FrancophonIA/ELRC3.0 huggingface dataset:
English: If this occurs you should stop using Trimbow and use your quick-acting “reliever” inhaler straightaway to treat the shortness of breath and wheezing.
Danish: Hvis dette opstår, skal du straks holde op med at bruge Trimbow, og bruge din hurtigtvirkende ”lindrende” inhalator for at behandle stakåndethed og en hvæsende vejrtrækning.
English: Trimbow has no or negligible influence on the ability to drive and use machines.
Danish: Trimbow påvirker ikke eller kun i ubetydelig grad evnen til at føre motorkøretøj og betjene maskiner.
English: The recommended dose is two inhalations of Trimbow twice daily.
Danish: Den anbefalede dosis er to inhalationer af Trimbow to gange dagligt.
English: Trimbow contains beclometasone dipropionate, formoterol and glycopyrronium in a solution formulation resulting in an aerosol with extrafine particles with an average mass median aerodynamic diameter (MMAD) of around 1.1 micrometres and co-deposition of the three components.
Danish: Trimbow indeholder beclometasondipropionat, formoterol og glycopyrronium i en opløsning, der er formuleret således, at der dannes en aerosol med ekstrafine partikler med en gennemsnitlig massemedian aerodynamisk diameter (MMAD) på ca. 1,1 mikrometer, og en ko-deponering af alle tre komponenter.
English: Trimbow was also statistically significantly superior to a fixed combination of beclometasone dipropionate and formoterol, to tiotropium and to a fixed combination of indacaterol and glycopyrronium in terms of improvement in quality of life (measured by the Saint George Respiratory Questionnaire - SGRQ - total score).
Danish: Trimbow var også statistisk signifikant bedre end en fast kombination af beclometasondipropionat og formoterol, end tiotropium og en fast kombination af indacaterol og glycopyrronium hvad angår en forbedring af livskvaliteten (målt ved Saint George Respiratory Questionnaire - SGRQ - total score).
English: Genotoxicity of Trimbow has not been evaluated, however, the single active components were devoid of genotoxic activity in the conventional test systems.
Danish: De enkelte aktive komponenter var imidlertid uden genotoksisk aktivitet i de konventionelle testsystemer.
English: The use of Trimbow with the AeroChamber Plus spacer in COPD patients increased the lung delivery of beclometasone 17-monopropionate, formoterol and glycopyrronium (maximum plasma concentration increased by 15%, 58% and 60% respectively).
Danish: Anvendelsen af Trimbow sammen med AeroChamber Plus-spaceren til KOL-patienter øgede leveringen af beclometason-17-monopropionat, formoterol og glycopyrronium i lungerne (maksimal plasmakoncentration var forhøjet med hhv. 15 %, 58 % og 60 %).
English: Trimbow is for inhalation use.
Danish: Trimbow er til inhalation.
English: If signs suggesting allergic reactions occur, in particular, angioedema (including difficulties in breathing or swallowing, swelling of the tongue, lips and face), urticaria or skin rash, Trimbow should be discontinued immediately and alternative therapy instituted.
Danish: Hvis der opstår tegn, der tyder på allergiske reaktioner, især angioødem (herunder vejrtræknings- eller synkebesvær, hævelse af tunge, læber og ansigt), urticaria eller hududslæt, skal Trimbow straks seponeres, og der skal iværksættes en alternativ behandling.
English: Trimbow can reduce exacerbations (flare-ups) of COPD symptoms.
Danish: Trimbow kan nedsætte eksacerbationer (pludselige forværringer) af KOLsymptomer.
English: What you need to know before you use Trimbow Do not use Trimbow:
Danish: Det skal du vide, før du begynder at bruge Trimbow Brug ikke Trimbow:
English: The long-term co-administration of Trimbow with other anticholinergic-containing medicinal products has not been studied and is therefore not recommended (see section 4.4).
Danish: Den langvarige administration af Trimbow sammen med andre lægemidler, der indeholder antikolinergika, er ikke blevet undersøgt, og de bør derfor ikke anvendes (se pkt.
English: Caution is also required when Trimbow is used by patients with thyrotoxicosis, diabetes mellitus, pheochromocytoma and untreated hypokalaemia.
Danish: Det er også nødvendigt at udvise forsigtighed, når Trimbow anvendes af patienter med tyrotoksikose, diabetes mellitus, fæokromocytom og ubehandlet hypokaliæmi.
English: Simulations performed with a pharmacokinetic model showed that even when covariates had extreme values (body weight less than 40 kg and concomitant glomerular filtration rate below 27 mL/min/1.73 m²), exposure to Trimbow active substances remains in approximately a 2.5-fold range compared to the exposure in a typical patient with median covariate values.
Danish: Simuleringer udført med en farmakokinetisk model viste, at selv når kovariaterne havde ekstreme værdier (legemsvægt under 40 kg og samtidig glomerulær filtrationshastighed under 27 ml/min/1,73 m²), forblev eksponeringen over for de aktive stoffer i Trimbow ca. 2,5 gange højere, sammenlignet med eksponeringen hos en typisk patient med mediane kovariate værdier.
English: The combination of Trimbow with some other COPD medicines or medicines such as diuretics (medicines that make the body lose water, to treat heart disease or high blood pressure), can cause a sharp fall in your blood level of potassium.
Danish: Kombinationen af Trimbow med nogle andre lægemidler mod KOL, eller lægemidler som f.eks. diuretika (lægemidler, der får kroppen til at udskille vand, til at behandle hjertesygdom eller højt blodtryk), kan forårsage et brat fald i niveauet i kalium i blodet.
English: There are no relevant clinical data on the use of Trimbow during breast-feeding in humans.
Danish: Der er ingen relevante kliniske data for anvendelsen af Trimbow under amning hos mennesker.
English: The most frequently reported adverse reactions with Trimbow were oral candidiasis (which occurred in 0.8% of the exposed subjects), which is normally associated with inhaled corticosteroids; muscle spasms (0.4%), which can be attributed to the long-acting beta2-agonist component; dry mouth (0.4%), which is a typical anticholinergic effect.
Danish: De hyppigst rapporterede bivirkninger med Trimbow var oral candidiasis (som opstod hos 0,8 % af de eksponerede personer), hvilket normalt er forbundet med inhalerede kortikosteroider, muskelspasmer (0,4 %), som kan tilskrives den langtidsvirkende beta2-agonist-komponent, mundtørhed (0,4 %), som er en typisk antikolinerg virkning.
English: For beclometasone dipropionate, this results in a more potent effect than formulations with a non-extrafine particle size distribution (100 micrograms of beclometasone dipropionate extrafine in Trimbow are equivalent to 250 micrograms of beclometasone dipropionate in a non-extrafine formulation).
Danish: For beclometasondipropionat fører dette til en kraftigere virkning end for formuleringer med en fordeling af partikelstørrelsen, der ikke er ekstrafin (100 mikrogram ekstrafint beclometasondipropionat i Trimbow svarer til 250 mikrogram beclometasondipropionat i en formulering, der ikke er ekstrafin).
English: Trimbow significantly improved dyspnoea (measured as the Transition Dyspnoea Index - TDI - focal score) after 26 weeks of treatment compared with baseline (by 1.71 units; p < 0.001), but the adjusted mean difference versus a fixed combination of beclometasone dipropionate and formoterol was not statistically significant (0.21 units; p = 0.160).
Danish: Trimbow forbedrede dyspnø signifikant (målt som transitionalt dyspnøindeks - TDI - fokal score) efter 26 ugers behandling sammenlignet med baseline (med 1,71 enheder, p < 0,001), men den justerede gennemsnitlige forskel versus en fast kombination af beclometasondipropionat og formoterol var ikke statistisk signifikant (0,21 enheder, p = 0,160).
English: There is no relevant use of Trimbow in the paediatric population (under 18 years of age) for the indication of COPD.
Danish: Det er ikke relevant at anvende Trimbow hos den pædiatriske population (under 18 år) til indikationen kronisk obstruktiv lungesygdom (KOL).
English: An overdose of Trimbow may produce signs and symptoms due to the individual component's actions, including those seen with overdose of other beta2-agonists or anticholinergics and consistent with the known inhaled corticosteroid class effects (see section 4.4).
Danish: En overdosering af Trimbow kan give tegn og symptomer, der kan skyldes virkningerne af de enkelte komponenter, herunder tegn og symptomer ved overdosering med andre beta2-agonister eller antikolinergika, og som svarer til de kendte klassevirkninger for kortikosteroider (se pkt.
English: Trimbow is provided with a dose counter or dose indicator on the back of the inhaler, which shows how many actuations are left.
Danish: Trimbow leveres med en dosistæller eller dosisindikator bag på inhalatoren, som viser hvor mange pust, der er tilbage.
English: • Disulfiram, a medicine used in the treatment of people with alcoholism (drinking problems) or metronidazole, an antibiotic to treat infection in your body can cause side effects (e.g. feeling sick, being sick, stomach pain) due to the small amount of alcohol in Trimbow.
Danish: • disulfiram, et lægemiddel, der bruges til at behandle personer med alkoholisme (alkoholproblemer) eller metronidazol, et antibiotikum, der bruges til at behandle infektion i din krop kan forårsage bivirkninger (f.eks. kvalme, opkastning, mavesmerter) på grund af den lille mængde alkohol i Trimbow.
English: If you are allergic to beclometasone dipropionate, formoterol fumarate dihydrate and glycopyrronium or to any of the other ingredients of this medicine (listed in section 6).
Danish: Hvis du er allergisk over for beclometasondipropionat formoterolfumaratdihydrat og glycopyrronium eller et af de øvrige indholdsstoffer i Trimbow (angivet i punkt 6).
English: It is preferable to avoid the use of Trimbow during labour due to the inhibitory effects of formoterol on uterine contractions.
Danish: Det er bedst ikke at anvende Trimbow under fødslen, på grund af den hæmmende virkning af formoterol på livmoderkontraktioner.
English: If you develop worsening shortness of breath or wheezing (breathing with a whistling sound), straight after inhaling your medicine, stop using Trimbow inhaler and use your quick-acting “reliever” inhaler straightaway.
Danish: Hvis du udvikler en forværring af din stakåndethed eller hvæsende vejrtrækning (vejrtrækningen har en pibende lyd) umiddelbart efter du indånder dit lægemiddel, skal du holde op med at bruge Trimbow-inhalatoren, og du skal øjeblikkeligt bruge din hurtigtvirkende ”lindrende” inhalator.
English: Trimbow should be administered with caution in patients with active or quiescent pulmonary tuberculosis, fungal and viral infections in the airways.
Danish: Trimbow skal administreres med forsigtighed hos patienter med aktiv eller latent lungetuberkulose, samt ved svampeinfektioner og virale infektioner i luftvejene.
English: Content of the pack and other information What Trimbow contains
Danish: Pakningsstørrelser og yderligere oplysninger Trimbow indeholder:
English: Similar effects were seen when comparing Trimbow with the extemporary triple combination.
Danish: Der blev observeret tilsvarende virkninger, når Trimbow blev sammenlignet med den ekstemporære trippelkombination.
English: Trimbow comes in a pressurised container (coated aluminium), with a metering valve.
Danish: Trimbow leveres i en trykbeholder (belagt aluminium) med en doseringsventil.
English: Trimbow should be used with caution in patients with cardiac arrhythmias, especially third degree atrioventricular block and tachyarrhythmias (accelerated and/or irregular heart beat), idiopathic subvalvular aortic stenosis, hypertrophic obstructive cardiomyopathy, severe heart disease (particularly acute myocardial infarction, ischaemic heart disease, congestive heart failure), occlusive vascular diseases (particularly arteriosclerosis), arterial hypertension and aneurysm.
Danish: Trimbow bør anvendes med forsigtighed hos patienter med hjertearytmier, især tredjegrads atrioventrikulært blok og takyarytmier (accelereret og/eller uregelmæssigt hjerteslag), idiopatisk subvalvulær aortastenose, hypertrofisk obstruktiv kardiomyopati, svær hjertesygdom (især akut myokardieinfarkt, iskæmisk hjertesygdom, kongestivt hjertesvigt), okklusiv karsygdom (især arteriosklerose), arteriel hypertension og aneurisme.
English: It is recommended that treatment with Trimbow should not be stopped abruptly.
Danish: Det frarådes at stoppe behandlingen med Trimbow pludseligt.
English: • changes in the electrocardiogram (heart trace)
Danish: • ændringer i elektrokardiogrammet
English: A responder analysis showed that a significantly greater percentage of patients had a clinically significant improvement (reduction versus baseline of greater than or equal to 4) after 26 and 52 weeks with Trimbow than with a fixed combination of beclometasone dipropionate and formoterol and with tiotropium.
Danish: En analyse af patienter, der responderede, viste, at en signifikant større procentdel af patienterne havde en klinisk signifikant forbedring (reduktion versus baseline, der var større end eller lig med 4) efter 26 og 52 uger med Trimbow end med en fast kombination af beclometasondipropionat og formoterol og med tiotropium.
English: The study compared data obtained after treatment with a single dose of Trimbow (4 inhalations of 100/6/25 micrograms, a non-marketed formulation containing twice the approved strength of glycopyrronium) or a single dose of the extemporary combination of beclometasone dipropionate/formoterol (4 inhalations of 100/6 micrograms) plus glycopyrronium (4 inhalations of 25 micrograms).
Danish: Studiet sammenlignede data opnået efter behandling med en enkeltdosis Trimbow (4 inhalationer med 100/6/25 mikrogram, en ikke-markedsført formulering, der indeholder to gange den godkendte styrke af glycopyrronium), eller en enkeltdosis af den ekstemporære kombination af beclometasondipropionat/formoterol (4 inhalationer med 100/6 mikrogram) plus glycopyrronium (4 inhalationer med 25 mikrogram).
English: A responder analysis showed that a significantly greater percentage of patients had a clinically significant improvement (focal score greater than or equal to 1) after 26 weeks with Trimbow than with a fixed combination of beclometasone dipropionate and formoterol (57.4% versus 51.8%; p = 0.027).
Danish: En analyse af patienter, der responderede, viste, at en signifikant større procentdel af patienterne havde en klinisk signifikant forbedring (fokal score større end eller lig med 1) efter 26 uger med Trimbow end med en fast kombination af beclometasondipropionat og formoterol (57,4 % versus 51,8 %; p = 0,027).
English: A decision must be made whether to discontinue breast-feeding or to discontinue/abstain from Trimbow therapy taking into account the benefit of breast-feeding for the child and the benefit of therapy for the mothers.
Danish: Det skal besluttes, om amning skal ophøre eller behandling med Trimbow seponeres, idet der tages højde for fordelene ved amning for barnet i forhold til de terapeutiske fordele for mødrene.
English: In an inhalation study in telemetered dogs, the cardiovascular system was a major target system for acute effects of Trimbow (increase in heart rate, decrease in blood pressure, ECG changes at higher doses), effects probably mainly related to the beta2-adrenergic activity of formoterol and the anti-muscarinic activity of glycopyrronium.
Danish: I et inhalationsstudie af hunde i telemetri var det kardiovaskulære system et større målsystem for Trimbows akutte virkninger (øget hjertefrekvens, nedsat blodtryk, EKG-ændringer ved større doser), virkninger, der sandsynligvis er relateret til den beta2-adrenerge aktivitet af formoterol, og den antimuskarine aktivitet af glycopyrronium.
English: Compared with tiotropium, Trimbow significantly improved IC by 39 mL (p = 0.025) and 60 mL (p = 0.001) after 26 and 52 weeks of treatment respectively.
Danish: Sammenlignet med tiotropium forbedrede Trimbow signifikant IC med 39 ml (p = 0,025) og 60 ml (p = 0,001) efter hhv. 26 og 52 ugers behandling.
English: In repeat dose inhalation studies with Trimbow in rats and dogs of up to 13 weeks duration, the main observed alterations were related to effects on the immune system (probably due to systemic corticosteroid effects of beclometasone dipropionate and its active metabolite beclometasone17-monopropionate) and on the cardiovascular system (probably related to the beta2-adrenergic activity of formoterol and the anti-muscarinic activity of glycopyrronium).
Danish: I inhalationsstudier af op til 13 ugers varighed med gentagne doser Trimbow af rotter og hunde, var de vigtigste observerede ændringer relateret til virkningen på immunsystemet (sandsynligvis fra de systemiske kortikosteroidvirkninger af beclometasondipropionat, og dens aktive metabolit beclometason-17-monopropionat), og på det kardiovaskulære system (sandsynligvis relateret til den beta2-adrenerge aktivitet af formoterol, og den antimuskarine aktivitet af glycopyrronium).
English: In addition, compared with both a fixed combination of beclometasone dipropionate and formoterol and with tiotropium, Trimbow significantly prolonged the time to first exacerbation (hazard ratio 0.80 and 0.84 respectively; p = 0.020 and 0.015 respectively), with no differences between Trimbow and the extemporary triple combination made of beclometasone dipropionate and formoterol fixed combination plus tiotropium (hazard ratio 1.06).
Danish: Desuden forlængede Trimbow signifikant tiden til den første eksacerbationer, sammenlignet med både en fast kombination af beclometasondipropionat og formoterol og med tiotropium (hazard ratio hhv. 0,80 og 0,84, p = hhv. 0,020 og 0,015), uden nogen forskelle mellem Trimbow og den ekstemporære trippelkombination bestående af beclometasondipropionat og formoterol fastdosiskombination plus tiotropium (hazard ratio 1,06).
English: No differences were observed when comparing Trimbow and the extemporary triple combination made of fluticasone and vilanterol fixed combination plus tiotropium.
Danish: Der blev ikke observeret nogen forskel ved sammenligning med Trimbow og den ekstemporære trippelkombination bestående af fluticason og vilanterol fast kombination plus tiotropium.
English: You and your doctor must make a decision whether to discontinue breast-feeding or to discontinue/abstain from Trimbow therapy taking into account the benefit of breast-feeding for your child and the benefit of therapy for you.
Danish: Du skal sammen med lægen beslutte, om amning skal ophøre eller behandling med Trimbow stoppes, idet der tages højde for fordelene ved amning for barnet i forhold til de terapeutiske fordele for dig.
English: Trimbow 87 micrograms/5 micrograms/9 micrograms pressurised inhalation, solution
Danish: Trimbow 87 mikrogram/5 mikrogram/9 mikrogram inhalationsspray, opløsning
English: In patients with severe renal impairment, including those with end-stage renal disease requiring dialysis, especially if associated with a significant body weight reduction, Trimbow should be used only if the expected benefit outweighs the potential risk (see section 5.2).
Danish: Hos patienter med svært nedsat nyrefunktion, herunder med nyresygdom i slutstadiet, der kræver dialyse, især hvis det er forbundet med en signifikant reduktion af legemsvægten, bør Trimbow kun anvendes, hvis den forventede fordel opvejer den mulige risiko (se pkt.
English: Single dose pharmacokinetic data (see section 5.2) have demonstrated that in comparison to routine use without a spacer device, the use of Trimbow with the AeroChamber Plus spacer device increased the total systemic exposure (AUC0-t) to glycopyrronium.
Danish: 5.2) har påvist, at ved sammenligning med rutinemæssig anvendelse uden en spacer-anordning, forlængede anvendelsen af Trimbow med AeroChamber Plus spacer-anordningen den totale systemiske eksponering (AUC0-t) over for glycopyrronium.
English: If you are already using Trimbow
Danish: Hvis du allerede bruger Trimbow
English: No differences were observed when comparing Trimbow and the extemporary triple combination made of a fixed combination of beclometasone dipropionate and formoterol plus tiotropium (difference of 3 mL in pre-dose FEV1 after 52 weeks of treatment).
Danish: Der blev ikke observeret nogen forskelle ved sammenligning af Trimbow og den ekstemporære trippelkombination bestående af en fastdosiskombination af beclometasondipropionat og formoterol plus tiotropium (forskel på 3 ml i FEV1 før dosering efter 52 ugers behandling).
English: Other medicines and Trimbow
Danish: Brug af anden medicin sammen med Trimbow
English: If you forget to use Trimbow
Danish: Hvis du har glemt at bruge Trimbow
English: Therefore, as a precautionary measure, it is preferable to avoid the use of Trimbow during pregnancy and during labour.
Danish: For en sikkerheds skyld bør Trimbow derfor undgås under graviditeten og fødsel.
English: Compared with a fixed combination of indacaterol and glycopyrronium, Trimbow improved average pre-dose FEV1 over the 52-week treatment period by 22 mL (p=0.018).
Danish: Sammenlignet med en fastdosiskombination af indacaterol og glycopyrronium forbedrede Trimbow den gennemsnitlige FEV1 inden dosering i løbet af den 52-ugers behandlingsperiode med 22 ml (p = 0,018).
English: No differences were observed when comparing Trimbow with the extemporary triple combination made of beclometasone dipropionate and formoterol fixed combination plus tiotropium (moderate/severe exacerbation rate: 0.46 versus 0.45 events per patient/year).
Danish: Der blev ikke observeret nogen forskelle, når Trimbow blev sammenlignet med den ekstemporære trippelkombination bestående af beclometasondipropionat og formoterol fastdosiskombination plus tiopropium (hyppigheden af moderate/svære eksacerbationer: 0,46 versus 0,45 hændelser pr. patient/år).
English: Trimbow is a pressurised inhalation, solution.
Danish: Trimbow er en inhalationsspray, opløsning.
English: If you stop using Trimbow
Danish: Hvis du holder op med at bruge Trimbow
English: In patients with severe hepatic impairment, Trimbow should be used only if the expected benefit outweighs the potential risk (see section 5.2).
Danish: Hos patienter med svært nedsat leverfunktion må Trimbow kun anvendes, hvis den forventede fordel opvejer den mulige risiko (se pkt.
English: TRIBUTE was a 52-week activecontrolled study comparing Trimbow with a fixed combination of indacaterol/glycopyrronium 85/43 micrograms inhalation powder, hard capsule, one inhalation once daily (1,532 randomised patients).
Danish: TRIBUTE var et 52-ugers aktivt kontrolleret studie, der sammenlignede Trimbow med en fastdosiskombination af indacaterol/glycopyrronium 85/43 mikrogram inhalationspulver, hård kapsel, en inhalation én gang dagligt (1.532 randomiserede patienter).
English: Study TRILOGY compared Trimbow with a fixed combination of beclometasone dipropionate and formoterol 100/6 micrograms two inhalations twice daily (1,368 randomised patients).
Danish: TRILOGY-studiet sammenlignede Trimbow med en fastdosiskombination af beclometasondipropionat og formoterol 100/6 mikrogram givet som to inhalationer to gange dagligt (1.368 randomiserede patienter).
English: Use of Trimbow in patients with severe renal impairment or end-stage renal disease requiring dialysis, especially if associated with significant body weight reduction, should be considered only if the expected benefit outweighs the potential risk (see section 4.4 and section 5.2).
Danish: Anvendelsen af Trimbow til patienter med svært nedsat nyrefunktion eller nyresygdom i slutstadiet der kræver dialyse, især hvis det er forbundet med en signifikant vægttab, bør kun overvejes, hvis den forventede fordel opvejer den mulige risiko (se pkt.
English: Compared with tiotropium, Trimbow improved pre-dose FEV1 by 51 mL after 26 weeks of treatment and by 61 mL after 52 weeks of treatment.
Danish: Sammenlignet med tiotropium forbedrede Trimbow FEV1 før dosering med 51 ml efter 26 ugers behandling og med 61 ml efter 52 ugers behandling.