FrancophonIA/ELRC3.0 huggingface dataset:
English: The data support that for isotretinoin and alitretinoin the information in section 4.4 and 4.8, of the SmPC, should be in line with the agreed outcome of the 2003 Art 30 referral for isotretinoin.
Danish: 4.4 og 4.8 for isotretionin og alitretionin bør være i overensstemmelse med det vedtagne resultat af artikel 30-henvisningsproceduren fra 2003 vedrørende isotretinoin.
English: However, given that humans are the most sensitive species to retinoid embryopathy and that several other factors may contribute to an increased systemic exposure, such as excessive use and damaged skin barrier, the PRAC agreed that the teratogenic risk cannot be completely excluded.
Danish: Da mennesker er den mest følsomme art i forhold til retinoid-relateret embryopati, og da adskillige andre faktorer kan medvirke til en øget systemisk eksponering, som f.eks. overdreven brug og ødelagt hud, fandt PRAC imidlertid, at den teratogene risiko ikke helt kan udelukkes.
English: Given that humans are the most sensitive species with respect to retinoid toxicity and considering the limitations of the available data with respect to understanding the systemic absorption and also the possible risks, the PRAC, considers that it is appropriate to take a very precautious approach.
Danish: I lyset af, at mennesker er den mest følsomme art med hensyn til retinoid toksicitet, og i betragtning af begrænsningerne i de tilgængelige data i forhold til at forstå den systemiske eksponering og de mulige risici finder PRAC, at det er hensigtsmæssigt at have en meget forsigtig tilgang.
English: In addition, the PRAC considered the views of patients and healthcare professionals in relation to their understanding and the awareness of the teratogenic risk associated with the use of retinoid-containing medicines.
Danish: Derudover drøftede PRAC patienternes og sundhedspersonernes synspunkter vedrørende deres forståelse af og bevidsthed om den teratogene risiko, der er forbundet med brug af lægemidler indeholdende retinoider.
English: The PRAC recognizes that the available data in relation to oral retinoids and the occurrence of neuropsychiatric disorders have a number of important limitations that preclude the establishment of a clear causal association.
Danish: PRAC anerkender, at de tilgængelige data vedrørende orale retinoider og forekomsten af neuropsykiatriske forstyrrelser rummer en række væsentlige begrænsninger, der gør det umuligt at fastslå en klar årsagssammenhæng.
English: These include a patient reminder card, physician checklist/acknowledgement form and pharmacist checklist ensuring the understanding and the awareness of prescribers and patients on the risks.
Danish: Det drejer sig bl.a. om et påmindelseskort til patienterne, en tjekliste/bekræftelsesblanket til læger og en tjekliste til apotekspersonale, og formålet med disse er at sikre forståelse af og bevidsthed om risiciene hos de ordinerende læger og patienterne.
English: • A direct healthcare professional communication (DHPC) was also considered appropriate for all oral and topical retinoids.
Danish: • Direkte sikkerhedsinformation til sundhedspersoner blev også vurderet hensigtsmæssigt for alle orale og topikale retinoider.
English: On 7 July 2016 the United Kingdom triggered a referral under Article 31 of Directive 2001/83/EC resulting from pharmacovigilance data, and requested the PRAC to review the routine risk minimisation measures in place for the oral and topical retinoids to ensure the available data and the risks associated with the adverse teratogenic effects and neuropsychiatric disorders are accurately and consistently addressed within the product information where appropriate and justified by data.
Danish: Den 7. juli 2016 indledte Det Forenede Kongerige en henvisningsprocedure i henhold til artikel 31 i direktiv 2001/83/EF som følge af data fra bivirkningsovervågning og anmodede PRAC om at gennemgå de almindelige risikominimerende foranstaltninger, der er iværksat for orale og topikale retinoider, for at sikre, at de tilgængelige data og de risici, der er forbundet med de teratogene bivirkninger og neuropsykiatriske forstyrrelser, er nøjagtigt og konsekvent beskrevet på de relevante steder i produktinformationen, og at de er understøttet af data.
English: Given the indications and patients populations that use acitretin, alitretinoin and isotretinoin, it was considered that any use of these oral retinoids in female patients at risk of pregnancy must be in accordance with the conditions of a pregnancy prevention programme (PPP).
Danish: I betragtning af indikationerne og de patientpopulationer, der anvender acitretin, alitretinoin og isotretinoin, blev det vurderet, at enhver brug af disse orale retinoider hos kvindelige patienter, der kan blive gravide, skal ske i overensstemmelse med betingelserne i et graviditetsforebyggelsesprogram.
English: • With regards to the teratogenic risk of topical retinoids (adapalene, alitretinoin, isotretinoin, tretinoin and tazarotene), the PRAC concluded that the data available show that after topical application, systemic exposure is expected to be negligible and unlikely to result in adverse fetal outcomes.
Danish: • Hvad angår den teratogene risiko ved topikale retinoider (adapalen, alitretinoin, isotretinoin, tretinoin og tazaroten), konkluderede PRAC, at de tilgængelige data viser, at den systemiske eksponering efter topikal anvendelse forventes at være ubetydelig og sandsynligvis ikke vil medføre negative udfald for fostre.
English: The PRAC therefore recommended that the use of topical retinoids should be contraindicated during pregnancy and in women planning a pregnancy given the non-life threatening nature of the indications.
Danish: PRAC anbefalede derfor, at brugen af topikale retinoider bør kontraindiceres hos gravide og hos kvinder, der planlægger graviditet, i betragtning af den ikke-livstruende karakter af indikationerne.
English: • Patient signature of the physician checklist/acknowledgement form;
Danish: • patientunderskrift på lægernes tjekliste/bekræftelsesblanket
English: The PRAC was requested to assess the impact of the above concerns on the benefit-risk balance of retinoid-containing medicinal products and issue a recommendation on whether the products should be maintained, varied, suspended or revoked.
Danish: PRAC blev anmodet om at vurdere betydningen af den ovennævnte problemstilling for benefit/riskforholdet for lægemidler indeholdende retinoider og give en anbefaling om, hvorvidt markedsføringstilladelserne for disse lægemidler bør opretholdes, ændres, suspenderes eller tilbagekaldes.
English: For tretinoin and bexarotene, it was considered that in light of the oncological indications, specialist management in a hospital setting and population at risk that existing risk minimisation was appropriate and proportionate.
Danish: I forhold til tretinoin og bexaroten blev det i lyset af de onkologiske indikationer, speciallæge-behandlingen på hospitaler og den relevante patientpopulation vurderet, at de eksisterende risikominimeringsforanstaltninger er tilstrækkelige og rimelige.
English: Compliance with the PPP is crucial to a positive benefit/risk balance for these products; therefore, the adequacy of the pregnancy prevention measures, including PPPs, for the oral retinoids acitretin, alitretinoin and isotretinoin has been reviewed to ensure that the available materials effectively encourage contraception use, regular pregnancy testing and shared responsibility between patients, doctors and pharmacists in adhering to recommendations, and that this is communicated consistently and effectively for all products.
Danish: Overholdelse af graviditetsforebyggelsesprogrammet er afgørende for et positivt benefit/risk-forhold for disse lægemidler, derfor er der foretaget en gennemgang af tilstrækkeligheden af de graviditetsforebyggende foranstaltninger, herunder graviditetsforebyggelsesprogrammerne, for de orale retinoider acitretin, alitretinoin og isotretinoin for at sikre, at de tilgængelige materialer virker i forhold til at fremme brugen af prævention, regelmæssige graviditetstest og delt ansvar mellem patienter, læger og apotekspersonale i forhold til at følge anbefalingerne, og at dette kommunikeres konsekvent og effektivt for alle lægemidlers vedkommende.
English: Given this and the negligible systemic exposure following topical use, the PRAC considered that no further risk minimization activities are deemed necessary.
Danish: I lyset af dette og den ubetydelige systemiske eksponering efter topikal anvendelse vurderede PRAC, at det ikke er nødvendigt at iværksætte yderligere risikominimerende foranstaltninger.
English: The PRAC thereby concludes that the benefit-risk balance of topical retinoids in pregnancy is not favourable, and therefore recommends that use of topical retinoids should be contraindicated during pregnancy and in women planning a pregnancy.
Danish: PRAC konkluderer derfor, at benefit/risk-forholdet for topikale retinoider ved graviditet ikke er positivt, og anbefaler derfor, at brugen af topikale retinoider bør kontraindiceres under graviditet og hos kvinder, der planlægger graviditet.
English: • The PRAC considered the totality of the data submitted, including responses from the marketing authorisation holders with regard to the consistency and effectiveness of existing routine and additional risk minimisation measures for oral and topical retinoids-containing medicinal products in relation to teratogenic effects and neuropsychiatric disorders.
Danish: • PRAC vurderede alle fremsendte data, herunder svar fra indehaverne af markedsføringstilladelse med hensyn til konsistensen og effekten af eksisterende rutinemæssige og yderligere risikominimeringsforanstaltninger for orale og topikale lægemidler indeholdende retinoider, for så vidt angår teratogene bivirkninger og neuropsykiatriske forstyrrelser.
English: The PRAC further noted the extremely limited data relating to neuropsychiatric reactions after topical administration of retinoids.
Danish: PRAC bemærkede desuden de stærkt begrænsede data vedrørende neuropsykiatriske reaktioner efter topikal administration af retinoider.
English: In addition, the views of patients and healthcare professionals regarding communication, awareness and understanding of the risks of retinoids during pregnancy and in women of childbearing potential were taken into account in the recommendation along with their views on options for improving risk communication.
Danish: Desuden blev der i anbefalingen taget hensyn til patienters og sundhedspersoners synspunkter vedrørende kommunikation, bevidsthed og forståelse af risiciene ved brug af retinoider hos gravide og fertile kvinder, ligesom der blev taget hensyn til deres forslag til at forbedre risikokommunikationen.
English: Given this and the negligible systemic exposure following topical no further risk minimization activities are deemed necessary.
Danish: I lyset af dette og den ubetydelige systemiske eksponering efter topikal anvendelse skønnes det ikke nødvendigt at iværksætte yderligere risikominimerende foranstaltninger.
English: • With regards to the teratogenic risk, the PRAC confirmed that all oral retinoids (acitretin, alitretinoin, bexarotene, isotretinoin and tretinoin) are highly teratogenic and therefore must continue to be contraindicated during pregnancy or in women of child bearing potential unless they are using effective contraception.
Danish: • Hvad angår den teratogene risiko, bekræftede PRAC, at alle orale retinoider (acitretin, alitretinoin, bexaroten, isotretinoin og tretinoin) er stærkt teratogene og derfor fortsat skal være kontraindicerede hos gravide kvinder og hos fertile kvinder, der ikke anvender sikker prævention.
English: The PRAC reviewed all available data from pre-clinical studies, pharmacovigilance data, published literature and spontaneous reports on the risks associated with the adverse teratogenic effects and neuropsychiatric disorders of oral and topical retinoids.
Danish: PRAC gennemgik alle tilgængelige data fra prækliniske undersøgelser, data fra bivirkningsovervågning, publiceret litteratur og spontane indberetninger vedrørende de risici, der er forbundet med orale og topikalee retinoiders teratogene bivirkninger og neuropsykiatriske forstyrrelser.
English: Therefore the CHMP recommends the variation to the terms of the marketing authorisations for retinoidcontaining medicinal products.
Danish: CHMP anbefaler derfor ændring af betingelserne for markedsføringstilladelse for lægemidler indeholdende retinoider.
English: • Dissemination of the patient reminder card;
Danish: • udbredelse af påmindelseskortet til patienter
English: Overall, the PRAC concludes that the benefit-risk balance of medicinal products containing retinoids remains favourable, but that marketing authorisation(s) should be varied for both the oral and topical retinoids to ensure risks associated with the adverse teratogenic effects and neuropsychiatric disorders are accurately and consistently addressed, as appropriate.
Danish: Samlet set konkluderer PRAC, at benefit/risk-forholdet for lægemidler indeholdende retinoider fortsat er positivt, men at markedsføringstilladelserne bør ændres for både orale og topikale retinoider for at sikre, at risikoen for teratogene bivirkninger og neuropsykiatriske forstyrrelser beskrives nøjagtigt og konsekvent, hvor det er relevant.
English: • The PRAC also concluded that there was a need to further harmonise and streamline the measures in the PPP including associated educational materials for the oral retinoids acitretin, alitretinoin and isotretinoin to ensure these are optimal to support discussions between patients and healthcare professionals on the risks and the associated risk minimisation measures.
Danish: • PRAC konkluderede også, at der er behov for yderligere harmonisering og strømlining af foranstaltningerne i graviditetsforebyggelsesprogrammet, herunder uddannelsesmaterialerne for de orale retinoider acitretin, alitretinoin og isotretinoin, for at sikre, at de er optimale i forhold til at understøtte drøftelser mellem patienter og sundhedspersoner om risiciene og de relaterede risikominimerende foranstaltninger.
English: The PRAC, as a consequence, recommends the variation to the terms of the marketing authorisations for retinoid-containing medicinal products.
Danish: PRAC anbefaler som følge heraf ændring af betingelserne for markedsføringstilladelse for lægemidler indeholdende retinoider.
English: • Pharmacist checklist;
Danish: • tjekliste til apotekspersonalet
English: In this respect, the PRAC recommended amendments to the product information, including harmonising the warnings and precautions of use for the oral retinoids acitretin, alitretinoin and isotretinoin to reflect the teratogenic risk associated with their use and communication to healthcare professionals through a direct healthcare professional communication.
Danish: I den forbindelse anbefalede PRAC, at produktinformationen ændres, herunder at advarslerne og forsigtighedsreglerne vedrørende brug af de orale retinoider acitretin, alitretinoin og isotretinoin harmoniseres for at afspejle de teratogene risici, der er forbundet med dem, og at sundhedspersoner informeres herom ved hjælp af direkte sikkerhedsinformation til dem.
English: • The PRAC further considered that for the oral retinoids acitretin, alitretinoin and isotretinoin a drug utilisation study with a complementary survey should be conducted to assess the effectiveness of the proposed updated risk minimisation measures.
Danish: • PRAC var desuden af den opfattelse, at der bør gennemføres en undersøgelse af lægemiddelanvendelsen af de orale retinoider acitretin, alitretinoin og isotretinoin sammen med en supplerende undersøgelse for at vurdere effekten af den foreslåede opdatering af de risikominimerende foranstaltninger.
English: • Furthermore, the PRAC noted the extremely limited data relating to neuropsychiatric reactions after topical administration of retinoids.
Danish: • PRAC bemærkede desuden, at data vedrørende neuropsykiatriske reaktioner efter topikal administration af retinoider er stærkt begrænsede.
English: • Inclusion of appointment table in the patient reminder card;
Danish: • tilføjelse af en aftaleoversigt på patientpåmindelseskortet
English: PRAC considered that given the oncological indications of oral tretinoin and oral bexarotene, further risk minimisation measures (RMMs) for these products regarding teratogenic effects, such as strengthening the product information (PI) and additional risk minimisation measures (aRMMs) would not provide an added value given the specialist management, the population at risk and the nature of the illness.
Danish: I betragtning af de onkologiske indikationer for oral tretinoin og oral bexaroten samt speciallægebehandlingen, den relevante patientpopulation og sygdommens karakter vurderede PRAC, at yderligere risikominimeringsforanstaltninger vedrørende disse lægemidlers teratogene bivirkninger, f.eks. styrkelse af produktinformationen og yderligere risikominimerende foranstaltninger, ikke ville bibringe en merværdi.
English: In addition, the PRAC recommended changes to the educational materials for the oral retinoids (acitretin, alitretinoin and isotretinoin) to ensure healthcare professionals and patients are informed about the risks associated with oral retinoids (acitretin, alitretinoin and isotretinoin) in pregnant women and women of child-bearing potential and on the measures necessary to minimise the risk.
Danish: ændringer i uddannelsesmaterialet for de orale retinoider (acitretin, alitretinoin og isotretinoin) for at sikre, at sundhedspersoner og patienter informeres om risiciene ved brug af disse hos gravide og fertile kvinder og om de foranstaltninger, der er nødvendige for at minimere risiciene.
English: In view of the above, the PRAC considers that the benefit-risk balance of retinoid-containing medicinal products remains favourable subject to the agreed amendments to the product information and risk management plan, the conditions to the marketing authorisations and the related communication.
Danish: På dette grundlag vurderer PRAC, at benefit/risk-forholdet for lægemidler indeholdende retinoider fortsat er positivt, forudsat at de aftalte ændringer i produktinformationen, risikostyringsplanen og betingelserne for markedsføringstilladelserne foretages, samt at den dertilhørende kommunikation gennemføres.
English: The CHMP, as a consequence, considers that the benefit-risk balance of retinoid-containing medicinal products remains favourable subject to the agreed amendments to the product information and risk management plan, the conditions to the marketing authorisations and the related communication.
Danish: Følgelig vurderer PRAC, at benefit/risk-forholdet for lægemidler indeholdende retinoider fortsat er positivt, forudsat at de aftalte ændringer i produktinformationen, risikostyringsplanen og betingelserne for markedsføringstilladelserne foretages, samt at den dertilhørende kommunikation gennemføres.
English: Furthermore, specific studies to measure effectiveness of the agreed changes to the PPP have been imposed on the marketing authorisation holders as an outcome of the referral.
Danish: Derudover er indehaverne af markedsføringstilladelse som resultat af henvisningsproceduren blevet pålagt at gennemføre specifikke undersøgelser for at måle virkningen af de vedtagne ændringer af graviditetsforebyggelsesprogrammet.
English: Inovelon received a marketing authorisation valid throughout the EU on 16 January 2007.
Danish: Inovelon modtog en markedsføringstilladelse med gyldighed i hele EU den 16. januar 2007.
English: Inovelon should be taken with water and food.
Danish: Inovelon bør tages med vand og mad.
English: Other information about Inovelon
Danish: Andre oplysninger om Inovelon
English: Inovelon (rufinamide)
Danish: Inovelon (rufinamid)
English: The dose is then adjusted every other day according to the patient's response to treatment.
Danish: Derefter justeres dosen hver anden dag i henhold til patientens reaktion på behandlingen.
English: As for all medicines, data on the use of Inovelon are continuously monitored.
Danish: Som for alle lægemidler bliver data vedrørende brugen af Inovelon løbende overvåget.
English: Given that the disease behaves the same way in both age groups, Inovelon could therefore be expected to act similarly in children aged 1 to 4 years.
Danish: Da sygdommen opfører sig på samme måde i begge aldersgrupper, kan Inovelon derfor forventes at opføre sig på samme måde hos børn i alderen 1-4 år.
English: The company also presented the results of a study showing that the oral suspension produced the same levels of the active substance in the blood as the tablets.
Danish: Virksomheden fremlagde også resultaterne af et studie, der viste, at den orale suspension gav sammen niveau af det aktive stof i blodet som tabletterne.
English: By attaching to the channels, rufinamide prevents them switching from an inactive state to an active state.
Danish: Ved at binde til kanalerne forhindrer rufinamid dem i at skifte fra en ikke-aktiv tilstand til en aktiv tilstand.
English: The daily dose is divided into two halves, taken morning and evening about 12 hours apart.
Danish: Den daglige dosis deles i to og tages hver morgen og hver aften med ca. 12 timers mellemrum.
English: Inovelon contains the active substance rufinamide.
Danish: Inovelon indeholder det aktive stof rufinamid.
English: The European Medicines Agency decided that Inovelon's benefits are greater than its risks and it can be authorised for use in the EU.
Danish: Det Europæiske Lægemiddelagentur konkluderede, at fordelene ved Inovelon opvejer risiciene, og at det kan godkendes til anvendelse i EU.
English: Side effects reported with Inovelon are carefully evaluated and any necessary action taken to protect patients.
Danish: Bivirkninger rapporteret for Inovelon vurderes omhyggeligt, og der tages de nødvendige forholdsregler for at beskytte patienterne.
English: An overview of Inovelon and why it is authorised in the EU
Danish: En oversigt over Inovelon, og hvorfor det er godkendt i EU
English: A study involving 37 children aged 1 to 4 years was inconclusive because of its small size and because it was not designed to show benefit.
Danish: Et studie med deltagelse af 37 børn i alderen 1-4 år var inkonklusivt dels på grund af dets ringe størrelse, dels på grund af, at det ikke var designet til at påvise en fordel.
English: There was a 1.6% reduction in the patients who added placebo to their existing treatment.
Danish: Der sås et fald på 1,6 % hos de patienter, der fik tilføjet placebo til deres eksisterende behandling.
English: What measures are being taken to ensure the safe and effective use of Inovelon?
Danish: Hvilke foranstaltninger træffes der for at sikre risikofri og effektiv anvendelse af Inovelon?
English: For more information about using Inovelon, see the package leaflet or contact your doctor or pharmacist.
Danish: For mere information om brug af Inovelon, se indlægssedlen eller kontakt lægen eller apotekspersonalet.
English: Further information on Inovelon can be found on the Agency's website: ema.europa.eu/Find medicine/Human medicines/European public assessment reports.
Danish: Yderligere information vedrørende Inovelon findes på agenturets websted under: ema.europa.eu/Find medicine/Human medicines/European public assessment reports.
English: All of the patients had Lennox-Gastaut syndrome that was not controlled despite continuous treatment for at least four weeks with up to three other anti-epileptic medicines.
Danish: Alle patienter havde LennoxGastault-syndrom, der ikke var reguleret på trods af kontinuerlig behandling i mindst fire uger med op til tre andre lægemidler mod epilepsi.
English: The dose of Inovelon depends on the patient's age and weight and whether the patient is also taking valproate (another anti-epileptic medicine).
Danish: Dosen af Inovelon afhænger af patientens alder og vægt samt af, om patienten også tager valproat (et andet lægemiddel mod epilepsi).
English: In older patients, treatment usually starts with a dose of 200 or 400 mg daily.
Danish: Hos ældre patienter begynder behandlingen typisk med en dosis på 200 eller 400 mg dagligt.