FrancophonIA/ELRC3.0 huggingface dataset:
English: AC-052-355 was a multi-centre, randomised, double-blind, parallel-group study of bosentan versus placebo in 33 patients with severe PAH who were receiving concomitant epoprostenol therapy.
Maltese: AC-052-355 kien studju multi-ċentriku, randomised, double-blind, parallel-group ta' bosentan kontra l-plaċebo fi 33 pazjent b'PAH severa li kienu qed jirċievu terapija b'epoprostenol konkomitanti.
English: Other medicines and STAYVEER
Maltese: Mediċini oħra u STAYVEER
English: Bosentan is metabolised by CYP2C9 and CYP3A4.
Maltese: Bosentan huwa metabolizzat minn CYP2C9 u CYP3A4.
English: Anaphylaxis and/or angioedema1
Maltese: Anafilassi u/jew anġjoedima1
English: Date of first authorisation: 24 June 2013 Date of latest renewal: 8 January 2018
Maltese: Data tal-aħħar tiġdid:08 lulju 2018
English: • Anaemia (low blood value) which may affect up to 1 in 10 people.
Maltese: • Anemija (valur tad-demm baxx) li tista' taffettwa sa persuna waħda minn kull 10.
English: In patients between 3 months and 1 year (n = 2) AUCτ was 5,914 ng·h/mL (CV: 85%), and in patients between 1 and 2 years (n = 7) AUCτ was 3,507 ng·h/mL (CV: 70%).
Maltese: F'pazjenti bejn 3 xhur u sena (n = 2) AUCτ kien ta' 5,914 ng·siegħa/mL (CV: 85%), u f'pazjenti bejn sena u sentejn (n = 7) AUCt kien ta' 3,507 ng·siegħa/mL (CV: 70%).
English: Kaplan-Meier estimates of survival were 90% and 85% at 3 and 4 years after the start of treatment, respectively.
Maltese: Stimi Kaplan-Meier għal sopravivenza kienu ta' 90% u 85%, 3 u 4 snin wara l-bidu tal-kura, rispettivament.
English: • The median time to complete weaning from iNO was 3.7 days (95% confidence limits [CLs] 1.17, 6.95) on bosentan and 2.9 days (95% CLs 1.26, 4.23) on placebo (p = 0.34).
Maltese: • Iż-żmien medjan sakemm iNO tnaqqas għax-xejn kien ta' 3.7 ijiem (limiti ta' kunfidenza [CLsconfidence limits] ta' 95% 1.17, 6.95) fuq bosentan u 2.9 ijiem (CLs ta' 95% 1.26, 4.23) fuq plaċebo (p = 0.34).
English: The pharmacokinetics of bosentan have not been studied in patients with Child-Pugh class C hepatic impairment.
Maltese: Il-farmakokinetika ta' bosentan ma kinitx studjata f'pazjenti b'indeboliment tal-fwied Child-Pugh Klassi Ċ.
English: Please read the information under “Contraceptives” and “Other medicines and
Maltese: Jekk jogħġbok aqra l-informazzjoni taħt “Kontraċettivi” u “Mediċini oħra u
English: In the overall population (n = 31), 2 mg/kg twice daily resulted in a daily exposure of 8,535 ng·h/mL; AUCτ was 4,268 ng·h/mL (CV: 61%).
Maltese: Fil popolazzjoni totali (n = 31), 2 mg/kg darbtejn kuljum irriżulta f'esponiment ta' kuljum ta' 8,535 ng·siegħa/mL; AUCt kien ta' 4,268 ng·siegħa/mL (CV: 61%).
English: In the patients with Child-Pugh class B liver impairment, the mean (95% CI) steady-state AUC of bosentan was 360 (212613) ng⋅h/mL, i.e., 4.7 times higher, and the mean (95% CI) AUC of the active metabolite Ro 48-5033 was 106 (58.4-192) ng⋅h/mL, i.e., 12.4 times higher than in the patients with normal liver function (bosentan: mean [95% CI] AUC: 76.1 [9.07-638] ng⋅h/mL; Ro 48-5033: mean [95% CI] AUC 8.57 [1.28-57.2] ng⋅h/ml).
Maltese: Filpazjenti b'indeboliment tal-fwied Child-Pugh Klassi B, l-AUC medja (CI ta' 95%) fi stat fiss ta' bosentan kienet ta' 360 (212-613) ng h/mL, jiġifieri, 4.7 darbiet ogħla, u l-AUC medja (CI ta' 95%) tal-metabolit attiv Ro 48-5033 kienet ta' 106 (58.4-192) ng h/mL, jiġifieri, 12.4 darbiet ogħla milli f'pazjenti b'funzjoni tal-fwied normali (bosentan: medja [CI ta' 95%] AUC:
English: The mean AUC (CV%) values of bosentan in paediatric patients treated with 31.25, 62.5 or 125 mg twice daily were 3,496 (49), 5,428 (79), and 6,124 (27) ng·h/mL, respectively, and were lower than the value of 8,149 (47) ng·h/mL observed in adult patients with PAH receiving 125 mg twice daily.
Maltese: Il-valuri medji tal-AUC (CV%) ta' bosentan f'pazjenti pedjatriċi kkurati b'doża ta' 31.25, 62.5 jew 125 mg darbtejn kuljum kienu 3,496 (49), 5,428 (79), u 6,124 (27) ng·h/mL, rispettivament, u kienu inqas mill-valur ta' 8,149 (47) ng·h/mL osservat f'pazjenti adulti b'PAH li kienu qed jirċievu doża ta' 125 mg darbtejn kuljum.
English: PVC/PE/PVDC/aluminium-blisters containing 14 film-coated tablets.
Maltese: Folji ta' PVC/PE/PVDC/aluminju li fihom 14-il pillola miksija b'rita.
English: Warfarin: Co-administration of bosentan 500 mg twice daily for 6 days decreased the plasma concentrations of both S-warfarin (a CYP2C9 substrate) and R-warfarin (a CYP3A4 substrate) by 29% and 38%, respectively.
Maltese: L-għoti flimkien ta' 500 mg ta' bosentan darbtejn kuljum għal 6 ijiem naqqas il konċentrazzjonijiet fil-plażma kemm ta' S-warfarin (sottostrat ta' CYP2C9) kif ukoll ta' R-warfarin (sottostrat ta' CYP3A4) b'29% u 38%, rispettivament.
English: Tadalafil: Bosentan (125 mg twice daily) reduced tadalafil (40 mg once per day) systemic exposure by 42% and Cmax by 27% following multiple dose co-administration.
Maltese: Bosentan (125 mg darbtejn kuljum) naqqas l-esponiment sistemiku ta' tadalafil (40 mg darba kuljum) bi 42% u Cmax b'27% wara l-għoti fl-istess waqt ta' dożi multipli.
English: The combination of bosentan and epoprostenol has been investigated in two studies: AC-052-355 (BREATHE-2) and AC-052-356 (BREATHE-3).
Maltese: AC-052-355 (BREATHE-2) u AC-052-356 (BREATHE-3).
English: Concomitant use of STAYVEER with glibenclamide, fluconazole and rifampicin is not recommended.
Maltese: L-użu ta' STAYVEER flimkien ma' glibenclamide, fluconazole u rifampicin mhux rakkomandat.
English: The PAH for which STAYVEER is indicated can be:
Maltese: STAYVEER huwa indikat tista' tkun:
English: Steady-state conditions are reached within 3-5 days.
Maltese: Il-kundizzjonijiet tal-istat fiss jintlaħqu fi żmien 3-5 ijiem.
English: For white high-density polyethylene bottles:
Maltese: Għall-fliexken bojod tal-polyethylene ta' densità għolja:
English: In the 20 integrated placebo-controlled studies, elevations in liver aminotransferases ≥ 3 ×ULN were observed in 11.2% of the bosentan-treated patients as compared to 2.4% of the placebo-treated patients.
Maltese: Fl-20 studju integrat ikkontrollat bil-plaċebo, żieda fl-aminotransferases tal-fwied ta' ≥ 3 × ULN kienu osservati fi 11.2% ta' pazjenti kkurati b'bosentan meta mqabbla ma' 2.4% tal-pazjenti kkurati bil-plaċebo.
English: Dosing bosentan 2 mg/kg three times daily did not increase exposure; daily exposure was 7,275 ng·h/mL (CV: 83%, n = 27).
Maltese: Id-dożaġġ ta' bosentan 2 mg/kg tliet darbiet kuljum ma żiedx l esponiment; l-esponiment ta' kuljum kien ta' 7,275 ng·siegħa/mL (CV: 83%, n = 27).
English: A volume of distribution (Vss) of about 18 litres was determined after an intravenous dose of 250 mg.
Maltese: Il-volum tad-distribuzzjoni (Vss) ta' madwar 18-il litru kien determinat wara doża ġol-vini ta' 250 mg.
English: This patient recovered within the 60-day follow-up period.
Maltese: Dan il-pazjent irkupra filperjodu ta' segwitu ta' 60 ġurnata.
English: 3 Headache was reported in 11.5% of patients on bosentan and 9.8% of patients on placebo.
Maltese: 3 Uġigħ ta' ras kien irrapportat fi 11.5% tal-pazjenti fuq bosentan u f'9.8% tal-pazjenti fuq il-plaċebo. 4
English: There are no data on the safety and efficacy in patients under the age of 18 years.
Maltese: M'hemmx data dwar is-sigurtà u l-effikaċja f'pazjenti taħt l-età ta' 18-il sena.
English: At adult age (Day 69 post partum), no effects of bosentan were detected at 1.3 (males) and 2.6 (females) times the therapeutic exposure in children with PAH.
Maltese: Fl-età adulta (Jum 69 post partum), ma kienu osservati l-ebda effetti ta' bosentan b'1.3 darbiet (irġiel) u 2.6 darbiet (nisa) l-esponiment terapewtiku fi tfal b'PAH.
English: The median exposure to study treatment was 4.5 (range: 0.5-10.0) days in the bosentan group and 4.0 (range: 2.5-6.5) days in the placebo group.
Maltese: L-esponiment medjan għall-kura tal-istudju kien ta' 4.5 (firxa: 0.5-10.0) ijiem fil-grupp ta' bosentan u 4.0 (firxa: 2.5-6.5) ijiem fil-grupp tal-plaċebo.
English: The median bosentan and placebo treatment duration was, respectively, 4.5 days (range 0.5-10.0 days) and 4.0 days (range 2.5-6.5 days).
Maltese: It-tul medjan ta' kura b'bosentan u plaċebo kien, rispettivament, 4.5 ijiem (firxa 0.5-10.0 ijiem) u 4.0 ijiem (firxa 2.5-6.5 ijiem).
English: There is limited clinical study experience with the use of STAYVEER in patients with PAH associated with HIV infection, treated with antiretroviral medicinal products (see section 5.1).
Maltese: Hemm esperjenza limitata minn studji kliniċi bl-użu ta' STAYVEER f'pazjenti b'PAH marbuta ma' infezzjoni bl-HIV, ikkurati bi prodotti mediċinali antiretrovirali (ara sezzjoni 5.1).
English: Management in the event of clinical deterioration of PAH
Maltese: Ġestjoni fil-każ ta' deterjorament kliniku ta' PAH
English: No recommendation on a posology can be made (see sections 5.1 and 5.2).
Maltese: Ma tista' ssir lebda rakkomandazzjoni dwar pożoloġija (ara sezzjonijiet 5.1 u 5.2).
English: The placebo-corrected increases in walk distance compared with baseline were 76 metres (p = 0.02; t-test) and 44 metres (p = 0.0002; Mann-Whitney U test) at the primary endpoint of each study, respectively.
Maltese: Iż-żidiet fid-distanza tal-mixja korretti għal plaċebo, meta mqabbla mal-linja bażi kienu 76 metru (p = 0.02; t-test) u 44 metru (p = 0.0002;
English: Data on other CYP3A4 inducers, e.g., carbamazepine, phenobarbital, phenytoin and St. John's wort are lacking, but their concomitant administration is expected to lead to reduced systemic exposure to bosentan.
Maltese: Hemm nuqqas ta' tagħrif dwar indutturi oħrajn ta' CYP3A4, eż., carbamazepine, phenobarbital, phenytoin u St John's wort, iżda l-għoti flimkien tagħhom huwa mistenni li jwassal għal tnaqqis fl-esponiment sistemiku għal bosentan.
English: • Elevated liver function tests with hepatitis (inflammation of the liver) including possible exacerbation of underlying hepatitis and/or jaundice (yellowing of the skin or the whites of the eyes)
Maltese: • Testijiet tal-funzjoni tal-fwied elevati flimkien ma' epatite (infjammazzjoni tal-fwied) inkluż il possibbiltà ta' aggravar ta' epatite eżistenti u/jew suffejra (sfurija tal-ġilda jew tal-abjad talgħajnejn)
English: 5 Oedema or fluid retention was reported in 13.2% of patients on bosentan and 10.9% of patients on placebo.
Maltese: 5 Edima jew żamma ta' fluwidu kienet irrapportata fi 13.2% tal-pazjenti fuq bosentan u f'10.9% tal pazjenti fuq il-plaċebo.
English: The most frequent adverse events in the bosentan- and placebo-treated patients were, respectively, anaemia or haemoglobin decrease (7 and 2 patients), generalised oedema (3 and 0 patients), and vomiting (2 and 0 patients).
Maltese: L-avvenimenti avversi l-aktar frekwenti f'pazjenti kkurati b'bosentan u bi plaċebo kienu, rispettivament, anemija jew tnaqqis fl-emoglobina (7 u 2 pazjenti), edima ġeneralizzata (3 u 0 pazjenti), u rimettar (2 u 0 pazjenti).
English: The steady-state AUC of bosentan was 9% higher and the AUC of the active metabolite, Ro 48-5033, was 33% higher in patients with mild hepatic impairment than in healthy volunteers.
Maltese: L-AUC fi stat fiss ta' bosentan kienet 9% ogħla u l-AUC tal-metabolit attiv, Ro 48-5033, kienet 33% ogħla f'pazjenti b'indeboliment ħafif tal-fwied milli f'voluntiera f'saħħithom.
English: Bosentan competes with the binding of ET-1 and other ET peptides to both ETA and ETB receptors, with a slightly higher affinity for ETA receptors (Ki = 4.1-43 nanomolar) than for ETB receptors (Ki = 38-730 nanomolar).
Maltese: Bosentan jikkompeti mat-twaħħil ta' ET-1 u peptidi ET oħrajn mar-riċetturi kemm ta' ETA u ETB, b'affinità kemmxejn ogħla għar-riċetturi ta' ETA (Ki = 4.1-43 nanomolar) milli għar-riċetturi ta' ETB (Ki = 38-730 nanomolar).
English: Bosentan is eliminated by biliary excretion following metabolism in the liver by the cytochrome P450 isoenzymes, CYP2C9 and CYP3A4.
Maltese: Bosentan jiġi eliminat mis-sistema tal-marrara wara metaboliżmu fil-fwied mill-isoenzimi taċċitokromju P450, CYP2C9 u CYP3A4.
English: Simvastatin: Co-administration of bosentan 125 mg twice daily for 5 days decreased the plasma concentrations of simvastatin (a CYP3A4 substrate) and its active β-hydroxy acid metabolite by 34% and 46%, respectively.
Maltese: L-għoti flimkien ta' 125 mg ta' bosentan darbtejn kuljum għal 5 ijiem naqqas ilkonċentrazzjonijiet ta' simvastatin fil-plażma (sottostrat ta' CYP3A4) u l-metabolit attiv tiegħu β hydroxy acid b'34% u 46% rispettivament.
English: Baseline (BL); mean (SD)
Maltese: Linja bażi (BL); medja (SD) 802 (365)
English: Study AC-052-356 (BREATHE-3) evaluated the pharmacokinetics of single and multiple oral doses of the film-coated tablet formulation of bosentan in 19 children aged from 3 to 15 years with PAH who were dosed on the basis of body weight with 2 mg/kg twice daily.
Maltese: Studju AC-052-356 (BREATHE-3) evalwa l-farmakokinetika ta' dożi orali singoli jew ripetuti tal formulazzjoni tal-pillola miksija b'rita ta' bosentan f'19-il tifel/tifla b'età minn 3 snin sa 15-il sena b'PAH li ngħataw doża ta' 2 mg/kg darbtejn kuljum skond il-piż korporju tagħhom.
English: 164 ng·h/mL, n = 11).
Maltese: (AUC0-12 fid-demm sħiħ: 164 ng·siegħa/mL, n = 11).
English: STAYVEER 125 mg tablets bosentan
Maltese: STAYVEER 125 mg, pilloli bosentan
English: STAYVEER 62.5 mg tablets bosentan
Maltese: STAYVEER 62.5 mg, pilloli bosentan
English: • Hypersensitivity reactions (including skin inflammation, itching and rash)
Maltese: • Reazzjonijiet ta' sensittività eċċessiva (inkluż infjammazzjoni fil-ġilda, ħakk u raxx)
English: At study entry, patients were treated with PAH medications (most frequently phosphodiesterase type-5 inhibitor [sildenafil] alone [35.9%], bosentan alone [10.9%], and a combination of bosentan, iloprost, and sildenafil [10.9%]) and continued their PAH treatment during the study.
Maltese: (l-aktar frekwenti, inibitur ta' phosphodiesterase tat-tip 5 [sildenafil] waħdu [35.9%], bosentan waħdu [10.9%], u kombinazzjoni ta' bosentan, iloprost, u sildenafil [10.9%]) u komplew il-kura tagħhom għal PAH matul l-istudju.
English: The maximum plasma concentrations are attained within 3-5 hours.
Maltese: Il-konċentrazzjonijiet massimi fil-plażma jintlaħqu fi żmien 3-5 sigħat.
English: Rifampicin: Co-administration in 9 healthy subjects for 7 days of bosentan 125 mg twice daily with rifampicin, a potent inducer of CYP2C9 and CYP3A4, decreased the plasma concentrations of bosentan by 58%, and this decrease could achieve almost 90% in an individual case.
Maltese: L-għoti flimkien għal 7 ijiem ta' bosentan 125 mg darbtejn kuljum u rifampicin, induttur potenti ta' CYP2C9 u CYP3A4, lil 9 pazjenti f'saħħithom naqqas il-konċentrazzjonijiet ta' bosentan fil-plażma bi 58%, u dan it-tnaqqis jista' jilħaq kważi 90% f'każ individwali.
English: The safety profile in this pooled analysis of uncontrolled paediatric studies was similar to that observed in the pivotal trials in adult patients with PAH except for infections, which were more frequently reported than in adults (69.0% vs 41.3%).
Maltese: Il-profil tas-sigurtà f'din l-analiżi miġbura flimkien ta' studji pedjatriċi mhux ikkontrollati kien simili għal dak osservat fil-provi pivitali f'pazjenti adulti b'PAH ħlief għal infezzjonijiet, li kienu rrappurtati b'mod aktar frekwenti milli fl-adulti (69.0% kontra 41.3%).
English: No dose adjustment is needed in patients with mild hepatic impairment (i.e., Child-Pugh class A) (see section 5.2).
Maltese: F'każ ta' indeboliment ħafif tal-fwied, m'hemmx bżonn ta' aġġustament fid-doża li tingħata (i.e. Child-Pugh Klassi A) (ara sezzjoni 5.2).
English: In a randomised, double-blind, multi-centre, placebo-controlled study (AC-052-364 [EARLY]), 185 PAH patients in WHO functional class II (mean baseline 6-minute walk distance of 435 metres) received bosentan 62.5 mg twice daily for 4 weeks followed by 125 mg twice daily (n = 93), or placebo (n = 92) for 6 months.
Maltese: Fi studju randomised, double-blind, multi-ċentriku u kkontrollat bil-plaċebo (AC-052-364 [EARLY]), 185 pazjent b'PAH fi klassi II tal-istat funzjonali tal-WHO (medja fil-linja bażi tad-distanza ta' mixja f'6 minuti ta' 435 metru) irċevew bosentan 62.5 mg darbtejn kuljum għal 4 ġimgħat segwit minn 125 mg darbtejn kuljum (n = 93), jew plaċebo (n = 92) għal 6 xhur.
English: This medicine contains less than 1 mmol sodium (23 mg) per tablet, that is to say essentially ‘sodiumfree'.
Maltese: Din il-mediċina fiha inqas minn 1 mmol sodium (23 mg) f'kull pillola, li tista' tgħid hija essenzjalment ‘mingħajr sodium'.
English: In the adult placebo-controlled studies, a decrease in haemoglobin concentration to below 10 g/dL from baseline was reported in 8.0% of bosentan-treated patients and 3.9% of placebo-treated patients (see section 4.4).
Maltese: Fl-istudji kkontrollati bil-plaċebo fl-adulti, tnaqqis fil-konċentrazzjoni tal-emoglobina għal inqas minn 10 g/dL mil-linja bażi kien irrappurtat fi 8.0% ta' pazjenti kkurati b'bosentan u 3.9% ta' pazjenti kkurati bil-plaċebo (ara sezzjoni 4.4).
English: • Hormonal contraceptives cannot be the sole method of contraception during treatment with STAYVEER
Maltese: • Kontraċettivi ormonali ma jistgħux ikunu l-uniku metodu ta' kontraċezzjoni waqt il-kura bi
English: Date of first monthly test: _________________________________
Maltese: Data tal-ewwel test ta' kull xahar: _______________________
English: STAYVEER is contraindicated in pregnancy (see section 4.3).
Maltese: STAYVEER hu kontraindikat waqt it-tqala (ara sezzjoni 4.3).
English: In patients between 3 months and 2 years the daily exposure was 7,879 ng·h/mL; AUCτ was 3,939 ng·h/mL (CV: 72%).
Maltese: F'pazjenti b'età bejn 3 xhur u sentejn l-esponiment ta' kuljum kien ta' 7,879 ng·siegħa/mL; AUCτ kien ta' 3,939 ng·siegħa/mL (CV: 72%).
English: The impact of moderately impaired liver function (Child-Pugh class B) on the pharmacokinetics of bosentan and its primary metabolite Ro 48-5033 was investigated in a study including 5 patients with pulmonary hypertension associated with portal hypertension and Child-Pugh class B hepatic impairment, and 3 patients with PAH from other causes and normal liver function.
Maltese: L-impatt ta' indeboliment moderat fil-funzjoni tal-fwied (Child-Pugh klassi B) fuq il-farmakokinetika ta' bosentan u l-metabolit primarju tiegħu Ro 48-5033 kien investigat fi studju li kien jinkludi 5 pazjenti bi pressjoni pulmonari għolja assoċjata ma' pressjoni portali għolja u indeboliment talfwied Child-Pugh Klassi B, u 3 pazjenti b'PAH minn kawżi oħra u funzjoni tal-fwied normali.
English: The aetiology of PAH, according to Dana Point classification, included idiopathic PAH (46%), heritable PAH (3%), associated PAH after corrective cardiac surgery (38%), and PAH related to congenital heart disease associated with systemic-topulmonary shunts, including Eisenmenger syndrome (13%).
Maltese: assoċjata wara kirurġija korrettiva tal-qalb (38%), u PAH marbuta ma' mard konġenitali tal-qalb assoċjata ma' systemic-to-pulmonary shunts, inkluż is-sindrome Eisenmenger (13%).
English: Digoxin: Co-administration for 7 days of bosentan 500 mg twice daily with digoxin decreased the AUC, Cmax and Cmin of digoxin by 12%, 9% and 23%, respectively.
Maltese: L-għoti flimkien għal 7 ijiem ta' bosentan 500 mg darbtejn kuljum ma' digoxin naqqas lAUC, Cmax u Cmin ta' digoxin bi 12%, 9% u 23%, rispettivament.
English: Film-coated tablet (tablets):
Maltese: Pillola miksija b'rita (pilloli):
English: Glibenclamide: Co-administration of bosentan 125 mg twice daily for 5 days decreased the plasma concentrations of glibenclamide (a CYP3A4 substrate) by 40%, with potential significant decrease of the hypoglycaemic effect.
Maltese: L-għoti flimkien ta' 125 mg ta' bosentan darbtejn kuljum għal 5 ijiem naqqas ilkonċentrazzjonijiet ta' glibenclamide fil-plażma (sottostrat ta' CYP3A4) b'40%, bi tnaqqis sinifikanti potenzjali tal-effett ipoglikemiku.
English: • hormonal contraceptives, which are not effective as the sole method of contraception when you take STAYVEER.
Maltese: • kontraċettivi ormonali, li mhumiex effettivi bħala metodu uniku ta' kontraċezzjoni meta inti tieħu STAYVEER.
English: In an animal model of pulmonary fibrosis, bosentan reduced collagen deposition in the lungs.
Maltese: F'mudell ta' annimali b'fibrożi pulmonari, bosentan naqqas id-depożitu talkollaġen fil-pulmuni.
English: After co-administration of bosentan for 9.5 days, the plasma exposures to lopinavir and ritonavir decreased to a clinically non-significant extent (by approximately 14% and 17%, respectively).
Maltese: Wara għoti flimkien ta' bosentan għal 9.5 ijiem, l-esponimenti tal-plażma għal lopinavir u ritonavir naqsu b'mod li mhux ta' sinifikanza klinika (b'madwar 14% u 17%, rispettivament).
English: No evidence for acute rebound has been observed.
Maltese: Ma kienet osservata l-ebda evidenza ta' rebound akuta.
English: • Primary (idiopathic and heritable) pulmonary arterial hypertension
Maltese: • Pressjoni għolja fl-arterji tal-pulmun (PAH - pulmonary arterial hypertension).
English: Sildenafil: Co-administration of bosentan 125 mg twice daily (steady state) with sildenafil 80 mg three times a day (at steady state) concomitantly administered during 6 days in healthy volunteers resulted in a 63% decrease in the sildenafil AUC and a 50% increase in the bosentan AUC.
Maltese: sildenafil tliet darbiet kuljum (fl-istat fiss) mogħtija flimkien fuq medda ta' 6 ijiem f'voluntiera f'saħħithom, irriżulta fi tnaqqis ta' 63% fl-AUC ta' sildenafil u żieda ta' 50% fl-AUC ta' bosentan.
English: A careful benefit/risk assessment should be made, taking into consideration the liver toxicity of bosentan (see sections 4.4 and 4.8).
Maltese: Għandha ssir stima b'attenzjoni tal-benefiċċju/riskju b'konsiderazzjoni tat-tossiċità għall fwied ta' bosentan (ara sezzjonijiet 4.4 u 4.8).
English: Neutropenia, leukopenia1
Maltese: Newtropenija, lewkopenija1
English: ET-1 concentrations in tissues and plasma are increased in several cardiovascular disorders and connective tissue diseases, including PAH, scleroderma, acute and chronic heart failure, myocardial ischaemia, systemic hypertension and atherosclerosis, suggesting a pathogenic role of ET-1 in these diseases.
Maltese: Ilkonċentrazzjonijiet ta' ET-1 fit-tessuti u fil-plażma jiżdiedu f'ħafna mard kardjovaskulari u mard tattessut konnettiv, li jinkludu PAH, skleroderma, insuffiċjenza akuta jew kronika tal-qalb, iskemija mijokardijaka, pressjoni sistemika għolja u aterosklerożi, li jissuġġerixxi rwol patoġeniku ta' ET-1 f'dan il-mard.
English: A clinically significant reduction of efficacy cannot be excluded.
Maltese: Tnaqqis klinikament sinifikanti tal-effikaċja ma jistax jiġi eskluż.
English: Bosentan is an inducer of the cytochrome P450 (CYP) isoenzymes CYP2C9 and CYP3A4.
Maltese: Bosentan hu induttur tal-isoenzimi CYP2C9 u CYP3A4 taċ-ċitokromju P450 (CYP).
English: • Gastrooesophageal reflux disease (acid reflux)
Maltese: • Marda ta' rifluss gastro-esofagali (rifluss tal-aċidu)
English: • glibenclamide (a diabetes medicine), rifampicin (a tuberculosis medicine), fluconazole (a medicine against fungal infections), ketoconazole (a medicine used to treat Cushing's syndrome), or nevirapine (an HIV medicine), as these medicines are not recommended to be used together with STAYVEER.
Maltese: • glibenclamide (mediċina għad-dijabete), rifampicin (mediċina għat-tuberkulosi), fluconazole
English: The median treatment duration was 71.8 weeks (range 0.4-258 weeks).
Maltese: It-tul medjan tal-kura kien ta' 71.8 ġimgħat (firxa 0.4-258 ġimgħa).
English: The safety profile in the first paediatric uncontrolled study performed with the film-coated tablet (BREATHE-3: n = 19, median age 10 years [range 3-15 years], open-label bosentan 2 mg/kg twice daily; treatment duration 12 weeks) was similar to that observed in the pivotal trials in adult patients with PAH.
Maltese: n = 19, età medjana 10 snin [firxa 3-15-il sena], bosentan open-label 2 mg/kg darbtejn kuljum; tul ta' kura ta' 12-il ġimgħa) kien simili għal dak osservat fil-provi pivitali f'pazjenti adulti b'PAH.
English: Combination with epoprostenol
Maltese: Epoprostenol: