FrancophonIA/ELRC3.0 huggingface dataset:
English: Although no formal in vivo drug interaction studies have been performed with Brimica Genuair, it has been used concomitantly with other COPD medicinal products including short-acting β2-adrenergic bronchodilators, methylxanthines, and oral and inhaled steroids without clinical evidence of drug interactions.
Danish: Selvom der ikke er blevet udført nogen formelle in vivo-interaktionsstudier med Brimica Genuair, er det blevet anvendt samtidig med andre KOL-lægemidler, herunder korttidsvirkende β2-adrenerge bronkodilatorer, methylxanthiner og orale og inhalerede steroider uden klinisk tegn på lægemiddelinteraktioner.
English: Brimica Genuair improved daily symptoms of COPD such as ‘breathlessness', ‘chest symptoms', ‘cough and sputum' (assessed by E-RS total score) as well as overall night-time symptoms, overall early morning symptoms and symptoms limiting early morning activities compared to placebo, aclidinium and formoterol but the improvements were not always statistically significant.
Danish: Brimica Genuair forbedrede daglige symptomer på KOL, såsom 'kortåndethed', 'symptomer i brystet', 'hoste og spyt' (vurderet ved E-RS-totalscore) samt generelle symptomer om natten, generelle symptomer tidligt om morgenen og symptomer, der begrænsede aktiviteter tidligt om morgenen i forhold til placebo, aclidinium og formoterol, men forbedringerne var ikke altid statistisk signifikante.
English: Brimica Genuair 340/12 micrograms twice daily consistently provided clinically meaningful improvements in lung function (as assessed by FEV1, forced vital capacity and inspiratory capacity) compared with placebo.
Danish: Brimica Genuair 340/12 mikrogram to gange dagligt konsekvent gav klinisk relevante forbedringer af lungefunktionen (målt ved FEV1, forceret vital kapacitet og inspiratorisk kapacitet) sammenlignet med placebo.
English: Lung volumes, exercise endurance and physical activity The effect of Brimica Genuair on lung volumes, exercise endurance and physical activity was investigated in an 8-week parallel, randomised, placebo-controlled clinical study in COPD patients with hyperinflation (functional residual capacity [FRC] >120%).
Danish: Lungevolumen, motionsudholdenhed og fysisk aktivitet Brimica Genuairs indvirkning på lungevolumen, motionsudholdenhed og fysisk aktivitet blev undersøgt i et 8 ugers parallelt, randomiseret, placebokontrolleret klinisk studie med KOL-patienter med hyperinflation (funktionel residualkapacitet [FRC] >120 %).
English: Brimica Genuair is not indicated for the treatment of acute episodes of bronchospasm.
Danish: Brimica Genuair er ikke indiceret til behandling af akutte episoder med bronkospasme.
English: • Medicines called beta blockers that may be used to treat high blood pressure or other heart problems (such as atenolol or propranolol) or to treat glaucoma (such as timolol).
Danish: • Medicin som kaldes betablokkere, der kan anvendes til at behandle forhøjet blodtryk eller andre hjerteproblemer (såsom atenolol eller propranolol), eller til at behandle glaukom (såsom timolol).
English: The prominent pathway involves direct glucuronidation, with O-demethylation followed by glucuronide conjugation being a further metabolic pathway.
Danish: Den vigtigste biotransformationsvej involverer direkte glukuronidering, idet O-demethylering efterfulgt af glukuronidkonjugering er en yderligere metaboliseringsvej.
English: There is limited evidence on the management of overdose with Brimica Genuair.
Danish: Der er begrænset evidens for behandling af overdosis med Brimica Genuair.
English: Aclidinium has also been shown to provide benefits to patients with COPD in terms of symptoms reduction, improvement in disease-specific health status, reduction in exacerbation rates and improvements in exercise tolerance.
Danish: Aclidinium har også vist sig at give fordele til patienter med KOL i form af symptomreduktion, forbedring i sygdomsspecifik helbredstilstand, reduktion i eksacerbationsrater og forbedringer i motionstolerance.
English: High doses of Brimica Genuair may lead to exaggerated anticholinergic and/or β2-adrenergic signs and symptoms; the most frequent of which include blurred vision, dry mouth, nausea, muscle spasm, tremor, headache, palpitations and hypertension.
Danish: Høje doser af Brimica Genuair kan føre til overdrevne antikolinerge og/eller β2-adrenerge tegn og symptomer; de mest almindelige af disse omfatter sløret syn, tør mund, kvalme, muskelkramper, tremor, hovedpine, hjertebanken og hypertension.
English: Brimica Genuair is used for adult patients who have breathing difficulties due to a lung disease called chronic obstructive pulmonary disease (COPD), in which the airways and air sacs in the lungs become damaged or blocked.
Danish: Brimica Genuair anvendes til voksne patienter, som lider af åndedrætsbesvær pga. en lungesygdom, der hedder kronisk obstruktiv lungesygdom (KOL), hvor luftvejene og luftlommerne i lungerne beskadiges eller blokeres.
English: - develop swelling of the face, throat, lips or tongue (with or without difficulty breathing or swallowing), severe itchy bumps on the skin (hives) as these may be symptoms of an allergic reaction.
Danish: - udvikler hævelser i ansigtet, halsen, læberne eller tungen (med eller uden vejrtræknings- eller synkebesvær), alvorligt kløende udslæt på huden (nældefeber), da dette kan være symptomer på en allergisk reaktion.
English: Concomitant treatment with methylxanthine derivatives, steroids, or non-potassium-sparing diuretics may potentiate the possible hypokalaemic effect of β2-adrenergic agonists, therefore caution is advised in their concomitant use (see section 4.4).
Danish: Samtidig behandling med methylxanthinderivater, steroider eller ikke-kaliumbesparende diuretika kan forstærke den mulige hypokaliæmiske virkning af β2-adrenerge agonister, hvorfor der rådes til forsigtighed ved samtidig anvendelse (se pkt.
English: The mouthpiece is covered with a removable orange protective cap.
Danish: Mundstykket er dækket med en aftagelig orange beskyttelseshætte.
English: Metabolic effects of hyperglycaemia and hypokalaemia may be observed with high doses of β2-adrenergic agonists.
Danish: De metaboliske bivirkninger hyperglykæmi og hypokaliæmi kan observeres ved høje doser af β2-adrenerge agonister.
English: The Phase III clinical development programme included approximately 4,000 patients with a clinical diagnosis of COPD and comprised two 6-month randomised, placebo- and active-controlled studies (ACLIFORM-COPD and AUGMENT), a 6-month extension of the AUGMENT study and a further 12-month randomised controlled study.
Danish: Fase III af det kliniske udviklingsprogram inkluderede cirka 4.000 patienter med en klinisk diagnose på KOL og bestod af to 6 måneders randomiserede, placebo- og aktivt kontrollerede studier (ACLIFORM-COPD og AUGMENT), en 6-måneders forlængelse af AUGMENT-studiet og et yderligere 12-måneders randomiseret kontrolleret studie.
English: Nasopharyngitis Urinary tract infection Sinusitis
Danish: Nasopharyngitis Urinvejsinfektion Sinuitis
English: This medicine contains two active ingredients called aclidinium and formoterol fumarate dihydrate.
Danish: Denne medicin indeholder to aktive stoffer, der hedder aclidinium og formoterolfumaratdihydrat.
English: Brimica Genuair should be used with caution in patients with severe cardiovascular disorders, convulsive disorders, thyrotoxicosis and phaeochromocytoma.
Danish: Brimica Genuair bør anvendes med forsigtighed hos patienter med alvorlige hjerte-karsygdomme, krampesygdomme, thyrotoksikose og fæokromocytom.
English: b. Do not press the orange button until you are ready to take a dose.
Danish: b) Tryk ikke på den orange knap, før du er klar til at tage en dosis.
English: Do not press the orange button until you are ready to take a dose.
Danish: Tryk ikke på den orange knap, før du er klar til at tage en dosis.
English: Improvements in the PROactive total score were observed in patients treated with Brimica Genuair compared with placebo (p=0.0002).
Danish: Der blev observeret forbedringer i den PROaktive total score hos patienter, der blev behandlet med Brimica Genuair, i sammenligning med placebo (p=0,0002).
English: In Phase III studies, clinically meaningful bronchodilator effects were seen within 5 minutes of the first dose and were maintained over the dosing interval.
Danish: I fase III-studier blev der set klinisk relevant bronkodilaterende effekt inden for 5 minutter efter den første dosis, og denne blev opretholdt i hele doseringsintervallet.
English: 1.3 Hold the inhaler horizontally with the mouthpiece facing you and the orange button on top (Figure D).
Danish: 1.3 Hold inhalatoren vandret med mundstykket mod dig og den orange knap opad (Figur D).
English: Brimica Genuair should be administered with caution to patients being treated with medicinal products known to prolong the QTc interval such as monoamine oxidase inhibitors, tricyclic antidepressants, antihistamines or macrolides because the action of formoterol, a component of Brimica Genuair, on the cardiovascular system may be potentiated by these medicinal products.
Danish: Brimica Genuair bør administreres med forsigtighed til patienter, der behandles med lægemidler, som vides at forlænge QTc-intervallet, såsom monoaminooxidasehæmmere, tricykliske antidepressiva, antihistaminer eller makrolider, da virkningen af formoterol, som indgår i Brimica Genuair, på det kardiovaskulære system kan forstærkes af disse lægemidler.
English: The bag and the desiccant should be thrown away.
Danish: Posen og tørremidlet skal smides væk.
English: The peak plasma concentrations at steady state of aclidinium and formoterol observed in patients with COPD treated with Brimica Genuair twice daily for 5 days were reached within 5 minutes post-inhalation and were 128 pg/ml and 17 pg/ml, respectively.
Danish: De maksimale plasmakoncentrationer ved steady state af aclidinium og formoterol observeret hos patienter med KOL behandlet med Brimica Genuair to gange dagligt i 5 dage blev nået inden for 5 minutter efter inhalationen og var henholdsvis 128 pg/ml og 17 pg/ml.
English: Co-administration of Brimica Genuair with other anticholinergic and/or long-acting β2-adrenergic agonist containing medicinal products has not been studied and is not recommended.
Danish: Samtidig administration af Brimica Genuair og andre antikolinerge og/eller langtidsvirkende lægemidler, der indeholder β2-adrenerg agonist, er ikke blevet undersøgt og anbefales ikke.
English: Brimica Genuair is indicated as a maintenance bronchodilator treatment to relieve symptoms in adult patients with chronic obstructive pulmonary disease (COPD).
Danish: Brimica Genuair er indiceret som bronkodilaterende vedligeholdelsesbehandling til lindring af symptomer hos voksne patienter med kronisk obstruktiv lungesygdom (KOL)
English: c. Pull off the cap by lightly squeezing the arrows marked on each side (Figure B).
Danish: c) Træk hætten af ved at trykke let på de markerede pile på hver side (Figur B).
English: Whole lung deposition of inhaled aclidinium via Genuair averaged approximately 30% of the metered dose.
Danish: Deponering i hele lungen af inhaleret aclidinium via Genuair-inhalatoren var i gennemsnit cirka 30 % af den afmålte dosis.
English: The onset of action of Brimica Genuair was comparable to the effect of the fast-acting β2-agonist formoterol 12 micrograms.
Danish: Brimica Genuair viste virkning på samme måde som den hurtigt virkende β2-agonist formoterol 12 mikrogram.
English: The European Medicines Agency has waived the obligation to submit the results of studies with Brimica Genuair in all subsets of the paediatric population in COPD (see section 4.2 for information on paediatric use).
Danish: Det Europæiske Lægemiddelagentur har dispenseret fra kravet om at fremlægge resultaterne af studier med Brimica Genuair i alle undergrupper af den pædiatriske population med KOL (se pkt.
English: Adverse reactions associated with Brimica Genuair were similar to those of the individual components.
Danish: Bivirkninger forbundet med Brimica Genuair svarede til dem, der forekom for de enkelte komponenter.
English: Longacting β2-adrenergic agonists should be used with caution in patients with history of or known prolongation of the QTc-interval or treated with medicinal products affecting the QTc interval (see section 4.5).
Danish: Langtidsvirkende β2-adrenerge agonister anvendes med forsigtighed hos patienter med tidligere eller kendt forlængelse af QTc-intervallet, eller som er behandlet med lægemidler, der påvirker QTc-intervallet (se pkt.
English: Inhaled aclidinium bromide acts locally in the lungs to antagonise M3 receptors of airway smooth muscle and induce bronchodilation.
Danish: Inhaleret aclidiniumbromid virker lokalt i lungerne og modvirker M3-receptorer i luftvejenes glatte muskulatur og medfører bronkodilatation.
English: This medicinal product does not require any special temperature storage conditions.
Danish: Lægemidlet kræver ingen særlige forholdsregler vedrørende opbevaringstemperatur.
English: If you use more Brimica Genuair than you should If you think you may have used more Brimica Genuair than you should, you are more likely to experience some of its side effects, such as blurred vision, dry mouth, feeling sick, shaking/tremor, headache, palpitations or an increase in blood pressure, therefore you must immediately contact your doctor or go to the nearest emergency unit.
Danish: Hvis du mener, at du muligvis har brugt mere Brimica Genuair end du burde, vil du være mere tilbøjelig til at opleve nogle af dens bivirkninger, såsom sløret syn, tør mund, kvalme, rysten/tremor, hovedpine, hjertebanken eller en stigning i blodtrykket, og du skal derfor straks kontakte din læge eller tage på skadestue.
English: In vitro studies have shown that aclidinium or its metabolites are not substrates or inhibitors of P-glycoprotein.
Danish: In vitro-studier har vist, at aclidinium eller dets metabolitter ikke er substrater eller hæmmere af P-glykoprotein
English: No pharmacokinetics studies have been performed with aclidinium/formoterol in elderly subjects.
Danish: Der er ikke blevet foretaget farmakokinetiske studier med aclidinium/formoterol hos ældre patienter.
English: The occurrence of blurred vision or dizziness may influence the ability to drive or to use machines.
Danish: En forekomst af sløret syn eller svimmelhed kan påvirke evnen til at føre motorkøretøj eller betjene maskiner.
English: 1.4 Press the orange button all the way down to load your dose (Figure E).
Danish: 1.4 Tryk den orange knap helt i bund for at klargøre din dosis (Figur E).
English: Brimica Genuair demonstrated a rapid onset of action within 5 minutes of the first inhalation relative to placebo (p<0.0001).
Danish: Brimica Genuair viste hurtig virkning, inden for 5 minutter efter første inhalation i forhold til placebo (p<0,0001).
English: The frequencies assigned to the adverse reactions are based on crude incidence rates observed with Brimica Genuair 340 micrograms /12 micrograms in the pooled analysis of randomised, placebo-controlled Phase III clinical studies of at least six months duration, or on experience with individual components.
Danish: De hyppigheder, der tildeles bivirkningerne, er baseret på rå incidensrater observeret med Brimica Genuair 340 mikrogram/12 mikrogram i den poolede analyse af randomiserede, placebokontrollerede kliniske fase III-studier af mindst seks måneders varighed eller på erfaring med enkeltstofferne.
English: The major part of a dose of formoterol is transformed by liver metabolism followed by renal elimination.
Danish: Størstedelen af en dosis formoterol transformeres ved metabolisering i leveren efterfulgt af udskillelse i nyrerne.
English: If you forget to use Brimica Genuair
Danish: Hvis du har glemt at bruge Brimica Genuair
English: Getting Started:
Danish: Før opstart:
English: Insomnia Anxiety
Danish: Søvnløshed Ængstelse
English: Pull off the cap by lightly squeezing the arrows marked on each side (Figure B).
Danish: Træk hætten af ved at trykke let på de markerede pile på hver side (Figur B).
English: In addition, Brimica Genuair statistically significantly delayed the time to first moderate or severe exacerbation compared to placebo (hazard ratio=0.70; p=0.027).
Danish: Brimica Genuair forsinkede desuden på statistisk signifikant vis tiden til første moderate eller svære eksacerbation sammenlignet med placebo (risikoforhold=0,70; p=0,027).
English: No clinically relevant effects of Brimica Genuair on ECG parameters (including QT-interval) compared with aclidinium, formoterol and placebo were seen in Phase III studies of 6 to 12 months duration conducted in approximately 4,000 patients with COPD.
Danish: Der sås ingen klinisk relevant effekt af Brimica Genuair på EKG-parametre (herunder QT-interval) sammenlignet med aclidinium, formoterol og placebo i fase III-studier med 6 til 12 måneders varighed gennemført hos cirka 4.000 patienter med KOL.
English: FEV1 at 1 hour post-dose and trough FEV1 (compared to aclidinium 400 micrograms and formoterol 12 micrograms, respectively) were defined as co-primary endpoints in both 6-month pivotal Phase III studies to demonstrate the bronchodilator contributions of formoterol and aclidinium in Brimica Genuair, respectively.
Danish: FEV1 1 time efter dosis og trough FEV1 (sammenlignet med henholdsvis aclidinium 400 mikrogram og formoterol 12 mikrogram) blev defineret som co-primære endepunkter i begge 6-måneders pivotale fase III-studier for at påvise henholdsvis formoterols og aclidiniums bronkodilaterende bidrag i Brimica Genuair.
English: Following intravenous administration of radiolabelled aclidinium 400 micrograms to healthy subjects, approximately 1% of the dose was excreted as unchanged aclidinium bromide in the urine.
Danish: Efter intravenøs administration af 400 mikrogram radioaktivt mærket aclidinium til raske forsøgspersoner, blev cirka 1 % af dosen udskilt som uændret aclidiniumbromid i urinen.
English: Symptom relief and disease-specific health status benefits
Danish: Sygdomsspecifik helbredsstatus og symptomatiske fordele
English: Efficacy was assessed by measures of lung function, symptomatic outcomes, disease-specific health status, rescue medication use, and exacerbations.
Danish: Effekten blev vurderet ved målinger af lungefunktion, symptomatiske resultater, sygdomsspecifik helbredstilstand, brug af anfaldsmedicin og eksacerbationer.
English: A. MANUFACTURER(S) RESPONSIBLE FOR BATCH RELEASE
Danish: A. FREMSTILLER ANDSVARLIG FOR BATCHFRIGIVELSE
English: There are no data regarding the specific use of aclidinium/formoterol in patients with renal or hepatic impairment.
Danish: Der foreligger ingen data om den konkrete anvendelse af aclidinium/formoterol hos patienter med nedsat nyre- eller leverfunktion.
English: Cardiovascular effects
Danish: Kardiovaskulære bivirkninger
English: Following inhalation of aclidinium 200 micrograms and 400 micrograms by healthy subjects or patients with COPD, the urinary excretion of unchanged aclidinium was very low at about 0.1% of the administered dose, indicating that renal clearance plays a minor role in the total aclidinium clearance from plasma.
Danish: Efter inhalation af 200 mikrogram og 400 mikrogram aclidinium hos raske forsøgspersoner eller patienter med KOL var udskillelsen af uomdannet aclidinium i urinen meget lav på cirka 0,1 % af den administrerede dosis, hvilket indikerer, at clearance i nyrerne spiller en mindre rolle i den samlede clearance af aclidinium fra plasma.
English: Clinical efficacy studies showed that Brimica Genuair provides clinically meaningful improvements in lung function (as measured by the forced expiratory volume in 1 second [FEV1]) over 12 hours following administration.
Danish: Kliniske studier viser, at Brimica Genuair medfører klinisk relevante forbedringer i lungefunktion (målt ved forceret ekspiratorisk volumen på 1 sekund [FEV1]) over 12 timer efter administration.
English: Orange button
Danish: Orange knap
English: COPD exacerbation reductions
Danish: Reduktioner af KOL-eksacerbationer
English: White or almost white powder in a white inhaler with an integral dose indicator and an orange dosage button.
Danish: Hvidt eller næsten hvidt pulver i en hvid inhalator med en indbygget dosisindikator og en orange doseringsknap.
English: Rare (may affect up to 1 in 1,000 people) - Sudden difficulty in breathing or swallowing, swelling of the tongue, throat, lips or face, skin rash and/or itching - these may be signs of an allergic reaction
Danish: Sjælden (kan forekomme hos op 1 ud af 1.000 mennesker) - Pludselige vanskeligheder med at trække vejret eller synke, hævelse af tunge, hals, læber eller ansigt, hududslæt og/eller kløe - dette kan være tegn på en allergisk reaktion.
English: Studies in animals have shown foetotoxicity only at dose levels much higher than the maximum human exposure to aclidinium and adverse effects in reproduction studies with formoterol at very high systemic exposure levels (see section 5.3).
Danish: Dyrestudier har kun vist føtotoksicitet ved dosisniveauer, som er meget højere end den maksimale humane eksponering over for aclidinium, og bivirkninger i reproduktionsstudier med formoterol ved meget høje systemiske eksponeringsniveauer (se pkt.
English: Following inhalation of a single dose of Brimica Genuair 340/12 micrograms, aclidinium and formoterol were rapidly absorbed into plasma, reaching peak plasma concentrations within 5 minutes of inhalation in healthy subjects and within 24 minutes of inhalation in patients with COPD.
Danish: Efter inhalation af en enkelt dosis Brimica Genuair 340/12 mikrogram blev aclidinium og formoterol hurtigt absorberet i plasma og nåede en maksimal plasmakoncentration inden for 5 minutter efter inhalation hos raske forsøgspersoner og inden for 24 minutter efter inhalation hos patienter med KOL.
English: Pooled efficacy analysis of the two 6-month Phase III studies demonstrated a statistically significant reduction of 29% in the rate of moderate or severe exacerbations (requiring treatment with antibiotics or corticosteroids or resulting in hospitalisations) with Brimica Genuair compared to placebo (rates per patient per year: 0.29 vs. 0.42, respectively; p=0.036).
Danish: Samlet effektanalyse af de to 6-måneders fase III-studier viste en statistisk signifikant reduktion på 29 % i antallet af moderate eller svære eksacerbationer (som krævede behandling med antibiotika eller kortikosteroider eller resulterede i hospitalsindlæggelser) ved Brimica Genuair sammenlignet med placebo (hyppighed per patient per år: hhv. 0,29 vs. 0,42; p=0,036).
English: - develop tightness of the chest, coughing, wheeing or breathlessness immediately after using the medicine.
Danish: - udvikler trykken for brystet, hoste, hvæsende vejrtrækning eller kortåndethed umiddelbart efter brug af lægemidlet.
English: Similarly, in pooled clinical studies with Duaklir Genuair/Brimica Genuair and its mono-component, ‘peripheral oedema' was numerically less common on the active treatment than on placebo.
Danish: Ligeledes var "perifert ødem" i de samlede kliniske studier med Duaklir Genuair/Brimica Genuair og enkeltstofferne numerisk mindre almindelig for den aktive behandling end for placebo.
English: In vitro studies have shown that aclidinium at the therapeutic dose or its metabolites do not inhibit or induce any of the cytochrome P450 (CYP450) enzymes and do not inhibit esterases (carboxylesterase, acetylcholinesterase and butyrylcholinesterase).
Danish: In vitro-studier har vist, at aclidinium ved den terapeutiske dosis eller dets metabolitter ikke hæmmer eller inducerer cytokrom P450-enzymer (CYP450) og ikke hæmmer esteraser (carboxylesterase, acetylcholinesterase og butyrylcholinesterase).
English: Infectious and infestations
Danish: Infektioner og parasitære sygdomme
English: In vitro studies have shown that aclidinium or its metabolites at the therapeutic dose are not expected to cause interactions with P-glycoprotein (P-gp) substrate drugs or drugs metabolised by cytochrome P450 (CYP450) enzymes and esterases.
Danish: In vitro-undersøgelser har vist, at aclidinium eller dets metabolitter ved den terapeutiske dosis ikke forventes at forårsage interaktioner med P-glykoprotein (P-gp)-substrat-lægemidler eller lægemidler metaboliseret af cytokrom P450 (CYP450)-enzymer og esteraser.