja zdravila Brimica Genuair so na voljo omejeni podatki.
English: Brimica Genuair demonstrated a rapid onset of action within 5 minutes of the first inhalation relative to placebo (p<0.0001).
Slovenian: Pri zdravilu Brimica Genuair je bilo opaženo hitro začetno delovanje v petih minutah po prvi inhalaciji v primerjavi s placebom (p < 0,0001).
English: If you are not sure of how to use Brimica Genuair, contact your doctor or pharmacist.
Slovenian: Če niste prepričani o uporabi zdravila Brimica Genuair, se posvetujte z zdravnikom ali farmacevtom.
English: Following repeated inhalations of Brimica Genuair 340/12 micrograms, the systemic exposure of aclidinium and formoterol, as measured by AUC, is similar in Japanese and Caucasian patients.
Slovenian: Po večkratnih inhalacijah zdravila Brimica Genuair 340/12 mikrogramov sta sistemski izpostavljenosti aklidiniju in formoterolu, merjeni z AUC, pri japonskih bolnikih in bolnikih bele rase podobni.
English: Following inhalation of a single dose of Brimica Genuair 340/12 micrograms, aclidinium and formoterol were rapidly absorbed into plasma, reaching peak plasma concentrations within 5 minutes of inhalation in healthy subjects and within 24 minutes of inhalation in patients with COPD.
Slovenian: Po inhalaciji enega odmerka zdravila Brimica Genuair 340/12 mikrogramov se aklidinij in formoterol hitro absorbirata v plazmo in dosežeta največjo koncentracijo v plazmi v 5 minutah po inhalaciji pri zdravih ljudeh in v 24 minutah po inhalaciji pri bolnikih s KOPB.
English: In addition, Brimica Genuair statistically significantly delayed the time to first moderate or severe exacerbation compared to placebo (hazard ratio=0.70; p=0.027).
Slovenian: Zdravilo Brimica Genuair je statistično pomembno podaljšalo čas do prvega zmernega ali hudega poslabšanja v primerjavi s placebom (razmerje tveganja = 0,70; p = 0,027).
English: - Brimica Genuair is for inhalation use.
Slovenian: - Zdravilo Brimica Genuair je samo za inhaliranje.
English: β-adrenergic blockers β-adrenergic blockers may weaken or antagonise the effect of β2-adrenergic agonists.
Slovenian: Zdravila, ki vsebujejo antagoniste β-adrenergičnih receptorjev, lahko oslabijo ali antagonizirajo učinek agonistov β2-adrenergičnih receptorjev.
English: Stop taking Brimica Genuair and seek medical help immediately if you experience any of the following:
Slovenian: Zdravilo Brimica Genuair prenehajte jemati in takoj poiščite zdravniško pomoč:
English: Taking into account the PRAC Assessment Report on the PSUR(s) for aclidinium bromide / formoterol fumarate dihydrate, the scientific conclusions of CHMP are as follows:
Slovenian: Upoštevajoč poročilo Odbora za oceno tveganja na področju farmakovigilance (PRAC) o oceni rednih posodobljenih poročil o varnosti zdravila (PSUR) za aklidinijev bromid/formoterolijev fumarat dihidrat je Odbor za zdravila za uporabo v humani medicini (CHMP) sprejel naslednje znanstvene zaključke:
English: If β-adrenergic blockers are required (including eye drops), cardioselective beta-adrenergic blockers are preferred, although they should also be administered with caution.
Slovenian: Če je potrebno zdravljenje z antagonisti β-adrenergičnih receptorjev (vključno s kapljicami za oči), je priporočena uporaba kardioselektivnih antagonistov β-adrenergičnih receptorjev, vendar jih je treba uporabljati previdno.
English: The frequencies assigned to the adverse reactions are based on crude incidence rates observed with Brimica Genuair 340 micrograms /12 micrograms in the pooled analysis of randomised, placebo-controlled Phase III clinical studies of at least six months duration, or on experience with individual components.
Slovenian: Pogostnosti spodaj navedenih neželenih učinkov temeljijo na grobih stopnjah pojavnosti neželenih učinkov, ki so jih opazili pri zdravilu Brimica Genuair 340 mikrogramov/12 mikrogramov v zbirni analizi vsaj 6-mesečne randomizirane, s placebom nadzorovane klinične študije 3. faze, oziroma na izkušnjah s posameznima učinkovinama.
English: - If you get sudden tightness of the chest, coughing, wheezing or breathlessness immediately after using the medicine.
Slovenian: - če vas začne nenadoma stiskati v prsih, kašljate, piskajoče dihate ali ste brez sape takoj po uporabi zdravila.
English: White or almost white powder in a white inhaler with an integral dose indicator and an orange dosage button.
Slovenian: Bel ali skoraj bel prašek v belem inhalatorju z vgrajenim indikatorjem odmerka in oranžnim gumbom za odmerjanje.
English: In clinical studies, paradoxical bronchospasm was not observed with Brimica Genuair at its recommended dose.
Slovenian: V kliničnih študijah z zdravilom Brimica Genuair v priporočenem odmerku niso opazili paradoksnega bronhospazma.
English: 1.4 Press the orange button all the way down to load your dose (Figure E).
Slovenian: 1.4 Pritisnite oranžni gumb do konca, da se vam naloži odmerek (Slika E).
English: - The effects of Brimica Genuair last for 12 hours; therefore, you should try to use Brimica Genuair at the same time each morning and evening as this will ensure that there is always enough medicine in your body to help you breathe more easily throughout the day and night.
Slovenian: - Učinki zdravila Brimica Genuair trajajo 12 ur, zato se je treba potruditi uporabljati zdravilo Brimica Genuair vsako jutro in vsak večer ob istem času.
English: Other pharmacodynamic interactions
Slovenian: Farmakodinamične interakcije z drugimi zdravili
English: After removing the inhaler from the bag, the bag and desiccant sachet should be thrown away.
Slovenian: Potem, ko inhalator vzamete iz vrečke, morate vrečko in sušilno sredstvo zavreči.
English: The prominent pathway involves direct glucuronidation, with O-demethylation followed by glucuronide conjugation being a further metabolic pathway.
Slovenian: Najpomembnejša presnovna pot vključuje glukuronidacijo z O-demetilacijo, ki ji nadalje sledi konjugacija z glukuronsko kislino.
English: Nonclinical studies investigating the effects of aclidinium/formoterol on cardiovascular parameters showed increased heart rates and arrhythmias at exposures sufficiently in excess of the maximum human exposure indication to be of little relevance to clinical use.
Slovenian: V nekliničnih študijah so učinke aklidinija/formoterola, povezane s kardiovaskularnimi parametri, kot so pospešen srčni utrip in aritmije, opazili samo pri izpostavljenostih, ki znatno presegajo največjo indikacijo za izpostavljenost ljudi, kar je za klinično uporabo majhnega pomena.
English: Clinical efficacy studies showed that Brimica Genuair provides clinically meaningful improvements in lung function (as measured by the forced expiratory volume in 1 second [FEV1]) over 12 hours following administration.
Slovenian: V študijah klinične učinkovitosti so dokazali, da zdravilo Brimica Genuair povzroča klinično pomembno izboljšanje delovanja pljuč (kot je bilo izmerjeno s forsiranim ekspiratornim volumnom v 1 sekundi [FEV1]) v času 12 ur po dajanju.
English: Brimica Genuair provided a clinically meaningful improvement in disease-specific health status (as assessed by the St. George's Respiratory Questionnaire [SGRQ]) in study AUGMENT, with an improvement in the SGRQ total score compared to placebo of -4.35 units (p<0.0001).
Slovenian: Zdravilo Brimica Genuair je omogočalo tudi bistveno izboljšanje zdravstvenega stanja, specifičnega za bolezen (kot se ocenjuje z respiratornim vprašalnikom bolnišnice St. George [SGRQ]) v študiji AUGMENT, z izboljšanjem v skupni oceni SGRQ v primerjavi s placebom za -4,35 enote (p<0,0001).
English: In vitro studies have shown that aclidinium or its metabolites are not substrates or inhibitors of P-glycoprotein.
Slovenian: V študijah in vitro so dokazali, da aklidinij ali presnovki aklidinija niso substrati ali zaviralci glikoproteina P.
English: Whole lung deposition of inhaled aclidinium via Genuair averaged approximately 30% of the metered dose.
Slovenian: Odlaganje inhaliranega aklidinija s pomočjo inhalatorja Genuair v celih pljučih je znašalo približno 30 % izmerjenega odmerka.