FrancophonIA/ELRC3.0 huggingface dataset:
English: The primary objective of this trial was to evaluate the long-term efficacy of tolvaptan in ADPKD through rate of total kidney volume (TKV) change (%) for tolvaptan-treated compared with placebo-treated subjects.
Slovenian: Primarni cilj tega preskušanja je bil oceniti dolgotrajno učinkovitost tolvaptana pri ADPKD s pomočjo stopnje spremembe celotnega volumna ledvic (TKV, total kidney volume) (%) za osebe, zdravljene s tolvaptanom, v primerjavi z osebami, ki so dobivale placebo.
English: The primary endpoint of the trial was the change in estimated glomerular filtration rate (eGFR) from pre-treatment baseline levels to post-treatment assessment.
Slovenian: Primarni opazovani dogodek preskušanja je bila sprememba ocenjene hitrosti glomerularne filtracije (eGFR) od izhodiščnih nivojev pred zdravljenjem do ocene po zdravljenju.
English: Tolvaptan metabolites have little to no contribution to the pharmacological effect of tolvaptan; all metabolites have no or weak antagonist activity for human V2 receptors when compared with tolvaptan.
Slovenian: Presnovki tolvaptana na farmakološki učinek tolvaptana vplivajo malo ali pa sploh ne vplivajo; vsi presnovki so brez ali imajo šibko antagonistično aktivnost za receptorje V2 pri ljudeh v primerjavi s tolvaptanom.
English: Jinarc must not be used during pregnancy (see section 4.3).
Slovenian: Zdravila Jinarc se ne sme uporabljati med nosečnostjo (glejte poglavje 4.3).
English: Therefore, the effect of vasopressin analogues such as desmopressin may be attenuated in patients using such analogues to prevent or control bleeding when co-administered with tolvaptan.
Slovenian: Zato se lahko učinek analogov vazopresina, kot je dezmopresin, pri bolnikih, ki te analoge uporabljajo za nadzor krvavitev, pri sočasni uporabi s tolvaptanom oslabi.
English: • treatments containing ketoconazole for fungal infections, macrolide antibiotics like clarithromycin, or diltiazem as a treatment for high blood pressure and chest pain.
Slovenian: • zdravilo, ki vsebuje ketokonazol za glivične okužbe, makrolidne antibiotike, kot je klaritromicin, ali diltiazem za zdravljenje visokega krvnega tlaka in bolečin v prsnem košu.
English: If OATP1B1 and OATP1B3 substrates (e.g., statins such as rosuvastatin and pitavastatin), OAT3 substrates (e.g., methotrexate, ciprofloxacin), BCRP substrates (e.g. sulfasalazine) or OCT1 substrates (e.g. metformin) are co-administered with tolvaptan, patients must be managed cautiously and evaluated for excessive effects of these medicinal products.
Slovenian: Če se substrati OATP1B1 in OATP1B3 (npr. statini, kot sta rosuvastatin in pitavastatin), substrati OAT3 (npr. metotreksat, ciprofloksacin), substrati BCRP (npr. sulfasalazin) ali substrati OCT1 (npr. metformin) dajejo sočasno s tolvaptanom, je treba bolnike previdno obravnavati in pri njih oceniti pretirani učinek zdravljenja s temi zdravili.
English: • A Patient Alert Card
Slovenian: • opozorilna kartica za bolnika
English: Patients with partial obstruction of urinary outflow, for example patients with prostatic hypertrophy or impairment of micturition, have an increased risk of developing acute retention.
Slovenian: Pri bolnikih z delno obstrukcijo odvajanja urina, na primer taki s hipertrofijo prostate ali motnjo uriniranja je tveganje razvoja akutnega zastoja večje.
English: The primary end point for TKV did not distinguish a difference in change (−1.7 %) over the 5 year treatment between early- and delayed-treated subjects at the pre-specified threshold of statistical significance (p = 0.3580).
Slovenian: Primarni opazovani dogodek za TKV ni izkazal razlike v spremembi (-1,7 %) v 5-letnem obdobju zdravljenja med zgodnjezdravljenimi bolniki in med bolniki z zakasnjenim zdravljenjem pri vnaprej določenem pragu s statistično značilnostjo (p = 0,3580).
English: Studies in animals showed effects on fertility (see section 5.3).
Slovenian: Študije na živalih so pokazale vpliv na plodnost (glejte poglavje 5.3).
English: Tolvaptan treatment must be initiated and monitored under the supervision of physicians with expertise in managing ADPKD and a full understanding of the risks of tolvaptan therapy including hepatic toxicity and monitoring requirements (see section 4.4).
Slovenian: Zdravljenje s tolvaptanom mora uvesti in nadzirati zdravnik z izkušnjami pri zdravljenju ADPKD, ki pozna vsa tveganja, povezana z zdravljenjem s tolvaptanom, vključno s toksičnostjo za jetra in zahtevami po nadziranju (glejte poglavje 4.4).
English: • if you have been told you have high levels of a chemical called uric acid in your blood (which may have caused attacks of gout).
Slovenian: • če so vam povedali, da imate v krvi visoko raven spojine, imenovane sečna kislina (ki lahko povzroča napade protina).
English: Diabetic patients with an elevated glucose concentration (e.g. in excess of 300 mg/dl) may present with pseudohyponatraemia.
Slovenian: Pri bolnikih s sladkorno boleznijo, ki imajo zvišano koncentracijo glukoze (npr. več kot 300 mg/dl), se lahko pojavi psevdohiponatremija.
English: Dose titration has to be performed cautiously to ensure that high doses are not poorly tolerated through overly rapid up-titration.
Slovenian: Povečevanje odmerka mora potekati pazljivo, s čimer se prepreči slabo prenašanje velikih odmerkov zaradi prehitrega povečevanja.
English: Co-administration with medicinal products that increase serum sodium concentration There is no experience from controlled clinical trials with concomitant use of tolvaptan and hypertonic sodium chloride solution, oral sodium formulations, and medicinal products that increase serum sodium concentration.
Slovenian: Sočasno dajanje z zdravili, ki zvišujejo koncentracije natrija v serumu Ni izkušenj iz nadzorovanih kliničnih preskušanj s sočasno uporabo tolvaptana in hipertonične raztopine natrijevega klorida, peroralnimi natrijevimi pripravki in zdravili, ki zvišujejo koncentracije natrija v serumu.
English: Tolvaptan is a vasopressin antagonist that specifically blocks the binding of arginine vasopressin (AVP) at the V2 receptors of the distal portions of the nephron.
Slovenian: Tolvaptan je antagonist vazopresina, ki specifično zavira vezavo arginin vazopresina (AVP) na receptorje V2 distalnega dela nefrona.
English: Tolvaptan is extensively metabolised in the liver almost exclusively by CYP3A.
Slovenian: Tolvaptan v jetrih izčrpno presnavlja skoraj izključno encim CYP3A.
English: These data suggest that Jinarc can slow the rate of renal function decline, and that these benefits persist over the duration of therapy.
Slovenian: Ti podatki kažejo, da lahko zdravilo Jinarc upočasni stopnjo upada ledvične funkcije in da so te koristi prisotne celoten čas zdravljenja.
English: Patients receiving digoxin or other narrow therapeutic P-gp substrates (e.g., dabigatran) must therefore be managed cautiously and evaluated for excessive effects when treated with tolvaptan.
Slovenian: Bolnike, ki so prejemali digoksin ali druge učinkovine z ozkim terapevtskim oknom, kot so substrati P-gp (npr. dabigatran), je zato treba previdno obravnavati in pri njih oceniti pretirani učinek pri zdravljenju s tolvaptanom.
English: Co-administration with vasopressin analogues
Slovenian: Sočasno dajanje z analogi vazopresina
English: In vitro studies indicated that tolvaptan has no inhibitory activity for CYP3A.
Slovenian: Študije in vitro kažejo, da tolvaptan nima zaviralnega učinka za CYP3A.
English: Following single oral doses of ≥ 300 mg, peak plasma concentrations appear to plateau, possibly due to saturation of absorption.
Slovenian: Po enojnih peroralnih odmerkih  300 mg so se najvišje koncentracije v plazmi približale platoju, mogoče zaradi nasičenosti absorpcije.
English: The morning dose of Jinarc is to be taken at least 30 minutes before the morning meal.
Slovenian: Jutranji odmerek zdravila Jinarc je treba vzeti vsaj 30 minut pred jutranjim obrokom.
English: Co-administration of tolvaptan and ketoconazole resulted in a 440 % increase in area under time-concentration curve (AUC) and 248 % increase in maximum observed plasma concentration (Cmax) for tolvaptan.
Slovenian: Sočasna uporaba tolvaptana in ketokonazola je povzročila 440-% zvišanje površine pod plazemsko koncentracijsko krivuljo v odvisnosti od časa (AUC, area under time-concentration curve) in 248 % zvišanje največje opažene koncentracije (Cmax) tolvaptana v plazmi.
English: In a double-blind, placebo-controlled trial of patients with ADPKD, potentially clinically significant increased uric acid (greater than 10 mg/dL) was reported at a higher rate in tolvaptan-patients (6.2 %) compared to placebo-treated patients (1.7 %).
Slovenian: V dvojno slepem, s placebom nadzorovanem preskušanji pri bolnikih z ADPKD so o potencialno klinično značilnem zvišanje sečne kisline (več kot 10 mg/dl) z večjo stopnjo poročali pri bolnikih na tolvaptanu (6,2 %), kot pri bolniki na placebu (1,7 %).
English: Oral use.
Slovenian: Za peroralno uporabo.
English: This trial evaluated the effects of tolvaptan on safety, TKV and eGFR in subjects receiving active treatment for 5 years (early-treated), compared with subjects treated with placebo for 3 years, then switched to active treatment for 2 years (delayed-treated).
Slovenian: V tem preskušanju so ocenili učinke tolvaptana na varnost, TKV in eGFR pri bolnikih, ki so 5 let prejemali aktivno zdravljenje (zgodnje zdravljenje), v primerjavi z bolniki, 3 leta zdravljenimi s placebom, ki so nato za 2 leti prešli na aktivno zdravljenje (zakasnjeno zdravljenje).
English: Do not take Jinarc:
Slovenian: Ne jemljite zdravila Jinarc:
English: What Jinarc is and what it is used for What you need to know before you take Jinarc How to take Jinarc
Slovenian: Kaj je zdravilo Jinarc in za kaj ga uporabljamo Kaj morate vedeti, preden boste vzeli zdravilo Jinarc Kako jemati zdravilo Jinarc Možni neželeni učinki
English: The morning dose is to be taken at least 30 minutes before the morning meal.
Slovenian: Jutranji odmerek morate vzeti vsaj 30 minut pred jutranjim obrokom.
English: What you need to know before you take Jinarc
Slovenian: Kaj morate vedeti, preden boste vzeli zdravilo Jinarc
English: Medicinal products with high sodium content such as effervescent analgesic preparations and certain sodium containing treatments for dyspepsia may also increase serum sodium concentration.
Slovenian: Tudi zdravila z visoko vsebnostjo natrija, kot so analgetiki v obliki šumečih tablet in nekatera zdravila za dispepsijo, ki vsebujejo natrij, lahko zvišajo koncentracijo natrija v serumu.
English: Measurements of urine osmolality are recommended to monitor the adequacy of vasopressin inhibition.
Slovenian: Za nadziranje ustreznosti zaviranja vazopresina se priporoča merjenje osmolalnosti urina.
English: • Pregnancy outcomes, in patients treated with Jinarc
Slovenian: • izidih nosečnosti pri bolnicah, zdravljenih z zdravilom Jinarc
English: Current clinical practice suggests that Jinarc therapy is to be interrupted upon confirmation of sustained or increasing transaminase levels and permanently discontinued if significant increases and/or clinical symptoms of hepatic injury persist.
Slovenian: Po trenutni klinični praksi je treba zdravljenje z zdravilom Jinarc po potrjenem vztrajanju ali zvišanju ravni transaminaz prekiniti in dokončno ukiniti, če močno zvišanje in/ali klinični simptomi poškodb jeter vztrajajo.
English: The no observed adverse effect level (NOAEL) for effects on reproduction in females (100 mg/kg/day) was about 8-times the maximum human recommended dose of 120 mg/day on a mg/m basis.
Slovenian: Raven brez vidnega neželenega učinka (NOAEL, no observed adverse effect level) za učinke na razmnoževanje samic (100 mg/kg/dan) je bila približno 8-krat večja od največjega priporočenega odmerka 120 g/dan pri ljudeh na podlagi mg/m
English: This disease causes growth of fluid-filled cysts in the kidneys which put pressure on surrounding tissues and reduce kidney function, possibly leading to kidney failure.
Slovenian: Ta bolezen povzroča rast s tekočino napolnjenih cist v ledvicah, ki pritiskajo na okoliško tkivo in zmanjšajo delovanja ledvic in lahko povzročijo tudi ledvično odpoved.
English: Approximately 35 % of subjects were chronic kidney disease (CKD) stage 1, 48 % CKD stage 2, and 17 % CKD stage 3 (eGFRCKD-EPI).
Slovenian: Približno 35 % oseb je imelo kronično ledvično bolezen 1. stopnje, 48 % kronično ledvično bolezen 2. stopnje in 17 % kronično ledvično bolezen 3. stopnje (eGFRCKD-EPI).
English: Tolvaptan is not recommended in the paediatric age group.
Slovenian: Uporaba tolvaptana v pediatrični starostni skupini ni priporočljiva.
English: In a double-blind, placebo-controlled trial in patients with ADPKD, elevation (> 3 × upper limit of normal [ULN]) of ALT was observed in 4.4 % (42/958) of patients on tolvaptan and 1.0 % (5/484) of patients on placebo, while elevation (> 3 × ULN) of AST was observed in 3.1 % (30/958) of patients on tolvaptan and 0.8 % (4/484) patients on placebo.
Slovenian: V dvojno slepem, s placebom nadzorovanem preskušanju pri bolnikih z ADPKD so zvišanje (> 3 × zgornja normalna vrednost [ULN, upper limit of normal]) vrednosti ALT opazili pri 4,4 % (42/958) bolnikov na tolvaptanu in pri 1,0 % (5/484) bolnikov na placebu, medtem ko so zvišanje (> 3 × ULN) vrednosti AST opazili pri 3,1 % (30/958) bolnikov na tolvaptanu in 0,8 % (4/484) bolnikov na placebu.
English: The initial dose is to be titrated upward to a split-dose regimen of 90 mg tolvaptan (60 mg + 30 mg) per day and then to a target split-dose regimen of 120 mg tolvaptan (90 mg + 30 mg) per day, if tolerated, with at least weekly intervals between titrations.
Slovenian: Začetni odmerek se postopoma povečuje v režimu razdeljenega odmerka 90 mg tolvaptana (60 mg + 30 mg) na dan, nato pa do ciljnega režima razdeljenega odmerka 120 mg tolvaptana (90 mg + 30 mg) na dan, če ga bolnik prenaša, z vsaj tedenskimi intervali med titracijami.
English: Additionally, patients have to drink 1-2 glasses of fluid before bedtime regardless of perceived thirst and replenish fluids overnight with each episode of nocturia.
Slovenian: Bolniki morajo dodatno spiti 1-2 kozarca tekočine, preden gredo spat, ne glede na to, ali so žejni, in si po vsaki epizodi nokturije ponovno napolniti tekočinske zaloge.
English: If dehydration or renal dysfunction becomes evident, appropriate action must be taken which may include the need to interrupt or reduce doses of tolvaptan and/or diuretics and increased fluid intake.
Slovenian: Če postane dehidracija ali ledvična disfunkcija očitna, je treba ustrezno ukrepati, kar lahko vključuje prekinitev ali zmanjšanje odmerkov tolvaptana in/ali diuretikov ter zvišanje vnosa tekočine.
English: After oral administration, tolvaptan is rapidly absorbed with peak plasma concentrations occurring about 2 hours after dosing.
Slovenian: Po peroralni uporabi se tolvaptan hitro absorbira z najvišjimi koncentracijami v plazmi, ki se pojavijo približno 2 uri po odmerjanju.
English: The initial dose is 60 mg tolvaptan per day as a split-dose regimen of 45 mg + 15 mg (45 mg taken upon waking and prior the morning meal and 15 mg taken 8 hours later).
Slovenian: Začetni odmerek je 60 mg tolvaptana na dan v režimu razdeljenega odmerka 45 mg + 15 mg (45 mg se jemlje zjutraj po vstajanju in pred jutranjim obrokom, 15 mg pa 8 ur kasneje).
English: Patients must be instructed to drink sufficient amounts of water or other aqueous fluids (see section 4.4).
Slovenian: Bolnikom je treba naročiti, da naj spijejo dovolj vode ali drugih vodnih tekočin (glejte poglavje 4.4).
English: Concomitant use of medicinal products that are moderate CYP3A inhibitors (e.g. amprenavir, aprepitant, atazanavir, ciprofloxacin, crizotinib, darunavir/ritonavir, diltiazem, erythromycin, fluconazole, fosamprenavir, imatinib, verapamil) or strong CYP3A inhibitors (e.g., itraconazole, ketoconazole, ritonavir, clarithromycin) increase tolvaptan exposure.
Slovenian: Pri sočasni uporabi zmernih zaviralcev CYP3A (npr. amprenavirja, aprepitanta, atazanavirja, ciprofloksacina, krizotiniba, darunavirja/ritonavirja, diltiazema, eritromicina, flukonazola, fosamprenavirja, imatiniba, verapamila) ali močnih zaviralcev CYP3A (npr. itrakonazola, ketokonazola, ritonavirja, klaritromicina) se je izpostavljenost tolvaptanu povečala.
English: • The Summary of product Characteristics
Slovenian: • povzetek glavnih značilnosti zdravila
English: Statins commonly used in the tolvaptan phase 3 pivotal trial (e.g., rosuvastatin and pitavastatin) are OATP1B1 or OATP1B3 substrates, however no difference in AE profile was observed during the phase 3 pivotal trial for tolvaptan in ADPKD.
Slovenian: Statini, ki so se pogosto uporabljali v osrednjih preskušanjih 3. faze s tolvaptanom (npr. rosuvastatin in pitavastatin) so substrati OATP1B1 ali OATP1B3, vendar razlike v profilu neželenih učinkov v osrednjem preskušanju 3. faze za tolvaptan pri ADPKD niso opazili.
English: If dehydration becomes evident, take appropriate action which may include the need to interrupt or reduce the dose of tolvaptan and increase fluid intake.
Slovenian: Če postane dehidracija očitna, je treba ustrezno ukrepati, kar lahko vključuje potrebo po prekinitvi ali zmanjšanju odmerka tolvaptana in povečanju uživanja tekočine.
English: In a population pharmacokinetic analysis in patients with hepatic oedema, AUC of tolvaptan in severely (Child-Pugh class C) and mildly or moderately (Child-Pugh classes A and B) hepatic impaired patients were 3.1 and 2.3 times higher than that in healthy subjects.
Slovenian: V populacijski analizi farmakokinetike pri bolnikih z jetrnim edemom sta bila parametra AUC tolvaptana pri bolnikih s hudo okvarjenim delovanjem jeter (razred C po Child-Pughu) in blago do zmerno okvarjenim delovanjem jeter (razred A in B po Child-Pughu) 3,1- in 2,3-krat večja kot pri zdravih osebah.
English: Two (2/957, 0.2 %) of these tolvaptan treatedpatients, as well as a third patient from an extension open label trial, exhibited increases in hepatic enzymes (> 3 × ULN) with concomitant elevations in BT (> 2 × ULN).
Slovenian: Pri dveh (2/957; 0,2 %) od teh bolnikov, zdravljenih s tolvaptanom, in pri tretjem bolniku v podaljšku odprtega preskušanja so se jetrni encimi zvišali (> 3 × ULN) s sočasnim zvišanjem skupnega bilirubina (> 2 × ULN).
English: Jinarc is indicated to slow the progression of cyst development and renal insufficiency of autosomal dominant polycystic kidney disease (ADPKD) in adults with CKD stage 1 to 4 at initiation of treatment with evidence of rapidly progressing disease (see section 5.1).
Slovenian: Zdravilo Jinarc je indicirano za upočasnitev napredovanja razvoja cist in ledvične insuficience pri avtosomni dominantni policistični bolezni ledvic (ADPKD, autosomal dominant polycystic kidney disease) pri odraslih s kronično ledvično boleznijo 1. do 4. stopnje kot uvedba zdravljenja z dokazi hitrega napredovanja bolezni (glejte poglavje 5.1).
English: Tolvaptan may cause adverse reactions related to water loss such as thirst, polyuria, nocturia, and pollakiuria (see section 4.8).
Slovenian: Tolvaptan lahko povzroči neželene reakcije, povezane z izgubo vode, kot so žeja, poliurija, nokturija in polakiurija (glejte poglavje 4.8).
English: Some people may feel dizzy, weak or tired after being given Jinarc.
Slovenian: Nekateri ljudje so po uporabi zdravila Jinarc omotični, šibki ali utrujeni.
English: Jinarc contains the active substance tolvaptan which blocks the effect of vasopressin, a hormone involved in the formation of cysts in the kidneys of ADPKD patients.
Slovenian: Zdravilo Jinarc vsebuje učinkovino tolvaptan, ki zavira učinek vazopresina, hormona, ki sodeluje pri nastajanju cist v ledvicah pri bolnikih z ADPKD.
English: Tolvaptan must not be taken with grapefruit juice (see section 4.5).
Slovenian: Tolvaptana se ne sme uživati s sokom grenivke (glejte poglavje 4.5).
English: Therefore, concomitant administration of tolvaptan with potent CYP3A inducers (e.g., rifampicin, rifabutin, rifapentin, phenytoin, carbamazepine, and St. John's Wort) is to be avoided.
Slovenian: Zato se je treba sočasni uporabi tolvaptana z močnimi induktorji CYP3A (npr. rifampicinom, rifabutinom, rifapentinom, fenitoinom, karbamazepinom in šentjanževko) izogniti.
English: The primary focus of the clinical program for development of tolvaptan tablets for the treatment of ADPKD is a single pivotal, multinational, phase 3, randomised, placebo controlled trial in which the long-term safety and efficacy of oral split dose tolvaptan regimens (titrated between 60 mg/day and 120 mg/day) were compared with placebo in 1,445 adult subjects with ADPKD.
Slovenian: Klinični program za razvoj tablet tolvaptana za zdravljenje ADPKD namenja osnovno pozornost enojnemu, osrednjemu, večnacionalnemu, randomiziranemu, s placebom nadzorovanemu preskušanju 3. faze, v katerem so dolgotrajno varnost in učinkovitost režimov peroralnih razdeljenih odmerkov tolvaptana (titriranih med 60 mg/dan in 120 mg/dan) primerjali s placebom, pri 1.445 odraslih osebah z ADPKD.
English: See leaflet for further information.
Slovenian: Glejte navodilo za uporabo za nadaljnje informacij.
English: Co-administration of tolvaptan with a high-fat meal increased peak concentrations of tolvaptan up to 2-fold but left AUC unchanged.
Slovenian: Sočasna uporaba tolvaptana z obrokom z visoko vsebnostjo maščobe je povečala največje koncentracije tolvaptana za do 2-krat, ni pa spremenila AUC.
English: Patients must be managed carefully and liver enzymes must be monitored regularly (see section 4.4).
Slovenian: Bolnike je treba skrbno zdraviti in redno spremljati raven jetrnih encimov (glejte poglavje 4.4).
English: Excipient(s) with known effect
Slovenian: Pomožne snovi z znanim učinkom
English: • digoxin (a medicine for the treatment of irregular heart beat and heart failure), dabigatran (used to thin the blood), rosuvastatin or pitavastatin (used to lower blood cholesterol) methotrexate (used to treat cancer, arthritis), ciprofloxacin (an antibiotic), sulfasalazine (for treatment of inflammatory bowel disease or rheumatoid arthritis) or metformin (for treatment of diabetes).
Slovenian: • digoksin (zdravilo za zdravljenje nepravilnega srčnega utripa in srčnega popuščanja), dabigatran (uporablja se za redčenje krvi), rosuvastatin ali pitavastatin (uporablja se za nižanje holesterola v krvi), metotreksat (uporablja se za zdravljenje raka, artritisa), ciprofloksacin (antibiotik), sulfasalazin (za zdravljenje vnetne bolezni črevesja ali revmatoidnega artritisa) ali metformin (za zdravljenje sladkorne bolezni).
English: What Jinarc looks like and contents of the pack
Slovenian: Izgled zdravila Jinarc in vsebina pakiranja
English: • if you are allergic to tolvaptan or any of the other ingredients of this medicine (listed in section 6) or if you are allergic to benzazepine or benzazepine derivatives (e.g. benazepril, conivaptan, fenoldopam mesylate or mirtazapine)
Slovenian: • če ste alergični na tolvaptan ali katero koli sestavino tega zdravila (navedeno v poglavju 6) ali če ste alergični na benzazepin ali derivate benzazepina (npr. benazepril, konivaptan, fenoldopaminijev mesilat ali mirtazapin).
English: To mitigate the risk of significant and/or irreversible liver injury, blood testing for hepatic transaminases and bilirubin is required prior to initiation of Jinarc, continuing monthly for 18 months and at regular 3-monthly intervals thereafter.
Slovenian: Za zmanjšanje tveganja znatne in/ali nepopravljive poškodbe jeter je treba pred uvedbo zdravila Jinarc opraviti krvne preiskave za jetrne transaminaze in bilirubin, jih nato 18 mesecev izvajati mesečno, nato pa v rednih 3-mesečnih intervalih.
English: Jinarc may reduce the effect of desmopressin.
Slovenian: Zdravilo Jinarc lahko poveča učinek dezmopresina.
English: • if you suffer from too high or too low blood sodium.
Slovenian: • če imate previsoko ali prenizko raven natrija v krvi.
English: Special care must be taken if you have a disease that reduces appropriate fluid intake or if you are at an increased risk of water loss e.g. in case of vomiting or diarrhoea.
Slovenian: Posebna pozornost je potrebna, če imate bolezen, ki zmanjša ustrezni vnos tekočine, ali če je pri vas tveganje za izgubo vode povečano, na primer pri bruhanju ali driski.