FrancophonIA/ELRC3.0 huggingface dataset:
English: Fenoterol also contains descriptions of emergency uses in the indications such as dystocias in the dilation and expulsion stages of labour (such as uterine hyperactivity or spasm occurring either spontaneously or as a result of mechanical obstruction or over stimulation by oxytocic agents); intrauterine asphyxia (as indicated by signs such as foetal heart rate decelerations or incipient to moderate foetal acidosis); obstetric emergencies (such as cord prolapse or imminent uterine rupture); uterine relaxation in acute indications such as caesarean section.
Slovenian: Fenoterol vsebuje tudi opise uporabe v nujnih primerih za indikacije, kot so distocije med porodom v fazi dilatacije in iztisa (na primer čezmerna aktivnost maternice ali maternični krči, ki se pojavijo spontano ali kot posledica mehanske ovire ali pretirane stimulacije z oksitocini); intrauterina asfiksija (ki se kaže z znaki, kot so upočasnjeno bitje srca ploda ali začetna do zmerna acidoza ploda); nujni porodniški primeri (na primer prolaps popkovnice ali preteča ruptura maternice); sprostitev maternice pri akutnih indikacijah, kot je carski rez.
English: For the oral and suppositories formulations in view of the overall available safety data, in particular in relation to the risk of serious cardiovascular events, and very limited efficacy data, the PRAC concluded in accordance with Article 116 of Directive 2001/83/EC that the benefit-risk balance is not favourable and therefore these medicinal products should no longer be indicated in the obstetrics therapeutic indication.
Slovenian: v zvezi s peroralnimi oblikami in svečkami je PRAC na podlagi vseh razpoložljivih podatkov o varnosti, zlasti podatkov o tveganju za resne srčno-žilne dogodke, in zelo omejenih podatkov o učinkovitosti v skladu s členom 116 Direktive 2001/83/ES zaključil, da razmerje med tveganji in koristmi ni ugodno, zato ta zdravila ne smejo biti več indicirana za terapevtsko indikacijo v porodništvu;
English: Authorised obstetric indications for SABAs differ across Member States.
Slovenian: Indikacije v porodništvu, ki so odobrene za kratkodelujoče beta agoniste, se v posameznih državah članicah razlikujejo.
English: The authorised obstetric indications include partus prematurus, tocolysis (for some products use is restricted to particular weeks of gestation but for others no specific gestation period is specified), external cephalic version (ECV), and hyper-uterine contractility.
Slovenian: Odobrene indikacije v porodništvu vključujejo partus prematurus, tokolizo (uporaba nekaterih zdravil je omejena na določene tedne nosečnosti, pri drugih pa ni opredeljenega posebnega obdobja nosečnosti), zunanji obrat otroka v glavično vstavo (external cephalic versionECV) in čezmerne kontrakcije maternice.
English: Occurrence of typical adverse effects characteristic of beta receptor stimulation are well documented, and range from mild and transient discomfort to serious cardiovascular side effects requiring prompt medical intervention, e.g. in case of arrhythmias or pulmonary oedema.
Slovenian: Tipični neželeni učinki, ki se pogosto pojavijo pri stimulaciji receptorjev beta, so izčrpno dokumentirani in vključujejo vse od blagega in prehodnega neugodja do resnih srčnožilnih neželenih učinkov, ki zahtevajo takojšnjo zdravniško oskrbo - na primer v primeru aritmij in pljučnega edema.
English: On 27 November 2012, further to evaluation of data resulting from pharmacovigilance activities, Hungary informed the European Medicines Agency, pursuant to Article 31 of Directive 2001/83/EC, of their consideration that the risk-benefit balance of short-acting beta-agonists (SABAs) containing medicinal products authorised in obstetric indications has become unfavourable, taking into account the cardiovascular events reported.
Slovenian: 27. novembra 2012 je Madžarska po pregledu podatkov, pridobljenih med izvajanjem dejavnosti farmakovigilance, v skladu s členom 31 Direktive 2001/83/ES obvestila Evropsko agencijo za zdravila, da meni, da je razmerje med tveganji in koristmi zdravil, ki vsebujejo kratkodelujoče beta agoniste (SABA) in so odobrena za indikacije v porodništvu, postalo neugodno, če se upoštevajo poročila o srčno-žilnih dogodkih.
English: A review of safety data for fenoteral showed that the cardiovascular events tachycardia and palpitations were frequently reported in clinical studies and are listed as very common side effects of the drug.
Slovenian: Pregled podatkov o varnosti fenoterala je pokazal, da so v kliničnih študijah pogosto poročali o srčno-žilnih dogodkih tahikardiji in palpitacijah, ki so navedeni kot zelo pogosti neželeni učinki zdravila.
English: In addition specific guidance on the method of administration should be given for these injectable formulations.
Slovenian: Poleg tega so za te oblike za injiciranje potrebna podrobna navodila v zvezi z načinom dajanja.
English: Some of the products for oral use or suppositories referred in this procedure are authorised only in obstetric indications.
Slovenian: Nekatera zdravila za peroralno uporabo in svečke, ki so jih obravnavali v tem postopku, so odobreni samo za indikacije v porodništvu.
English: During this review, data from clinical studies, post-marketing reporting and published literature, including relevant treatment guidelines, have been assessed.
Slovenian: Med tem pregledom so bili ocenjeni podatki iz kliničnih študij, poročil iz obdobja trženja in objavljene literature, vključno z zadevnimi smernicami za zdravljenje.
English: There is hardly any evidence of maternal death in these studies and very limited data on adverse foetal outcomes (e.g. tachycardia, hyperinsulinaemia).
Slovenian: Podatkov o smrti mater v teh študijah skoraj ni, o neželenih izidih pri plodu (npr. tahikardiji in hiperinzulinemiji) pa je na voljo zelo malo podatkov.
English: The seriousness of AEs seems to be directly related to the dose of ritodrine administered to the patient, but also to the treatment duration as most of life-threatening AEs occurred after prolonged ritodrine administration (>72h to months).
Slovenian: Zdi se, da je stopnja resnosti neželenih dogodkov neposredno povezana z odmerkom ritodrina, ki ga prejme bolnica, pa tudi s trajanjem zdravljenja, saj se je večina smrtno nevarnih neželenih dogodkov pojavila po daljši uporabi ritodrina (od več kot 72 ur do več mesecev).
English: The PRAC identified serious limitations of the efficacy data for oral and suppository formulations, and noted the available new evidence and/or current medical knowledge on the use of these products for obstetric indications.
Slovenian: PRAC je ugotovil, da so podatki o učinkovitosti peroralnih oblik in svečk zelo pomanjkljivi, ter upošteval razpoložljive nove dokaze in/ali trenutna medicinska spoznanja o uporabi teh zdravil za indikacije v porodništvu.
English: For the oral tablet, three serious AEs were reported (loss of consciousness, trismus and a serious skin reaction), and six nonserious AEs for the tablet.
Slovenian: Pri uporabi peroralnih tablet so poročali o treh resnih neželenih dogodkih (izgubi zavesti, trizmusu in resni kožni reakciji) ter šestih neželenih dogodkih, ki niso bili resni.
English: There were a number of reports of pulmonary oedema contributing to the events and one case reported pulmonary oedema in association with cardiomegaly, after taking a course of tablets for five weeks, when tocolysis failed.
Slovenian: Zabeležili so številna poročila o pljučnem edemu kot enem od vzrokov za dogodke in eno poročilo o pljučnem edemu v povezavi s kardiomegalijo po 5-tedenskem zdravljenju s tabletami, potem ko tokoliza ni bila uspešna.
English: This should include an adequate assessment of the patient's cardiovascular status with monitoring by electrocardiogram (ECG) throughout treatment in order to identify the early onset of cardiovascular events and further minimise the risk of a serious cardiovascular event.
Slovenian: Med drugim je treba v času zdravljenja izvajati preglede z elektrokardiogramom (EKG), s katerimi se ustrezno oceni stanje srca in ožilja bolnice, tako da se lahko prepozna začetne znake srčno-žilnih dogodkov ter dodatno zmanjša tveganje za resne srčno-žilne dogodke.
English: This review by PRAC assessed all existing data in terms of safety of cardiovascular events when in use in these indications and the outcome of the review is summarised below.
Slovenian: V tem pregledu je odbor PRAC ocenil vse razpoložljive podatke glede varnosti v povezavi s srčno-žilnimi dogodki pri uporabi za te indikacije; izid pregleda je povzet v nadaljevanju.
English: Having considered the cardiovascular adverse reactions profile associated with the use of these medicinal products in obstetric indications, the PRAC concluded that oral forms and suppositories should no longer be used to supress contractions of the womb.
Slovenian: Potem ko je proučil profil srčno-žilnih neželenih učinkov, povezanih z uporabo teh zdravil za indikacije v porodništvu, je PRAC zaključil, da se peroralne oblike in svečke ne smejo več uporabljati za zmanjševanje krčenja maternice.
English: The Committee concluded that there was need for further risk minimisation measures such as information to healthcare professionals to inform on the outcome of the review and the safe use of the parenteral formulations in the obstetric indications.
Slovenian: odbor je zaključil, da so potrebni dodatni ukrepi za zmanjšanje tveganja, na primer informacije za zdravstvene delavce, da se jih seznani z izidom tega pregleda in z varno uporabo parenteralnih farmacevtskih oblik za indikacije v porodništvu.
English: Safety data from MAH clinical trials and meta-analyses of well-designed clinical trials have been assessed.
Slovenian: Ocenjeni so bili podatki o varnosti iz kliničnih preskušanj imetnika dovoljenja za promet z zdravilom in meta analiz dobro zasnovanih kliničnih preskušanj.
English: For these specific products a recall of the products is being recommended by the PRAC.
Slovenian: Za ta zdravila je PRAC priporočil odpoklic s trga.
English: The risk to the mother and foetus could be minimised if active substances are administered by obstetricians/physicians experienced in the use of tocolytic agents.
Slovenian: Tveganje za mater in plod je mogoče zmanjšati, če zdravilne učinkovine daje porodničar ali zdravnik, ki ima izkušnje z uporabo tokolitikov.
English: Both formulations of hexoprenaline are also indicated for immobilisation of the uterus pre, during and post cerclage surgery.
Slovenian: Obe farmacevtski obliki heksoprenalina sta indicirani še za imobilizacijo maternice pred in med cerklažo ter po njej.
English: The short-acting beta-agonists (SABAs) (also known as beta-mimetics), salbutamol, terbutaline, fenoterol, ritodrine, hexoprenaline and isoxsuprine are all nationally authorised and have been on the market within the EU since the 1960s.
Slovenian: Kratkodelujoči beta agonisti (SABA) (znani tudi pod imenom beta mimetiki) salbutamol, terbutalin, fenoterol, ritodrin, heksoprenalin in izoksuprin so odobreni na nacionalni ravni in so na trgu znotraj EU na voljo od 60. let prejšnjega stoletja.
English: As part of the risk minimisation measures the PRAC proposed revised indications for the parenteral formulations taking all the data into account, and making clear the conditions for which these products are indicated.
Slovenian: V okviru ukrepov za zmanjšanje tveganja je PRAC predlagal spremenjene indikacije za parenteralne farmacevtske oblike v skladu z vsemi podatki in jasno opredelitvijo zdravstvenih stanj, za katera so tovrstna zdravila indicirana.
English: Ritodrine
Slovenian: Ritodrin
English: Oral, parenteral and suppositories formulations have been included in this assessment.
Slovenian: V postopek ocenjevanja so bile vključene peroralne in parenteralne oblike ter svečke.
English: Even after correction of potentially confounding variables, the relationship remained significant between long-term oral terbutaline therapy for preterm labour and subsequent peripartum cardiomyopathy.
Slovenian: Tudi po prilagoditvi možnih drugih sočasnih dejavnikov, je bila povezava med dolgotrajnim zdravljenjem s peroralnim terbutalinom za preprečitev prezgodnjega poroda in poznejšo peripartalno kardiomiopatijo še vedno izrazita.
English: The CMDh, having considered the PRAC recommendation dated 5 September 2013 pursuant to Article 107k(1) and (2) of Directive 2001/83/EC, reached an agreement on the variation or revocation as applicable of the marketing authorisations of terbutaline, salbutamol, hexoprenaline, ritodrine, fenoterol and isoxsuprine containing products for which the relevant sections of the summary of product characteristics and package leaflet are set out in Annex III and subject to the conditions set out in Annex IV.
Slovenian: Skupina CMDh je na podlagi proučitve priporočila, ki ga je dne 5. septembra 2013 v skladu s členom 107k(1) in (2) Direktive 2001/83/ES izdal PRAC, sprejela sporazum o spremembi ali razveljavitvi dovoljenj za promet z zdravili, ki vsebujejo terbutalin, salbutamol, heksoprenalin, ritodrin, fenoterol in izoksuprin, skladno z besedili ustreznih poglavij povzetka glavnih značilnosti zdravila in navodila za uporabo, opredeljenimi v Prilogi III, in pod pogoji, določenimi v Prilogi IV.
English: Isoxsuprine and hexoprenaline tablets also have ‘threatened abortion' within the indications and a posology for prophylaxis of labour.
Slovenian: Tablete izoksuprina in heksoprenalina imajo tudi indikacijo „grozeč splav“ in odmerjanje za preprečevanje poroda.
English: a. Oral and suppository formulations which are only authorised in the indications proposed to be removed (in accordance with changes to the product information as set out in Annex III) should have their marketing authorisations revoked and should be recalled within given deadlines.
Slovenian: a. Dovoljenja za promet s peroralnimi oblikami in svečkami, ki so odobrene samo za indikacije, ki naj bi bile odstranjene (v skladu s spremembami informacij o zdravilu, opredeljenimi v Prilogi III), je treba razveljaviti in zadevna zdravila v določenih rokih odpoklicati s trga.
English: According to the published studies intravenous administration of hexoprenaline is very commonly accompanied with occurrence of adverse drug reactions.
Slovenian: Po podatkih objavljenih študij je intravensko dajanje heksoprenalina zelo pogosto povezano s pojavom neželenih učinkov zdravila.
English: Removal of these indications as per the PRAC recommendation will result to the revocation of these marketing authorisations.
Slovenian: Zaradi ukinitve teh indikacij, ki jo je priporočil PRAC, bodo dovoljenja za promet s temi oblikami zdravil razveljavljena.
English: The Committee concluded that there was a need for further risk minimisation measures to inform healthcare professionals of the new restrictions on use and monitoring requirements introduced to ensure safe use of the parenteral formulations in the obstetric indications and to inform of the unfavourable benefit-risk balance of the oral and suppositories formulations in these indications.
Slovenian: Odbor je zaključil, da so potrebni dodatni ukrepi za zmanjšanje tveganja, da se zdravstvene delavce seznani z novimi omejitvami uporabe in zahtevami glede spremljanja, ki so bile sprejete za zagotovitev varne uporabe parenteralnih farmacevtskih oblik za indikacije v porodništvu, in z neugodnim razmerjem med tveganji in koristmi peroralnih oblik ter svečk pri teh indikacijah.
English: With regards to the window of lowest gestational viability, the PRAC noted an epidemiological review of obstetric interventions in European countries (Kollée et al, 2009) andmore recently by US (Kyser et al.,
Slovenian: V zvezi s spodnjo mejo viabilnosti ploda je PRAC upošteval epidemiološki pregled posegov v porodništvu v evropskih državah (Kollée in sod., 2009) in novejši pregled posegov v ZDA (Kyser in sod., 2012), ki kažeta, da je ta meja od 22 do 24 tednov.
English: More serious adverse drug reactions have been recorded individually - chest pain, dyspnoea, ileus, loss of consciousness, arrhythmia and also several case reports of pulmonary oedema (four in a publication by Van Iddekinge et al., 1991, one in the EV database, four in the PSUR) have been reported.
Slovenian: Resnejše neželene učinke zdravila so zabeležili posamično - poročali so o bolečinah v prsih, dispneji, ileusu, izgubi zavesti in aritmiji, zabeležili pa so tudi več poročil o primerih pljučnega edema (štiri v publikaciji, ki so jo objavili Van Iddekinge in sod.
English: Salbutamol, terbutaline, fenoterol, ritodrine, hexoprenaline and isoxsuprine are authorised in obstetric indications since the 1960s.
Slovenian: Salbutamol, terbutalin, fenoterol, ritodrin, heksoprenalin in izoksuprin so za indikacije v porodništvu odobreni od 60. let prejšnjega stoletja.
English: The available data showed that injectable forms are effective at supressing labour contractions in the short term (up to 48 hours).
Slovenian: Razpoložljivi podatki kažejo, da so farmacevtske oblike za injiciranje učinkovite pri zmanjševanju porodnih popadkov, če se uporabljajo za kratek čas (največ 48 ur).
English: Oral formulations and suppositories are used for the maintenance in tocolysis after the injectable forms have been administered, and considering the cardiovascular safety profile, the PRAC considers that these medicinal products no longer demonstrate a favourable benefit-risk balance.
Slovenian: Peroralne farmacevtske oblike in svečke se uporabljajo za vzdrževanje tokolize po dajanju farmacevtskih oblik za injiciranje, glede na srčno-žilni varnostni profil pa je PRAC menil, da razmerje med tveganji in koristmi teh zdravil ni več ugodno.
English: The Committee reviewed all available data from clinical studies, pharmacoepidemiological studies, published literature and post-marketing experience on the safety of short-acting betaagonists (SABAs) (salbutamol, terbutaline, fenoterol, ritodrine, hexoprenaline and isoxsuprine) containing medicinal products in the obstetric indications.
Slovenian: odbor je pregledal vse razpoložljive podatke iz kliničnih študij, farmakoepidemioloških študij, objavljene literature in izkušenj v obdobju trženja, povezane z varnostjo zdravil, ki vsebujejo kratkodelujoče beta agoniste (SABA) (salbutamol, terbutalin, fenoterol, ritodrin, heksoprenalin in izoksuprin), za indikacije v porodništvu;
English: Previous safety reviews have highlighted the risk of myocardial ischaemia associated with the use of SABAs in obstetric indications and that these products should be used with caution in tocolysis, and other obstetric indications.
Slovenian: Prejšnji pregledi podatkov o varnosti so pokazali, da je uporaba kratkodelujočih beta agonistov za indikacije v porodništvu povezana s tveganjem za ishemijo miokarda in da je pri uporabi teh zdravil za tokolizo in druge indikacije v porodništvu potrebna previdnost.
English: Overall summary of the scientific evaluation of terbutaline, salbutamol, hexoprenaline, ritodrine, fenoterol and isoxsuprine containing medicinal products by PRAC (see Annex I)
Slovenian: Splošni povzetek znanstvenega vrednotenja zdravil, ki vsebujejo terbutalin, salbutamol, heksoprenalin, ritodrin, fenoterol in izoksuprin, s strani odbora PRAC (glejte Prilogo I)
English: b. All other marketing authorisations of SABAs (salbutamol, terbutaline, fenoterol, ritodrine, hexoprenaline and isoxsuprine) containing medicinal products indicated in tocolysis and other obstetric indications (see Annex I) should be varied (in accordance with changes to the product information as set out in Annex III).
Slovenian: b. Vsa druga dovoljenja za promet z zdravili, ki vsebujejo kratkodelujoče beta agoniste (salbutamol, terbutalin, fenoterol, ritodrin, heksoprenalin in izoksuprin) in so indicirana za tokolizo in druge indikacije v porodništvu (glejte Prilogo I), je treba spremeniti (v skladu s spremembami informacij o zdravilu, opredeljenimi v Prilogi III).
English: Patients should be closely monitored for signs of cardiovascular adverse reactions throughout treatment.
Slovenian: Bolnice je treba v času zdravljenja natančno spremljati glede znakov srčno-žilnih neželenih učinkov.
English: There are no formulations for inhalation authorised in obstetric indications.
Slovenian: Farmacevtske oblike za inhaliranje niso odobrene za indikacije v porodništvu.
English: SABAs should not be used in women with a history of heart disease or in conditions of the mother or foetus in which prolongation of the pregnancy is hazardous.
Slovenian: Kratkodelujoči beta agonisti se ne smejo uporabljati pri ženskah z anamnezo srčne bolezni ali v primerih, ko je podaljšanje nosečnosti zaradi zdravstvenega stanja matere ali ploda lahko nevarno.
English: The Committee considered that in view of the currently available safety data in order to maintain a favourable benefit-risk balance, these parenteral SABAs (salbutamol, terbutaline, fenoterol, ritodrine, hexoprenaline and isoxsuprine) containing medicinal products should be contraindicated in patients at a gestational age less than 22 weeks, in patients with pre-existing ischaemic heart disease or those patients with significant risk factors for ischaemic heart disease and in patients with threatened abortion during the first and second trimester of gestation.
Slovenian: odbor je menil, da je glede na trenutno razpoložljive podatke o varnosti za ohranitev ugodnega razmerja med tveganji in koristmi ta parenteralna zdravila, ki vsebujejo kratkodelujoče beta agoniste (salbutamol, terbutalin, fenoterol, ritodrin, heksoprenalin in izoksuprin), treba kontraindicirati pri bolnicah z gestacijsko starostjo ploda manj kot 22 tednov, pri bolnicah z obstoječo ishemično boleznijo srca in bolnicah z izrazitimi dejavniki tveganja za ishemično bolezen srca ter pri bolnicah, ki jim grozi splav v prvem in drugem trimesečju nosečnosti.
English: Post-marketing data were summarised for isoxsuprine from 2000 to 2013; no serious AEs were reported for the i.v.
Slovenian: Pripravljen je bil povzetek podatkov o izoksuprinu iz obdobja trženja med letoma 2000 in 2013; pri uporabi intravenskega zdravila niso poročali o resnih neželenih dogodkih, obstajajo pa poročila o treh dogodkih, ki niso bili resni.
English: More rarely, cases of anxiety, dizziness, blood dyscrasias, rhabdomyolysis, severe cutaneous adverse reactions (SCARs), and anaphylactic shock have been described.
Slovenian: Redkeje so poročali tudi o primerih anksioznosti, omotice, krvne diskrazije, rabdomiolize, hudih kožnih neželenih reakcij in anafilaktičnega šoka.
English: With regards to parenteral SABAs (salbutamol, terbutaline, fenoterol, ritodrine, hexoprenaline and isoxsuprine) containing medicinal products in the obstetric indications, the PRAC concluded that the benefit-risk balance is favourable as the benefits continue to outweigh the risks.
Slovenian: V zvezi s parenteralnimi zdravili, ki vsebujejo kratkodelujoče beta agoniste (salbutamol, terbutalin, fenoterol, ritodrin, heksoprenalin in izoksuprin) in so odobrena za indikacije v porodništvu, je PRAC zaključil, da je razmerje med tveganji in koristmi ugodno, saj so koristi še vedno večje od tveganj.
English: Based on all data available for all SABAs considered in this review (terbutaline, salbutamol, hexoprenaline, ritodrine, fenoterol, isoxsuprine), there is evidence that oral and suppository formulations are associated with serious and dose dependent adverse events.
Slovenian: Glede na vse podatke, ki so na voljo za vse kratkodelujoče beta agoniste, ki so bili predmet tega pregleda (terbutalin, salbutamol, heksoprenalin, ritodrin, fenoterol in izoksuprin), obstajajo dokazi, da so peroralne farmacevtske oblike in svečke povezane z resnimi in od odmerka odvisnimi neželenimi dogodki.
English: Maternal hypotension, palpitations, tremor, flush, sweating, headache and nausea also occurred commonly.
Slovenian: Pogosto so se pojavili še maternalna hipotenzija, palpitacije, tremor, zardevanje, potenje, glavobol in navzea.