FrancophonIA/ELRC3.0 huggingface dataset:
English: Percentage of PBC patients achieving the primary composite endpointa at month 6 and month 12 with or without UDCAb OCALIVA 10 mgc (N = 73)
Croatian: Tablica 3. Postotak bolesnika s PBC-om koji su postigli primarni kompozitni ishoda u 6. i 12. mjesecu liječenja sa ili bez UDCAb OCALIVA 10 mgc (N = 73)
English: The mean (95% CI) reduction in ALP in OCALIVA-treated patients was 246 (165, 327) U/L compared to an increase of 17 (-7, 42) U/L in the placebo-treated patients.
Croatian: Srednje (95 % CI) smanjenje razine ALP-a u bolesnika liječenih lijekom OCALIVA bilo je 246 (165, 327) U/L u usporedbi s povećanjem od 17 (-7, 42) U/L u bolesnika liječenih placebom.
English: What you need to know before you take OCALIVA
Croatian: Što morate znati prije nego počnete uzimati lijek OCALIVA
English: No dose adjustment is required for elderly patients (see section 5.2).
Croatian: Za starije bolesnike nije potrebna prilagodba doze (vidjeti dio 5.2).
English: Treatment with OCALIVA 10 mg or OCALIVA titration (5 mg to 10 mg) resulted in clinically and statistically significant increases (p < 0.0001) relative to placebo in the number of patients achieving the primary composite endpoint at all study time points (see Table 3).
Croatian: Liječenje lijekom OCALIVA od 10 mg ili titriranom dozom lijeka OCALIVA (5 mg do 10 mg) rezultiralo je klinički i statistički značajnim povećanjem (p<0,0001) broja bolesnika koji su postigli primarni kompozitni ishod u svim vremenskim točkama ispitivanja u odnosu na placebo (vidjeti tablicu 3).
English: • Continue to increase the dosage to 10 mg once daily, as tolerated, to achieve optimal response.
Croatian: • Nastavak povećanja doze na 10 mg jedanput dnevno, ovisno o podnošljivosti, kako bi se postigao optimalni odgovor.
English: Management and dose adjustment for severe pruritus Management strategies include the addition of bile acid binding resins or antihistamines.
Croatian: Zbrinjavanje i prilagodba doze za teški svrbež Strategije zbrinjavanja uključuju dodatak smola koje vežu žučne kiseline ili antihistaminika.
English: FXR activation decreases the intracellular hepatocyte concentrations of bile acids by suppressing de novo synthesis from cholesterol, as well as, by increasing transport of bile acids out of the hepatocytes.
Croatian: Aktivacija FXR-a snižava intracelularne koncentracije žučnih kiselina u hepatocitima supresijom de novo sinteze iz kolesterola kao i povećanjem prijenosa žučnih kiselina izvan hepatocita.
English: • The other ingredients are: - Tablet core: Microcrystalline cellulose (E460), sodium starch glycolate (Type A), magnesium stearate.
Croatian: • Ostali sastojci su: - Jezgra tablete: mikrokristalična celuloza (E460), natrijev škroboglikolat, vrsta A, magnezijev stearat.
English: Therefore, a modified dose regimen for patients with moderate or severe hepatic impairment is required to achieve plasma exposure levels similar to patients with no hepatic impairment (see section
Croatian: Stoga je neophodno izmijeniti režim doziranja za bolesnike s umjerenim ili teškim oštećenjem jetre kako bi se postigle razine izloženosti u plazmi slične onima u bolesnika bez oštećenja jetre (vidjeti dio 4.2).
English: OCALIVA contains the active substance obeticholic acid (farnesoid X-receptor agonist) which helps to improve how your liver works by reducing the production and build up of bile in the liver and also reducing inflammation.
Croatian: OCALIVA sadržava djelatnu tvar obetikolatnu kiselinu (agonist farnezoid X receptora) koja pomaže u poboljšanju funkcije jetre smanjenjem stvaranja i nakupljanja žuči u jetri te također smanjenjem upale.
English: Pack sizes 1 bottle with 30 or 100 film-coated tablets.
Croatian: Veličine pakiranja 1 boca s 30 ili 100 filmom obloženih tableta
English: The majority (93%) of patients received treatment in combination with UDCA and a small number of patients (7%) unable to tolerate UDCA received placebo, OCALIVA (10 mg) or OCALIVA titration (5 mg to 10 mg) as monotherapy.
Croatian: Većina (93 %) bolesnika primila je liječenje u kombinaciji s UDCA, dok je mali broj bolesnika (7 %) koji nisu podnosili UDCA primio placebo, lijek OCALIVA (10 mg) ili titriranu dozu lijeka OCALIVA (5 mg do 10 mg) kao monoterapiju.
English: • Temporarily interrupting obeticholic acid dosing for up to 2 weeks followed by restarting at a reduced dosage.
Croatian: • Privremeni prekid primjene obetikolatne kiseline do 2 tjedna, nakon čega slijedi ponovna primjena smanjene doze.
English: Skip the missed dose and take your next dose when you would normally take it. Do not take a double dose to make up for a forgotten tablet.
Croatian: Preskočite dozu koju ste propustili uzeti i uzmite sljedeću dozu u vrijeme u koje biste je normalno uzeli.
English: Bile acid binding resins such as cholestyramine, colestipol, or colesevelam adsorb and reduce bile acid absorption and may reduce efficacy of obeticholic acid.
Croatian: Smole koje vežu žučne kiseline kao što su kolestiramin, kolestipol ili kolesevelam adsorbiraju i smanjuju apsorpciju žučnih kiselina i mogu smanjiti djelotvornost obetikolatne kiseline.
English: • Continue to increase the dosage to 10 mg twice weekly, as tolerated, to achieve optimal response.
Croatian: • Nastavak povećanja doze na 10 mg dvaput tjedno, ovisno o podnošljivosti, kako bi se postigao optimalni odgovor.
English: Obeticholic acid has no or negligible influence on the ability to drive and use machines.
Croatian: Obetikolatna kiselina ne utječe ili zanemarivo utječe na sposobnost upravljanja vozilima i rada sa strojevima.
English: For patients in the OCALIVA titration arm whose OCALIVA dosage was increased from 5 mg once daily to 10 mg once daily, additional reductions in ALP were observed at Month 12 in the majority of patients.
Croatian: Za bolesnike u skupini titrirane doze lijeka OCALIVA kojima je doza lijeka OCALIVA povišena s 5 mg jedanput dnevno na 10 mg jedanput dnevno, dodatna smanjenja razine ALP-a opažena su u 12. mjesecu u većine bolesnika.
English: What OCALIVA contains The active substance is obeticholic acid.
Croatian: Što OCALIVA sadrži Djelatna tvar je obetikolatna kiselina.
English: P-values are obtained using the Cochran-Mantel-Haenszel General Association test stratified by intolerance to UDCA and pretreatment ALP greater than 3-times ULN and/or AST greater than 2-times ULN and/or total bilirubin greater than ULN.
Croatian: P-vrijednosti su dobivene uporabom Cochran-Mantel-Haenszelovog testa opće povezanosti stratificiranog na nepodnošenje UDCA i razine ALP-a prije liječenja veće od 3 puta GGN i/ili AST-a veće od 2puta GGN i/ili ukupni bilirubin veći od GGN.
English: A phase III, randomised, double-blind, placebo-controlled, parallel-group, 12-month study (POISE) evaluated the safety and efficacy of OCALIVA in 216 patients with PBC who were taking UDCA for at least 12 months (stable dose for ≥ 3 months) or who were unable to tolerate UDCA and did not receive UDCA for ≥3 months.
Croatian: U randomiziranom, dvostruko slijepom, placebom kontroliranom ispitivanju faze III s paralelnim skupinama u trajanju od 12 mjeseci (POISE) procijenjena je sigurnost i djelotvornost lijeka OCALIVA u 216 bolesnika s PBC-om koji su uzimali UDCA tijekom najmanje 12 mjeseci (stabilna doza tijekom ≥ 3 mjeseca) ili koji nisu podnosili UDCA i nisu primali UDCA tijekom ≥ 3 mjeseca.
English: Dosage Titration
Croatian: Titracija doze
English: • Temporarily interrupting obeticholic acid dosing for up to 2 weeks followed by restarting at a reduced dosage if applicable.
Croatian: • Privremeni prekid primjene obetikolatne kiseline do 2 tjedna, nakon čega slijedi ponovna primjena smanjene doze, ako je to primjenjivo.
English: Exposures of glyco- and tauro-obeticholic acid, and total obeticholic acid increase more than proportionally with dose.
Croatian: Izloženosti gliko-obetikolatne kiseline i tauro-obetikolatne kiseline te ukupne obetikolatne kiseline povećavaju se više nego proporcionalno s dozom.
English: Paediatric population No pharmacokinetic studies were performed with obeticholic acid in patients less than 18 years of age.
Croatian: Nisu provedena farmakokinetička ispitivanja s obetikolatnom kiselinom u bolesnika mlađih od 18 godina.
English: If you take more OCALIVA than you should If you accidentally take too many tablets, you may experience liver related side effects such as yellowing of the skin.
Croatian: Ako slučajno uzmete previše tableta, može doći do nuspojava povezanih s jetrom kao što je žutilo kože.
English: After daily administration of obeticholic acid, there was accumulation of the glycine and taurine conjugates of obeticholic acid which have in vitro pharmacological activities similar to the parent drug.
Croatian: Nakon svakodnevne primjene obetikolatne kiseline, došlo je do akumulacije glicinskih i taurinskih konjugata obetikolatne kiseline koji imaju in vitro farmakološka djelovanja slična izvornom lijeku.
English: Limited data exists in patients with mild and moderate renal impairment and no data exists in severe renal impairment.
Croatian: Postoje ograničeni podaci u bolesnika s blagim i umjerenim oštećenjem bubrega dok za bolesnike s teškim oštećenjem bubrega podaci ne postoje.
English: High-density polyethylene (HDPE) bottles with a child resistant polypropylene closure and an aluminium foil induction seal.
Croatian: Boce od polietilena visoke gustoće (HDPE) s polipropilenskim zatvaračem koji djeci onemogućuje otvaranje i zalijepljenom zaštitnom aluminijskom folijom.
English: Obeticholic acid has minimal renal elimination with less than 3% of the dose recovered in urine.
Croatian: Obetikolatna kiselina se minimalno eliminira putem bubrega s manje od 3 % doze izlučene u mokraći.
English: The adverse reactions reported with OCALIVA in the phase III clinical study are listed in the table below by MedDRA system organ class and by frequency.
Croatian: Nuspojave prijavljene za lijek OCALIVA u kliničkom ispitivanju faze III navedene su u tablici u nastavku prema MedDRA klasifikaciji organskih sustava i učestalosti.
English: In subjects with mild, moderate and severe hepatic impairment (Child-Pugh Class A, B, and C, respectively), mean AUC of total obeticholic acid, the sum of obeticholic acid and its two active conjugates, increased by 1.13-, 4- and 17-fold, respectively, compared to subjects with normal hepatic function following single-dose administration of 10 mg obeticholic acid.
Croatian: U ispitanika s blagim, umjerenim i teškim oštećenjem jetre (Child-Pugh stadij A, B odnosno C), srednji AUC ukupne obetikolatne kiseline, zbroja obetikolatne kiseline i njezina dva aktivna konjugata, povećao se 1,13; 4 odnosno 17 puta u usporedbi s ispitanicima s normalnom funkcijom jetre nakon primjene jedne doze od 10 mg obetikolatne kiseline.
English: For patients who have not achieved an adequate reduction in alkaline phosphatase (ALP) and/or total bilirubin after 6 months of treatment and the patient is tolerating obeticholic acid, titrate up to 10 mg once daily
Croatian: U bolesnika koji nisu postigli odgovarajuće sniženje alkalne fosfataze (ALP) i/ili ukupnog bilirubina nakon 6 mjeseci liječenja, a bolesnik podnosi obetikolatnu kiselinu, titrirajte do 10 mg jedanput dnevno
English: Driving and using machines This medicine has no or negligible influence on your ability to drive or use machines.
Croatian: Ovaj lijek ne utječe ili zanemarivo utječe na sposobnost upravljanja vozilima ili strojevima.
English: The percentages of patients who required interventions (i.e, dosage adjustments, treatment interruptions, or initiation of antihistamines or bile acid binding resins) were 41% in the OCALIVA 10 mg arm, 34% in the OCALIVA titration group, and 19% in the placebo group.
Croatian: Postotci bolesnika u kojih se zahtijevala intervencija (tj. prilagodba doze, prekid liječenja ili uvođenje antihistaminika ili smola koje vežu žučne kiseline) bili su 41 % u skupini koja je primala lijek OCALIVA u dozi od 10 mg, 34 % u skupini u kojoj se titrirala doza lijeka OCALIVA i 19 % u skupini koja je primala placebo.
English: Oral administration of obeticholic acid above the NOAEL to mice, rats, and dogs in pivotal, repeat dose toxicity studies resulted primarily in effects on the hepatobiliary system.
Croatian: Peroralna primjena obetikolatne kiseline iznad razine bez opaženih štetnih učinaka (engl. no-observedadverse-effect level, NOAEL) u miševa, štakora i pasa u pivotalnim ispitivanjima toksičnosti ponovljene doze rezultirala je primarno učincima na hepatobilijarni sustav.
English: In a pre- and post-natal toxicity study in rats, the tauro-conjugate of obeticholic acid was found in pups nursing from dams dosed with obeticholic acid
Croatian: U prenatalnim i postnatalnim ispitivanjima toksičnosti u štakora, tauro-konjugat obetikolatne kiseline pronađen je u mladunčadi koje su dojile ženke koje su primale obetikolatnu kiselinu.
English: In PBC patients who received OCALIVA 25 mg once daily (2.5 times the highest recommended dosage) or 50 mg once daily (5 times the highest recommended dosage), a dose-dependent increase in the incidence of liver-related adverse reactions (e.g., ascites, primary biliary cholangitis flare, new onset jaundice), and transaminase and bilirubin elevations (up to greater than 3-times upper limit of normal [ULN]) were reported.
Croatian: U bolesnika s PBC-om koji su primali lijek OCALIVA u dozi od 25 mg jedanput dnevno (2,5 puta više od najviše preporučene doze) ili 50 mg jedanput dnevno (5 puta više od najviše preporučene doze) prijavljena su povišenja incidencije nuspojava povezanih s jetrom ovisno o dozi (primjerice, ascites, razbuktavanje primarnog bilijarnog kolangitisa, nova pojava žutice) te povišenja transaminaza i bilirubina (do više od 3 puta iznad gornje granice normale [GGN]).
English: Decrease in ALP of at least 15%, n (%) Total bilirubin less than or equal to 1-times ULNf, n a Percentage of subjects achieving a response, defined as an ALP less than 1.67-times the ULN, total bilirubin within the normal range, and an ALP decrease of at least 15%.
Croatian: Smanjenje ALP-a od najmanje 15 %, n (%) Ukupni bilirubin manji od ili jednak 1 puta GGNf, n a Postotak ispitanika koji su postigli odgovor definirano kao ALP manji od 1,67 puta GGN, ukupni bilirubin unutar normalnog raspona te sniženje ALP-a od najmanje 15 %.
English: Patients were randomised (1:1:1) to receive once daily placebo, OCALIVA 10 mg, or OCALIVA titration (5 mg titrated to 10 mg at 6 months dependent on therapeutic response/tolerability).
Croatian: Bolesnici su bili randomizirani (1:1:1) kako bi primili placebo jedanput dnevno, lijek OCALIVA u dozi od 10 mg ili titriranu dozu lijeka OCALIVA (5 mg titrirano na 10 mg nakon 6 mjeseci ovisno o terapijskom odgovoru/podnošljivosti).
English: These glycine and taurine conjugates of obeticholic acid are absorbed in the small intestine leading to enterohepatic recirculation.
Croatian: Ovi glicinski i taurinski konjugati obetikolatne kiseline apsorbiraju se u tanko crijevo što dovodi do enterohepatičke recirkulacije.
English: Pack size: 30 or 100 film-coated tablets.
Croatian: Veličina pakiranja: 30 ili 100 filmom obloženih tableta.
English: FOR THE CONDITIONAL MARKETING AUTHORISATION This being a conditional marketing authorisation and pursuant to Article 14(7) of Regulation (EC) No 726/2004, the MAH shall complete, within the stated timeframe, the following measures: Description
Croatian: Uredbe (EZ) br. 726/2004, nositelj odobrenja dužan je unutar navedenog vremenskog roka provesti sljedeće mjere:
English: Medicinal products that affect obeticholic acid
Croatian: Lijekovi koji utječu na obetikolatnu kiselinu
English: DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION Date of first authorisation: 12/12/2016
Croatian: Datum prvog odobrenja: 12/12/2016
English: OCALIVA is indicated for the treatment of primary biliary cholangitis (also known as primary biliary cirrhosis) in combination with ursodeoxycholic acid (UDCA) in adults with an inadequate response to UDCA or as monotherapy in adults unable to tolerate UDCA.
Croatian: Lijek OCALIVA indiciran je za liječenje primarnog bilijarnog kolangitisa (poznatog i kao primarna bilijarna ciroza) u kombinaciji s ursodeoksikolatnom kiselinom (engl. ursodeoxycholic acid, UDCA) u odraslih s neadekvatnim odgovorom na UDCA ili kao monoterapija u odraslih koji ne podnose UDCA.
English: For patients who have not achieved an adequate reduction in ALP and/or total bilirubin after 3 months of treatment and the patient is tolerating obeticholic acid, titrate up to 5 mg twice weekly (at least 3 days apart) and subsequently to 10 mg twice weekly (at least 3 days apart) based on response and tolerability
Croatian: U bolesnika koji nisu postigli odgovarajuće sniženje ALP-a i/ili ukupnog bilirubina nakon 3 mjeseca liječenja, a bolesnik podnosi obetikolatnu kiselinu, titrirajte do 5mg dvaput tjedno (u razmaku od najmanje 3 dana) te nakon toga do 10mg dvaput tjedno (u razmaku od najmanje 3 dana) na temelju terapijskog odgovora i podnošljivosti
English: 10 mg once daily
Croatian: 10 mg jedanput dnevno
English: e Response rates were calculated based on the observed case analysis (i.e., [n=observed responder]/[N=Intention to Treat (ITT) population]); percentage of patients with Month 12 values are 86%, 91% and 96% for the OCALIVA 10 mg, OCALIVA titration and placebo arms, respectively.
Croatian: e Stope odgovora izračunate su na temelju analize opaženih slučajeva (tj. [n=opaženi bolesnik s odgovorom na liječenje]/[N=ITT populacija]); postotak bolesnika s vrijednostima u 12. mjesecu iznosi 86 % za lijek OCALIVA od 10 mg, 91 % za titriranu dozu lijeka OCALIVA i 96 % za skupinu koja je primala placebo.
English: It is unknown whether obeticholic acid is excreted in human milk.
Croatian: Nije poznato izlučuje li se obetikolatna kiselina u majčino mlijeko.
English: 5 mg once weekly
Croatian: 5 mg jedanput tjedno
English: Description: In order to confirm the efficacy and safety of OCALIVA, the MAH should conduct and submit the results of study 747-401, a double-blind, randomised, placebo-controlled study evaluating the efficacy, safety and pharmacokinetics of OCALIVA in patients with PBC and moderate to severe hepatic impairment.
Croatian: Opis: Kako bi potvrdio djelotvornost i sigurnost lijeka OCALIVA, nositelj odobrenja mora provesti ispitivanje i podnijeti rezultate ispitivanja 747401, dvostruko slijepo, randomizirano, placebom kontrolirano ispitivanje za procjenu djelotvornosti, sigurnosti i farmakokinetike lijeka OCALIVA u bolesnika s PBC-om i umjerenim do teškim oštećenjem jetre.
English: Fifty-one PBC patients with baseline ALP 1.67-times ULN or greater and/or total bilirubin greater than ULN were evaluated for a biochemical response to OCALIVA as monotherapy (24 patients received OCALIVA 10 mg once daily and 27 patients received placebo) in a pooled analysis of data from the phase III randomised, double-blind, placebo-controlled 12 month study (POISE) and from a randomised, double-blind, placebo-controlled, 3- month study.
Croatian: Pedeset jedan bolesnik s PBC-om s početnom razinom ALP-a 1,67 puta GGN ili većom i/ili ukupnim bilirubinom većim od GGN-a procijenjen je za biokemijski odgovor na lijek OCALIVA kao monoterapiju (24 bolesnika primali sulijek OCALIVA od 10 mg jedanput dnevno dok je 27 bolesnika primalo placebo) u objedinjenoj analizi podataka iz randomiziranog, dvostruko slijepog, placebom kontroliranog 12-mjesečnog ispitivanja faze III (POISE) te iz randomiziranog, dvostruko slijepog, placebom kontroliranog tromjesečnog ispitivanja.
English: Yellow, 7.6 mm X 7.4 mm triangular tablet debossed with ‘INT' on one side and ‘10' on the other side.
Croatian: Žuta tableta trokutastog oblika, veličine 7,6 mm X 7,4 mm s utisnutim „INT“ na jednoj strani i „10“ na drugoj strani.
English: For Child-Pugh Class B or C or Decompensated Cirrhotic patients:
Croatian: Za bolesnike koji imaju Child-Pugh stadij B ili C ili dekompenziranu cirozu:
English: The starting dose and dosage titration by PBC patient population is shown in Table 1.
Croatian: Početna doza i titracija doze u populaciji bolesnika s primarnim bilijarnim kolangitisom (engl. primary biliary cholangitis, PBC) prikazane su u Tablici 1.
English: Treatment-emergent pruritus generally started within the first month following the initiation of treatment.
Croatian: Svrbež koji se javio tijekom liječenja općenito se javljao unutar prvog mjeseca nakon početka liječenja.
English: INFORMATION IN BRAILLE OCALIVA 5 mg
Croatian: 16. PODACI NA BRAILLEOVOM PISMU OCALIVA 5 mg
English: INFORMATION IN BRAILLE OCALIVA 10 mg
Croatian: 16. PODACI NA BRAILLEOVOM PISMU OCALIVA 10 mg
English: INR should be monitored and the dose of warfarin adjusted, if needed, to maintain the target INR range when co-administering obeticholic acid and warfarin.
Croatian: Potrebno je pratiti vrijednosti INR-a i, prema potrebi, prilagoditi dozu varfarina kako bi se održao ciljni raspon INR-a pri istodobnoj primjeni obetikolatne kiseline i varfarina.
English: Medicinal products that are affected by obeticholic acid
Croatian: Lijekovi na koje utječe obetikolatna kiselina
English: The majority of pruritus occurred within the first month of treatment and tended to resolve over time with continued dosing.
Croatian: Većina slučajeva svrbeža javila se unutar prvog mjeseca liječenja te su se tijekom vremena povukli nastavkom doziranja.
English: PHARMACEUTICAL FORM AND CONTENTS 30 film-coated tablets
Croatian: OBLIK I SADRŽAJ 30 filmom obloženih tableta 100 filmom obloženih tableta
English: Description: In order to confirm the efficacy and safety of OCALIVA, the MAH should conduct and submit the results of study 747-302, a confirmatory doubleblind, randomised, placebo-controlled multicentre study investigating the clinical benefit associated with OCALIVA treatment in patients with PBC who are either unresponsive or intolerant to UDCA treatment based on clinical endpoints.
Croatian: Opis: Kako bi potvrdio djelotvornost i sigurnost lijeka OCALIVA, nositelj odobrenja mora provesti ispitivanje i podnijeti rezultate ispitivanja 747302, konfirmatorno dvostruko slijepo, randomizirano, placebom kontrolirano, multicentrično ispitivanje koje istražuje kliničku korist povezanu s liječenjem lijekom OCALIVA u bolesnika s PBC-om koji nisu odgovorili ili ne podnose liječenje UDCA-om na temelju kliničkih mjera ishoda.
English: Thyroid function abnormality
Croatian: Endokrini poremećaji abnormalna funkcija štitnjače
English: Mean reduction in gamma-glutamyl transferase (GGT) The mean (95% CI) reduction in GGT was 178 (137, 219) U/L in the OCALIVA 10 mg arm, 138 (102, 174) U/L in the OCALIVA titration arm, and 8 (-48, 32) U/L in the placebo arm.
Croatian: Srednje (95 % CI) smanjenje razine GGT-a iznosilo je 178 (137, 219) U/L u skupini koja je primala lijek OCALIVA od 10 mg, 138 (102, 174) U/L u skupini titrirane doze lijeka OCALIVA i 8 (-48, 32) U/L u skupini koja je primala placebo.
English: Do not take OCALIVA: - if you are allergic to obeticholic acid or any of the other ingredients of this medicine (listed in section 6).
Croatian: Nemojte uzimati lijek OCALIVA: - ako ste alergični na obetikolatnu kiselinu ili neki drugi sastojak ovog lijeka (naveden u dijelu - ako imate potpuno začepljenje žučnog sustava (jetra, žučni mjehur i žučni kanali).
English: • Reducing the dosage of obeticholic acid to: ▪ 5 mg every other day, for patients intolerant to 5 mg once daily ▪ 5 mg once daily, for patients intolerant to 10 mg once daily
Croatian: • Smanjenje doze obetikolatne kiseline na: 5 mg svaki drugi dan, za bolesnike koji ne podnose 5 mg jedanput dnevno 5 mg jedanput dnevno, za bolesnike koji ne podnose 10 mg jedanput dnevno
English: 5 mg once daily
Croatian: 5 mg jedanput dnevno
English: These mechanisms limit the overall size of the circulating bile acid pool while promoting choleresis, thus reducing hepatic exposure to bile acids.
Croatian: Ovi mehanizmi ograničavaju ukupnu količinu žučnih kiselina u cirkulaciji istodobno promičući kolerezu te tako smanjujući jetrenu izloženost žučnim kiselinama.
English: If you stop taking OCALIVA
Croatian: Ako prestanete uzimati lijek OCALIVA