FrancophonIA/ELRC3.0 huggingface dataset:
English: On the other hand, other low molecular weight heparins (LMWHs) in most European MSs are mainly expressed in IU of activity anti Xa and not in mg, which is in line with the European Pharmacopoeia (Version 8.1, 2014), which expresses the strength of heparins, including LWMH in IU of activity anti Xa.
Slovenian: Na drugi strani se jakost drugih nizkomolekularnih heparinov v večini evropskih držav članic v glavnem izraža v i.e. aktivnosti anti-Xa in ne v miligramih, kar je v skladu z Evropsko farmakopejo (različica 8.1., 2014), pri kateri se jakost heparinov, vključno z nizkomolekularnimi heparini, izraža v i.e. aktivnosti anti-Xa.
English: • The presentation 10,000 IU (100 mg)/10 mL solution for injection is used only for extracorporeal dialysis, and hence only this indication is covered in section 4.1,
Slovenian: • oblika 10 000 i.e. (100 mg)/10 ml raztopina za injiciranje se uporablja samo za zunajtelesno dializo, zato poglavje 4.1 zajema samo to indikacijo;
English: For example, for pre-filled syringes of 0.4 ml, the strength will appear as: <Local tradename> 4,000 IU (40 mg)/0.4 ml solution for injection.
Slovenian: Na primer pri napolnjenih injekcijskih brizgah z 0,4 ml bo jakost navedena kot: <lokalno trgovsko ime 4 000 i.e. (40 mg)/0,4 ml> raztopina za injiciranje.
English: • spinal or epidural anaesthesia or loco-regional anaesthesia when enoxaparin sodium is used for treatment in the previous 24 hours (with a reference to section 4.4);
Slovenian: • spinalna ali epiduralna anestezija ali lokalna/področna anestezija, kadar se natrijev enoksaparin uporablja za zdravljenje v zadnjih 24 urah (s sklicem na poglavje 4.4);
English: • the Committee agreed on a harmonised product information for Lovenox and associated names, the CHMP recommended the variation to the terms of the marketing authorisations for which the product information is set out in Annex III for Lovenox and associated names (see Annex I).
Slovenian: • odbor CHMP se je strinjal z usklajenimi informacijami o zdravilu Lovenox in povezanih imenih; je odbor CHMP priporočil spremembo pogojev dovoljenj za promet z zdravilom Lovenox in povezana imena, za katera so v Prilogi III navedene informacije o zdravilu (glejte Prilogo I).
English: • discontinue treatment in case of skin necrosis and cutaneous vasculitis.
Slovenian: • zdravljenje je treba v primeru kožne nekroze in kožnega vaskulitisa prekiniti.
English: Unstable angina and NSTEMI indications
Slovenian: Indikacije za nestabilno angino pektoris in NSTEMI
English: • reduction of dosage in patients above 75 years old treated by enoxaparin for ST-segment elevation myocardial infarction (STEMI);
Slovenian: • zmanjšanje odmerka pri bolnikih, starejših od 75 let, ki se zdravijo z enoksaparinom zaradi miokardnega infarkta z dvigom spojnice ST (STEMI);
English: The CHMP as a consequence, concluded that the benefit-risk balance of Lovenox and associated names remains favourable, subject to the agreed changes to the product information and the condition to the marketing authorisation.
Slovenian: Posledično je zaključil, da je razmerje med tveganji in koristmi zdravila Lovenox in povezanih imen še naprej ugodno, če se upoštevajo dogovorjene spremembe informacij o zdravilu in pogoji dovoljenja za promet z zdravilom.
English: o either as a once daily injection of 150 IU/kg (1.5 mg/kg): used in uncomplicated patients with low risk of VTE recurrence,
Slovenian: o bodisi kot enkrat dnevna injekcija s 150 i.e./kg (1,5 mg/kg), kar se uporablja pri nezapletenih bolnikih z majhnim tveganjem za ponovitev venske trombembolije;
English: The SmPC was aligned to state the recommended dose as accepted in most countries of 1mg/kg, which is in line with the clinical data and with the recommendations from treatment guidelines.
Slovenian: Povzetek glavnih značilnosti zdravila je bil usklajen tako, da navaja priporočeni odmerek, kot je sprejet v večini držav, tj. 1 mg/kg, kar je v skladu s kliničnimi podatki in priporočili iz smernic za zdravljenje.
English: For treatment of acute ST-segment elevation myocardial infarction, the CHMP noted that the pivotal study (ExTRACT-TIMI 25) was carried out in STEMI patients fulfilling the following criteria:
Slovenian: Pri zdravljenju akutnega miokardnega infarkta z dvigom spojnice ST je odbor CHMP opozoril, da je bila izvedena ključna študija (ExTRACT-TIMI 25) pri bolnikih s STEMI, ki so izpolnjevali naslednji merili:
English: • History of immune mediated heparin-induced thrombocytopenia (HIT) within the past 100 days or in the presence of circulating antibodies (see also section 4.4 );
Slovenian: • anamneza imunsko posredovane, s heparinom sprožene trombocitopenije v zadnjih 100 dneh ali v prisotnosti protiteles v obtoku (glejte tudi poglavje 4.4);
English: Lovenox and associated names is authorised in all EU member states (MSs) as well as in Iceland and Norway.
Slovenian: Zdravilo Lovenox in povezana imena je pridobilo dovoljenje za promet v vseh državah članicah EU ter na Islandiji in Norveškem.
English: The terminology used for the indication prophylaxis of venous thromboembolism in medical patients varied across Member States.
Slovenian: Uporabljena terminologija za indikacijo profilakse venske trombembolije pri internističnih bolnikih se je med državami članicami razlikovala.
English: In view of this indication, the CHMP noted the consensus document of the Joint ESC/American College of Cardiology Committee for the redefinition of myocardial infarction (MI), which led to the revision of the definition of acute coronary syndromes (ACS) to UA and NSTEMI.
Slovenian: Pri tej indikaciji je odbor CHMP opozoril na dokument o soglasju skupnega odbora ESC/Ameriškega združenja za kardiologijo o ponovni opredelitvi miokardnega infarkta, kar je privedlo do ponovnega pregleda opredelitve akutnih koronarnih sindromov kot nestabilne angine pektoris in NSTEMI.
English: The regimen should be selected by the physician based on an individual assessment including evaluation of the thromboembolic risk and the bleeding risk.
Slovenian: Shemo mora izbrati zdravnik na podlagi ocene posameznika, vključno z ovrednotenjem trombemboličnega tveganja in tveganja za krvavitev.
English: The CHMP agreed to use this definition in the enoxaparin labelling, and the indication was harmonised to include treatment of unstable angina and NSTEMI administered concurrently with oral acetylsalicylic acid.
Slovenian: Odbor CHMP se je strinjal, da bo to opredelitev pojma uporabil pri označevanju enoksaparina, indikacija pa je bila usklajena tako, da vključuje zdravljenje nestabilne angine in NSTEMI ob sočasnem peroralnem jemanju acetilsalicilne kisline.
English: No difference exists between countries in terms of enoxaparin dosage regimen (1 mg/kg every 12 hours by subcutaneous injection) in these indications.
Slovenian: Glede sheme odmerjanja enoksaparina pri teh indikacijah med državami ni razlik (1 mg/kg na 12 ur s podkožno injekcijo).
English: Further sub-sections were added to provide information on switch between enoxaparin sodium and oral anticoagulants as well as recommendations for administration in spinal/epidural anaesthesia or lumbar puncture.
Slovenian: Dodana so bila nadaljnja podpoglavja z informacijami o prehodu med natrijevim enoksaparinatom in peroralnimi antikoagulanti ter priporočila za dajanje spinalne/epiduralne anestezije ali izvedbo lumbalne punkcije.
English: • The pen presentation (10 x 4,000 IU (10x 40 mg)) contains all approved indications except use in extracorporeal dialysis.
Slovenian: • oblika v peresniku (10 x 4 000 i.e. (10 x 40 mg)) vključuje vse odobrene indikacije, razen uporabe pri zunajtelesni dializi.
English: • use of enoxaparin is not recommended for patients with end stage renal disease due to lack of data in this population outside the prevention of thrombus formation in dialysis patients;
Slovenian: • uporaba enoksaparina ni priporočena pri bolnikih z zadnjim stadijem ledvičnega obolenja zaradi pomanjkanja podatkov o varnosti pri tej populaciji, razen preprečevanja nastajanja strdkov pri bolnikih na dializi;
English: • increase in the risk of hepatic impairment;
Slovenian: • povečano tveganje za okvaro jeter;
English: The CHMP noted that in the current ESC guideline, ASA is recommended for all patients without contraindications at an initial oral loading dosed of 150-300 mg (in aspirin-naive patients) and a maintenance dose of 75-100 mg/day longterm regardless of the treatment strategy.
Slovenian: Odbor CHMP je opozoril, da se acetilsalicilna kislina v trenutni smernici ESC priporoča za vse bolnike brez kontraindikacij z začetnim peroralnim polnilnim odmerkom 150-300 mg (za bolnike, ki se še niso zdravili z acetilsalicilno kislino) in dolgoročnim vzdrževalnim odmerkom 75100 mg/dan, ne glede na strategijo zdravljenja.
English: The section was harmonised to address variations in the exact wording in prophylaxis and treatment indications.
Slovenian: Poglavje je bilo usklajeno z upoštevanjem sprememb besedila za indikacije profilakse in zdravljenja.
English: The treatment of UA and NSTEMI was not authorised in all Member States prior to the finalisation of this referral.
Slovenian: Zdravljenje nestabilne angine pektoris in NSTEMI pred zaključkom te napotitve ni bilo odobreno v vseh državah članicah.
English: • Hypersensitivity to enoxaparin sodium, heparin or its derivatives, including other low molecular weight heparins (LMWH) or to any of the excipients;
Slovenian: • preobčutljivost za natrijev enoksaparinat, heparin ali njegove derivate, vključno z nizkomolekularnimi heparini, ali katero koli pomožno snov;
English: The CHMP also considered that the regimen should be selected by the physician based on an individual assessment including evaluation of the thromboembolic risk and of the risk of bleeding.
Slovenian: Odbor CHMP je menil tudi, da mora shemo izbrati zdravnik na podlagi ocene posameznika, vključno z ovrednotenjem trombemboličnega tveganja in tveganja za krvavitev.
English: In general, the sub-sections on posology and method of administration were aligned with the harmonised indications for enoxaparin.
Slovenian: Na splošno so bila podpoglavja o odmerjanju in načinu uporabe v skladu z usklajenimi indikacijami za enoksaparin.
English: A previously existing contraindication for use in patients with end stage renal disease (creatinine clearance <15 mL/min) was also removed due to lack of safety data in this population justifying a contraindication, however use in this population is not recommended, as outlined below.
Slovenian: Izločena je bila tudi predhodna kontraindikacija za uporabo pri bolnikih z zadnjim stadijem ledvične bolezni (očistek kreatinina < 15 ml/min) zaradi pomanjkanja podatkov o varnosti pri tej populaciji, ki bi utemeljevali kontraindikacijo, vendar uporaba pri tej populaciji ni priporočena, kot je navedeno spodaj.
English: Dosing in prophylaxis of venous thromboembolism in medical patients was harmonised to be aligned with ACCP guidelines.
Slovenian: Odmerjanje pri profilaksi venske trombembolije pri internističnih bolnikih je bilo usklajeno tako, da je v skladu s smernicami ACCP.
English: Some Member States had a contra-indication for severe renal impairment (clearance < 30 mL/min) in the therapeutic indications, which has been removed as part of the referral based on available data supporting use in this population.
Slovenian: Nekatere države članice so imele pri terapevtskih indikacijah navedeno kontraindikacijo za hudo ledvično okvaro (očistek < 30 ml/min), kar je bilo v okviru napotitve na podlagi razpoložljivih podatkov, ki podpirajo uporabo pri tej populaciji, izločeno.
English: The product is currently registered in the EU under concentrations of 100 mg/mL (equivalent to 10 000 IU anti Xa/mL) in prefilled syringes, multi-dose vials, ampoules, and 150 mg/mL (equivalent to 15 000 IU anti Xa/mL) in prefilled syringes.
Slovenian: Zdravilo je trenutno registrirano v EU s koncentracijama 100 mg/ml (kar ustreza 10 000 i.e. antiXa/ml) v napolnjenih injekcijskih brizgah, večodmernih vialah in ampulah ter 150 mg/ml (kar ustreza 15 000 i.e. anti-Xa/ml) v napolnjenih injekcijskih brizgah.
English: • The Summary of Product Characteristics (SmPC) and Package Leaflet (PL) covering vials, ampoules and prefilled syringes covers all approved indications,
Slovenian: • povzetek glavnih značilnosti zdravila in navodilo za uporabo za viale, ampule in napolnjene injekcijske brizge zajemata vse odobrene indikacije;
English: For prophylaxis of venous thromboembolism (VTE) in surgical patients, the CHMP considered that it would be relevant to label the indication on the patient's level of thrombotic risk in line with the American College of Clinical Pharmacy (ACCP) Guidelines.
Slovenian: Za profilakso venske trombembolije (VTE) pri kirurških bolnikih je odbor CHMP presodil, da bi bilo primerno navesti indikacijo glede na raven bolnikovega tveganja za trombozo v skladu s smernicami Ameriškega združenja za klinično farmakologijo (ACCP).
English: The strength of the product is expressed differently in the different MSs, either in mg or in activity IU anti-factor Xa.
Slovenian: Jakost zdravila je v različnih državah članicah izražena različno, bodisi v miligramih ali z aktivnostjo i.e. proti faktorju Xa.
English: • the Committee reviewed the totality of the data submitted by the MAH in support of the proposed harmonisation of the product information,
Slovenian: • odbor CHMP je pregledal vse podatke, ki jih je v podporo predlagani uskladitvi informacij o zdravilu predložil imetnik dovoljenja za promet z zdravilom;
English: o or as twice daily injections of 100 IU/kg (1 mg/kg): used in all other patients such as those with obesity, with symptomatic PE, cancer, recurrent VTE or proximal (vena iliaca) thrombosis.
Slovenian: o ali kot dvakrat dnevna injekcija s 100 i.e./kg (1 mg/kg), kar se uporablja pri vseh drugih bolnikih, npr. debelih bolnikih, bolnikih s simptomatsko pljučno embolijo, rakom, ponovljeno vensko trombembolijo ali proksimalno trombozo (trombozo iliakalne vene).
English: For treatment of deep venous thromboembolism, the exact wording varied across Member States, and the CHMP considered harmonising the indication to include treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) excluding PE likely to require thrombolytic therapy or surgery.
Slovenian: Besedilo za zdravljenje globoke venske trombembolije se je med državami članicami razlikovalo, zato je odbor CHMP presodil, da je treba indikacijo uskladiti tako, da bo vključevala zdravljenje globoke venske tromboze (DVT) in pljučne embolije (PE) ter izključevala tisto pljučno embolijo, zaradi katere bo verjetno potrebno trombolitično zdravljenje ali kirurški poseg.
English: For treatment of DVT and PE the CHMP considered, based on the data provided and available treatment guidelines, that the harmonised wording should include a once daily injection of 150 IU/kg (1.5 mg/kg) or a twice daily injections of 100 IU/kg (1 mg/kg) in DVT and PE patients.
Slovenian: Pri zdravljenju globoke venske tromboze in pljučne embolije je odbor CHMP na podlagi predloženih podatkov in razpoložljivih smernic za zdravljenje menil, da mora usklajeno besedilo za bolnike z globoko vensko trombozo in pljučno embolijo vključevati navedbo o enkrat dnevni injekciji s 150 i.e./kg (1,5 mg/kg) ali dvakrat dnevni injekciji s 100 i.e./kg (1 mg/kg).
English: For this indication in moderate and high risk surgical patients the CHMP considered that the SmPC should reflect that individual thromboembolic risk for patients can be estimated using a validated risk stratification model.
Slovenian: Za to indikacijo pri kirurških bolnikih z zmernim in velikim tveganjem je odbor CHMP ocenil, da mora povzetek glavnih značilnosti zdravila vključevati navedbo, da se tveganje za trombembolijo pri posameznem bolniku lahko oceni z validiranim modelom stratifikacije tveganja.
English: Some disharmonies existed further in terms of the timing of enoxaparin administration in this indication, which were aligned as part of the procedure.
Slovenian: Pri tej indikaciji je bilo nekaj neskladij glede časa dajanja enoksaparina, kar se je med postopkom poenotilo.
English: Treatment of acute ST-segment elevation myocardial infarction (STEMI)
Slovenian: Zdravljenje akutnega miokardnega infarkta z dvigom spojnice ST (STEMI)
English: However, no further important differences exist for the haemodialysis indication in the national SmPCs approved in the EU MSs.
Slovenian: Drugih pomembnih razlik pri indikaciji hemodialize med nacionalnimi povzetki glavnih značilnosti zdravila, odobrenih v državah članicah EU, ni.
English: Prophylaxis of VTE in medical patients
Slovenian: Profilaksa VTE pri internističnih bolnikih
English: Prophylaxis of venous thromboembolism (VTE) in surgical patients
Slovenian: Profilaksa venske trombembolije (VTE) pri kirurških bolnikih
English: Vials of 100 mg/10 mL and a pen of 10 x 40 mg (equivalent to 10 x 4 000 IU anti Xa) are also authorised.
Slovenian: Dovoljenje za promet imajo tudi viale s koncentracijo 100 mg/10 ml in peresnik z 10 x 40 mg (kar ustreza 10 x 4 000 i.e. anti-Xa).
English: • A contraindication in patients with severe renal impairment (creatinine clearance < 30 ml/min) that existed in some EU member states was removed from the Product Information, however, use in patients with end stage kidney disease (creatinine clearance <15 ml/min) is not recommended outside the prevention of thrombus formation in dialysis patients.
Slovenian: • Kontraindikacija pri bolnikih s hudo okvaro jeter (očistek kreatinina < 30 ml/min), ki je bila navedena v nekaterih državah članicah, je bila izbrisana iz informacij o zdravilu, vendar se uporaba pri bolnikih z zadnjim stadijem ledvične okvare (očistek kreatinina 15 ml/min) ne priporoča.
English: • not to use perform spinal/epidural anaesthesia or lumbar puncture during treatment with enoxaparin;
Slovenian: • med zdravljenjem z enoksaparinom se ne sme dajati spinalna/epiduralna anestezija oziroma izvajati lumbalna punkcija;
English: • in patients with severe renal impairment (creatinine clearance 15-30 mL/min), since exposure of enoxaparin sodium is significantly increased, a dosage adjustment is recommended for therapeutic and prophylactic dosage ranges;
Slovenian: • ker se izpostavljenost natrijevemu enoksaparinatu bistveno poveča, se pri bolnikih s hudo okvaro ledvic (očistek kreatinina 15-30 ml/min) pri terapevtskih in profilaktičnih odmerkih priporoča prilagoditev odmerka;
English: Treatment of unstable angina (UA) and non-ST segment elevation myocardial infarction (NSTEMI)
Slovenian: Zdravljenje nestabilne angine pektoris in miokardnega infarkta brez dviga spojnice ST (NSTEMI)
English: • the product information proposed by the Marketing Authorisation Holders has been assessed based on the documentation submitted and the scientific discussion within the Committee,
Slovenian: • odbor CHMP je na podlagi predložene dokumentacije in znanstvene razprave v odboru ocenil informacije o zdravilu, ki so jih predlagali imetniki dovoljenj za promet z zdravili;
English: However, the CHMP considered that acetylsalicylic acid (ASA) should be recommended at dose from 75 mg to 325 mg in the SmPC to be in line with clinical data and clinical practice.
Slovenian: Vendar je odbor CHMP ocenil, da mora za uskladitev s kliničnimi podatki in klinično prakso povzetek glavnih značilnosti zdravila vsebovati priporočilo za acetilsalicilno kislino v odmerku od 75 mg do 325 mg.
English: • to be used with extreme caution in patients with a history (>100 days) of heparin-induced thrombocytopenia without circulating antibodies;
Slovenian: • pri bolnikih z anamnezo (> 100 dni) s heparinom sprožene trombocitopenije brez protiteles v obtoku je treba zdravilo uporabljati zelo previdno;
English: A consistent wording has been approved on platelet count monitoring to take into account current international guidelines, in order to avoid unnecessary monitoring in patients at low risk of HIT. Other changes were made to complement the information already present in other parts of the product information:
Slovenian: Odobreno je bilo usklajeno besedilo o spremljanju števila trombocitov, pri čemer je treba upoštevati trenutne mednarodne smernice, da bi se izognili nepotrebnemu spremljanju pri bolnikih z majhnim tveganjem za s heparinom sproženo trombocitopenijo.
English: Treatment of deep venous thromboembolism
Slovenian: Zdravljenje globoke venske trombembolije
English: Prophylaxis of venous thromboembolic disease
Slovenian: Profilaksa venske trombembolije
English: As harmonisation of expression of strength to one of the options would have led to changes to the established practice in several countries, and as this may increase the risk of medication errors leading to higher risk of thrombosis or major bleeding, the wording has been amended to express the strength in both units (in IU anti-Xa/mL and its equivalence in mg/ml) on the outer-carton and immediate packaging (syringe) and in sections 1, 2 and 4.2.
Slovenian: Zato je bilo besedilo spremenjeno tako, da je jakost na zunanji in stični ovojnini (injekcijski brizgi) ter v poglavjih 1, 2 in 4.2 izražena v obeh enotah (v i.e. antiXa/ml in ustrezni vrednosti v mg/ml).
English: Treatment of DVT and pulmonary embolism PE
Slovenian: Zdravljenje globoke venske tromboze in pljučne embolije
English: Prevention of thrombus formation during haemodialysis
Slovenian: Preprečevanje nastajanja strdkov med hemodializo
English: Prevention of extracorporeal thrombus during haemodialysis
Slovenian: Preprečevanje zunajtelesnega strdka med hemodializo
English: The PL has been harmonised taking into account all revisions of the SmPC that are relevant to the PL.
Slovenian: Navodilo za uporabo je bilo usklajeno z upoštevanjem vseh popravkov v povzetku glavnih značilnosti zdravila, ki zadevajo navodilo za uporabo.
English: It is available as tablets (2.5, 5, 7.5, 10, 15 and 20 mg).
Slovenian: Na voljo je v obliki tablet (2,5 mg, 5 mg, 7,5 mg, 10 mg,15 mg in 20 mg).
English: The full EPAR for Olanzapine Glenmark can be found on the Agency's website: ema.europa.eu/Find medicine/Human medicines/European public assessment reports.
Slovenian: Celotno evropsko javno poročilo o oceni zdravila (EPAR) za zdravilo Olanzapine Glenmark je na voljo na spletni strani agencije: ema.europa.eu/Find medicine/Human medicines/European public assessment reports.
English: The recommended starting dose of Olanzapine Glenmark depends on the disease being treated: 10 mg per day is used in schizophrenia and in the prevention of manic episodes, and 15 mg per day in the treatment of manic episodes, unless it is used with other medicines, in which case the starting dose can be 10 mg per day.
Slovenian: Priporočeni začetni odmerek zdravila Olanzapine Glenmark je odvisen od bolezni, ki jo zdravimo: odmerek 10 mg na dan se uporablja pri shizofreniji in za preprečevanje maničnih epizod, odmerek 15 mg na dan pa se uporablja pri zdravljenju maničnih epizod, razen ob souporabi drugih zdravil, ko lahko začetni odmerek znaša 10 mg na dan.
English: Since these neurotransmitters are involved in schizophrenia and in bipolar disorder, olanzapine helps to normalise the activity of the brain, reducing the symptoms of these diseases.
Slovenian: Ker ta dva živčna prenašalca običajno sodelujeta pri shizofreniji in bipolarni motnji, olanzapin pomaga normalizirati aktivnost možganov in tako zmanjša simptome teh bolezni.
English: It is thought that olanzapine's beneficial effect is due to it blocking receptors for the neurotransmitters 5-hydroxytrypamine (also called serotonin) and dopamine.
Slovenian: Domneva se, da so koristni učinki olanzapina posledica zaviranja receptorjev za živčna prenašalca 5-hidroksitriptamin (imenovanega tudi serotonin) in dopamin.
English: Medicines are bioequivalent when they produce the same levels of the active substance in the body.
Slovenian: Zdravili sta biološko enakovredni, kadar dosegata enake ravni zdravilne učinkovine v telesu.
English: For more information about treatment with Olanzapine Glenmark, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.
Slovenian: Za več informacij o zdravljenju z zdravilom Olanzapine Glenmark preberite navodilo za uporabo (ki je prav tako del EPAR) ali se posvetujte z zdravnikom ali farmacevtom.