FrancophonIA/ELRC3.0 huggingface dataset:
English: This incidence of seizure, along with incidence of seizure in subjects who received naltrexone / bupropion in a large cardiovascular outcomes trial (CVOT), was no higher than the seizure rate with bupropion as a single agent at approved doses.
Croatian: Ova incidencija napadaja, uz incidenciju napadaja u ispitanika koji su primali naltrekson / bupropion u velikom ispitivanju kardiovaskularnih ishoda (CVOT), nije bila veća od stope napadaja s bupropionom kao jedinim lijekom u odobrenoj dozi.
English: There is no clinical experience establishing the safety of naltrexone / bupropion in patients with a recent history of myocardial infarction, unstable heart disease or NYHA class III or IV congestive heart failure.
Croatian: Nema kliničkog iskustva koje bi ustanovilo sigurnost naltrekson / bupropiona u bolesnika s nedavnim infarktom miokarda u anamnezi, nestabilne bolesti srca ili kongestivnog zatajenja srca NYHA stupnja III ili IV.
English: Baseline mean BMI was 36 kg/m2 and mean waist circumference was 110 cm.
Croatian: Srednja vrijednost početnog BMI je bila 36 kg/m2, a srednja vrijednost opsega struka je bila 110 cm.
English: Additionally, Week 16 Responders who received naltrexone / bupropion had a high retention rate with 87% completing 1 year of treatment.
Croatian: Osim toga, ispitanici koji su odgovorili na liječenje u 16. tjednu i koji su primili naltrekson / bupropion su imali visoku stopu zadržavanja s 87 % onih koji su završili 1 godinu liječenja.
English: Neuropsychiatric symptoms and activation of mania Activation of mania and hypomania have been reported in patients with mood disorders who were treated with other similar medicinal products for major depressive disorder.
Croatian: Aktiviranje manije i hipomanije je prijavljeno u bolesnika s poremećajima raspoloženja, koji su liječeni s drugim sličnim lijekovima za veliki depresivni poremećaj.
English: The results from this study demonstrated that the area under the curve for plasma naltrexone and metabolites and for plasma bupropion and metabolites was increased by less than two-fold in patients with moderate and severe renal impairment, and smaller increases were observed for patients with mild renal impairment.
Croatian: Rezultati ovog ispitivanja pokazali su da je površina ispod krivulje za naltrekson i metabolite u plazmi te za bupropion i metabolite u plazmi bila povećana za manje od dva puta u bolesnika s umjerenim i teškim oštećenjem bubrega, a manja povećanja opažena su u bolesnika s blagim oštećenjem bubrega.
English: Because naltrexone and bupropion metabolic products are excreted in the urine and elderly people are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.
Croatian: Budući da se metabolički produkti naltreksona i bupropiona izlučuju u urinu a stariji ljudi su skloniji smanjenju funkcije bubrega, treba pažljivo odabrati dozu, a može biti korisno motriti bubrežnu funkciju.
English: The safety and efficacy of naltrexone / bupropion in children and adolescents below 18 have not yet been established.
Croatian: Sigurnost i djelotvornost naltrekson / bupropiona u djece i adolescenata ispod 18 godina starosti nisu još ustanovljene.
English: Mysimba contains 2 active substances: naltrexone hydrochloride and bupropion hydrochloride and is used in obese or overweight adults to manage weight together with a reduced calorie diet and physical exercise.
Croatian: Lijek Mysimba sadrži 2 djelatne tvari: naltreksonklorid i bupropionklorid i koristi se u odraslih osoba koje su pretile ili prekomjerne težine za kontrolu njihove težine zajedno uz dijetu sa smanjenim unosom kalorija i tjelovježbu.
English: When naltrexone / bupropion was given with a high-fat meal the AUC and Cmax for naltrexone increased 2.1-fold and 3.7-fold and the AUC and Cmax for bupropion increased 1.4-fold and 1.8-fold, respectively.
Croatian: Kada je naltrekson / bupropion dan uz obrok s visokim udjelom masti, AUC i Cmax za naltrekson su se povisili 2,1 puta odnosno 3,7 puta a AUC i Cmax za bupropion su se povisili 1,4 puta odnosno 1,8 puta.
English: The MAH shall ensure that in each Member State where Mysimba is marketed, all healthcare professionals who are expected to prescribe Mysimba are provided with a prescriber guide.
Croatian: Nositelj odobrenja za stavljanje lijeka u promet mora osigurati da u svakoj državi članici u kojoj je lijek Mysimba stavljen na tržište, svi zdravstveni djelatnici za koje se očekuje da će propisivati lijek
English: Fever, muscle rigidity, rhabdomyolysis, hypotension, stupor, coma, and respiratory failure have been reported mainly when bupropion was part of multiple drug overdoses.
Croatian: Vrućica, ukočenost mišića, rabdomioliza, hipotenzija, stupor, koma, i respiratorno zatajenje su prijavljeni uglavnom kad je bupropion bio dio predoziranja s više lijekova.
English: There were no differences in bioavailability, as measured by AUC, of naltrexone or bupropion when administered in combination compared to each administered alone.
Croatian: Nije bilo razlike u bioraspoloživosti, mjerene kao AUC, naltreksona ili bupropiona kada su primijenjeni u kombinaciji u usporedbi kada su primijenjeni pojedinačno.
English: Naltrexone / bupropion should be discontinued and not restarted in patients who experience a seizure while being treated with the medicinal product.
Croatian: Naltrekson / bupropion se mora prekinuti i ne smije se ponovno započeti u bolesnika koji dožive napadaj dok se liječe lijekom.
English: The effects of naltrexone / bupropion on weight loss, weight maintenance, waist circumference, body composition, obesity-related markers for cardiovascular and metabolic parameters and patient reported assessments were examined in double-blind, placebo-controlled obesity Phase 2 and Phase 3 trials (BMI range 27-45 kg/m2) with study durations of 16 to 56 weeks randomised to naltrexone hydrochloride (16 to 50 mg/day) and/or bupropion hydrochloride (300 to 400 mg/day) or placebo.
Croatian: Učinci naltrekson / bupropiona na gubitak težine, održavanje težine, opseg struka, sastav tijela, markere povezane s pretilosti za kardiovaskularne i metaboličke parametre i procjene koje izvještavaju bolesnici su ispitani u dvostruko slijepom, placebom kontroliranom ispitivanju pretilosti faze 2 i faze 3 (BMI raspon 27-45 kg / m2) s trajanjem ispitivanja od 16 do 56 tjedna, randomizirano na naltreksonklorid (16 do 50 mg / dan) i / ili bupropionklorid (300 do 400 mg / dan) ili placebo.
English: Acute ingestion of doses in excess of 10 times the maximum therapeutic dose of bupropion (equivalent to approximately in excess of 8 times the recommended daily dose of naltrexone / bupropion) has been reported.
Croatian: Prijavljeno je akutno uzimanje doza 10 puta većih u odnosu na maksimalnu terapijsku dozu bupropiona (što odgovara otprilike 8 puta većoj od dnevne preporučene doze naltrekson / bupropiona).
English: • Patients receiving any concomitant treatment containing bupropion or naltrexone
Croatian: • Bolesnici koji dobivaju istodobno liječenje s bupropionom ili naltreksonom
English: In addition, there have been rare spontaneous postmarketing reports of erythema multiforme, Stevens-Johnson syndrome, and anaphylactic shock associated with bupropion.
Croatian: Osim toga, nakon stavljanja lijeka u promet bilo je i rijetkih spontanih prijava multiformnog eritema, Stevens-Johnsonovog sindroma, i anafilaktičkog šoka povezanih s bupropionom.
English: • Medicines to treat depression (such as desipramine, venlafaxine, imipramine, paroxetine, citalopram) or other mental health problems (such as risperidone, haloperidol, thioridazine);
Croatian: • lijekovi za liječenje depresije (kao što desipramin, venlafaksin, imipramin, paroksetin, citalopram) ili drugih problema mentalnog zdravlja (kao što su risperidon, haloperidol, tioridazin);
English: Preclinical data suggests that naltrexone and bupropion may have greater than additive effects in this region to reduce food intake when administered together.
Croatian: Pretklinički podaci ukazuju da naltrekson i bupropion imaju više nego aditivni učinak na ovom području na smanjenje unosa hrane kada se daju zajedno.
English: Following twice daily administration of naltrexone / bupropion, naltrexone does not accumulate, while 6-beta-naltrexol accumulates over time.
Croatian: Nakon primjene naltrekson / bupropiona dva puta dnevno, naltrekson se ne nakuplja dok se 6-betanaltreksol nakuplja tijekom vremena.
English: Other serious reactions reported with overdoses of bupropion alone included hallucinations, loss of consciousness, sinus tachycardia, and ECG changes such as conduction disturbances (including QRS prolongation) or arrhythmias.
Croatian: Ostale ozbiljne reakcije zabilježene s predoziranjem samim bupropionom uključile su halucinacije, gubitak svijesti, sinusnu tahikardiju i EKG promjene, kao što su poremećaji provođenja (uključujući QRS produljenje)
English: Other major metabolic routes are the formation of the metabolites 2-hydroxy-3-O-methyl naltrexone and 2-hydroxy-3-O-methyl-6-beta-naltrexol, believed to be mediated by catechol-O-methyl transferases (COMT), and glucuronidation, thought to be mediated by UGT1A1 and UGT2B7.
Croatian: Drugi glavni metabolitički putevi su stvaranje metabolita 2-hidroksi-3-O-metil naltreksona i 2-hidroksi-3-O-metil-6-beta-naltreksola, vjerojatno posredstvom katekol-O-metill transferaze (COMT), i glukuronidacijom vjerojatno posredstvom UGT1A1 i UGT2B7.
English: Increases of ~2- and ~4-fold for the area under the curve for bupropion were observed for patients with moderate and severe impairment respectively.
Croatian: Porast od ~2 i ~4 puta za područje ispod krivulje za bupropion uočen je u bolesnika s umjerenim odnosno teškim oštećenjem.
English: The MAH should conduct and submit results of a multicentre, randomised, doubleblind, placebo-controlled, phase 4 study to assess the effect of naltrexone extended release (ER) /bupropion ER on the occurrence of major adverse cardiovascular events (MACE) in overweight and obese subjects.
Croatian: Nositelj odobrenja treba provesti i dostaviti rezultate multicentričnog, randomiziranog, dvostruko slijepog, placebom kontroliranog, ispitivanja faze 4 radi procjene učinka naltreksona produženog oslobađanja (ER) / bupropiona ER na pojavu velikih štetnih kardiovaskularnih događaja (engl. major adverse cardiovascular events, MACE) u prekomjerno teških i pretilih ispitanika.
English: Among the group of subjects treated with naltrexone / bupropion, both cases of seizures were considered as serious and led to treatment discontinuation (see section 4.4).
Croatian: U skupini ispitanika liječenih naltrekson / bupropionom, oba slučaja napadaja su se smatrali ozbiljnima i doveli do prekida liječenja (vidjeti dio 4.4).
English: • Monoamine oxidase inhibitors (medicines to treat depression or Parkinson's disease) such as phenelzine, selegiline, or rasagiline.
Croatian: • Inhibitorima monoaminooksidaze (lijekovi za liječenje depresije ili Parkinsonove bolesti) kao što su fenelzin, selegilin ili rasagilin.
English: (listed in section 6); - if you have an abnormally high blood pressure (hypertension) that is not controlled using a medicinal product;
Croatian: - ako imate abnormalno povišeni krvni tlak (hipertenziju) koji nije pod kontrolom pomoću lijeka;
English: In one study, subjects received 800 mg naltrexone hydrochloride daily (equivalent to 25 times the recommended daily dose of naltrexone / bupropion) for up to one week showing no evidence of toxicity.
Croatian: U jednom ispitivanju ispitanici su dobili 800 mg naltreksonklorida dnevno (što odgovara 25 puta većoj dozi od preporučene dnevne doze naltrekson / bupropiona) do jednog tjedna i nisu pokazali znakove toksičnosti.
English: There is limited experience with overdose of naltrexone monotherapy in humans.
Croatian: Postoji ograničeno iskustvo s predoziranjem monoterapijom naltreksona kod ljudi.
English: The maximum daily dose of combined use of bupropion and naltrexone administered in clinical trials contained 50 mg naltrexone hydrochloride and 400 mg bupropion hydrochloride.
Croatian: Maksimalna dnevna doza kombinirane uporabe bupropiona i naltreksona primijenjena u kliničkim ispitivanjima je sadržavala 50 mg naltreksonklorida i 400 mg bupropionklorida.
English: Gastrointestinal adverse reactions: The vast majority of subjects treated with naltrexone / bupropion who experienced nausea reported the event within 4 weeks of starting treatment.
Croatian: Gastrointestinalne nuspojave: Velika većina ispitanika liječenih naltrekson / bupropionom koji su iskusili mučninu prijavili su događaj unutar 4 tjedna od početka liječenja.
English: Bupropion is extensively metabolised with three active metabolites: hydroxybupropion, threohydrobupropion and erythrohydrobupropion.
Croatian: Bupropion se opsežno metabolizira u tri aktivna metabolita: hidroksibupropion, treohidrobupropion i eritrohidrobupropion.
English: Drugs metabolised by cytochrome P450 (CYP) enzymes Bupropion is metabolised to its major active metabolite hydroxybupropion primarily by the cytochrome P450 CYP2B6; thus, the potential exists for interaction when administered with medicinal products that induce or inhibit CYP2B6.
Croatian: Lijekovi koji se metaboliziraju putem enzima citokroma P450 (CYP) Bupropion se metabolizira u svoj glavni aktivni metabolit hidroksibupropion prvenstveno putem citokroma P450 CYP2B6; stoga, postoji potencijal za interakcije prilikom primjene s lijekovima koji induciraju ili inhibiraju CYP2B6.
English: • concomitant administration of medicinal products that may lower the seizure threshold, including antipsychotics, antidepressants, antimalarials, tramadol, theophylline, systemic steroids, quinolones and sedating antihistamines
Croatian: • istodobna primjena lijekova koji mogu sniziti prag napadaja, uključujući antipsihotike, antidepresive, lijekove protiv malarije, tramadol, teofilin, sistemske steroide, kinolone i sedativne antihistaminike
English: The incidence of these common gastrointestinal adverse reactions in naltrexone / bupropion versus placebo was as follows: nausea (31.8% vs. 6.7%), constipation (18.1% vs. 7.2%), and vomiting (9.9% vs. 2.9%).
Croatian: Incidencije ovih čestih gastrointestinalnih nuspojava s naltrekson / bupropionom naspram placeba bile su kako slijedi: mučnina (31,8% naspram 6,7%), zatvor (18,1% naspram 7,2%), i povraćanje (9,9% naspram 2,9%).
English: Dry mouth may be associated with toothache and dental caries; in the subset of patients with dry mouth, a higher incidence of toothache and dental caries were observed in subjects treated with naltrexone / bupropion compared to subjects treated with placebo.
Croatian: Suha usta mogu biti povezana sa zuboboljom i zubnim karijesom; u podskupini bolesnika sa suhim ustima, veća incidencija zubobolje i zubnog karijesa opažena je u ispitanika liječenih naltrekson / bupropionom u odnosu na ispitanike koji su primali placebo.
English: In contrast, naltrexone tested positive in the following assays: Drosophila recessive lethal frequency assay, non-specific DNA damage in repair tests with E. coli and WI-38 cells, and urinalysis for methylated histidine residues.
Croatian: Nasuprot tome, naltrekson je bio pozitivan u sljedećim testovima: test učestalosti recesivne smrtnosti u vinske mušice, nespecifična DNK oštećenja u testovima popravka s E. koli i WI-38 stanica, i analiza urina na ostatke metiliranog histidina.
English: However, given the prolonged nature of the drug release for naltrexone / bupropion, Cmax for naltrexone was markedly reduced compared to the 50 mg naltrexone hydrochloride IR administered alone (about 2-fold difference after dose adjustment).
Croatian: Međutim, s obzirom na prirodu produljenog oslobađanja lijeka za naltrekson / bupropion, Cmax za naltrekson je bio značajno smanjen u odnosu na 50 mg naltreksonklorida IR primijenjenog samostalno (nakon prilagodbe doze razlika je bila dvostruka).
English: No activation of mania or hypomania was reported in the clinical trials evaluating effects of naltrexone / bupropion in obese subjects, which excluded subjects receiving antidepressants.
Croatian: Nije bilo prijave aktiviranja manije ili hipomanije u kliničkim ispitivanjima u kojima se ocjenjivao učinak naltrekson / bupropiona u pretilih ispitanika, u koje nisu bili uključeni ispitanici koji su primali antidepresive.
English: Naltrexone / bupropion should be used with caution in patients with active coronary artery disease (e.g., ongoing angina or recent history of myocardial infarction) or history of cerebrovascular disease.
Croatian: Naltrekson / bupropion treba koristiti s oprezom u bolesnika s aktivnom bolešću koronarnih arterija (npr. trenutna angina ili nedavni infarkt miokarda u anamnezi) ili s cerebrovaskularnom bolesti u anamnezi.
English: Studies NB-301, NB-303, and NB-304 included periodic instruction from the study sites to reduce caloric intake and increase physical activity, while NB-302 included an intensive behavioral modification program consisting of 28 group counseling sessions over 56 weeks, as well as a prescribed rigorous diet and exercise regimen.
Croatian: Ispitivanja NB-301, NB-303, i NB-304 periodički su uključivala naputak iz ispitnog centra o smanjenju unosa kalorija i povećanju fizičke aktivnosti, a NB-302 je uključivao program intenzivne promjene ponašanja koji se sastojao od 28 sesija grupnog savjetovanja tijekom 56 tjedana, kao i propisane rigorozne dijete i režima vježbanja.
English: Do not cut them, chew them or crush them.
Croatian: Ne smijete ih rezati, žvakati, ili drobiti.
English: HbA1c >8% (64 mmol/mol), HbA1c changes at endpoint were -1.1% and -0.5% for naltrexone / bupropion compared to placebo, respectively.
Croatian: ispitanika s početnim HbA1c > 8 % (64 mmol / mol), promjene HbA1c pri ishodu bile su -1,1 % odnosno 0,5 % za naltrekson / bupropion u odnosu na placebo.
English: Smokers: Pooled analysis of naltrexone / bupropion data revealed no meaningful differences in the plasma concentrations of bupropion or naltrexone in smokers compared to nonsmokers.
Croatian: Pušači: Skupne analize podataka naltrekson / bupropiona nisu otkrile značajne razlike u koncentracijama u plazmi bupropiona ili naltreksona u pušača u usporedbi s nepušačima.
English: Three of these studies (NB-301, NB-302 and NB-304) designated the primary endpoint at 56 weeks, and 1 study (NB-303) designated the primary endpoint at week 28, but continued for 56 weeks.
Croatian: Tri od tih ispitivanja (NB-301, NB-302 i NB-304) odredila su primarni ishod u 56. tjednu, a 1 ispitivanje (NB-303) odredilo je primarni ishod u 28. tjednu, ali je nastavilo tijekom 56 tjedana.
English: Treatment adherence rates for the integrated Phase 3 studies were: 67% NB vs. 74% Placebo at 16 weeks, 63% NB vs. 65% Placebo at 26 Weeks, 55% NB vs. 55% Placebo at 52Weeks.
Croatian: naspram 74 % placebo 16. tjedan, 63 % NB naspram 65 % placebo 26. tjedan, 55 % NB naspram 55 % placebo 52. tjedan.
English: Patients with moderate renal impairment had a higher incidence of gastrointestinal and central nervous system-related adverse events, thus these patients generally had lower tolerability of naltrexone / bupropion at a total daily dose of 32 mg naltrexone hydrochloride / 360 mg bupropion hydrochloride, which is thought to be due to higher plasma concentrations of active metabolites.
Croatian: Bolesnici s umjerenim oštećenjem bubrega imali su veću incidenciju gastrointestinalnih nuspojava i nuspojava središnjeg živčanog sustava, tako da su ovi bolesnici općenito imali manju podnošljivost naltrekson / bupropiona u ukupnoj dnevnoj dozi od 32 mg naltreksonklorida / 360 mg bupropionklorida, što se smatra posljedicom većih koncentracija aktivnih metabolita u plazmi.
English: Since bupropion is extensively metabolised, caution is advised when naltrexone / bupropion is co-administered with medicinal products known to inhibit metabolism (e.g. valproate), as these may affect its clinical efficacy and safety.
Croatian: Budući da se bupropion opsežno metabolizira, potreban je oprez kada se naltrekson / bupropion primjenjuje istodobno s lijekovima za koje se zna da inhibiraju metabolizam (npr. valproat) jer mogu utjecati na kliničku djelotvornost i sigurnost.
English: Naltrexone / bupropion was evaluated for safety in five double-blind placebo-controlled studies in 4,754 overweight or obese subjects (3,239 subjects treated with naltrexone / bupropion and 1,515 subjects treated with placebo) for a treatment period up to 56 weeks.
Croatian: Naltrekson / bupropion je ispitan na sigurnost u pet dvostruko slijepih placebom kontroliranim ispitivanjima u 4754 ispitanika s prekomjernom težinom ili pretilih ispitanika (3239 ispitanika liječenih naltrekson / bupropionom i 1515 ispitanika koji su primali placebo) za razdoblje liječenja do 56 tjedana.
English: • Medicines used to treat epilepsy such as valproate, carbamazepine, phenytoin or phenobarbital.
Croatian: • lijekovi koji se koriste u liječenju epilepsije, kao što su valproat, karbamazepin, fenitoin ili fenobarbital.
English: Drugs which require metabolic activation by CYP2D6 in order to be effective (e.g., tamoxifen), may have reduced efficacy when administered concomitantly with inhibitors of CYP2D6 such as bupropion.
Croatian: Lijekovi koji zahtijevaju metaboličku aktivaciju putem CYP2D6 kako bi bili učinkoviti, (npr. tamoksifen), mogu imati smanjenu djelotvornost kada se daju istodobno s inhibitorima CYP2D6, kao što je bupropion.
English: During naltrexone / bupropion clinical studies, the use of concomitant opioid or opioid-like medicinal products, including analgesics or antitussives were excluded.
Croatian: Tijekom kliničkih ispitivanja s naltrekson / bupropionom, istodobna uporaba opioida ili lijekova nalik opioidima, uključujući analgetike ili antitusike je bila isključena.
English: Binding of β-endorphin to mu-opioid receptors on POMC neurons mediates a negative feedback loop on POMC neurons leading to a decrease in the release of α-MSH.
Croatian: Vezanje β-endorfina na mu-opioidne receptore na POMC neuronima posreduje negativnom povratnom spregom na POMC neurone i dovodi do smanjenja otpuštanja α-MSH.
English: Gender and race: Pooled analysis of naltrexone / bupropion data revealed no meaningful gender or race-related differences in the pharmacokinetic parameters of bupropion or naltrexone.
Croatian: Posebne populacije Spol i rasa: Skupne analize podataka naltrekson / bupropiona su pokazale da nema značajnih razlika vezanih za spol ili rasu u farmakokinetičkim parametrima bupropiona ili naltreksona.
English: Degree of hepatic impairment should be assessed using the Child-Pugh score.
Croatian: Stupanj oštećenja jetre mora se procijeniti pomoću Child-Pugh klasifikacije.
English: Naltrexone was also negative in an in vivo mouse micronucleus assay.
Croatian: Naltrekson je bio negativan u in vivo testu mišjeg mikronukleusa.
English: You should stop taking Mysimba immediately and consult your doctor if you are experiencing any symptoms of an allergic reaction such as swelling of the throat, tongue, lips, or face, difficulty swallowing or breathing, dizziness, fever, rash, pain in the joints or in the muscles, itching or hives after taking this medicine (see also section 4).
Croatian: Morate odmah prestati uzimati lijek Mysimba i savjetovati se sa svojim liječnikom ako nakon uzimanja ovog lijeka (vidjeti također dio 4) imate bilo kakve simptome alergijske reakcije kao što su oticanje grla, jezika, usana ili lica, poteškoća s gutanjem ili disanjem, omaglicu, vrućicu, osip, bol u zglobovima ili u mišićima, svrbež ili koprivnjaču.
English: The derived value for renal excretion of naltrexone after oral administration, adjusting for plasma protein binding, is 89 mL/min.
Croatian: Izvedena vrijednost za izlučivanje naltreksona preko bubrega nakon peroralne primjene, uz korekciju vezanja na proteine plazme iznosi 89 mL/min.
English: + Subjects who were randomized, had a baseline body weight measurement, and had at least one post-baseline body weight measurement during the defined treatment phase.
Croatian: + Ispitanici koji su randomizirani, imali su mjerenje tjelesne težine na početku, i najmanje jedno mjerenje tjelesne težine nakon početnog tijekom definirane faze liječenja.