FrancophonIA/ELRC3.0 huggingface dataset:
English: In the event of overdose leading to clinically significant hypocalcaemia, reversal may be achieved with supplemental oral calcium and/or an intravenous infusion of calcium gluconate.
Croatian: U slučaju predoziranja koje dovodi do klinički značajne hipokalcijemije, obrat se može postići peroralnom primjenom kalcija u obliku nadomjestka i/ili intravenskom infuzijom kalcijevog glukonata.
English: For the treatment of post-menopausal osteoporosis, osteoporosis in men and the treatment of osteoporosis associated with long-term systemic glucocorticoid therapy, the recommended dose is a single intravenous infusion of 5 mg Aclasta administered once a year.
Croatian: Za liječenje osteoporoze u postmenopauzi, osteoporoze u muškaraca i liječenje osteoporoze povezane s dugotrajnom sistemskom terapijom glukokortikoidima, preporučena doza je jednokratna intravenska infuzija Aclaste u dozi od 5 mg primijenjena jedanput godišnje.
English: While being treated with Aclasta, you should maintain good oral hygiene (including regular teeth brushing) and receive routine dental check-ups.
Croatian: Za vrijeme liječenja Aclastom, morate održavati dobru oralnu higijenu (uključujući redovito pranje zuba) i obavljati rutinske preglede kod zubara.
English: The long duration of action of zoledronic acid is attributable to its high binding affinity for the active site of farnesyl pyrophosphate (FPP) synthase and its strong binding affinity to bone mineral.
Croatian: Dugo trajanje djelovanja zoledronatne kiseline pripisuje se njenom visokom afinitetu vezanja na aktivno mjesto farnezil pirofosfat (FPP) sintaze i njenom afinitetu snažnog vezanja na mineral kosti.
English: In another study in men (study CZOL446M2308) an annual infusion of Aclasta was non-inferior to weekly alendronate for the percentage change in lumbar spine BMD at month 24 relative to baseline.
Croatian: U drugom ispitivanju u muškaraca (ispitivanje CZOL446M2308), godišnja infuzija Aclaste nije bila inferiornija od tjedne primjene alendronata obzirom na postotak promjene BMD-a lumbalne kralježnice u 24. mjesecu u odnosu na početne vrijednosti.
English: The risk reduction was 51% in bisphosphonate-naïve patients and 42% in patients allowed to take concomitant osteoporosis therapy.
Croatian: Sniženje rizika bilo je 51% u bolesnika prethodno neliječenih bisfosfonatima i 42% u bolesnika kojima je bilo dopušteno istodobno uzimati terapiju za osteoporozu.
English: Before receiving Aclasta treatment, tell your doctor, pharmacist or nurse if - you have any problems with your mouth or teeth such as poor dental health, gum disease, or a planned tooth extraction; - you do not receive routine dental care or have not had a dental check-up for a long time; - you are a smoker (as this may increase the risk of dental problems); - you have previously been treated with a bisphosphonate (used to treat or prevent bone disorders); - you are taking medicines called corticosteroids (such as prednisolone or dexamethasone) - you have cancer.
Croatian: Prije nego počnete liječenje Aclastom obavijestite svog liječnika, ljekarnika ili medicinsku sestru ako - imate bilo kakav problem sa ustima ili zubima kao što je loše zdravlje zuba, bolesti desni ili planirano vađenje zuba; - ne dobivate rutinsku stomatološku skrb ili duže vrijeme niste obavili pregled kod zubara; - ste pušač (jer to može povećati rizik problema sa zubima); - ste se prije liječili bisfosfonatima (u svrhu liječenja ili prevencije poremećaja kostiju); - uzimate lijekove koji se zovu kortikosteroidi (kao što su prednizolon ili deksametazon); - imate rak.
English: Approximately 42% of patients had a femoral neck BMD T-score below -2.5 and approximately 45% of the patients had a femoral neck BMD T-score above -2.5.
Croatian: Približno 42% bolesnika je imalo BMD T-zbroj vrata bedrene kosti ispod -2,5 a 45% bolesnika je imalo BMD T-zbroj vrata bedrene kosti iznad -2,5.
English: Mannitol, sodium citrate and water for injections.
Croatian: Manitol, natrijev citrat i voda za injekcije.
English: Patients were stratified with respect to duration of glucocorticoid use prior to randomisation (≤ 3 months versus > 3 months).
Croatian: Bolesnici su bili stratificirani obzirom na duljinu primjene glukokortikosteroida prije randomizacije (≤3 mjeseca naspram >3 mjeseca).
English: All patients were required to receive background therapy of vitamin D and calcium.
Croatian: Svi bolesnici su trebali primati osnovnu terapiju vitaminom D i kalcijem.
English: BOTTLE LABEL
Croatian: NALJEPNICA ZA BOČICU
English: Clinical efficacy in the treatment of post-menopausal osteoporosis (PFT)
Croatian: Klinička djelotvornost u liječenju postmenopauzalne osteoporoze (PFT)
English: Uncommon Hypertension, flushing Not known** Hypotension (some of the patients had underlying risk factors)
Croatian: Manje često Hipertenzija, crvenilo uz osjećaj vrućine Nepoznato** Hipotenzija (neki od bolesnika su imali podležeće faktore rizika)
English: At 24 months a similar significant increase of 3.6% in total hip BMD was observed for patients treated with Aclasta as compared to the effects observed in post-menopausal women in the HORIZON-PFT study.
Croatian: U 24. mjesecu zapaženo je slično značajno povećanje od 3,6% BMD cijelog kuka u bolesnika liječenih Aclastom u usporedbi s učincima zapaženim u žena u postmenopauzi u HORIZON-PFT ispitivanju.
English: It is important for you to drink at least 2 glasses of fluid (such as water), within a few hours before receiving Aclasta, as directed by your healthcare provider.
Croatian: Važno je da popijete najmanje 2 čaše tekućine (kao što je voda), u roku od nekoliko sati prije primanja Aclaste, prema uputama zdravstvenog radnika.
English: This resulted in exaggerated pharmacological effects considered related to the compound's inhibition of skeletal calcium mobilisation, resulting in periparturient hypocalcaemia, a bisphosphonate class effect, dystocia and early termination of the study.
Croatian: To je dovelo do prekomjernih farmakoloških učinaka za koje se smatra da su povezani s inhibicijom mobilizacije kalcija iz kostura te je rezultiralo hipokalcijemijom u razdoblju oko poroda, što je učinak klase bisfosfonata, distocijom i ranim završetkom ispitivanja.
English: Of the 153 Aclasta-treated patients and 115 risedronate-treated patients who entered an extended observation study, after a mean duration of follow-up of 3.8 years from time of dosing, the proportion of patients ending the Extended Observation Period due to the need for re-treatment (clinical judgment) was higher for risedronate (48 patients, or 41.7%) compared with zoledronic acid (11 patients, or 7.2%).
Croatian: Od 153 bolesnika liječenih Aclastom i 115 bolesnika liječenih risedronatom koji su ušli u produljeno ispitivanje praćenja, nakon srednjeg trajanja praćenja od 3,8 godina, od vremena doziranja, udio bolesnika koji su završili produljeni period praćenja zbog potrebe za ponovnim liječenjem (klinička prosudba) bio je viši za risedronat (48 bolesnika, ili 41,7%) u usporedbi sa zoledronatnom kiselinom (11 bolesnika, ili 7,2%).
English: Six patients who achieved therapeutic response 6 months after treatment with Aclasta and later experienced disease relapse during the extended follow-up period were re-treated with Aclasta after a mean time of 6.5 years from initial treatment to re-treatment.
Croatian: Šest bolesnika koji su postigli terapijski odgovor 6 mjeseci nakon liječenja Aclastom te kasnije doživjeli relaps bolesti tijekom produljenog perioda praćenja bilo je ponovno liječeno Aclastom nakon srednjeg vremena od 6,5 godina od početnog liječenja do ponovnog liječenja.
English: From the bone tissue it is released very slowly back into the systemic circulation and eliminated via the kidney.
Croatian: Iz koštanog se tkiva oslobađa vrlo sporo u sistemsku cirkulaciju te se eliminira putem bubrega.
English: The study was not powered to show a reduction in clinical fractures compared to risedronate.
Croatian: Ispitivanje nije bilo pokrenuto da pokaže smanjenje kliničkih prijeloma u odnosu na risedronat.
English: At month 12, a statistically significant (p<0.05) reduction in three bone turnover markers (P1NP, BSAP, NTX) was observed in the zoledronic acid group as compared to the placebo group.
Croatian: U 12. mjesecu uočeno je statistički značajno (p<0.05) smanjenje tri markera koštane pregradnje (P1NP, BSAP, NTX) u skupini koja je primala zoledronatnu kiselinu u usporedbi sa skupinom koja je primala placebo.
English: Aclasta works by returning the bone remodelling process to normal, securing formation of normal bone, thus restoring strength to the bone.
Croatian: Aclasta djeluje tako što vraća proces preoblikovanja kosti u normalu, osiguravajući stvaranje normalne kosti, čime kosti postaju snažnije.
English: C-reactive protein increased Uncommon Blood calcium decreased Observed in patients taking concomitant glucocorticosteroids.
Croatian: Povišeni C-reaktivni protein Manje često Sniženi kalcij u krvi Zapaženo u bolesnika koji istodobno uzimaju glukokortikosteroide.
English: The following should be considered when evaluating a patient's risk of developing ONJ: - Potency of the medicinal product that inhibits bone resorption (higher risk for highly potent compounds), route of administration (higher risk for parenteral administration) and cumulative dose of bone resorption therapy.
Croatian: Treba uzeti u obzir sljedeće kada se u bolesnika ocjenjuje rizik od razvoja ONJ: - Potentnost lijekova koji inhibiraju resorpciju kostiju (veći rizik kod visoko potentnih spojeva), način primjene (veći rizik kod parenteralne primjene) i kumulativnu dozu kod terapije resorpcije kostiju.
English: The following precautions should be taken into account to minimise the risk of renal adverse reactions:
Croatian: Sljedeće mjere opreza treba uzeti u obzir kako bi se smanjio rizik bubrežnih nuspojava:
English: In a large clinical trial, local reactions at the infusion site, such as redness, swelling and/or pain, were reported (0.7%) following the administration of zoledronic acid.
Croatian: U velikom kliničkom ispitivanju prijavljene su lokalne reakcije na mjestu infuzije (0,7%), kao što su crvenilo, oticanje i/ili bol, nakon primjene zoledronatne kiseline.
English: The infusion time must not be less than 15 minutes.
Croatian: Vrijeme trajanja infuzije ne smije biti kraće od 15 minuta.
English: Any unused solution should be discarded.
Croatian: Neiskorištenu otopinu treba baciti.
English: Your doctor should do a blood test to check your kidney function before each dose of Aclasta.
Croatian: Liječnik Vam mora napraviti krvnu pretragu kako bi Vam provjerio bubrežnu funkciju prije svake doze Aclaste.
English: How Aclasta is given
Croatian: Kako se daje Aclasta
English: In the Paget's disease trials, symptomatic hypocalcaemia was observed in approximately 1% of patients, in all of whom it resolved.
Croatian: U kliničkim ispitivanjima Pagetove bolesti opažena je simptomatska hipokalcijemija kod otprilike 1% bolesnika, koja se kod svih povukla.
English: It belongs to a group of medicines called bisphosphonates and is used to treat post-menopausal women and adult men with osteoporosis or osteoporosis caused by treatment with corticosteroids used to treat inflammation, and Paget's disease of the bone in adults.
Croatian: Pripada skupini lijekova koji se zovu bisfosfonati i koriste se za liječenje žena u postmenopauzi i odraslih muškaraca s osteoporozom ili za liječenje osteoporoze uzrokovane liječenjem kortikosteroidima korištenim u liječenju upale te za liječenje Pagetove bolesti kostiju u odraslih.
English: Aclasta-treated patients aged 75 years and older exhibited a 60% reduction in the risk of vertebral fractures compared to placebo patients (p<0.0001).
Croatian: Bolesnice liječene Aclastom u dobi od 75 godina i starije imale su 60%-tno smanjenje rizika za vertebralne prijelome u usporedbi s bolesnicama na placebu (p<0,0001).
English: The use of Aclasta in patients with severe renal impairment (creatinine clearance < 35 ml/min) is contraindicated due to an increased risk of renal failure in this population.
Croatian: Primjena Aclaste u bolesnika s teškim oštećenjem bubrega (klirens kreatinina <35 ml/min) kontraindicirana je zbog povećanog rizika od zatajenja bubrega u toj populaciji.
English: Zoledronic acid has been associated with renal impairment manifested as deterioration in renal function (i.e. increased serum creatinine) and in rare cases acute renal failure.
Croatian: Zoledronatna kiselina je bila povezana s oštećenjem bubrega koje se očitovalo kao pogoršanje funkcije bubrega (npr. povišeni kreatinin u serumu) i u rijetkim slučajevima kao akutno zatajenje bubrega.
English: Adverse reactions in Table 1 are listed according to MedDRA system organ class and frequency category.
Croatian: Nuspojave navedene u Tablici 1 poredane su po MedDRA klasifikaciji organskih sustava i po kategoriji učestalosti.
English: • Reminder card with the following key messages: o Need to calculate creatinine clearance based on actual body weight using the Cockcroft-Gault formula before each treatment with Aclasta o Contraindication in patients with creatinine clearance < 35 ml/min o Contraindication in pregnancy and in breast-feeding women due to potential teratogenicity o Need to ensure appropriate hydration of the patient especially those at an advanced age and those receiving diuretic therapy o Need to infuse Aclasta slowly over a period of no less than 15 minutes o Once-yearly dosing regime o Adequate calcium and vitamin D intake are recommended in association with Aclasta administration o Need for appropriate physical activity, non-smoking and healthy diet
Croatian: • Podsjetnik na kojem su navedene sljedeće ključne poruke: o Potreba izračunavanja klirensa kreatinina na temelju stvarne tjelesne težine korištenjem Cockcroft-Gaultove formule prije svakog liječenja Aclastom o Kontraindikacija u bolesnika s klirensom kreatinina <35 ml/min o Kontraindikacija u trudnica i u dojilja zbog potencijalne teratogenosti o Potreba da se osigura odgovarajuća hidracija bolesnika, osobito onih starije dobi i onih koji primaju terapiju diureticima o Potreba za primjenom infuzije Aclaste polako tijekom razdoblja koje ne traje manje od 15 minuta o Režim doziranja jednom godišnje o Preporučuje se odgovarajući unos kalcija i vitamina D uz primjenu Aclaste o Potreba za primjerenom fizičkom aktivnošću, nepušenjem i zdravom prehranom
English: Renal failure requiring dialysis or with a fatal outcome has rarely occurred in patients with underlying renal impairment or with any of the risk factors described above.
Croatian: Zatajenje bubrega koje zahtijeva dijalizu ili je završilo smrću rijetko se pojavilo u bolesnika s već postojećim oštećenjem bubrega ili bilo koji od gore opisanih faktora rizika.
English: Aclasta significantly increased BMD at the lumbar spine, hip, and distal radius relative to treatment with placebo at all timepoints (6, 12, 24 and 36 months).
Croatian: Aclasta je značajno povećala BMD lumbalne kralježnice, kuka i distalnog dijela palčane kosti u usporedbi s liječenjem placebom u svim vremenskim točkama (6, 12, 24 i 36 mjeseci).
English: The chance of experiencing these side effects decreases with subsequent doses of Aclasta.
Croatian: Izgledi za pojavu ovih nuspojava smanjuju se sa sljedećim dozama Aclaste.
English: Justification for not including braille accepted.
Croatian: Prihvaćeno obrazloženje za nenavođenje Brailleovog pisma.
English: Small observed increases in AUC(0-24hr), by about 30% to 40% in mild to moderate renal impairment, compared to a patient with normal renal function, and lack of accumulation of drug with multiple doses irrespective of renal function, suggest that dose adjustments of zoledronic acid in mild (Clcr = 50-80 ml/min) and moderate renal impairment down to a creatinine clearance of 35 ml/min are not necessary.
Croatian: Mala zapažena povećanja AUC(0-24h) za oko 30% do 40% u slučaju blagog do umjerenog oštećenja bubrega u usporedbi s bolesnikom s normalnom funkcijom bubrega te nedostatak nakupljanja lijeka pri višestrukim dozama, bez obzira na funkciju bubrega, navode na zaključak da nije potrebna prilagodba doze zoledronatne kiseline u slučaju blagog (Clcr = 50-80 ml/min) i umjerenog oštećenja bubrega s klirensom kreatinina do 35 ml/min.
English: Efficacy was demonstrated if non-inferiority to risedronate was shown sequentially with respect to the percentage change in lumbar spine BMD at 12 months relative to baseline in the treatment and prevention subpopulations, respectively.
Croatian: Djelotvornost je bila postignuta ako nije bila inferiornija od risedronata prikazana dosljedno obzirom na postotak promjene BMD-a lumbalne kralježnice u 12. mjesecu u odnosu na početne vrijednosti u liječenju i u odnosu na prevenciju u subpopulacijama.
English: It comes in 100 ml plastic bottles as a ready-to-use solution for infusion.
Croatian: Nalazi se u plastičnim bočicama od 100 ml kao otopina za infuziju spremna za uporabu.
English: The highest non-lethal single intravenous dose was 10 mg/kg body weight in mice and 0.6 mg/kg in rats.
Croatian: U miševa je najviša neletalna jednokratna intravenska doza bila 10 mg/kg tjelesne težine, a u štakora 0,6 mg/kg.
English: Bone specific alkaline phosphatase (BSAP), serum N-terminal propeptide of type I collagen (P1NP) and serum beta-C-telopeptides (b-CTx) were evaluated in subsets ranging from 517 to 1,246 patients at periodic intervals throughout the study.
Croatian: Tijekom kliničkog ispitivanja analizirani su koštano specifična alkalna fosfataza (BSAP), serumski Nterminalni propeptid kolagena tip I (P1NP) i serumski beta-C-telopeptidi (b-CTx) u podskupinama u rasponu od 517 do 1246 bolesnica u periodičnim razmacima.
English: Unit pack
Croatian: Jedinično pakiranje
English: The efficacy and safety of Aclasta in the treatment and prevention of osteoporosis associated with long-term systemic glucocorticoid therapy were assessed in a randomised, multicentre, double-blind, stratified, active-controlled study of 833 men and women aged 18-85 years (mean age for men 56.4 years; for women 53.5 years) treated with > 7.5 mg/day oral prednisone (or equivalent).
Croatian: Djelotvornost i sigurnost Aclaste u liječenju i prevenciji osteoporoze povezane s dugotrajnom sistemskom terapijom glukokortikosteroidima bila je procijenjena u randomiziranom, multicentričnom, dvostruko slijepom, stratificiranom ispitivanju s aktivnom kontrolom u 833 muškaraca i žena u dobi od 18-85 godina (srednja dob za muškarce 56,4 godine; za žene 53,5 godine) liječenih s >7,5 mg/dan peroralnog prednizona (ili ekvivalenta).
English: Patients must be appropriately hydrated prior to administration of Aclasta.
Croatian: Bolesnici moraju biti prikladno hidrirani prije primjene Aclaste.
English: • Aclasta should be used with caution when concomitantly used with other medicinal products that could impact renal function (see section 4.5).
Croatian: • Potreban je oprez kada se Aclasta primjenjuje istodobno s drugim lijekovima koji mogu utjecati na funkciju bubrega (vidjeti dio 4.5).
English: Women who were evaluated for the incidence of vertebral fractures did not receive concomitant osteoporosis therapy, which was allowed for women contributing to the hip and all clinical fracture evaluations.
Croatian: Žene koje su ispitivane s obzirom na incidenciju vertebralnih prijeloma nisu primale istodobnu terapiju za osteoporozu, koja je bila dopuštena kod žena koje su sudjelovale u ispitivanjima prijeloma kuka i svih kliničkih prijeloma.
English: After initiation of the zoledronic acid infusion, plasma concentrations of the active substance increased rapidly, achieving their peak at the end of the infusion period, followed by a rapid decline to < 10% of peak after 4 hours and < 1% of peak after 24 hours, with a subsequent prolonged period of very low concentrations not exceeding 0.1% of peak levels.
Croatian: Nakon uvođenja infuzije zoledronatne kiseline, koncentracije djelatne tvari u plazmi brzo su se povećavale, pri čemu su vršnu vrijednost postigle na kraju perioda infuzije, nakon čega je slijedio brzi pad na <10% vršne vrijednosti nakon 4 sata, zatim na <1% vršne vrijednosti nakon 24 sata te produljeni period vrlo niskih koncentracija koje nisu prelazile 0,1% vršnih razina.
English: 85% of patients were bisphosphonate-naïve.
Croatian: 85% bolesnica do tada nije liječeno bisfosfonatima.
English: Clinical efficacy in the treatment of Paget's disease of the bone
Croatian: Klinička djelotvornost u liječenju Pagetove bolesti kosti
English: • Need for adequate calcium and vitamin D supplementation, appropriate physical activity,
Croatian: • Potreba za primjerenim nadomještanjem kalcija i vitamina D, primjerenom fizičkom aktivnošću, nepušenjem i zdravom prehranom
English: No interaction studies with other medicinal products have been performed with zoledronic acid.
Croatian: Ispitivanja interakcija s drugim lijekovima nisu provedena sa zoledronatnom kiselinom.
English: You must not be given Aclasta: - if you are allergic to zoledronic acid, other bisphosphonates or any of the other ingredients of this medicine (listed in section 6).
Croatian: Ne smijete primiti Aclastu - ako ste alergični na zoledronatnu kiselinu, druge bisfosfonate ili neki drugi sastojak ovog lijeka
English: Based on laboratory assessment, transient asymptomatic calcium levels below the normal reference range (less than 2.10 mmol/l) occurred in 2.3% of Aclasta-treated patients in a large clinical trial compared to 21% of Aclasta-treated patients in the Paget's disease trials.
Croatian: Na temelju laboratorijske procjene, prolaznih, asimptomatskih razina kalcija ispod normalnog referentnog raspona (manje od 2,10 mmol/l) javile su se u 2,3% bolesnika liječenih Aclastom u velikom kliničkom ispitivanju, u usporedbi s 21% bolesnika liječenih Aclastom u kliničkim ispitivanjima Pagetove bolesti.
English: In the osteoporosis trials (PFT, HORIZON - Recurrent Fracture Trial [RFT]) the pooled atrial fibrillation incidences were comparable between Aclasta (2.6%) and placebo (2.1%).
Croatian: U ispitivanjima osteoporoze (PFT, HORIZON - Recurrent Fracture Trial [RFT]) objedinjene incidencije fibrilacije atrija bile su usporedive kod Aclaste (2,6%) i placeba (2,1%).
English: Aclasta is not recommended in women of childbearing potential.
Croatian: Primjena Aclaste se ne preporučuje u žena reproduktivne dobi.
English: The incidence of fractures was 8 for Aclasta-treated patients versus 7 for risedronate-treated patients (p=0.8055).
Croatian: Incidencija prijeloma bila je 8 bolesnika liječenih Aclastom naspram 7 bolesnika liječenih risedronatom (p=0,8055).
English: Incidence of individual adverse reactions following the first infusion was: pyrexia (17.1%), myalgia (7.8%), influenza-like illness (6.7%), arthralgia (4.8%) and headache (5.1%).
Croatian: Incidencija pojedinih nuspojava nakon prve infuzije bila je: pireksija (17,1%), mialgija (7,8%), bolest nalik gripi (6,7%), artralgija (4,8%) i glavobolja (5,1%).
English: If refrigerated, allow the refrigerated solution to reach room temperature before administration.
Croatian: Ako je otopina bila u hladnjaku, prije primjene mora doseći sobnu temperaturu.
English: In case you recently broke your hip, it is recommended that Aclasta is administered two or more weeks after your hip repair surgery.
Croatian: U slučaju da ste nedavno imali prijelom kuka, preporučuje se primjena infuzije Aclaste dva ili više tjedana nakon kirurškog zahvata.
English: Treatment of Paget's disease of the bone in adults.
Croatian: Liječenje Pagetove bolesti kostiju kod odraslih.
English: Zoledronic acid is not highly bound to plasma proteins (approximately 43-55% bound) and interactions resulting from displacement of highly protein-bound medicinal products are therefore unlikely.
Croatian: Zoledronatna kiselina se ne veže u velikoj mjeri na proteine plazme (veže se otprilike 43-55%), pa zbog toga interakcije nastale istiskivanjem lijekova koji se u velikoj mjeri vežu za proteine nisu vjerojatne.
English: Zoledronic acid belongs to the class of nitrogen-containing bisphosphonates and acts primarily on bone.
Croatian: Zoledronatna kiselina pripada skupini bisfosfonata koji sadrže dušik, a djeluje primarno na kost.