natgillin/translations-raw huggingface dataset:
UA/NQMI: Til en patient, der vejer ≥ 70 kg, anbefales det at give en bolusdosis på 5.000 enheder efterfulgt af en konstant intravenøs infusion på 1.000 enheder/time.
UA/NQMI: For a patient who weighs ≥ 70 kg, it is recommended that a bolus dose of 5,000 units is given, followed by a constant intravenous infusion of 1,000 units/hr.
Hvis blodpladetallet falder til < 100.000/mm3, er yderligere trombocyttællinger påkrævet for at udelukke pseudotrombocytopeni.
If the platelet count falls below 100,000/mm3, further platelet counts are required to rule out pseudothrombocytopenia.
Ved den anbefalede terapeutiske dosis, som blev anvendt i PURSUIT-undersøgelsen med næsten 11.000 patienter, var blødning den hyppigste komplikation, der forekom under behandling med eptifibatid.
At the recommended therapeutic dose, as administered in the PURSUIT trial involving nearly 11,000 patients, bleeding was the most common complication encountered during eptifibatide therapy.
- Aktivt stof: eptifibatid.
− The active substance is eptifibatide.
Hos raske personer udgjorde den renale udskillelse cirka 50 % af den totale udskillelse fra kroppen, cirka 50 % af den udskilte mængde udskilles uomdannet.
In healthy subjects, renal excretion accounted for approximately 50 % of total body clearance; approximately 50 % of the amount cleared is excreted unchanged.
Indgiv ikke heparin, før ACT falder til under 300 sekunder.
Stop heparin administration if the ACT exceeds 300 seconds; do not administer until the ACT falls below 300 seconds.
Kombination af reduceret dosis af tenecteplase og eptifibatid sammenlignet med placebo og eptifibatid øgede signifikant risikoen for både større og mindre blødninger, da de blev administreret samtidig i et akut ST-elevations myokardieinfarkt-studie.
The combination of reduced dose tenecteplase and eptifibatide compared to placebo and eptifibatide significantly increased the risk of both major and minor bleeding when administered concomitantly in an acute ST-elevation myocardial infarction study.
Forekomsten af svære eller livstruende blødningshændelser med eptifibatid var 1,9 % sammenlignet med 1,1 % med placebo.
The incidence of severe or life threatening bleeding events with eptifibatide was 1.9 % compared to 1.1 % with placebo.
GUSTO moderat eller svær/livstruende blødning forekom signifikant hyppigere ved tidlig rutinemæssig eptifibatid (7,4 % i forhold til 5,0 % i gruppen med forsinket provisorisk eptifibatid; p < 0,001).
GUSTO moderate or severe/life threatening bleeding occurred significantly more often with early routine eptifibatide (7.4 % vs. 5.0 % in delayed provisional eptifibatide group; p <0.001).
PURSUIT: Dette var en randomiseret, dobbeltblindet vurdering af virkning og sikkerhed af eptifibatid versus placebo til at reducere mortalitet og myokardie(re)infarkt hos patienter med ustabil angina eller non-Q-tak-myokardieinfarkt.
PURSUIT: This was a randomized, double-blind evaluation of the efficacy and safety of eptifibatide versus placebo for reducing mortality and myocardial (re)infarction in patients with unstable angina or non-Q-wave myocardial infarction.
Målinger af ADP-induceret ex vivo trombocytaggregation ved fysiologiske calciumkoncentrationer (D-phenylalanyl-L-prolyl-L-arginin chloromethyl keton antikoagulant) hos patienter med ustabil angina og non-Q-tak-myokardieinfarkt viste en koncentrationsafhængig hæmning med en IC50 (50 % hæmmende koncentration) på omkring 550 ng/ml og en IC80 (80 % hæmmende koncentration) på omkring 1.100 ng/ml.
Measurements of ADP-induced ex vivo platelet aggregation at physiologic calcium concentrations (Dphenylalanyl-L-prolyl-L-arginine chloromethyl ketone anticoagulant) in patients presenting with unstable angina and Non Q-Wave Myocardial Infarction showed a concentration-dependent inhibition with an IC50 (50 % inhibitory concentration) of approximately 550 ng/ml and an IC80 (80 % inhibitory concentration) of approximately 1,100 ng/ml.
Hæmoglobin, hæmatokrit og blodpladetal skal kontrolleres både inden for 6 timer efter behandlingsstart og mindst én gang daglig, derefter under behandling (eller oftere, hvis der er tegn på et mærkbart fald).
Haemoglobin, haematocrit, and platelet count are to be monitored as well within 6 hours after start of therapy and at least once daily thereafter while on therapy (or more often if there is evidence of a marked decrease).
Eptifibatid Accord er indiceret til forebyggelse af tidligt opstående myokardieinfarkt hos voksne med ustabil angina eller non-Q-tak-myokardieinfarkt med det sidste anfald af brystsmerter inden for 24 timer og med elektrokardiogram (ekg)-ændringer og/eller forhøjede hjerteenzymer.
Eptifibatide Accord is indicated for the prevention of early myocardial infarction in adults presenting with unstable angina or non-Q-wave myocardial infarction, with the last episode of chest pain occurring within 24 hours and with electrocardiogram (ECG) changes and/or elevated cardiac enzymes.
Større blødninger blev i PURSUIT-undersøgelsen defineret som enten en intrakraniel blødning eller et fald i hæmoglobin-koncentrationer på mere end 5 g/dl.
Major bleeding was defined in the PURSUIT trial as either an intracranial haemorrhage or a decrease in haemoglobin concentrations of more than 5 g/dl.
Hvis enten trombocyttallet falder til < 100.000/mm3, eller der observeres akut, markant trombocytopeni, skal det straks overvejes at afbryde behandlingen med lægemidler, der vides eller formodes at kunne medføre trombocytopeni, herunder eptifibatid, heparin og clopidogrel.
If either a confirmed platelet decrease to < 100,000/mm3 or acute profound thrombocytopenia is observed, discontinuation of each treatment medication having known or suspected thrombocytopenic effects, including eptifibatide, heparin and clopidogrel, should be considered immediately.
De hyppigste blødningskomplikationer var forbundet med invasive hjerteprocedurer (koronararterie bypass-kirurgi (CABG)-relaterede eller ved femoral arterieindstikssted).
The most common bleeding complications were associated with cardiac invasive procedures (coronary artery bypass grafting (CABG)-related or at femoral artery access site).
Kontraindiceret hos patienter med klinisk signifikant leverinsufficiens.
It is contraindicated in patients with clinically significant hepatic impairment.
MINDSTEKRAV TIL MÆRKNING PÅ SMÅ INDRE EMBALLAGER ETIKET til 10 ml hætteglas
MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS LABEL for 10 ml vial
Det vides dog, at behandling med eptifibatid er associeret med antistoffer, der genkender GP IIb/IIIa, der er optaget af eptifibatid, hvilket peger på en immunmedieret mekanisme.
However, treatment with eptifibatide was associated with antibodies that recognise GPIIb/IIIa occupied by eptifibatide, suggesting an immune-mediated mechanism.
Ved de højeste undersøgte infusionshastigheder (1,3 mikrogram/kg/minut og 2,0 mikrogram/kg/minut) var eptifibatid forbundet med en øget hyppighed af blødning og transfusioner sammenlignet med den forekomst, der sås, når streptokinase blev givet alene.
At the highest infusion rates (1.3 microgram/kg/min and 2.0 microgram/kg/min) studied, eptifibatide was associated with an increased incidence of bleeding and transfusions compared to the incidence seen when streptokinase was given alone.
De nævnte plasmakoncentrationer opnås hurtigt, når infusionen forudgås af en 180 mikrogram/kg bolusinjektion.
These plasma concentrations are achieved rapidly when the infusion is preceded by a 180microgram/kg bolus.
Da der ikke foreligger studier af eventuelle uforligeligheder, må Eptifibatid Accord ikke blandes med andre lægemidler end dem, der er anført under pkt.
In the absence of compatibility studies, Eptifibatide Accord must not be mixed with other medicinal products except those mentioned in 6.6.
Eptifibatid, et syntetisk cyklisk heptapeptid indeholdende seks aminosyrer, som omfatter et cysteinamid og en merkaptopropionyl-rest (desaminocysteinyl-), er en trombocytaggregationshæmmer i klassen RGD(arginin-glycin-aspartat)-mimetika.
Eptifibatide, a synthetic cyclic heptapeptide containing six amino acids, including one cysteine amide and one mercaptopropionyl (desamino cysteinyl) residue, is an inhibitor of platelet aggregation and belongs to the class of RGD (arginine-glycine-aspartate)-mimetics.
Behandling med eptifibatid øgede i moderat grad behovet for blodtransfusioner (11,8 % mod 9,3 % for placebo).
The need for blood transfusions was increased modestly by eptifibatide treatment (11.8 % versus 9.3 % for placebo).
Mindre blødninger blev i PURSUIT-undersøgelsen defineret som spontan kraftig hæmaturi, spontan hæmatemese, observeret blodtab med et fald i hæmoglobin på mere end 3 g/dl eller mere end 4 g/dl uden observeret blødningssted.
Minor bleeding was defined in the PURSUIT trial as spontaneous gross haematuria, spontaneous haematemesis, observed blood loss with a haemoglobin decrease of more than 3 g/dl, or a haemoglobin decrease of more than 4 g/dl in the absence of an observed bleeding site.
Virkningen af eptifibatid ses øjeblikkeligt efter indgift af en 180 mikrogram/kg intravenøs bolus.
The effect of eptifibatide is observed immediately after administration of a 180 microgram/kg intravenous bolus.
Eptifibatid hæmmer trombocytaggregationen reversibelt ved at forebygge bindingen af fibrinogen, von-Willebrand faktor og andre adhæsive ligander til glykoprotein (GP) IIb/IIIa-receptorer.
Eptifibatide reversibly inhibits platelet aggregation by preventing the binding of fibrinogen, von Willebrand factor and other adhesive ligands to the glycoprotein (GP) IIb/IIIa receptors.
Hvis perkutan koronarintervention (PCI) foretages under behandlingen med Eptifibatid Accord, kan behandlingen fortsættes i indtil 96 timer.
If percutaneous coronary intervention (PCI) is performed during Eptifibatide Accord therapy, the intravenous solution may be continued for up to 96 hours.
Ifølge epidemiologiske fund er en højere hyppighed af kardiovaskulære hændelser knyttet til visse indikatorer, fx: - alder - øget puls eller blodtryk - vedvarende eller tilbagevendende iskæmiske hjertesmerter - udtalte ekg-forandringer (især ST-segmentanomalier) - forhøjede hjerteenzymer eller markører (fx CK-MB, troponiner) og - hjerteinsufficiens
According to epidemiological findings, a higher incidence of cardiovascular events has been associated with certain indicators, for instance: - age - elevated heart rate or blood pressure - persistent or recurrent ischemic cardiac pain - marked ECG changes (in particular ST-segment abnormalities) - raised cardiac enzymes or markers (e.g. CK-MB, troponins) and - heart failure
I armen med eptifibatid i undersøgelsen fik næsten alle patienter acetylsalicylsyre (99,7 %), og 98,1 % fik thienopyridin (clopidogrel hos 95,4 % og ticlopidin hos 2,7 %).
In the eptifibatide arm of the trial, virtually all patients received aspirin (99.7 %), and 98.1 % received a thienopyridine, (clopidogrel in 95.4 % and ticlopidine in 2.7 %).
Hjertestop, ventrikelflimren, ventrikulær takykardi, hjerteinsufficiens, atrioventrikulært blok, atrieflimren.
Cardiac arrest, ventricular fibrillation, ventricular tachycardia, congestive heart failure, atrioventricular block, atrial fibrillation.
Eptifibatid synes ikke at give en øget risiko for større eller mindre blødninger i forbindelse med samtidig brug af warfarin og dipyridamol.
Eptifibatide did not appear to increase the risk of major and minor bleeding associated with concomitant use of warfarin and dipyridamole.
For at undgå interaktioner med anden medicin, skal du altid fortælle det til lægen eller sundhedspersonalet, hvis du bruger anden medicin eller har brugt det for nylig.
To avoid the possibility of interactions with other medicines please tell your doctor or hospital pharmacist or nurse if you are taking or have recently taken or might take any other medicines, including medicines obtained without a prescription.
Eptifibatid Accord er kemisk og fysisk forligeligt med 0,9 % natriumchlorid infusionsvæske og med glucose 5 % i Normosol R med eller uden kaliumchlorid i op til 92 timer, når det opbevares ved 20-25°C.
Eptifibatide Accord is chemically and physically compatible with 0.9 % sodium chloride solution for infusion and with dextrose 5 % in Normosol R with or without potassium chloride up to 92 hours when stored at 20-25°C.
I en populationsfarmakokinetisk undersøgelse var der imidlertid ingen tegn på farmakokinetisk interaktion mellem eptifibatid og følgende samtidigt indgivne præparater: amlodipin, atenolol, atropin, captopril, cefazolin, diazepam, digoxin, diltiazem, diphenhydramin, enalapril, fentanyl, furosemid, heparin, lidocain, lisinopril, metoprolol, midazolam, morphin, nitrater, nifedipin og warfarin.
However, in a population pharmacokinetic study there was no evidence of a pharmacokinetic interaction between eptifibatide and the following concomitant medicinal products: amlodipine, atenolol, atropine, captopril, cefazolin, diazepam, digoxin, diltiazem, diphenhydramine, enalapril, fentanyl, furosemide, heparin, lidocaine, lisinopril, metoprolol, midazolam, morphine, nitrates, nifedipine, and warfarin.
Den aktiverede, partielle tromboplastintid (aPTT) skal følges for at bibeholde en værdi mellem 50 og 70 sekunder.
The activated partial thromboplastin time (aPTT) must be monitored in order to maintain a value between 50 and 70 seconds, above 70 seconds there may be an increased risk of bleeding.
Data er begrænsede for anvendelse af eptifibatid til patienter, der får trombolytiske stoffer.
Data are limited on the use of eptifibatide in patients receiving thrombolytic agents.
Større blødninger var også en meget almindelig komplikation og blev rapporteret hyppigere hos de patienter der blev behandlet med eptifibatid end hos dem, der fik placebo i PURSUIT-undersøgelsen (> 1/10 eller 10,8 % mod 9,3 %), men det var ikke almindeligt hos størstedelen af de patienter, der ikke gennemgik CABG inden for 30 dage efter inklusion i studiet.
Major bleeding was also very common and reported more frequently with eptifibatide than with placebo in the PURSUIT study (> 1/10 or 10.8 % versus 9.3 %), but it was infrequent in the vast majority of patients who did not undergo CABG within 30 days of inclusion in the study.
Mens Thrombolysis in Myocardial Infarction (TIMI) study group kriterierne blev anvendt til klassifikation af incidensen af større og mindre blødninger i både PURSUITog ESPRIT-undersøgelsen, blev PURSUIT-data indsamlet inden for 30 dage, hvor ESPRIT-data var begrænset til hændelser inden for 48 timer eller ved udskrivning, afhængigt af hvad der skete først.
While Thrombolysis in Myocardial Infarction TIMI bleeding criteria were used to categorize the incidence of major and minor bleeding in both the PURSUIT and the ESPRIT trials, PURSUIT data was collected within 30 days while ESPRIT data was limited to events within 48 hours or discharge, whichever came first.
Blødningshændelser var hyppigere hos patienter, der samtidig fik heparin under gennemførelse af PCI, når ACT oversteg 350 sekunder (se pkt.
Bleeding events were more frequent in patients receiving concurrent heparin while undergoing PCI, when ACT exceeded 350 seconds (see section 4.4, heparin use).
Hyppigheden af angiografi, PCI og CABG var derfor meget forskellig fra sted til sted og fra land til land.
Patients were managed according to the usual standards of the investigational site; frequencies of angiography, PCI and CABG therefore differed widely from site to site and from country to country.
De patienter, som mest sandsynligt vil have gavn af Eptifibatid Accord-behandling, er de, som har høj risiko for at udvikle myokardieinfarkt inden for de første 3-4 dage, efter at de akutte anginasymptomer debuterede inklusive fx de patienter, som med stor sandsynlighed skal have foretaget en tidlig PTCA (perkutan transluminal koronar angioplastik) (se pkt.
Patients most likely to benefit from Eptifibatide Accord treatment are those at high risk of developing myocardial infarction within the first 3-4 days after onset of acute angina symptoms including for instance those that are likely to undergo an early PTCA (Percutaneous Transluminal Coronary Angioplasty) (see section 5.1).
Før infusion med Eptifibatid Accord anbefales det, at man foretager følgende laboratorieundersøgelser for at identificere præeksisterende hæmostatiske abnormaliteter: Protrombintid (PT) og aPTT, serumkreatinin, trombocyttal, hæmoglobin og hæmatokritværdier.
Before infusion of Eptifibatide Accord, the following laboratory tests are recommended to identify preexisting haemostatic abnormalities: prothrombin time (PT) and aPTT, serum creatinine, platelet count, haemoglobin and haematocrit levels.
Hvis der foretages perkutan koronarintervention (PCI) under behandling med eptifibatid, skal infusionen fortsættes i 20-24 timer efter PCI med en samlet maksimal behandlingsvarighed på 96 timer.
If Percutaneous Coronary Intervention (PCI) is performed during eptifibatide therapy, continue the infusion for 20-24 hours post-PCI for an overall maximum duration of therapy of 96 hours.
Der er begrænsede terapeutiske erfaringer med eptifibatid til patienter med generel indikation for trombolytisk behandling (f.eks. akut transmural myokardieinfarkt med nye patologiske Q-takker eller forhøjet ST-segmenter eller venstresidigt ledningsblok i ekg).
There is limited therapeutic experience with eptifibatide in patients for whom thrombolytic therapy is generally indicated (e.g. acute transmural myocardial infarction with new pathological Q-waves or elevated ST-segments or left bundle branch block in the ECG).
Heparin-indgift anbefales, medmindre der er en kontraindikation for dette (som ved anamnese med trombocytopeni i forbindelse med brug af heparin).
Heparin administration is recommended unless a contraindication (such as a history of thrombocytopenia associated with use of heparin) is present.
Hvis du bemærker nogen tegn på blødning, så kontakt straks lægen eller sundhedspersonalet.
If you notice any signs of bleeding, notify your doctor or hospital pharmacist or nurse immediately.
Infusionshastigheden var 2,0 mikrogram/kg/minut til patienter med serumkreatinin ≤ 175 mikromol/l eller 1,0 mikrogram/kg/minut ved serumkreatinin > 175 op til 350 mikromol/l.
The rate of infusion was 2.0 microgram/kg/min for patients with serum creatinine ≤ 175 micromols/l or 1.0 microgram/kg/min for serum creatinine > 175 up to 350 micromols/l.
Eptifibatid hæmmer trombocytaggregationen på en dosis- og koncentrationsafhængig måde, som demonstreret ved ex vivo trombocytaggregation ved anvendelse af adenosindiphosphat (ADP) og andre agonister for induktion af pladeaggregation.
Eptifibatide inhibits platelet aggregation in a dose- and concentration-dependent manner as demonstrated by ex vivo platelet aggregation using adenosine diphosphate (ADP) and other agonists to induce platelet aggregation.
ESPRIT: Dette var en dobbeltblindet, multicenter, randomiseret, parallelgruppe, placebokontrolleret undersøgelse, hvor virkning og sikkerhed af behandling med eptifibatid blev vurderet hos patienter, hvor perkutan koronarintervention (PCI) med intrakoronar stent var planlagt.
ESPRIT: This was a double-blind, multicentre, randomized, parallel-group, placebo-controlled trial evaluating the safety and efficacy of eptifibatide therapy in patients scheduled to undergo nonemergent percutaneous coronary intervention (PCI) with stent implantation.
Fysiske og kemiske forligelighedsforsøg indicerer, at Eptifibatid Accord kan indgives via en intravenøs linje med atropinsulfat, dobutamin, heparin, lidocain, meperidin, metoprolol, midazolam, morphin, nitroglycerin, vævs plasminogen aktivator eller verapamil.
Physical and chemical compatibility testing indicate that Eptifibatide Accord may be administered through an intravenous line with atropine sulfate, dobutamine, heparin, lidocaine, meperidine, metoprolol, midazolam, morphine, nitroglycerin, tissue plasminogen activator, or verapamil.
Hos patienter med moderat til svær nyreinsufficiens (kreatininclearance < 50 ml/minut) er clearance reduceret med cirka 50 % og steadystate plasmaværdier omtrent fordoblet.
In patients with moderate to severe renal insufficiency (creatinine clearance < 50 ml/min), the clearance of eptifibatide is reduced by approximately 50 % and steady-state plasma levels are approximately doubled.
PURSUIT blev udført på et tidspunkt, hvor standardbehandlingen til patienter med akutte koronarsyndromer var anderledes, end den er nu, både hvad angår brugen af trombocyt-ADP-receptorantagonister (P2Y12-antagonister) og den rutinemæssige brug af intrakoronare stents.
PURSUIT was conducted at a time when the standard of care of managing acute coronary syndromes was different from that of present times in terms of thienopyridine use and the routine use of intracoronary stents.
ESPRIT (Enhanced Suppression of the Platelet IIb/IIIa Receptor with Eptifibatid Therapy: Forstærket supprimering af blodpladereceptor IIb/IIIa med behandling med eptifibatid) var en dobbeltblind, randomiseret, placebokontrolleret undersøgelse (n=2.064) af ikke akut PCI med intrakoronar stent.
ESPRIT (Enhanced Suppression of the Platelet IIb/IIIa Receptor with eptifibatide Therapy) was a double-blind, randomised, placebo-controlled trial (n= 2,064) for nonurgent PCI with intracoronary stenting.
Eptifibatid Accord gives i en blodåre ved direkte injektion efterfulgt af infusion (drop).
Eptifibatide Accord is given into the vein by direct injection followed by an infusion (drip solution).
Hvis du får en alvorlig allergisk reaktion eller kløende udslæt, så kontakt straks lægen eller sundhedspersonalet.
If you develop severe allergic reaction or hives, notify your doctor or hospital pharmacist or nurse immediately.
Pakningsstørrelser og yderligere oplysninger Eptifibatid Accord indeholder:
Contents of the pack and other information What Eptifibatide Accord contains
Eptifibatids farmakokinetik er lineær og dosisproportional for bolusdoser i området fra 90 til 250 mikrogram/kg og infusionshastigheder fra 0,5 til 3,0 mikrogram/kg/minut.
The pharmacokinetics of eptifibatide are linear and dose proportional for bolus doses ranging from 90 to 250 microgram/kg and infusion rates from 0.5 to 3.0 microgram/kg/min.
Før anvendelsen inspiceres indholdet i hætteglasset.
Before using, inspect the vial contents.
Infusionen fortsatte indtil udskrivning fra hospitalet, indtil tidspunkt for koronararterie bypass-kirurgi (CABG) eller i op til 72 timer, efter hvad der forekom først.
The infusion was continued until hospital discharge, until the time of coronary artery bypass grafting (CABG) or for up to 72 hours, whichever occurred first.
- Før og under din behandling med Eptifibatid Accord, vil du få taget blodprøver, der skal undersøges, for at begrænse risikoen for en uventet blødning.
− Before and during your treatment with Eptifibatide Accord, samples of your blood will be tested as a safety measure to limit the possibility of unexpected bleeding.
Den grundlæggende kliniske undersøgelse ved ustabil angina (UA)/non-Q-tak-myokardieinfarkt (NQMI) var PURSUIT.
PURSUIT trial The pivotal clinical trial for Unstable Angina (UA)/Non-Q Wave Myocardial Infarction (NQMI) was PURSUIT.
Ved en 2,0 mikrogram/kg/minut infusion opnås gennemsnitlige steady-state eptifibatidplasmakoncentrationer fra 1,5 til 2,2 mikrogram/ml hos patienter med koronararteriesygdom.
For a 2.0 microgram/kg/min infusion, mean steady-state plasma eptifibatide concentrations range from 1.5 to 2.2 microgram/ml in patients with coronary artery disease.
Erfaringer med patienter med leverinsufficiens er meget begrænsede.
Experience in patients with hepatic impairment is very limited.