FrancophonIA/ELRC3.0 huggingface dataset:
English: In particular, the indications and their associated posology recommendations were harmonised.
Slovenian: Usklajene so bile zlasti indikacije in z njimi povezana priporočila o odmerjanju.
English: The gold standard for these pathogens remains penicillin (with the exception of MRSA - Methicillin-resistant staphylococcus aureus).
Slovenian: Zlati standard za te patogene ostaja penicilin (razen okužb z MRSA - proti meticilinu odpornimi Staphylococcus aureus).
English: The pivotal study was CAPSS-101, a large registration study that showed levofloxacin to be equivalent to ciprofloxacin in well-documented chronic bacterial prostatitis, and these data have ever since been supplemented by two published studies.
Slovenian: Ključna študija je bila CAPSS-101, obsežna registracijska študija, ki je dokazala, da je levofloksacin enakovreden ciprofloksacinu pri dobro dokumentiranem kroničnem bakterijskem prostatitisu, ti podatki pa so bili od tedaj dopolnjeni še z dvema objavljenima študijama.
English: Acute bacterial sinusitis (ABS)
Slovenian: Akutni bakterijski sinusitis (ABS)
English: This indication has been approved in all MS based on four pivotal studies.
Slovenian: Ta indikacija je bila odobrena v vseh državah članicah na podlagi štirih ključnih študij.
English: Since the granting of this indication in the EU, twenty two additional studies have become available including 4 recent trials of levofloxacin used as a comparator versus tigecycline (2 studies), docycycline (one study) and nemonoxacin (one study).
Slovenian: Od odobritve te indikacije v EU je na voljo že dvaindvajset dodatnih študij, vključno s štirimi nedavnimi preskušanji levofloksacina, uporabljenega kot primerjalno zdravilo za primerjavo s tigeciklinom (dve študiji), dociciklinom (ena študija) in nemonoksacinom (ena študija).
English: In this case, “alternative” is defined as: to be used in case of hypersensitivity to a preferred drug or widespread prevalence of clinically relevant resistance in the population being treated.
Slovenian: V tem primeru je „alternativni“ definiran kot: za uporabo v primeru preobčutljivosti za izbrano zdravilo ali velike razširjenosti klinično pomembne odpornosti v zdravljeni populaciji.
English: Monitoring cases of haemolytic anaemia in these patients is recommended.
Slovenian: Pri teh bolnikih je priporočeno spremljanje hemolitične anemije.
English: The proposed harmonised warning on G-6-PD deficiency was supported by a review provided by the MAH on all G6PD cases and no new safety information was found.
Slovenian: Predlagano usklajeno opozorilo glede pomanjkanja G-6-PD je podprl pregled, ki ga je izvedel imetnik dovoljenja za promet za vse primere G6PD, v okviru katerega niso bile ugotovljene nobene nove informacije o varnosti.
English: • “Palpitation” and “ventricular tachycardia which may result in cardiac arrest” supported by data from clinical trials and post-marketing data provided by the MAH;
Slovenian: • „palpitacije“ in „ventrikularna tahikardija, ki ji lahko sledi srčni zastoj“, ki so podprte s podatki iz kliničnih preskušanj in podatki iz časa trženja zdravila, ki jih je predložil imetnik dovoljenja za promet z zdravilom;
English: This section was further amended to clearly mention that treatment with levofloxacin is contraindicated during breastfeeding and to include information on fertility also in line with the CHMP Guideline on risk assessment of medicinal products on human reproduction and lactation: From data to labelling, January 2009.
Slovenian: To poglavje je bilo nadalje spremenjeno tako, da jasno navaja, da je zdravljenje z levofloksacinom kontraindicirano v času dojenja, in da vključuje informacije o plodnosti v skladu s Smernicami o oceni tveganja zdravil za razmnoževanje in laktacijo pri človeku odbora CHMP: od podatkov do označevanja, januar 2009.
English: Tavanic may also be used to complete a course of therapy in patients who have shown improvement during initial treatment with intravenous levofloxacin.
Slovenian: Zdravilo Tavanic je mogoče uporabljati tudi za zaključek terapije pri bolnikih, pri katerih je prišlo do izboljšanja v času začetnega zdravljenja z intravenskim levofloksacinom.
English: The warning on tendinitis and tendon rupture was amended to state that the risk of tendinitis and tendon rupture is increased in patients receiving daily doses of 1000 mg.
Slovenian: Opozorilo o tenditisu in pretrganju kit je bilo spremenjeno tako, da navaja, da je tveganje za tenditis in pretrganje kit povečano pri bolnikih, ki prejemajo dnevne odmerke 1 000 mg.
English: The harmonised warning on QT interval prolongation was amended in line with the updated recommendation from the CHMP' pharmacovigilance working party dated 16 April 2012 with regards fluoroquinolones and risk of QT-interval prolongation.
Slovenian: Usklajeno opozorilo o podaljšanju intervala QT je bilo spremenjeno v skladu s posodobljenim priporočilom Delovne skupine za farmakovigilanco odbora CHMP z dne 16. aprila 2012, ki se nanaša na fluorokinolone in tveganje za podaljšanje intervala QT.
English: As mentioned above, resistance of E.coli to fluoroquinolon and the need for prescribers to consider local prevalence resistance was included in this section.
Slovenian: Kot je navedeno zgoraj, sta bili v to poglavje vključeni odpornost E.coli proti fluorokinolonu in potreba, da zdravniki, ki predpisujejo zdravilo, upoštevajo lokalno prevalenco odpornosti.
English: The discrepancies in this section regarded the use during pregnancy and in patients with glucose-6phosphate dehydrogenase (G6PD) deficiency (divergence in one MS).
Slovenian: Odstopanja v tem poglavju so se nanašala na uporabo pri nosečnicah in bolnikih s pomanjkanjem glukoza-6-fosfat-dehidrogenaze (G6PD) (razhajanje v eni državi članici).
English: The Cmax/MIC ration of 10 and an AUC/MIC ratio of 100 are recommended in the literature to represent a rapid bactericidal activity.
Slovenian: Razmerje Cmaks./MIK 10 in razmerje AUC/MIK 100 sta v literaturi priporočeni kot hitra baktericidna dejavnost.
English: This proposal for a restricted indication is in line with the current EU treatment guidelines to not overall recommend fluoroquinolones as first line treatment option.
Slovenian: Predlog za omejeno indikacijo je v skladu s trenutnimi smernicami za zdravljenje v EU, ki v splošnem fluorokinolonov ne priporočajo kot zdravljenja prve izbire.
English: This amendment is based on a newly submitted analysis showing that elderly are more vulnerable for tendon injury if received daily 1000 mg compared to 750 mg, epidemiologic studies, additional risk in renal impaired patients without dose adjustment and taking into account the biological plausibility of dose dependent cytotoxicity of fluoroquinolones these findings suggests that dosages of 1000 mg per day are an additional risk factor for tendon injuries.
Slovenian: Ta sprememba temelji na nedavno predloženi analizi, ki dokazuje, da so starejši bolniki bolj nagnjeni k poškodbam kit, če prejemajo dnevno 1 000 mg, v primerjavi s 750 mg, epidemioloških študijah in dodatnem tveganju za bolnike z okvarami jeter brez prilagoditve odmerka, ob upoštevanju biološke verjetnosti za od odmerka odvisno citotoksičnost fluorokinolonov pa ta odkritja nakazujejo, da so dnevni odmerki 1 000 mg dodaten dejavnik tveganja za poškodbe kit.
English: Fluoroquinolones are particularly useful in severe cases due to their coverage of Gram-negative organisms as well as the more common H. influenzae and S. pneumoniae.
Slovenian: Fluorokinoloni so še posebno uporabni v hudih primerih, saj pokrivajo po Gramu negativne organizme ter pogostejše organizme H. influenzae in S. pneumoniae.
English: Since Anthrax is life-threatening, especially when the route of infection is inhalation it was agreed the following harmonised wording for:
Slovenian: Ker je vranični prisad življenjsko nevaren, zlasti če se okužba širi z vdihavanjem, so se dogovorili za naslednje usklajeno besedilo za:
English: In particular, the table of the European Committee on Antimicrobial Susceptibility Testing (EUCAST) breakpoints and the table of susceptible species were revised.
Slovenian: Še zlasti so bile revidirane spremembe mejnih vrednosti Evropskega odbora za testiranje občutljivosti na antibiotike (EUCAST) in preglednice dovzetnih vrst.
English: The warning on pneumococcal pneumonia was deleted since it was considered covered by the information included in section 4.1 that levofloxacin should only be considered as alternative treatment in such cases.
Slovenian: Opozorilo o pnevmokokni pljučnici je bilo izbrisano, saj naj bi bilo zajeto že v informacijah, vključenih v poglavje 4.1, da je treba levofloksacin v takih primerih upoštevati samo kot alternativno zdravljenje.
English: Although levofloxacin is not considered the drug of choice for the treatment of AECB, it is recommended as one of the possible alternatives for the treatment in the case of frequent exacerbations and in the case of severe chronic obstructive pulmonary disease (COPD).
Slovenian: Čeprav levofloksacin ni izbrano zdravilo za zdravljenje AEKB, je priporočeno kot ena izmed možnih alternativ za zdravljenje v primeru pogostih poslabšanj in v primeru hude kronične obstruktivne pljučne bolezni (KOPB).
English: Tavanic, solution for infusion, 5 mg/ml
Slovenian: Tavanic, raztopina za infundiranje, 5 mg/ml
English: The MAH submitted a proposal for harmonisation of the Quality module.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predložil predlog za uskladitev modula o kakovosti.
English: This indication was not approved in one MS, due to the fact that the pivotal studies (five studies) did not use a conventional comparator also considering that, for uncomplicated SSTI the use of fluoroquinolones is not considered appropriate and for complicated SSTI the results were not clearly favouring levofloxacin.
Slovenian: Indikacija ni bila odobrena v eni državi članici, ker ključne študije (pet študij) niso vključile običajnega primerjalnega zdravila, ter ob upoštevanju, da se za nezapletene OKMT uporaba fluorokinolonov ne zdi ustrezna, za zapletene OKMT pa izidi niso prikazali jasne prednosti levofloksacina.
English: However, most MRSA isolates are resistant to levofloxacin.
Slovenian: Kljub temu pa je večina izolatov MRSA odpornih na levofloksacin.
English: Levofloxacin has been studied in large AECB controlled trials with an active comparator but no placebo-controlled study has been conducted.
Slovenian: Levofloksacin je bil proučevan v obsežnih nadzorovanih preskušanjih AEKB z aktivnim primerjalnim zdravilom, izvedena pa ni bila nobena študija, nadzorovana s placebom.
English: The MAH was asked to evaluate all other sections of the nationally approved SPCs and suggested appropriate changes in the text where divergences exist and in some cases summarised the information already included in these sections (e.g. in section 5.2 of the SmPC information on tissue distribution was summarised).
Slovenian: Imetnik dovoljenja za promet, ki je bil naprošen za oceno vseh drugih poglavij nacionalno odobrenih povzetkov glavnih značilnosti zdravila, je predlagal ustrezne spremembe v besedilu, v katerem obstajajo razhajanja, in v nekaterih primerih povzel informacije, ki so že vključene v teh poglavjih (npr. v poglavju 5.2 povzetka glavnih značilnosti zdravila je povzel informacije o razporeditvi v tkiva).
English: The pivotal study was study LOFBO-UTI-060: A multicenter, double-blind, randomized study to compare the safety and efficacy of oral levofloxacin with that of Floxin (ofloxacin) in the treatment of uncomplicated urinary tract infections in women.
Slovenian: Ključna študija je bila študija LOFBO-UTI-060: multicentrična, dvojno slepa, randomizirana študija, v kateri so primerjali varnost in učinkovitost peroralnega levofloksacina z varnostjo in učinkovitostjo zdravila Floxin (ofloksacin) pri zdravljenju nezapletenih okužb sečil pri ženskah.
English: In addition, it was agreed to include precautions for use in case of treatment of anthrax in section 4.4 to include reference for consultation of national and/or international consensus documents.
Slovenian: Poleg tega so se dogovorili za vključitev previdnostnih ukrepov v primeru zdravljenja vraničnega prisada v poglavje 4.4, ki tako vključuje sklic za upoštevanje veljavnih nacionalnih in/ali mednarodnih dokumentov o soglasju glede zdravljenja vraničnega prisada.
English: A new warning was agreed by the MAH to be included on the potential occurrence of vision disorders and that in such cases an eye specialist should be consulted immediately.
Slovenian: Imetnik dovoljenja za promet z zdravilom je soglašal z novo vključenim opozorilom o morebitnem pojavu motenj vida in opozorilom, da je v takih primerih treba nemudoma obiskati specialista za oči.
English: Betalactams, macrolides, and fluoroquinolones are the most commonly used antibiotics for the treatment of AECB.
Slovenian: Betalaktami, makrolidi in fluorokinoloni so najpogosteje uporabljeni antibiotiki za zdravljenje AEKB.
English: However, considering that AECB can be a less severe infection, with high spontaneous resolution rate for which bacteria can be found in only 50% of all exacerbations and in order to better reflect the current treatment guidelines the following wording was agreed by the MAH to be harmonised in the EU:
Slovenian: Ob upoštevanju, da je lahko AEKB blažja okužba z visoko ravnjo spontane ozdravitve, pri kateri je bakterije mogoče najti le v 50 % vseh poslabšanj, in z namenom večje skladnosti s trenutnimi smernicami za zdravljenje je imetnik dovoljenja za promet soglašal, da bo v EU usklajeno naslednje besedilo:
English: Based on the above, the CHMP considers the benefit/risk ratio of Tavanic and associated names to be favourable and the harmonised Product Information documents to be approvable.
Slovenian: Na podlagi navedenega odbor CHMP meni, da je razmerje med tveganji in koristmi zdravila Tavanic in povezanih imen ugodno ter da je mogoče odobriti usklajene dokumente z informacijami o zdravilu.
English: Taking into account these considerations, and that the limited number of available guidelines currently recommend fluoroquinolones only in specific and complicated conditions e.g. polymicrobial infections involving Gram-negative organisms, the MAH agreed to amend the initially proposal for (“Skin and soft tissue infections when commonly recommended antibacterial agents are considered inappropriate for the treatment of this infection”) to reflect the current practice that levofloxacin should be indicated only for complicated SSTIs as an alternative (i.e. second line treatment) when recommended antibacterial agents are considered inappropriate for the treatment of this infection.
Slovenian: Ob upoštevanju teh ugotovitev in tega, da omejeno število razpoložljivih smernic trenutno priporoča fluorokinolone samo pri specifičnih in zapletenih boleznih, kot so polimikrobne okužbe, ki vključujejo po Gramu negativne organizme, je imetnik dovoljenja za promet z zdravilom soglašal, da bo spremenil prvotni predlog za („okužbe kože in mehkih tkiv, kadar se uporaba splošno priporočenih protibakterijskih sredstev za zdravljenje te okužbe šteje za neustrezno“) tako, da bo odražal trenutno prakso, po kateri je levofloksacin lahko indiciran samo za zapletene OKMT kot alternativa (torej kot zdravljenje druge izbire), kadar se uporaba priporočenih protibakterijskih sredstev za zdravljenje te okužbe šteje za neustrezno.
English: The harmonised SmPC wording agreed for the prostatitis indication was: “Chronic bacterial prostatitis”.
Slovenian: Dogovorjeno usklajeno besedilo povzetka glavnih značilnosti zdravila za indikacijo prostatitisa je bilo: „kronični bakterijski prostatitis“.
English: The MAH provided all data available for this indication namely, in vitro data, non-clinical data, pharmacokinetic data and data published by the US Centers of Disease Control and Prevention (CDC) and proposed an harmonised indication.
Slovenian: Imetnik dovoljenja za promet je predložil vse razpoložljive podatke za to indikacijo - podatke in vitro, predklinične podatke, farmakokinetične podatke in podatke, ki jih je objavil ameriški Center za nadzorovanje in preprečevanje bolezni (CDC) - ter predlagal usklajeno indikacijo.
English: Guidelines for CAP are more complex than those for other respiratory infections as they take into account several criteria like age and / or comorbidities, severity of the disease and the management as out- or in-patients.
Slovenian: Smernice za ZBP so zapletenejše od smernic za druge okužbe dihal, saj upoštevajo več meril, kot so starost in/ali sočasne bolezni, resnost bolezni in bolnišnično ali ambulantno zdravljenje.
English: In the European guidelines, levofloxacin is recommended as an alternative antibiotic, with the possibility of use as a first-line agent in countries with a high level of clinically relevant resistance to the first-line drugs.
Slovenian: V evropskih smernicah je levofloksacin priporočen kot alternativni antibiotik, ki ga je mogoče uporabljati kot sredstvo prve izbire v državah z visoko ravnjo klinično pomembne odpornosti proti zdravilom prve izbire.
English: Therefore, on the basis of the efficacy data provided by the MAH for ABS, Pharmacokinetic/Pharmacodynamic considerations and the extensive risk profile of levofloxacin, it was agreed that the wording for the ABS indication should be in line with the wording agreed for other the fluoroquinolon agents.
Slovenian: Zato je bil na podlagi podatkov o učinkovitosti, ki jih je predložil imetnik dovoljenja za promet z zdravilom za ABS, farmakokinetičnih/farmakodinamičnih ugotovitev ter obsežnega profila o tveganjih, povezanih z levofloksacinom, sprejet dogovor, da mora biti besedilo za indikacijo ABS skladno z besedilom, ki je bilo odobreno za druge fluorokinolone.
English: The proposal presented by the MAH reflected the latest scientific information including Core Safety Information (harmonisation of the safety sections of the SmPC: 4.3 to 4.9) agreed in April 2011 as an outcome of the PSUR worksharing, recent safety reviews of fluoroquinolones and new worldwide data on safety of fluoroquinolon.
Slovenian: Predlog, ki ga je predstavil imetnik dovoljenja za promet, je vseboval najnovejše znanstvene informacije, vključno z bistvenimi informacijami o varnosti (uskladitev poglavij o varnosti v povzetku glavnih značilnosti zdravila: od 4.3 do 4.9), ki so bile sprejete aprila 2011 kot izid projekta z deljenim delom PSUR (z zadnjimi podatki dopolnjeno redno poročilo o varnosti zdravila), najnovejših pregledov varnosti fluorokinolonov in novih podatkov o varnosti fluorokinolona z vsega sveta.
English: Due to the high spontaneous cure rates in this kind of infection, data showing superiority over placebo or comparators in more severe ABS are considered as a prerequisite to outweigh the extensive risks and to keep the benefits and risks balanced only in situations where beta-lactams, doxycycline or macrolides cannot be used for any reason or failed.
Slovenian: Zaradi visokih ravni spontane ozdravitve pri tej vrsti okužbe so podatki, ki prikazujejo prednost zdravila v primerjavi s placebom ali primerljivimi zdravili pri hujših primerih ABS, upoštevani kot predpogoj, ki odtehta obsežna tveganja in ki ohranja koristi in tveganja v ravnovesju le v primerih, kadar zaradi kakršnega koli razloga ni mogoče uporabiti betalaktamov, doksiciklina ali makrolidov ali pa je bilo zdravljenje z njimi neuspešno.
English: The MAH agreed that the harmonised wording for levofloxacin should also be in line with wording for other fluoroquinolones.
Slovenian: Imetnik dovoljenja za promet je soglašal, da mora biti usklajeno besedilo za levofloksacin skladno tudi z besedilom za druge fluorokinolone.
English: This study included only acute cystitis patients and not uncomplicated pyelonephritis, even those might be encompassed within the classification of “uncomplicated UTI”.
Slovenian: Študija je vključevala le bolnice z akutnim cistitisom in ne tistih z nezapletenim pielonefritisom, tudi če bi lahko bile zajete v klasifikaciji „nezapletene okužbe sečil“.
English: • The committee reviewed the data submitted by the MAH from the existing clinical studies, the pharmacovigilance data and the published literature justifying the proposed harmonisation of the product information
Slovenian: • Odbor je pregledal podatke iz obstoječih kliničnih študij, podatke o farmakovigilanci in podatke iz objavljene literature, ki jih je predložil imetnik dovoljenja za promet z zdravilom in ki upravičujejo predlagano uskladitev informacij o izdelku.
English: The European Respiratory Society guideline (ERS, 2005) proposes levofloxacin as an alternative antibiotic for both hospital and community management of AECB with no risk factors for P. aeruginosa.
Slovenian: Smernice Evropskega respiratornega društva (European Respiratory Society - ERS, 2005) predlagajo levofloksacin kot alternativni antibiotik za bolnišnično in domače zdravljenje AEKB brez dejavnikov tveganja za P. aeruginosa.
English: It is noted that fluoroquinolones, including levofloxacin are not recognised as reference treatment for staphylococci and streptococci.
Slovenian: Fluorokinoloni, vključno z levofloksacinom, niso opredeljeni kot referenčno zdravljenje proti stafilokokom in streptokokom.
English: The warning on exacerbation of myasthenia gravis included in the CSP was revised based on the cumulative safety review presented by the MAH during this referral procedure.
Slovenian: Opozorilo glede poslabšanja miastenije gravis, ki je bilo vključeno v osnovni varnostni profil, je bilo revidirano na podlagi kumulativnega varnostnega pregleda, ki ga je predstavil imetnik dovoljenja za promet v času tega napotitvenega postopka.
English: In the EU the approval of levofloxacin was first granted in the United Kingdom (UK) in 1997 followed by eleven other Member States (MS): Austria, Belgium, Denmark, Finland, Germany, Ireland, Italy, Luxembourg, the Netherlands, Portugal and Spain through the mutual recognition procedure (MRP) with UK as reference MS. Tavanic is also approved nationally in thirteen other MS: Bulgaria, Cyprus, Czech Republic, Estonia, France, Greece, Hungary, Lithuania, Malta, Poland, Slovakia, Slovenia and Sweden.
Slovenian: V EU je bil levofloksacin najprej odobren v Združenem kraljestvu leta 1997, nato pa še v enajstih državah članicah: v Avstriji, Belgiji, na Danskem, Finskem, v Nemčiji, na Irskem, v Italiji, Luksemburgu, na Nizozemskem, Portugalskem in v Španiji po postopku z medsebojnim priznavanjem, v katerem je bilo Združeno kraljestvo referenčna država članica.
English: Annex II Scientific conclusions and grounds for the variation to the terms of the Marketing Authorisations
Slovenian: Znanstveni zaključki in podlaga za spremembo pogojev dovoljenj za promet z zdravilom
English: Hence, Tavanic was included in the list of products for PI harmonisation, drawn up by the CMD(h), in accordance with Article 30(2) of Directive 2001/83/EC, as amended.
Slovenian: Zato je bilo zdravilo Tavanic vključeno na seznam zdravil za uskladitev informacij o zdravilu, ki ga je sestavila Skupina za usklajevanje za postopek z medsebojnim priznavanjem in decentralizirani postopek za zdravila v humani medicini (CMD(h)) v skladu s členom 30(2) Direktive 2001/83/ES, kakor je bila spremenjena.
English: Considering the extent of the harmonisation of the PL a Readability Testing was agreed to be submitted after the adoption of this referral procedure.
Slovenian: Glede na obseg usklajevanja navodila za uporabo je bilo dogovorjeno, da bo po sprejetju napotitvenega postopka predložen preskus razumljivosti besedila.
English: Chronic bacterial prostatitis (or ‘prostatitis') is an approved indication for levofloxacin in all MS with exception for two MS.
Slovenian: Kronični bakterijski prostatitis (ali „prostatitis“) je odobrena indikacija za levofloksacin v vseh državah članicah razen dveh.