FrancophonIA/ELRC3.0 huggingface dataset:
English: In Study GS-US-216-0114, hyperbilirubinaemia (> 1 x ULN) was common: 97.7% in the cobicistatboosted atazanavir plus emtricitabine and tenofovir disoproxil fumarate fixed-dose combination group, and 97.4% in the ritonavir-boosted atazanavir plus emtricitabine and tenofovir disoproxil fumarate fixed-dose combination group through 144 weeks of treatment.
Danish: I studie GS-US-216-0114 var hyperbilirubinæmi (> 1 x ULN) almindelig: 97,7 % i cobicistat-boostet atazanavir plus emtricitabin og tenofovirdisoproxilfumarat i fastdosis-kombination-gruppen og 97,4 % i ritonavir-boostet atazanavir plus emtricitabin og tenofovirdisoproxilfumarat i fastdosis-kombinationgruppen til og med 144 ugers behandling.
English:  Tell your doctor if you are taking any of these HIV medicines.
Danish:  Fortæl lægen, hvis De tager nogle af disse lægemidler.
English: Darunavir pharmacokinetics parameters
Danish: Darunavirs farmakokinetiske parametre
English: nephrolithiasis, haematuria, proteinuria General disorders and administration site conditions: Common:
Danish: nephrolithiasis, hæmaturi, proteinuri Almene symptomer og reaktioner på administrationsstedet: Almindelig:
English: The pharmacokinetics of cobicistat in paediatric subjects have not been established.
Danish: Cobicistats farmakokinetik hos pædiatriske personer er ikke klarlagt.
English: No dose adjustment of cobicistat is necessary for patients with mild to moderate hepatic impairment.
Danish: Ingen dosisjustering af cobicistat er nødvendig for patienter med let til moderat nedsat leverfunktion.
English: For additional drug-drug interactions with atazanavir or darunavir, consult their respective Summary of Product Characteristics when using Tybost.
Danish: For yderligere lægemiddelinteraktioner med atazanavir eller darunavir, konsulteres deres respektive produktresumé, når der anvendes Tybost.
English: Safety and efficacy have not been established for use of cobicistat with either atazanavir or darunavir when used in any other dosing regimen.
Danish: Sikkerhed og virkning er ikke blevet klarlagt for anvendelse af cobicistat med enten atazanavir eller darunavir ved anvendelse i andre doseringsplaner.
English: Tybost is used in combination with atazanavir or darunavir, therefore the atazanavir or darunavir Summary of Product Characteristics should be consulted.
Danish: Tybost bruges i kombination med atazanavir eller darunavir, og produktresuméet for atazanavir eller darunavir skal derfor konsulteres.
English: Treatment with cobicistat and darunavir during pregnancy results in lower darunavir exposure.
Danish: Behandling med cobicistat og darunavir under graviditet medfører lavere eksponering for darunavir.
English: GLUCOCORTICOIDS
Danish: GLUKOKORTIKOIDER
English: Plasma concentrations of these medicinal products may be increased when co-administered with cobicistat, resulting in reduced serum cortisol concentrations.
Danish: Plasmakoncentrationen af disse lægemidler kan øges ved samtidig administration af cobicistat, hvilket medfører nedsat serumkortisol.
English: Tybost should not be initiated in patients with creatinine clearance less than 70 ml/min if one or more co-administered agent requires dose adjustment based on creatinine clearance (e.g. emtricitabine, lamivudine, tenofovir disoproxil or adefovir).
Danish: Tybost må ikke påbegyndes hos patienter med kreatininclearance under 70 ml/min, hvis en eller flere samtidigt indgivne stoffer kræver dosisjustering baseret på kreatininclearance (f.eks. emtricitabin, lamivudin, tenofovirdisoproxil eller adefovir).
English: The pharmacokinetic enhancing effect of cobicistat on darunavir was evaluated in a phase 1 clinical Study GS-US-216-0115 in 31 healthy subjects that were administered darunavir 800 mg in combination with cobicistat 150 mg or ritonavir 100 mg, all once daily, for 10 days.
Danish: Den farmakokinetiske forstærkende virkning af cobicistat på darunavir blev evalueret i et fase 1 kliniskstudie GS-US-216-0115 med 31 sunde forsøgspersoner, der fik administreret darunavir 800 mg i kombination med cobicistat 150 mg eller ritonavir 100 mg, alle én gang dagligt, i 10 dage.
English: The peak concentration of digoxin is increased when co-administered with Tybost.
Danish: Peak-koncentrationen af digoxin øges ved samtidig administration af Tybost.
English: Always take the dose recommended by your doctor.
Danish: Tag altid den dosis, Deres læge har anbefalet for at sikre, at medicinen er fuldt ud effektiv.
English: Co-administration with cobicistat may result in increased plasma concentrations of the DOAC, which may lead to an increased bleeding risk..
Danish: Samtidig administration af cobicistat kan føre til øgede plasmakoncentrationer af DOAK-præparatet, hvilket kan føre til en øget blødningsrisiko.
English: [Outer packaging only]
Danish: [Kun på den ydre emballage]
English: How to take Tybost
Danish: Sådan skal De tage Tybost
English: (dyspepsia), feeling bloated, wind (flatulence)
Danish: (dyspepsi), oppustethed, afgang af tarmluft (flatulens)
English: Co-administration is contraindicated with medicinal products that are highly dependent on CYP3A for clearance and for which elevated plasma concentrations are associated with serious and/or life-threatening events.
Danish: Samtidig administration med lægemidler, som er meget afhængige af CYP3A for clearance, og for hvilke forhøjede plasmakoncentrationer er associeret med alvorlige og/eller livstruende hændelser, er kontraindiceret.
English: Baseline disease characteristics
Danish: Sygdomskarakteristika ved baseline
English: The mean (± SD) change in estimated glomerular filtration rate (eGFR) by Cockcroft-Gault method after 144 weeks of treatment was -15.1 ± 16.5 ml/min in the cobicistat-boosted atazanavir plus emtricitabine and tenofovir disoproxil fumarate fixed-dose combination group and -8.0 ± 16.8 ml/min in the ritonavir-boosted atazanavir plus emtricitabine and tenofovir disoproxil fumarate fixed-dose combination group.
Danish: Middelændringen (± SD) i estimeret glomerulær filtrationsrate (eGFR) efter Cockcroft-Gault-metoden efter 144 ugers behandling var -15,1 ± 16,5 ml/min i cobicistat-boostet atazanavir plus emtricitabin og tenofovirdisoproxilfumarat i fastdosis-kombination-gruppen og -8,0 ± 16,8ml/min i ritonavir-boostet atazanavir plus emtricitabin og tenofovirdisoproxilfumarat i fastdosis-kombination-gruppen.
English: Nucleoside Reverse Transcriptase Inhibitors (NRTIs) Tenofovir disoproxil1
Danish: Nukleosid-revers transkriptase-hæmmere (NRTI'er) Tenofovirdisoproxil1
English: Concomitant use of cobicistat and corticosteroids that are metabolised by CYP3A (e.g. fluticasone propionate or other inhaled or nasal corticosteroids) may increase the risk of development of systemic corticosteroid effects, including Cushing's syndrome and adrenal suppression.
Danish: Samtidig brug af cobicistat og kortikosteroider, der metaboliseres via CYP3A (f.eks. fluticasonpropionat eller andre inhalerede eller nasale kortikosteroider) kan øge risikoen for systemiske kortikosteroid-bivirkninger, herunder Cushings syndrom og binyrebarksuppression.
English: No dose adjustment of rilpivirine is required when atazanavir/cobicistat or darunavir/cobicistat are used concomitantly with rilpivirine.
Danish: Ingen dosisjustering af rilpivirin er nødvendig, når atazanavir/cobicistat eller darunavir/cobicistat anvendes samtidig med rilpivirine.
English: Co-administration with Tybost may increase dabigatran plasma concentrations with similar effects as seen with other strong P-gp inhibitors.
Danish: Samtidig administration af Tybost kan føre til øgede plasmakoncentrationer af dabigatran med lignende virkninger som ved andre kraftige hæmmere af P-gp.
English: Cobicistat is a strong mechanism-based CYP3A inhibitor and is a CYP3A substrate.
Danish: Cobicistat er en kraftig mekanisme baseret CYP3A-hæmmer og et CYP3A-substrat.
English: In clinical studies, cobicistat was co-administered with atazanavir or darunavir under fed conditions, in accordance with the Summary of Product Characteristics for these agents.
Danish: I kliniske studier blev cobicistat administreret samtidig med atazanavir eller darunavir i forbindelse med måltider i henhold til produktresuméet for disse stoffer.
English: Darunavir 800 mg + ritonavir 100 mg once daily (n = 31)
Danish: Darunavir 800 mg + ritonavir 100 mg én gang dagligt (n = 31)
English: Table 5: Pharmacokinetic parameters [mean ± SD (%CV)] of darunavir 800 mg co-administered with cobicistat 150 mg or ritonavir 100 mg once daily
Danish: Tabel 5: Farmakokinetiske parametre [middel ± SD (% CV)] af darunavir 800 mg administreret samtidig med cobicistat 150 mg eller ritonavir 100 mg én gang dagligt
English: The safety of cobicistat is based on 144-week data from a phase 3, randomised, active-controlled clinical Study (GS-US-216-0114), in which 692 treatment-naïve patients received at least one dose of cobicistat-boosted atazanavir (n = 344) or ritonavir-boosted atazanavir (n = 348) administered with emtricitabine and tenofovir disoproxil fumarate fixed-dose combination.
Danish: Cobicistats sikkerhed er baseret på 144 ugers data fra et randomiseret, aktivt-kontrolleret klinisk fase 3-studie (GS-US-216-0114), i hvilket 692 behandlingsnaive patienter fik mindst én dosis cobicistatboostet atazanavir (n = 344) eller ritonavir-boostet atazanavir (n = 348) administreret med embricitabin og tenofovirdisoproxilfumarat i fastdosis-kombination.
English: The steady-state pharmacokinetic parameters of darunavir were comparable when boosted with cobicistat versus ritonavir (see Table 5).
Danish: Darunavirs steady-state farmakokinetiske parametre kunne sammenlignes, når de blev boostet med cobicistat versus ritonavir (se tabel 5).
English: Cobicistat should not be initiated in patients with creatinine clearance less than 70 ml/min if any co-administered agent (e.g. emtricitabine, lamivudine, tenofovir disoproxil, or adefovir) requires dose adjustment based on creatinine clearance.
Danish: Behandling med cobicistat må ikke påbegyndes hos patienter med kreatininclearance under 70 ml/min, såfremt samtidigt administrerede stoffer (f.eks. emtricitabin, lamivudin, tenofovirdisproxil eller adefovir) kræver dosisjustering baseret på kreatininclearance.
English: Alternative antibiotics should be considered for co-administration with atazanavir/cobicistat.
Danish: Alternative antibiotika bør overvejes ved samtidig administration af atazanavir/cobicistat.
English: If switching pharmacoenhancer from ritonavir to cobicistat, caution is required during the first two weeks of treatment with cobicistat, particularly if doses of any concomitantly administered medicinal products have been titrated or adjusted during use of ritonavir as a pharmacoenhancer (see section 4.5).
Danish: Hvis der skiftes farmakobooster fra ritonavir til cobicistat, skal der udvises forsigtighed i løbet af de første to ugers behandling med cobicistat, især hvis doser af samtidigt indgivne lægemidler er blevet titreret eller justeret under brugen af ritonavir som en farmakobooster (se pkt.
English: pyrexia, asthenia
Danish: pyreksi, asteni
English: Baseline characteristics and treatment outcomes at weeks 48 and 144 for Study GS-US-216-0114 are presented in Tables 6 and 7, respectively.
Danish: Baselinekarakteristika og behandlingsresultater ved uge 48 og 144 for studie GS-US-216-0114 er anført i hhv. tabel 6 og 7.
English: No clinically relevant pharmacokinetic differences due to gender have been identified for cobicistat.
Danish: Der er ikke blevet identificeret klinisk relevante farmakokinetiske forskelle på grund af køn for cobicistat.
English: Pack sizes containing 1 bottle of 30 film-coated tablets or 3 bottles of 30 film-coated tablets.
Danish: Pakningsstørrelser, der indeholder 1 tabletbeholder med 30 filmovertrukne tabletter eller 3 tabletbeholdere med 30 filmovertrukne tabletter.
English: No clinically relevant pharmacokinetic differences due to ethnicity have been identified for cobicistat.
Danish: Der er ikke blevet identificeret klinisk relevante farmakokinetiske forskelle på grund af etnicitet for cobicistat.
English: Missing data during window but on study drug a Week 48 window is between day 309 and 378 (inclusive) b Week 144 window is between day 967 and 1,050 (inclusive) c Includes subjects who had ≥ 50 copies/ml in the week 48 or 144 windows; subjects who discontinued early due to lack or loss of efficacy; subjects who discontinued for reasons other than an adverse event, death or lack or loss of efficacy, and at the time of discontinuation had a viral value of ≥ 50 copies/ml.
Danish: c Omfatter personer som havde ≥ 50 kopier/ml i uge 48- eller 144-vinduet, personer som afbrød behandlingen tidligt som følge af manglende eller svigtende virkning, personer, som afbrød behandlingen af andre årsager end en adverse event, død eller manglende eller svigtende virkning, og som på tidspunktet for seponering havde en viral load på ≥ 50 kopier/ml.
English: If switching pharmacoenhancer from ritonavir to cobicistat, caution is required during the first two weeks of treatment with Tybost, particularly if doses of any concomitantly administered medicinal products have been titrated or adjusted during use of ritonavir as a pharmacoenhancer (see section 4.4).
Danish: Hvis der skiftes farmakobooster fra ritonavir til cobicistat, skal der udvises forsigtighed i løbet af de første to ugers behandling med Tybost, især hvis doser af nogle af de samtidigt indgivne lægemidler er blevet titreret eller justeret under brugen af ritonavir som en farmakobooster (se pkt.
English: • another protease inhibitor
Danish: • en anden proteasehæmmer
English: Pharmacokinetics of cobicistat have not been fully evaluated in hepatitis B and/or C virus co-infected subjects.
Danish: Samtidig infektion med hepatitis B- og/eller hepatitis C-virus Cobicistats farmakokinetik er ikke blevet fuldt evalueret hos forsøgspersoner med samtidig infektion med hepatitis B- og/eller hepatitis C-virus.
English: Selective Serotonin Reuptake Inhibitors (SSRIs) Trazodone
Danish: Selektive serotoningenoptagelseshæmmere (SSRI'er) Trazodon
English: AUCtau (µg•h/ml) Cmax (µg/ml) Ctau (µg/ml) a Plus background regimen of emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg fixed-dose combination
Danish: AUCtau (µg•t/ml) Cmax (µg/ml) Ctau (µg/ml) a Plus baggrundsbehandlingsplan med emtricitabin 200 mg og tenofovirdisoproxilfumarat 300 mg i fastdosis-kombination
English: Atazanavir or darunavir plasma concentrations may decrease as a consequence of a reduction in cobicistat plasma concentrations, which may result in loss of therapeutic effect and development of resistance.
Danish: Plasmakoncentrationerne af atazanavir eller darunavir kan falde som følge af en reduktion i plasmakoncentrationerne af cobicistat, hvilket kan forårsage svigtende terapeutisk virkning og udvikling af resistens.
English: A study of the pharmacokinetics of cobicistat was performed in non-HIV-1 infected subjects with moderate hepatic impairment (Child-Pugh Class B).
Danish: Et farmakokinetikstudie af cobicistat blev udført hos non-hiv-1-inficerede personer med moderat nedsat leverfunktion (Child-Pugh klasse B).
English: The steady-state pharmacokinetic parameters of atazanavir were comparable when boosted with cobicistat versus ritonavir (see Table 4).
Danish: Atazanavirs steady-state farmakokinetiske parametre kunne sammenlignes, når de blev boostet med cobicistat versus ritonavir (se tabel 4).
English: No meaningful differences in cobicistat pharmacokinetics were observed between subjects with severe renal impairment and healthy subjects, consistent with low renal clearance of cobicistat.
Danish: Der blev ikke observeret nogen betydningsfulde forskelle i farmakokinetikken for cobicistat hos personer med svært nedsat nyrefunktion og hos raske personer, hvilket er i overensstemmelse med corbicistats lave nyreclearance.
English: Vinblastine
Danish: Vinblastin
English: K65R or K70E, or any primary resistance substitution associated with protease inhibitors.
Danish: Ingen forsøgsperson udviklede de tenofovirassocierede resistenssubstitutioner K65R eller K70E, eller nogen primær resistenssubstitution associeret med proteasehæmmere.
English: Package leaflet: Information for the patient Tybost 150 mg film-coated tablets cobicistat
Danish: Indlægsseddel: Information til patienten Tybost 150 mg filmovertrukne tabletter cobicistat
English: The active substance is cobicistat.
Danish: Aktivt stof: cobicistat.
English: The effect of cobicistat on atazanavir pharmacokinetics was demonstrated in the pharmacokinetic substudy (n = 48) of the phase 3 Study GS-US-216-0114 in which HIV-1 infected patients received atazanavir 300 mg + cobicistat 150 mg or atazanavir 300 mg + ritonavir 100 mg, both in combination with emtricitabine and tenofovir disoproxil fumarate fixed-dose combination.
Danish: Virkningen af cobicistat på atazanavir farmakokinetik blev påvist i den farmakokinetiske undergruppe (n = 48) i fase 3-studiet GS-US-216-0114 i hvilket hiv-1-inficerede patienter fik atazanavir 300 mg + cobicistat 150 mg eller atazanavir 300 mg + ritonavir 100 mg, begge i kombination med emtricitabin og tenofovirdisoproxilfumarat i fastdosis-kombination.
English: Table 8: Changes in CD4+ cell counts through weeks 48 and 144 in Study GS-US-216-0114 Week 48
Danish: Tabel 8: Ændringer i CD4+ celletal til og med uge 48 og 144 i studie GS-US-216-0114 Uge 48
English: No dose adjustment of cobicistat is required in patients with mild (Child-Pugh Class A) or moderate hepatic impairment (Child-Pugh Class B).
Danish: Dosisjustering af cobicistat er ikke nødvendigt hos patienter med let nedsat (Child-Pugh klasse A) eller moderat nedsat (Child-Pugh klasse B) leverfunktion.
English: Alternative or additional contraceptive measures are recommended when oestrogen-based contraceptives are co-administered with darunavir/cobicistat.
Danish: Alternative eller yderligere forholdsregler vedrørende kontraception anbefales, når østrogenbaserede antikonceptiva administreres samtidig med darunavir/cobicistat.
English: Co-administration with cobicistat may result in increased sildenafil, tadalafil and vardenafil plasma concentrations, which may result in PDE-5 inhibitorassociated adverse reactions.
Danish: Samtidig administration med cobicistat kan føre til øgede plasmakoncentrationer af sildenafil, tadalafil og vardenafil, hvilket kan føre til bivirkninger associeret med PDE-5-hæmmeren.
English: Table 3: Tabulated summary of adverse reactions to cobicistat-boosted atazanavir based on experience of 144 weeks from phase 3 Study GS-US-216-0114
Danish: Tabel 3: Oversigt over bivirkninger af cobicistat-boostet atazanavir baseret på 144 ugers observation i fase 3-studiet GS-US-216-0114
English: Digoxin (0.5 mg single dose)/Cobicistat (150 mg multiple doses)
Danish: Digoxin (0,5 mg enkeltdosis)/Cobicistat (150 mg flerdosis)
English: • herbal products: St. John's wort (Hypericum perforatum)
Danish: • naturlægemiddel: prikbladet perikum (Hypericum perforatum)
English: Concentrations of ketoconazole and/or cobicistat may increase with co-administration of cobicistat.
Danish: Koncentrationer af ketoconazol og/eller cobicistat kan øges ved samtidig administration af cobicistat.
English: Clinical monitoring is recommended and a dose reduction may be necessary when these beta-blockers are co-administered with Tybost.
Danish: Klinisk overvågning anbefales og en dosisreduktion kan være nødvendig ved samtidig administration af betablokkere og Tybost.
English: No clinically relevant differences in cobicistat pharmacokinetics were observed between subjects with moderate impairment and healthy subjects.
Danish: Der blev ikke observeret nogen klinisk relevante forskelle i farmakokinetikken for cobicistat hos personer med moderat nedsat leverfunktion og hos raske personer.
English: Dosing recommendations for such combinations have not been established and co-administration may result in decreased plasma concentrations of atazanavir, darunavir and/or the other antiretroviral agents that require pharmacoenhancement leading to loss of antiviral activity and development of resistance.
Danish: Doseringsanbefalinger for sådanne kombinationer er ikke blevet klarlagt og samtidig administration kan resultere i nedsatte plasmakoncentrationer af atazanavir, darunavir og/eller andre antiretrovirale stoffer, der kræver farmakoboosting, og føre til tab af antiviral aktivitet og udvikling af resistens.
English: vomiting, diarrhoea, dyspepsia, abdominal pain, abdominal distension, flatulence, dry mouth Hepatobiliary disorders: Very common:
Danish: opkastning, diarré, dyspepsi, abdominalsmerter, abdominal udspiling, flatulens, tør mund
English: Cmax (µg/ml)
Danish: AUCtau (µg•t/ml) Cmax (µg/ml) C0h (µg/ml)
English: Darunavir 800 mg + cobicistat 150 mg once daily (n = 31)
Danish: Darunavir 800 mg + cobicistat 150 mg én gang dagligt (n = 31)
English: Data are not available to make recommendations on the use of darunavir/cobicistat or atazanavir/cobicistat with other oral contraceptives than drospirenone/ethinyloestradiol.
Danish: Der foreligger ingen data vedrørende anbefalinger om anvendelsen af atazanavir/cobicistat eller darunavir/cobicistat sammen med andre orale antikonceptiva end drospirenon/ethinylestradiol.
English: Clinical monitoring of therapeutic effect and adverse events is recommended when these medicinal products are co-administered with Tybost.
Danish: Klinisk overvågning af terapeutiske virkninger og bivirkninger anbefales ved samtidig administration af disse lægemidler og Tybost.
English: CD4+ T-cell count (cells/mm3)b a Plus background regimen of emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg fixed-dose combination b Missing = excluded analysis
Danish: CD4+ T-celletal fra baseline (celler/mm3)b a Plus baggrundsbehandling med emtricitabin 200 mg og tenofovirdisoproxilfumarat 300 mg i fastdosis-kombination b Manglende = ekskluderet analyse
English: See sections 4.4, 4.8 and 5.2.
Danish: 4.4, 4.8 og 5.2.
English: Antiviral efficacy data from randomised controlled studies is available for cobicistat-boosted atazanavir, but not for cobicistat-boosted darunavir (see sections 4.4 and 5.2).
Danish: Antivirale effektdata fra randomiserede, kontrollerede studier er tilgængelige for cobicistat-boostet atazanavir, men ikke for cobicistat-boostet darunavir (se pkt.
English: Adverse reactions to cobicistat-boosted atazanavir during 144 weeks of clinical trial experience from Study GS-US-216-0114 are listed in Table 3, below, by body system organ class and frequency.
Danish: Bivirkninger ved cobicistat-boostet atazanavir, set i løbet af 144 uger i det klinisk studie GS-US-216-0114, er angivet efter systemorganklasse og højeste observerede frekvens i tabel 3 herunder.
English: Co-administration is contraindicated with medicinal products that are strong inducers of CYP3A due to the potential for loss of therapeutic effect.
Danish: Samtidig administration med lægemidler, som er stærke inducere af CYP3A, er kontraindiceret på grund af risikoen for svigtende terapeutisk virkning.
English: Data are not available to make recommendations on the use of atazanavir/cobicistat or darunavir/cobicistat with other oral contraceptives.
Danish: Der foreligger ingen data vedrørende anbefalinger om anvendelse af atazanavir/cobicistat eller darunavir/cobicistat sammen med andre orale kontraceptiva.
English: Clinical monitoring is recommended upon co-administration with Tybost.
Danish: Klinisk overvågning anbefales ved samtidig administration med Tybost.
English: Co-administration with cobicistat can increase plasma concentrations of medicinal products that are metabolised by CYP2D6 (see sections 4.3 and 4.5).
Danish: Samtidig administration med cobicistat kan øge plasmakoncentrationer af lægemidler, der metaboliseres af CYP2D6 (se pkt.
English: Consult atazanavir Summary of Product Characteristics for dosing recommendations.
Danish: Konsultér atazanavirs produktresumé for doseringsanbefalinger.
English: Effects on drug levels Mean percent change in AUC,
Danish: Virkning på lægemiddelkoncentrationer Gennemsnitlig ændring i AUC, Cmax, Cmin
English: Co-administration of salmeterol with cobicistat may result in increased plasma concentrations of salmeterol.
Danish: Samtidig administration af salmeterol og cobicistat kan føre til øgede plasmakoncentrationer af salmeterol.