FrancophonIA/ELRC3.0 huggingface dataset:
English: Sacubitril treatment during organogenesis resulted in embryo-foetal lethality and embryo-foetal toxicity (decreased foetal body weights and skeletal malformations) in rabbits at doses associated with maternal toxicity (500 mg/kg/day; 5.7-fold the MRHD on the basis of LBQ657 AUC).
Slovenian: Zdravljenje s sakubitrilom v času organogeneze je povzročilo povečano embriofetalno smrtnost in toksično delovanje na zarodek oziroma plod (zmanjšano telesno maso ploda in skeletne nepravilnosti) pri kuncih ob odmerkih, ki so toksični za mater (500 mg/kg/dan; kar je 5,7-kratnik največjega priporočenega odmerka pri ljudeh glede na doseženo AUC substance LBQ657).
English: Cardiovascular abnormalities (mainly cardiomegaly) were observed in rabbit foetuses at a maternally non-toxic dose (1.46 mg sacubitril/1.54 mg valsartan/kg/day).
Slovenian: Pri kuncih so na plodih opažali kardiovaskularne nepravilnosti (večinoma kardiomegalijo) pri odmerkih, ki niso bili toksični za mater (1,46 mg sakubitrila/1,54 mg valsartana/kg/dan).
English: In the PARADIGM-HF study, Neparvis decreased plasma NT-proBNP and increased plasma BNP and urine cGMP compared with enalapril.
Slovenian: V študiji PARADIGM-HF je zdravilo Neparvis znižalo koncentracijo NT-proBNP v plazmi in zvišalo koncentraciji BNP v plazmi ter cGMP v urinu v primerjavi z uporabo enalaprila.
English: Co-administration of Neparvis increased the Cmax of atorvastatin and its metabolites by up to 2-fold and AUC by up to 1.3-fold.
Slovenian: Sočasna uporaba zdravila Neparvis je do 2-krat zvišala Cmax atorvastatina in njegovih presnovkov in do 1,3-krat povečala AUC.
English: Other possible side effects: If any of the side effects listed below becomes severe, tell your doctor or pharmacist.
Slovenian: Če katerikoli od spodaj navedenih neželenih učinkov postane zelo izražen, obvestite zdravnika ali farmacevta.
English: Name and address of the manufacturer responsible for batch release
Slovenian: Ime in naslov izdelovalca, odgovornega za sproščanje serij Novartis Pharma GmbH
English: More patients who were naïve to previous ACE inhibitor or ARB therapy or on low-dose therapy (equivalent to <10 mg enalapril/day) were able to achieve and maintain Neparvis 200 mg when up-titrated over 6 weeks (84.8%) versus 3 weeks (73.6%).
Slovenian: Med bolniki, ki še niso prejemali zaviralcev ACE ali angiotenzinskih receptorjev ali pa so jih prejemali v nizkih odmerkih (enakovrednih <10 mg enalaprila na dan), jih je več doseglo in vztrajalo pri prejemanju odmerka 200 mg zdravila Neparvis, če so jim odmerke zviševali v obdobju 6 tednov (84,8 %), kot če so jim odmerke zviševali v obdobju 3 tednov (73,6 %).
English: In patients with mild to moderate hepatic impairment, the exposures of sacubitril increased by 1.5- and 3.4- fold, LBQ657 increased by 1.5- and 1.9-fold, and valsartan increased by 1.2-fold and 2.1-fold, respectively, compared to matching healthy subjects.
Slovenian: Pri bolnikih z blago do zmerno okvaro jeter je bila izpostavljenost sakubitrilu 1,5-krat oziroma 3,4- krat večja, izpostavljenost substanci LBQ657 1,5-krat oziroma 1,9-krat večja in izpostavljenost valsartanu 1,2-krat oziroma 2,1-krat večja kot pri ustreznih zdravih osebah.
English: • low blood pressure (dizziness, light-headedness)
Slovenian: • nizek krvni tlak (omotičnost, občutek izgubljanja zavesti)
English: Multipack: 168 (3 packs of 56) film-coated tablets Multipack: 196 (7 packs of 28) film-coated tablets
Slovenian: Skupno pakiranje: 168 (3 pakiranja po 56) filmsko obloženih tablet Skupno pakiranje: 196 (7 pakiranj po 28) filmsko obloženih tablet
English: At steady state, sacubitril and valsartan do not accumulate significantly, while LBQ657 accumulates 1.6-fold.
Slovenian: Sakubitril in valsartan se v stanju dinamičnega ravnovesja ne kopičita bistveno, kopičenje substance LBQ657 pa je 1,6-kratno.
English: • Severe hepatic impairment, biliary cirrhosis and cholestasis (see section 4.2).
Slovenian: • Huda okvara jeter, biliarna ciroza ali holestaza (glejte poglavje 4.2).
English: There is very limited clinical experience in patients with severe renal impairment (estimated GFR <30 ml/min/1.73m2) and these patients may be at greatest risk of hypotension (see section 4.2).
Slovenian: Izkušenj z bolniki s hudo okvaro ledvic (z ocenjeno hitrostjo glomerulne filtracije <30 ml/min/1,73 m2), je zelo malo in pri teh bolnikih je tveganje za hipotenzijo lahko najbolj povečano (glejte poglavje 4.2).
English: If treatment with Neparvis is stopped, ACE inhibitor therapy must not be initiated until 36 hours after the last dose of Neparvis (see sections 4.2, 4.3 and 4.5).
Slovenian: Če bolnik prekine zdravljenje z zdravilom Neparvis, se zdravljenja z zaviralcem ACE ne sme začeti prej kot po preteku 36 ur od odmerjanja zadnjega odmerka zdravila Neparvis (glejte poglavja 4.2, 4.3 in 4.5).
English: Pack sizes: 14, 20, 28 or 56 film-coated tablets and multipacks containing 168 (3x56) or 196 (7x28) film-coated tablets.
Slovenian: Velikosti pakiranj: 14, 20, 28 ali 56 filmsko obloženih tablet ali skupno pakiranje, ki vsebuje 168 (3x56) ali 196 (7x28) filmsko obloženih tablet.
English: Approximate tablet dimensions 13.1 mm x 5.2 mm Neparvis 97 mg/103 mg film-coated tablets are light pink oval tablets with “NVR” on one side and “L11” on the other side.
Slovenian: Tablete so velike približno 13,1 mm x 5,2 mm. Neparvis 97 mg/103 mg filmsko obložene tablete so svetlo rožnate ovalne tablete z vtisnjenima oznakama "NVR" na eni strani in "L11" na drugi.
English: Valsartan inhibits detrimental cardiovascular and renal effects of angiotensin II by selectively blocking the AT1 receptor, and also inhibits angiotensin II-dependent aldosterone release.
Slovenian: Valsartan s selektivnim zaviranjem receptorja AT1 onemogoča negativne učinke angiotenzina II na srce, žilje in ledvice, zavira pa tudi od angiotenzina II odvisno sproščanje aldosterona.
English: • weakness
Slovenian: • šibkost
English: Neparvis 97 mg/103 mg film-coated tablets
Slovenian: Neparvis 97 mg/103 mg filmsko obložene tablete
English: LBQ657 and valsartan exposure are increased in subjects over 65 years of age by 42% and 30%, respectively, compared to younger subjects.
Slovenian: Pri bolnikih, ki so stari več kot 65 let, je izpostavljenost substanci LBQ657 večja za 42 %, izpostavljenost valsartanu pa za 30 % od tiste pri mlajših osebah.
English: • low blood pressure (dizziness, light-headedness) when switching from sitting or lying to standing position
Slovenian: • nizek krvni tlak pri vstajanju iz sedečega ali ležečega položaja (omotičnost, občutek slabosti pred izgubo zavesti)
English: It is teratogenic based on a low incidence of foetal hydrocephaly, associated with maternally toxic doses, which was observed in rabbits at an Neparvis dose of ≥4.9 mg sacubitril/5.1 mg valsartan/kg/day.
Slovenian: Zdravilo je teratogeno glede na podatke o majhni pogostnosti hidrocefalije pri plodu ob odmerkih, ki so toksični za mater, kar so opažali pri kuncih pri odmerku zdravila Neparvis ≥4,9 mg sakubitrila/5,1 mg valsartana /kg/dan.
English: Film coat
Slovenian: Filmska obloga
English: In a 21-day study in HFrEF patients, Neparvis significantly increased urine ANP and cGMP and plasma cGMP, and decreased plasma NT-proBNP, aldosterone and endothelin-1 compared to baseline.
Slovenian: V 21-dnevni študiji pri bolnikih z zmanjšanim iztisnim deležem je uporaba zdravila Neparvis statistično značilno zvišala koncentraciji ANP in cGMP v urinu in koncentracijo cGMP v plazmi ter znižala plazemske koncentracije NT-proBNP, aldosterona in endotelina-1 v primerjavi z izhodiščnimi vrednostmi.
English: Neparvis is contraindicated in patients with a known history of angioedema related to previous ACE inhibitor or ARB therapy or with hereditary or idiopathic angioedema (see section 4.3).
Slovenian: Uporaba zdravila Neparvis je kontraindicirana pri bolnikih z anamnezo angioedema zaradi predhodnega zdravljenja z zaviralcem ACE ali zaviralcem angiotenzinskih receptorjev ali z dednim ali idiopatskim angioedemom (glejte poglavje 4.3).
English: 20 film-coated tablets
Slovenian: 20 filmsko obloženih tablet
English: What Neparvis looks like and contents of the pack Neparvis 24 mg/26 mg film-coated tablets are violet-white oval tablets with “NVR” on one side and “LZ” on the other side.
Slovenian: Izgled zdravila Neparvis in vsebina pakiranja Neparvis 24 mg/26 mg filmsko obložene tablete so vijoličasto bele ovalne tablete z vtisnjenima oznakama "NVR" na eni strani in "LZ" na drugi.
English: 1) Limits for NDMA and NDEA outlined below should be implemented for a transitional period of 2 years:
Slovenian: Imetnik dovoljenja za promet z zdravilom mora za N-nitrozodimetilamin (NDMA) in N-nitrozodietilamin (NDEA) uvesti naslednje specifikacije za učinkovino: 1) Spodaj navedene meje za NDMA in NDEA je treba uvesti za dveletno prehodno obdobje:
English: The valsartan contained within Neparvis is more bioavailable than the valsartan in other marketed tablet formulations; 26 mg, 51 mg, and 103 mg of valsartan in Neparvis is equivalent to 40 mg, 80 mg and 160 mg of valsartan in other marketed tablet formulations, respectively.
Slovenian: 26 mg, 51 mg oziroma 103 mg valsartana v zdravilu Neparvis ustreza 40 mg, 80 mg oziroma 160 mg valsartana v drugih formulacijah tablet, ki so dostopne na trgu.
English: If you have been taking an ACE inhibitor, wait for 36 hours after taking the last dose before you start to take Neparvis (see “Other medicines and Neparvis”).
Slovenian: Če ste do zdaj jemali katerega od zaviralcev ACE, morate po zaužitju zadnjega odmerka počakati 36 ur, preden začnete jemati zdravilo Neparvis (glejte pod naslovom "Druga zdravila in zdravilo Neparvis").
English: However, in patients with mild to moderate hepatic impairment, the exposures of free concentrations of LBQ657 increased by 1.47- and 3.08-fold, respectively, and the exposures of free concentrations of valsartan increased by 1.09-fold and 2.20-fold, respectively, compared to matching healthy subjects.
Slovenian: Pri tem pa je bila pri bolnikih z blago do zmerno okvaro jeter izpostavljenost nevezani substanci LBQ657 1,47-krat oziroma 3,08-krat večja, izpostavljenost nevezanemu valsartanu pa je bila 1,09-krat oziroma 2,20-krat večja kot pri ustreznih zdravih osebah.
English: Neparvis 24 mg/26 mg film-coated tablets
Slovenian: Neparvis 24 mg/26 mg filmsko obložene tablete
English: If you stop taking Neparvis, wait 36 hours after taking your last dose of Neparvis before starting an ACE inhibitor.
Slovenian: Če prenehate jemati zdravilo Neparvis, morate po zaužitju zadnjega odmerka zdravila Neparvis počakati 36 ur, preden začnete jemati zaviralec ACE.
English: Neparvis 49 mg/51 mg film-coated tablets
Slovenian: Neparvis 49 mg/51 mg filmsko obložene tablete
English: Microcrystalline cellulose Low-substituted hydroxypropylcellulose Crospovidone, type A Magnesium stearate
Slovenian: 6.1 Seznam pomožnih snovi Jedro tablete mikrokristalna celuloza delno substituirana hidroksipropil celuloza krospovidon tipa A magnezijev stearat smukec koloidni brezvodni silicijev dioksid
English: There is limited clinical experience in patients with moderate hepatic impairment (Child-Pugh B classification) or with AST/ALT values more than twice the upper limit of the normal range.
Slovenian: Pri bolnikih z zmerno okvaro jeter (Child-Pugh stopnje B) oziroma z vrednostmi aspartat aminotransferaze (AST) ali alanin aminotransferaze (ALT), ki več kot dvakrat presegajo zgornjo mejo normalnih vrednosti, je na voljo le malo kliničnih izkušenj.
English: Co-administration of nitroglycerin and Neparvis was associated with a treatment difference of 5 bpm in heart rate compared to the administration of nitroglycerine alone.
Slovenian: Sočasna uporaba nitroglicerina in zdravila Neparvis je bila povezana z znižanjem srčne frekvence za 5 utripov na minuto v primerjavi z odmerjanjem samo nitroglicerina.
English: Neparvis 24 mg/26 mg film-coated tablets Neparvis 49 mg/51 mg film-coated tablets Neparvis 97 mg/103 mg film-coated tablets
Slovenian: Neparvis 24 mg/26 mg filmsko obložene tablete Neparvis 49 mg/51 mg filmsko obložene tablete Neparvis 97 mg/103 mg filmsko obložene tablete
English: 28 film-coated tablets.
Slovenian: 28 filmsko obloženih tablet.
English: Common (may affect up to 1 in 10 people):
Slovenian: Pogosti (lahko se pojavijo pri največ 1 od 10 ljudi):
English: Following oral administration, Neparvis dissociates into valsartan and the prodrug sacubitril.
Slovenian: Zdravilo Neparvis po peroralnem odmerjanju disociira v valsartan in sakubitril, ki je predzdravilo.
English: • feeling sick (nausea)
Slovenian: • občutek slabosti (navzea)
English: It must not be re-administered.
Slovenian: Bolnikom zdravila ne smemo ponovno uvesti.
English: The adverse embryofoetal effects of Neparvis are attributed to the angiotensin receptor antagonist activity (see section 4.6).
Slovenian: Neželene učinke zdravila Neparvis na zarodek oziroma plod je mogoče pripisati njegovi aktivnosti, ki jo ima kot antagonist angiotenzinskih receptorjev (glejte poglavje 4.6).
English: A single dose of Neparvis 583 mg sacubitril/617 mg valsartan and multiple doses of 437 mg sacubitril/463 mg valsartan (14 days) were studied in healthy volunteers and were well tolerated.
Slovenian: Pri zdravih prostovoljcih so proučevali odmerjanje enkratnega odmerka zdravila Neparvis s 583 mg sakubitrila in 617 mg valsartana ter večkratnih odmerkov po 437 mg sakubitrila in 463 mg valsartana (v 14 dneh), kar so preiskovanci dobro prenašali.
English: Neparvis 24 mg/26 mg film-coated tablets Neparvis 49 mg/51 mg film-coated tablets Neparvis 97 mg/103 mg film-coated tablets sacubitril/valsartan
Slovenian: Neparvis 24 mg/26 mg filmsko obložene tablete Neparvis 49 mg/51 mg filmsko obložene tablete Neparvis 97 mg/103 mg filmsko obložene tablete sakubitril/valsartan
English: Patients received a starting dose of Neparvis of 50 mg twice daily and were up-titrated to 100 mg twice daily,
Slovenian: Bolniki so prejemali začetni odmerek 50 mg zdravila Neparvis dvakrat na dan , nato pa so jim odmerek postopno zviševali najprej na 100 mg dvakrat na dan, nato pa na ciljni odmerek 200 mg dvakrat na dan v okviru bodisi 3-tedenskega ali 6-tedenskega režima.
English: Candesartan 32 * These limits are not applicable for batches where more than one of the above N-nitrosamines has been identified simultaneously; such batches should be rejected.
Slovenian: Meja za NDMA v ppm v učinkovini valsartan 320 losartan olmesartan 40 irbesartan 300 kandesartan 32 * Te meje ne veljajo za serije, v katerih so hkrati ugotovili več kot enega od zgornjih N-nitrozaminov; take serije je treba zavrniti.
English: Neparvis exhibits the mechanism of action of an angiotensin receptor neprilysin inhibitor by simultaneously inhibiting neprilysin (neutral endopeptidase; NEP) via LBQ657, the active metabolite of the prodrug sacubitril, and by blocking the angiotensin II type-1 (AT1) receptor via valsartan.
Slovenian: Mehanizem delovanja zdravila Neparvis je zaviranje angiotenzinskih receptorjev in neprilizina, in sicer s substanco LBQ657, ki je aktivni metabolit predzdravila sakubitrila, zavira neprilizin (nevtralno endopeptidazo, NEP), hkrati pa z valsartanom zavira tudi receptor za angiotenzin II tipa 1 (AT1).
English: ACE inhibitor therapy must not be started until 36 hours after the last dose of Neparvis (see sections 4.2 and 4.3).
Slovenian: Zdravljenja z zaviralcem ACE se ne sme začeti prej kot po preteku 36 ur od odmerjanja zadnjega odmerka zdravila Neparvis (glejte poglavji 4.2 in 4.3).
English: This finding is not considered adverse.
Slovenian: Ta pojav ne šteje med neželene.
English: Therefore, monitoring of renal function is recommended when initiating or modifying treatment in patients on Neparvis who are taking NSAIDs concomitantly (see section 4.4).
Slovenian: Pri bolnikih, ki sočasno prejemajo zdravilo Neparvis in nesteroidna protivnetna zdravila, je zato priporočeno spremljanje ledvične funkcije v času uvedbe ali spreminjanja zdravljenja (glejte poglavje 4.4).
English: A slight increase in two foetal skeletal variations (misshapen sternebra, sternebra bipartite ossification) was observed in rabbits at an Neparvis dose of 4.9 mg sacubitril/5.1 mg valsartan/kg/day.
Slovenian: Pri kuncih so opažali nekoliko večjo pogostnost dveh skeletnih variacij (nepravilne oblike sternebre in dvodelne osifikacije sternebre) pri odmerjanju zdravila Neparvis 4,9 mg sakubitrila/5,1 mg valsartana/kg/dan.
English: The complementary cardiovascular benefits of Neparvis in heart failure patients are attributed to the enhancement of peptides that are degraded by neprilysin, such as natriuretic peptides (NP), by LBQ657 and the simultaneous inhibition of the effects of angiotensin II by valsartan.
Slovenian: Komplementarne srčno-žilne koristi zdravila Neparvis pri bolnikih s srčnim popuščanjem je mogoče pripisati delovanju substance LBQ657 (ta povečuje obseg delovanja peptidov, ki jih sicer razgrajuje neprilizin, kot so natriuretični peptidi) ter hkratnemu delovanju valsartana, ki zavira delovanje angiotenzina II.
English: These include potassium supplements, salt substitutes containing potassium, potassium-sparing medicines and heparin.
Slovenian: • zdravil, ki zvišujejo koncentracijo kalija v krvi, med katere sodijo nadomestki kalija, nadomestki soli, ki vsebujejo kalij, zdravila, ki varčujejo s kalijem, in heparin.
English: Following twice daily dosing of Neparvis, steady-state levels of sacubitril, LBQ657 and valsartan are reached in three days.
Slovenian: Pri odmerjanju zdravila Neparvis dvakrat na dan dosežejo sakubitril, substanca LBQ657 in valsartan stanje dinamičnega ravnovesja v treh dneh.
English: Hypotension
Slovenian: Hipotenzija
English: Pack sizes: 14, 20, 28 or 56 film-coated tablets and multipacks containing 196 (7x28) film-coated tablets.
Slovenian: Velikosti pakiranj: 14, 20, 28 ali 56 filmsko obloženih tablet ali skupno pakiranje, ki vsebuje 196 (7x28) filmsko obloženih tablet.
English: No impairment of fertility was demonstrated in studies with it in male and female rats (see section 5.3).
Slovenian: V študijah tega zdravila na podganah niso ugotovili nobenega vpliva na plodnost samcev in samic (glejte poglavje 5.3).
English: The risk may be further increased by dehydration or concomitant use of non-steroidal anti-inflammatory agents (NSAIDs) (see section 4.5).
Slovenian: Dehidracija ali sočasna uporaba nesteroidnih protivnetnih zdravil lahko to tveganje še povečata (glejte poglavje 4.5).
English: 56 film-coated tablets.
Slovenian: 56 filmsko obloženih tablet.
English: No. at risk
Slovenian: Število ogroženih
English: • if you have liver disease.
Slovenian: • če imate bolezen jeter.
English: Uncommon (may affect up to 1 in 100 people):
Slovenian: Občasni (lahko se pojavijo pri največ 1 od 100 ljudi):
English: No dose adjustment is required in patients with mild (Estimated Glomerular Filtration Rate [eGFR] 60-90 ml/min/1.73 m2) renal impairment.
Slovenian: Pri bolnikih z blago okvaro ledvic (z ocenjeno hitrostjo glomerulne filtracije 60-90 ml/min/1,73 m prilagajanje odmerjanja ni potrebno.
English: ≥49 mg sacubitril/51 mg valsartan/kg/day (≤0.72-fold the maximum recommended human dose [MRHD] on the basis of AUC) and rabbits at doses ≥4.9 mg sacubitril/5.1 mg valsartan/kg/day (2-fold and 0.03-fold the MRHD on the basis of valsartan and LBQ657 AUC, respectively).
Slovenian: ≥4,9 mg sakubitrila/5,1 mg valsartana/kg/dan (kar je 2-kratnik oziroma 0,03-kratnik največjega priporočenega odmerka pri ljudeh glede na doseženo AUC valsartana oziroma substance LBQ657).
English: The embryo-foetal no-observed adverse effect level (NOAEL) for sacubitril was at least 750 mg/kg/day in rats and 200 mg/kg/day in rabbits (2.2-fold the MRHD on the basis of LBQ657 AUC).
Slovenian: Pri podganah je bil odmerek sakubitrila brez pomembnih neželenih učinkov na zarodek oziroma plod (NOAEL) najmanj 750 mg/kg/dan, pri kuncih pa 200 mg/kg/dan (kar je 2,2-kratnik največjega priporočenega odmerka pri ljudeh glede na doseženo AUC substance LBQ657).
English: Patients with renal artery stenosis
Slovenian: Bolniki s stenozo ledvične arterije
English: • The 49 mg/51 mg tablet coating contains hypromellose, titanium dioxide (E171), Macrogol 4000, talc, iron oxide red (E172) and iron oxide yellow (E172).
Slovenian: • Filmska obloga 49 mg/51 mg tablet vsebuje hipromelozo, titanov dioksid (E171), makrogol 4000, smukec, rdeči železov oksid (E172) in rumeni železov oksid (E172).
English: Worsening renal function
Slovenian: Okvara ledvične funkcije
English: ACE inhibitors
Slovenian: Zaviralci ACE
English: Treatment should not be initiated in patients with serum potassium level >5.4 mmol/l or with SBP <100 mmHg (see section 4.4).
Slovenian: Zdravila se ne sme uvajati bolnikom, pri katerih koncentracija kalija v serumu presega 5,4 mmol/l ali imajo sistolični krvni tlak pod 100 mmHg (glejte poglavje 4.4).
English: No clinically relevant drug-drug interaction was observed when simvastatin and Neparvis were coadministered.
Slovenian: Pri sočasni uporabi simvastatina in zdravila Neparvis niso opažali nobenih klinično pomembnih interakcij.
English: Neparvis is contraindicated in patients with severe hepatic impairment, biliary cirrhosis or cholestasis (Child-Pugh C classification) (see section 4.3).
Slovenian: Pri bolnikih s hudo okvaro jeter, biliarno cirozo ali holestazo (Child-Pugh stopnje C) je uporaba zdravila Neparvis kontraindicirana (glejte poglavje 4.3).
English: Caution should be exercised when co-administering Neparvis with statins.
Slovenian: Pri sočasni uporabi zdravila Neparvis s statini je potrebna previdnost.
English: • Concomitant use with aliskiren-containing medicinal products in patients with diabetes mellitus or in patients with renal impairment (eGFR <60 ml/min/1.73 m2) (see sections 4.4 and 4.5).
Slovenian: • Sočasna uporaba z zdravili, ki vsebujejo aliskiren, pri bolnikih s sladkorno boleznijo in pri bolnikih z okvaro ledvic (z ocenjeno hitrostjo glomerulne filtracije <60 ml/min/1,73 m2) (glejte poglavji 4.4 in 4.5).
English: If you have been taking an ACE inhibitor, wait 36 hours after taking the last dose of the ACE inhibitor before starting to take Neparvis (see “Do not take Neparvis”).
Slovenian: Če ste do zdaj jemali katerega od zaviralcev ACE, morate po zaužitju zadnjega odmerka počakati 36 ur, preden začnete jemati zdravilo Neparvis (glejte pod naslovom " Ne jemljite zdravila Neparvis").
English: • The 24 mg/26 mg and the 97 mg/103 mg tablet coatings contain hypromellose, titanium dioxide (E171), Macrogol 4000,talc, iron oxide red (E172) and iron oxide black (E172).
Slovenian: • Filmski oblogi 24 mg/26 mg in 97 mg/103 mg tablet vsebujeta hipromelozo, titanov dioksid (E171), makrogol 4000, smukec, rdeči železov oksid (E172) in črni železov oksid (E172).
English: • low level of red blood cells (shown in a blood test)
Slovenian: • znižano število rdečih krvnih celic (kar pokaže izvid krvne preiskave)
English: Interactions between Neparvis and lithium have not been investigated.
Slovenian: Medsebojnega delovanja med zdravilom Neparvis in litijem niso raziskovali, zato uporaba te kombinacije ni priporočena.
English: • low level of sugar in the blood (shown in a blood test)
Slovenian: • nizka raven sladkorja v krvi (kar pokaže izvid krvne preiskave)
English: Neparvis may increase blood urea and serum creatinine levels in patients with bilateral or unilateral renal artery stenosis.
Slovenian: Pri bolnikih z obojestransko ali enostransko stenozo ledvične arterije lahko uporaba zdravila Neparvis zviša koncentracije sečnine v krvi in kreatinina v serumu.
English: Neparvis should not be co-administered with an ACE inhibitor or an ARB. Due to the potential risk of angioedema when used concomitantly with an ACE inhibitor, it must not be started for at least 36 hours after discontinuing ACE inhibitor therapy (see sections 4.3, 4.4 and 4.5).
Slovenian: Ker pri sočasni uporabi z zaviralcem ACE obstaja tveganje za angioedem, se ga ne sme uvesti prej kot po preteku 36 ur od prekinitve zdravljenja z zaviralcem ACE (glejte poglavja 4.3, 4.4 in 4.5).
English: ≤ eGFR <90 ml/min/1.73 m2), the largest group of patients enrolled in
Slovenian: ≤ ocenjena hitrost glomerulne filtracije <90 ml/min/1,73 m2), ki so med bolniki, vključenimi v študijo