FrancophonIA/ELRC3.0 huggingface dataset:
English: For Lyme disease, the CHMP considered that the existing clinical data supported treatment for 14 days, with a range of 10 to 21 days (European Union Concerted Action on Lyme Borreliosis, 2010), in adults and in paediatric patients.
Slovenian: Za lymsko boreliozo je menil, da obstoječi klinični podatki podpirajo 14-dnevno zdravljenje, z razponom 10 do 21 dni (usklajeno ukrepanje Evropske unije v zvezi z lymsko boreliozo, 2010), pri odraslih in pediatričnih bolnikih.
English: Having reviewed the submitted clinical documentation, which consisted of four adequately designed relatively large (>300 patients) double-blinded, comparative studies, the CHMP considered the proposed indication to be acceptable.
Slovenian: Po pregledu predložene klinične dokumentacije, sestavljene iz štirih ustrezno zasnovanih, sorazmerno velikih (> 300 bolnikov) dvojno slepih primerjalnih študij, je odbor CHMP menil, da so predlagane indikacije ustrezne.
English: The CHMP also agreed on a cut-off age, stating that there is no experience of using Zinnat in children under the age of 3 months.
Slovenian: Odbor CHMP se je strinjal tudi z mejno starostjo in navedel, da z uporabo zdravila Zinnat pri otrocih, starih manj kot tri mesece, ni izkušenj.
English: Treatment of early Lyme disease.
Slovenian: • zdravljenje zgodnje oblike lymske borelioze.
English: • The committee reviewed the data submitted by the MAH, including data from clinical trials, published literature and other clinical documentation, justifying the proposed harmonisation of the product information;
Slovenian: • Odbor je pregledal podatke, ki jih je predložil imetnik dovoljenja za promet z zdravilom, vključno s podatki kliničnih preskušanj, objavljene literature in druge klinične dokumentacije, ki utemeljujejo predlagano uskladitev informacij o zdravilu.
English: The CHMP noted that acute bacterial sinusitis is difficult to differentiate from the much more common viral sinusitis and that antibacterial treatment is often not warranted.
Slovenian: Odbor CHMP je opomnil, da je akutni bakterijski sinusitis težko razlikovati od pogostejšega virusnega sinusitisa in da antibakterijsko zdravljenje pogosto izostane.
English: Cystitis.
Slovenian: • cistitis;
English: The CHMP considered that treatment with cefuroxime axetil might not curtail further transmission of the infection.
Slovenian: Odbor CHMP je menil, da morda zdravljenje s cefuroksimaksetilom morda ne bo zmanjšalo prenosa okužbe.
English: Regarding patients with renal impairment, the CHMP reviewed the data and concluded that the proposed dosing guidelines in patients with renal impairment were acceptable.
Slovenian: V zvezi z bolniki z okvarjenim delovanjem ledvic je Odbor CHMP pregledal podatke in zaključil, da so predlagane smernice za odmerjanje pri bolnikih z okvarjenim delovanjem ledvic sprejemljive.
English: Having considered the data submitted by the Marketing Authorisation Holder, the rapporteur and co-rapporteur assessment reports and the scientific discussions within the Committee, the CHMP was of the opinion that the benefit-risk ratio of Zinnat and associated names is favourable.
Slovenian: Po proučitvi podatkov, ki jih je predložil imetnik dovoljenja za promet z zdravilom, poročil o oceni, ki sta jih priskrbela poročevalec in soporočevalec, in znanstvenih razprav v Odboru, je ta menil, da je razmerje med koristmi in tveganji za zdravilo Zinnat in povezana imena ugodno.
English: The section on paediatric patients was revised extensively, including a revision of the table of dosing recommendations for children below 40 kg to describe dosage and duration per indication as well as the dosing calculations depending on the patient's body mass.
Slovenian: Poglavje za pediatrične bolnike je bilo obsežno revidirano, vključno z revizijo preglednice s priporočili za odmerjanje za otroke s telesno maso manj kot 40 kg, in sedaj opisuje odmerek in trajanje za indikacijo ter izračun odmerka glede na telesno maso bolnika.
English: Regarding patients with hepatic impairment, the CHMP noted that there is no available data.
Slovenian: Glede bolnikov z okvarjenim delovanjem jeter je opazil, da ni razpoložljivih podatkov.
English: Based on the submitted data, including studies by Hoberman, 2011, Tähtinen, 2011, Pessey, 1999, Gooch, 1996, McLinn, 1994, McLinn, 1990, Schwarz, 1991, Brodie, 1990 and Pichichero, 1990, the CHMP considered the proposed indication to be acceptable.
Slovenian: Na podlagi predloženih podatkov, vključno s študijami, ki so jih opravili Hoberman, 2011, Tähtinen, 2011, Pessey, 1999, Gooch, 1996, McLinn, 1994, McLinn, 1990, Schwarz, 1991, Brodie, 1990 in Pichichero, 1990, je odbor CHMP ocenil, da je predlagana indikacija sprejemljiva.
English: Based on the submitted study data, the CHMP considered the indication for the treatment of early Lyme disease to be acceptable.
Slovenian: Na podlagi predloženih podatkov iz študij je Odbor CHMP menil, da je indikacija za zdravljenje zgodnje oblike lymske borelioze sprejemljiva.
English: Having reviewed the minimum inhibitory concentrations (MIC) distributions for common respiratory pathogens such as penicillin-intermediate S. pneumoniae, H. influenzae and M.catarrhalis (Bulitta et al, 2009), the CHMP considered that the changes in MIC distributions over the last decades have impacted the suitability of cefuroxime axetil in this indication.
Slovenian: Po pregledu porazdelitve minimalnih inhibicijskih koncentracij (MIK) za pogoste povzročitelje bolezni dihal, kot so na penicilin vmesno odporne bakterije S. pneumoniae, H. influenzae in M. catarrhalis (Bulitta et al, 2009), je Odbor ocenil, da je spremenjena porazdelitev MIK v zadnjem desetletju vplivala na primernost aksetilcefuroksimata za to indikacijo.
English: The CHMP reviewed the dosage recommendations for each individual indication and agreed that infections suspected or proven to be due to less susceptible bacterial species (such as penicillin intermediate S. pneumonia, M. catarrhalis and H. influenzae) should be treated with 500 mg administered every 12 hours.
Slovenian: Pregledal je priporočeno odmerjanje za vsako posamezno indikacijo in se strinjal, da je treba okužbe, za katere se sumi ali je bilo zanje dokazano, da so jih povzročile manj dojemljive bakterijske vrste (kot so na penicilin vmesno odporne bakterije S. pneumonia, M. catarrhalis in H. influenzae), zdraviti s 500miligramskim odmerkom vsakih 12 ur.
English: Having reviewed the available data, the CHMP agreed that cefuroxime can be a valuable treatment option in the indications “pyelonephritis” and “cystitis”, including in children and pregnant women and therefore considered these indications acceptable.
Slovenian: Po pregledu razpoložljivih podatkov se je Odbor CHMP strinjal, da je lahko cefuroksim dragocena možnost zdravljenja za indikaciji „pielonefritis“ in „cistitis“, tudi pri otrocih in nosečnicah, zato je ti indikaciji ocenil kot sprejemljivi.
English: The CHMP noted that the bacterial species most frequently involved in skin and soft tissue infections (i.e. staphylococci and streptococci) are sensitive to cefuroxime.
Slovenian: Odbor CHMP je opomnil, da so bakterijske vrste, ki najpogosteje povzročijo okužbe kože in mehkega tkiva (tj. stafilokoki in streptokoki), občutljive na cefuroksim.
English: The CHMP considered that no suitable dosing regimen could be identified to provide adequate coverage for less susceptible pathogens which have MIC up to 1 mg/L.
Slovenian: Menil je, da ni bilo mogoče opredeliti primernega režima odmerjanja za ustrezno pokrivanje manj dojemljivih povzročiteljev bolezni z MIK do 1 mg/l.
English: The CHMP inserted a statement advising that the cefuroxime axetil suspension formulation is not bioequivalent to the tablet formulation and are not substitutable on a milligram-per-milligram basis, due to differences in bioavailability and the time-concentration curve.
Slovenian: Odbor CHMP je vključil izjavo, ki navaja, da oblika suspenzije aksetilcefuroksimata ni biološko enakovredna obliki tablet, zato ni primerna za zamenjavo na osnovi miligram po miligram, zaradi razlik v biološki razpoložljivosti in krivulji koncentracije v odvisnosti od časa.
English: For the paediatric population, the CHMP agreed that the dosage should be 15 mg/kg twice daily, to a maximum of 250 mg twice daily.
Slovenian: Za pediatrično populacijo se je strinjal, da naj bo odmerek 15 mg/kg dvakrat na dan in največ 250 mg dvakrat na dan.
English: The CHMP considered that the available clinical and PK/PD data confirm that a twice daily regimen of cefuroxime axetil is an effective dosage and that the use of cefuroxime axetil given three times daily is unsupported by the clinical and safety data.
Slovenian: Menil je, da razpoložljivi klinični podatki in podatki za farmakokinetične in farmakodinamične značilnosti potrjujejo, da je režim uporabe aksetilcefuroksimata dvakrat na dan učinkovit način odmerjanja in da uporabe aksetilcefuroksimata trikrat na dan klinični podatki in podatki o varnosti ne podpirajo.
English: In children, the CHMP similarly recommended a dosage of 15 mg/kg BID (250 mg twice daily up to 500 mg daily) for the cystitis indication.
Slovenian: Pri otrocih je Odbor CHMP priporočil podobno odmerjanje, in sicer 15 mg/kg dvakrat na dan (250 mg dvakrat na dan do 500 mg na dan) za indikacijo cistitis.
English: The CHMP reviewed all available data and also noted that less susceptible pathogens cannot be managed by using higher doses of cefuroxime axetil than the maximum daily dose of 500 mg, due to the toxic degradation products of cefuroxime axetil and a lack of safety data.
Slovenian: Odbor CHMP je pregledal vse razpoložljive podatke in opazil, da manj dovzetnih povzročiteljev bolezni ni mogoče zdraviti z višjimi odmerki aksetilcefuroksimata od največjega dnevnega odmerka 500 mg, zaradi toksičnih produktov degradacije aksetilcefuroksimata in pomanjkanja podatkov o varnosti.
English: The CHMP removed the option of parenteral-to-oral sequential therapy for all patients,, due to the significant reduction in exposure to the active drug when switching to the oral formulation.
Slovenian: Odbor je odstranil možnost sekvenčnega zdravljenja s parenteralno obliko s prehodom na peroralno obliko za vse bolnike zaradi bistveno zmanjšane izpostavljenosti zdravilni učinkovini ob prehodu na peroralno obliko zdravila.
English: The CHMP noted the large degree of divergences in the nationally approved indications and therefore reviewed the available data supporting each indvidual indication.
Slovenian: Odbor CHMP je opazil, da nacionalno odobrene indikacije precej odstopajo, zato je pregledal razpoložljive podatke, ki podpirajo vsako posamezno indikacijo.
English: Skin and soft tissue infections
Slovenian: Okužbe kože in mehkega tkiva
English: Zinnat contains cefuroxime axetil which is an oral pro-drug of cefuroxime, a second generation cephalosporin antibacterial agent.
Slovenian: Zdravilo Zinnat vsebuje aksetilcefuroksimat, ki je peroralno predzdravilo cefuroksima, antibiotika druge generacije cefalosporinov.
English: Zinnat was included in the list of products for Summary of Product Characteristics (SmPC) harmonisation, due to the divergent national decisions taken by Member States concerning the authorisation of the abovementioned product.
Slovenian: Zdravilo je bilo vključeno na seznam zdravil za uskladitev povzetka glavnih značilnosti zdravila zaradi različnih nacionalnih odločitev držav članic glede dovoljenja za promet z navedenim zdravilom.
English: Having reviewed the submitted data, including studies by Aujard, 1995, Gooch, 1993 and Scholz, 2004, as well as studies by the German Society for Paediatric Infectious Diseases and an open, parallel group MAH-sponsored study conducted in general practice centres in the UK, France and Germany in 1989, the CHMP considered that the data supported the proposed indication.
Slovenian: Po pregledu predloženih podatkov, vključno s študijami, ki so jih opravili Aujard, 1995, Gooch, 1993 in Scholz, 2004, študijami Nemškega združenja za pediatrično infektologijo (Deutsche Gesellschaft für Pädiatrische Infektiologie) in odprtimi študijami z vzporednimi skupinami, ki jih je naročil imetnik dovoljenja za promet z zdravilom in ki so bile izvedene v splošnih ambulantah v Združenem kraljestvu, Franciji in Nemčiji leta 1989, je odbor CHMP menil, da podatki podpirajo predlagano indikacijo.
English: Uncomplicated skin and soft tissue infections.
Slovenian: • nezapletene okužbe kože in mehkega tkiva;
English: The CHMP also adopted a harmonised wording for the remaining sections of the Zinnat SmPC and brought the labelling and the package leaflet in line with the adopted harmonised SmPC.
Slovenian: Odbor CHMP je sprejel tudi usklajeno besedilo za preostala poglavja povzetka glavnih značilnosti zdravila Zinnat in uskladil označevanje in navodilo za uporabo s sprejetim usklajenim povzetkom glavnih značilnosti zdravila.
English: However, having reviewed the submitted data, including studies by Kristo, 2005, Falagas, 2008, Zervos, 2003 as well as a Cochrane systematic review conducted by Ahovuo-Saloranta, 2008, a meta-anlysis by Young, 2008 and a systematic review by Ip, 2005, the CHMP considered the proposed indication to be acceptable.
Slovenian: Vendar pa je po pregledu predloženih podatkov, vključno s študijami, ki so jih opravili Kristo, 2005, Falagas, 2008, Zervos, 2003 in Cochrane, sistematskega pregleda, ki ga je opravil Ahovuo-Saloranta, 2008, metaanalize Younga, 2008 in sistematskega pregleda Ipa, 2005, menil, da je predlagana indikacija sprejemljiva.
English: For the cystitis indication, the CHMP recommended an adult dosing regimen of 250 mg BID, to ensure adequate urinary concentrations of cefuroxime and thus the eradication of the key uropathogens implicated.
Slovenian: Za indikacijo cistitis je priporočil režim odmerjanja za odrasle v višini 250 mg dvakrat na dan, da se zagotovijo ustrezne koncentracije cefuroksima v urinu in se odpravijo najpomembnejši sodelujoči povzročitelji okužb sečil.
English: Based on the available data, the CHMP concluded that cefuroxime axetil is not suitable in the treatment of uncomplicated gonorrhoea (urethritis and cervicitis) and therefore recommends the removal of the proposed indication.
Slovenian: Na podlagi razpoložljivih podatkov je zaključil, da aksetilcefuroksimat ni primeren za zdravljenje nezapletene gonoreje (uretritis in cervicitis), zato je predlagal, da se predlagana indikacija odstrani.
English: • The committee considered the identified divergences for Zinnat and associated names regarding the therapeutic indications and the posology and method of administration sections, as well as in the remaining sections of the SmPC,
Slovenian: • Odbor je obravnaval ugotovljena razhajanja za zdravilo Zinnat in povezana imena glede poglavij o terapevtskih indikacijah, odmerjanju in načinu uporabe ter preostalih poglavij povzetka glavnih značilnosti zdravila.
English: The CHMP therefore concluded that cefuroxime axetil is not an appropriate agent for the empirical treatment of community acquired pneumonia and recommends the removal of this indication.
Slovenian: Zato je zaključil, da aksetilcefuroksimat ni ustrezna učinkovina za empirično zdravljenje zunajbolnišnično pridobljene pljučnice in je priporočil odstranitev te indikacije.
English: The CHMP noted that no studies were provided to support the indication “urethritis” and therefore recommends the removal of this indication.
Slovenian: Okužbe sečil Odbor CHMP je opazil, da niso bile predložene študije, ki bi podprle indikacijo „uretritis“, zato predlaga, da se ta indikacija izbriše.
English: Pyelonephritis.
Slovenian: • pielonefritis;
English: the CHMP has recommended the variation to the terms of the marketing authorisations for which the summary of product characteristics, labelling and package leaflet are set out in Annex III for Zinnat and associated names (see Annex I).
Slovenian: • Odbor se je strinjal s predlagano uskladitvijo povzetka glavnih značilnosti zdravila, označevanja in navodila za uporabo, kot je to predlagal imetnik dovoljenja za promet z zdravilom, je odbor CHMP priporočil spremembo pogojev dovoljenj za promet z zdravilom Zinnat in povezanimi imeni (glejte Prilogo I), katerih povzetek glavnih značilnosti zdravila, označevanje in navodilo za uporabo so določeni v Prilogi III.
English: Urinary tract infections
Slovenian: Zunajbolnišnična okužba s pljučnico
English: Lyme disease
Slovenian: Lymska borelioza
English: The European Commission granted a marketing authorisation valid throughout the European Union for Sprimeo on 22 August 2007.
Slovenian: Evropska komisija je dovoljenje za promet z zdravilom Sprimeo, veljavno po vsej Evropski uniji, odobrila dne 22. avgusta 2007.
English: It is available as tablets (150 mg and 300 mg).
Slovenian: Na voljo je v obliki tablet (150 in 300 mg).
English: EPAR summary for the public aliskiren
Slovenian: Povzetek EPAR za javnost aliskiren
English: Other information about Sprimeo
Slovenian: Druge informacije o zdravilu Sprimeo
English: The full EPAR for Sprimeo can be found on the Agency's website ema.europa.eu/Find medicine/Human medicines/European Public Assessment Reports.
Slovenian: Celotno evropsko javno poročilo o oceni zdravila (EPAR) za zdravilo Sprimeo je na voljo na spletni strani agencije: ema.europa.eu/Find medicine/Human medicines/European Public Assessment Reports.
English: What benefit has Sprimeo shown during the studies?
Slovenian: Kakšne koristi je zdravilo Sprimeo izkazalo med študijami?
English: This is a summary of the European public assessment report (EPAR) for Sprimeo.
Slovenian: To je povzetek evropskega javnega poročila o oceni zdravila (EPAR) za zdravilo Sprimeo.
English: It should be taken with a light meal preferably at the same time each day, but grapefruit juice should not be taken together with Sprimeo.
Slovenian: Vzeti ga je treba z lahkim obrokom, najbolje vsak dan ob istem času, vendar pa se zdravilo Sprimeo ne sme vzeti skupaj s sokom grenivke.
English: Sprimeo is used to treat essential hypertension (high blood pressure) in adults.
Slovenian: Zdravilo Sprimeo se uporablja za zdravljenje esencialne hipertenzije (visokega krvnega tlaka) pri odraslih.
English: For more information about treatment with Sprimeo, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.
Slovenian: Za več informacij o zdravljenju z zdravilom Sprimeo preberite navodilo za uporabo (ki je prav tako del EPAR) ali se posvetujte s svojim zdravnikom ali farmacevtom.
English: Sprimeo has been studied in 14 main studies involving over 10,000 patients with essential hypertension.
Slovenian: Zdravilo Sprimeo so raziskali v 14 glavnih študijah, v katere je bilo vključenih več kot 10 000 bolnikov z esencialno hipertenzijo.
English: What is the risk associated with Sprimeo?
Slovenian: Kakšna tveganja so povezana z zdravilom Sprimeo?
English: The recommended dose of Sprimeo is 150 mg once a day.
Slovenian: Priporočeni odmerek zdravila Sprimeo je 150 mg enkrat dnevno.
English: The CHMP therefore decided that the benefits of Sprimeo are greater than its risks and recommended that it be given marketing authorisation.
Slovenian: CHMP je zaključil, da so koristi zdravila Sprimeo večje od z njim povezanih tveganj, in priporočil, da se zanj odobri dovoljenje za promet.
English: It explains how the Committee for Medicinal Products for Human Use (CHMP) assessed the medicine to reach its opinion in favour of granting a marketing authorisation and its recommendations on the conditions of use for Sprimeo.
Slovenian: Pojasnjuje, kako je Odbor za zdravila za uporabo v humani medicini (CHMP) ocenil zdravilo Sprimeo, na podlagi česar je oblikoval mnenje za odobritev dovoljenja za promet z njim in priporočila glede pogojev njegove uporabe.
English: When the results of the five studies comparing Sprimeo taken alone with placebo were looked at together, patients aged under 65 years had an average fall in diastolic blood pressure of 9.0 mmHg after eight weeks of taking 150 mg Sprimeo, from an average of 99.4 mmHg at the start of the study.
Slovenian: Ko so primerjali rezultate vseh petih študij, v katerih so zdravilo Sprimeo kot samostojno zdravilo primerjali s placebom, se je pri bolnikih, mlajših od 65 let, po osmih tednih jemanja 150 mg zdravila Sprimeo povprečni diastolični tlak, ki je na začetku znašal 99,4 mmHg, v povprečju znižal za 9,0 mmHg.
English: The studies with Sprimeo in combination with other medicines showed additional decreases in blood pressure compared with the decreases produced by these medicines alone.
Slovenian: Študije z zdravilom Sprimeo v kombinaciji z drugimi zdravili so pokazale dodatno znižanje krvnega tlaka v primerjavi z znižanjem, ki so ga ta zdravila dosegla samostojno.
English: Why has Sprimeo been approved?
Slovenian: Zakaj je bilo zdravilo Sprimeo odobreno?
English: Sprimeo also reduced blood pressure in patients with diabetes and patients who were overweight.
Slovenian: Zdravilo Sprimeo je krvni tlak znižalo tudi pri bolnikih s sladkorno boleznijo in tistih s prekomerno težo.
English: The CHMP noted that Sprimeo is effective in reducing blood pressure when used alone or in combination.
Slovenian: CHMP je ugotovil, da je zdravilo Sprimeo učinkovito pri zniževanju krvnega tlaka, kadar se uporablja samostojno ali v kombinaciji z drugim zdravilom.
English: Sprimeo must also not be taken with ciclosporin, itraconazole or other medicines known as ‘potent P-glycoprotein inhibitors' (such as quinidine).
Slovenian: Sprimeo se prav tako ne sme jemati skupaj s ciklosporinom, itrakonazolom ali drugimi zdravili, znanimi kot „močni zaviralci P-glikoproteina“ (kot je kinidin).
English: For the full list of all side effects reported with Sprimeo, see the package leaflet.
Slovenian: Za celoten seznam neželenih učinkov, o katerih so poročali pri uporabi zdravila Sprimeo, glejte navodilo za uporabo.
English: Sprimeo must not be used by people who are hypersensitive (allergic) to aliskiren or any of the other ingredients.
Slovenian: Zdravila Sprimeo ne smejo uporabljati osebe, ki so preobčutljive za (alergične na) aliskiren ali katero koli drugo sestavino zdravila.
English: Sprimeo, taken alone or in combination with other medicines, was also compared with other medicines for hypertension.
Slovenian: Zdravilo Sprimeo so kot samostojno zdravilo ali v kombinaciji z drugimi zdravili primerjali tudi z drugimi zdravili za zdravljenje hipertenzije.
English: The most common side effects with Sprimeo (seen in between 1 and 10 patients in 100) are dizziness, diarrhoea, arthralgia (joint pain) and hyperkalaemia (high blood potassium levels).
Slovenian: Najpogostejši neželeni učinki zdravila Sprimeo (opaženi pri 1 do 10 bolnikih od 100) so omotica, driska, artralgija (bolečine v sklepih) in hiperkaliemija (visoke ravni kalija v krvi).
English: In five of the studies, the effects of Sprimeo taken alone were compared with those of placebo (a dummy treatment).
Slovenian: V petih študijah so učinke jemanja zdravila Sprimeo, uporabljenega kot samostojno zdravilo, primerjali s placebom (zdravilom brez zdravilne učinkovine).
English: However, in February 2012, following the review of a study called ALTITUDE, the CHMP recommended that Sprimeo should not be used together with an ACE inhibitor or ARB in patients with diabetes or with moderate or severe kidney impairment because of an increase in the risk of cardiovascular and kidney problems.
Slovenian: Vendar pa je februarja 2012, po pregledu študije ALTITUDE, CHMP priporočil, naj se zdravilo Sprimeo ne uporablja skupaj z zaviralcem angiotenzinske konvertaze ali zaviralcem angiotenzinskih receptorjev pri bolnikih s sladkorno boleznijo oziroma zmerno ali hudo okvaro ledvic zaradi povišanega tveganja za srčnožilne težave in težave z ledvicami.
English: Sprimeo is a medicine that contains the active substance aliskiren.
Slovenian: Sprimeo je zdravilo, ki vsebuje zdravilno učinkovino aliskiren.
English: Larger falls were seen in patients aged 65 years or over and those taking higher doses of Sprimeo.
Slovenian: Pri bolnikih, starih 65 let ali več, in tistih, ki so jemali večje odmerke zdravila Sprimeo, so opazili večje znižanje tlaka.
English: What is Sprimeo used for?
Slovenian: Za kaj se zdravilo Sprimeo uporablja?