FrancophonIA/ELRC3.0 huggingface dataset:
English: The underlying conditions requiring transfusion included beta-thalassaemia, sickle cell disease and other congenital and acquired anaemias (myelodysplastic syndromes, DiamondBlackfan syndrome, aplastic anaemia and other very rare anaemias).
Croatian: Podležeća stanja, zbog kojih je bila nužna transfuzija, uključivala su beta-talasemiju, bolest srpastih stanica i druge nasljedne i stečene anemije (mijelodisplastični sindromi, Diamond-Blackfanov sindrom, aplastična anemija i ostale vrlo rijetke anemije).
English: A comparable safety profile for film-coated and dispersible tablets was observed.
Croatian: Uočen je usporediv sigurnosni profil za filmom obložene tablete i tablete za oralnu suspenziju.
English: Deferasirox Mylan contains an active substance called deferasirox.
Croatian: Deferasiroks Mylan sadrži djelatnu tvar koja se zove deferasiroks.
English: Treatment cessation
Croatian: Prekid liječenja
English: Deferasirox Mylan has minor influence on the ability to drive and use machines.
Croatian: Deferasiroks Mylan malo utječe na sposobnost upravljanja vozilima i rada sa strojevima.
English: If you take more Deferasirox Mylan than you should If you have taken too much Deferasirox Mylan, or if someone else accidentally takes your tablets, contact your doctor or hospital for advice straight away.
Croatian: Ako ste uzeli previše lijeka Deferasiroks Mylan ili je tablete zabunom uzeo netko drugi, odmah se javite svome liječniku ili u bolnicu i zatražite savjet.
English: Marketing Authorisation Holder Mylan S.A.S, 117 Allée des Parcs, Saint-Priest, 69800, France
Croatian: Nositelj odobrenja za stavljanje lijeka u promet Mylan S.A.S, 117 Allée des Parcs, Saint-Priest, 69800, Francuska
English: Maximum dose 28 mg/kg/day Consider interruption
Croatian: Maksimalna doza 28 mg/kg/dan Razmotriti prekid
English: LIC is the preferred method of iron overload determination.
Croatian: LIC je preferirana metoda određivanja preopterećenja željezom.
English: Deferasirox and its metabolites are primarily excreted in the faeces (84% of the dose).
Croatian: Deferasiroks i njegovi metaboliti prvenstveno se izlučuju stolicom (84% doze).
English: The potential for toxicity to reproduction was assessed in rats and rabbits.
Croatian: Potencijalna reproduktivna toksičnost deferasiroksa ispitivana je u štakora i kunića.
English: Deferasirox was not teratogenic, but caused increased frequency of skeletal variations and stillborn pups in rats at high doses that were severely toxic to the non-iron-overloaded mother.
Croatian: Deferasiroks nije bio teratogen, no uzrokovao je povećanu učestalost skeletnih varijacija i mrtvorođene mladunčadi štakora pri visokim dozama koje su bile jako toksične za ženke koje nisu bile preopterećene željezom.
English: • The rules for treatment dose adjustments and interruption when target serum ferritin +/− liver iron concentration are reached.
Croatian: - pravila za prilagodbe terapijske doze i prekid liječenja kad se postigne ciljana koncentracija serumskog feritina +/− željeza u jetri
English: No fertility data is available for humans.
Croatian: Ne postoje dostupni podaci o utjecaju na plodnost u ljudi.
English: The maximum recommended daily dose for Deferasirox Mylan film-coated tablets is:
Croatian: - Najviša preporučena dnevna doza Deferasiroks Mylan filmom obloženih tableta je:
English: Dose reduction or closer monitoring of renal and hepatic function, and serum ferritin levels are recommended during periods of treatment with high doses and when serum ferritin levels are close to the target range.
Croatian: Preporučuje se smanjenje doze ili pažljivije praćenje bubrežne i jetrene funkcije te razina serumskog feritina tijekom razdoblja liječenja visokim dozama i kada su razine serumskog feritina blizu ciljnom rasponu.
English: The most frequent reactions reported during chronic treatment in clinical studies conducted with deferasirox dispersible tablets in adult and paediatric patients include gastrointestinal disturbances (mainly nausea, vomiting, diarrhoea or abdominal pain) and skin rash.
Croatian: Najčešće prijavljene reakcije u provedenim kliničkim ispitivanjima tijekom kroničnog liječenja deferasiroks tabletama za oralnu suspenziju u odraslih i u pedijatrijskih bolesnika uključuju gastrointestinalne tegobe (uglavnom mučnina, povraćanje, proljev ili bol u trbuhu) i kožni osip.
English: While no increase in renal adverse events was observed after dose escalation of deferasirox dispersible tablets to doses above 30 mg/kg in clinical studies, an increased risk of renal adverse events with film-coated tablet doses above 21 mg/kg cannot be excluded.
Croatian: Premda u kliničkim ispitivanjima nije bilo opaženo povećanje bubrežnih štetnih događaja nakon postupnog povećavanja doza deferasiroks tableta za oralnu suspenziju iznad 30 mg/kg, ne može se isključiti povećani rizik bubrežnih štetnih događaja uz filmom obložene tablete u dozama iznad 21 mg/kg.
English: Tests of genotoxicity in vitro were negative (Ames test, chromosomal aberration test) while deferasirox caused formation of micronuclei in vivo in the bone marrow, but not liver, of non-ironloaded rats at lethal doses.
Croatian: Testovi genotoksičnosti in vitro bili su negativni (Amesov test, test kromosomskih aberacija), a deferasiroks je in vivo pri letalnim dozama uzrokovao stvaranje mikronukleusa u koštanoj srži, ali ne i u jetri štakora koji nisu bili preopterećeni željezom.
English: Deferasirox Mylan can be used in children and adolescents receiving regular blood transfusions aged 2 years and over and in children and adolescents not receiving regular blood transfusions aged 10 years and over.
Croatian: Deferasiroks Mylan mogu uzimati djeca i adolescenti u dobi od 2 godine i stariji koji primaju redovite transfuzije krvi te djeca i adolescenti u dobi od 10 godina i stariji koji ne primaju redovite transfuzije krvi.
English: Daily doses of 10 mg/kg (dispersible tablet formulation) for one year could maintain liver iron and serum ferritin levels and induce net iron balance in patients receiving infrequent transfusions or exchange transfusions.
Croatian: Dnevnim dozama od 10 mg/kg (formulacija tablete za oralnu suspenziju) tijekom jedne godine mogle su se održavati razine željeza u jetri i serumskog feritina te inducirati neto ravnotežu željeza u bolesnika koji su primali rijetke transfuzije ili eksangvinotransfuzije.
English: The MAH shall ensure that, at launch, in each Member State where Deferasirox Mylan is marketed, all healthcare professionals and patients who are expected to prescribe, dispense and use Deferasirox Mylan are provided with the following educational package:
Croatian: Nositelj odobrenja mora osigurati da se prilikom stavljanja lijeka u promet u svakoj zemlji članici u kojoj se Deferasiroks Mylan nalazi na tržištu, svim zdravstvenim radnicima i bolesnicima za koje se očekuje da će propisivati, izdavati i primjenjivati Deferasiroks Mylan uruči sljedeći edukacijski paket: - Edukacijski materijal za liječnike - Informacijski paket za bolesnike
English: About two-thirds of the patients showing serum creatinine increase returned below the 33% level without dose adjustment.
Croatian: U oko dvije trećine bolesnika s povišenim serumskim kreatininom, vrijednosti su se bez prilagodbe doze vratile ispod razine od 33%.
English: Not recommended
Croatian: Nije preporučljivo
English: • Recommendations for treatment of non-transfusion-dependent thalassaemia (NTDT) syndromes: ◦ Information that only one course of treatment is proposed for NTDT patients ◦ A warning on the necessity of closer monitoring of liver iron concentration and serum ferritin in the paediatric population ◦ A warning on the currently unknown safety consequences of long-term treatment in the paediatric population
Croatian: - preporuke za liječenje sindroma talasemije neovisne o transfuziji: ◦ informacija da se za bolesnike sa sindromima talasemije neovisne o transfuziji predlaže samo jedan ciklus terapije ◦ upozorenje o potrebi pozornijeg praćenja koncentracija željeza u jetri i serumskog feritina u pedijatrijskoj populaciji ◦ upozorenje o trenutačno nepoznatim sigurnosnim posljedicama dugotrajnog liječenja u pedijatrijskoj populaciji
English: The concomitant administration of deferasirox with substances that have known ulcerogenic potential, such as NSAIDs (including acetylsalicylic acid at high dosage), corticosteroids or oral bisphosphonates may increase the risk of gastrointestinal toxicity (see section 4.4).
Croatian: Istodobna primjena deferasiroksa s lijekovima koji imaju dokazan ulcerogeni potencijal, poput nesteroidnih protuupalnih lijekova (uključujući acetilsalicilatnu kiselinu u visokoj dozi), kortikosteroida ili oralnih bisfosfonata može povećati rizik od gastrointestinalne toksičnosti (vidjeti dio 4.4).
English: In addition, before treating heavily iron-overloaded children with non-transfusion-dependent thalassaemia with Deferasirox Mylan, the physician should be aware that the consequences of long-term exposure in such patients are currently not known.
Croatian: Osim toga, prije primjene lijeka Deferasiroks Mylan u liječenju djece s talasemijom neovisnoj o transfuziji u kojih je došlo do teškog preopterećenja željezom, liječnik mora biti svjestan da posljedice dugotrajne izloženosti u tih bolesnika trenutačno nisu poznate.
English: It is not known if deferasirox is secreted into human milk.
Croatian: Nije poznato izlučuje li se deferasiroks u majčino mlijeko u ljudi.
English: • 7 mg per kilogram body weight for children and adolescents not receiving regular blood transfusions.
Croatian: • 7 mg po kilogramu tjelesne težine za djecu i adolescente koji ne primaju redovite transfuzije krvi.
English: Cholestyramine significantly reduced the deferasirox exposure in a mechanistic study to determine the degree of enterohepatic recycling (see section 5.2).
Croatian: Kolestiramin je značajno smanjio izloženost deferasiroksa u mehanicističkom ispitivanju provedenom kako bi se odredio stupanj enterohepatičkoga kruženja (vidjeti dio 5.2).
English: Cellulose, microcrystalline Crospovidone (Type A) Povidone (K30) Magnesium stearate Silica, colloidal anhydrous Poloxamer (P188)
Croatian: celuloza, mikrokristalična krospovidon (vrsta A) povidon (K30) magnezijev stearat silicijev dioksid, koloidni, bezvodni poloksamer (P188)
English: Deferasirox should not be reintroduced in patients who have experienced a hypersensitivity reaction due to the risk of anaphylactic shock (see section 4.3).
Croatian: Deferasiroks se ne smije ponovno uvesti u bolesnika koji su doživjeli reakciju preosjetljivosti zbog rizika od anafilaktičkog šoka (vidjeti dio 4.3).
English: • That deferasirox causes rises in serum creatinine in some patients ◦ The need to monitor serum creatinine On two occasions prior to initiation of treatment Every week during the first month of initiation of treatment or after therapy modification
Croatian: - informacija o tome da deferasiroks uzrokuje povišenje serumskog kreatinina kod nekih bolesnika ◦ potreba praćenja serumskog kreatinina u dva navrata prije početka liječenja svakog tjedna tijekom prvog mjeseca nakon početka liječenja ili nakon prilagodbe terapije poslije toga jednom mjesečno
English: Caution should be exercised in patients who are taking Deferasirox Mylan in combination with substances that have known ulcerogenic potential, such as NSAIDs, corticosteroids, or oral bisphosphonates, in patients receiving anticoagulants and in patients with platelet counts below 50,000/mm³ (50 × 10
Croatian: Nužan je oprez u bolesnika koji uzimaju Deferasiroks Mylan u kombinaciji s lijekovima koje imaju dokazani ulcerogeni potencijal, poput nesteroidnih protuupalnih lijekova, kortikosteroida ili oralnih bisfosfonata, u bolesnika koji primaju antikoagulanse, kao i u bolesnika s brojem trombocita ispod 50 000/mm³ (50 × 10
English: After adjustment of the strength, the film-coated tablet formulation (360 mg strength) was equivalent to deferasirox dispersible tablets (500 mg strength) with respect to the mean area under the plasma concentration time curve (AUC) under fasting conditions.
Croatian: Nakon prilagodbe jačine formulacija filmom obloženih tableta (jačina 360 mg) bila je ekvivalentna deferasiroks formulaciji tablete za oralnu suspenziju (jačina 500 mg) s obzirom na srednju površinu ispod krivulje koncentracije u plazmi i vremena (AUC) kada se uzima natašte.
English: What you need to know before you take Deferasirox Mylan
Croatian: Što morate znati prije nego počnete uzimati Deferasiroks Mylan
English: Auditory (decreased hearing) and ocular (lens opacities) disturbances are uncommon, and yearly examinations are also recommended (see section 4.4).
Croatian: Poremećaji sluha (slabiji sluh) i vida (zamućenja leće) su manje česti te se također preporučuju godišnji kontrolni pregledi (vidjeti dio 4.4).
English: In these patients, closer monitoring of LIC and serum ferritin is essential to avoid over-chelation (see section 4.4).
Croatian: U tih je bolesnika ključno pozorno praćenje LIC-a i serumskog feritina kako bi se izbjegla prekomjerna kelacija (vidjeti dio 4.4).
English: The active substance is deferasirox.
Croatian: Djelatna tvar je deferasiroks.
English: No such effects were observed in iron-preloaded rats.
Croatian: Takvi učinci nisu opaženi u štakora s prethodno izazvanim preopterećenjem željezom.
English: Monthly thereafter.
Croatian: Poslije toga mjesečno.
English: In a 5-year observational study in which 267 children aged 2 to <6 years (at enrollment) with transfusional haemosiderosis received deferasirox, there were no clinically meaningful differences in the safety and tolerability profile of deferasirox in paediatric patients aged 2 to <6 years compared to the overall adult and older paediatric population, including increases in serum creatinine of >33% and above the upper limit of normal on ≥2 consecutive occasions (3.1%), and elevation of alanine aminotransferase (ALT) greater than 5 times the upper limit of normal (4.3%).
Croatian: 5-godišnjem opservacijskom ispitivanju u kojem je 267 djece u dobi od 2 do < 6 godina (pri uključivanju u ispitivanje) s transfuzijskom hemosiderozom primalo deferasiroks, nije bilo klinički značajnih razlika u profilu sigurnosti i podnošljivosti lijeka Exjade u pedijatrijskih bolesnika u dobi od 2 do < 6 godina u usporedbi s općom populacijom odraslih i starijih pedijatrijskih bolesnika, uključujući poraste u serumskom kreatininu od > 33% i iznad gornje granice normale prilikom ≥ 2 uzastopne kontrole (3,1%), i porast alanin aminotransferaze (ALT) iznad 5-erostruke vrijednosti gornje granice normale (4,3%).
English: It is recommended that treatment be started after the transfusion of approximately 20 units (about 100 ml/kg) of packed red blood cells (PRBC) or when there is evidence from clinical monitoring that chronic iron overload is present (e.g. serum ferritin >1,000 µg/l).
Croatian: Preporučuje se započeti liječenje nakon transfuzije od približno 20 jedinica (oko 100 ml/kg) koncentrata eritrocita (KE) ili kada na temelju kliničkog praćenja postoji dokaz kroničnog preopterećenja željezom (npr. serumski feritin > 1000 µg/l).
English: Twice (2×)
Croatian: Prije terapije dvaput (2×)
English: At a starting dose of 10 mg/kg/day, deferasirox dispersible tablets led to reductions in indicators of total body iron.
Croatian: Pri početnoj dozi od 10 mg/kg/dan primjena deferasiroks tableta za oralnu suspenziju dovela je do sniženja pokazatelja ukupne koncentracije željeza u tijelu.
English: Blood disorders
Croatian: Poremećaji krvi
English: Blood and lymphatic system disorders Not known:
Croatian: Poremećaji krvi i limfnog sustava Nepoznato:
English: If serum ferritin falls consistently below 500 µg/l (in transfusional iron overload) or below 300 µg/l (in non-transfusion-dependent thalassaemia syndromes), an interruption of treatment should be considered.
Croatian: Ako serumski feritin stalno pada ispod 500 µg/l (kod transfuzijskog preopterećenja željezom) ili ispod 300 µg/l (kod sindroma talasemije neovisne o transfuziji), treba se razmotriti prekid liječenja.
English: These side effects are uncommon.
Croatian: Ove nuspojave su manje česte.
English: Diarrhoea, constipation, vomiting, nausea, abdominal pain, abdominal distension, dyspepsia
Croatian: proljev, konstipacija, povraćanje, mučnina, bol u abdomenu, distenzija abdomena, dispepsija
English: In patients with non-transfusion-dependent thalassaemia syndromes and iron overload, treatment with deferasirox dispersible tablets was assessed in a 1-year, randomised, double-blind, placebo-controlled study.
Croatian: U bolesnika sa sindromima talasemije neovisnih o transfuziji i s preopterećenjem željezom liječenje deferasiroks tabletama za oralnu suspenziju ocjenjivano je u jednogodišnjem, randomiziranom, dvostruko slijepom, placebom kontroliranom ispitivanju.
English: • Take Deferasirox Mylan film-coated tablets either on an empty stomach or with a light meal.
Croatian: - Deferasiroks Mylan filmom obložene tablete uzimajte ili na prazan želudac ili uz lagani obrok.
English: Deferasirox Mylan has not been studied in patients with renal impairment and is contraindicated in patients with estimated creatinine clearance <60 ml/min (see sections 4.3 and 4.4).
Croatian: Deferasiroks Mylan nije ispitivan u bolesnika s oštećenjem bubrega te je kontraindiciran u bolesnika s procijenjenim klirensom kreatinina < 60 ml/min (vidjeti dijelove 4.3 i 4.4).
English: • A warning on the risk of overchelation and on the necessity of close monitoring of serum ferritin levels and renal and hepatic function.
Croatian: - upozorenje o riziku od prekomjerne kelacije i o potrebi za pažljivim praćenjem razina serumskog feritina te bubrežne i jetrene funkcije
English: Severe forms associated with changes in consciousness in the context of hyperammonaemic encephalopathy have been reported.
Croatian: Bili su prijavljeni teški oblici povezani s promjenama svijesti u sklopu hiperamonemične encefalopatije.
English: Approximate tablet dimensions 10.00 mm × 4.5 mm.
Croatian: Približne dimenzije tablete 10,00 mm × 4,5 mm.
English: Clear transparent PVC/PVDC/Aluminium blisters containing 30 or 90 film-coated tablets and unit dose blisters of 30 × 1 tablets.
Croatian: Prozirnim bezbojni PVC/PVDC/aluminij blisteri koji sadrže 30 ili 90 filmom obloženih tableta i blisteri djeljivi na jedinične doze s 30 × 1 tabletom.
English: The main findings were kidney toxicity and lens opacity (cataracts).
Croatian: Najvažniji nalazi bili su bubrežna toksičnost i zamućenje leće (katarakte).
English: The other ingredients are microcrystalline cellulose, crospovidone, povidone, magnesium stearate, colloidal anhydrous silica and poloxamer.
Croatian: Drugi sastojci su mikrokristalična celuloza, krospovidon, povidon, magnezijev stearat, koloidni bezvodni silicijev dioksid i poloksamer.
English: It is recommended that hyperammonaemic encephalopathy be considered and ammonia levels measured in patients who develop unexplained changes in mental status while on Deferasirox Mylan therapy.
Croatian: Preporučuje se razmatranje hiperamonemične encefalopatije i mjerenje razina amonijaka u bolesnika u kojih dođe do neobjašnjivih promjena mentalnog stanja tijekom terapije lijekom Deferasiroks Mylan.
English: If any SCAR is suspected, Deferasirox Mylan should be discontinued immediately and should not be reintroduced.
Croatian: Ako se sumnja na bilo kakvu tešku kožnu nuspojavu, primjenu lijeka Deferasiroks Mylan potrebno je odmah prekinuti i ne smije se ponovno započeti.
English: In children with transfusional iron overload aged between 2 and 5 years, exposure is lower than in adults (see section 5.2).
Croatian: Izloženost lijeku u djece s transfuzijskim preopterećenjem željezom od 2 do 5 godina starosti niža je nego u odraslih (vidjeti dio 5.2).
English: Once a satisfactory body iron level has been achieved (LIC <3 mg Fe/g dw or serum ferritin <300 µg/l), treatment should be stopped.
Croatian: Nakon što se postigne zadovoljavajuća razina željeza u tijelu (LIC < 3 mg Fe/g težine suhog tkiva jetre ili serumski feritin < 300 µg/l) liječenje je potrebno prekinuti.
English: Deferasirox Mylan is not recommended during pregnancy unless clearly necessary.
Croatian: Deferasiroks Mylan se ne preporučuje tijekom trudnoće, osim ako to nije posve neophodno.
English: Patient guide should contain the following key elements: ◦ Information on the need for regular monitoring, and when it should be carried out, of serum creatinine, creatinine clearance, proteinuria, hepatic enzymes, ferritin ◦ Information that renal biopsy may be considered if significant renal abnormalities occur ◦ Availability of several oral formulations (e.g. dispersible tablets, film-coated tablets and granules) and the main differences associated with these formulations (i.e., different posology regimen, different conditions of administration notably with food)
Croatian: Vodič za bolesnike mora sadržavati sljedeće ključne elemente: ◦ informacije o potrebi redovitog praćenja serumskog kreatinina, klirensa kreatinina, proteinurije, jetrenih enzima, feritina i kada je te pretrage potrebno obaviti ◦ informaciju o tome da je potrebno razmotriti mogućnost biopsije bubrega ako se pojave značajne abnormalnosti bubrega ◦ raspoloživost nekoliko oralnih formulacija (npr. tablete za oralnu suspenziju, filmom obložene tablete i granule) i glavne razlike povezane s tim formulacijama lijeka (npr. različiti režimi doziranja, različiti uvjeti primjene osobito s obzirom na hranu)
English: In severe cases, this reintroduction could be conducted in combination with a short period of oral steroid administration.
Croatian: U teškim slučajevima ponovno uvođenje lijeka može biti provedeno u kombinaciji s peroralnim steroidima tijekom kraćega perioda primjene.
English: Other markers of renal tubular function (such as glycosuria in non-diabetics and low levels of serum potassium, phosphate, magnesium or urate, phosphaturia, aminoaciduria)
Croatian: Ostali markeri tubularne funkcije bubrega (poput glikozurije u bolesnika koji nisu dijabetičari i niske razine serumskog kalija, fosfata, magnezija ili urata, fosfaturije, aminoacidurije)
English: In clinical studies, elderly patients experienced a higher frequency of adverse reactions than younger patients (in particular, diarrhoea) and should be monitored closely for adverse reactions that may require a dose adjustment.
Croatian: U kliničkim ispitivanjima je u starijih bolesnika zabilježena viša učestalost nuspojava nego u mlađih bolesnika (osobito proljev) te ih se stoga mora pomno pratiti s obzirom na nuspojave, jer će možda biti potrebna prilagodba doze.
English: The concomitant administration of deferasirox and aluminium-containing antacid preparations has not been formally studied.
Croatian: Istodobna primjena deferasiroksa i antacida koji sadrže aluminij nije formalno ispitana.
English: The study compared the efficacy of two different deferasirox dispersible tablet regimens (starting doses of 5 and 10 mg/kg/day, 55 patients in each arm) and of matching placebo (56 patients).
Croatian: Ispitivanjem je uspoređivana djelotvornost dva različita režima doziranja deferasiroks tableta za oralnu suspenziju (početne doze 5 i 10 mg/kg/dan, 55 bolesnika u svakom kraku) i odgovarajućim placebom (56 bolesnika).
English: Deconjugation of glucuronidates in the intestine and subsequent reabsorption (enterohepatic recycling) is likely to occur: in a healthy volunteer study, the administration of cholestyramine after a single dose of deferasirox resulted in a 45% decrease in deferasirox exposure (AUC).
Croatian: Vjerojatno se može dogoditi dekonjugacija glukoronidata u crijevu i posljedična reapsorpcija (enterohepatičko kruženje): u ispitivanju na zdravim dobrovoljcima primjena kolestiramina nakon jednokratne doze deferasiroksa je dovela do pada od 45% izloženosti deferasiroksu (AUC).
English: Cases of serious hypersensitivity reactions (such as anaphylaxis and angioedema) have been reported in patients receiving deferasirox, with the onset of the reaction occurring in the majority of cases within the first month of treatment (see section 4.8).
Croatian: U bolesnika koji primaju deferasiroks prijavljeni su slučajevi ozbiljnih reakcija preosjetljivosti (poput anafilaksije i angioedema), pri čemu se nastup reakcija u većini slučajeva događa unutar prvog mjeseca liječenja (vidjeti dio 4.8).