FrancophonIA/ELRC3.0 huggingface dataset:
English: The results obtained in populations with different characteristics (e.g. unstable angina or non-Q-wave MI, low to high risk levels, diabetes, need for revascularisation, age, gender, etc.) were consistent with the results of the primary analysis.
Danish: De resultater, som blev opnået i populationer med forskellige karakteristika (fx ustabil angina pectoris eller myokardieinfarkt uden forekomst af Q-takker, høj- eller lavrisikogruppe, diabetes, behov for revaskularisering, alder, køn osv.) svarede til den primære analyses resultater.
English: Due to the presence of both components of the medicinal product, Clopidogrel/Acetylsalicylic acid Mylan is contraindicated in case of:
Danish: På grund af tilstedeværelsen af begge komponenter i lægemidlet er Clopidogrel/Acetylsalicylic acid Mylan kontraindiceret i tilfælde af:
English: The tablets are provided in blister packs of 28 or 30 tablets or perforated unit dose blister packs of 28 or 30 tablets or plastic bottles of 100 tablets.
Danish: Tabletterne fås i blisterpakninger med 28 eller 30 tabletter, eller perforerede blisterkort med dosisenheder med 28 eller 30 tabletter eller tabletbeholdere med 100 tabletter.
English: The following symptoms can also arise: hyperthermia and perspiration, leading to dehydration, restlessness, convulsions, hallucinations and hypoglycaemia.
Danish: Følgende symptomer kan også opstå: hypertermi og perspiration førende til dehydrering, rastløshed, kramper, hallucinationer og hypoglykæmi.
English: In patients with recent transient ischaemic attack or stroke who are at high risk of recurrent ischaemic events, the combination of ASA and clopidogrel has been shown to increase major bleeding.
Danish: Hos patienter med nylig transitorisk cerebral iskæmi eller apopleksi, og med høj risiko for tilbagevendende iskæmiske tilfælde har kombinationen af clopidogrel og ASA vist sig at kunne øge risikoen for alvorlig blødning.
English: • signs of liver problems such as yellowing of the skin and/or the eyes (jaundice), whether or not associated with bleeding which appears under the skin as red pinpoint dots, and/or confusion (see section 2 ‘Warnings and precautions').
Danish: • tegn på leverproblemer såsom gulfarvning af huden og/eller øjnene (gulsot), uanset om det sker i forbindelse med blødninger, som viser sig under huden som små røde prikker, og/eller forvirring (se afsnit 2 'Advarsler og forsigtighedsregler').
English: Although the administration of clopidogrel 75 mg/day did not modify the pharmacokinetics of S-warfarin or International Normalised Ratio (INR) in patients receiving long-term warfarin therapy, coadministration of clopidogrel with warfarin increases the risk of bleeding because of independent effects on haemostasis.
Danish: Selvom administration af 75 mg clopidogrel dagligt ikke ændrede S-warfarins farmakokinetik eller International Normalised Ratio (INR) hos patienter i langtidsbehandling med warfarin, øgede samtidig administration af clopidogrel og warfarin blødningsrisikoen på grund af uafhængige virkninger på hæmostasen.
English: Clopidogrel/Acetylsalicylic acid Mylan is not intended for use in children or adolescents less than 18 years of age.
Danish: Clopidogrel/Acetylsalicylic acid Mylan er ikke tiltænkt anvendelse hos børn og unge under 18 år.
English: In patients with acute ST-segment elevation MI, safety and efficacy of clopidogrel have been evaluated in 2 randomised, placebo-controlled, double-blind studies, CLARITY and COMMIT.
Danish: Hos patienter med akut myokardieinfarkt (MI) med ST-segment elevation blev sikkerheden ved og virkningen af clopidogrel vurderet i 2 randomiserede, placebo-kontrollerede, dobbeltblindede undersøgelser kaldet CLARITY og COMMIT.
English: Thus, beyond 3 months of treatment, the benefit observed in the clopidogrel plus ASA group was not further increased, whereas the risk of haemorrhage persisted (see section 4.4).
Danish: Efter 3 måneders behandling blev den observerede fordel således ikke yderligere forbedret i clopidogrel plus ASA-gruppen, hvorimod der stadig forelå en blødningsrisiko (se pkt.
English: Excipients with known effect Each film-coated tablet contains 48 mg of lactose and 0.81 mg Allura Red AC.
Danish: Hjælpestoffer med kendt effekt Hver filmovertrukket tablet indeholder 48 mg lactose og 0,81 mg Allura Red AC.
English: The guided de-escalation did not result in an increased combined risk of ischemic events (2.5% in the deescalation group vs 3.2% in the control group; p non-inferiority=0.0115), nor in the key secondary endpoint of BARC bleeding ≥2 ((5%) in the de-escalation group versus 6% in the control group (p=0.23)).
Danish: Den guidede deeskalering resulterede ikke i en øget kombineret risiko for iskæmiske hændelser (2,5 % i deeskaleringsgruppen mod 3,2 % i kontrolgruppen, p non-inferioritet = 0,0115), heller ikke i det centrale sekundære endepunkt for BARC ≥ 2 blødning ((5 %) i de-eskaleringsgruppen mod 6 % i kontrolgruppen (p = 0,23)).
English: • swelling in the mouth or skin disorders such as rashes and itching, blisters of the skin.
Danish: • hævelser i munden eller hudproblemer såsom udslæt og kløe, blærer på huden.
English: Overdose with ASA/clopidogrel fixed dose combination may be associated with increased bleeding and subsequent bleeding complications due to the pharmacological activity of clopidogrel and ASA.
Danish: Overdosis af ASA/clopidogrel-fastdosiskombinationen kan være associeret med øget blødning og efterfølgende blødningskomplikationer grundet den farmakologiske aktivitet af clopidogrel og ASA.
English: Salicylate metabolism is saturable and total body clearance decreases at higher serum concentrations due to the limited ability of the liver to form both salicyluric acid and phenolic glucuronide.
Danish: Salicylatmetabolismen kan mættes, og den totale kropsclearance falder ved højere serumkoncentrationer grundet leverens begrænsede evne til at danne både salicylurinsyre og fenolglukuronid.
English: Therefore Clopidogrel/Acetylsalicylic acid Mylan should be used with caution in these patients.
Danish: Clopidogrel/Acetylsalicylic acid Mylan bør derfor anvendes med forsigtighed hos disse patienter.
English: In particular, in a post-hoc analysis in 2,172 patients (17% of the total CURE population) who underwent stent placement (Stent-CURE), the data showed that clopidogrel compared to placebo, demonstrated a significant RRR of 26.2% favouring clopidogrel for the co-primary endpoint (CV death, MI, stroke) and also a significant RRR of 23.9% for the second co-primary endpoint (CV death, MI, stroke or refractory ischaemia).
Danish: Specielt i en post-hoc analyse af 2.172 patienter, som fik indsat stent (17 % af den totale population i CURE-studiet, StentCURE), viste data, at clopidogrel sammenlignet med placebo medførte en signifikant RR på 26,2 % med hensyn til det primære sammensatte endepunkt (CV død, MI, apopleksi) og desuden en signifikant RR på 23,9 % med hensyn til det andet co-primære endepunkt (CV død, MI, apopleksi eller refraktær iskæmi).
English: the mother and the neonate, at the end of pregnancy, to: possible prolongation of bleeding time, an anti-aggregating effect which may occur even at very low doses; inhibition of uterine contractions resulting in delayed or prolonged labour.
Danish: • hen imod slutningen af graviditeten udsætte moderen og den nyfødte for: - Mulig forlænget blødningstid, en trombocythæmmende effekt, der kan forekomme selv ved meget lave doser; - Hæmning af uteruskontraktioner resulterende i forsinket eller forlænget fødsel.
English: Tests are available to identify a patient's CYP2C19 genotype.
Danish: Tests er tilgængelige til at identificere en patients CYP2C19- genotype.
English: The CLARITY trial included 3,491 patients presenting within 12 hours of the onset of a ST elevation MI and planned for thrombolytic therapy.
Danish: CLARITY-studiet inkluderede 3.491 patienter, der var til rådighed inden for 12 timer efter et MI med elevation af ST-segmentet var indtrådt, og som det var planlagt at give trombolytisk behandling.
English: Renal excretion of unchanged active substance depends upon urinary pH. As urinary pH rises above 6.5, the renal clearance of free salicylate increases from <5% to >80%.
Danish: Hvis urinens pH stiger til over 6,5, stiger renal clearance af frit salicylat fra < 5 % til > 80 %.
English: Consequently, the concomitant use of NSAIDs including Cox-2 inhibitors is not recommended (see section 4.4).
Danish: Derfor anbefales samtidig anvendelse af NSAID'er, inklusive cox-2 hæmmere, ikke (se pkt.
English: This statistically significant difference was mainly driven by fewer bleeding events, with no difference reported in ischaemic endpoints (p=0.36), while BARC ≥2 bleeding occurred less frequently in the de-escalated DAPT group (4.0%) versus 14.9% in the unchanged DAPT group (p<0.01).
Danish: Denne statistisk signifikante forskel skyldtes hovedsagelig færre blødninger, uden forskel rapporteret i iskæmiske endepunkter (p = 0,36), mens BARC ≥ 2 blødning forekom mindre hyppigt i den de-eskalerede DAPT-gruppe (4,0 %) versus 14,9 % i den uændrede DAPT gruppe (p < 0,01).
English: Thienopyridines may cause mild to severe allergic reactions such as rash, angioedema, or haematological cross-reactions such as thrombocytopaenia and neutropaenia.
Danish: Thienopyridiner kan forårsage lette til alvorlige allergiske reaktioner, såsom udslæt og angioødem eller hæmatologiske krydsreaktioner, såsom trombocytopeni og neutropeni.
English: In CHARISMA and one cohort study (Simon), an increased event rate was observed only in poor metabolisers when compared to extensive metabolisers.
Danish: I CHARISMA og en kohorteundersøgelse (Simon), sås kun en øget hyppighed af hændelser hos personer med ringe metabolisme, i sammenligning med personer med udtalt metabolisme.
English: Patients with pre-existing mastocytosis, in whom the use of acetylsalicylic acid may induce severe hypersensitivity reactions (including circulatory shock with flushing, hypotension, tachycardia and vomiting).
Danish: Patienter med mastocytose, hos hvem brug af acetylsalicylsyre kan fremkalde alvorlige overfølsomhedsreaktioner (inklusive kredsløbschok med ansigtsrødme, hypotension, takykardi og opkastning).
English: In TRITON-TIMI 38 and 3 of the cohort studies (Collet, Sibbing, Giusti) the combined group of patients with either intermediate or poor metaboliser status had a higher rate of cardiovascular events (death, myocardial infarction, and stroke) or stent thrombosis compared to extensive metabolisers.
Danish: I TRITON-TIMI 38 og 3 af kohorteundersøgelserne (Collet, Sibbing, Giusti), havde den kombinerede gruppe af patienter med status som enten moderat eller ringe metaboliser en højere hyppighed af kardiovaskulære hændelser (død, myokardieinfarkt og slagtilfælde) eller stenttrombose sammenlignet med personer med udtalt metabolisme.
English: Tests are available to determine a patient's CYP2C19 genotype.
Danish: Der er tests tilgængelige til at bestemme en patients CYP2C19genotype.
English: In addition, IPA was 32% (24 hours) and 61% (Day 5), which were greater than in the poor metabolisers receiving the 300 mg/75 mg regimen, and were similar to the other CYP2C19 metaboliser groups receiving the 300 mg/75 mg regimen.
Danish: 32 % (24 timer) og 61 % (dag 5), hvilket var større end hos personer med ringe metabolisme, der modtog 300 mg/75 mg-regimet, og var omtrent ens med de andre grupper af CYP2C19-metaboliske grupper, der modtog 300 mg/75 mg regimet.
English: During non-clinical studies in rat and baboon, the most frequently observed effects were liver changes.
Danish: I prækliniske forsøg på rotter og bavianer var den hyppigst forekommende effekt leverforandringer.
English: If you stop taking Clopidogrel/Acetylsalicylic acid Mylan Do not stop the treatment unless your doctor tells you so.
Danish: Hvis du holder op med at tage Clopidogrel/Acetylsalicylic acid Mylan Du må ikke stoppe behandlingen, medmindre din læge har bedt dig om det.
English: Other concomitant therapy with clopidogrel
Danish: Anden samtidig behandling med clopidogrel
English: Bleeding may occur as bleeding in the stomach or bowels, bruising, haematoma (unusual bleeding or bruising under the skin), nose bleed, blood in the urine.
Danish: Blødning kan forekomme i form af blødninger fra mave eller tarm, blå mærker, hæmatom (usædvanlig blødning eller blodudtrædning under huden), næseblod eller blod i urinen.
English: However, if you are concerned by your bleeding, you should contact your doctor straightaway (see section 4 ‘Possible side effects').
Danish: Hvis du er bekymret over blødningen, skal du omgående kontakte din læge (se afsnit 4 'Bivirkninger').
English: Adverse reactions that occurred with clopidogrel alone, with ASA alone or with clopidogrel in combination with ASA either during clinical studies or that were spontaneously reported are presented in the table below.
Danish: Bivirkninger, der enten opstod under monoterapi med henholdsvis clopidogrel eller ASA eller under kombinationsbehandling med clopidogrel og ASA i de kliniske studier eller blev spontant indberettet, er beskrevet i tabellen nedenfor.
English: A significantly lower exposure to clopidogrel active metabolite and reduced platelet inhibition have been demonstrated in HIV-infected patients treated with ritonavir- or cobicistat-boosted anti-retroviral therapies.
Danish: En signifikant lavere eksponering for clopidogrels aktive metabolit og reduceret trombocythæmning er påvist hos hiv-smittede patienter i behandling med ritonavir- eller cobicistat-boostet antiretroviral terapi (ART).
English: The use of clopidogrel in CURE was associated with a decrease in the need for thrombolytic therapy (RRR = 43.3%; CI: 24.3%, 57.5%) and GPIIb/IIIa inhibitors (RRR = 18.2%; CI: 6.5%, 28.3%).
Danish: I CURE var anvendelse af clopidogrel forbundet med et aftagende behov for behandling med trombolytika (RR = 43,3 %, CI: 24,3 %; 57,5 %) og GPIIb/IIIa-hæmmere (RR = 18,2 %, CI: 6,5 %;
English: Thrombocytopenia, leucopenia, eosinophilia
Danish: Trombocytope ni, leukopeni, eosinofili
English: • In patients with non-ST segment elevation acute coronary syndrome (unstable angina or non-Qwave myocardial infarction): The optimal duration of treatment has not been formally established.
Danish: • Hos patienter med akut koronarsyndrom uden elevation af ST-segmentet (ustabil angina pectoris eller myokardieinfarkt uden forekomst af Q-takker): Den optimale varighed af behandlingen er ikke endeligt fastslået.
English: After the 300 mg/75 mg dose regimen, antiplatelet responses were decreased in the poor metabolisers with mean IPA (5 μM ADP) of 24% (24 hours) and 37% (Day 5) as compared to IPA of 39 % (24 hours) and 58% (Day 5) in the extensive metabolisers and 37% (24 hours) and 60% (Day 5) in the intermediate metabolisers.
Danish: Efter 300 mg/75 mg dosisregimet, blev den trombocythæmmende respons nedsat hos personer med ringe metabolisme med en gennemsnitlig IPA (5 µM ADP) på 24 % (24 timer) og 37 % (dag 5), sammenlignet med IPA på 39 % (24 timer) og 58 % (dag 5) for personer med udtalt metabolisme, og 37 % (24 timer) og 60 % (dag 5) hos personer med moderat metabolisme.
English: A crossover study in 40 healthy subjects, 10 each in the four CYP2C19 metaboliser groups (ultrarapid, extensive, intermediate and poor), evaluated pharmacokinetic and antiplatelet responses using 300 mg followed by 75 mg/day and 600 mg followed by 150 mg/day, each for a total of 5 days (steady state).
Danish: Et cross-over studie hos 40 raske forsøgspersoner, 10 i hver af de fire CYP2C19-metaboliske grupper (ultrahurtig, udtalt, moderat eller ringe), evaluerede farmakokinetisk og trombocythæmmende respons ved anvendelse af 300 mg efterfulgt af 75 mg/dag og 600 mg efterfulgt af 150 mg/dag, hver for i alt 5 dage (steady state).
English: Medicinal products that are strong or moderate CYP2C19 inhibitors include, for example, omeprazole and esomeprazole, fluvoxamine, fluoxetine, moclobemide, voriconazole, fluconazole, ticlopidine, carbamazepine, and efavirenz.
Danish: Potente og moderate CYP2C19-hæmmere inkluderer for eksempel omeprazol og esomeprazol, fluvoxamin, fluoxetin, moclobemid, voriconazol, fluconazol, ticlopidin, carbamazepin og efavirenz.
English: Omeprazole 80 mg once daily administered either at the same time as clopidogrel or with 12 hours between the administrations of the two drugs decreased the exposure of the active metabolite by 45% (loading dose) and 40% (maintenance dose).
Danish: 80 mg omeprazol en gang daglig administreret enten samtidigt med clopidogrel eller med 12 timers mellemrum nedsatte eksponeringen for den aktive metabolit med 45 % (ved initial mætningsdosis) og 40 % (vedligeholdelsesdosis).
English: A pharmacodynamic interaction between Clopidogrel/Acetylsalicylic acid Mylan and heparin is possible, leading to increased risk of bleeding.
Danish: En farmakodynamisk interaktion mellem Clopidogrel/Acetylsalicylic acid Mylan og heparin er mulig, hvilket kan medføre øget blødningsrisiko.
English: The active thiol metabolite which has been isolated in vitro, binds rapidly and irreversibly to platelet receptors, thus inhibiting platelet aggregation.
Danish: Den aktive tiolmetabolit, som er blevet isoleret in vitro, binder hurtigt og irreversibelt til trombocytreceptorerne, hvorved trombocytaggregationen hæmmes.
English: In a small number of cases, bleeding in the eye, inside the head (especially in elderly), the lung or the joints has also been reported.
Danish: I nogle enkelte tilfælde er der indberettet blødning i øjne, i hoved (særligt hos ældre), lunger eller led.
English: Musculo-skeletal bleeding (haemarthrosis), arthritis, arthralgia, myalgia
Danish: Muskuloskeletal blødning (hæmartrose), artrit, artralgi, myalgi.
English: The concomitant administration of salicylates and valproic acid may result in decreased valproic acid protein binding and inhibition of valproic acid metabolism resulting in increased serum levels of total and free valproic acid.
Danish: Samtidig administration af salicylater og valproinsyre kan medføre nedsat proteinbinding af valproinsyre og hæmme metaboliseringen af valproinsyre, hvilket medfører øget serumkoncentration af total og fri valproinsyre.
English: Due to the risk of bleeding and haematological adverse reactions, blood cell count determination and/or other appropriate testing should be promptly considered whenever clinical symptoms suggestive of bleeding arise during the course of treatment (see section 4.8).
Danish: På grund af risikoen for blødninger og hæmatologiske bivirkninger bør det med det samme overvejes at kontrollere blodstatus og/eller foretage andre passende prøver, hvis der i løbet af behandlingen opstår kliniske symptomer, der tyder på blødning (se pkt.
English: Clopidogrel/Acetylsalicylic acid Mylan is not recommended in this population.
Danish: Clopidogrel/Acetylsalicylic acid Mylan kan ikke anbefales til denne population.
English: Croscarmellose sodium Hydroxypropylcellulose Colloidal anhydrous silica Talc
Danish: Croscarmellosenatrium Hydroxypropylcellulose Silica, kolloid vandfri Talkum
English: Interactions with the following medicinal products with higher (anti-inflammatory) doses of ASA have also been reported: angiotensin converting enzyme (ACE) inhibitors, phenytoin, beta blockers, diuretics, and oral hypoglycemic agents.
Danish: Der er også påvist interaktioner med de følgende lægemidler med højere doser af ASA: angiotensin converting enzyme (ACE)-hæmmere, fenytoin, betablokkere, diuretika og orale hyperglykæmika.
English: Clopidogrel/Acetylsalicylic acid Mylan contains sodium This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodiumfree'.
Danish: Clopidogrel/Acetylsalicylic acid Mylan indeholder natrium Denne medicin indeholder mindre end 1 mmol (23 mg) natrium pr. tablet, dvs. den er i det væsentlige 'natriumfri'.
English: The following symptoms are associated with moderate intoxication: dizziness, headache, tinnitus, confusion and gastrointestinal symptoms (nausea, vomiting and gastric pain).
Danish: Følgende symptomer er forbundet med forgiftning: svimmelhed, hovedpine, tinnitus, konfusion og gastrointestinale symptomer (kvalme, opkastning og gastriske smerter).
English: Doses of 500 mg/day and above:
Danish: Doser på 500 mg/dag og derover:
English: No substantial differences in active metabolite exposure and mean inhibition of platelet aggregation (IPA) were observed between ultra-rapid, extensive and intermediate metabolisers.
Danish: Der blev ikke observeret nogen betydende forskelle i eksponering for den aktive metabolit og gennemsnitlig hæmning af trombocytfunktionen (IPA) mellem personer med ultrahurtig, udtalt eller moderat metabolisme.
English: The incidence of clinically significant bleeding was similar to that observed when thrombolytic agents and heparin are co-administered with ASA (see section 4.8).
Danish: Hyppigheden af klinisk signifikant blødning lignede den, der ses, når trombolytiske midler og heparin indgives samtidig med ASA (se pkt.
English: if you have any stomach or abdominal pain or bleeding in the stomach or bowels (red stools or black stools).
Danish: - Hvis du får smerter i maveregionen eller blødning i mave eller tarme (rød eller sort afføring).
English: Furthermore, the pharmacodynamic activity of clopidogrel was not significantly influenced by the co-administration of phenobarbital or oestrogen.
Danish: Herudover blev clopidogrels farmakodynamiske aktivitet ikke påvirket signifikant af samtidig administration af phenobarbital, cimetidin eller østrogen.
English: The requirements for submission of PSURs for this medicinal product are set out in the list of Union reference dates (EURD list) provided for under Article 107c(7) of Directive 2001/83/EC and any subsequent updates published on the European medicines web-portal.
Danish: Indehaveren af markedsføringstilladelsen skal fremsende periodiske, opdaterede sikkerhedsindberetninger for dette lægemiddel i overensstemmelse med kravene på listen over EUreferencedatoer (EURD list), som fastsat i artikel 107c, stk. 7, i direktiv 2001/83/EF og offentliggjort på det Europæiske Lægemiddelagenturs hjemmeside http://www.ema.europa.eu.
English: Non-cardiogenic pulmonary edema can occur with acute and chronic acetylsalicylic acid overdose (see section 4.8).
Danish: Non-kardiogent lungeødem kan forekomme ved akut og kronisk overdosering med acetylsalicylsyre (se pkt.
English: The primary endpoint (the combined incidence of CV death, MI, stroke and BARC bleeding grade ≥2 at 12 months) was met showing non-inferiority.
Danish: Det primære endepunkt (den kombinerede forekomst af kardiovaskulær død, myokardieinfarkt, apopleksi eller BARC (Bleeding Academic Research Consortium) blødning ≥ 2 ved 12 måneder) blev nået med visning af non-inferioritet.
English: Warnings and precautions If any of the situations mentioned below apply to you, you should tell your doctor before taking Clopidogrel/Acetylsalicylic acid Mylan:
Danish: Advarsler og forsigtighedsregler Hvis nogen af følgende situationer gælder for dig, skal du oplyse det til lægen, før du tager Clopidogrel/Acetylsalicylic acid Mylan:
English: Clopidogrel/Acetylsalicylic acid Mylan fixed-dose combination is used following initiation of therapy with clopidogrel and ASA given separately and replaces the individual clopidogrel and ASA products.
Danish: Clopidogrel/Acetylsalicylic acid Mylan fast dosiskombination anvendes efter indledning af behandling med clopidogrel og ASA givet separat, og erstatter de individuelle clopidogrel og ASA produkter.
English: Subsequent metabolism of the 2-oxo-clopidogrel intermediate metabolite results in formation of the active metabolite, a thiol derivative of clopidogrel.
Danish: Efterfølgende metabolisering af 2-oxo-clopidogrel-metabolitten resulterer i dannelsen af den aktive metabolit, et tiolderivat af clopidogrel.
English: • if you drink alcohol, because of the increased risk of bleeding or gastrointestinal injury.
Danish: • hvis du drikker alkohol, da der er en øget risiko for blødning i eller skader på mave-tarmkanalen.
English: Glycoprotein IIb/IIIa inhibitors
Danish: Glykoprotein (GP)IIb/IIIa-hæmmere