FrancophonIA/ELRC3.0 huggingface dataset:
English: • After stopping Hepsera tell your doctor immediately about any new, unusual or worsening symptoms that you notice after stopping treatment.
Danish: Hvis De holder op med at tage Hepsera • De skal omgående fortælle det til Deres læge, hvis De bemærker nye eller usædvanlige symptomer, efter at De er holdt op med behandlingen.
English: Patients receiving medicinal products that may affect renal function: Adefovir dipivoxil should not be administered concurrently with tenofovir disoproxil fumarate (Viread).
Danish: Patienter, som får lægemidler, der kan påvirke nyrefunktionen: Adefovirdipivoxil bør ikke tages samtidig med tenofovirdisoproxilfumarat (Viread).
English: In most patients who stopped treatment with adefovir dipivoxil, serum HBV DNA and ALT levels returned towards baseline.
Danish: Hos de fleste patienter, som ikke længere modtog behandling med adefovirdipivoxil, gik serum-HBV-dna- og ALAT-niveauerne tilbage mod baseline.
English: Patients with a confirmed increase in creatinine of ≥ 0.3 mg/dl by week 48 were at a statistically significant higher risk of a subsequent confirmed increase in creatinine of ≥ 0.5 mg/dl. Hypophosphatemia and a decrease in carnitine concentrations were reported each in 3 % of patients on extended treatment.
Danish: Patienter med en bekræftet stigning i kreatinin på ≥ 0,3 mg/dl ved uge 48 havde en statistisk signifikant højere risiko for en efterfølgende bekræftet stigning i kreatinin på ≥ 0,5 mg/dl. Der blev rapporteret henholdsvis hypofosfatæmi og fald i carnitinkoncentrationer hos 3 % af de patienter, som fik forlænget behandling.
English: Adefovir is active against hepadnaviruses in vitro, including all common forms of lamivudine-resistant HBV (rtL180M, rtM204I, rtM204V, rtL180M/rtM204V), famciclovir-associated mutations (rtV173L, rtP177L, rtL180M, rtT184S or rtV207I) and hepatitis B immunoglobulin escape mutations (rtT128N and rtW153Q), and in in vivo animal models of hepadnavirus replication.
Danish: Adefovir er aktiv mod hepadnavirus in vitro, herunder alle almindelige former for lamivudin-resistent HBV (rtL180M, rtM204I, rtM204V, rtL180M/rtM204V), famciclovirforbundne mutationer (rtV173L, rtP177L, rtL180M, rtT184S eller rtV207I) og hepatitis B immunoglobulin kvitterede mutationer (rtT128N og rtW153Q) samt i in vivo-dyremodeller af hepadnavirusreplikation.
English: Therapy should be initiated by a physician experienced in the management of chronic hepatitis B. Posology
Danish: Terapi skal startes af en læge med erfaring i behandlingen af kronisk hepatitis B. Dosering
English: As a result, the frequency category of proximal renal tubulopathy and Fanconi syndrome is revised from unknown to uncommon in section 4.8 of Hepsera SmPC and in the corresponding section of the package leaflet.
Danish: Som et resultat deraf revideres frekvenskategorien for proksimal renal tubulopati og Fanconis syndrom fra ikke kendt til ikke almindelig i punkt 4.8 i produktresuméet for Hepsera og i det tilsvarende punkt i indlægssedlen.
English: Following oral administration of a single dose of 10 mg adefovir dipivoxil to chronic hepatitis B patients, the median (range) peak serum concentration (Cmax) was achieved after 1.75 h (0.58-4.0 h).
Danish: Efter oral indgivelse af en enkelt dosis af 10 mg adefovirdipivoxil hos kroniske hepatitis B patienter blev den mediane (område) peak-serumkoncentration (Cmax) opnået efter 1,75 time (0,58-4,0 time).
English: The cumulative probabilities of developing these adefovir-associated resistance mutations in all patients treated with adefovir dipivoxil were 0 % at 48 weeks and approximately 2 %, 7 %, 14 % and 25 % after 96, 144, 192 and 240 weeks, respectively.
Danish: De kumulative sandsynligheder for udvikling af disse adefovirforbundne resistensmutationer hos alle patienter i behandling med adefovirdipivoxil var 0 % ved 48 uger og cirka 2 %, 7 %, 14 % og 25 % efter henholdsvis 96, 144, 192 og 240 uger.
English: Tell a doctor or pharmacist if you are worried about this.
Danish: Fortæl det til lægen eller apoteket, hvis De er bekymret på grund af dette.
English: Studies in animals administered adefovir intravenously have shown reproductive toxicity (see section 5.3).
Danish: Dyreforsøg med intravenøst indgivet adefovir har påvist reproduktionstoksicitet (se pkt.
English: Distribution: Preclinical studies show that after oral administration of adefovir dipivoxil, adefovir is distributed to most tissues with the highest concentrations occurring in kidney, liver and intestinal tissues.
Danish: Fordeling: Prækliniske studier har vist, at adefovir efter oral indgivelse af adefovirdipivoxil fordeles til de fleste væv, hvor de højeste koncentrationer forekommer i nyre-, lever- og tarmvæv.
English: Preliminary clinical data suggest the adefovir-associated resistance mutation rtA181V may confer a reduced susceptibility to lamivudine, and the lamivudine-associated mutation rtA181T may confer a reduced susceptibility to adefovir dipivoxil.
Danish: Foreløbige kliniske data tyder på, at den adefovirforbundne resistensmutation rtA181V kan medføre nedsat følsomhed over for lamivudin, og at den lamivudinforbundne mutation rtA181T kan medføre reduceret følsomhed over for adefovirdipivoxil.
English: However, on-treatment HBV DNA response was not maintained off-therapy since all the patients had a rebound in HBV DNA after adefovir dipivoxil and pegylated interferon alpha-2a discontinuation.
Danish: Imidlertid blev HBV-dna-responset ikke opretholdt efter behandlingen, da der hos alle patienter var en forværring af HBV-dna efter seponering af adefovirdipivoxil og pegyleret interferon-alfa-2a.
English: Hepatic impairment: Pharmacokinetic properties were similar in patients with moderate and severe hepatic impairment compared to healthy volunteers (see section 4.2).
Danish: Nedsat leverfunktion: De farmakokinetiske egenskaber var de samme hos patienter med moderat eller alvorlig nedsat leverfunktion sammenlignet med raske, frivillige forsøgspersoner (se pkt.
English: Most post-treatment exacerbations of hepatitis were seen within 12 weeks of discontinuation of 10 mg adefovir dipivoxil.
Danish: De fleste post-behandlingseksacerbationer af hepatitis er blevet set inden for 12 uger efter seponering af 10 mg adefovirdipivoxil.
English: Adefovir may be used in combination with lamivudine in lamivudine-refractory patients and in patients harbouring HBV with mutations at rtL180M and/or rtM204I/V.
Danish: Adefovir kan bruges i kombination med lamivudin til lamivudin-refraktære patienter og til patienter, som har HBV med mutationer ved rtL180M og/eller rtM204I/V.
English: No differences in the median fibrosis score were seen between groups using the Knodell fibrosis score.
Danish: Ved benyttelse af Knodell's fibrosescore blev der ikke set nogen forskel mellem grupperne med hensyn til median fibrosescore.
English: Overall, the safety profile of adefovir dipivoxil in children was consistent with the known safety profile in adult patients.
Danish: Adefovirdipivoxils sikkerhedsprofil hos børn var generelt den samme som sikkerhedsprofilen hos voksne patienter.
English: In the majority of these studies adefovir dipivoxil 10 mg was added to ongoing lamivudine treatment in patients failing lamivudine therapy.
Danish: I de fleste af disse studier blev adefovirdipivoxil 10 mg føjet til igangværende lamivudinbehandling hos patienter med svigtende lamivudinterapi.
English: Other medicines and Hepsera
Danish: Brug af anden medicin sammen med Hepsera
English: These exacerbations occurred in the absence of HBeAg seroconversion and presented as serum ALT elevations and increases in serum HBV DNA.
Danish: Disse eksacerbationer optrådte uden HBeAg-serokonversion og viste sig som forhøjede serum-ALAT-niveauer og stigninger i serum-HBV-dna.
English: Adefovir was not mutagenic in microbial mutagenicity assays involving Salmonella typhimurium (Ames) and Escherichia coli in the presence and absence of metabolic activation.
Danish: Adefovir var ikke mutagen i mikrobielle mutagenicitetsanalyser, som involverede Salmonella typhimurium (Ames) og Escherichia coli med eller uden stofskifteaktivering.
English: In long-term carcinogenicity studies in rats and mice with adefovir dipivoxil, no treatment-related increase in tumour incidence was found in mice or rats (systemic exposures approximately 10 and 4 times those achieved in humans at the therapeutic dose of 10 mg/day, respectively).
Danish: I langtids carcinogenicitetsstudier hos rotter og mus med adefovirdipivoxil fandtes ingen behandlingsrelateret stigning i tumorforekomst hos mus eller rotter (systemiske ekspositioner, som var hhv. ca. 10 og 4 gange dem, der blev opnået hos mennesker med den terapeutiske dosis på 10 mg/dgl.
English: In patients with decompensated liver disease, the most frequently reported adverse reactions during up to 203 weeks of adefovir dipivoxil therapy were increased creatinine (7 %) and asthenia (5 %).
Danish: Hos patienter med dekompenseret leversygdom var de hyppigst rapportede bivirkninger i løbet af op til 203 ugers adefovirdipivoxilbehandling forhøjet kreatinin (7 %) og asteni (5 %).
English: Hepsera 10 mg tablets are supplied in bottles of 30 tablets with silica gel desiccant.
Danish: Hepsera 10 mg tabletter leveres i bokse á 30 tabletter med silicagel som tørremiddel.
English: What you need to know before you take Hepsera Do not take Hepsera
Danish: Det skal De vide, før De begynder at tage Hepsera Tag ikke Hepsera
English: If treatment with adefovir dipivoxil is considered essential, then the dosing interval should be adjusted (see section 4.2).
Danish: Dersom behandling med adefovirdipivoxil anses for nødvendig, bør dosisintervallet justeres (se pkt.
English: Hepsera 10 mg tablets are round, white to off-white tablets.
Danish: Hepsera 10 mg tabletter er runde, hvide/råhvide tabletter.
English: Therefore, use of adefovir dipivoxil is not recommended in these patients and should only be considered if the potential benefits outweigh the potential risks.
Danish: Derfor kan adefovirdipivoxil ikke anbefales til disse patienter og bør kun overvejes, hvis de mulige fordele opvejer de mulige risici.
English: Assessment of the change in fibrosis after 48 weeks treatment using the Knodell scores confirms that patients treated with adefovir dipivoxil 10 mg had more regression and less progression of fibrosis than patients treated with placebo.
Danish: Vurdering af forandringen i fibrose efter 48 ugers behandling ved hjælp af Knodell's score bekræfter, at patienter behandlet med adefovirdipivoxil 10 mg har større regression og mindre progression af fibrose end patienter i placebobehandling.
English: • two placebo-controlled studies in which 522 patients with chronic hepatitis B and compensated liver disease received double-blind treatment with 10 mg adefovir dipivoxil (n=294) or placebo (n=228) for 48 weeks.
Danish: • to placebokontrollerede studier, hvor 522 patienter med kronisk hepatitis B og kompenseret leversygdom fik dobbeltblind behandling med 10 mg adefovirdipivoxil (n=294) eller placebo (n=228) i 48 uger.
English: Each tablet contains 10 mg adefovir dipivoxil.
Danish: Hver tablet indeholder 10 mg adefovirdipivoxil.
English: In the HBeAg positive study, treatment beyond 48 weeks resulted in further reductions in serum HBV DNA levels and increases in the proportion of patients with ALT normalisation, HBeAg loss and seroconversion.
Danish: I studiet med HBeAg-positive patienter resulterede behandling i mere end 48 uger i yderligere reduktioner af serum-HBV-dna-niveauerne samt i en øget andel af patienter med ALATnormalisering, HBeAg-tab og serokonversion.
English: Forty-eight weeks of treatment with adefovir dipivoxil 10 mg alone or in combination with lamivudine resulted in a similar significant decrease in median serum HBV DNA levels from baseline (4.04 log10 copies/ml and 3.59 log10 copies/ml, respectively).
Danish: 48 ugers behandling med adefovirdipivoxil 10 mg alene eller i kombination med lamivudin medførte et lignende signifikant fald i mediane serum-HBV-dna-niveauer fra baseline (hhv. 4,04 log10 kopier/ml og 3,59 log10 kopier/ml).
English: • If you are allergic to adefovir, adefovir dipivoxil or any of the other ingredients of this medicine (listed in section 6).
Danish: • hvis De er allergisk over for adefovirdipivoxil eller et af de øvrige indholdsstoffer i Hepsera (angivet i punkt 6).
English: Renal impairment: The mean (± SD) pharmacokinetic parameters of adefovir following administration of a single dose of 10 mg adefovir dipivoxil to patients with varying degrees of renal impairment are described in the table below:
Danish: Nedsat nyrefunktion: De farmakokinetiske middelparametre (± SD) for adefovir efter indgivelse af en enkelt dosis af 10 mg adefovirdipivoxil til patienter med forskellige grader af nedsat nyrefunktion er beskrevet i nedenstående skema:
English: Adefovir induced chromosomal aberrations in the in vitro human peripheral blood lymphocyte assay without metabolic activation.
Danish: Adefovir inducerede kromosomaberrationer i in vitro human perifer blodlymfocytanalyse uden stofskifteaktivering.
English: Due to the high pharmacokinetic variability of pegylated interferon, no definitive conclusion can be drawn regarding the effect of adefovir and pegylated interferon co-administration on the pharmacokinetic profile of either medicinal product.
Danish: På grund af den høje farmakokinetiske variabilitet af pegyleret interferon er det ikke muligt at drage definitive konklusioner om, hvilken virkning samtidig indgivelse af adefovir og pegyleret interferon har på de to lægemidlers farmakokinetiske profil.
English: - In HBeAg negative patients without cirrhosis, treatment should be administered at least until HBs seroconversion or there is evidence of loss of efficacy.
Danish: - Hos HBeAg-negative patienter uden levercirrose bør behandlingen administreres mindst indtil HBs-serokonversion, eller indtil der er tegn på manglende virkning.
English: Patients with creatinine clearance < 30 ml/min and dialysis patients:
Danish: Patienter med kreatininclearance < 30 ml/min og dialysepatienter:
English: A pharmacokinetic interaction between adefovir and the immunosuppressant, cyclosporin, is also considered unlikely as cyclosporin shares the same metabolic pathway as tacrolimus.
Danish: Det anses heller ikke for at være sandsynligt, at der er en farmakokinetisk interaktion mellem adefovir og det immunsuppressive middel ciclosporin, da ciclosporin har den samme metaboliseringsvej som tacrolimus.
English: Return any left over tablets to your pharmacist.
Danish: Aflever eventuelle overskydende tabletter på apoteket.
English: If viral rebound occurs, resistance testing should be performed.
Danish: Hvis der opstår en forværring af virusmængden, bør der gennemføres resistenstestning.
English: No dosing interval recommendations are available for other dialysis patients (e.g. ambulatory peritoneal dialysis patients) or non-haemodialysed patients with creatinine clearance less than 10 ml/min.
Danish: Der foreligger ingen anbefalinger angående dosisintervaller for andre typer dialysepatienter (f.eks. patienter, der får ambulant peritonealdialyse) eller for patienter med en kreatininclearance på under 10 ml/min, der ikke er i hæmodialysebehandling.
English: • Lactic acidosis is a serious but very rare side effect of taking Hepsera.
Danish: • Laktatacidose er en alvorlig, men meget sjælden bivirkning, der kan opstå, når man tager
English: Adefovir diphosphate inhibits viral polymerases by competing for direct binding with the natural substrate (deoxyadenosine triphosphate) and, after incorporation into viral DNA, causes DNA chain termination.
Danish: Adefovirdiphosphat hæmmer virale polymeraser ved at konkurrere med det naturlige substrat (deoxyadenosintriphosphat) om den direkte binding, og udløser (efter indføjelse i viral dna) dna-kædeterminering.
English: Adefovir dipivoxil should be used during pregnancy only if the potential benefit justifies the potential risk to the foetus.
Danish: Adefovirdipivoxil bør kun anvendes under graviditet, hvis den potentielle gavnlige effekt opvejer den potentielle risiko for fosteret.
English: Based on a PRAC request, the MAH has reconsidered the frequency categories of Fanconi syndrome and proximal renal tubulopathy in the SmPC for Hepsera.
Danish: På baggrund af en anmodning fra PRAC har indehaveren af markedsføringstilladelsen revurderet frekvenskategorierne for Fanconis syndrom og proksimal renal tubulopati i produktresuméet for Hepsera.
English: - In HBeAg positive patients without cirrhosis, treatment should be administered for at least 6-12 months after HBe seroconversion (HBeAg loss and HBV DNA loss with anti-HBe detection) is confirmed or until HBs seroconversion or there is loss of efficacy (see section 4.4).
Danish: - Hos HBeAg-positive patienter uden levercirrose bør behandlingen administreres i mindst 6-12 måneder efter, der er bekræftet HBe-serokonversion (fald i HBeAg og fald i HBV-dna med anti-HBe-påvisning), eller indtil der forekommer HBs-serokonversion eller manglende virkning (se pkt.
English: Administration of adefovir dipivoxil in these patients should only be considered if the potential benefits outweigh the potential risks.
Danish: Administration af adefovirdipivoxil til disse patienter bør kun overvejes, hvis de mulige fordele opvejer de mulige risici.
English: In that case, the limited data available suggest that for patients with creatinine clearance between 10 and 29 ml/min, adefovir dipivoxil (one 10 mg tablet) may be administered every 72 hours; for haemodialysis patients, adefovir dipivoxil (one 10 mg tablet) may be administered every 7 days following 12 hours continuous dialysis (or 3 dialysis sessions, each of 4 hours duration).
Danish: I så fald tyder de begrænsede data på, at der kan gives adefovirdipivoxil (én 10 mg tablet) hver 72. time til patienter med en kreatininclearance på mellem 10 og 29 ml/min, og at der kan gives adefovirdipivoxil (én 10 mg tablet) til hæmodialysepatienter hver 7. dag efter 12 timers kontinuerlig dialyse (eller 3 dialysesessioner, hver af 4 timers varighed).
English: Do not use this medicine after the expiry date which is stated on the bottle and carton after {EXP}.
Danish: Brug ikke lægemidlet efter den udløbsdato, der står på pakningen efter EXP. Udløbsdatoen er den sidste dag i den nævnte måned.
English: • an open-label study in which pre- (n=226) and post-liver transplantation patients (n=241) with lamivudine-resistant HBV were treated with 10 mg adefovir dipivoxil once daily, for up to 203 weeks (median 51 and 99 weeks, respectively).
Danish: • Et åbent studie, hvor præ- (n=226) og post-levertransplanterede patienter (n=241) med lamivudin-resistent HBV blev behandlet med 10 mg adefovirdipivoxil én gang dagligt, i op til 203 uger (median hhv. 51 og 99 uger).
English: Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu
Danish: Yderligere oplysninger om Hepsera findes på Det Europæiske Lægemiddelagenturs hjemmeside http://www.ema.europa.eu.
English: The dosing interval of adefovir dipivoxil should be adjusted in these patients (see section 4.2).
Danish: Adefovirdipivoxils dosisinterval skal justeres hos disse patienter (se pkt.
English: Very rare side effects
Danish: Meget sjældne bivirkninger
English: In patients with compensated liver disease, the most frequently reported adverse reactions during 48 weeks of adefovir dipivoxil therapy were asthenia (13 %), headache (9 %), abdominal pain (9 %) and nausea (5 %).
Danish: Hos patienter med kompenseret leversygdom, var de hyppigst rapporterede bivirkninger i løbet af 48 ugers adefovirdipivoxilbehandling asteni (13 %), hovedpine (9 %), abdominalsmerter (9 %) og kvalme (5 %).
English: Lactic acidosis and severe hepatomegaly with steatosis: Occurrences of lactic acidosis (in the absence of hypoxaemia), sometimes fatal, usually associated with severe hepatomegaly and hepatic steatosis, have been reported with the use of nucleoside analogues.
Danish: Lactacidosis og alvorlig hepatomegalia med steatosis: Ved brug af nukleosidanaloger er der blevet indberettet tilfælde af lactacidosis (i fravær af hypoksæmi), som regel forbundet med alvorlig hepatomegali og steatosis hepatis.
English: Within each frequency grouping, undesirable effects are presented in order of decreasing seriousness.
Danish: Inden for hver enkelt frekvensgruppe skal bivirkningerne opstilles efter, hvor alvorlige de er.
English: In the pre-liver transplantation and post-liver transplantation cohorts 77 of 109 (71 %) patients and 64 of 159 (40 %) patients, respectively, achieved undetectable HBV DNA levels at week 48 (< 1,000 copies/ml Roche Amplicor Monitor PCR assay).
Danish: I præ- og post-levertransplanterede kohorter opnåede hhv. 77 af 109 (71 %) patienter og 64 af 159 (40 %) patienter HBV-dna-niveauer, som ikke kunne påvises, ved uge 48 (< 1.000 kopier/ml Roche Amplicor Monitor PCR analysen).
English: Animal studies do not indicate harmful effects of adefovir dipivoxil on male and female fertility.
Danish: Dyreforsøg indikerer ingen skadelige virkninger af adefovirdipivoxil på fertiliteten hos hanner og hunner.
English: Blinded, ranked assessments of both necroinflammatory activity and fibrosis at baseline and week 48, demonstrated that patients treated with 10 mg adefovir dipivoxil had improved necro-inflammatory and fibrosis scores relative to placebotreated patients.
Danish: Blinde, rangordnede vurderinger af både nekro-inflammatorisk aktivitet og fibrose ved baseline og ved uge 48 påviste, at patienter behandlet med 10 mg adefovirdipivoxil havde bedre nekro-inflammatoriske og fibrosescorer end placebokontrollerede patienter.
English: At week 48, all placebo-treated subjects who did not exhibit HBeAg or HBsAg seroconversion, plus all adefovir dipivoxil-treated subjects, were offered the opportunity to receive open-label adefovir dipivoxil from study week 49 through to week 240.
Danish: Ved uge 48 blev alle placebo-behandlede patienter, som ikke udviste HBeAg- eller HBsAg-serokonversion, samt alle patienter, som blev behandlet med adefovirdipivoxil, tilbudt muligheden for at få adefovirdipivoxil i åbent studie fra uge 49 til og med uge 240.
English: Long-term treatment with adefovir dipivoxil may increase the risk of renal impairment.
Danish: Langvarig behandling med adefovirdipivoxil kan øge risikoen for nedsat nyrefunktion.
English: Hepsera 10 mg tablets Adefovir dipivoxil
Danish: Hepsera 10 mg tabletter Adefovirdipivoxil
English: You must continue to take precautions to avoid this.
Danish: De skal fortsætte med at træffe passende foranstaltninger for at undgå at smitte andre.
English: In the adolescent population (n=83) (aged from 12 to < 18 years), significantly more patients treated with adefovir dipivoxil achieved the primary efficacy endpoint and obtained significant reductions in serum HBV DNA (23 %) compared to placebo-treated patients (0 %).
Danish: Signifikant flere af de unge patienter (n=83) (i alderen 12 til < 18 år), der blev behandlet med adefovirdipivoxil, nåede det primære virknings-endepunkt og havde et væsentligt fald i serumHBV-dna (23 %) sammenlignet med de placebo-behandlede unge patienter (0 %).
English: However, the proportions of subjects who achieved HBeAg seroconversion at week 48 were similar (11 %) between the placebo arm and the adefovir dipivoxil 10 mg arm in adolescent patients.
Danish: Andelen af de unge patienter, som opnåede HBeAg-serokonversion ved uge 48, var imidlertid nogenlunde ens (11 %) i placebo-armen og adefovirdipivoxil-armen med 10 mg.
English: • The active substance in Hepsera is adefovir dipivoxil.
Danish: • Aktivt stof: adefovirdipivoxil.
English: What Hepsera is and what it is used for What Hepsera is
Danish: Virkning og anvendelse Hvad er Hepsera?
English: A four-hour period of haemodialysis removed approximately 35 % of the adefovir dose.
Danish: Hæmodialyse på 4 timer betød at ca. 35 % af adefovirdosen blev udskilt.