FrancophonIA/ELRC3.0 huggingface dataset:
English: This should be done before their implementation and for any future changes to the measures deemed necessary.
Slovenian: To bi morali storiti pred začetkom izvajanja zadevnih ukrepov oziroma za kakršne koli prihodnje morebiti potrebne spremembe ukrepov.
English: The average number of affected animals per adverse event report in the EU was 3.9.
Slovenian: Povprečno število prizadetih živali na posamezno poročilo o neželenem dogodku v EU je znašalo 3,9 živali.
English: Closamectin Pour-On Solution and associated names is authorised in several EU Member States.
Slovenian: Zdravilo Closamectin Pour-On Solution in povezana imena je odobreno v več državah članicah EU.
English: It was also recommended to ensure data collection on a representative sample of unaffected treated animals within the same herd.
Slovenian: Prav tako je bilo priporočeno, da se zagotovi zbiranje podatkov za reprezentativni vzorec neprizadetih zdravljenih živali v isti čredi.
English: A single risk management plan should be presented covering all products included within the scope of this procedure.
Slovenian: Predloži se enoten načrt obvladovanja tveganj, ki zajema vsa zdravila, zajeta s tem postopkom.
English: These measures were considered to be appropriate to mitigate the risks observed following treatment.
Slovenian: Ti ukrepi so bili ocenjeni kot ustrezni za zmanjšanje tveganj, opaženih po zdravljenju.
English: Overall summary of the scientific evaluation of Closamectin Pour-On Solution and associated names (see Annex I)
Slovenian: Splošni povzetek znanstvenega vrednotenja zdravila Closamectin Pour-On Solution in povezanih imen (glejte Prilogo I)
English: It was proposed that third parties involved in pharmacovigilance activities related to these products (e.g distributors) be made aware of the risk management measures proposed.
Slovenian: Predlagano je bilo, da se tretje osebe, vključene v dejavnosti farmakovigilance, povezane s temi zdravili (npr. distributerji), seznanijo s predlaganimi ukrepi za obvladovanje tveganj.
English: Information should also be collected on the affected herd and husbandry system in general, including herd health status.
Slovenian: Hkrati bi morali zbirati podatke o prizadeti čredi in sistemu živinoreje na splošno, vključno z zdravstvenim stanjem črede.
English: The aforementioned products have the same qualitative and quantitative composition and consequently it was considered that the animal health issues described were applicable to these products as well.
Slovenian: Kakovostna in količinska sestava zgoraj navedenih zdravil je enaka, zato je bilo ocenjeno, da opisane težave v zvezi z zdravjem živali veljajo tudi za ta zdravila.
English: • UK/V/0368/001 - Closiver 5mg/ml & 200 mg/ml Pour-On (UK); Closamectin 5mg/ml & 200 mg/ml Pour-On (Austria, Belgium, Czech Republic, Denmark, Germany, Greece, Italy, Poland, Portugal, Romania, Slovakia, Slovenia, Spain and Sweden);
Slovenian: • UK/V/0368/001 - Closiver 5 mg/ml & 200 mg/ml Pour-On (Združeno kraljestvo); Closamectin 5 mg/ml & 200 mg/ml Pour-On (Avstrija, Belgija, Češka republika, Danska, Nemčija, Grčija, Italija, Poljska, Portugalska, Romunija, Slovaška, Slovenija, Španija in Švedska);
English: It was noted that these events often involved more than one animal within affected herds.
Slovenian: Ugotovljeno je bilo, da so ti dogodki v prizadetih čredah pogosto zajemali več kot eno žival.
English: CLOSAMECTIN POUR-ON SOLUTION POUR BOVINS is a veterinary medicinal product which has been authorised in France since 25 May 2011 following a decentralised procedure (DCP) (UK/V/0369/001) with the United Kingdom (UK) as reference Member State.
Slovenian: CLOSAMECTIN POUR-ON SOLUTION POUR BOVINS je zdravilo za uporabo v veterinarski medicini, ki je v Franciji odobreno od 25. maja 2011 dalje na podlagi decentraliziranega postopka (UK/V/0369/001), v katerem je bilo Združeno kraljestvo referenčna država članica.
English: The national competent authorities of Member State(s) or the reference Member State, as applicable, shall ensure that the following conditions are fulfilled by the marketing authorisation holder:
Slovenian: Pristojni nacionalni organi ene ali več držav članic ali referenčne države članice, kot je ustrezno, zagotovijo, da imetnik dovoljenja za promet z zdravilom izpolnjuje naslednje pogoje:
English: Closivet Solución Pour- On Ivermectin Closantel
Slovenian: Closivet Solución Pour- On Closantel in Ivermectin
English: Other treatment options have limited activity against immature fluke.
Slovenian: Druge možnosti zdravljenja so omejeno učinkovite proti nedoraslim metljajem.
English: Sales volumes should also be reported separately for specific products for each Member State.
Slovenian: Prav tako bi morali za vsako posamezno zdravilo ločeno poročati o prodanih količinah v vsaki državi članici.
English: Although the overall incidence of adverse events was considered to be within acceptable limits (0.006% in the last annual periodic safety update report (PSUR)) the continued occurrence of serious adverse events and the severity of subsequent losses on farms in France were considered significant, which led to the suspension of the marketing authorisation in France on 6 July 2015.
Slovenian: Čeprav je bilo ocenjeno, da je skupna pojavnost neželenih dogodkov znotraj dopustnih meja (0,006 % v zadnjem letnem redno posodobljenem poročilu o varnosti zdravila (PSUR)), so bili stalni pojavi resnih neželenih dogodkov in resnost posledičnih izgub na kmetijah v Franciji ocenjeni za pomembne, zaradi česar je bilo dovoljenje za promet z zdravilom v Franciji 6. julija 2015 začasno umaknjeno.
English: List of the names, pharmaceutical form, strength of the veterinary medicinal products, animal species, route of administration, marketing authorisation holder in the Member States
Slovenian: Seznam imen, farmacevtskih oblik in jakosti zdravil za uporabo v veterinarski medicini, živalskih vrst, poti uporabe, imetnikov dovoljenja za promet z zdravilom v državah članicah
English: From 2000 until 30 June 2015, a total of 371 adverse events reports were reported in the EU, 65% of which, according to the MAH, concerned animal toxicity, mainly in France (120 reports) and the UK (91 reports).
Slovenian: Od leta 2000 do 30. junija 2015 so v EU poročali o 371 neželenih dogodkih, pri čemer jih je po podatkih imetnika dovoljenja za promet z zdravilom 65 % zadevalo toksičnost pri živalih, zlasti v Franciji (120 poročil) in v Združenem kraljestvu (91 poročil).
English: This may suggest that risk factors exist in the field, leading to either overexposure of some animals to closantel or enhanced intrinsic sensitivity of these animals to the toxic effects of closantel.
Slovenian: To kaže na to, da na terenu obstajajo dejavniki tveganja, ki vodijo bodisi k prekomerni izpostavljenosti nekaterih živali klozantelu ali okrepljeni intrinzični občutljivosti teh živali na toksične učinke klozantela.
English: Member State (EU/EEA)
Slovenian: (EU/EGP)
English: Additional investigations were initiated in animals affected in 2015, involving monitoring vitamins A, E and selenium blood levels in samples from both affected and unaffected animals.
Slovenian: Pri živalih, prizadetih leta 2015, so bile opravljene dodatne preiskave, ki so vključevale spremljanje ravni vitaminov A in E ter selena v vzorcih krvi prizadetih in neprizadetih živali.
English: The risk management plan should be submitted to the national competent authorities within 3 months of the Commission Decision and maintained until such time as the concerned national competent authorities consider that the risk profile of the product has been sufficiently characterised and all appropriate risk mitigation and surveillance measures have been implemented.
Slovenian: Načrt obvladovanja tveganj se predloži pristojnim nacionalnim organom v treh mesecih od izdaje sklepa Komisije in se izvaja, dokler zadevni pristojni nacionalni organi ne sklenejo, da je bil profil tveganja zdravila zadovoljivo opredeljen, in dokler se ne izvedejo vsi ustrezni ukrepi za zmanjševanje tveganj in nadzor.
English: From the literature review reported it appeared that variability existed between animals in terms of their clinical response to a same level of overdose.
Slovenian: Iz pregleda literature, o katerem so poročali, je bilo razvidno, da so med živalmi obstajale razlike, kar zadeva njihov klinični odziv na enako raven prekomernega odmerka.
English: The overall EU incidence of adverse events, in relation to sales volumes was classified as ‘very rare' (0.003%) and considered within acceptable limits.
Slovenian: Skupna pojavnost neželenih dogodkov v EU je bila glede na prodane količine opredeljena kot „zelo redka“ (0,003 %) in po ocenah spada v okvir dopustnih meja.
English: This follow-up should also continue to investigate other potential risk factors which may also play a role in the adverse events observed, including, for example, aspects related to animal husbandry.
Slovenian: V okviru tega nadaljnjega spremljanja bi morali še naprej preiskovati tudi druge možne dejavnike tveganja, ki lahko imajo prav tako vlogo pri opaženih neželenih učinkih, vključno med drugim z vidiki, povezanimi z živinorejo.
English: The data reviewed did not indicate age, sex, breed or geographical distribution as potential risk factors for the adverse events observed.
Slovenian: Pregledani podatki niso vsebovali podatkov o starosti, spolu, pasmi ali geografski porazdelitvi kot možnih dejavnikih tveganja za opažene neželene dogodke.
English: In addition, as the link between plasma closantel and toxicity has yet to be established it was also recommended to provide results of blood plasma sampling, together with information on the time of treatment, onset of clinical signs and sampling.
Slovenian: Ker povezava med klozantelom v plazmi in toksičnimi učinki še ni bila vzpostavljena, je bilo prav tako priporočeno, da se predložijo rezultati vzorčenja krvne plazme, skupaj z informacijami o času zdravljenja, pojavu kliničnih znakov in vzorčenju.
English: It was however, suggested that licking/grooming, possibly associated with the predominantly beef cattle breeding systems in France could explain, in part, the comparatively higher number of events reported there.
Slovenian: Vendar je bila podana domneva, da bi lizanje oziroma čiščenje, ki je morda povezano s sistemom vzreje v Franciji, v katerem prevladuje vzreja za meso, lahko deloma pojasnilo primerjalno večje število dogodkov, o katerih so poročali v tej državi.
English: The detailed results of these analyses should be reported at regular intervals with every PSUR submission and immediately in case of any significant finding or upon request.
Slovenian: O podrobnih rezultatih teh analiz bi morali redno poročati ob predložitvi vsakega redno posodobljenega poročila o varnosti zdravila oziroma nemudoma v primeru pomembnih ugotovitev ali na zahtevo.
English: Closantel is an alternative flukicide to triclabendazole to which resistance is emerging.
Slovenian: Klozantel je zdravilna učinkovina proti metljajem, ki je alternativa zdravilni učinkovini triklabendazol, v zvezi s katero se pojavlja odpornost.
English: In line with the requirements, all communication tools relating to pharmacovigilance should be submitted to the concerned NCAs, for information, before dissemination.
Slovenian: V skladu z zahtevami se vsa komunikacijska orodja, povezana s farmakovigilanco, pred razširjanjem predložijo v vednost pristojnim nacionalnim organom.
English: On 19 June 2015, ANMV circulated a rapid alert notifying Member States, the European Commission and the European Medicines Agency of the intention to suspend the marketing authorisation for CLOSAMECTIN POUR-ON SOLUTION POUR BOVINS in France, following the evaluation of pharmacovigilance data.
Slovenian: Dne 19. junija 2015 je francoska agencija za zdravila za uporabo v veterinarski medicini (ANMV) izdala nujno opozorilo, v katerem je države članice, Evropsko komisijo in Evropsko agencijo za zdravila obvestila, da namerava po oceni farmakovigilančnih podatkov začasno umakniti dovoljenje za promet z zdravilom CLOSAMECTIN POUR-ON SOLUTION POUR BOVINS v Franciji.
English: Therefore, should neurological signs be observed in one animal, it is recommended to reinforce surveillance, at the herd level, of all treated animals.
Slovenian: Če se opazijo nevrološke motnje pri eni živali, se zato priporoča okrepitev nadzora vseh zdravljenih živali na ravni črede.
English: The product was also recalled at veterinary clinic and wholesale level.
Slovenian: Zdravilo je bilo umaknjeno tudi na ravni veterinarskih klinik in veleprodaje.
English: Special precautions for use in animals:
Slovenian: Posebni previdnostni ukrepi za uporabo pri živalih
English: The ANMV received a total of 123 adverse event reports involving CLOSAMECTIN POUR-ON POUR BOVINS between 25 May 2011 and 31 May 2015 in which 401 animals were affected and 121 died.
Slovenian: Agencija ANMV je od 25. maja 2011 do 31. maja 2015 prejela skupaj 123 poročil o neželenih dogodkih v zvezi z zdravilom CLOSAMECTIN POUR-ON SOLUTION POUR BOVINS, ki so zadevali 401 žival, od katerih jih je 121 poginilo.
English: However further investigations were considered necessary to confirm or refute nutritional status and specific micro-nutrient deficiencies as risk factors for the adverse effects observed in animals following use of Closamectin Pour-on Solution and associated names.
Slovenian: Vendar je prevladalo mnenje, da so potrebne dodatne preiskave, da bi potrdili ali ovrgli stanje prehranjenosti in pomanjkanje posebnih mikrohranil kot dejavnika tveganja za neželene učinke, opažene pri živalih po uporabi zdravila Closamectin Pour-on Solution in povezanih imen.
English: It remained unclear, however, why the frequency of adverse events reported in France was higher than for other Member States and further investigations into this were initiated by the MAH.
Slovenian: Kljub temu ni bilo pojasnjeno, zakaj je bila pojavnost neželenih dogodkov, o katerih so poročali, v Franciji večja kot v drugih državah članicah, zato je imetnik dovoljenja za promet z zdravilom o tem sprožil nadaljnje preiskave.
English: − annual PSUR submissions covering all concerned veterinary medicinal products (see Annex I);
Slovenian: − predložitev letnih redno posodobljenih poročil o varnosti zdravila (PSUR), ki zajemajo vsa zadevna zdravila za uporabo v veterinarski medicini (glejte Prilogo I);
English: The measures detailed in the risk management plan proposed by the MAH were supported, with additional refinement described below.
Slovenian: Ukrepi, podrobno opisani v načrtu obvladovanja tveganj, ki ga je predložil imetnik dovoljenja za promet z zdravilom, so bili odobreni, pri čemer so bile podane dodatne izboljšave, opisane spodaj.
English: • Closivet Pour-On Solution for Cattle (Ireland);
Slovenian: • Closivet Pour-On Solution for Cattle (Irska);
English: The CVMP also reviewed the data submitted to gain the marketing authorisation for the pour-on combination products, focusing in particular on the target animal safety studies and toxicity events from the studies and in published literature.
Slovenian: Odbor za zdravila za uporabo v veterinarski medicini je prav tako pregledal podatke, predložene za pridobitev dovoljenja za promet z zdravilom, pri čemer se je osredotočil zlasti na študije o varnosti ciljne živalske vrste ter pojave toksičnih učinkov v študijah in objavljeni literaturi.
English: Additionally, observations made on the consequences of licking/grooming behaviour suggested that the maximal dose administered orally did not seem to produce any adverse effect.
Slovenian: Poleg tega so opažanja o posledicah lizanja in čiščenja kazala, da največji odmerek, vzet peroralno, ni povzročil nobenih neželenih učinkov.
English: • on the basis of the pharmacovigilance and additional data reviewed, including risk minimisation measures, the CVMP considered that the overall benefit-risk balance is positive for the veterinary medicinal products (see Annex I) subject to amendments in the product information;
Slovenian: • na podlagi pregleda farmakovigilančnih in dodatnih podatkov, vključno z ukrepi za zmanjšanje tveganja, je odbor CVMP menil, da je splošno razmerje med tveganji in koristmi za zdravila za uporabo v veterinarski medicini (glejte Prilogo I) pozitivno, če se upoštevajo dopolnila v informacijah o zdravilu,
English: It was also proposed to provide ‘education, training and guidance' to end-users to improve understanding related to the risks of the products and the precautions for use.
Slovenian: Prav tako je bilo predlagano, da se končnim uporabnikom zagotovi izobraževanje, usposabljanje in usmerjanje, s čimer bi ti bolje razumeli tveganja, povezana z zdravili, in previdnostne ukrepe za uporabo zdravila.
English: The proposal for annual PSUR submissions, covering all products related to Closamectin Pour-On Solution and associated names was supported.
Slovenian: Predlog za letna redno posodobljena poročila o varnosti zdravila, ki bi zajemala vsa zdravila, povezana z zdravilom Closamectin Pour-On Solution in povezanimi imeni, je bil odobren.
English: It was noted that in general the product was reported to have been administered at the recommended dose.
Slovenian: Ugotovljeno je bilo, da je bilo zdravilo po poročilih sodeč na splošno dano v priporočenih odmerkih.
English: Although the pharmacovigilance reports indicated potential closantel toxicity as an underlying cause, it was noted that reports of neurological events (including a case of blindness) and diarrhoea occurred with the ivermectin-only formulations.
Slovenian: Čeprav so farmakovigilančna poročila kot osnovni vzrok nakazovala morebitno toksičnost klozantela, je bilo ugotovljeno, da so o nevroloških dogodkih (vključno s primerom slepote) in diareji poročali pri formulacijah, ki so vsebovale zgolj ivermektin.
English: • Closivet Solución Pour-On (Spain); and
Slovenian: • Closivet Solución Pour-On (Španija) in
English: Updates to the risk management plan detailing the risk mitigation and surveillance measures should be proposed as required as soon as any issues arise, otherwise the risk management plan should be reviewed on a yearly basis at least, in conjunction with the PSUR submission.
Slovenian: Posodobitve načrta za obvladovanje tveganj, ki podrobno opredeljuje ukrepe za zmanjšanje tveganja in nadzor, bi morali v skladu z zahtevami predložiti nemudoma ob pojavu morebitnih težav, sicer pa bi morali načrt za obvladovanje tveganj pregledati vsaj enkrat letno, in sicer ob predložitvi redno posodobljenih poročil o varnosti zdravila.
English: Closamectin Pour-On Solution should be administered topically at a dose of 500 mg ivermectin per kg body weight and 20 mg closantel per kg body weight (1 mL per 10 kg body weight).
Slovenian: Zdravilo Closamectin Pour-On Solution se daje topikalno v odmerku 500 mg ivermektina na kg telesne mase in 20 mg klozantela na kg telesne mase (1 ml na 10 kg telesne mase).
English: It was recommended that additional data be collected for the adverse events occurring in future to determine the potential role of the products, including potential closantel toxicity, and also investigate potential risk factors associated with the adverse events reported following treatment.
Slovenian: Priporočeno je bilo zbiranje dodatnih podatkov o neželenih dogodkih, ki se bodo zgodili v prihodnje, da bi opredelili možno vlogo zdravil, vključno z morebitno toksičnostjo klozantela, in raziskali možne dejavnike tveganja, povezane z neželenimi dogodki, o katerih so poročali po zdravljenju.
English: In addition to the pharmacovigilance data provided by the MAH, where available, results of the diagnostic tests (e.g. blood tests and post-mortem examinations etc.) to investigate the adverse events were also provided.
Slovenian: Poleg farmakovigilančnih podatkov, ki jih je zagotovil imetnik dovoljenja za promet z zdravilom, kadar so bili na voljo, so bili zagotovljeni tudi rezultati diagnostičnih testov (npr. preiskave krvi in obdukcije itd.), opravljenih med preiskavami neželenih dogodkov.
English: Post-mortem analysis of fatal cases was considered necessary to determine the potential role of closantel toxicity, as well as diagnosing any other disease processes.
Slovenian: Kot nujna je bila opredeljena analiza post mortem v primerih pogina, da bi opredelili možno vlogo toksičnosti klozantela ter diagnosticirali morebitne druge bolezenske procese.
English: These cases may also be associated with gastrointestinal signs such as anorexia, diarrhoea and in extreme cases signs may persist and may result in death of the animal.
Slovenian: Ti primeri so lahko povezani tudi s prebavnimi znaki, kot so anoreksija, diareja in v izjemnih primerih so lahko znaki trdovratni in povzroči smrt živali.
English: In very rare cases (less than 1 animal in 10,000 animals, including isolated reports), neurological signs such as blindness, ataxia, and recumbency may occur after administration of the product.
Slovenian: V zelo redkih primerih (pri manj kot 1 žival od 10.000 živali, vključujoč posamezne primere), se lahko po dajanju zdravila pojavijo nevrološki znaki, kot so slepota, ataksija in mirovanje.
English: Care should be taken when treating animals which may be of low nutritional status as this may increase susceptibility of adverse events occurring.
Slovenian: Potrebna je previdnost pri zdravljenju živali s slabim stanjem prehranjenosti, saj lahko to poveča dovzetnost za pojav neželenih dogodkov.
English: These deficiencies and poor nutritional status in general were considered potential factors associated with the adverse events observed following treatment and considered possible explanations for the higher frequency of reported adverse events in France.
Slovenian: Nizke ravni teh mikrohranil in splošno slabo stanje prehranjenosti so bili ocenjeni kot možni dejavniki, povezani z neželenimi dogodki, opaženimi po zdravljenju, in kot možen vzrok za večjo pogostnost poročil o neželenih dogodkih v Franciji.
English: A comparative review of the safety profile in cattle of other products containing ivermectin and/or closantel held by the MAH (including the injectable combination product) was conducted.
Slovenian: Pri govedu je bil opravljen primerjalni pregled varnostnega profila drugih zdravil, ki vsebujejo ivermektin in/ali klozantel in ki jih proizvaja imetnik dovoljenja za promet z zdravilom (vključno z zdravilom za injiciranje, ki vsebuje kombinacijo obeh učinkovin).
English: It was emphasised that analysis and incidence calculations should be performed on the overall data however also ensuring precise identification of the concerned product for individual adverse event reports.
Slovenian: Poudarjeno je bilo, da bi morali analizo in izračun pojavnosti neželenih dogodkov opraviti na podlagi vseh podatkov, vendar obenem paziti, da se v posameznih poročilih o neželenih dogodkih točno navede ime zadevnega zdravila.
English: These included changes to the product information (as detailed in Annex III of the Opinion) to improve the information on adverse events, reinforce surveillance in herds where adverse events occur and introduce precautions for treatment of animals with low nutritional status.
Slovenian: Ti so zajemali spremembe informacij o zdravilu (kot je podrobno opisano v Prilogi III mnenja), katerih namen je izboljšati informacije o neželenih dogodkih, okrepiti nadzor v čredah, v katerih prihaja do neželenih dogodkov, in uvesti previdnostne ukrepe za zdravljenje živali s slabim stanjem prehranjenosti.
English: It was also noted that the overall adverse reaction incidence was slightly higher for the injectable combination product when compared to the pour-on products; with, on average, a higher number of animals involved in each report although the reported mortality incidence was lower.
Slovenian: Prav tako je bilo ugotovljeno, da je bila skupna pojavnost neželenih učinkov nekoliko višja pri zdravilu za injiciranje, ki vsebuje obe učinkovini, kot pri zdravilu za kožni poliv; v vsakem od poročil je bilo prizadeto večje število živali, čeprav je bilo število primerov, v katerih so poročali o poginu, manjše.