FrancophonIA/ELRC3.0 huggingface dataset:
English: No human data on the effect of eluxadoline on fertility are available.
Danish: Der foreligger ingen data vedrørende eluxadolins indvirkning på human fertilitet.
English: What you need to know before you take Truberzi Do not take Truberzi:
Danish: Det skal du vide, før du begynder at tage Truberzi Tag ikke Truberzi:
English: As patient's genetic disposition may be unknown, it is recommended that patients be monitored for impaired mental or physical abilities needed to perform potentially hazardous activities such as driving a car or using machines (see sections 4.7. and 4.8).
Danish: Da patientens genetiske disposition kan være ukendt, anbefales det, at patienterne kontrolleres for svækkelse af deres mentale eller fysiske evne til at udføre potentielt farlige aktiviteter, for eksempel bilkørsel eller betjening af maskiner (se pkt.
English: Cmax and AUC for the metabolite 1hydroxy-midazolam increased by ~14% and 7% respectively, suggesting that eluxadoline may be a mild inducer of CYP3A4 and may decrease the exposure of concomitantly administered CYP3A4 substrates.
Danish: Cmax og AUC for metabolitten 1-hydroxy-midazolam blev øget med henholdsvis ca. 14 % og 7 %, hvilket tyder på, at eluxadolin kan være en let CYP3A4-induktor og kan nedsætte eksponeringen for samdigt indgivne CYP3A4-substrater.
English: A decision must be made whether to discontinue breast-feeding or to discontinue/abstain from Truberzi therapy taking into account the benefit of breast-feeding for the child and the benefit of therapy for the woman.
Danish: Det skal besluttes, om amning eller behandling med Truberzi skal ophøre, idet der tages højde for fordelene ved amning for barnet i forhold til de terapeutiske fordele for moderen.
English: If patients develop severe constipation, they should be instructed to stop Truberzi and seek medical attention.
Danish: Hvis patienterne udvikler svær obstipation, skal de informeres om at afbryde behandlingen med Truberzi og søge læge.
English: • Patients without a gallbladder (e.g. due to cholecystectomy or agenesis).
Danish: • Patienter uden galdeblære (fx på grund af kolecystektomi eller agenesi).
English: Truberzi is contraindicated in patients without a gallbladder and other conditions that increase the risk of developing pancreatitis (see section 4.3).
Danish: Truberzi er kontraindiceret hos patienter uden galdeblære og ved andre tilstande, der øger risikoen for udvikling af pancreatitis (se pkt.
English: Given eluxadoline's action at opioid receptors, administration of a narcotic mu opioid antagonist, such as naloxone, should be considered.
Danish: I lyset af eluxadolins virkning på opioidreceptorer bør indgift af en my-opioid-antagonist, såsom naloxon, overvejes.
English: In vitro studies indicate that eluxadoline is neither an inducer of CYP1A2, CYP2B6, CYP2C9, CYP2C19, and CYP3A4, nor an inhibitor of CYP1A2, CYP2A6, CYP2B6, CYP2C9, CYP2C19, CYP2C8 and CYP2D6 at clinically relevant concentrations.
Danish: In vitro studier viser, at eluxadolin hverken inducerer CYP1A2, CYP2B6, CYP2C9, CYP2C19 eller CYP3A4 og heller ikke hæmmer CYP1A2, CYP2A6, CYP2B6, CYP2C9, CYP2C19, CYP2C8 og CYP2D6 ved klinisk relevante koncentrationer.
English: Overall, patients had a mean age of 45 years (range 18-80 years with 10% at least 65 years of age or older), 66% female, 86% white, 12% black, and 27% Hispanic.
Danish: Patienterne havde en gennemsnitsalder på 45 år (1880 år, heraf 10 % ≥ 65 år), 66 % var kvinder, 86 % var hvide, 12 % var sorte, og 27 % var af latinamerikansk oprindelse.
English: Of the 5 cases reported, 3 were associated with excessive alcohol intake, 1 was associated with biliary sludge, and in one case the patient discontinued eluxadoline 2 weeks prior to the onset of symptoms.
Danish: Ud af de 5 rapporterede tilfælde var 3 forbundet med et overforbrug af alkohol, 1 var forbundet med galdeslam, og i et tilfælde seponerede patienten eluxadolin 2 uger inden symptomernes indtræden.
English: In the event of naloxone administration, subjects should be monitored closely for the return of overdose symptoms, which may indicate need for repeated naloxone injection.
Danish: Hvis naloxon administreres, skal patienten monitoreres nøje for at vurdere, om symptomerne på overdosering vender tilbage, hvilket kan tyde på, at en yderligere injektion af naloxon er nødvendig.
English: Contents of the pack and other information What Truberzi contains
Danish: Pakningsstørrelser og yderligere oplysninger Truberzi indeholder:
English: In a population pharmacokinetic analysis, the estimated apparent volume of distribution of eluxadoline was 27,100 L. In healthy subjects, eluxadoline was moderately (81%) bound to plasma proteins.
Danish: I en farmakokinetisk populationsanalyse var eluxadolins estimerede tilsyneladende fordelingsvolumen 27.100 l. Hos raske forsøgspersoner var eluxadolin moderat (81 %) bundet til plasmaproteiner.
English: Eluxadoline has a minor influence on the ability to drive and use machines.
Danish: Eluxadolin påvirker i mindre grad evnen til at føre motorkøretøj og betjene maskiner.
English: All pancreatic events, whether or not associated with sphincter of Oddi spasm, were retrospectively evaluated as mild, indicating an absence of organ failure and local or systemic complications.
Danish: Alle tilfælde af pancreatitis blev retrospektivt vurderet til at være lette, uanset om de var forbundet med spasmer i sphincter Oddi eller ej, hvilket tyder på, at der ikke var tale om organsvigt eller lokale eller systemiske komplikationer.
English: inhibitory concentration [IC50] of approximately 20 µM [11 µg/mL]), although this is not expected to result in any clinically meaningful interactions.
Danish: CYP2E1 blev hæmmet let (50 % hæmmende koncentration [IC50] cirka 20 µM [11 µg/ml]), om end dette ikke forventes at resultere i klinisk relevante interaktioner.
English: Although exposure of eluxadoline was significantly increased in ESRD participants not yet on dialysis compared with matched, healthy participants with normal renal function, such an increase is unlikely to be of clinical significance because the geometric mean Cmax and AUC0-t in the participants with ESRD was in the same range as observed in several larger studies in healthy volunteers.
Danish: Selvom eksponeringen for eluxadolin var signifikant forhøjet hos deltagere med ESRD, der endnu ikke var i dialyse, sammenlignet med tilsvarende, raske deltagere med normal nyrefunktion, er det ikke sandsynligt, at en sådan forhøjelse vil være af klinisk betydning, fordi den geometriske middelværdi af Cmax og AUC0-t hos deltagerne med ESRD lå i samme interval som den, der blev observeret i flere større studier med raske frivillige.
English: The tablets should be taken with food in the morning and in the evening (see section 5.2).
Danish: Tabletterne skal tages sammen med mad morgen og aften (se pkt.
English: Truberzi acts on the surface of your gut to restore the normal function of your bowels and block the sensation of pain and discomfort in IBS-D patients.
Danish: Truberzi virker på tarmens overflade ved at genoprette en normal tarmfunktion og lindre følelsen af smerter og ubehag hos patienter med IBS-D.
English: Of 1,795 IBS-D patients who were enrolled in clinical studies of eluxadoline and assigned to 75 mg or 100 mg twice daily, 139 (7.7%) were at least 65 years of age, while 15 (0.8%) were at least 75 years old.
Danish: Af 1.795 IBS-D-patienter, der deltog i kliniske studier med eluxadolin og blev allokeret til 75 mg eller 100 mg to gange dagligt, var 139 (7,7 %) ≥ 65 år, mens 15 (0,8 %) var ≥ 75 år.
English: Composite Response
Danish: Kombineret respons
English: In animals, eluxadoline interacts with opioid receptors in the gut.
Danish: Hos dyr interagerer eluxadolin med opioidreceptorer i tarmene.
English: If this dosage is well tolerated, but not sufficiently effective, dosage may subsequently be increased to 200 mg daily (one 100 mg tablet twice daily).
Danish: Hvis denne dosis tåles godt, men ikke giver en tilstrækkelig virkning, kan dosis efterfølgende øges til 200 mg dagligt (én 100 mg tablet to gange dagligt).
English: Efficacy of eluxadoline was assessed using an overall responder analyses as defined by the simultaneous improvement in the daily WAP score by ≥30% as compared to the baseline weekly average AND a reduction in the BSS to <5 on at least 50% of the days within a time interval.
Danish: Eluxadolins virkning blev undersøgt med anvendelse af en samlet respondentanalyse, defineret som en forbedring i daglig WAP-score på ≥ 30 % sammenlignet med det ugentlige gennemsnit ved baseline SAMTIDIG med en reduktion i BSS til < 5 mindst 50 % af dagene inden for et tidsinterval.
English: Rates of severe constipation were less than 1% in patients receiving 75 mg and 100 mg eluxadoline and there were no serious complications of constipation related to eluxadoline use in pivotal studies.
Danish: Forekomsten af alvorlig obstipation var under 1 % hos patienter, der fik 75 mg og 100 mg eluxadolin, og der var ingen alvorlige komplikationer af obstipation forbundet med eluxadolin i de pivotale studier.
English: In vitro studies in human liver microsomes showed that eluxadoline is not a direct inhibitor of CYP3A4 at clinically relevant concentrations [IC50 =450 µM] but in human intestinal microsomes, eluxadoline was a metabolism dependent inhibitor of CYP3A4 with kinact of 0.1 min-1 and K-I of 450 µM (256 µg/mL).
Danish: In vitro studier i humane levermikrosomer viste, at eluxadolin ikke er en direkte CYP3A4-hæmmer ved klinisk relevante koncentrationer [IC50=450 µM], men i humane tarmmikrosomer var eluxadolin en metabolisme-afhængig CYP3A4-hæmmer med en kinact på 0,1 min-1 og K-I på 450 µM (256 µg/ml).
English: • A history of chronic or severe constipation or sequelae from constipation, or known or suspected mechanical gastrointestinal obstruction.
Danish: • Kronisk eller alvorlig obstipation eller sequelae efter obstipation i anamnesen eller kendt eller mistanke om mekanisk gastrointestinal obstruktion.
English: However, caution should be exercised in patients receiving high doses of OATP1B1 substrates (see section 4.5).
Danish: Der skal dog udvises forsigtighed hos patienter, som får høje doser af OATP1B1-substrater (se pkt.
English: All events of sphincter of Oddi spasm occurred in patients without a gallbladder.
Danish: Alle tilfælde af spasmer i sphincter Oddi opstod hos patienter uden galdeblære.
English: Given eluxadoline's local action in the GI tract, low Foral and lack of metabolism, prospective clinical studies regarding differences in age, body mass index (BMI), ethnicity, and gender were deemed unnecessary.
Danish: I betragtning af eluxadolins lokale virkning i mave-tarm-kanalen, lave orale biotilgængelighed (Foral) og manglende metabolisering blev det anset for unødvendigt at gennemføre prospektive kliniske studier for at undersøge forskelle i forhold til alder, body mass index (BMI), etnicitet og køn.
English: • A history of pancreatitis; or known or suspected structural diseases of the pancreas, including pancreatic duct obstruction.
Danish: • Pancreatitis i anamnesen eller kendte eller mistanke om strukturelle sygdomme i pancreas, herunder obstruktion af ductus pancreaticus.
English: 4 “Gastrooesophageal reflux disease” term includes gastrooesophageal reflux disease, dyspepsia and gastritis.
Danish: 4Termen “gastroøsofageal refluks” omfatter: gastroøsofageal refluks, dyspepsi og gastritis.
English: The absorption of eluxadoline was rapid under fasting conditions, with a median Tmax value of 2 hours.
Danish: Eluxadolin absorberes hurtigt under faste med en median Tmax på 2 timer.
English: However, in a clinical study in healthy subjects, administration of eluxadoline 100 mg twice daily for one week, with a single oral dose of 4 mg of midazolam resulted in no change to the midazolam Cmax and a slight decrease in AUC (~10%).
Danish: I kliniske studier hos raske personer medførte en indgift af eluxadolin 100 mg to gange dagligt i en uge med en enkelt oral dosis på 4 mg midazolam imidlertid ingen ændring i Cmax for midazolam og en let nedsættelse af AUC (ca. 10 %).
English: Following single oral 100 mg dose in subjects with varying degrees of liver impairment and healthy subjects, eluxadoline plasma levels were on average 6-fold, 4-fold, and 16-fold elevated in mild, moderate, and severe hepaticimpaired subjects (Child Pugh Class A, B, C), respectively, while half-life increased 3-5 fold (see sections 4.3 and 4.4).
Danish: Efter en enkelt oral dosis på 100 mg til personer med forskellige grader af nedsat leverfunktion og til raske personer var plasmaniveauerne af eluxadolin gennemsnitligt 6 gange, 4 gange og 16 gange højere hos personer med henholdsvis let, moderat og alvorligt nedsat leverfunktion (Child Pugh-klasse A, B, C), mens halveringstiden var øget 3-5 gange (se pkt.
English: Most of the reported cases of serious pancreatitis occurred within a week of starting treatment with eluxadoline and some patients developed symptoms even after one to two doses but cases of pancreatitis after longer duration of treatment have also been reported.
Danish: De fleste af de indberettede tilfælde af alvorlig pancreatitis forekom inden for en uge efter start af behandling med eluxadolin, og nogle patienter udviklede symptomer allerede efter én til to doser, men der er også indberettet tilfælde af pancreatitis efter længere tids behandling.
English: All pancreatic events resolved with lipase normalization upon discontinuation of eluxadoline, with 80% (4/5) resolving within 1 week of treatment discontinuation (see section 4.4).
Danish: Alle tilfælde af pancreatitis forsvandt med normalisering af lipase efter seponering af eluxadolin; 80 % (4/5) forsvandt inden for 1 uge efter seponering (se pkt.
English: In rats, there was no effect on mating, fertility and fecundity indices (see section 5.3).
Danish: Hos rotter var der ingen indvirkning på parring, fertilitet og fertilitetsindeks (se pkt.
English: It is used to treat irritable bowel syndrome (‘IBS') with diarrhoea (IBS-D) in adults.
Danish: Det bruges til behandling af irritabel tyktarm (IBS) med diaré (IBS-D) hos voksne.
English: eluxadoline
Danish: eluxadolin
English: Eluxadoline has a low potential for drug-drug interactions based on limited in vitro CYP inhibition/induction and given that eluxadoline is not a substrate for CYPs at clinically meaningful concentrations.
Danish: Eluxadolin har lavt potentiale for lægemiddelinteraktioner på grund af den begrænsede CYPhæmning/induktion in vitro, og fordi eluxadolin ikke er substrat for CYP'er ved klinisk relevante koncentrationer.
English: The frequency of serious adverse events, gastrointestinal events, and events leading to discontinuation tended to be lower for the 75 mg dose compared to the 100 mg dose.
Danish: Hyppigheden af alvorlige bivirkninger, gastrointestinale bivirkninger og bivirkninger, der medførte seponering, var oftest lavere ved 75 mg-dosen sammenlignet med 100 mg-dosen.
English: For patients who are unable to tolerate the 200 mg daily dose (one 100 mg tablet, twice daily), the dose can be lowered to 150 mg daily (one 75 mg tablet twice daily).
Danish: For patienter, der ikke tåler en dosis på 200 mg dagligt (én 100 mg tablet to gange dagligt), kan dosis nedsættes til 150 mg dagligt (én 75 mg tablet to gange dagligt).
English: If you stop taking Truberzi
Danish: Hvis du holder op med at tage Truberzi
English: Avoid taking Truberzi with any other medicines that may cause constipation (see Section 2: Other medicines and Truberzi).
Danish: Undgå at tage Truberzi sammen med anden medicin, der kan give forstoppelse (se afsnit 2: Brug af anden medicin sammen med Truberzi).
English: The most common adverse reactions (incidence of >5%) reported were constipation (7% and 8% of patients receiving 75 mg and 100 mg respectively), nausea (8% and 7% of patients receiving 75 mg and 100 mg respectively) and abdominal pain (6% and 7% of patients receiving 75 mg and 100 mg respectively).
Danish: De hyppigst rapporterede bivirkninger (forekomst > 5 %) er obstipation (7 % og 8 % hos patienter, der fik henholdsvis 75 mg og 100 mg), kvalme (8 % og 7 % ved henholdsvis 75 mg og 100 mg) samt abdominalsmerter (6 % og 7 % ved henholdsvis 75 mg og 100 mg).
English: Supporting the lack of systemic pharmacodynamic effects are results from an oral abuse liability study in recreational opioid users that showed oral doses up to 1,000 mg did not produce significant pupillary constriction or significant drug liking.
Danish: Som belæg for manglen på systemiske farmakodynamiske virkninger findes resultaterne fra et oralt studie af misbrugstendensen med deltagelse af fritidsopioidmisbrugere (ikke afhængige), som viste, at orale doser på op til 1.000 mg ikke medførte signifikant pupilkonstriktion eller signifikant smag for stoffet.
English: In clinical studies, events of sphincter of Oddi spasm manifested as elevated hepatic enzymes associated with abdominal pain in 8 patients, pancreatitis in 1 patient and abdominal pain with lipase elevation less than 3 times the upper limit of normal in 1 patient.
Danish: I kliniske studier blev spasmer i sphincter Oddi, der viste sig som forhøjede leverenzymer forbundet med abdominalsmerter hos 8 patienter, som pancreatitis hos 1 patient og som abdominalsmerter med lipasestigning til under 3 gange den øvre normalgrænse hos 1 patient.
English: These medicines can include: - rosuvastatin (statin used to treat high cholesterol and to prevent cardiovascular disease); - valsartan and olmesartan (used to treat high blood pressure);
Danish: Disse lægemidler kan omfatte: - rosuvastatin (et statin, der bruges til behandling af forhøjet kolesterol og til forebyggelse af hjerte-karsygdom) - valsartan og olmesartan (bruges til behandling af forhøjet blodtryk)
English: Patients with known or suspected sphincter of Oddi disease or dysfunction and/or biliary tract or pancreatic disease, including a history of pancreatitis, must not receive Truberzi (see section 4.3).
Danish: Patienter med kendt eller formodet sygdom i eller dysfunktion af sphincter Oddi og/eller sygdom i galdevejene eller pancreas, herunder pancreatitis i anamnesen, må ikke få Truberzi (se pkt.
English: • an average daily stool consistency score (BSS) of ≥5.5 and at least 5 days with a BSS score ≥5
Danish: • En gennemsnitsscore for daglig afføringskonsistens (Bristol Stool Score, BSS) på ≥ 5,5 og mindst 5 dage med en BSS-score på ≥ 5 på en skala fra 1 til 7 i ugen inden randomisering.
English: Some medicines may increase the level of Truberzi in the blood.
Danish: Nogle lægemidler kan øge indholdet af Truberzi i blodet.
English: If you forget to take Truberzi
Danish: Hvis du har glemt at tage Truberzi
English: Patients should be instructed to stop the medicinal product and seek medical attention if these symptoms develop while taking eluxadoline (see section 4.8).
Danish: Patienter skal instrueres i at ophøre med at tage lægemidlet og søge lægehjælp, hvis de udvikler disse symptomer, mens de tager eluxadolin (se pkt.
English: Patients receiving eluxadoline also reported significant reductions in bowel movement frequency and abdominal bloating compared to placebo as demonstrated by changes from baseline in daily bowel movements and bloating score at Weeks 12 and 26.
Danish: Patienter, der fik eluxadolin, rapporterede desuden signifikante fald i afføringshyppighed og oppustethed i abdomen sammenlignet med placebo, hvilket blev påvist som ændringer i forhold til baseline i daglige afføringer og score for oppustethed i uge 12 og uge 26.
English: Eluxadoline must not be used in patients with a history of or known or suspected hepatic impairment (Child-Pugh Class A-C) (see section 4.3).
Danish: Eluxadolin må ikke anvendes til patienter med kendt eller mistanke om nedsat leverfunktion (ChildPugh-klasse A-C) i anamnesen (se pkt.
English: An abuse liability study with 100 mg and 200 mg intranasal doses of eluxadoline resulted in higher systemic concentrations of eluxadoline that produced changes in pupil diameter but were associated with drug disliking.
Danish: Et studie af misbrugstendensen med intranasale doser på 100 mg og 200 mg eluxadolin viste højere systemiske koncentrationer af eluxadolin, som medførte ændringer i pupildiameter, men var forbundet med modvilje mod stoffet.
English: Study 2 (IBS-3002) included a 4-week single-blinded, placebo-withdrawal period upon completion of the 26-week treatment period.
Danish: Studie 2 (IBS-3002) omfattede en 4 ugers enkeltblindet seponeringsperiode med placebo efter behandlingsperioden på 26 uger.
English: Other substrates potentially affected include e.g. sartans (valsartan, olmesaran).
Danish: Andre OATP1B1-substrater, der potentielt kan påvirkes, omfatter for eksempel sartaner (valsartan, olmesaran).
English: Stop taking Truberzi and call your doctor right away if you develop severe constipation while taking Truberzi.
Danish: Du skal straks holde op med at tage Truberzi og omgående ringe til din læge, hvis du får svær forstoppelse, mens du tager Truberzi.
English: Eluxadoline should not be used in children and adolescents as it has not been studied in this population (see section 4.2).
Danish: Pædiatrisk population Eluxadolin bør ikke anvendes til børn og unge, da det ikke er undersøgt i denne population (se pkt.
English: As a precautionary measure, it is preferable to avoid the use of Truberzi during pregnancy.
Danish: For en sikkerheds skyld bør Truberzi undgås under graviditet.
English: - The active substance is eluxadoline.
Danish: - Aktivt stof: eluxadolin.
English: Most of the reported cases of serious sphincter of Oddi spasm occurred within a week of starting treatment with eluxadoline and some developed symptoms after one to two doses.
Danish: De fleste af de indberettede tilfælde af alvorlig spasme i sphincter Oddi forekom inden for en uge efter start af behandling med eluxadolin, og nogle udviklede symptomer efter en til to doser.
English: 1% of patients receiving 75 mg and 2% of patients receiving 100 mg discontinued treatment or temporarily suspended dosing secondary to constipation, respectively, compared to <1% of patients treated with placebo.
Danish: Henholdsvis 1 % af de patienter, der fik 75 mg, og 2 % af de patienter, der fik 100 mg, seponerede behandlingen eller afbrød den midlertidigt på grund af obstipation sammenlignet med < 1 % i placebogruppen.
English: Truberzi is indicated in adults for the treatment of irritable bowel syndrome with diarrhoea (IBS-D).
Danish: Truberzi er indiceret til voksne til behandling af diaré-domineret irritabel tyktarm (IBS-D).
English: Stop taking Truberzi right away and get emergency medical care if you have signs or symptoms of an allergic reaction, including: - swelling of your face, lips, mouth, tongue, and/or throat - shortness of breath or other breathing problems - chest pain or tightness - itching - rash - hives
Danish: Du skal straks holde op med at tage Truberzi og omgående søge lægehjælp, hvis du har tegn eller symptomer på en allergisk reaktion, herunder: - hævelser i/af ansigtet, læberne, munden, tungen og/eller svælget - stakåndethed eller andre vejrtrækningsproblemer - smerter i eller trykken for brystet - kløe - udslæt - nældefeber
English: • Patients on treatment with potent inhibitors of OATP1B1 (e.g. cyclosporine)
Danish: • Patienter i behandling med potente OATP1B1-hæmmere (fx ciclosporin).
English: Hypersensitivity6
Danish: Overfølsomhed6
English: Other medicines and Truberzi
Danish: Brug af anden medicin sammen med Truberzi
English: However, given the potential for increased sensitivity to experience undesirable effects, it may be considered to initiate eluxadoline treatment in a dosage of 150 mg daily (one 75 mg tablet twice daily).
Danish: På grund af muligheden for øget følsomhed for bivirkninger kan det dog overvejes at initiere behandling med eluxadolin med en dosis på 150 mg dagligt (én 75 mg tablet to gange dagligt).