FrancophonIA/ELRC3.0 huggingface dataset:
English: There is a lack of relevant experience with Daxas under these conditions.
Slovenian: V takšnih primerih ni ustreznih izkušenj z uporabo zdravila Daxas.
English: • Summary of Product Characteristics and Patient Information Leaflet for Daxas
Slovenian: • Povzetek glavnih značilnosti zdravila in navodilo za uporabo zdravila Daxas
English: If you have taken more tablets than you should, you may experience the following symptoms: headache, nausea, diarrhoea, dizziness, throbbing of your heart, light-headedness, clamminess and low blood pressure.
Slovenian: Če ste vzeli večji odmerek zdravila Daxas, kot bi smeli Če ste vzeli več tablet kot bi smeli, se lahko pojavijo naslednji simptomi: glavobol, slabost, driska, omotica, udarjanje srca, vrtoglavica, vlažna in hladna koža ter nizek krvni tlak.
English: In older people, females and in non-Caucasians, total PDE4 inhibitory activity was increased.
Slovenian: Pri starejših bolnikih, ženskah in ne-belcih je bilo skupno inhibitorno delovanje na PDE4 povečano.
English: No dose adjustment is recommended in these patients.
Slovenian: Pri teh skupinah bolnikov prilagajanje odmerkov ni priporočljivo.
English: Study RO-2455-404-RD was a one year study in COPD patients with a baseline (pre-bronchodilator) FEV1 <50% of predicted normal and a history of frequent exacerbations.
Slovenian: Študija RO-2455-404-RD je bila enoletna študija pri bolnikih s KOPB z izhodiščno (pred bronhodilatatorjem) vrednostjo FEV1 < 50 % pričakovane normalne vrednosti in anamnezo pogostih poslabšanj.
English: In the two six-month studies, pre-bronchodilator FEV1 was significantly improved by 49 ml (primary endpoint, p<0.0001) beyond the bronchodilator effect of concomitant treatment with salmeterol in Study M2-127 and by 80 ml (primary endpoint, p<0.0001) incremental to concomitant treatment with tiotropium in Study M2-128.
Slovenian: V teh dveh šestmesečnih študijah se je FEV1 pred bronhodilatatorjem statistično pomembno izboljšal za 49 ml (primarni klinični izid, p < 0,0001) preko bronhodilatatorskega učinka sočasnega zdravljenja s salmeterolom v študiji M2-127 in za 80 ml (primarni klinični izid, p < 0,0001) preko učinka sočasnega zdravljenja s tiotropijem v študiji M2-128.
English: In two confirmative replicate one-year studies (M2-124 and M2-125) and two supplementary six-month studies (M2-127 and M2-128), a total number of 4,768 patients were randomised and treated, of whom 2,374 were treated with roflumilast.
Slovenian: V dve potrditveni ponovljeni enoletni študiji (M2-124 in M2-125) in dve dodatni šestmesečni študiji (M2-127 in M2-128) je bilo randomiziranih skupno 4.768 bolnikov, od tega jih je bilo 2.374 zdravljenih z roflumilastom.
English: Daxas is indicated for maintenance treatment of severe chronic obstructive pulmonary disease (COPD) (FEV1 post-bronchodilator less than 50% predicted) associated with chronic bronchitis in adult patients with a history of frequent exacerbations as add on to bronchodilator treatment.
Slovenian: Zdravilo Daxas je indicirano za vzdrževalno zdravljenje hude oblike kronične obstruktivne pljučne bolezni (KOPB) (FEV1 po bronhodilatatorju manjši od 50 % pričakovane vrednosti), povezane s kroničnim bronhitisom, pri odraslih bolnikih z anamnezo pogostih poslabšanj bolezni kot dopolnilo zdravljenju z bronhodilatatorji.
English: Difference of incidence between roflumilast and placebo was quantitatively greater with concomitant LAMA for weight decreased (7.2% vs 4.2%), decreased appetite (3.7% vs 2.0%), headache (2.4% vs 1.1%) and depression (1.4% vs -0.3%).
Slovenian: Pri sočasni uporabi LAMA so bile med roflumilastom in placebom ugotovljene kvantitativno večje razlike v pojavnosti zmanjšanja telesne mase (7,2 % v primerjavi s 4,2 %), zmanjšanja apetita (3,7 % v primerjavi z 2,0 %), glavobola (2,4 % v primerjavi z 1,1 %) in depresije (1,4 % v primerjavi z -0,3 %).
English: Daxas is used for maintenance treatment of severe COPD in adults who in the past had frequent worsening of their COPD symptoms (so-called exacerbations) and who have chronic bronchitis.
Slovenian: Zdravilo Daxas uporabljamo za vzdrževalno zdravljenje KOPB pri odraslih, ki so v preteklosti imeli pogosta poslabšanja simptomov KOPB in imajo kronični bronhitis.
English: Upon in vitro stimulation of human neutrophils, monocytes, macrophages or lymphocytes, roflumilast and roflumilast N-oxide suppress the release of inflammatory mediators e.g. leukotriene B4, reactive oxygen species, tumour necrosis factor α, interferon γ and granzyme B.
Slovenian: Roflumilast in roflumilast N-oksid po in vitro stimulaciji človeških nevtrofilcev, monocitov, makrofagov ali limfocitov inhibirata sproščanje vnetnih mediatorjev, npr. levkotriena B4, reaktivnih vrst kisika, tumorje nekrotizirajočega faktorja α, interferona γ in grancima B.
English: Sudden attack of breathlessness
Slovenian: Nenaden napad težkega dihanja
English: After 28 days of treatment with the 250-micrograms starting dose, patients must be up-titrated to one tablet of 500 micrograms roflumilast, to be taken once daily.
Slovenian: Po 28 dneh zdravljenja z 250-mikrogramskim začetnim odmerkom se mora bolniku odmerek povečati na eno tableto s 500 mikrogramov roflumilasta z odmerjanjem enkrat na dan.
English: Two six-month supportive studies (M2-127 and M2-128) included patients with a history of COPD for at least 12 months prior to baseline.
Slovenian: Dve šestmesečni podporni študiji (M2-127 in M2-128) sta vključevali bolnike z anamnezo KOPB vsaj 12 mesecev pred vstopom v študijo.
English: Post-bronchodilator FEV1 showed a clinically significant improvement in favour of roflumilast by 56 mL over placebo (95% CI: 38, 73 mL).
Slovenian: Vrednost FEV1 po bronhodilatatorju kaže na klinično pomembno izboljšanje v korist roflumilasta nad placebom za 56 ml (95 % interval zaupanja: 38, 73 ml).
English: A major step in roflumilast metabolism is the N-oxidation of roflumilast to roflumilast N-oxide by CYP3A4 and CYP1A2.
Slovenian: Glavna stopnja v presnovi roflumilasta je N-oksidacija roflumilasta v roflumilast N-oksid preko CYP3A4 in CYP1A2.
English: In patients with COPD, roflumilast reduced sputum neutrophils.
Slovenian: Pri bolnikih s KOPB je roflumilast znižal koncentracijo nevtrofilcev v sputumu.
English: That Daxas may cause weight loss and patients should weigh themselves regularly and record their weight on the patient card.
Slovenian: Da zdravilo Daxas lahko povzroči izgubo telesne mase in, da se morajo redno tehtati ter beležiti svojo telesno maso na opozorilno kartico za bolnika.
English: However, Cmax and tmax of roflumilast N-oxide are unaffected.
Slovenian: Cmax in tmax roflumilast N-oksida ostaneta pri tem nespremenjena.
English: If patients suffered from new or worsening psychiatric symptoms, or suicidal ideation or suicidal attempt is identified, it is recommended to discontinue treatment with roflumilast.
Slovenian: Če bolniki trpijo zaradi novih ali zaradi poslabšanja psihiatričnih simptomov ali če se ugotovi pojav samomorilnih misli ali poskus samomora, je priporočljivo prekiniti zdravljenje z roflumilastom.
English: The one-year studies included patients with a history of severe to very severe COPD [FEV1 (forced expiratory volume in one second) ≤50% of predicted] associated with chronic bronchitis, with at least one documented exacerbation in the previous year and with symptoms at baseline as determined by cough and sputum score.
Slovenian: Enoletni študiji sta vključevali bolnike z anamnezo hude do zelo hude oblike KOPB [FEV1 (forsirani ekspiracijski volumen v prvi sekundi) ≤ 50 % od pričakovane vrednosti], povezane s kroničnim bronhitisom, z vsaj enim zabeleženim poslabšanjem v preteklem letu in s simptomi ob vstopu v študijo, ki so jih opredelili z lestvicami za oceno kašlja in sputuma.
English: Interaction studies with CYP1A2/3A4 inhibitor enoxacin and the CYP1A2/2C19/3A4 inhibitors cimetidine and fluvoxamine, resulted in increases of the total PDE4 inhibitory activity of 25%, 47% and 59%, respectively.
Slovenian: V študijah medsebojnega delovanja z zaviralcem CYP1A2/3A4 enoksacinom in zaviralcema CYP1A2/2C19/3A4 cimetidinom in fluvoksaminom so ugotovili povečanje skupnega inhibitornega delovanja na PDE4 za 25 %, 47 % in 59 %.
English: What Daxas contains The active substance is roflumilast.
Slovenian: Kaj vsebuje zdravilo Daxas Učinkovina je roflumilast.
English: If patients suffer from new or worsening psychiatric symptoms, or suicidal ideation or suicidal attempt, it is recommended to discontinue treatment with Daxas.
Slovenian: Če bolniki trpijo zaradi novih ali zaradi poslabšanja psihiatričnih simptomov ali če se ugotovi pojav samomorilnih misli ali poskus samomora, je priporočljivo prekiniti zdravljenje z zdravilom Daxas.
English: There is no relevant use of Daxas in the paediatric population (under 18 years) in the indication COPD.
Slovenian: Pediatrična populacija Uporaba zdravila Daxas za indikacijo KOPB pri pediatrični populaciji (mlajših od 18 let) ni primerna.
English: Inhibition of PDE4 leads to elevated intracellular cAMP levels and mitigates COPD-related malfunctions of leukocytes, airway and pulmonary vascular smooth muscle cells, endothelial and airway epithelial cells and fibroblasts in experimental models.
Slovenian: Inhibicija PDE4 povzroči povišanje znotrajceličnih koncentracij cAMP in v eksperimentalnih modelih ublaži motnje v delovanju levkocitov, gladkomišičnih celic dihalnih poti in pljučnega žilja, endotelijskih celic, celic respiratornega epitelija in fibroblastov v povezavi s KOPB.
English: Roflumilast is a PDE4 inhibitor, a non-steroid, anti-inflammatory active substance designed to target both the systemic and pulmonary inflammation associated with COPD.
Slovenian: Roflumilast je inhibitor PDE4, nesteroidna protivnetna učinkovina, zasnovana tako, da učinkuje na sistemsko in pljučno vnetje, povezano s KOPB.
English: Suicidal ideation and behaviour* Depression Nervousness Panic attack
Slovenian: Psihiatrične motnje nespečnost tesnoba samomorilne misli in vedenje* depresija napetost napad panike
English: What Daxas looks like and contents of the pack
Slovenian: Izgled zdravila Daxas in vsebina pakiranja
English: No interactions were observed with inhaled salbutamol, formoterol, budesonide and oral montelukast, digoxin, warfarin, sildenafil and midazolam.
Slovenian: Pri inhalacijah salbutamola, formoterola, budezonida, in peroralnem montelukastu, digoksinu, varfarinu, sildenafilu in midazolamu niso zabeležili učinkov medsebojnega delovanja.
English: • cancer
Slovenian: • rak
English: It is not known whether roflumilast is dialysable by peritoneal dialysis.
Slovenian: Učinkovitost odstranjevanja roflumilasta s peritonealno dializo ni znana.
English: Treatment with roflumilast may lead to a higher risk of sleep disorders (mainly insomnia) in patients with a baseline body weight of <60 kg, due to a higher total PDE4 inhibitory activity found in these patients (see section 4.8).
Slovenian: Pri bolnikih z izhodiščno telesno maso, manjšo od 60 kg, se pri zdravljenju z roflumilastom lahko poveča tveganje za pojav motenj spanja (predvsem nespečnosti), zaradi večjega skupnega inhibitornega delovanja na PDE4, ki je bilo odkrito pri teh bolnikih (glejte poglavje 4.8).
English: Daxas tablets contain lactose.
Slovenian: Zdravilo Daxas vsebuje laktozo.
English: This might be the case in special populations that may have higher exposure, such as in black, non-smoking females (see section 5.2) or in patients concomitantly treated with CYP1A2/ 2C19/3A4 inhibitors (such as fluvoxamine and cimetidine) or the CYP1A2/3A4 inhibitor enoxacin (see section 4.5).
Slovenian: To utegne biti potrebno v posebnih populacijah z višjo izpostavljenostjo, npr. pri temnopoltih ženskah nekadilkah (glejte poglavje 5.2) ali pri bolnikih, ki se sočasno zdravijo z zaviralci CYP1A2/2C19/3A4 (kot sta fluvoksamin in cimetidin) ali zaviralcem CYP1A2/3A4 enoksacinom (glejte poglavje 4.5).
English: • insomnia, anxiety, depression, suicidal ideation or behaviour
Slovenian: • nespečnost, tesnoba, depresija, samomorilne misli ali vedenje
English: The pharmacokinetics of roflumilast 250 micrograms once-daily was tested in 16 patients with mild to moderate hepatic impairment classified as Child-Pugh A and B. In these patients, the total PDE4 inhibitory activity was increased by about 20% in patients with Child-Pugh A and about 90% in patients with Child-Pugh B. Simulations suggest dose proportionality between roflumilast 250 and 500 micrograms in patients with mild and moderate hepatic impairment.
Slovenian: Farmakokinetiko roflumilasta v odmerku 250 mikrogramov enkrat na dan so preizkusili pri 16 bolnikih z blago do zmerno jetrno okvaro stopnje Child-Pugh A in B. V tej skupini bolnikov je bilo skupno inhibitorno delovanje na PDE4 povečano za približno 20 % pri bolnikih s stopnjo Child-Pugh A in za približno 90 % pri bolnikih s stopnjo Child-Pugh B. Za bolnike z blago in zmerno jetrno okvaro simulacije kažejo sorazmernost z velikostjo odmerkov roflumilasta 250 in 500 mikrogramov.
English: Warnings and precautions Talk to your doctor or pharmacist before taking Daxas.
Slovenian: Opozorila in previdnostni ukrepi Pred začetkom jemanja zdravila Daxas se posvetujte z zdravnikom ali farmacevtom.
English: Administration of the cytochrome P450 enzyme inducer rifampicin resulted in a reduction in total PDE4 inhibitory activity by about 60%.
Slovenian: Sočasna uporaba induktorja encima citokroma P450, rifampicina, je povzročila zmanjšanje skupnega inhibitornega delovanja na PDE4 za približno 60 %.
English: Roflumilast should not be used during breast-feeding.
Slovenian: Roflumilasta se med dojenjem ne sme uporabljati.
English: Roflumilast is extensively metabolised in humans, with the formation of a major pharmacodynamically active metabolite, roflumilast N-oxide.
Slovenian: Roflumilast se pri človeku obsežno presnavlja, pri čemer nastaja glavni farmakodinamično aktivni presnovek, roflumilast N-oksid.
English: Plasma protein binding of roflumilast and its N-oxide metabolite is approximately 99% and 97%, respectively.
Slovenian: Delež vezave roflumilasta in njegovega presnovka N-oksida na plazemske proteine znaša približno 99 % oz. 97 %.
English: That increased exposure might occur in certain populations and increase the risk of persistent intolerability: o Special populations who have increased PDE4 inhibition such as black non smoking females; o Patients concomitantly treated with CYP1A2/2C19/3A4 inhibitors (such as fluvoxamine and cimetidine) or CYP1A2/3A4 inhibitors (such as enoxacin).
Slovenian: Pri določenih populacijah lahko pride do povečane izpostavljenosti in povečanega tveganja za trajno intoleranco: o Posebne populacije s povečano inhibicijo PDE4, npr. temnopolte ženske nekadilke; o Bolniki, sočasno zdravljeni z zaviralci CYP1A2/2C19/3A4 (kot sta fluvoksamin in cimetidin) ali zaviralci CYP1A2/3A4 (kot je enoksacin).
English: Other side effects include the following:
Slovenian: Drugi možni neželeni učinki so:
English: Following an oral dose, the median plasma effective half-life of roflumilast and its N-oxide metabolite are approximately 17 and 30 hours, respectively.
Slovenian: Po peroralnem odmerku znaša mediana plazemskega efektivnega razpolovnega časa za roflumilast in njegov presnovek N-oksid približno 17 oz. 30 ur.
English: Elderly No dose adjustment is necessary.
Slovenian: Starejši Prilagajanje odmerka ni potrebno.
English: Roflumilast 500 micrograms once daily significantly improved lung function compared to placebo, on average by 51 ml (pre-bronchodilator FEV1, p<0.0001), and by 53 ml (post-bronchodilator FEV1, p<0.0001).
Slovenian: Roflumilast 500 mikrogramov enkrat na dan je statistično pomembno izboljšal pljučno funkcijo v primerjavi s placebom, v povprečju za 51 ml (FEV1 pred bronhodilatatorjem, p < 0,0001) in za 53 ml (FEV1 po bronhodilatatorju, p < 0,0001).
English: In the subgroup of patients with history of frequent exacerbations (at least 2 exacerbations during the last year), the rate of exacerbations was 1.526 with roflumilast and 1.941 with placebo corresponding to a relative risk reduction of 21.3% (95% CI: 7.5% to 33.1%).
Slovenian: V podskupini bolnikov z anamnezo pogostih poslabšanj (vsaj 2 poslabšanji v preteklem letu) je pogostnost poslabšanj znašala 1,526 ob roflumilastu in 1,941 ob placebu, kar pomeni zmanjšanje relativnega tveganja za 21,3 % (95 % interval zaupanja: 7,5 % do 33,1 %).
English: Daxas may be taken with other medicines used in the treatment of COPD such as inhaled or oral corticosteroids or bronchodilators.
Slovenian: Zdravilo Daxas lahko jemljete skupaj z drugimi zdravili za zdravljenje KOPB, kot so inhalacijski ali peroralni bronhodilatatorji.
English: A total of 1935 patients were randomised to doubleblind medication and approximately 70% were also using a long-acting muscarinic antagonist (LAMA) through the course of the trial.
Slovenian: Na dvojno slepo zdravljenje je bilo vsega skupaj randomiziranih 1.935 bolnikov, približno 70 % bolnikov pa je med preskušanjem uporabljalo tudi dolgodelujoče antagoniste muskarinskih receptorjev (LAMA).
English: No epididymal toxicity or changes in semen parameters were present in any other rodent or non-rodent species including monkeys in spite of higher exposures.
Slovenian: Kljub visokim stopnjam izpostavljenosti niso opazili toksičnosti za epididimis ali sprememb v parametrih sperme pri nobeni drugi vrsti glodavcev ali ne-glodavcev, vključno z opicami.
English: Therefore, the concomitant treatment with theophylline is not recommended.
Slovenian: Iz tega razloga sočasno zdravljenje s teofilinom ni priporočljivo.
English: In one of two rat embryofetal development studies, a higher incidence of incomplete skull bone ossification was seen at a dose producing maternal toxicity.
Slovenian: V eni od dveh študij o embriofetalnem razvoju na podganah so pri odmerku, ki je bil za mater toksičen, zabeležili večjo pojavnost nepopolnega zakostenevanja lobanjskih kosti.
English: Weight decreased Decreased appetite
Slovenian: Presnovne in prehranske motnje zmanjšanje telesne mase zmanjšan apetit
English: The educational material for the prescriber should include information on the following key elements:
Slovenian: Izobraževalno gradivo za zdravnika mora vsebovati naslednje ključne informacije:
English: Patients and caregivers should be requested to report any changes in the patient`s behaviour or mood or suicidal ideation.
Slovenian: Bolnikom in skrbnikom je treba naročiti, da poročajo o kakršnih koli spremembah v bolnikovem vedenju ali razpoloženju ali o pojavu samomorilnih misli.
English: Experience is also limited in patients with a previous diagnosis of tuberculosis, viral hepatitis, herpes viral infection or herpes zoster.
Slovenian: Izkušnje so omejene tudi pri bolnikih s predhodno diagnozo tuberkuloze, virusnega hepatitisa, okužbe s herpes virusom ali herpes zostrom.
English: The incidence observed was also higher in patients less than 75 years old, treated with roflumilast when compared to those treated with placebo (3.1% vs 2.0%).
Slovenian: Večjo pojavnost so opazili tudi pri bolnikih, mlajših od 75 let, ki so se zdravili z roflumilastom, v primerjavi z bolniki, ki so prejemali placebo (3,1 % v primerjavi z
English: The tolerability of roflumilast was evaluated in a 12-week randomised, double-blind, parallel group trial (RO-2455-302-RD) in patients with severe COPD associated with chronic bronchitis.
Slovenian: V 12-tedenski randomizirani, dvojno slepi študiji z vzporednimi skupinami so ovrednotili prenašanje roflumilasta (v študiji RO-2455-302-RD) pri bolnikih, ki so imeli hudo KOPB, povezano s kroničnim bronhitisom.
English: The N-oxide metabolite is the major metabolite observed in the plasma of humans.
Slovenian: Presnovek N-oksid je glavni presnovek v človeški plazmi.
English: In an interaction study with an oral contraceptive containing gestodene and ethinyl oestradiol, the total PDE4 inhibitory activity was increased by 17%.
Slovenian: V študiji o medsebojnem delovanju s peroralnim kontraceptivom, ki vsebuje gestoden in etinilestradiol, se je skupno inhibitorno delovanje na PDE4 povečalo za 17 %.
English: Daxas contains the active substance roflumilast, which is an anti-inflammatory medicine called phosphodiesterase-4 inhibitor.
Slovenian: Zdravilo Daxas vsebuje učinkovino roflumilast, ki je protivnetno zdravilo, imenovano zaviralec fosfodiesteraze 4.
English: Patients should be advised to weigh themselves at regular intervals and record the weight in the patient card.
Slovenian: Bolnikom je treba svetovati, da se sami redno tehtajo in zabeležijo telesno maso na kartico za bolnike.
English: Rescue medicinal products Daxas is not indicated as rescue medicinal product for the relief of acute bronchospasms.
Slovenian: Zdravila za prvo pomoč Zdravilo Daxas ni indicirano kot zdravilo za prvo pomoč pri zdravljenju akutnih bronhospazmov.
English: The proportion of patients who experienced at least 1 adverse event during the double-blind treatment period were 648 (66.9%) patients and 572 (59.2%) patients in the roflumilast and placebo groups, respectively.
Slovenian: Med dvojno slepim zdravljenjem se je vsaj 1 neželeni učinek pojavil pri 648 bolnikih (66,9 %) v skupini z roflumilastom in 572 bolnikih (59,2 %) v skupini s placebom.
English: • multiple sclerosis or SLE
Slovenian: • multipla skleroza ali sistemski eritematozni lupus
English: Lactose monohydrate Maize starch Povidone
Slovenian: Jedro laktoza monohidrat koruzni škrob povidon magnezijev stearat
English: Seventeen (1.8%) patients in the roflumilast group and 18 (1.9%) patients in the placebo group died during the double-blind treatment period due to any reason and 7 (0.7%) patients in each group due to a COPD exacerbation.
Slovenian: Med dvojno slepim zdravljenjem je 17 bolnikov (1,8 %) v skupini z roflumilastom in 18 bolnikov (1,9 %) v skupini s placebom umrlo zaradi katerega koli razloga, 7 bolnikov (0,7 %) v vsaki skupini pa zaradi poslabšanja KOPB.
English: Daxas is not recommended if you have one or more of the following diseases: - severe immunological diseases such as HIV infection, multiple sclerosis (MS), lupus erythematosus (LE) or progressive multifocal leukoencephalopathy (PML) - severe acute infectious diseases such as tuberculosis, or acute hepatitis - cancer (except basal-cell carcinoma, a slow-growing type of skin cancer) - or severe impairment of the heart function
Slovenian: Zdravljenje z zdravilom Daxas ni priporočljivo, če imate eno ali več naslednjih bolezni: - resne bolezni imunskega sistema, kot so okužba s HIV, multipla skleroza (MS), eritematozni lupus (EL) ali progresivna multifokalna levkoencefalopatija (PML), - resne akutne infekcijske bolezni, kot sta tuberkuloza ali akutni hepatitis, - raka (razen bazalnoceličnega karcinoma - počasi napredujoča oblika kožnega raka), - resno okvaro srčne funkcije.
English: Starting dose titration trial
Slovenian: Študija titracije začetnega odmerka
English: The limited experience in patients with latent infections such as tuberculosis, viral hepatitis or herpes infections.
Slovenian: Omejene izkušnje pri bolnikih z latentnimi okužbami, npr. tuberkulozo, virusnim hepatitisom ali herpetičnimi okužbami.
English: Clinical data are considered insufficient to recommend dose adjustment and caution should be observed in patients with mild liver impairment (Child-Pugh A).
Slovenian: Klinični podatki so nezadostni, da bi priporočali prilagajanje odmerkov, zato je pri bolnikih z blago okvaro jeter (Child-Pugh A) potrebna previdnost.
English: Therefore, following administration of roflumilast, the total PDE4 inhibition is considered to be the combined effect of both roflumilast and roflumilast N-oxide.
Slovenian: Po vnosu roflumilasta naj bi bila torej skupna inhibicija PDE4 posledica kombiniranega učinkovanja roflumilasta in roflumilast N-oksida.
English: Daxas is contraindicated in patients with moderate or severe liver impairment (Child-Pugh B or C).
Slovenian: Zdravilo Daxas je kontraindiciranopri bolnikih z zmerno ali hudo okvaro jeter (Child-PughB ali C).