FrancophonIA/ELRC3.0 huggingface dataset:
English: Early in the procedure, the MAH proposed to remove some indications in which amoxicillin is no longer considered suitable and therefore are not discussed in the report.
Slovenian: Na začetku postopka je imetnik dovoljenja za promet z zdravilom predlagal odstranitev nekaterih indikacij, pri katerih amoksicilin ni več primeren, zato jih ni obravnaval v poročilu.
English: While all the clinical trials conducted in this indication are not recent, a number of recent clinical guidelines recommend the use of amoxicillin in urinary tract infections indications.
Slovenian: Medtem ko niso vsa klinična preskušanja, izvedena za to indikacijo, novejša, številne novejše klinične smernice priporočajo uporabo amoksicilina pri indikacijah okužbe sečil.
English: • The committee considered the identified divergences for Amoxil and associated names, for the indications, posology, contraindications, special warnings and precaution for use, as well as the remaining sections of the SmPC, labelling and package leaflet.
Slovenian: • odbor je upošteval ugotovljena razhajanja za zdravila Amoxil in povezana imena za indikacije, odmerjanje, kontraindikacije, posebna opozorila in previdnostne ukrepe ter preostala poglavja povzetka glavnih značilnosti zdravila, označevanja in navodila za uporabo;
English: Furthermore many reviews and recommendations in the literature, together with consensus and evidence based treatment guidelines, consider amoxicillin to be an important therapeutic option in the treatment of adult and paediatric bacterial meningitis.
Slovenian: Poleg tega v mnogih pregledih in priporočilih iz literature, vključno s soglasno odobrenimi in na dokazih temelječimi smernicami za zdravljenje, menijo, da je amoksicilin pomembna možnost zdravljenja bakterijskega meningitisa pri odraslih in pediatrični populaciji.
English: Recently updated international guidelines support the use of amoxicillin in prophylaxis of infectious endocarditis for patients at higher risk.
Slovenian: Nedavno posodobljene mednarodne smernice podpirajo uporabo amoksicilina za profilakso proti infekcijskemu endokarditisu pri bolnikih, izpostavljenih povečanemu tveganju.
English: The MAH presented five randomised double blind trials conducted between 1981 and 1989 comparing the efficacy of amoxicillin to other antibiotics, one open study, 9 non-comparative studies and a review in patients with various acute skin infections.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predstavil pet randomiziranih, dvojno slepih preskušanj, izvedenih med letoma 1981 in 1989, ki so primerjala učinkovitost amoksicilina z drugimi antibiotiki, eno odprto študijo, 9 neprimerjalnih študij in pregled pri bolnikih z različnimi akutnimi kožnimi okužbami.
English: Separated dosing recommendations are provided for the oral, parenteral and intramuscular formulations for adults and children above 40kg, for children below 40kg, for patients with renal impairment including those under haemodialysis.
Slovenian: Pri odmerjanju je treba navesti ločena priporočila za peroralne, parenteralne in intramuskularne formulacije za odrasle ter otroke s telesno maso, večjo od 40 kg, otroke s telesno maso, manjšo od 40 kg, bolnike z okvarjenim delovanjem ledvic, vključno z bolniki na hemodializi.
English: Other contraindications, in patients with infectious mononucleosis, in combination with methotrexate and in patients with acute lymphocytic leukaemia were in place in a few member states.
Slovenian: V nekaterih državah članicah so vključene druge kontraindikacije, tj. pri bolnikih z infekcijsko mononukleozo, v kombinaciji z metotreksatom in pri bolnikih z akutno limfoblastno levkemijo.
English: Bacterial meningitis - Parenteral formulation
Slovenian: Bakterijski meningitis - parenteralna formulacija
English: Many clinical trials have demonstrated that amoxicillin is as efficacious and well tolerated when the total daily dose is divided in two doses as when divided in three doses.
Slovenian: V mnogih kliničnih preskušanjih so pokazali, da je amoksicilin enako učinkovit in ga bolniki dobro prenašajo, če se skupni dnevni odmerek razdeli na dva ali tri odmerke.
English: The harmonised dossier was provided for the active substance (amoxicillin sodium and amoxicillin trihydrate) and for the different formulations of the finished product containing this substance.
Slovenian: Za zdravilno učinkovino (natrijev amoksicilin in amoksicilinijev trihidrat) in različne formulacije končnega zdravila, ki vsebuje to snov, so predložili usklajeno dokumentacijo.
English: The CHMP accepted the MAH proposal for a harmonised wording including information on possible gastrointestinal symptoms, crystalluria, with the addition of the potential the risk of seizures.
Slovenian: Odbor CHMP je sprejel predlog imetnika dovoljenja za promet z zdravilom glede usklajenega besedila, vključno z informacijami o morebitnih prebavnih simptomih, kristaluriji, pri čemer je treba dodati morebitno tveganje epileptičnih napadov.
English: The proposed wording from the MAH was accepted with minor clarifications and available information on effect on fertility was requested to be included.
Slovenian: Odbor je sprejel predlagano besedilo imetnika dovoljenja za promet z zdravilom in uvedel manjša pojasnila ter zahteval vključitev razpoložljivih podatkov o učinku na plodnost.
English: Helicobacter pylori eradication - oral formulations
Slovenian: Eradikacija Helicobacter pylori - peroralne formulacije
English: In the paediatric studies submitted, amoxicillin showed comparable efficacy to that of the comparators and comparable responses rates to that seen in adults, better greater efficacy was seen with the higher doses.
Slovenian: V predloženih pediatričnih študijah so pokazali, da ima amoksicilin primerljivo učinkovitost kot primerjalna zdravila in primerljive odzive kot pri odraslih, pri tem pa so večjo učinkovitost opazili pri večjih odmerkih.
English: The indication “dental abscess with spreading cellulitis” for the oral formulation and “severe dental abscess with spreading cellulitis” for the parenteral formulation was therefore considered acceptable by CHMP.
Slovenian: Odbor CHMP je zato menil, da sta indikaciji „zobni absces s širjenjem celulitisa“ za peroralno formulacijo in „hud zobni absces s širjenjem celulitisa“ za parenteralno formulacijo sprejemljivi.
English: Amoxicillin treatment is furthermore mentioned in several European national and Pan European consensus and evidence based guidelines national and for Lyme disease including disseminated Lyme disease and Lyme arthritis.
Slovenian: Zdravljenje z amoksicilinom je omenjeno tudi v več evropskih nacionalnih in panevropskih soglasno oblikovanih in na dokazih temelječih smernicah za lymsko boreliozo, vključno z diseminirano lymsko boreliozo in lymskim artritisom.
English: Considering that meningitis is a relatively rare infection, and that several guidelines recommend the use of amoxicillin in meningitis, the CHMP considered that taken altogether the data provided supports the use of amoxicillin in this indication.
Slovenian: Ker je meningitis razmeroma redka okužba in mnoge smernice priporočajo uporabo amoksicilina za zdravljenje meningitisa, je odbor CHMP menil, da skupni predloženi podatki podpirajo uporabo amoksicilina pri tej indikaciji.
English: Amoxil contains amoxicillin (as amoxicillin sodium or amoxicillin trihydrate), a moderate-spectrum, bacteriolytic, β-lactam antibiotic used to treat bacterial infections caused by susceptible microorganisms.
Slovenian: Zdravilo Amoxil vsebuje amoksicilin (v obliki natrijevega amoksicilina ali amoksicilinijevega trihidrata), bakteriolitični, betalaktamski antibiotik zmernega spektra, ki se uporablja za zdravljenje bakterijskih okužb, ki jih povzročajo občutljivi mikroorganizmi.
English: Therefore the CMHP was of the view that this indication was acceptable for amoxicillin but in view of the increasingly high resistance rates, requested to cross refer to additional information in section 4.4 regarding the need for the pathogen to be known or strongly suspected as susceptible to amoxicillin before treatment initiation.
Slovenian: Odbor CHMP je zato menil, da je ta indikacija za amoksicilin sprejemljiva, vendar je zaradi vedno večjih deležev odpornosti zahteval navzkrižno referenco na dodatne informacije v poglavju 4.4 glede potrebe, da mora biti pred uvedbo zdravljenja znano ali zelo verjetno, da je patogen občutljiv na amoksicilin.
English: The doses recommended in various national SmPCs in adults and children above 40kg range from 250mg - 1mg TID, expressed differently and are comprised in the proposed harmonised posology.
Slovenian: Priporočeni odmerki v različnih nacionalnih povzetkih glavnih značilnosti zdravila pri odraslih in otrocih s telesno maso, večjo od 40 mg, so od 250 mg do 1 g trikrat na dan, izraženi različno, in so vključeni v predlagano usklajeno odmerjanje.
English: In addition, the MAH presented three studies on the efficacy of amoxicillin in the prevention of bacteraemia following dental extractions, an open study and two case studies of amoxicillin in treatment of endocarditis.
Slovenian: Poleg tega je imetnik dovoljenja za promet z zdravilom predložil tri študije o učinkovitosti amoksicilina pri preprečevanju bakteriemije po ekstrakciji zoba, odprto študijo in dve študiji primerov pri zdravljenju endokarditisa z amoksicilinom.
English: The MAH provided pharmacodynamic and pharmacokinetic data in animal models (a study in rats and another one in rabbits), children (five studies) and adults (two studies) which demonstrated a good penetration of amoxicillin in the cerebrospinal fluid (CSF).
Slovenian: Imetnik dovoljenja za promet z zdravilom je predložil farmakokinetične in farmakodinamične podatke na podlagi živalskih modelov (enega pri podganah in enega pri kuncih), za otroke (pet študij) ter odrasle (dve študiji), ki so pokazali dobro prodiranje amoksicilina v cerebrospinalno tekočino.
English: (Severe) dental abscess with spreading cellulitis- all formulations
Slovenian: (Hud) zobni absces s širjenjem celulitisa - vse formulacije
English: The MAH proposed a harmonised set of indications on the different indication authorised in the MSs, however when single broad indications (e.g. infections caused by amoxicillin-sensitive organisms) were approved these were not taken into account.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predlagal usklajeni niz indikacij glede na različne indikacije, odobrene v državah članicah, vendar ta ni bil upoštevan ob odobritvi posameznih širokih indikacij (npr. okužbe, ki jih povzročajo za amoksicilin občutljivi organizmi).
English: The paucity of good quality clinical trials is acknowledged, however the few controlled and uncontrolled studies show the efficacy of amoxicillin for the treatment of bacterial meningitis, particularly when the pathogen is known to be susceptible to amoxicillin.
Slovenian: Upoštevano je bilo, da je kliničnih preskušanj dobre kakovosti malo, vendar je nekaj nadzorovanih in nenadzorovanih študij pokazalo učinkovitost amoksicilina pri zdravljenja bakterijskega meningitisa, predvsem kadar je znano, da je patogen občutljiv na amoksicilin.
English: The use of varying dose regimens showed efficacy rates of around 90% in majority of the trials, with efficacy comparable to the comparators.
Slovenian: Z uporabo različnih režimov odmerjanja so v večini preskušanj pokazali približno 90-odstotne stopnje učinkovitosti, ki je bila primerljiva s primerjalnimi zdravili.
English: The CHMP was of the view that amoxicillin remains an effective treatment for acute bacterial sinusitis.
Slovenian: Odbor CHMP je menil, da amoksicilin ostaja učinkovito zdravljenje pri akutnem bakterijskem sinusitisu.
English: The indication “genitourinary tract infections” is approved in all countries where Amoxil has a marketing authorisation, however only 7 used this general indication.
Slovenian: Indikacija „okužbe sečil in spolovil“ je odobrena v vseh državah, kjer ima zdravilo Amoxil dovoljenja za promet, vendar to splošno indikacijo uporablja samo 7 držav.
English: This clinical data, while limited, supports the efficacy of amoxicillin in prevention of bacteraemia as well as in treatment of infectious endocarditis.
Slovenian: Ti omejeni klinični podatki podpirajo učinkovitost amoksicilina pri preprečevanju bakteriemije in zdravljenju infekcijskega endokarditisa.
English: In line with the Guideline on the evaluation of medicinal products indicated for treatment of bacterial infections (CPMP/EWP/558/95 rev 2) the MAH was requested to provide the dose regimen and the duration of treatment courses tabulated by indication.
Slovenian: Skladno s Smernico za ocenjevanje zdravil, indiciranih za zdravljenje bakterijskih okužb (CPMP/EWP/558/95 rev. 2) so imetnika dovoljenja za promet z zdravilom prosili, naj predloži režim odmerjanja in trajanje ciklov zdravljenja v obliki preglednice po posameznih indikacijah.
English: Therefore the CHMP considered this specific indication acceptable.
Slovenian: Odbor CHMP je zato menil, da je ta specifična indikacija sprejemljiva.
English: • In addition, the committee reviewed the documentation submitted by the MAH in support of the proposed harmonised Quality documentation (Module 3).
Slovenian: • odbor je prav tako pregledal dokumentacijo, ki jo je kot podporo predlagani usklajeni dokumentaciji o kakovosti (Modul 3) predložil imetnik dovoljenja za promet z zdravilom;
English: The CHMP requested that the warning of the potential occurrence of seizures in patients treated with high doses or with renal insufficiency or seizures history, treated epilepsy and meningeal damage present in one MS, be maintained as related adverse experiences such as myoclonic activity and seizures have been reported with beta-lactam antibiotics.
Slovenian: Odbor CHMP je zahteval, naj se opozorilo glede morebitnih epileptičnih napadov pri bolnikih, zdravljenih z velikimi odmerki, ali bolnikih z okvarjenim delovanjem ledvic ali epileptičnimi napadi v anamnezi, zdravljeno epilepsijo in poškodbo mening, ki je prisotno v eni državi članici, ohrani, saj so o povezanih neželenih izkušnjah, kot so mioklonična aktivnost in epileptični napadi, poročali pri betalaktamskih antibiotikih.
English: The CHMP considered that these studies demonstrated that amoxicillin continues to be an efficacious treatment for CAP.
Slovenian: Odbor CHMP je menil, da so te študije pokazale, da amoksicilin ostaja učinkovito zdravljenje ZBP.
English: Female genital infection - parenteral formulation
Slovenian: Okužba ženskih spolovil - parenteralna formulacija
English: In addition the MAH presented an open study in 30 adults comparing amoxicillin (1 g amoxicillin four-times daily) to chloramphenicol (1g TID until defervesence followed by 500 mg four times a day (QID) for one week), a study comparing the efficacy of 3 g oral amoxicillin daily to 2 g oral amoxicillin given with 1 g probenecid in 8 patients and two open label, noncomparative studies in 12 and 7 patients that further supported use in this indication.
Slovenian: Poleg tega je imetnik dovoljenja za promet z zdravilom predstavil odprto študijo pri 30 odraslih, ki je primerjala amoksicilin (1 g amoksicilina štirikrat na dan) s kloramfenikolom (1 g trikrat na dan do padca telesne temperature, čemur sledi 500 mg štirikrat na dan en teden), študijo, ki je primerjala učinkovitost 3 g peroralnega amoksicilina na dan z 2 g peroralnega amoksicilina v kombinaciji z 1 g probenecida pri 8 bolnikih, ter dve odprti, neprimerjalni študiji pri 12 oziroma 7 bolnikih, ki so dodatno podprle uporabo pri tej indikaciji.
English: The MAH provided data demonstrating that amoxicillin achieves good tissue penetration and has been used for the treatment of bacteraemia, associated with a number of its approved indications.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predložil podatke, ki so pokazali, da amoksicilin dosega dobro prehajanje v tkiva in da so ga uporabljali za zdravljenje bakteriemije, povezane s številnimi odobrenimi indikacijami.
English: The MAH presented 4 clinical trials, comparing the efficacy of oral amoxicillin to chloramphenicol or ampicillin in adults and children.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predstavil 4 klinična preskušanja, ki so primerjala učinkovitost peroralnega amoksicilina s kloramfenikolom ali ampicilinom pri odraslih in otrocih.
English: The MAH has provided a number of controlled clinical trials in adults and children with amoxicillin generally in triple therapy as first (9 trials including one specifically in children and a meta-analysis of 22 studies), second (4 trials) and to a lesser extent third (1 trial) line, further supported by uncontrolled studies.
Slovenian: Imetnik dovoljenja za promet z zdravilom je predložil številna nadzorovana klinična preskušanja z amoksicilinom pri odraslih in otrocih, navadno v obliki trojne terapije: prve izbire (9 preskušanj, vključno z enim samo pri otrocih, in metaanaliza 22 študij), druge izbire (4 preskušanja) ter v manjši meri tretje izbire (eno preskušanje), ki so dodatno podprta z nenadzorovanimi študijami.
English: In line with the SmPC guideline the adverse events that may however occur and could influence the ability to drive or use machines are listed in the section; this was accepted by the CHMP.
Slovenian: Skladno s smernico za povzetek glavnih značilnosti zdravila pa so v tem poglavju navedeni neželeni učinki, ki se lahko pojavijo in vplivajo na sposobnost vožnje in upravljanja strojev; odbor CHMP je to sprejel.
English: Only the contraindications around hypersensitivity to the active substance (or any of the penicillins and beta-lactam agents) and the excipients are harmonised.
Slovenian: Usklajene so samo kontraindikacije glede preobčutljivosti na zdravilno učinkovino (ali katere koli penicilinske ter betalaktamske antibiotike) in pomožne snovi.
English: Although the MAH has submitted a limited number of studies, those demonstrate the efficacy of amoxicillin when the susceptibility of the bacterium is known.
Slovenian: Čeprav je imetnik dovoljenja za promet z zdravilom predložil omejeno število študij, so te dokazale učinkovitost amoksicilina, kadar je znana občutljivost bakterije.
English: The CHMP accepted the MAH proposal when it was adequately specified by infection site as detailed below for oral and parenteral formulations.
Slovenian: Odbor CHMP je sprejel predlog imetnika dovoljenja za promet z zdravilom, da je treba indikacijo ustrezno opredeliti glede na mesto okužbe, kot je podrobno opisano spodaj za peroralne in parenteralne formulacije.
English: Treatment with oral amoxicillin at a dose 1000mg TID or 500mg TID for 7 to 10 days produced similar results to other antibiotics with clinical response rates ranging from 86% to 90% and bacteriological response rates ranging from 82% to 92%.
Slovenian: Pri zdravljenju s peroralnim amoksicilinom v odmerku 1000 mg trikrat na dan ali 500 mg trikrat na dan, 7 do 10 dni, so ugotovili podobne rezultate kot pri drugih antibiotikih, pri čemer je bil delež kliničnega odziva od 86 do 90 %, delež bakteriološkega odziva pa od 82 do 92 %.
English: Although there is a paucity of clinical studies in adult AOM patients, taking into account the similarity in bacteriological aetiology and pathogenesis of adult sinusitis and AOM, it was considered that the clinical data demonstrating that amoxicillin is an effective treatment in ABS can be extrapolated to support efficacy of amoxicillin in the treatment of adult AOM.
Slovenian: Čeprav je kliničnih študij pri odraslih bolnikih z akutnim vnetjem srednjega ušesa malo, so glede na podobnost bakteriološke etiologije in patogeneze pri odraslih s sinusitisom in akutnim vnetjem srednjega ušesa menili, da je mogoče klinične podatke, ki dokazujejo, da je amoksicilin učinkovito zdravljenje proti akutnemu bakterijskemu sinusitisu, ekstrapolirati tako, da podpirajo učinkovitost amoksicilina pri zdravljenju odraslih z akutnim vnetjem srednjega ušesa.
English: Amoxil is indicated in both adults and children for the oral and parenteral treatment of many common infections, including bone/joint, skin/soft tissue and those of the urinary, respiratory, gastrointestinal and genital tracts.
Slovenian: Zdravilo Amoxil je indicirano pri odraslih in otrocih za peroralno ter parenteralno zdravljenje mnogih pogostih okužb, vključno z okužbami kosti/sklepov, kože/mehkega tkiva, sečil, dihal, prebavil in spolovil.
English: However several retrospective studies point to indicate a good efficacy in the treatment of prosthetic joints infections.
Slovenian: Vendar več retrospektivnih študij kaže na dobro učinkovitost pri zdravljenju okužb protetičnih sklepov.
English: Lyme disease- all formulations
Slovenian: Lymska borelioza - vse formulacije
English: The variability across member states linked to the prevailing background level of resistance is reflected in those recommendations.
Slovenian: Ta priporočila se nanašajo na razlike med državami članicami, povezane s prevladujočo osnovno stopnjo odpornosti.
English: As this section was not included in national SmPCs, the MAH proposal for a general wording considering the SmPC of the fixed combination amoxicillin/clavulanic SmPC (EMEA/H/A-30/979) was accepted by the CHMP with minor modifications.
Slovenian: Ker to poglavje ni bilo vključeno v nacionalne povzetke glavnih značilnosti zdravila, je odbor CHMP sprejel priporočila imetnika dovoljenja za promet z zdravilom glede splošnega besedila, ki se nanaša na povzetek glavnih značilnosti zdravila za fiksno kombinacijo amoksicilina/klavulanske kisline (EMEA/H/A-30/979), pri tem pa vključil manjše spremembe.
English: Most of the existing statements on interactions across the MSs were considered supported (probenecid, allopurinol, tetracyclines, oral anticoagulants, methotrexate) and the MAH's proposed harmonised wording was accepted by the CHMP.
Slovenian: Odbor CHMP je menil, da je večina obstoječih izjav o interakcijah v državah članicah podprta (probenecid, alopurinol, tetraciklini, peroralni antikoagulanti, metotreksat) in da je usklajeno besedilo, ki ga je predlagal imetnik dovoljenja za promet z zdravilom, sprejemljivo.
English: Acute bacterial sinusitis (ABS) - oral formulations
Slovenian: Akutni bakterijski sinusitis (ABS) - peroralne formulacije
English: In addition the MAH presented 4 clinical studies conducted between 1990 and 2005 in patients with dentoalveolar abscesses of different severity and an outcome audit to determine the influence of different antibiotic therapy on outcome treatment of acute dentoalveolar infection.
Slovenian: Poleg tega je imetnik dovoljenja za promet z zdravilom predložil 4 klinične študije, izvedene med letoma 1990 in 2005 pri bolnikih z abscesom zobne alveole različnih resnosti, in revizijo izidov za določitev vpliva različnih oblik zdravljenja z antibiotiki na izid zdravljenja akutne okužbe zobne alveole.
English: In clinical trials amoxicillin given either at a dose of 1000mg twice a day (BID) or at a dose of 500mg BID or three times a day (TID) was found to have similar response rates to the comparators (successful clinical and microbiological outcomes in ≥81% and ≥ 85% of patients, respectively).
Slovenian: V kliničnih preskušanjih, v katerih so amoksicilin dajali v odmerku 1000 mg dvakrat na dan ali 500 mg dvakrat na dan oziroma trikrat na dan, so ugotovili podobne stopnje odziva kot pri primerjalnih zdravilih (uspešni klinični in mikrobiološki izidi pri ≥ 81 % oziroma ≥ 85 % bolnikov).
English: Acute streptococcal tonsillitis and pharyngitis - oral formulations
Slovenian: Akutni streptokokni tonzilitis in faringitis - peroralne formulacije
English: While there is a paucity of clinical studies that evaluated antibiotic therapy in late stages of Lyme disease, the MAH provided three studies investigating the efficacy of amoxicillin in treatment of stages II/III Lyme disease.
Slovenian: Čeprav je kliničnih študij, ki so ocenjevale antibiotično zdravljenje poznih faz lymske borelioze, malo, je imetnik dovoljenja za promet z zdravilom predložil tri študije, ki so preučevale učinkovitost amoksicilina pri zdravljenju lymske borelioze faze II/III.