FrancophonIA/ELRC3.0 huggingface dataset:
English: Both levodopa and combinations of carbidopa and levodopa have caused visceral and skeletal malformations in rabbits.
Danish: Både levodopa og kombinationer af carbidopa og levodopa har forårsaget viscerale misdannelser og skeletmisdannelser hos kaniner.
English: The distribution volume of both levodopa (Vd 0.36-1.6 l/kg) and entacapone (Vdss 0.27 l/kg) is moderately small while no data for carbidopa are available.
Danish: Fordelingsvolumenet for både levodopa (Vd 0,361,6 l/kg) og entacapon (Vdss 0,27 l/kg) er relativt lille, og for carbidopa findes ingen tilgængelige data.
English: BOTTLE LABEL AND OUTER CARTON TEXT
Danish: TEKST PÅ ETIKET OG YDRE KARTON
English: Tell your doctor if you or your family/carer notices you are developing addiction-like symptoms leading to craving for large doses of Levodopa/Carbidopa/Entacapone Orion and other medicines used to treat Parkinson's disease.
Danish: Fortæl det til lægen, hvis du eller din familie/plejer bemærker, at du er ved at udvikle misbrugslignende symptomer, der kan medføre trang til større doser Levodopa/Carbidopa/Entacapone Orion og andre lægemidler, der anvendes til behandling af Parkinsons sygdom.
English: Few adverse reactions are known to be directly attributable to the active substance entacapone including diarrhoea and reddish-brown discolouration of urine.
Danish: Få bivirkninger kan direkte tilskrives det aktive stof entacapon, herunder diarré og rødligbrun misfarvning af urin.
English: For some patients, Levodopa/Carbidopa/Entacapone Orion may not be well absorbed if it is taken with, or shortly after eating protein-rich food (such as meats, fish, dairy products, seeds and nuts).
Danish: Hos nogle patienter optages Levodopa/Carbidopa/Entacapone Orion dårligt, hvis tabletten tages sammen med eller kort tid efter proteinrig mad (såsom kød, fisk, mælkeprodukter, kerner og nødder).
English: The elimination-half life is (t1/2) is 0.6-1.3 hours for levodopa, 2-3 hours for carbidopa and 0.4-0.7 hours for entacapone, each given separately.
Danish: Halveringstiden ved elimintaion (t½) er 0,6-1,3 timer for levodopa, 2-3 timer for carbidopa og 0,4-0,7 timer for entacapon, når de er indtaget hver for sig.
English: Cumulatively, dopamine dysregulation syndrome has been included in 10 reports.
Danish: Samlet set er dopaminergt dysreguleringssyndrom inkluderet i 10 rapporteringer.
English: - In patients with a history of myocardial infarction who have residual atrial nodal or ventricular arrhythmias; cardiac function should be monitored with particular care during the period of initial dose adjustments.
Danish: - Hos patienter, der tidligere har haft myokardieinfarkt, og som har efterfølgende atrium nodale eller ventrikulære arytmier, bør hjertefunktionen overvåges med særlig omhu i den periode, hvor initial dosisjustering foretages.
English: Antihypertensives: Symptomatic postural hypotension may occur when levodopa is added to the treatment of patients already receiving antihypertensives.
Danish: Antihypersentiva: Symptomatisk postural hypotension kan opstå, når patienter, som allerede anvender antihypertensiva, får levodopa i tillæg.
English: Entacapone enhances the effects of levodopa.
Danish: Entacapon forstærker virkningen af levodopa.
English: Tell your doctor if you or your family/carer notices you are developing urges or cravings to behave in ways that are unusual for you or you cannot resist the impulse, drive or temptation to carry out certain activities that could harm yourself or others.
Danish: Fortæl din læge, hvis du eller din familie/omsorgsperson bemærker, at du udvikler en voldsom og ikke kontrollerbar trang og adfærd, der er usædvanlig for dig, eller hvis du ikke kan modstå lysten eller fristelsen til at udøve visse aktiviteter, der kan skade dig selv eller andre.
English: Affected patients show a compulsive pattern of dopaminergic drug misuse above doses adequate to control motor symptoms, which may in some cases result in severe dyskinesias (see also section 4.4).
Danish: Berørte patienter udviser et kompulsivt mønster af dopaminergt lægemiddelmisbrug med anvendelse af højere doser end hensigtsmæssigt til kontrol af de motoriske symptomer, hvilket i nogle tilfælde kan medføre svær dyskinesi (se også pkt.
English: Some of these adverse reactions relate to the increased dopaminergic activity (e.g. dyskinesia, nausea and vomiting) and occur most commonly at the beginning of the treatment.
Danish: 4.8 b. Nogle af disse bivirkninger relaterer til øget dopaminerg aktivitet (f.eks. dyskinesi, kvalme og opkastning) og forekommer oftest i begyndelsen af behandlingen.
English: When decarboxylation of levodopa is reduced with the co-administration of a DDC inhibitor, a lower dose of levodopa can be used and the incidence of adverse reactions such as nausea is reduced.
Danish: Når decarboxyleringen af levodopa reduceres ved samtidig administration af en DDC-hæmmer, kan en lavere dosis af levodopa benyttes, og forekomsten af bivirkninger såsom kvalme reduceres.
English: As levodopa is extensively metabolised in the periphery, only a small portion of a given dose reaches the central nervous system when levodopa is administered without metabolic enzyme inhibitors.
Danish: Levodopa metaboliseres i høj grad perifert, og kun en lille del af indgivet dosis når derfor centralnervesystemet, hvis levodopa administreres uden hæmmere af de metaboliske enzymer.
English: These can be symptoms of neuroleptic malignant syndrome (NMS, a rare severe reaction to medicines used to treat disorders of the central nervous system) or rhabdomyolysis (a rare severe muscle disorder).
Danish: Disse kan være symptomer på malignt neuroleptikasyndrom (MNS, en sjælden og alvorlig bivirkning af medicin, der anvendes til behandling af forstyrrelser i centralnervesystemet) eller rabdomyolyse (en sjælden og alvorlig muskelsygdom).
English: Do not take Levodopa/Carbidopa/Entacapone Orion if you are taking certain medicines for treating depression (combinations of selective MAO-A and MAO-B inhibitors, or non-selective MAO inhibitors).
Danish: Tag ikke Levodopa/Carbidopa/Entacapone Orion, hvis du tager visse lægemidler mod depression (kombinationer af selektive MAO-A og MAO-B-hæmmere eller ikke-selektive MAO-hæmmere).
English: Other antiparkinsonian medicinal products: To date there has been no indication of interactions that would preclude concurrent use of standard antiparkinsonian medicinal products with Levodopa/Carbidopa/Entacapone Orion therapy.
Danish: Andre antiparkinsonmidler: Indtil nu har der ikke været tegn på interaktioner, der vil udelukke samtidig brug af standard-antiparkinson-lægemidler med Levodopa/Carbidopa/Entacapone Orionbehandling.
English: Antidepressants: Rarely, reactions including hypertension and dyskinesia have been reported with the concomitant use of tricyclic antidepressants and levodopa/carbidopa.
Danish: Antidepressiva: Reaktioner, inklusive hypertension og dyskinesier, er i sjældne tilfælde rapporteret ved samtidig indgift af tricykliske antidepressiva og levodopa/carbidopa.
English: Parkinson's disease is caused by low levels of a substance called dopamine in the brain.
Danish: Parkinsons sygdom skyldes lavt indhold i hjernen af et stof, der kaldes dopamin.
English: Muscle spasms, arthralgia
Danish: Muskelspasmer, artralgi
English: At therapeutic concentrations, entacapone does not displace other extensively bound active substances (e.g. warfarin, salicylic acid, phenylbutazone, or diazepam), nor is it displaced to any significant extent by any of these substances at therapeutic or higher concentrations.
Danish: Ved terapeutiske koncentrationer erstatter entacapon ikke andre lægemidler med høj proteinbinding (f.eks. warfarin, salicylsyre, phenylbutazon eller diazepam), og entacapon bliver heller ikke (hverken i terapeutiske eller højere koncentrationer) i nogen signifikant grad erstattet af disse stoffer.
English: Patients being treated with Levodopa/Carbidopa/Entacapone Orion and presenting with somnolence and/or sudden sleep onset episodes must be instructed to refrain from driving or engaging in activities where impaired alertness may put themselves or others at risk of serious injury or death (e.g. operating machines) until such recurrent episodes have resolved (see section 4.4).
Danish: Patienter i behandling med Levodopa/Carbidopa/Entacapone Orion, som viser tegn på døsighed og/eller pludselige søvnanfald, skal informeres om at undlade at føre bil eller deltage i aktiviteter, hvor nedsat årvågenhed kan føre til risiko for alvorlig skade eller død for dem selv eller andre (f.eks. betjene maskiner), indtil disse episoder er ophørt (se pkt.
English: The optimum daily dose must be determined by careful titration of levodopa in each patient.
Danish: Den optimale daglige dosis skal tilpasses hver enkelt patients behov ved titrering af levodopa.
English: When used with Levodopa/Carbidopa/Entacapone Orion, the daily dose of selegiline should not exceed 10 mg.
Danish: Indtaget sammen med Levodopa/Carbidopa/Entacapone Orion bør den daglige dosis af selegilin ikke overstige 10 mg.
English: Croscarmellose sodium Magnesium stearate Maize starch Mannitol (E421) Povidone K 30 (E1201)
Danish: Croscarmellosenatrium Magnesiumstearat Majsstivelse Mannitol (E421) Povidon K 30 (E1201)
English: Levodopa/Carbidopa/Entacapone Orion and iron preparations should be taken at least 2-3 hours apart (see section 4.8).
Danish: Levodopa/Carbidopa/Entacapone Orion og jernpræparater bør derfor tages med mindst 2-3 timers mellemrum (se pkt.
English: Picture 1
Danish: Figur 1
English: See picture 1.
Danish: Se figur 1.
English: Convulsions have occurred rarely with levodopa/carbidopa; however a causal relationship to levodopa/carbidopa therapy has not been established.
Danish: Der er sjældent forekommet kramper med levodopa/carbidopa, men der er imidlertid ikke fundet årsagssammenhæng med behandling med levodopa/carbidopa.
English: - Pheochromocytoma.
Danish: - Fæokromocytom.
English: Other forms of interactions: Since levodopa competes with certain amino acids, the absorption of Levodopa/Carbidopa/Entacapone Orion may be impaired in some patients on high protein diet.
Danish: Andre former for interaktioner: Levodopa konkurrerer med visse aminosyrer, og absorptionen af Levodopa/Carbidopa/Entacapone Orion kan derfor være nedsat hos patienter på proteinrig kost.
English: Levodopa increases the amount of dopamine and hence reduces the symptoms of Parkinson's disease.
Danish: Levadopa øger mængden af dopamin og nedsætter herved symptomerne på Parkinsons sygdom.
English: Therefore Levodopa/Carbidopa/Entacapone Orion should be given cautiously to patients who are taking other medicinal products which may cause orthostatic hypotension.
Danish: Levodopa/Carbidopa/Entacapone Orion bør derfor gives med forsigtighed til patienter, der anvender andre lægemidler, som kan forårsage ortostatisk hypotension.
English: The SmPC section 4.4 and 4.8 are being updated to add Dopamine Dysregulation Syndrome (DDS) with a frequency “not known” and to add further explanation with regards to DDS to section 4.8 to increase awareness and understanding on the pathology and add a warning to section 4.4 to recommend relevant precautions.
Danish: 4.4 og 4.8 i produktresuméet bliver opdateret for at tilføje dopaminergt dysreguleringssyndrom (DDS) med frekvensen ”ikke kendt” og for at tilføje yderligere forklaring vedrørende DDS i pkt.
English: Myocardial infarction**
Danish: Ikke almindelig: Myokardieinfarkt**
English: Renal impairment: Renal impairment does not affect the pharmacokinetics of entacapone.
Danish: Nedsat nyrefunktion: Nedsat nyrefunktion påvirker ikke entacapons farmakokinetik.
English: SCIENTIFIC CONCLUSIONS AND GROUNDS FOR THE VARIATION TO THE TERMS OF THE MARKETING AUTHORISATIONS
Danish: VIDENSKABELIGE KONKLUSIONER OG BEGRUNDELSER FOR ÆNDRING AF BETINGELSERNE FOR MARKEDSFØRINGSTILLADELSEN/-TILLADELSERNE
English: Entacapone slows the clearance of levodopa from the bloodstream resulting in an increased area under the curve (AUC) in the pharmacokinetic profile of levodopa.
Danish: Entacapon reducerer clearance af levodopa fra blodet og fører til øget AUC i levodopas farmakokinetiske profil.
English: Neither NMS nor rhabdomyolysis have been reported in association with entacapone treatment from controlled trials in which entacapone was discontinued abruptly.
Danish: Hverken MNS eller rabdomyolyse er rapporteret i forbindelse med entacaponbehandling i kliniske afprøvninger, hvor entacapon blev seponeret pludseligt.
English: Entacapone in association with levodopa has been associated with isolated cases of excessive daytime somnolence and sudden sleep onset episodes.
Danish: Entacapon sammen med levodopa er blevet forbundet med enkeltstående tilfælde af udtalt somnolens i dagtimerne og pludseligt indsættende søvnanfald.
English: *Adverse reactions that are mainly attributable to entacapone or are more frequent (by the frequency difference of at least 1% in the clinical trial data) with entacapone than levodopa/DDC inhibitor alone.
Danish: *Bivirkninger, som fortrinsvis kan tilskrives entacapon, eller som er hyppigere (med hyppighedsforskel på mindst 1% i kliniske studiedata) med entacapon end med levodopa/DDChæmmer alene.
English: If this happens, your doctor may need to change the dose of your antiparkinson medicine - experience diarrhoea: monitoring of your weight is recommended in order to avoid potentially excessive weight loss - experience progressive anorexia, asthenia (weakness, exhaustion) and weight decrease within a relatively short period of time.
Danish: Hvis dette er tilfældet, bør du kontakte din læge, fordi der kan være behov for at justere dosis af din medicin mod Parkinsons sygdom - får diarré: Du anbefales at kontrollere din vægt for at undgå muligt overdrevent vægttab - oplever stigende grad af appetitmangel (anoreksi), almen svækkelse (kraftesløs, udmattet) og vægttab inden for en relativt kort periode.
English: The following adverse reactions, listed in Table 1, have been accumulated both from a pooled data of eleven double-blind clinical trials consisting of 3230 patients (1810 treated with Levodopa/Carbidopa/Entacapone Orion or entacapone combined with levodopa/DDC inhibitor, and 1420 treated with placebo combined with levodopa/DDC inhibitor or cabergoline combined with levodopa/ DDC inhibitor), and from the post-marketing data since the introduction of entacapone into the market for the combination use of entacapone with levodopa/DDC inhibitor.
Danish: De bivirkninger, der er opført i tabel 1, er samlet både fra poolede data fra elleve dobbeltblinde kliniske studier omfattende 3.230 patienter (1.810 behandlet med Levodopa/Carbidopa/Entacapone Orion eller entacapon i kombination med levodopa/DDC-hæmmer og 1.420 patienter behandlet med placebo i kombination med levodopa/DDC-hæmmer eller cabergolin i kombination med levodopa/DDC-hæmmer) og fra post-marketing data efter introduktion af entacapon på markedet til anvendelse i kombination med levodopa/DDC-hæmmer.
English: - Patients with chronic wide-angle glaucoma may be treated with Levodopa/Carbidopa/Entacapone Orion with caution, provided the intra-ocular pressure is well controlled and the patient is monitored carefully for changes in intra-ocular pressure.
Danish: - Patienter med kronisk åbenvinklet glaukom kan behandles med Levodopa/Carbidopa/Entacapone Orion med forsigtighed, hvis det intraokulære tryk er velkontrolleret, og patienten overvåges nøje med hensyn til ændringer i det intraokulære tryk.
English: Levodopa, the precursor of dopamine, crosses the blood brain barrier and relieves the symptoms of the disease.
Danish: Levodopa, forløberen til dopamin, krydser blodhjernebarrieren og reducerer symptomerne forbundet med sygdommen.
English: At the initiation, Levodopa/Carbidopa/Entacapone Orion should be adjusted to correspond as closely as possible to the total daily dose of levodopa currently used.
Danish: Ved start skal doseringen af Levodopa/Carbidopa/Entacapone Orion tilpasses, så den ligger så tæt som muligt på den daglige dosis af levodopa, der hidtil er anvendt.
English: Dopamine dysregulation syndrome (DDS) is described as a compulsive pattern of dopaminergic misuse above doses adequate to control motor symptoms.
Danish: Dopaminergt dysreguleringssyndrom (DDS) er beskrevet som et kompulsivt mønster af dopaminergt misbrug med anvendelse af højere doser end hensigtsmæssigt til kontrol af de motoriske symptomer.
English: Levodopa and entacapone may form chelates with iron in the gastrointestinal tract.
Danish: Levodopa og entacapon kan danne chelater med jern i mave-tarmkanalen.
English: - Entacapone in association with levodopa has been associated with somnolence and episodes of sudden sleep onset in patients with Parkinson's disease and caution should therefore be exercised when driving or operating machines (see section 4.7).
Danish: - Entacapon sammen med levodopa er blevet forbundet med døsighed og pludselig indsættende søvnepisoder hos patienter med Parkinsons sygdom, og der bør derfor udvises forsigtighed ved bilkørsel og brug af maskiner (se pkt.
English: When considered necessary, the replacement of Levodopa/Carbidopa/Entacapone Orion with levodopa and DDC inhibitor without entacapone or other dopaminergic treatment should proceed slowly and an increase in levodopa dose may be necessary.
Danish: Hvis det anses for nødvendigt, skal erstatningen af Levodopa/Carbidopa/Entacapone Orion med levodopa/DDC-hæmmer uden entacapon eller anden dopaminerg behandling foregå langsomt, og en forøget levodopadosis kan være nødvendig.
English: - Levodopa/Carbidopa/Entacapone Orion therapy should be administered cautiously to patients with ischemic heart disease, severe cardiovascular or pulmonary disease, bronchial asthma, renal or endocrine disease, history of peptic ulcer disease or history of convulsions.
Danish: - Levodopa/Carbidopa/Entacapone Orion bør administreres med forsigtighed til patienter med iskæmisk hjertesygdom, alvorlig kardiovaskulær eller pulmonal sygdom, asthma bronchiale, nyresygdomme eller endokrine sygdomme eller ulcus pepticum eller kramper i anamnesen.
English: NMS, including rhabdomyolysis and hyperthermia, is characterised by motor symptoms (rigidity, myoclonus, tremor), mental status changes (e.g., agitation, confusion, coma), hyperthermia, autonomic dysfunction (tachycardia, labile blood pressure) and elevated serum creatine phosphokinase.
Danish: MNS, omfattende rabdomyolyse og hypertermi, karakteriseres ved motoriske symptomer (rigiditet, myoklonus, tremor), ændring i mental tilstand (f.eks. agitation, forvirring, koma), hypertermi, autonom dysfunktion (takykardi, labilt blodtryk) og forhøjet serum kreatinfosfokinase.
English: As part of this PSUSA procedure, update of the levodopa/carbidopa/entacapone SmPCs with identical changes regarding dopamine dysregulation syndrome as agreed previously by the CMDh in the PSUSA process for levodopa/carbidopa containing products is considered warranted.
Danish: Som en del af denne PSUSA-proces anses det for at være nødvendigt at foretage en opdatering af produktresuméerne for levodopa/carbidopa/entacapon med de samme ændringer vedrørende dopaminergt dysreguleringssyndrom som tidligere godkendt af CMDh i PSUSA-processen for lægemidler, der indeholder levodopa/carbidopa.
English: - In clinical studies, dopaminergic adverse reactions, e.g. dyskinesia, were more common in patients who received entacapone and dopamine agonists (such as bromocriptine), selegiline or amantadine compared to those who received placebo with this combination.
Danish: - I kliniske studier har dopaminerge bivirkninger, f.eks. dyskinesier, vist sig at forekomme oftere hos patienter i behandling med entacapon og dopaminagonister (som bromokriptin), selegilin eller amantadin sammenlignet med de, der fik placebo i kombination med de samme stoffer.
English: When more levodopa is required, an increase in the frequency of doses and/or the use of an alternative strength of Levodopa/Carbidopa/Entacapone Orion should be considered, within the dose recommendations.
Danish: Når der er behov for mere levodopa og/eller en stigning i dosisfrekvens, skal behovet for en alternativ Levodopa/Carbidopa/Entacapone Orionstyrke vurderes indenfor dosisanbefalingerne.
English: - If general anaesthesia is required, therapy with Levodopa/Carbidopa/Entacapone Orion may be continued for as long as the patient is permitted to take fluids and medicinal products by mouth.
Danish: - Hvis der er behov for generel anæstesi, kan behandling med Levodopa/Carbidopa/Entacapone Orion fortsætte så længe patienten kan indtage væske og medicin peroralt.
English: Serious hepatitis with mainly cholestatic features, rhabdomyolysis and neuroleptic malignant syndrome may occur with Levodopa/Carbidopa/Entacapone Orion although no cases have been identified from the clinical trial data.
Danish: Alvorlig hepatitis, overvejende kolestatisk, rabdomyolyse og malignt neuroleptikasyndrom kan forekomme i forbindelse med Levodopa/Carbidopa/Entacapone Orion, selv om der ikke påvist tilfælde fra de kliniske studiedata.
English: c. When initiating Levodopa/Carbidopa/Entacapone Orion in patients currently treated with entacapone and levodopa/benserazide in a standard release formulation, the dosing of levodopa/benserazide should be discontinued in the previous night, and Levodopa/Carbidopa/Entacapone Orion should be started in the next morning.
Danish: c. Ved initiering af Levodopa/Carbidopa/Entacapone Orionbehandling hos patienter, der allerede er i behandling med entacapon og levodopa/benserazid i en standardformulering, bør behandlingen med levodopa/benserazid afbrydes den foregående aften og Levodopa/Carbidopa/Entacapone Orion initieres den efterfølgende morgen.
English: Some patients experience severe abnormal involuntary movements (dyskinesias), mood swings or other side effects after taking large doses of Levodopa/Carbidopa/Entacapone Orion.
Danish: Nogle patienter oplever svære unormale og ufrivillige bevægelser (dyskinesi), humørsvingninger eller andre bivirkninger, efter de har taget større doser Levodopa/Carbidopa/Entacapone Orion.
English: When less levodopa is required, the total daily dose of Levodopa/Carbidopa/Entacapone Orion should be reduced either by decreasing the frequency of administration by extending the time between doses, or by decreasing the strength of Levodopa/Carbidopa/Entacapone Orion at an administration.
Danish: Hvis der er behov for mindre levodopa, skal den totale daglige dosis af Levodopa/Carbidopa/Entacapone Orion reduceres enten ved at reducere doseringshyppigheden ved at øge tiden mellem doserne, eller ved at vælge en lavere styrke af Levodopa/Carbidopa/Entacapone Orion ved hver dosering.
English: - Narrow-angle glaucoma.
Danish: - Snævervinklet glaukom.
English: The doses of other antiparkinsonian medicinal products may need to be adjusted when Levodopa/Carbidopa/Entacapone Orion treatment is substituted for a patient currently not treated with entacapone.
Danish: Det kan være nødvendigt at justere doserne af andre antiparkinson-lægemidler, når behandling med Levodopa/Carbidopa/Entacapone Orion igangsættes hos en patient, der ikke allerede er i behandling med entacapon.
English: Carton
Danish: Karton
English: The effects of Levodopa/Carbidopa/Entacapone Orion may be weakened by certain medicines.
Danish: Virkningen af Levodopa/Carbidopa/Entacapone Orion kan svækkes af visse lægemidler.
English: A significant number of Parkinson's disease patients have been treated with the combination of levodopa, carbidopa and entacapone with several active substances including MAO-A inhibitors, tricyclic antidepressants, noradrenaline reuptake inhibitors such as desipramine, maprotiline and venlafaxine and medicinal products that are metabolised by COMT (e.g. catechol-structured compounds, paroxetine).
Danish: Et stort antal parkinson-patienter er blevet behandlet med kombinationen levodopa, carbidopa og entacapon og flere andre lægemidler, bl.a. MAO-A-hæmmere, tricykliske antidepressiva, noradrenalin-reuptake-hæmmere som f.eks. desipramin, maprotilin og venlafaxin og lægemidler, som metaboliseres via COMT (f.eks. katekollignende forbindelser, paroxetin).