FrancophonIA/ELRC3.0 huggingface dataset:
English: Furthermore amoxicillin is recommended in several guidelines (e.g. American College of Gastroenterology, National Institute for Health and Care Excellence) in combination with a proton pump inhibitor and clarithromycin.
Slovenian: Poleg tega amoksicilin v mnogih smernicah (npr. American College of Gastroenterology, National Institute for Health and Care Excellence) priporočajo v kombinaciji z zaviralcem protonske črpalke in klaritromicinom.
English: Furthermore amoxicillin is recommended as a treatment option in several recent clinical guidelines.
Slovenian: Poleg tega se amoksicilin priporoča kot možnost zdravljenja v več novih kliničnih smernicah.
English: The use of varying dose regimens ranging from 40 mg/kg/day to 90 mg/kg/day showed efficacy rates of around 90% in majority of the trials.
Slovenian: Z uporabo različnih režimov odmerjanja od 40 mg/kg/dan do 90 mg/kg/dan so v večini preskušanj pokazali približno 90-odstotne deleže učinkovitosti.
English: On the basis of its pharmacokinetics, the total daily recommended amount is usually given in three divided doses.
Slovenian: Na podlagi te farmakokinetike se skupni dnevni priporočeni odmerek navadno daje s tremi ločenimi odmerki.
English: In addition several guidelines recommend the use of amoxicillin as first choice in these infections.
Slovenian: Poleg tega več smernic priporoča uporabo amoksicilina kot prve izbire pri teh okužbah.
English: In addition, in some studies amoxicillin was only used as follow-on therapy after intravenous use of other antibiotics.
Slovenian: Poleg tega so v nekaterih študijah amoksicilin uporabili samo kot naknadno zdravljenje po intravenski uporabi drugih antibiotikov.
English: The CHMP as a consequence, concluded that the benefit-risk balance of Amoxil and associated names remains favourable, subject to the agreed changes to the product information.
Slovenian: Posledično je CHMP zaključil, da je razmerje med tveganji in koristmi zdravila Amoxil in povezana imena še naprej ugodno pod pogojem, da se upoštevajo dogovorjene spremembe informacij o zdravilu.
English: Several statement regarding important information about excipients present in some member states (sodium, aspartame, sodium benzoate, lactose and sorbitol) were harmonised as well.
Slovenian: Uskladilo se je tudi več izjav glede pomembnih informacij o pomožnih snoveh, prisotnih v nekaterih državah članicah (natrij, aspartam, natrijev benzoat, laktoza in sorbitol).
English: Amoxil is approved for marketing in Europe in 17 different formulations: two strengths of capsules (250 mg and 500 mg), two strengths of dispersible tablets (750 mg and 1 g), four strength of powder for oral suspension (125 mg/1.25 ml, 125 mg/5 ml, 250 mg/5 ml, 500 mg/5 ml), four strength of powder for oral suspension in sachets (250, 500, 1g and 3g) and four strength of 125 mg/1.25 ml powder for solution for injection or infusion via intravenous or intramuscular route (IV/IM) or both (250 mg (intravenous or intramuscular, IV/IM), 500 mg (IV/IM), 1g (IV/IM and IM) and 2g (IV)).
Slovenian: Zdravilo Amoxil je pridobilo dovoljenje za promet z zdravilom v Evropi s 17 različnimi formulacijami: kapsule dveh jakosti (250 mg in 500 mg), disperzibilne tablete dveh jakosti (750 mg in 1 g), prašek za peroralno suspenzijo štirih jakosti (125 mg/1,25 ml, 125 mg/5 ml, 250 mg/5 ml, 500 mg/5 ml), prašek za peroralno suspenzijo v vrečici štirih jakosti (250 mg, 500 mg, 1 g in 3 g) in štiri jakosti 125 mg/1,25 ml prašek za raztopino za injiciranje ali infundiranje intravensko ali intramuskularno (i.v./i.m.)
English: The manufacture and control of both the active substance and the finished product comply with CHMP and International Conference on Harmonisation (ICH) guidelines.
Slovenian: Izdelava in nadzor nad zdravilno učinkovino in končnim izdelkom sta v skladu s smernicami CHMP in smernicami Mednarodne konference o usklajevanju (ICH).
English: These tables are preceded by general recommendations on factors to consider when selecting the dose and duration of treatment, with a cross reference to 4.4, and followed by a reference to treatment guidelines to be considered when selecting the posology.
Slovenian: Pred temi preglednicami morajo biti navedena splošna priporočila glede dejavnikov, ki jih je treba upoštevati pri izbiranju odmerka in trajanju zdravljenja, vključno z navzkrižno referenco na poglavje 4.4, po njih pa je treba navesti referenco na smernice za zdravljenje, ki jih je treba upoštevati pri izbiri odmerjanja.
English: Severe infections of the ear, nose and throat (such as mastoiditis, peritonsillar infections, epiglottitis, and sinusitis when accompanied by severe systemic signs and symptoms) - Parenteral formulation
Slovenian: Hude okužbe ušesa, nosu in žrela (kot so mastoiditis, peritonzilarne okužbe, epiglotitis in sinusitis, če jih spremljajo hudi sistemski znaki ter simptomi) - parenteralna formulacija
English: The CHMP reviewed the totality of the data and consulted its Infectious Diseases Working Party on the proposed harmonised PI.
Slovenian: Odbor CHMP je pregledal vse podatke in se s svojo Delovno skupino za infekcijske bolezni posvetoval glede predlaganih usklajenih informacij o zdravilu.
English: Treatment with amoxicillin generally produced high clinical and bacteriological response rates (around 90%), with efficacy similar to the antibiotic comparators.
Slovenian: Zdravljenje z amoksicilinom je navadno vzpostavilo visoke ravni kliničnega in bakteriološkega odziva (približno 90 %), učinkovitost pa je bila podobna kot pri primerjalnih antibiotikih.
English: Bacteraemia that occurs in association with or is suspected to be associated with, any of the infections listed above - Parenteral formulation
Slovenian: Bakteriemija, ki je povezana ali domnevno povezana z katerimi koli zgoraj navedenimi okužbamiparenteralna formulacija
English: Recent guidelines (Public Health England guideline 2015, Infectious Diseases Society of America guidelines 2014 and Surgical Society Infections guideline 2011) recommend antibiotics other than amoxicillin for the treatment of most skin and soft tissue infections.
Slovenian: Novejše smernice (Public Health England 2015, Infectious Diseases Society of America 2014 in Surgical Society Infections 2011) pri zdravljenju večine okužb kože in mehkega tkiva priporočajo antibiotike, ki niso amoksicilin.
English: The growing resistance to amoxicillin of H. influenzae and M. catarrhalis (through β-lactamase production) and S. pneumoniae and H. influenzae (through changes in protein binding site) increased the risk of treatment failure, therefore amoxicillin should not be used as empirical treatment in these infections.
Slovenian: Vedno večja odpornost H. influenzae, M. catarrhalis (prek tvorbe β-laktamaze), S. pneumoniae in H. influenzae (prek sprememb na mestu vezave beljakovin) na amoksicilin je povečala tveganje neuspešnosti zdravljenja, zato se amoksicilin ne sme uporabljati kot empirično zdravljenje teh okužb.
English: The possible interaction with oral contraceptives through an effect on the gut flora was removed, in line with the recent Coordination Group for Mutual Recognition and Decentralised Procedures - Human (CMDh) recommendation to remove this interaction from the PI of numerous antibiotics including amoxicillin (CMDh/326/2015, Rev.0).
Slovenian: Morebitna interakcija s peroralnimi kontracepcijskimi sredstvi zaradi učinka na črevesno floro je bila odstranjena skladno s priporočilom Usklajevalne skupine za postopek z medsebojnim priznavanjem in decentralizirani postopek - zdravila za uporabo v humani medicini (CMDh) glede odstranitve te interakcije iz informacij o zdravilu za številne antibiotike, vključno z amoksicilinom (CMDh/326/2015, Rev.0).
English: Several national guidelines and international societies including the World Health Organization recommend amoxicillin either as first or second line treatment for streptococcal pharyngitis.
Slovenian: Več nacionalnih smernic in mednarodnih združenj, vključno s Svetovno zdravstveno organizacijo, priporoča amoksicilin kot zdravljenje prve ali druge izbire proti streptokoknemu faringitisu.
English: Information in this section consistently reflects across MSs that amoxicillin does not affect the ability to drive or use machines.
Slovenian: Informacije v tem poglavju so skladne v vseh državah članicah in navajajo, da amoksicilin nima vpliva na sposobnost vožnje in upravljanja strojev.
English: Treatment and prophylaxis of endocarditis- all formulations
Slovenian: Zdravljenje in profilaksa pri endokarditisu - vse formulacije
English: The CHMP considered that the parenteral route was adequate for the more severe infections of the ear nose and throat.
Slovenian: Odbor CHMP je menil, da je parenteralna pot uporabe ustrezna za hujše okužbe ušesa, nosu in žrela.
English: Sulfasalazine plasma concentration may be reduced with aminopenicillins, however studies do not support this effect for amoxicillin and no relevant reports were identified in the safety database of the MAH; therefore it was considered acceptable to remove this statement.
Slovenian: Pri aminopenicilinih lahko pride do zmanjšanja koncentracije sulfasalazina v plazmi, vendar študije ne podpirajo tega učinka pri amoksicilinu in v varnostni podatkovni zbirki imetnika dovoljenja za promet z zdravilom ni pomembnih poročil, zato je odbor menil, da je odstranitev te izjave sprejemljiva.
English: Changes introduced in the SmPC were consistently reflected in the labelling, however most sections were left to be completed nationally.
Slovenian: Spremembe, ki so jih uvedli v povzetek glavnih značilnosti zdravila, so bile dosledno vključene v označevanje, vendar je večino poglavij treba dopolniti na nacionalni ravni.
English: The MAH proposed to harmonise the paediatric dosing recommendations using the most commonly approved mg/kg dose (40 - 90 mg/kg/day in divided doses).
Slovenian: Imetnik dovoljenja za promet z zdravilom je priporočil uskladitev priporočil za odmerjanje pri pediatrični populaciji, tako da bi se uporabil najpogosteje odobreni odmerek v mg/kg (40-90 mg/kg/dan v razdeljenih odmerkih).
English: The MAH presented two small clinical trials and five retrospective case studies as well as reviews and guidelines.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predstavil dve majhni klinični preskušanji, pet retrospektivnih študij primerov, preglede in smernice.
English: Many national and European guidelines recommend amoxicillin as one of several treatment options for AECB in adults patients with increased dyspnoea, sputum volume and sputum purulence or in case of exacerbations in patients with severe chronic obstructive pulmonary disease (COPD).
Slovenian: Mnoge nacionalne in evropske smernice priporočajo amoksicilin kot eno od mnogih možnostih zdravljenja AEKB pri odraslih bolnikih s povečano dispnejo, prostornino sputuma in gnojnim sputumom ali v primerih eksacerbacij pri bolnikih s hudo kronično obstruktivno pljučno boleznijo (KOPB).
English: In addition a cross reference to section 4.2, 4.4 and 5.1 is included at the beginning of the section, in particular to highlight that “amoxicillin is not suitable for the treatment of some types of infection unless the pathogen is already documented and known to be susceptible or there is a very high likelihood that the pathogen would be suitable for treatment with amoxicillin”.
Slovenian: Poleg tega bo na začetek tega poglavja vključena navzkrižna referenca na poglavja 4.2, 4.4 in 5.1, ki bo poudarila predvsem, »da amoksicilin ni primeren za zdravljenje nekaterih vrst okužb, razen če je bil patogen že dokumentiran in poznan kot občutljiv ali obstaja zelo velika verjetnost, da bo patogen primeren za zdravljenje z amoksicilinom«.
English: In addition the MAH provided data from recognised animal models to support the prophylaxis and treatment indication.
Slovenian: Poleg tega je imetnik dovoljenja za promet z zdravilom predložil podatke iz priznanih živalskih modelov, ki so podprli indikacijo profilakse in zdravljenja.
English: Furthermore, recent guidelines do not support the use of amoxicillin for genital infections such as pelvic inflammatory disease or vaginosis, other antibiotics are recommended.
Slovenian: Poleg tega nove smernice ne podpirajo uporabe amoksicilina pri okužbah spolovil, kot so vnetna bolezen medenice ali vaginoza, pri katerih so priporočeni drugi antibiotiki.
English: These included bronchitis, acute lung disease, urethritis, gonococcal infection, male genital infections, gonorrhoea, enteritis with bacteraemia and intra-abdominal infections such as peritonitis, cholecystitis and acute cholangitis, serious infections caused by haemophilus influenza.
Slovenian: Te so vključevale bronhitis, akutno pljučno bolezen, uretritis, gonokokno okužbo, okužbe moških spolovil, gonorejo, enteritis z bakteriemijo in okužbami v trebušni votlini, kot so peritonitis, holecistitis ter akutni holangitis, in resne okužbe, ki jih povzroča haemophilus influenzae.
English: In line with the CHMP guidelines, indications should describe the specific types of clinical infections for which the risk-benefit relationship is considered to be favourable, therefore indications such as upper or lower respiratory tract infections are no longer acceptable and the MAH has further specified those.
Slovenian: Skladno s smernicami CHMP morajo indikacije opisovati specifične vrste kliničnih okužb, pri katerih je razmerje med tveganji in koristmi ugodno, zato indikacije, kot so okužbe zgornjih ali spodnjih dihal, niso več sprejemljive in te je imetnik dovoljenja za promet z zdravilom dodatno opredelil.
English: Therefore the CHMP was of the view that the prophylaxis indication continues to be appropriate for all formulations.
Slovenian: Odbor CHMP je zato menil, da je indikacija profilakse še vedno ustrezna za vse formulacije.
English: Amoxicillin could be an option in these indications, however as most cases would be due to staphylococci or streptococci, agents with broader spectrum of activity would be required.
Slovenian: Amoksicilin je lahko možnost pri teh indikacijah, vendar bi bile potrebne učinkovine širšega spektra aktivnosti, saj večino povzročajo stafilokoki ali streptokoki.
English: The MAH proposed harmonised dosing recommendations based on the doses studied in clinical trials and supported by pharmacodynamic and pharmacokinetic data and in line with international, European and national guidelines.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predlagal usklajena priporočila za odmerjanje, ki temeljijo na odmerkih, ki so jih proučevali v kliničnih preskušanjih, jih podpirajo farmakodinamični ter farmakokinetični podatki in so skladni z mednarodnimi, evropskimi ter nacionalnimi smernicami.
English: The CHMP therefore was of the view that this indication was no longer relevant for amoxicillin and should be removed from the product information across all member states.
Slovenian: Odbor CHMP je zato menil, da ta indikacija ni več ustrezna za amoksicilin in jo je treba odstraniti iz informacij o zdravilu v vseh državah članicah.
English: The CHMP was of the view that the susceptibility of the organism to amoxicillin should be confirmed by laboratory results prior to initiating treatment with amoxicillin and requested that a warning to that effect be included in section 4.4 (and cross referred in section 4.1).
Slovenian: Odbor CHMP je menil, da je treba občutljivost organizmov za amoksicilin potrditi z laboratorijskimi izvidi, preden se uvede zdravljenje z amoksicilinom, in zahteval, naj se v poglavje 4.4 vključi opozorilo o tem učinku (in navzkrižna referenca v poglavje 4.1).
English: Therefore while amoxicillin should not be used as empirical treatment in this indication, the CHMP concluded that the indication should be maintained with a cross-reference to section 4.4.
Slovenian: Čeprav se amoksicilin ne sme uporabljati kot empirično zdravljenje pri tej indikaciji, je odbor CHMP sklenil, da je treba indikacijo ohraniti in dodati navzkrižno referenco na poglavje 4.4.
English: The MAH has taken into consideration the current dataset, recommendations from recent evidence based and consensus European or national clinical prescribing guidelines in support of the use of amoxicillin in the claimed indications as well as the CHMP guidelines on the evaluation of medicinal products indicated for treatment of bacterial infections and its addendum (CPMP/EWP/558/95 rev 2 and EMA/CHMP/351889/2013).
Slovenian: Imetnik dovoljenja za promet z zdravilom je upošteval trenutni nabor podatkov, priporočila nedavnih, na dokazih temelječih in soglasno sprejetih evropskih in nacionalnih kliničnih smernic za predpisovanje, ki podpirajo uporabo amoksicilina pri navedenih indikacijah, ter smernice CHMP o ocenjevanju zdravil, indiciranih za zdravljenje bakterijskih okužb, in njihov dodatek (CPMP/EWP/558/95 rev. 2 in EMA/CHMP/351889/2013).
English: Several warnings were in place in all (or all but one) member states with slightly different wordings (Hypersensitivity reactions, renal impairment, crystalluria, skin reactions (including in patients with infectious mononucleosis, anticoagulant), overgrowth of non-susceptible microorganisms, prolonged therapy) and the harmonised proposal of the MAH was considered acceptable.
Slovenian: V vseh državah članicah (razen v eni) so vključili več opozoril z nekoliko različnim besedilom (preobčutljivostne reakcije, okvarjeno delovanje ledvic, kristalurija, kožne reakcije (vključno z bolniki z infekcijsko mononukleozo, antikoagulanti), razraščanje neobčutljivih mikroorganizmov, podaljšano zdravljenje), zato je bil usklajeni predlog imetnika dovoljenja za promet z zdravilom sprejemljiv.
English: The CHMP considered that while fluoroquinolones are widely regarded as optimal for the treatment of typhoid fever in adults, in areas with high rates of fluoroquinolones-resistance, amoxicillin remains an appropriate alternative for the treatment of typhoid fever.
Slovenian: Odbor CHMP je menil, da kljub množičnem mnenju, da so fluorokinoloni najboljši za zdravljenje trebušnega tifusa pri odraslih, na območjih z velikim deležem odpornosti proti fluorokinolonom amoksicilin ostaja ustrezna alternativa za zdravljenje trebušnega tifusa.
English: Skin and soft tissues infections (SSTI)
Slovenian: Okužbe kože in mehkih tkiv (OKMT)
English: • The committee reviewed the data submitted by the MAH in support of the proposed harmonisation of the Product Information, including clinical trials, open studies, , literature studies and reviews as well as evidence-based and consensus guidelines.
Slovenian: • odbor je pregledal podatke, ki jih je kot podporo predlagani uskladitvi informacij o zdravilu predložil imetnik dovoljenja za promet z zdravilom, vključno s kliničnimi preskušanji, odprtimi študijami, študijami iz literature, pregledi in na dokazih temelječimi ter soglasno sprejetimi smernicami.
English: In addition, for the parenteral and intramuscular formulations further dosing recommendation are given for neonates above 4kg up to 3 months and premature neonates weighing less than 4kg.
Slovenian: Poleg tega je treba pri parenteralnih in intramuskularnih formulacijah navesti dodatna priporočila za odmerjanje pri novorojenčkih s telesno maso nad 4 kg, starih do 3 mesece, in nedonošenčkih s telesno maso pod 4 kg.
English: In addition considering the resistance rate of specific microorganisms, a general warning against the use of amoxicillin for the treatment of some types of infection unless the pathogen is already documented and known to be susceptible or very likely to be susceptible was requested to be included, together with a cross reference to section 5.1 for more details on the specific pathogens.
Slovenian: Poleg deleža odpornosti pri specifičnih mikroorganizmih je treba vključiti tudi splošno opozorilo proti uporabi amoksicilina za zdravljenje nekaterih vrst okužbe, če še ni dokumentirano ali znano, da je patogen občutljiv ali zelo verjetno občutljiv, pri čemer je treba vključiti navzkrižno referenco na poglavje 5.1 za več podrobnosti o specifičnih patogenih.
English: Considering that amoxicillin has been in use for many years and is indicated for use in a broad range of infections, in line with the Addendum to the Guideline on the evaluation of medicinal products indicated for treatment of bacterial infections (EMA/CHMP/351889/2013), the CHMP was of the view that, based on the available data, the proposed indication was adequately justified..
Slovenian: Ker se amoksicilin uporablja mnoga leta in je indiciran za uporabo pri širokem naboru okužb, je odbor CHMP skladno z dodatkom Smernicam o ocenjevanju zdravil indiciranih za zdravljenje bakterijskih okužb (EMA/CHMP/351889/2013) menil, da je na podlagi razpoložljivih podatkov predlagana indikacija zadostno utemeljena.
English: There are very few randomised trials that have evaluated the efficacy of antibiotic prophylaxis in infectious endocarditis.
Slovenian: Obstaja zelo malo randomiziranih preskušanj, ki so ocenila učinkovitost profilakse z antibiotiki pri infekcijskem endokarditisu.
English: The evidence provided, although not recent, demonstrates that amoxicillin has been used to treat a variety of genital infections in females with variable results.
Slovenian: Predloženi dokazi, ki niso novejši, kažejo, da se je amoksicilin uporabljal za raznovrstne okužbe ženskih spolovil z različnimi rezultati.
English: The MAH provided data suggesting that the penetration of amoxicillin into bone is adequate, even when the tissue is infected and pharmacokinetic/pharmacodynamic data supporting the use of amoxicillin in these conditions however the clinical evidence is very limited.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predložil podatke, ki kažejo, da je prodiranje amoksicilina v kost zadostno, tudi če je tkivo okuženo, in farmakokinetične/farmakodinamične podatke, ki podpirajo uporabo amoksicilina pri teh stanjih, čeprav so klinični dokazi zelo omejeni.
English: The CHMP considered that this indication was supported by appropriate data.
Slovenian: Odbor CHMP je menil, da to indikacijo podpirajo ustrezni podatki.
English: Other sections of the SmPC have been updated in line with their respective Quality harmonised documentation provided in Module 3 and in line with the current QRD template.
Slovenian: Druga poglavja povzetka glavnih značilnosti zdravila so bila posodobljena skladno z njihovo zadevno usklajeno dokumentacijo o kakovosti, predloženo v Modulu 3, in trenutno predlogo za pregled kakovosti dokumentov (QRD).
English: While not many guidelines are in place for this type of infection, several learned societies recommend amoxicillin as a first choice treatment.
Slovenian: Čeprav za to vrsto okužbe ni veliko smernic, več priznanih združenj priporoča amoksicilin kot zdravljenje prve izbire.
English: Acute cystitis, asymptomatic bacteriuria in pregnancy and acute pyelonephritis- all formulations
Slovenian: Akutni cistitis, asimptomatska bakteriurija v nosečnosti in akutni pielonefritis - vse formulacije
English: Amoxicillin in triple therapy achieved eradication rates around 80-85% in the various studies presented.
Slovenian: Pri trojni terapiji z amoksicilinom so v različnih predloženih študijah dosegli približno od 80- do 85-odstotne deleže eradikacije.
English: The list of organisms susceptible to amoxicillin was updated.
Slovenian: Posodobili so seznam organizmov, občutljivih za amoksicilin.
English: Amoxicillin exerts its effect through inhibition of penicillin-binding transpeptidase proteins, disrupting peptidoglycan cross-linking in the cell-wall synthesis of both Gram-negative and Gram-positive organisms.
Slovenian: Amoksicilin učinkuje tako, da zavira beljakovine transpeptidaze, ki vežejo penicilin, kar ovira navzkrižno vezavo peptidoglikana pri sintezi gramnegativnih in grampozitivnih organizmov v celični steni.
English: The use of amoxicillin in treating respiratory infections is further reflected in many national and European guidelines which recommend amoxicillin empiric treatment of community acquired pneumonia in adults and children.
Slovenian: Uporaba amoksicilina pri zdravljenju okužb dihal je dodatno opisana v mnogih nacionalnih in evropskih smernicah, ki priporočajo amoksicilin kot empirično zdravljenje zunajbolnišnične pljučnice pri odraslih in otrocih.