FrancophonIA/ELRC3.0 huggingface dataset:
English: In studies to explore extending the dosing interval (40 000 IU once weekly and 80 000, 100 000, and 120 000 IU biweekly), a linear but non-dose-proportional relationship was observed between mean Cmax and dose, and between mean AUC and dose at steady state.
Danish: I studier, der undersøgte en udvidelse af dosisintervallet (40.000 IE en gang om ugen og 80.000, 100.000 og 120.000 IE hver anden uge), observeredes et lineært, men ikke dosis-proportionalt forhold mellem gennemsnitlig Cmax og dosis og mellem gennemsnitlig AUC og dosis ved steady state.
English: A decision must be made whether to discontinue breast-feeding or to discontinue/abstain from Retacrit therapy taking into account the benefit of breast-feeding for the child and the benefit of therapy for the woman.
Danish: Det skal besluttes, om amning skal ophøre eller behandling med Retacrit seponeres, idet der tages højde for fordelene ved amning for barnet i forhold til de terapeutiske fordele for moderen.
English: Erythropoietin (EPO) is a glycoprotein hormone produced primarily by the kidney in response to hypoxia and is the key regulator of red blood cell (RBC) production.
Danish: Erytropoietin (EPO) er et glykoproteinhormon, der primært dannes i nyrerne som respons på hypoksi,og det er den vigtigste regulator for dannelsen af erytrocytter.
English: In most cases, the ferritin values in the serum fall simultaneously with the rise in packed cell volume.
Danish: I de fleste tilfælde falder serumferritin samtidig med stigningen i hæmatokrit.
English: Factors that should be considered in this assessment should include the type of tumour and its stage; the degree of anaemia; life-expectancy; the environment in which the patient is being treated; and patient preference (see section 5.1).
Danish: Denne vurdering bør omfatte faktorer som tumortype og stadie, grad af anæmi, forventet levetid, behandlingsstedet og patientens præferencer (se pkt.
English: Caution should be exercised with escalation of Retacrit doses in patients with chronic renal failure since high cumulative epoetin doses may be associated with an increased risk of mortality, serious cardiovascular and cerebrovascular events.
Danish: Der skal udvises forsigtighed ved optrapning af Retacrit-dosis hos patienter med kronisk nyresvigt, da høje kumulative epoetindoser kan være forbundet med en øget risiko for mortalitet, alvorlige kardiovaskulære og cerebrovaskulære hændelser.
English: In clinical trials conducted in patients with CRF not on dialysis treated with epoetin alfa, the average duration of therapy was nearly five months.
Danish: I kliniske studier udført hos patienter med kronisk nyresvigt, der ikke var i dialyse, og som blev behandlet med epoetin alfa, var den gennemsnitlige behandlingsvarighed næsten fem måneder.
English: A slower administration is preferable in patients who react to the treatment with “flu-like” symptoms (see section 4.8).
Danish: Langsommere administration foretrækkes hos patienter, der reagerer på behandlingen med influenzalignende symptomer (se pkt.
English: These can appear as reddish target-like macules or circular patches often with central blisters on the trunk, skin peeling, ulcers of mouth, throat, nose, genitals and eyes and can be preceded by fever and flu-like symptoms.
Danish: Det kan vise sig som rødlige, målskivelignende pletter eller runde områder, ofte med centrale blærer på kroppen, hudafskalning samt sår i mund, hals, næse og på kønsorganer og øjne, og det kan komme efter feber eller influenzalignende symptomer.
English: You may take Retacrit out of the refrigerator and keep it at room temperature (up to 25°C) for no longer than 3 days.
Danish: Du kan godt tage Retacrit ud af køleskabet og opbevare det ved stuetemperatur (op til 25 °C) i højst 3 dage.
English: These include venous and arterial thrombosis and embolism (including some with fatal outcomes), such as deep venous thrombosis, pulmonary emboli, retinal thrombosis, and myocardial infarction.
Danish: Disse omfatter venøs og arteriel trombose og emboli (herunder nogle med dødeligt udfald), såsom dyb venetrombose, lungeemboli, retinal trombose og myokardieinfarkt.
English: Your doctor will use the lowest effective dose to control the symptoms of your anemia.
Danish: Din læge vil anvende den laveste dosis, som effektivt kan kontrollere dine symptomer på blodmangel.
English: • Blood clots may also form in your haemodialysis system.
Danish: • Der kan også dannes blodpropper i dit hæmodialysesystem.
English: On average, patients treated with epoetin alfa were able to predeposit significantly more units of blood (4.5 units) than placebo-treated patients (3.0 units).
Danish: I gennemsnit var de patienter, der fik epoetin alfa i stand til at deponere signifikant flere enheder blod (4,5 enheder) end placebobehandlede patienter (3,0 enheder).
English: In the 20-week study (n=225), no significant difference was observed in the primary efficacy endpoint, i.e. the proportion of patients who required a RBC transfusion after Day 28 (62% of epoetin alfa patients versus 69% of standard therapy patients).
Danish: I studiet over 20 uger (n = 225) blev der ikke observeret nogen signifikant forskel i det primære effektendepunkt, dvs. andelen af patienter, der havde brug for transfusion af erytrocytter efter dag 28 (62 % af epoetin alfa-patienter kontra 69 % af patienterne i standardbehandling).
English: The studies either recruited patients who were being treated with chemotherapy (two studies) or used patient populations in which ESAs are not indicated: anaemia in patients with cancer not receiving chemotherapy, and head and neck cancer patients receiving radiotherapy.
Danish: Studierne rekrutterede enten patienter, der var i behandling med kemoterapi (to studier) eller anvendte patientpopulationer, for hvilkeESA'er ikke var indiceret: anæmi hos cancerpatienter, der ikke fik kemoterapi, og patienter med hoved- og halscancer, der fik strålebehandling.
English: You should discuss this with your doctor because a combination of epoetin zeta with interferon and ribavirin has led to a loss of effect and development of a condition called pure red cell aplasia (PRCA), a severe form of anaemia, in rare cases.
Danish: Du skal tale med din læge om dette, fordi en kombination af epoetin zeta med interferon og ribavirin har medført manglende virkning, og i sjældne tilfælde har udviklet sig til en alvorlig form for blodmangel med umodne røde blodlegemer (PRCA-pure red cell aplasia).
English: “Instructions on how to inject Retacrit yourself” can be found at the end of the package leaflet.
Danish: Afsnittet ”Sådan indsprøjter De selv Retacrit” findes til sidst i indlægssedlen.
English: In 5 small, open label, uncontrolled studies (number of patients ranged from 9-22, total N=72), Epoetin alfa has been administered subcutaneously in children at starting doses of 100 IU/kg/week to 150 IU/kg/week with the possibility to increase up to 300 IU/kg/week.
Danish: I 5 små, åbne, ikke-kontrollerede studier (antal af patienter spændte fra 9-22, total N = 72) blev Epoetin alfa administreret subkutant hos børn med startdoser på 100 IE/kg/uge til 150 IE/kg/uge med mulighed for at øge dosis op til 300 IE/kg/uge.
English: • Let go of the plunger and allow the syringe to move up until the entire needle is guarded and locks into place.
Danish: Slip derefter stemplet og lad sprøjten bevæge sig, indtil hele nålen er beskyttet og låst fast.
English: • increased risk of death when administered to achieve a haemoglobin concentration level of 12 g/dL (7.5 mmol/L) in patients with active malignant disease receiving neither chemotherapy nor radiation therapy.
Danish: • øget risiko for dødsfald, når det administreres for at opnå en hæmoglobinkoncentration på 12 g/dl (7,5 mmol/l) hos patienter med aktiv malign sygdom, der hverken får kemoterapi eller strålebehandling.
English: People with kidney disease
Danish: Personer med en nyresygdom
English: Retacrit is one of a group of products that stimulate the production of red blood cells, like the human protein erythropoietin does.
Danish: Retacrit tilhører en gruppe medicin, som stimulerer dannelsen af røde blodlegemer på samme måde som det humane protein erytropoietin.
English: Decreasing the dose by one dosing step should be considered if there is a rapid increase in haemoglobin (>2 g/dL over 4 weeks).
Danish: Det skal overvejes at nedsætte dosis med et doseringstrin, hvis der er en hurtig stigning i hæmoglobin (> 2 g/dl over 4 uger).
English: Pharmacokinetic data in neonates is limited.
Danish: Farmakokinetiske data hosneonatale patienter er begrænsede.
English: Tell your doctor or nurse immediately if you notice any of the effects in this list.
Danish: Fortæl det omgående til din læge eller sygeplejerske, hvis du får nogle af de bivirkninger, som er nævnt i listen herunder.
English: Retacrit is prescribed to stimulate your bone marrow to produce more red blood cells.
Danish: Retacrit er ordineret for at stimuleredin knoglemarv til at danne flere røde blodlegemer.
English: If you develop a serious rash or another of these skin symptoms, stop taking Retacrit and contact your doctor or seek medical attention immediately.
Danish: Hvis du udvikler et alvorligt udslæt eller får andre af disse hudsymptomer, skal du stoppe med at bruge Retacrit og straks kontakte din læge eller søge lægehjælp.
English: Epoetins are growth factors that primarily stimulate red blood cell (RBC) production.
Danish: Epoetiner er vækstfaktorer, der primært stimulerer produktionen af erytrocytter (RBC).
English: Despite differences in concentration-time profiles the pharmacodynamic response (as measured by changes in percent reticulocytes, haemoglobin, and total RBCs) was similar between these regimens.
Danish: Til trods for forskelle i koncentration-tid-profiler sås omtrent samme farmakodynamiske respons (målt som ændring i procent retikulocytter, hæmoglobin og totale erytrocytter) i disse regimer.
English: Available evidence suggests patients with haematological malignancies and solid tumours respond equivalently to epoetin alfa therapy, and that patients with or without tumour infiltration of the bone marrow respond equivalently to epoetin alfa therapy.
Danish: Tilgængelige data tyder på, at patienter med hæmatologiske maligniteter og solide tumorer responderer ækvivalent på behandling med epoetin alfa, og at patienter med eller uden tumorinfiltration af knoglemarven responderer i samme grad på behandling med epoetin alfa.
English: What you need to know before you use Retacrit
Danish: Det skal du vide, før du begynder at bruge Retacrit
English: In haemodialysed patients, a bolus injection may be given during the dialysis session through a suitable venous port in the dialysis line.
Danish: Hos hæmodialysepatienter kan der gives en bolusinjektion under dialyseforløbet via en egnet venøs adgang i dialyseslangen.
English: Comparable intensity of chemotherapy in the epoetin alfa and placebo groups in the chemotherapy trials was demonstrated by a similar area under the neutrophil time curve in patients treated with epoetin alfa and placebo-treated patients, as well as by a similar proportion of patients in groups treated with epoetin alfa and placebo-treated groups whose absolute neutrophil counts fell below 1 000 and 500 cells/μL.
Danish: Sammenlignelig intensitet af kemoterapi i grupperne, der fik epoetin alfa og placebo i kemoterapistudier blev påvist ved et sammenligneligt areal under neutrofil-tid-kurven hos patienter behandlet med epoetin alfa og patienter behandlet med placebo, samt en tilsvarende andel af patienter i grupper, der fik epoetin alfa og i placebobehandlede grupper, hvis absolutte neutrofiltal faldt til under 1.000 og 500 celler/μl.
English: 15.INSTRUCTIONS ON USE
Danish: INSTRUKTIONER VEDRØRENDE ANVENDELSEN
English: All contraindications associated with autologous blood predonation programmes should be respected in patients being supplemented with Retacrit.
Danish: Alle kontraindikationer, der er forbundet med autologe prædonationsprogrammer, skal respekteres for patienter, der endvidere er i behandling med Retacrit.
English: If the patient loses response or haemoglobin concentration drops by ≥1 g/dL upon dose reduction the dose should be increased by one dosing step.
Danish: Hvis patienten mister respons, eller hæmoglobinkoncentrationen falder med ≥ 1 g/dl efter dosisreduktion, skal dosis øges med et doseringstrin.
English: •Retacrit is used in moderatelyanaemic adults who donate some of their blood before surgery, so that it can be given back to them during or after the operation.
Danish: • Retacrit bruges hos voksne med moderat blodmangel, som donerer noget af deres blod før en operation for at kunne få deres eget blod tilbage under eller efter operationen.
English: Included were 228 epoetin alfa-treated CRF subjects in 4 chronic renal failure studies (2 studies in predialysis [N = 131 exposed CRF subjects] and 2 in dialysis [N = 97 exposed CRF subjects]); 1,404 exposed cancer subjects in 16 studies of anaemia due to chemotherapy; 147 exposed subjects in 2 studies for autologous blood donation; 213 exposed subjects in 1 study in the perisurgical period, and 102 exposed subjects in 2 MDS studies.
Danish: Der deltog 228 epoetin alfa-behandlede forsøgspersoner med kronisk nyresvigt i 4 studier af kronisk nyresvigt (2 studier i prædialyse [N=131 eksponerede forsøgspersoner med kronisk nyresvigt] og 2 i dialyse [N=97 eksponerede forsøgspersoner med kronisk nyresvigt]; 1.404 eksponerede forsøgspersoner med cancer i 16 studier af anæmi på grund af kemoterapi; 147 eksponerede forsøgspersoner i 2 studier af autolog bloddonation; 213 eksponerede forsøgspersoner i 1 studie i perioden omkring det kirurgiske indgreb, og 102 eksponerede forsøgspersoner i 2 MDS-studier.
English: Also, ulcers of mouth, throat, nose, genitals and eyes (red and swollen eyes) can occur.
Danish: Der kan også opstå sår i mund, hals, næse og på kønsorganer og i øjne (røde hævede øjne).
English: In the randomised, double-blind, placebo-controlled, multicentre study 4 (4.7%) subjects experienced TVEs (sudden death, ischaemic stroke, embolism, and phlebitis).
Danish: I det randomiserede, dobbeltblindede, placebokontrollerede multicenterstudie oplevede 4 (4,7 %) patienter TVE'er (pludselig død, iskæmisk slagtilfælde, embolisme og flebitis).
English: The most frequently occurring adverse drug reactions observed in clinical trials of epoetin alfa are diarrhoea, nausea, vomiting, pyrexia and headache.
Danish: De hyppigst forekommende bivirkninger observeret i kliniske studier med epoetin alfa er diarré, kvalme, opkastning, pyreksi og hovedpine.
English: Screening sEPO <200 mU/ml (N)
Danish: Total (N) sEPO ved screening < 200 mU/ml (N)
English: Caution should be exercised with escalation of erythropoiesis-stimulating agent (ESA) doses in patients with chronic renal failure.
Danish: Der skal udvises forsigtighed ved optrapning af doser af erythropoietin-stimulerende middel (ESA) hos patienter med kronisk nyresvigt.
English: Retacrit contains sodium
Danish: Retacrit indeholder natrium
English: In children the haemoglobin level should be maintained between 9.5 and 11 g/dL.
Danish: Hos børn skal hæmoglobinniveauet holdes mellem 9,5 og 11 g/dl.
English: Where intravenous access is not readily available (patients not yet undergoing dialysis and peritoneal dialysis patients) Retacrit may be administered as a subcutaneous injection.
Danish: Hvis der ikke er anlagt intravenøs adgang (patienter, der endnu ikke er i dialyse samt patienter i peritonealdialyse), kan Retacrit administreres som subkutan injektion.
English: Patients were assigned to epoetin alfa treatment targeting a maintenance haemoglobin level of 13.5 g/dL (higher than the recommended haemoglobin concentration level) or 11.3 g/dL.
Danish: Patienterne blev randomiseret til epoetin alfa-behandling, der tilstræbte vedligeholdelse af en hæmoglobinværdi på 13,5 g/dl (højere end den anbefalede hæmoglobinkoncentration) eller 11,3 g/dl.
English: In repeated dose toxicological studies in dogs and rats, but not in monkeys, epoetin alfa therapy was associated with subclinical bone marrow fibrosis.
Danish: I toksikologiske studier med gentagne doser hos hunde og rotter, men ikke aber, var behandlingen med epoetin alfa forbundet med subklinisk knoglemarvsfibrose.
English: In a prospective, randomised, double-blind, placebo-controlled trial conducted in 375 anaemic patients with various non-myeloid malignancies receiving non-platinum chemotherapy, there was a significant reduction of anaemia-related sequelae (e.g. fatigue, decreased energy, and activity reduction), as measured by the following instruments and scales: Functional Assessment of Cancer TherapyAnaemia (FACT-An) general scale, FACT-An fatigue scale, and Cancer Linear Analogue Scale (CLAS).
Danish: I et prospektivt, randomiseret, dobbeltblindet, placebokontrolleret studie med 375 anæmiske patienter med forskellige non-myeloide maligniteter, der var i behandling med ikke-platinbaseret kemoterapi, sås en signifikant reduktion af anæmi-relaterede følger (f.eks træthed, nedsat energi og nedsat aktivitetsniveau) målt ved hjælp af følgende redskaber og skalaer: Den generelle skala i Functional Assessment of Cancer Therapy-Anaemia (FACT-An), FACT-An træthedsskalaen og Cancer Linear Analogue Scale (CLAS).
English: Some people, depending on why they need Retacrit treatment, may later learn how to inject themselves under the skin: see Instructions on how to inject Retacrit yourself.
Danish: Alt efter hvorfor du har brug for behandling med Retacrit, kan du efterfølgende lære, hvordan du selv kan sprøjte det ind under huden: se Sådan indsprøjter du selv Retacrit ved hjælp af en fyldt sprøjte.
English: Patients scheduled for major elective orthopaedic surgery should receive adequate antithrombotic prophylaxis, as thrombotic and vascular events may occur in surgical patients, especially in those with underlying cardiovascular disease.
Danish: Patienterne, som skal gennemgå større ortopædisk operation, skal have adækvat antitromboseprofylakse, da der kan forekomme trombotiske og vaskulære hændelser hos kirurgiske patienter, især hos patienter med underliggende kardiovaskulær sygdom.
English: The prefilled syringes contain between 0.3 and 1 ml solution, depending on the content of epoetin zeta (see “What Retacrit contains”).
Danish: De fyldte injektionssprøjter indeholder mellem 0,3 og 1 ml opløsning, afhængig af indholdet af epoetin zeta (se ”Retacrit indeholder”).
English: Adults on chemotherapy
Danish: Voksne i kemoterapi
English: The incidence of bone marrow fibrosis was not increased in a study of haemodialysis patients who were treated with epoetin alfa for 3 years compared to a matched control group of dialysis patients who had not been treated with epoetin alfa.
Danish: Forekomsten af knoglemarvsfibrose blev ikke forøget i et studie af hæmodialysepatienter behandlet med epoetin alfa i 3 år, sammenlignet med en tilsvarende kontrolgruppe af dialysepatienter, som ikke blev behandlet med epoetin alfa).
English: Extending dose intervals may require an increase in dose.
Danish: Hvis intervallet mellem doserne øges, kan en dosisøgning være nødvendig.
English: Further pharmacodynamic studies explored 40 000 IU once weekly versus 150 IU/kg 3 times per week.
Danish: Andre farmakodynamiske studier har undersøgt 40.000 IE én gang ugentligt versus 150 IE/kg 3 gange ugentligt.
English: Patients were stratified according to their baseline haemoglobin (≤ 10 g/dL, >10 to ≤ 13 g/dL and >13 g/dL).
Danish: Patienterne blev inddelt efter deres hæmoglobinværdi ved baseline (≤ 10 g/dl, > 10 til ≤ 13 g/dl og > 13 g/dl).
English: Administration of single doses of 300 to 2 400 IU/kg subcutaneous erythropoietin resulted in a linear relationship between mean Cmax and dose and between mean AUC and dose.
Danish: Subkutan administration af en enkelt dosis epoetin alfa på 300-2400 IE/kg resulterede i et lineært forhold mellem gennemsnitlig Cmax og dosis og mellem gennemsnitlig AUC og dosis.
English: If epoetin zeta is given concomitantly with cyclosporin, blood levels of cyclosporin should be monitored and the dose of cyclosporin adjusted as the haematocrit rises.
Danish: Hvis epoetin zeta gives sammen med ciclosporin, skal koncentrationen af ciclosporin i blodet kontrolleres, og ciclosporindosis justeres i takt med, at hæmatokritværdien stiger.
English: Epoetin alfa has been studied in clinical trials in adult anaemic cancer patients with lymphoid and solid tumors, and patients on various chemotherapy regimens, including platinum and non-platinum-containing regimens.
Danish: Epoetin alfa er blevet undersøgt i kliniske studier hos voksne anæmiske cancerpatienter med lymfoide og solide tumorer og hos patienter i behandling med forskellige kemoterapiregimer, herunder platin og ikke-platinholdige regimer.
English: • have severe disorders of the veins and arteries
Danish: • har alvorlige vene- eller arterielidelser
English: For the purpose of ambulatory use, the medicinal product may be taken out of the refrigerator, without being replaced, for a maximum period of 3 days at a temperature not above 25°C.
Danish: Ved ambulant behandling kan lægemidlet tages ud af køleskabet uden at sættes tilbage og opbevares ved temperature op til 25 °C i maksimalt 3 dage.
English: OUTER LABEL (WITH BLUE BOX) MULTIPACK
Danish: YDRE LABEL (UDEN BLÅ BOKS) MULTIPAKNING
English: A paradoxical decrease in haemoglobin and development of severe anaemia associated with low reticulocyte counts should prompt to discontinue treatment with epoetin zetaand perform anti-erythropoietin antibody testing.
Danish: Et paradoksalt fald i hæmoglobin og udvikling af svær anæmii forbindelse med lavt retikulocyttal bør føre til øjeblikkelig seponeringaf behandlingen med epoetinzeta, og der bør udføres test for anti erythropoietin-antistoffer.
English: In female adult patients with metastatic breast cancer, subcutaneous co-administration of 40 000 IU/mL epoetin alfa with trastuzumab 6 mg/kg had no effect on the pharmacokinetics of trastuzumab.
Danish: Hos voksne kvindelige patienter med metastatisk brystcancer havde samtidig subkutan administration af 40.000 IE/ml epoetin alfa og trastuzumab 6 mg/kg ingen virkning på trastuzumabs farmakokinetik.
English: • If you are on a more extended dosing interval (greater than once weekly) of Retacrit, you may not maintain adequate haemoglobin levels and you may require an increase in Retacrit dose or frequency of administration.
Danish: • Hvis du får dette lægemiddel med længere intervaller (over en uge mellem mellem doserne), vil du muligvis ikke kunne opretholde et tilstrækkeligt hæmoglobinniveau, og du kan få behov for at øge din dosis af Retacrit eller få lægemidlet hyppigere.
English: • if any liquid has leaked out of the pre-filled syringe or condensation is visible within the sealed blister,
Danish: • hvis der er sivet væske ud af den fyldte sprøjte, eller der er synlig kondens indeni den forseglede blisterpakning
English: Alternatively, the injection can be given at the end of the dialysis session via the fistula needle tubing, followed by 10 mL of isotonic saline to rinse the tubing and ensure satisfactory injection of the product into the circulation (see Posology, Adult haemodialysis patients).
Danish: Alternativt kan injektionen gives ved dialysens afslutning via fistelkanyleslangen efterfulgt af 10 ml isotonisk saltvand til at gennemskylle slangen og sikre tilfredsstillende injektion af lægemidlet i blodbanen (se Dosering, Voksne hæmodialysepatienter).
English: In chronic renal failure patients, the half-life of intravenously administered erythropoietin is slightly prolonged, approximately 5 hours, compared to healthy subjects.
Danish: Hos patienter med kronisk nyresvigt er halveringstiden af intravenøst administreret erythropoietin lettere forlænget, med ca. 5 timer, i forhold til hos raske forsøgspersoner.