FrancophonIA/ELRC3.0 huggingface dataset:
English: A large multicentre study (n=2006) investigating long-term outcome of premature infants treated with caffeine citrate (see section 5.1) did not show an increased frequency of necrotising enterocolitis in the caffeine group when compared to placebo.
Slovenian: Velika multicentrična študija (n = 2006), v kateri so preiskovali dolgoročni izid pri nedonošenčkih, zdravljenih s kofeinijevim citratom (glejte poglavje 5.1), ni pokazala zvečane pogostnosti nekrotizirajočega enterokolitisa v skupini, ki je prejemala kofein, v primerjavi s skupino,
English: The recommended loading dose and maintenance doses of caffeine citrate are provided in the following table which clarifies the relationship between injection volumes and administered doses expressed as caffeine citrate.
Slovenian: Priporočeni začetni odmerek in vzdrževalni odmerki kofeinijevega citrata so navedeni v spodnji preglednici, ki pojasnjuje razmerja med volumni injekcije in odmerjenimi odmerki, izraženimi kot kofeinijev citrat.
English: Some of the doses (maintenance doses) may be given by mouth.
Slovenian: Nekaj odmerkov (vzdrževalni odmerki) se lahko da tudi peroralno.
English: Prior to starting treatment for apnoea of prematurity with Peyona other causes of apnoea should have been excluded or properly treated by your baby's doctor.
Slovenian: Pred začetkom zdravljenja apneje z zdravilom Peyona zaradi prezgodnjega rojstva je treba druge vzroke za apnejo izključiti ali jih mora otrokov zdravnik ustrezno pozdraviti.
English: In newborn infants, caffeine clearance is almost entirely by renal excretion.
Slovenian: Pri novorojenčkih poteka očistek kofeina skoraj v celoti z izločanjem skozi ledvice.
English: The diagnosis of apnoea of prematurity may need to be reconsidered if patients do not respond adequately to a second loading dose or maintenance dose of 10 mg/kg/day (see section 4.4).
Slovenian: O diagnozi apneje zaradi prezgodnjega rojstva je treba razmisliti pri bolnikih, ki se ne odzovejo zadostno na drugi začetni odmerek ali vzdrževalni odmerek v višini 10 mg/kg/dan (glejte poglavje 4.4).
English: − infants who have previously been treated with theophylline, which is metabolized to caffeine.
Slovenian: − dojenčkih, ki so bili predhodno zdravljeni s teofilinom, ki se presnovi v kofein
English: If your newborn receives more Peyona than he/she should
Slovenian: Če vaš novorojenček dobi večji odmerek zdravila Peyona, kot bi smel
English: In the presence of significant renal impairment, considering the increased potential for accumulation, a reduced daily maintenance dose of caffeine is required and the doses should be guided by blood caffeine measurements.
Slovenian: V prisotnosti znatne ledvične okvare je treba ob upoštevanju večje možnosti nalaganja zmanjšati dnevni vzdrževalni odmerek in odmerek prilagoditi glede na izmerjene ravni kofeina v krvi.
English: Higher maintenance doses of 10 mg/kg body weight could be considered in case of insufficient response, taking into account the potential for accumulation of caffeine due to the long half- life in preterm newborn infants and the progressively increasing capacity to metabolise caffeine in relation to post-menstrual age (see section 5.2).
Slovenian: O uporabi večjih vzdrževalnih odmerkov, kot je 10 mg/kg telesne mase, se lahko razmišlja v primeru nezadostnega odziva, pri tem pa je treba upoštevati možnost kopičenja kofeina zaradi dolgega razpolovnega časa pri nedonošenih novorojenčkih in progresivno večjo kapaciteto metabolizma kofeina v razmerju do postmenstruacijske starosti (glejte poglavje 5.2).
English: How to use Peyona
Slovenian: Kako uporabljati zdravilo Peyona
English: - If you have further questions, please ask your baby's doctor.
Slovenian: - Če imate dodatna vprašanja, se posvetujte z otrokovim zdravnikom.
English: Although a therapeutic plasma concentration range of caffeine has not been determined in the literature, caffeine levels in studies associated with clinical benefit ranged from 8 to 30 mg/l and no safety concerns have normally been raised with plasma levels below 50 mg/l.
Slovenian: Čeprav razpona terapevtskih koncentracij kofeina v plazmi v literaturi niso določili, so bile ravni kofeina, povezane s kliničnimi koristmi, v razponu od 8 do 30 mg/l, ravni kofeina v plazmi pod 50 mg/l pa navadno niso bile zaskrbljujoče.
English: Therefore, caffeine citrate should be used with caution in newborns with known cardiovascular disease.
Slovenian: Zato je treba kofeinijev citrat uporabljati previdno pri novorojenčkih z znano kardiovaskularno boleznijo.
English: Breast-feeding mothers of newborn infants treated with caffeine citrate should not ingest caffeinecontaining foods, beverages or medicinal products containing caffeine.
Slovenian: Doječe matere novorojenčkov, zdravljenih s kofeinijevim citratom, naj ne uživajo hrane, pijače ali zdravil, ki vsebujejo kofein.
English: The doctor may need to adjust the dose or change one of the medicines to something else: - theophylline (used to treat breathing difficulties) - doxapram (used to treat breathing difficulties) - cimetidine (used to treat gastric disease) - ketoconazole (used to treat fungine infections) - phenobarbital (used to treat epilepsy) - phenytoin (used to treat epilepsy)
Slovenian: Zdravnik bo morda moral odmerek prilagoditi ali spremeniti katero od izbranih zdravil: - teofilin (uporablja se za zdravljenje težav z dihanjem) - doksapram (uporablja se za zdravljenje težav z dihanjem) - cimetidin (uporablja se za zdravljenje bolezni želodca)
English: There were more days without any apnoea under caffeine citrate treatment (3.0 days, versus 1.2 days for placebo; p=0.005); also, there was a higher percentage of patients with no apnoeas for > 8 days (caffeine 22% versus placebo 0%).
Slovenian: dni za placebo; p = 0,005); prav tako je bil večji odstotek bolnikov brez apnej za > 8 dni (kofein 22 % v primerjavi s placebom 0 %).
English: Ampoules containing discoloured solution or visible particulate matter should be discarded.
Slovenian: Ampule, ki vsebujejo obarvano raztopino ali v kateri plavajo vidni delci, morate zavreči.
English: In the event of this happening treatment with Peyona should be stopped immediately and your baby's doctor should treat the overdose.
Slovenian: V primeru, da se to zgodi, je treba zdravljenje z zdravilom Peyona takoj prekiniti, zdravnik pa mora začeti zdravljenje zaradi prevelikega odmerka.
English: This medicine may increase the risk for serious intestinal disease with bloody stools (necrotising enterocolitis) when administered with medicines used to treat gastric disease (such as antihistamine H2 receptor blockers or proton-pump inhibitors that reduces gastric acid secretion).
Slovenian: Ta zdravila lahko zvišajo tveganje za resne črevesne bolezni s krvavim blatom (nekrotizirajoči enterokolitis), če se uporabljajo skupaj z zdravili za zdravljenje bolezni želodca (kot so zaviralci histaminskih receptorjev H2 ali zaviralci protonske črpalke, ki zmanjšujejo izločanje želodčne kisline).
English: Although few data exist on interactions of caffeine with other active substances in preterm newborn infants, lower doses of caffeine citrate may be needed following co-administration of active substances which are reported to decrease caffeine elimination in adults (e.g., cimetidine and ketoconazole) and higher caffeine citrate doses may be needed following co-administration of active substances that increase caffeine elimination (e.g., phenobarbital and phenytoin).
Slovenian: Čeprav obstaja le malo podatkov o medsebojnem delovanju kofeina z drugimi zdravilnimi učinkovinami pri nedonošenih novorojenčkih, bodo morda potrebni nižji odmerki kofeinijevega citrata po sočasnem dajanju zdravilnih učinkovin, za katere poročajo, da zmanjšujejo izločanje kofeina pri odraslih (npr. cimetidin in ketokonazol) in višji odmerki kofeinijevega citrata po sočasnem dajanju zdravilnih učinkovin, ki zvišujejo izločanje kofeina (npr. fenobarbital in fenitoin).
English: In preterm newborn infants with insufficient clinical response to the recommended loading dose, a second loading dose of 10 -20 mg/kg maximum may be given after 24 hours.
Slovenian: Pri nedonošenih novorojenčkih z nezadostnim kliničnim odzivom na začetni odmerek se lahko po 24 urah odmeri še drugi začetni odmerek, ki znaša največ 10-20 mg/kg.
English: Breast-feeding mothers of newborn infants treated with caffeine citrate should not ingest caffeinecontaining foods and beverages or medicinal products containing caffeine (see section 4.6), since caffeine is excreted into breast milk (see section 5.2).
Slovenian: Doječe matere novorojenčkov, ki jih zdravijo s kofeinijevim citratom, ne smejo uživati hrane in pijače, ki vsebuje kofein ali zdravil, ki vsebujejo kofein (glejte poglavje 4.6), saj se kofein izloča v materino mleko (glejte poglavje 5.2).
English: If the patient has recurrent apnoea, caffeine citrate administration can be restarted with either a maintenance dose or a half loading dose, depending upon the time interval from stopping caffeine citrate to recurrence of apnoea.
Slovenian: Če se pri bolniku apneja ponovi, je mogoče ponovno začeti dajati kofeinijev citrat bodisi v vzdrževalnem odmerku bodisi v polovičnem začetnem odmerku, odvisno od časovnega intervala od prenehanja dajanja kofeinijevega citrata do ponovitve apneje.
English: Your newborn may experience fever, rapid breathing (tachypnoea), jitteriness, muscular tremor vomiting, high blood levels of sugar (hyperglycemia), low blood levels of potassium (hypokalaemia), high blood levels of certain chemicals (urea), elevated number of certain cells (leukocyte) in blood and seizures if he/she receives more caffeine citrate than he/she should.
Slovenian: Pri vašem novorojenčku se lahko pojavijo zvišana telesna temperatura, hitro dihanje (tahipneja), živčnost, trzanje mišic, bruhanje, visoke ravni sladkorja v krvi (hiperglikemija), nizke ravni kalija v krvi (hipokaliemija), visoke ravni nekaterih kemičnih substanc (sečnine) v krvi, zvišano število nekaterih celic (levkocitov) v krvi in epileptični napadi, če dobi več kofeinijevega citrata, kot bi smel.
English: Hepatic caffeine metabolism develops progressively in the weeks following birth and for the older infants, hepatic disease may indicate a need for monitoring caffeine plasma levels and may require dose adjustments (see sections 4.4 and 5.2).
Slovenian: Presnova kofeina v jetrih se postopoma razvija v tednih po rojstvu in za starejše dojenčke lahko bolezen jeter kaže na potrebo po nadziranju ravni kofeina v plazmi in prilagoditev odmerka (glejte poglavji 4.4 in 5.2).
English: However, caffeine metabolism in preterm newborn infants is limited due to their immature hepatic enzyme systems.
Slovenian: Vendar pa je presnova kofeina pri nedonošenih novorojenčkih omejena zaradi njihovih nezrelih jetrnih encimskih sistemov.
English: Treatment should be administered only in a neonatal intensive care unit in which adequate facilities are available for patient surveillance and monitoring.
Slovenian: Zdravljenje mora potekati izključno na oddelku intenzivne nege za novorojenčke, kjer so na voljo ustrezni pripomočki za nadzor in spremljanje bolnika.
English: Solution for infusion Oral solution 10 ampoules
Slovenian: raztopina za infundiranje peroralna raztopina 10 ampul
English: The recommended dose regimen in previously untreated infants is a loading dose of 20 mg caffeine citrate per kg body weight administered by slow intravenous infusion over 30 minutes, using a syringe infusion pump or other metered infusion device.
Slovenian: Priporočeni režim odmerjanja predhodno nezdravljenih dojenčkov je začetni odmerek 20 mg kofeinijevega citrata na kg telesne mase, odmerjan s počasno 30-minutno intravensko infuzijo z infuzijsko črpalko na brizgo ali drugo odmerno infuzijsko napravo.
English: − infants with seizure disorders
Slovenian: − dojenčki z epileptičnimi napadi
English: As bacterial overgrowth in the gut is associated with the development of necrotising enterocolitis, coadministration of caffeine citrate with medicinal products that suppress gastric acid secretion (antihistamine H2 receptor blockers or proton-pump inhibitors) may in theory increase the risk of necrotising enterocolitis (see section 4.4 and 4.8).
Slovenian: Ker je razbohotenje bakterij v črevesju povezano z razvojem nekrotizirajočega enterokolitisa, lahko sočasna uporaba kofeinijevega citrata z zdravili, ki zavirajo izločanje želodčne kisline (zaviralci histaminskih receptorjev H2 ali zaviralci protonske črpalke), teoretično zvečajo tveganje nekrotizirajočega enterokolitisa (glejte poglavji 4.4 in 4.8).
English: The MAH shall agree with the National Competent Authorities the final text of a card suitable for display in neonatal intensive care units.
Slovenian: Imetniki dovoljenja za promet z zdravilom se morajo dogovoriti z nacionalnimi pristojnimi organi glede besedila kartice, primerne za prikazovanje v enotah za intenzivno nego novorojenčkov.
English: Caffeine citrate should be used with caution in infants suffering gastro-oesophageal reflux, as the treatment may exacerbate this condition.
Slovenian: Kofeinijev citrat je treba uporabljati previdno pri dojenčkih, ki imajo gastroezofagalni refluks, saj ga lahko zdravljenje poslabša.
English: Rare reported side effects (may affect up to 1 in 1,000 people) - allergic reactions
Slovenian: Redki neželeni učinki (pojavijo se lahko pri največ 1 od 1.000 bolnikov)
English: Signs and symptoms reported in the literature after caffeine overdose in preterm infants include hyperglycaemia, hypokalaemia, fine tremor of the extremities, restlessness, hypertonia, opisthotonus, tonic clonic movements, seizures, tachypnoea, tachycardia, vomiting, gastric irritation, gastrointestinal haemorrhage, pyrexia, jitteriness, increased blood urea and increased white blood cell count, non-purposeful jaw and lip movements.
Slovenian: Znaki in simptomi, o katerih poročajo v literaturi po prevelikem odmerjanju kofeina pri nedonošenčkih, vključujejo hiperglikemijo, hipokalemijo, rahel tremor okončin, nemir, hipertonijo, opistotonus, tonično-klonične gibe, epileptične napade, tahipnejo, tahikardijo, bruhanje, želodčno draženje, gastrointestinalne krvavitve, pireksijo, živčnost, zvišanje ravni sečnine v krvi in zvišanje števila levkocitov, nepotrebne gibe čeljusti in ustnic.
English: If you (the mother) are breast-feeding while your infant is treated with Peyona, you should not drink coffee or take any other high caffeine product as caffeine passes into breast milk.
Slovenian: Če vi (mati) v času zdravljenja dojenčka z zdravilom Peyona dojite, ne smete piti kave ali jemati drugih izdelkov, ki vsebujejo kofein, saj kofein prehaja v mleko.
English: One case of caffeine overdose complicated by development of intraventricular haemorrhage and long-term neurological sequelae has been reported.
Slovenian: Poročali so o enem primeru prevelikega odmerjanja kofeina z zapletom v razvoju intraventrikularne krvavitve in dolgoročnimi nevrološkimi posledicami.
English: The MAH shall agree the text of a Dear Healthcare Professional letter with the CHMP (and if necessary with the National Competent Authorities) prior to launch of the medicinal product and shall ensure that it is provided to all physicians experienced in neonatal intensive care prior to or at the launch of the medicinal product in each Member State.
Slovenian: <vstavite lokalno ime in naslov družbe Chiesi Farmaceutici S.p.A.> Imetnik dovoljenja za promet z zdravilom se mora pred prihodom zdravila na trg glede uvodnega pisma za strokovno osebje dogovoriti z odborom CHMP (in po potrebi z nacionalnimi pristojnimi organi) in poskrbeti, da bodo pismo dobili vsi zdravniki, ki imajo izkušnje v intenzivnemu negovanju novorojenčkov pred ali ob prihodu zdravila na trg v vsaki državi članici.
English: What Peyona looks like and content of the pack
Slovenian: Izgled zdravila Peyona in vsebina pakiranja
English: Citric acid monohydrate, sodium citrate, water for injections.
Slovenian: monohidrat citronske kisline, natrijev citrat, voda za injekcije
English: Gastrointestinal disorders Regurgitation, increased gastric aspirate, necrotising enterocolitis
Slovenian: Bolezni prebavil regurgitacija, zvišan želodčni aspirat, nekrotizirajoči enterokolitis neznana
English: 0.25 ml/kg body weight
Slovenian: 0,25 ml/kg telesne mase
English: Peyona can be either used without dilution or diluted in sterile solutions for infusion such as glucose 50 mg/ml (5%) or sodium chloride 9 mg/ml (0.9%) or calcium gluconate 100 mg/ml (10%) immediately after withdrawal from the ampoule.
Slovenian: Zdravilo Peyona se lahko uporablja nerazredčeno ali razredčeno v sterilni raztopini za infundiranje kot so glukoza 50 mg/ml (5 %), natrijev klorid 9 mg/ml (0,9 %) ali kalcijev glukonat 100 mg/ml (10 %) nemudoma po izvleku iz ampule.
English: Treatment should be initiated under supervision of a physician experienced in neonatal intensive care.
Slovenian: Zdravljenje je treba začeti pod nadzorom zdravnika z izkušnjami v intenzivni negi novorojenčkov.
English: Peyona contains sodium
Slovenian: Zdravilo Peyona vsebuje natrij
English: Infants randomised to caffeine citrate received an intravenous loading dose of 20 mg/kg, followed by a daily maintenance dose of 5 mg/kg.
Slovenian: Dojenčki, randomizirani v skupino, ki je prejemala kofeinijev citrat, so dobili začetni intravenski odmerek 20 mg/kg, temu pa je sledil dnevni vzdrževalni odmerek 5 mg/kg.
English: What you need to know before your baby is given Peyona Do not use Peyona:
Slovenian: Kaj morate vedeti, preden boste zdravilo Peyona uporabili pri otroku Ne uporabljajte zdravila Peyona:
English: In a post-authorisation safety study, the frequency of adverse reactions in a small number of very premature infants with renal/hepatic impairment appeared to be higher as compared to premature infants without organ impairment (see sections 4.2, 4.8 and 5.2).
Slovenian: Študija o varnosti zdravila po pridobitvi dovoljenja za promet kaže, da je pogostnost neželenih učinkov, pri majhnem številu zelo zgodaj rojenih nedonošenčkov z okvaro jeter/ledvic višja, v primerjavi z nedonošenčki brez okvare organa (glejte poglavja 4.2, 4.8 in 5.2).
English: Caffeine readily crosses the placenta into the fetal circulation and is excreted into breast milk.
Slovenian: Kofein hitro prehaja skozi placento v zarodkov obtok in se izloča v mleko.
English: After an interval of 24 hours, maintenance doses of 5 mg per kg body weight may be administered by slow intravenous infusion over 10 minutes every 24 hours.
Slovenian: Po 24-urnem intervalu se lahko daje vzdrževalni odmerek 5 mg na kg telesne mase s počasnim intravenskim infundiranjem, ki traja vsakih 24 ur 10 minut.
English: The starting dose is 20 mg per kg body weight (equivalent to 1 ml per kg body weight).
Slovenian: Začetni odmerek je 20 mg na kg telesne mase (kar ustreza 1 ml na kg telesne mase).
English: The protocol allowed infants to be “rescued” with open-label caffeine citrate treatment if their apnoea remained uncontrolled.
Slovenian: Po protokolu je bilo dovoljeno razkriti in zdraviti dojenčke v odprtem zdravljenju s kofeinijevim citratom, če apneje ni bilo mogoče nadzirati.
English: A reduced daily maintenance dose of caffeine citrate is required and the dose should be guided by plasma caffeine measurements.
Slovenian: Potrebno je zmanjšati dnevni vzdrževalni odmerek kofeinijevega citrata, odmerek pa se določi glede na izmerjeno raven kofeina v plazmi.
English: Urine output increased, urine sodium and calcium increased, haemoglobin decreased, thyroxine decreased
Slovenian: Preiskave večje izločanje urina, zvišana natrij in kalcij v urinu, znižan hemoglobin, znižan tiroksin neznana
English: Caffeine concentrations in the cerebrospinal fluid of preterm newborn infants approximate to their plasma levels.
Slovenian: Koncentracije kofeina v likvorju nedonošenih novorojenčkov so približno enake njihovim ravnem v plazmi.
English: Immune system disorders Hypersensitivity reaction
Slovenian: Bolezni imunskega sistema preobčutljivostne reakcije redki
English: Medicinal product subject to restricted medical prescription (See Annex I: Summary of Product Characterisitcs, section 4.2).
Slovenian: Predpisovanje in izdaja zdravila je le s posebnim režimom (glejte Prilogo I: Povzetek glavnih značilnosti zdravila, poglavje 4.2).
English: Adverse reactions appeared to be more frequent in this subgroup with organ impairment than in other observed infants without organ impairment.
Slovenian: Zdi se, da je pogostnost neželenih učinkov v podskupini z okvaro organa višja v primerjavi s skupino nedonošenčkov brez okvare organa.
English: In newborns previously treated with theophylline, baseline plasma caffeine concentrations should be measured prior to initiation of treatment with caffeine citrate because preterm infants metabolise theophylline to caffeine.
Slovenian: Pri novorojenčkih, predhodno zdravljenih s teofilinom, je treba pred uvedbo zdravljenja s kofeinijevim citratom izmeriti izhodiščno vrednost koncentracije kofeina v plazmi, saj se pri nedonošenčkih teofilin presnavlja v kofein.
English: Alternatively, maintenance doses of 5 mg per kg body weight may be administered by oral administration, such as through a nasogastric tube every 24 hours.
Slovenian: Alternativno se lahko daje vzdrževalni odmerek 5 mg na kg telesne mase peroralno, na primer skozi nazogastrično cevko vsakih 24 ur.
English: When given intravenously, caffeine citrate should be administered by controlled intravenous infusion, using a syringe infusion pump or other metered infusion device only.
Slovenian: Pri intravenskem dajanju je treba kofeinijev citrat dati kot nadzirano intravensko infuzijo z uporabo injekcijske infuzijske črpalke ali druge odmerne infuzijske naprave.
English: Any unused portion left in the ampoule should be discarded.
Slovenian: Neuporabljeno zdravilo, ki ostane v ampuli, zavrzite.
English: Treatment with caffeine citrate should be initiated under the supervision of a physician experienced in neonatal intensive care.
Slovenian: Zdravljenje s kofeinijevim citratom je treba začeti pod nadzorom zdravnika z izkušnjami v intenzivni negi novorojenčkov.
English: - That the dose of caffeine expressed as caffeine base is one half the dose of caffeine expressed as caffeine citrate (20mg caffeine citrate is equivalent to 10mg caffeine base) and that prescriptions should clearly indicate that caffeine citrate is to be administered.
Slovenian: - Podatek, da je odmerek kofeina, izražen kot kofein, ena polovica odmerka kofeina, izraženega kot kofeinijev citrat (20 mg kofeinijevega citrata je enakovredno 10 mg kofeina) in da morajo recepti jasno navajati, da je treba uporabiti kofeinijev citrat.
English: Infections and infestations Sepsis
Slovenian: Infekcijske in parazitske bolezni sepsa neznana
English: Dose of caffeine citrate (Volume)
Slovenian: Odmerek kofeinijevega citrata (volumen)
English: In premature infants with cholestatic hepatitis a prolonged caffeine elimination half-life with an increase of plasma levels above the normal limit of variation has been found suggesting a particular caution in the dosage of these patients (see sections 4.2 and 4.4).
Slovenian: Pri nedonošenčkih s holestatičnim hepatitisom so ugotovili podaljšani razpolovni čas izločanja kofeina z zvišanimi ravnmi v plazmi nad normalnimi mejami odstopanja, kar kaže, da je potrebna posebna previdnost pri odmerjanju tem bolnikom (glejte poglavji 4.2 in 4.4).
English: − infants receiving co-administration of medicinal products known to interfere with caffeine metabolism (see section 4.5)
Slovenian: − dojenčki, ki sočasno dobivajo zdravila, za katera je znano, da ovirajo presnovo kofeina (glejte poglavje 4.5)
English: Peyona will be infused by controlled intravenous infusion, using a syringe infusion pump or other metered infusion device.
Slovenian: Zdravilo Peyona se infundira kot nadzirana intravenska infuzija z injekcijsko infuzijsko črpalko ali z drugo odmerno infuzijsko napravo.
English: Undiluted and diluted parenteral solutions must be inspected visually for particulate matter and discoloration prior to administration.
Slovenian: Nerazredčene ali razredčen parenteralne raztopine je treba pred uporabo vizualno pregledati glede delcev in obarvanja.