FrancophonIA/ELRC3.0 huggingface dataset:
English: Insert the needle Gently insert the needle into the pinched skin at a 45º angle.
Croatian: Nježno ubodite iglu u nabor kože pod kutom od 45º.
English: In a pre- and postnatal development study in rats, limited changes in immune function were observed at 11-fold higher than a human 10 mg/kg dose based on AUC (see section 5.3).
Croatian: U istraživanjima prenatalnog i postnatalnog razvoja na štakorima opažene su ograničene promjene u funkcioniranju imunološkog sustava pri dozama koje su, na temelju AUC-a, bile 11 puta veće od doze za ljude od 10 mg/kg (vidjeti dio 5.3).
English: Abatacept was evaluated in an open-label study in rheumatoid arthritis patients administered the 23valent pneumococcal vaccine.
Croatian: Abatacept je ocijenjen u otvorenom ispitivanju u bolesnika s reumatoidnim artritisom koji su primili 23-valentno pneumokokno cjepivo.
English: Abatacepta +DMARDsb
Croatian: Abatacepta +DMARD-i b
English: Administration: when reconstitution and dilution are performed under aseptic conditions ORENCIA infusion solution can be used immediately or within 24 hours if stored refrigerated at 2°C to 8°C.
Croatian: Primjena: kada su priprema i razrjeđivanje provedeni u aseptičkim uvjetima, otopina za infuziju lijeka ORENCIA može se upotrijebiti odmah ili u roku od 24 sata ako se čuva u hladnjaku na temperaturi od 2°C do 8°C.
English: There was a significant improvement of DAS in studies II, III, V, and VI as compared to placebo or comparator.
Croatian: U ispitivanjima II, III, V i VI zabilježeno je značajno poboljšanje DAS rezultata u odnosu na placebo ili usporedni lijek.
English: At 24 months, 20.8 % (66/318) of patients on abatacept and 25.3 % (83/328) on adalimumab had discontinued.
Croatian: Nakon 24 mjeseca liječenje je prekinulo 20,8% (66/318) bolesnika liječenih abataceptom i 25,3% (83/328) bolesnika liječenih adalimumabom.
English: Following the initial administration, ORENCIA should be given at 2 and 4 weeks after the first infusion and every 4 weeks thereafter.
Croatian: Nakon početne primjene, ORENCIA se treba primijeniti 2 i 4 tjedna nakon prve infuzije, a zatim svaka 4 tjedna.
English: In this study children and adolescents with moderately to severely active pJIA, ages 2 to 17 years (46 patients in the 2 to 5 year age cohort and 173 patients in the 6 to 17 year age cohort) with an inadequate response or intolerance to at least one DMARD, which may have included biologic agents, were treated.
Croatian: U tom su se ispitivanju liječila djeca i adolescenti s umjerenim do teškim oblikom aktivnog pJIAa u dobi od 2 do 17 godina (kohorta s 46 bolesnika u dobi od 2 do 5 godina starosti te kohorta sa 173 bolesnika u dobi od 6 do 17 godina starosti) koji na najmanje jedan DMARD nisu imali dovoljno dobar odgovor ili ga nisu podnosili, a koji je mogao biti i biološki lijek.
English: Co-administration of abatacept with biologic immunosuppressive or immunomodulatory agents could potentiate the effects of abatacept on the immune system.
Croatian: Istodobna primjena abatacepta s biološkim imunosupresivnim ili imunomodulatornim lijekovima može pojačati učinke abatacepta na imunološki sustav.
English: Remove one pre-filled syringe from the refrigerator and wait 30 minutes to allow it to reach room temperature.
Croatian: Izvadite jednu napunjenu štrcaljku iz hladnjaka i pričekajte 30 minuta da se ugrije na sobnu temperaturu.
English: ORENCIA is usually used in combination with methotrexate, although ORENCIA may also be used alone if treatment with methotrexate is inappropriate.
Croatian: ORENCIA se obično primjenjuje u kombinaciji s metotreksatom, ali može se koristiti i sama ako liječenje metotreksatom nije prikladno.
English: The safety observed in the treatment arm that reinitiated therapy without an intravenous loading dose was also consistent with that observed in the other studies.
Croatian: Sigurnost primjene u skupini koja je ponovno liječenje započela intravenskom udarnom dozom također je bila sukladna onoj opaženoj u drugim ispitivanjima.
English: In study PsA-II following weekly subcutaneous administration of abatacept at 125 mg, steady-state of abatacept was reached at day 57 with the geometric mean (CV%) cmin ranging from 22.3 (54.2%) to 25.6 (47.7%) mcg/mL on days 57 to 169, respectively.
Croatian: U ispitivanju PsA-II, nakon tjednih supkutanih primjena abatacepta u dozi od 125 mg abatacept je postigao stanje dinamičke ravnoteže 57. dana, uz geometrijsku srednju vrijednost (CV%) Cmin u rasponu od 22,3 (54,2%) do 25,6 (47,7%) μg/ml 57. odnosno 169. dana.
English: Patients entered in the trial were a mean 10.6 years of age with mean disease duration of 2.4 years.
Croatian: Prosječna dob bolesnika uključenih u ispitivanje iznosila je 10,6 godina, dok im je bolest trajala prosječno 2,4 godine.
English: When reconstitution and dilution are performed under aseptic conditions ORENCIA infusion solution can be used immediately or within 24 hours if stored refrigerated at 2°C to 8°C.
Croatian: Kada su rekonstitucija i razrjeđivanje provedeni u aseptičkim uvjetima, otopina za infuziju lijeka ORENCIA može se upotrijebiti odmah ili u roku od 24 sata ako se čuva u hladnjaku na temperaturi od 2°C do 8°C.
English: In those patients who initially received infliximab and then switched to abatacept, the reduction in the mean DAS28 score from baseline was 3.29 at day 729 and 2.48 at day 365.
Croatian: U bolesnika koji su u početku primali infliksimab, a potom su prebačeni na abatacept, smanjenje prosječnog DAS28 rezultata u odnosu na početne vrijednosti iznosilo je 3,29 729. dana te 2,48 365. dana.
English: The use of ORENCIA is not expected to affect the ability to drive, cycle or use machines.
Croatian: Ne očekuje se da bi ORENCIA mogla utjecati na sposobnost upravljanja vozilima, vožnje bicikla i rada sa strojevima.
English: Antibodies directed against the entire abatacept molecule or to the CTLA-4 portion of abatacept were assessed by ELISA assays in patients with pJIA following repeated treatment with intravenous ORENCIA.
Croatian: Postojanje antitijela usmjerenih protiv cijele molekule abatacepta ili protiv njezina dijela CTLA-4 ispitano je ELISA testovima u bolesnika s pJIA-om nakon ponovljenog intravenskog liječenja lijekom ORENCIA.
English: Number of Vialsb
Croatian: Broj bočicab
English: Month 12 41%‡
Croatian: 12. mjesec 41%†
English: - Remove the flip-top from the vial and wipe the top with an alcohol swab.
Croatian: - - Skinite poklopac s vrha bočice i obrišite vrh vatom natopljenom alkoholom.
English: Serious infections, including sepsis and pneumonia, have been reported with abatacept (see section 4.8).
Croatian: Kod primjene abatacepta prijavljene su ozbiljne infekcije, uključujući sepsu i pneumoniju (vidjeti dio 4.8).
English: * p < 0.05, abatacept vs. placebo.
Croatian: * p < 0,05, abatacept naspram placeba.
English: Check the liquid in the pre-filled syringe through the viewing window.
Croatian: Pregledajte tekućinu u napunjenoj štrcaljki kroz prozor za provjeru.
English: A greater percentage of abatacept- than placebotreated patients with COPD developed a serious adverse reaction (5.4% vs. 0%), including COPD exacerbation (1 of 37 patients [2.7%]) and bronchitis (1 of 37 patients [2.7%]).
Croatian: Ozbiljnu je nuspojavu razvio veći postotak bolesnika s KOPB-om liječenih abataceptom u odnosu na one koji su primali placebo (5,4% naspram 0%), što je uključivalo pogoršanje KOPB-a (1 od 37 bolesnika [2,7%]) i bronhitis (1 od 37 bolesnika [2,7%]).
English: The recommended dose of ORENCIA for patients 6 to 17 years of age with polyarticular juvenile idiopathic arthritis who weigh less than 75 kg is 10 mg/kg calculated based on the patient's body weight at each administration.
Croatian: Preporučena doza lijeka ORENCIA u bolesnika s poliartikularnim juvenilnim idiopatskim artritisom u dobi od 6 do 17 godina koji teže manje od 75 kg iznosi 10 mg/kg, a izračunava se na temelju tjelesne težine bolesnika kod svake primjene.
English: Flange extender
Croatian: Proširen rubnik
English: The recommended weekly dose of ORENCIA solution for injection in pre-filled syringe for patients 2 to 17 years of age with polyarticular juvenile idiopathic arthritis should be initiated without an intravenous loading dose and administered utilizing the weight range-based dosing as specified in the table below:
Croatian: Preporučenu tjednu dozu ORENCIA otopine za injekciju u napunjenoj štrcaljki za bolesnike s poliartikularnim juvenilnim idiopatskim artritisom u dobi od 2 do 17 godina treba uvesti bez intravenske udarne doze i primjenjivati u skladu s doziranjem prema rasponu tjelesne težine, kako je navedeno u tablici u nastavku:
English: The liquid should be clear to pale yellow.
Croatian: Tekućina mora biti bistra do blijedožuta.
English: Summary of the safety profile in rheumatoid arthritis
Croatian: Sažetak sigurnosnog profila kod reumatoidnog artritisa
English: Record the date, time and site where you injected.
Croatian: Zabilježite datum, vrijeme i mjesto injiciranja.
English: If you are already on intravenous ORENCIA treatment and wish to transition to ORENCIA subcutaneous, you should receive a subcutaneous injection instead of your next intravenous infusion, followed by weekly subcutaneous injections of ORENCIA.
Croatian: Ako se već liječite lijekom ORENCIA koji Vam se daje u venu i želite prijeći na liječenje supkutanim (potkožnim) injekcijama ovog lijeka, trebate primiti supkutanu (potkožnu) injekciju umjesto sljedeće planirane intravenske infuzije, a zatim nastaviti s tjednim injekcijama lijeka ORENCIA.
English: Antibodies directed against the whole abatacept molecule or to the CTLA-4 portion of abatacept were assessed by an ECL assay in patients with pJIA following repeated treatment with subcutaneous abatacept.
Croatian: Postojanje antitijela usmjerenih protiv cijele molekule abatacepta ili protiv njezina dijela CTLA-4 ispitano je ECL testom u bolesnika s pJIA-om nakon ponovljenog liječenja supkutanim abataceptom.
English: Significantly more placebo recipients flared during Period B (33/62; 53%) than those maintained on abatacept (12/60; 20%; chi-square p<0.001).
Croatian: Tijekom Razdoblja B bolest se razbuktala značajno većem broju bolesnika koji su primali placebo (33/62; 53%) nego onih koji su održavani abataceptom (12/60, 20%; hi-kvadrat p < 0,001).
English: During the cumulative study period when all subjects treated with abatacept in 7 SC studies were included, the frequency of injection site reactions was 4.6% (116/2,538) with an incidence rate of 1.32 per 100 person-years.
Croatian: Tijekom kumulativnog razdoblja ispitivanja, koje je obuhvatilo sve ispitanike liječene abataceptom u 7 ispitivanja supkutane primjene, učestalost reakcija na mjestu injekcije iznosila je 4,6% (116/2538), uz stopu incidencije od 1,32 na 100 bolesnik-godina.
English: Patients achieving at least a ACR Pedi 30 response at the end of Period A were randomised into a double-blind, withdrawal phase (Period B), and received either abatacept or placebo for 6 months or until pJIA disease flare as defined in the study.
Croatian: A postigli najmanje odgovor Ped ACR30 randomizirani su u dvostruko slijepu fazu ustezanja (Razdoblje B) te su primali ili abatacept ili placebo tijekom 6 mjeseci ili do razbuktavanja bolesti kako je definirano u ispitivanju.
English: Upon withdrawal of abatacept subcutaneous treatment, the increased rate of immunogenicity was consistent with that seen upon discontinuation of abatacept administered intravenously.
Croatian: Nakon prekida supkutane primjene abatacepta, povećanje stope imunogenosti bilo je sukladno onome zabilježenom nakon prekida intravenske primjene abatacepta.
English: Step 2: Examine the Pre-filled syringe
Croatian: KORAK 2: Pregledajte napunjenu štrcaljku:
English: In study PsA-II, 424 patients were randomised 1:1 to receive in a double-blind manner weekly doses of subcutaneous placebo or abatacept 125 mg without a loading dose for 24 weeks, followed by openlabel abatacept 125 mg subcutaneous weekly.
Croatian: U ispitivanju PsA-II, 424 bolesnika bila su randomizirana u omjeru 1:1 za dvostruko slijepo primanje tjednih supkutanih doza placeba ili abatacepta u dozi od 125 mg bez udarne doze tijekom 24 tjedna, nakon čega je uslijedila otvorena primjena abatacepta u supkutanoj dozi od 125 mg tjedno.
English: If you experience symptoms such as chest tightness, wheezing, severe dizziness, or lightheadedness, seek medical attention immediately.
Croatian: Ako osjetite simptome poput stezanja u prsima, piskanja pri disanju, teške omaglice ili ošamućenosti, odmah potražite liječničku pomoć.
English: Complete drug withdrawal led to loss of remission (return to disease activity) in all three treatment arms (abatacept with methotrexate, abatacept or methotrexate alone) in a majority of patients (Table 3).
Croatian: Potpuni prekid terapije doveo je do gubitka remisije (povratka aktivne bolesti) u sve tri liječene skupine (abatacept u kombinaciji s metotreksatom, monoterapija abataceptom ili monoterapija metotreksatom) kod većine bolesnika (Tablica 3).
English: Clinical efficacy and safety in adult rheumatoid arthritis
Croatian: Klinička djelotvornost i sigurnost u odraslih bolesnika s reumatoidnim artritisom
English: Record the date, time, and site where you inject.
Croatian: Zapišite datum, vrijeme i mjesto injekcije.
English: The results were measured using the Genant-modified total Sharp score (TSS) and its components, the erosion score and joint space narrowing (JSN) score.
Croatian: Total Sharp score, TSS) i ocjene njezinih komponenata, ocjene erozije i ocjene suženja zglobnog prostora (engl. joint space narrowing, JSN).
English: The overall frequency of injection site reactions was 2.6% (19/736) and 2.5% (18/721) for the subcutaneous abatacept group and the subcutaneous placebo group (intravenous abatacept), respectively.
Croatian: Ukupna učestalost reakcija na mjestu injekcije iznosila je 2,6% (19/736) u skupini koja je supkutano primala abatacept te 2,5% (18/721) u skupini koja je supkutano primala placebo (intravenski abatacept).
English: Discontinuation due to an acute infusion-related reaction occurred in 0.3% of patients receiving abatacept and in 0.1% of placebo-treated patients.
Croatian: Liječenje je zbog akutne reakcije vezane uz infuziju prekinuto u 0,3% bolesnika koji su primali abatacept i u 0,1% bolesnika koji su primali placebo.
English: In the placebo-controlled clinical trials, abatacept treatment did not lead to increased autoantibody formation, such as antinuclear and anti-dsDNA antibodies, relative to placebo treatment (see sections 4.8 and 5.3).
Croatian: U placebom kontroliranim kliničkim ispitivanjima liječenje abataceptom nije dovelo do povećanog stvaranja autoantitijela, poput antinuklearnih i anti-dsDNK antitijela, u usporedbi s primjenom placeba (vidjeti dijelove 4.8 i 5.3).
English: Complete drug withdrawal led to loss of remission (return to disease activity) in all three treatment arms (abatacept with methotrexate, abatacept or methotrexate alone) in a majority of patients (Table 4).
Croatian: Potpuni prekid terapije doveo je do gubitka remisije (povratka aktivne bolesti) u sve tri liječene skupine (abatacept u kombinaciji s metotreksatom, monoterapija abataceptom ili monoterapija metotreksatom) kod većine bolesnika (Tablica 4).
English: Table 1: Weekly dose of ORENCIA Body weight of patient
Croatian: Tablica 1: Tjedna doza lijeka ORENCIA
English: The safety and efficacy of abatacept in the ongoing SC study were consistent with the results seen with abatacept in the IV study (see section 5.1 of the ORENCIA solution for injection in pre-filled syringe SmPC for complete study description and results).
Croatian: Sigurnost i djelotvornost abatacepta u ispitivanju supkutane formulacije koje je trenutno u tijeku odgovaraju rezultatima opaženima u ispitivanju intravenske formulacije abatacepta (za cjeloviti opis i rezultate ispitivanja vidjeti dio 5.1 sažetka opisa svojstava lijeka za ORENCIA otopinu za injekciju u napunjenoj štrcaljki).
English: The cumulative immunogenicity frequency to abatacept by the ECL assay with at least one positive sample in the short-term and long-term periods combined was 15.7% (215/1369) while on abatacept, with a mean duration of exposure of 48.8 months, and 17.3% (194/1121) after discontinuation (> 21 days up to 168 days after last dose).
Croatian: Kumulativna učestalost frekvencije imunogenosti na abatacept dobivena ECL testom s barem jednim pozitivnim uzorkom u kratkotrajnom i dugotrajnom razdoblju bila je 15,7% (215/1369) tijekom primjene abatacepta, s prosječnim trajanjem izloženosti od 48,8 mjeseci, 17,3% (194/1121) nakon prekida primjene (> 21 dan do 168 dana nakon posljednje doze lijeka).
English: In a pre- and postnatal development study with abatacept in rats, no undesirable effects were observed in pups of dams given abatacept at doses up to 45 mg/kg, representing 3-fold a human 10 mg/kg exposure based on AUC.
Croatian: U istraživanjima prenatalnog i postnatalnog razvoja kod primjene abatacepta u štakora, nisu zabilježeni štetni učinci na mladuncima ženki koje su primale abatacept u dozama do 45 mg/kg, što predstavlja 3 puta veću izloženost od one u ljudi pri dozi od 10 mg/kg, na temelju AUC-a.
English: Patients treated with abatacept subcutaneously also achieved similar ACR 50 and 70 responses as those patients receiving abatacept intravenously at 6 months.
Croatian: Nakon 6 mjeseci, bolesnici koji su abatacept primali supkutano također su postigli odgovore ACR50 i ACR70 u podjednakoj mjeri kao i bolesnici koji su abatacept primali intravenski.
English: Doses up to 50 mg/kg have been administered intravenously without apparent toxic effect.
Croatian: Intravenska primjena doza do 50 mg/kg nije izazvala vidljive toksične učinke.
English: In studies I, II, and V the efficacy and safety of abatacept compared to placebo were assessed in patients with an inadequate response to methotrexate and who continued on their stable dose of methotrexate.
Croatian: U ispitivanjima I, II i V ispitivala se djelotvornost i sigurnost abatacepta u usporedbi s placebom u bolesnika koji nisu dovoljno dobro odgovorili na metotreksat i koji su nastavili uzimati metotreksat u svojim stabilnim dozama.
English: At the start, your doctor or nurse may inject ORENCIA.
Croatian: U početku će Vam injekcije lijeka ORENCIA možda davati liječnik ili medicinska sestra.
English: This can cause joint damage.
Croatian: To može uzrokovati oštećenja zglobova.
English: Cotton ball or gauze
Croatian: Pamučna vata ili gaza
English: Breast-feeding should be discontinued during treatment with ORENCIA and for up to 14 weeks after the last dose of abatacept treatment.
Croatian: Dojenje treba prekinuti tijekom liječenja lijekom ORENCIA i do 14 tjedana nakon posljednje doze abatacepta.
English: In this study, the steady-state concentrations of abatacept were dose-related.
Croatian: U tom su ispitivanju koncentracije abatacepta u stanju dinamičke ravnoteže bile povezane s dozom.
English: - Slowly add the reconstituted ORENCIA solution from each vial to the infusion bag or bottle using the same silicone-free disposable syringe provided with each vial.
Croatian: - - Polako dodajte rekonstituiranu otopinu lijeka ORENCIA iz svake bočice u infuzijsku vrećicu ili bocu, koristeći istu nesilikonsku štrcaljku za jednokratnu uporabu priloženu uz svaku bočicu.
English: EU/1/07/389/002 2 vials and 2 silicone-free syringes (2 packs of 1) EU/1/07/389/003 3 vials and 3 silicone-free syringes (3 packs of 1)
Croatian: EU/1/07/389/002 2 bočice i 2 nesilikonske štrcaljke (2 pakiranja po 1) EU/1/07/389/003 3 bočice i 3 nesilikonske štrcaljke (3 pakiranja po 1)
English: In SC-II, serious infections were reported in 3.8 % (12/318) of patients treated with abatacept SC weekly, none of which led to discontinuation and in 5.8 % (19/328) of patients treated with adalimumab SC every-other-week, leading to 9 discontinuations in the 24-month period.
Croatian: U ispitivanju SC-II su tijekom 24-mjesečnog razdoblja ozbiljne infekcije prijavljene u 3,8% (12/318) bolesnika liječenih abataceptom primijenjenim supkutano jedanput na tjedan (niti jedna od njih nije uzrokovala prekid liječenja) te u 5,8% (19/328) bolesnika liječenih adalimumabom primijenjenim supkutano jedanput svaka dva tjedna (u 9 slučajeva dovele su do prekida liječenja).
English: ORENCIA is available in the following presentations: - pack of 4 pre-filled pens and multipack containing 12 pre-filled pens (3 packs of 4).
Croatian: ORENCIA je dostupna u sljedećim pakiranjima: - pakiranje od 4 napunjene brizgalice i višestruko pakiranje koje sadrži 12 napunjenih brizgalica (3 pakiranja po 4).
English: DO NOT RECAP the Pre-filled Syringe, as this may damage the needle.
Croatian: NEMOJTE VRAĆATI ZATVARAČ na napunjenu štrcaljku jer tako možete oštetiti iglu.
English: There were no adverse reactions that occurred at ≥ 2% in either treatment group during the 24-week placebocontrolled period.
Croatian: Ni u jednoj od tih dviju liječenih skupina nijedna se nuspojava nije javila u ≥ 2% bolesnika tijekom 24-tjednog placebom kontroliranog razdoblja.
English: Study SC-I: Pre-filled pen sub-study
Croatian: Ispitivanje SC-I: podispitivanje primjene napunjenom brizgalicom
English: Study SC-I compared the immunogenicity to abatacept following subcutaneous or intravenous administration as assessed by ELISA assay.
Croatian: U ispitivanju SC-I uspoređivala se imunogenost na abatacept nakon supkutane odnosno intravenske primjene, primjenom ELISA testa.
English: Table 10:
Croatian: Tablica 10:
English: In rats and rabbits, abatacept exposure was up to 29-fold a human 10 mg/kg exposure based on AUC.
Croatian: U štakora i kunića je izloženost abataceptu, na temelju AUC-a, bila do 29 puta veća od izloženosti u ljudi pri dozi od 10 mg/kg.
English: Placebo +DMARDsb
Croatian: Placebo +DMARD-i b
English: Paediatric patients weighing 75 kg or more should be administered ORENCIA following the adult dosing regimen, not to exceed a maximum dose of 1,000 mg. ORENCIA should be administered as a 30-minute intravenous infusion.
Croatian: U pedijatrijskih bolesnika tjelesne težine 75 kg ili više lijek ORENCIA treba primjenjivati prema režimu doziranja za odrasle, no ne smije se prekoračiti maksimalna doza od 1000 mg.
English: Don't put the needle cover back on the needle once removed.
Croatian: Nemojte vraćati poklopac na iglu nakon što ga skinete.
English: If you miss your dose within three days of when you are supposed to take it, take your dose as soon as you remember and then follow your original dosing schedule on your chosen day.
Croatian: Ako ste propustili dozu, a nije prošlo više od 3 dana od kada ste je trebali dobiti, primijenite je čim se sjetite, a zatim nastavite primjenjivati doze prema dotadašnjem rasporedu.
English: Before you use ORENCIA, your doctor may examine you for hepatitis.
Croatian: Prije nego što primijenite lijek ORENCIA, liječnik će Vas možda testirati na hepatitis.
English: The recommended dose of ORENCIA for adults with rheumatoid arthritis or psoriatic arthritis is 125 mg abatacept given every week regardless of weight.
Croatian: Preporučena doza lijeka ORENCIA za odrasle osobe s reumatoidnim artritisom ili psorijatičnim artritisom je 125 mg abatacepta svakoga tjedna, neovisno o tjelesnoj težini.
English: - Remove the syringe and needle after 10 mL of water for injections have been injected into the vial.
Croatian: - - Izvadite štrcaljku i iglu nakon što ste 10 ml vode za injekcije ubrizgali u bočicu.
English: Remove the pre-filled syringe from the injection site and let go of the pinched skin.
Croatian: Maknite štrcaljku s mjesta injekcije i pustite kožni nabor.