FrancophonIA/ELRC3.0 huggingface dataset:
English: The Applicant also presented data from six placebocontrolled studies conducted in over 400 patients, showing no evidence of increase in resistance of the microbiological flora of the gastrointestinal tract (faeces), vagina, skin, saliva or dental plaque after long-term treatment with doxycycline 40 mg/day for 6 to 18 months, which is in line with pharmacokinetic investigations on target site exposure.
Slovenian: Predlagatelj je tudi predložil podatke šestih s placebom nadzorovanih študij, opravljenih na več kot 400 bolnikih, kjer ni dokazov po povečani odpornosti mikrobne flore prebavil (blato), nožnice, kože, sline ali zobnih oblog po dolgoročnem zdravljenju z doksiciklinom 40 mg/dan za 6 do 18 mesecev, kar je v skladu s farmakokinetičnimi raziskavami izpostavljenosti na ciljnem mestu.
English: * Tell your doctor immediately or go to casualty if you suffer side effects such as swollen face, lips, tongue and throat, difficulty in breathing, hives or itchy skin and eyes, or rapid heart beat (palpitations) and feeling faint.
Slovenian: * Nemudoma obvestite svojega zdravnika ali pojdite na urgenco, če imate neželene učinke, kot so zatekel obraz, ustnice, jezik in grlo, težave z dihanjem, koprivnica ali srbeča koža ali oči, ali vam hitro bije srce (palpitacije) in čutite omedlevico.
English: ORACEA should not be used at the same time as the medicine isotretinoin because of the risk of increased pressure in the brain.
Slovenian: Zdravila ORACEA ne smete uporabljati sočasno z zdravilom izotretinoin zaradi tveganja povečanega tlaka v možganih.
English: Excipient: Each hard capsule contains 102 - 150 mg of sucrose.
Slovenian: Pomožna snov: Ena trda kapsula vsebuje 102 - 150 mg saharoze.
English: These effects were seen at exposure levels of 1.5 to 2 times those seen in humans administered ORACEA at the proposed dose.
Slovenian: Ti učinki so bili opaženi pri stopnjah izpostavljenosti, ki so bile 1,5-krat do 2-krat večje od tistih, opaženih pri ljudeh, kateri so prejemali zdravilo ORACEA po predlaganih odmerkih.
English: The daily dose is 40 mg (1 capsule).
Slovenian: Dnevni odmerek je 40 mg (1 kapsula).
English: If administered in combination with these medicinal products, blood glucose levels should be monitored and, if necessary, the doses of the sulphonylureas should be reduced.
Slovenian: Če se ga daje v kombinaciji s temi zdravili, je treba spremljati nivo glukoze v krvi in po potrebi odmerke sulfonilsečnine zmanjšati.
English: Both studies showed significant superiority of Oracea compared with placebo.
Slovenian: V obeh študijah so dokazali bistveno superiornost zdravila Oracea v primerjavi s placebom.
English: The Applicant was also requested to reflect information on this issue in sections 4.4 and 5.1 of the SPC.
Slovenian: Predlagatelj je bil naprošen, da podatke o tem zadržku predstavi v poglavjih 4.4 in 5.1 povzetka glavnih značilnosti zdravila.
English: However, it can not be excluded that long-term use of Oracea can lead to emergence of resistant intestinal bacteria such as Enterobacteriaceae and enterococci, as well as to enrichment of resistance genes.
Slovenian: Vendar ni mogoče izključiti, da lahko dolgotrajna uporaba zdravila Oracea privede do pojava odpornosti intestinalnih bakterij, kot so Enterobacteriaceae in enterokoki, in do oplemenitenja rezistentnih genov.
English: The terminal elimination half-life of doxycycline after administration of ORACEA was approximately 21 h after a single dose and approximately 23 h at steady state.
Slovenian: Končno eliminiranje razpolovne dobe doksiciklina po prejemu zdravila ORACEA je bilo približno 21 ur po enkratnem odmerku in približno 23 ur pri stabiliziranem stanju.
English: The recommendations below regarding the potential interactions between doxycycline and other medicinal products are based upon experience with the larger doses generally used in antimicrobial formulations of doxycycline rather than with ORACEA.
Slovenian: Priporočila, ki so navedena spodaj, glede potencialnega medsebojnega delovanja doksiciklina in drugih zdravil temeljijo na izkušnjah z višjimi odmerki, ki se običajno uporabljajo v antimikrobnih farmacevtskih oblikah doksiciklina, in ne pri zdravilu ORACEA.
English: The Applicant should complete this study and file a report within a reasonable period of time (e.g. 2 years) from the date of approval.
Slovenian: Predlagatelj mora opraviti to študijo in vložiti poročilo v primernem obdobju (npr. 2 leti) od datuma odobritve.
English: If administered in combination with these agents, coagulation parameters including INR should be monitored and, if necessary, the doses of the anticoagulant medicinal products reduced.
Slovenian: Če se ga daje v kombinaciji s temi zdravili, je treba spremljati koagulacijske parametre, vključno z INR, in po potrebi odmerke antikoagulacijskih zdravil zmanjšati.
English: In rats, doses of 50 mg/kg/day doxycycline caused a decrease in the straight-line velocity of sperm but did not affect male or female fertility or sperm morphology.
Slovenian: Pri podganah so odmerki 50 mg/kg/dan doksiciklina povzročili zmanjšano hitrost sperme v ravni črti, vendar niso vplivali na fertilnost samca ali samice ali na morfologijo sperme.
English: In humans, the use of tetracyclines during tooth development may cause permanent discolouration of the teeth (yellow-grey-brown).
Slovenian: Pri ljudeh lahko uporaba tetraciklinov pri rasti zob povzroči trajno obarvanje zob (rumeno-sivo-rjavo obarvanje).
English: However, increased knowledge of the ecological effects of long-term administration of low-dose doxycycline is highly desirable, and the Applicant is requested to commit to submitting a study protocol for a well designed post-marketing clinical study investigating emergence of resistance in relevant bacterial groups in the intestinal and upper respiratory tract for validation and to carry out a study accordingly within 3 months of approval.
Slovenian: Vendar je večje znanje o ekoloških učinkih dolgoročnega dajanja majhnih odmerkov doksiciklina zelo zaželeno, zato je bil predlagatelj naprošen, da se za validacijo podatkov obveže k predložitvi študijskega protokola dobro zasnovane klinične študije v obdobju trženja zdravila, v kateri bi raziskali pojav odpornosti pri ustreznih bakterijskih skupinah v črevesju in zgornjih dihalih, ter da študijo izvede v 3 mesecih od odobritve.
English: ORACEA has been evaluated in two pivotal randomised, double-blind, placebo-controlled, 16-week studies in 537 patients with rosacea (10 to 40 papules and pustules, and two or fewer nodules).
Slovenian: Zdravilo ORACEA so vrednotili v dveh randomiziranih, dvojno slepih, s placebom kontroliranih, 16tedenskih študijah pri 537 bolnikih z rozaceo (10 do 40 papul in pustul, in dva ali manj nodulov).
English: These conditions disappeared rapidly when the drug was discontinued.
Slovenian: To stanje je hitro izzvenelo, ko so prenehali z zdravljenjem.
English: Furthermore, the CHMP was of the opinion that although the efficacy of doxycycline 40mg daily has not been demonstrated in patients with ocular rosacea, the literature data combined with the results from the two placebo-controlled studies submitted indicated no specific safety concerns in this subgroup.
Slovenian: Poleg tega je Odbor menil, da čeprav učinkovitost doksiciklina 40 mg na dan za bolnike z očesno rozaceo ni dokazana, predloženi podatki iz literature in rezultati dveh s placebom nadzorovanih študij ne kažejo specifičnih varnostnih zadržkov v tej podskupini.
English: In contrast to higher, antimicrobial doses of doxycycline that may lead to the development of resistance and opportunistic overgrowth, long-term clinical trial experience with doxycycline 40 mg/day confirms the good tolerability of doxycycline at this dose level during prolonged treatment.
Slovenian: V nasprotju z velikimi, protimikrobnimi odmerki doksiciklina, ki lahko povzročijo razvoj odpornosti in preraščanje oportunističnih povzročiteljev, izkušnje v dolgoročnih kliničnih preskušanjih z doksiciklinom 40 mg/dan potrjujejo dobro toleranco doksiciklina pri tej ravni odmerkov za dolgoročno zdravljenje.
English: Doxycycline, generally in the dose of 100-200 mg daily, has been widely used in clinical practice for the treatment of various infectious diseases for more than 25 years, with a well documented safety profile.
Slovenian: Doksiciklin, običajno v odmerku 100-200 mg na dan, se na splošno uporablja v klinični praksi za zdravljenje različnih nalezljivih bolezni že več kot 25 let in ima dobro opisan varnostni profil.
English: Patients with rare hereditary problems of fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase insufficiency should not take this medicinal product.
Slovenian: Bolniki z redkimi dednimi boleznimi, kot so intoleranca na fruktozo, malabsorpcija glukoze-galaktoze ali insuficienca saharaze-izomaltaze, ne smejo jemati tega zdravila.
English: Treatment:
Slovenian: Zdravljenje:
English: Regarding the risk of resistance induction, the Applicant provided data from several studies demonstrating that the 100 mg doxycycline dose leads to marked emergence of resistant strains in the oral and intestinal micro flora.
Slovenian: V zvezi s tveganjem o indukciji odpornosti je predlagatelj predložil podatke več študij, ki kažejo, da odmerek 100 mg doksiciklina povzroči pomemben pojav odpornih sevov v ustni in črevesni mikroflori.
English: Doxycycline is greater than 90% bound to plasma proteins and has an apparent volume of distribution of 50 L. Major metabolic pathways of doxycycline have not been identified but enzyme inducers decrease the half-life of doxycycline.
Slovenian: Več kot 90% doksiciklina se veže na plazemske beljakovine in ima navidezen volumen porazdelitve 50 l. Pomembne metabolične poti doksiciklina niso bile ugotovljene, vendar induktorji encimov zmanjšajo razpolovno dobo doksiciklina.
English: Treatment with higher doses of tetracyclines is associated with emergence of resistant intestinal bacteria, such as enterococci and enterobacteria.
Slovenian: Zdravljenje z višjimi odmerki tetraciklinov je povezano z nastankom odpornih intestinalnih bakterij, kot so enterokoki in enterobakterije.
English: if you have a condition causing absence of acid in the stomach (achlorhydria) or if you have had surgery on the upper part of the gut (called the duodenum).
Slovenian: če imate bolezen, ki povzroča odsotnost kisline v želodcu (aklorhidrija) ali če ste bili operirani na zgornjem delu črevesja (imenovanem dvanajstnik).
English: The usual dose of ORACEA is less than half the usual doses of doxycycline used for antimicrobial therapy.
Slovenian: Običajni odmerek zdravila ORACEA je manj kot polovica običajnega odmerka doksiciklina, ki se uporablja za antimikrobno zdravljenje.
English: Based on these findings it is scientifically reasonable to conclude that the effect of low dose doxycycline on the normal residential flora including E coli, Enterococci, Staphylococci and Streptococci to be almost non-existent and concluded that the risk of inducing resistance development is negligible.
Slovenian: Ker je na podlagi teh številk znanstveno utemeljen zaključek, da učinka majhnega odmerka doksiciklina na normalno naseljeno floro, vključno z E. coli, enterokoki, stafilokoki in streptokoki skoraj ni, je Odbor zaključil, da je tveganje indukcije razvoja odpornosti zanemarljivo.
English: Endocrine disorders:
Slovenian: Bolezni endokrinega sistema:
English: Aluminium/PVC/Aclar blister
Slovenian: Aluminij/PVC/aclar pretisni omot
English: Medicinal products which increase gastric pH may reduce the absorption of doxycycline, and should be taken at least 2 hours after doxycycline.
Slovenian: Zdravila, ki zvišujejo pH v želodcu, lahko zmanjšajo absorpcijo doksiciklina, zato jih je treba vzeti vsaj 2 uri po doksiciklinu.
English: However, at the present time, insufficient data exist for reassurance that the interactions described with higher doses of doxycycline will not occur with ORACEA.
Slovenian: Trenutno je še premalo podatkov, da bi lahko z gotovostjo trdili, da se opisane interakcije z visokimi odmerki doksiciklina ne bodo pojavile tudi pri zdravilu ORACEA.
English: Hypersensitivity to the active substance, to other tetracyclines or to any of the excipients.
Slovenian: Preobčutljivost na zdravilno učinkovino, na ostale tetracikline ali katerokoli pomožno snov.
English: According to several international guidelines, doxycycline is also commonly recommended for the treatment of rosacea but is only approved in a few EU countries; consequently the off-label use of doxycycline is widely prescribed in clinical practice for long-term treatment (months to up to several years) of acne vulgaris, with dosages generally higher (100 mg daily) than the proposed dosage for Oracea (40 mg daily).
Slovenian: V skladu z več mednarodnimi priporočili se doksiciklin tudi pogosto priporoča za zdravljenje rozacee, vendar je odobren le v nekaj državah EU; zato se v klinični praksi pogosto predpisuje uporaba doksiciklina mimo indikacij za dolgoročno zdravljenje (več mesecev do več let) acne vulgaris, pri čemer so odmerki na splošno višji (100 mg na dan) od priporočenega odmerka zdravila Oracea (40 mg na dan).
English: However, studies were conducted to evaluate the efficacy and safety of Oracea in conjunction to active treatment such as metronidazole, showing that Oracea, given as an adjunct to metronidazole, is far superior to metronidazole alone and that no difference in efficacy was found between low and high doses of doxycycline.
Slovenian: Kljub temu so bile opravljene študije za primerjavo učinkovitosti in varnosti zdravila Oracea v povezavi z aktivnim zdravljenjem, kot je metronidazol, v katerih so dokazali, da je kombinacija zdravila Oracea in metronidazola bistveno superiornejša od samega metronidazola ter da ni razlike v učinkovitosti med majhnim in velikim odmerkom doksiciklina.
English: The most commonly reported adverse reactions in patients treated with ORACEA, ie those which occurred with ≥ 3% frequency on ORACEA and with a frequency at least 1% higher than on placebo, were nasopharyngitis, diarrhoea and hypertension.
Slovenian: Najpogosteje poročani neželeni učinki pri bolnikih, zdravljenih z zdravilom ORACEA, ki so se pojavili ≥ 3% pogosteje pri zdravilu ORACEA in vsaj 1% pogosteje kot pri placebu, so bili nazofaringitis, diareja in hipertenzija.
English: ORACEA should be administered with caution to patients with hepatic impairment or to those receiving potentially hepatotoxic medicinal products (see section 4.4)
Slovenian: Pri jemanju zdravilu ORACEA je pri bolnikih z jetrno okvaro ali pri tistih, ki potencialno prejemajo hepatotoksična zdravila potrebna previdnost (glejte poglavje 4.4).
English: At this dose systemic exposure experienced by rats is likely to have been approximately 4 times that seen in humans taking the recommended dose of ORACEA.
Slovenian: Pri takem odmerku je bila verjetno sistemska izpostavljenost, kateri so bile izpostavljene podgane, približno štirikrat večja od izpostavljenosti pri ljudeh, ki so prejemali priporočeni odmerek zdravila ORACEA.
English: If you forget to take ORACEA
Slovenian: Če ste pozabili vzeti zdravilo ORACEA
English: Rifampicin, barbiturates, carbamazepine, diphenylhydantoin, primidone, phenytoin and chronic alcohol abuse may accelerate the decomposition of doxycycline due to enzyme induction in the liver thereby decreasing its half-life.
Slovenian: Rifampicin, barbiturati, karbamazepin, difenilhidantoin, primidon, fenitoin in kronična zloraba alkohola lahko pospešijo razkroj doksiciklina zaradi encimske indukcije v jetrih, s čimer se zmanjša njegova razpolovna doba.
English: Shellac
Slovenian: Šelak
English: The Applicant should further agree to complete this study and file a report within a reasonable period of time (e.g. 2 years) from the date of approval.
Slovenian: Predlagatelj se mora tudi strinjati, da opravi omenjeno študijo in vloži poročilo v primernem obdobju (npr. 2 leti) od datuma odobritve.
English: The administration of tetracyclines during the second and the third trimesters results in permanent discolouration of the deciduous teeth in the offspring.
Slovenian: Jemanje tetraciklinov v drugem in tretjem trimesečju povzroči trajno obarvanje mlečnih zob pri otroku.
English: Other treatments for ulcers or heartburn may also reduce the effectiveness of ORACEA and should not be taken until at least 2 hours after ORACEA.
Slovenian: Druga zdravila za ulkuse ali zgago tudi lahko zmanjšajo učinkovitost zdravila ORACEA in jih ne smete jemati vsaj 2 uri po tem, ko ste vzeli zdravilo ORACEA.
English: Using ORACEA with the general anaesthetic methoxyfluorane may cause serious harm to the kidneys.
Slovenian: Uporaba zdravila ORACEA s splošnim anestetikom metoksifluoranom lahko povzroči resno poškodbo ledvic.
English: All patients receiving doxycycline, including ORACEA, should be advised to avoid excessive sunlight or artificial ultraviolet light whilst receiving doxycycline and to discontinue therapy if phototoxicity (eg skin eruption etc) occurs.
Slovenian: Vsem bolnikom, ki prejemajo doksiciklin, vključno z zdravilom ORACEA, je potrebno svetovati, naj se med jemanjem doksiciklina izogibajo prekomernemu izpostavljanju soncu ali umetni ultravijolični svetlobi in naj prenehajo z zdravljenjem v primeru pojava fototoksičnosti (npr. kožni izpuščaj ipd.).
English: When doxycycline is administered shortly before, during or after courses of isotretinoin, there is the possibility of potentiation between the medicinal products to cause reversible pressure increase in the intracranial cavity (pseudotumour cerebri).
Slovenian: Kadar se doksiciklin jemlje tik pred ali med dajanjem izotretinoina ali po zdravljenju z njim, obstaja možnost, da bo povečan učinek med zdravili povzročil zvišanje reverzibilnega tlaka v znotrajlobanjski votlini (pseudotumour cerebri).
English: In the event of a severe acute hypersensitivity reaction (eg anaphylaxis), treatment with ORACEA must be stopped at once and the usual emergency measures taken (eg administration of antihistamines, corticosteroids, sympathomimetics and, if necessary, artificial respiration).
Slovenian: Če se pojavi huda akutna preobčutljivostna reakcija (npr. anafilaksa), je treba nemudoma prekiniti zdravljenje z zdravilom ORACEA in nuditi prvo pomoč (npr. dajanje antihistaminikov, kortikosteroidov, simpatomimetikov in po potrebi umetno dihanje).
English: What ORACEA is and what it is used for Before you take ORACEA How to take ORACEA Possible side effects
Slovenian: Kaj je zdravilo ORACEA in za kaj ga uporabljamo Kaj morate vedeti, preden boste uporabili zdravilo ORACEA Kako uporabljati zdravilo ORACEA Možni neželeni učinki
English: In case of overdose there is, however, a risk of parenchymatous hepatic and renal damage and of pancreatitis.
Slovenian: V primeru prevelikega odmerka obstaja tveganje za parenhimsko jetrno in ledvično poškodbo in za pankreatitis.
English: Coadministration with a high-fat, high-protein meal that included dairy products reduced the bioavailability (AUC) of doxycycline from ORACEA by about 20% and reduced the peak plasma level by 43%.
Slovenian: Sočasno jemanje s hrano, ki je vsebovala veliko maščob in beljakovin, in je vključevala mlečne izdelke, je zmanjšalo biološko razpoložljivost (AUC) doksiciklina zdravila ORACEA za okoli 20% in zmanjšalo najvišjo plazemsko koncentracijo za 43%.
English: In assessing the benefit/risk of Oracea, the current situation of limited treatment options for rosacea was taken into consideration, as well as the fact that Oracea is expected to provide an alternative to the international guidelines recommending off-label use of doxycycline (or other tetracycline derivates) for the treatment of rosacea, with the associated decrease in risk for adverse events.
Slovenian: Pri vrednotenju koristi in tveganj zdravila Oracea je bila upoštevana trenutna situacija omejenih možnosti zdravljenja rozacee ter dejstvo, da se zdravilo Oracea pričakuje kot alternativno mednarodnim smernicam, ki priporočajo uporabo doksiciklina (ali drugih tetraciklinskih derivatov) za rozaceo izven obsega indikacij ob povezanem zmanjšanju tveganja neželenih učinkov.
English: Nausea, vomiting, diarrhoea, anorexia
Slovenian: Slabost, bruhanje, diareja, anoreksija
English: The Applicant was also requested to revise the SPC for Oracea, in sections 4.4 and 5.1 due to the lack of experience in patients with ocular rosacea, as seen in the adopted revised Product Information.
Slovenian: Predlagatelj je bil tudi naprošen, da popravi poglavji 4.4 in 5.1 povzetka glavnih značilnosti zdravila zaradi pomanjkanja izkušenj z bolniki z očesno rozaceo, kar je razvidno iz sprejetega popravljenega navodila za uporabo.
English: Children and adolescents Doxycycline is contraindicated in children below age 12 (see section 4.3).
Slovenian: Doksiciklin je kontraindiciran pri otrocih, mlajših od 12 let (glejte poglavje 4.3).
English: Intestinal absorption of unabsorbed doxycycline should be minimised by administering magnesium or calcium salt-containing antacids to produce non-absorbable chelate complexes with doxycycline.
Slovenian: Intestinalno absorpcijo neabsorbiranega doksiciklina je treba zmanjšati z uporabo antacidov, ki vsebujejo magnezijevo ali kalcijevo sol, da se tvorijo kelatni kompleksi z doksiciklinom, ki se ne absorbirajo.
English: ANNEX IV CONDITIONS OF THE MARKETING AUTHORISATION(S)
Slovenian: DODATEK IV POGOJI DOVOLJENJ(A) ZA PROMET
English: Oesophagitis and oesophageal ulceration have been reported most often in patients administered the hyclate salt in capsule form.
Slovenian: O ezofagitisu in ulceraciji požiralnika so najpogosteje poročali pri bolnikih, ki so jim dajali sol hiklata v obliki kapsul.
English: Tetracyclines used concurrently with oral contraceptives have in a few cases resulted in either breakthrough bleeding or pregnancy.
Slovenian: Sočasna uporaba tetraciklinov s peroralnimi kontraceptivi je v nekaj primerih povzročila spontano izvenciklično krvavitev ali nosečnost.
English: ORACEA must not be taken by infants or children under the age of 12, because it may cause permanent discolouration of the teeth or problems with tooth development.
Slovenian: Zdravila ORACEA ne smejo jemati dojenčki ali otroci, mlajši od 12 let, saj lahko povzroči trajno obarvanje zob ali težave z razvojem zob.
English: In addition, the preliminary results of a study comparing Oracea (40 mg doxycycline) to 100 mg doxycycline daily, both in conjunction with topical metronidazole, support the non-inferiority hypothesis of the Oracea dosing regimen.
Slovenian: Poleg tega preliminarni rezultati študije primerjave zdravila Oracea (40 mg doksiciklina) z odmerkom 100 mg doksiciklina dnevno, oboje sočasno s topičnim metronidazolom, podpirajo hipotezo ne-manjvrednosti režima odmerjanja zdravila Oracea.
English: Regarding erythema, the CHMP considered that despite the absence of evidence of a positive effect on erythema, there are no indications of any risk of worsening of erythema during Oracea therapy.
Slovenian: Odbor v zvezi z eritemom meni, da kljub odsotnosti dokazov pozitivnega učinka na eritem, ni indikacij kakršnegakoli tveganja poslabšanja eritema med zdravljenjem z zdravilom Oracea.
English: Consequently, the CHMP considered the clinical efficacy of Oracea to be sufficiently demonstrated in the two placebo-controlled phase 3 studies and the issue to be resolved.
Slovenian: Zato je Odbor štel klinično učinkovitost zdravila Oracea za zadostno dokazano v dveh s placebom nadzorovanih študijah III. faze, vprašanje pa za rešeno.
English: Like all medicines, ORACEA can cause side effects, although not everybody gets them.
Slovenian: Kot vsa zdravila ima lahko tudi zdravilo ORACEA neželene učinke, ki pa se ne pojavijo pri vseh bolnikih.
English: • Increased level of urea in the blood
Slovenian: • Zvišan nivo sečnine v krvi
English: PHARMACEUTICAL FORM AND CONTENTS 56 modified-release hard capsules
Slovenian: FARMACEVTSKA OBLIKA IN VSEBINA 56 trdih kapsul s prirejenim sproščanjem
English: In both studies, the mean reduction in the total inflammatory lesion count was significantly greater in the ORACEA group than in the placebo group:
Slovenian: Pri obeh študijah je bilo povprečno zmanjšanje celotnih vnetnih lezij bistveno večje v skupini z zdravilom ORACEA kot v skupini s placebom: