natgillin/translations-raw huggingface dataset:
Bone specific alkaline phosphatase (BSAP), serum N-terminal propeptide of type I collagen (P1NP) and serum beta-C-telopeptides (b-CTx) were evaluated in subsets ranging from 517 to 1,246 patients at periodic intervals throughout the study.
Tijekom kliničkog ispitivanja analizirani su koštano specifična alkalna fosfataza (BSAP), serumski Nterminalni propeptid kolagena tip I (P1NP) i serumski beta-C-telopeptidi (b-CTx) u podskupinama u rasponu od 517 do 1246 bolesnica u periodičnim razmacima.
Unit pack
Jedinično pakiranje
The efficacy and safety of Aclasta in the treatment and prevention of osteoporosis associated with long-term systemic glucocorticoid therapy were assessed in a randomised, multicentre, double-blind, stratified, active-controlled study of 833 men and women aged 18-85 years (mean age for men 56.4 years; for women 53.5 years) treated with > 7.5 mg/day oral prednisone (or equivalent).
Djelotvornost i sigurnost Aclaste u liječenju i prevenciji osteoporoze povezane s dugotrajnom sistemskom terapijom glukokortikosteroidima bila je procijenjena u randomiziranom, multicentričnom, dvostruko slijepom, stratificiranom ispitivanju s aktivnom kontrolom u 833 muškaraca i žena u dobi od 18-85 godina (srednja dob za muškarce 56,4 godine; za žene 53,5 godine) liječenih s >7,5 mg/dan peroralnog prednizona (ili ekvivalenta).
Patients must be appropriately hydrated prior to administration of Aclasta.
Bolesnici moraju biti prikladno hidrirani prije primjene Aclaste.
• Aclasta should be used with caution when concomitantly used with other medicinal products that could impact renal function (see section 4.5).
• Potreban je oprez kada se Aclasta primjenjuje istodobno s drugim lijekovima koji mogu utjecati na funkciju bubrega (vidjeti dio 4.5).
Women who were evaluated for the incidence of vertebral fractures did not receive concomitant osteoporosis therapy, which was allowed for women contributing to the hip and all clinical fracture evaluations.
Žene koje su ispitivane s obzirom na incidenciju vertebralnih prijeloma nisu primale istodobnu terapiju za osteoporozu, koja je bila dopuštena kod žena koje su sudjelovale u ispitivanjima prijeloma kuka i svih kliničkih prijeloma.
After initiation of the zoledronic acid infusion, plasma concentrations of the active substance increased rapidly, achieving their peak at the end of the infusion period, followed by a rapid decline to < 10% of peak after 4 hours and < 1% of peak after 24 hours, with a subsequent prolonged period of very low concentrations not exceeding 0.1% of peak levels.
Nakon uvođenja infuzije zoledronatne kiseline, koncentracije djelatne tvari u plazmi brzo su se povećavale, pri čemu su vršnu vrijednost postigle na kraju perioda infuzije, nakon čega je slijedio brzi pad na <10% vršne vrijednosti nakon 4 sata, zatim na <1% vršne vrijednosti nakon 24 sata te produljeni period vrlo niskih koncentracija koje nisu prelazile 0,1% vršnih razina.
85% of patients were bisphosphonate-naïve.
85% bolesnica do tada nije liječeno bisfosfonatima.
Clinical efficacy in the treatment of Paget's disease of the bone
Klinička djelotvornost u liječenju Pagetove bolesti kosti
• Need for adequate calcium and vitamin D supplementation, appropriate physical activity,
• Potreba za primjerenim nadomještanjem kalcija i vitamina D, primjerenom fizičkom aktivnošću, nepušenjem i zdravom prehranom
No interaction studies with other medicinal products have been performed with zoledronic acid.
Ispitivanja interakcija s drugim lijekovima nisu provedena sa zoledronatnom kiselinom.
You must not be given Aclasta: - if you are allergic to zoledronic acid, other bisphosphonates or any of the other ingredients of this medicine (listed in section 6).
Ne smijete primiti Aclastu - ako ste alergični na zoledronatnu kiselinu, druge bisfosfonate ili neki drugi sastojak ovog lijeka
Based on laboratory assessment, transient asymptomatic calcium levels below the normal reference range (less than 2.10 mmol/l) occurred in 2.3% of Aclasta-treated patients in a large clinical trial compared to 21% of Aclasta-treated patients in the Paget's disease trials.
Na temelju laboratorijske procjene, prolaznih, asimptomatskih razina kalcija ispod normalnog referentnog raspona (manje od 2,10 mmol/l) javile su se u 2,3% bolesnika liječenih Aclastom u velikom kliničkom ispitivanju, u usporedbi s 21% bolesnika liječenih Aclastom u kliničkim ispitivanjima Pagetove bolesti.
In the osteoporosis trials (PFT, HORIZON - Recurrent Fracture Trial [RFT]) the pooled atrial fibrillation incidences were comparable between Aclasta (2.6%) and placebo (2.1%).
U ispitivanjima osteoporoze (PFT, HORIZON - Recurrent Fracture Trial [RFT]) objedinjene incidencije fibrilacije atrija bile su usporedive kod Aclaste (2,6%) i placeba (2,1%).
Aclasta is not recommended in women of childbearing potential.
Primjena Aclaste se ne preporučuje u žena reproduktivne dobi.
The incidence of fractures was 8 for Aclasta-treated patients versus 7 for risedronate-treated patients (p=0.8055).
Incidencija prijeloma bila je 8 bolesnika liječenih Aclastom naspram 7 bolesnika liječenih risedronatom (p=0,8055).
Incidence of individual adverse reactions following the first infusion was: pyrexia (17.1%), myalgia (7.8%), influenza-like illness (6.7%), arthralgia (4.8%) and headache (5.1%).
Incidencija pojedinih nuspojava nakon prve infuzije bila je: pireksija (17,1%), mialgija (7,8%), bolest nalik gripi (6,7%), artralgija (4,8%) i glavobolja (5,1%).
If refrigerated, allow the refrigerated solution to reach room temperature before administration.
Ako je otopina bila u hladnjaku, prije primjene mora doseći sobnu temperaturu.
In case you recently broke your hip, it is recommended that Aclasta is administered two or more weeks after your hip repair surgery.
U slučaju da ste nedavno imali prijelom kuka, preporučuje se primjena infuzije Aclaste dva ili više tjedana nakon kirurškog zahvata.
Treatment of Paget's disease of the bone in adults.
Liječenje Pagetove bolesti kostiju kod odraslih.
Zoledronic acid is not highly bound to plasma proteins (approximately 43-55% bound) and interactions resulting from displacement of highly protein-bound medicinal products are therefore unlikely.
Zoledronatna kiselina se ne veže u velikoj mjeri na proteine plazme (veže se otprilike 43-55%), pa zbog toga interakcije nastale istiskivanjem lijekova koji se u velikoj mjeri vežu za proteine nisu vjerojatne.
Zoledronic acid belongs to the class of nitrogen-containing bisphosphonates and acts primarily on bone.
Zoledronatna kiselina pripada skupini bisfosfonata koji sadrže dušik, a djeluje primarno na kost.
A randomised, double-blind, placebo-controlled study was conducted in paediatric patients aged 5 to 17 years treated with glucocorticoids who had decreased bone mineral density (lumbar spine BMD Zscore of -0.5 or less) and a low impact/fragility fracture.
Provedeno je randomizirano, dvostruko slijepo, placebom kontrolirano ispitivanje u pedijatrijskih bolesnika u dobi od 5 do 17 godina liječenih glukokortikoidima koji su imali smanjenu mineralnu gustoću kosti (BMD Z-vrijednost lumbalne kralježnice -0,5 ili manja) i prijelom zbog manje traume/krhkosti.
The incidence of clinical fractures, including vertebral, non-vertebral and hip fractures, was evaluated in 2,127 men and women aged 50-95 years (mean age 74.5 years) with a recent (within 90 days) low-trauma hip fracture who were followed for an average of 2 years on study treatment (Aclasta).
Incidencija kliničkih prijeloma, uključujući vertebralne prijelome, nevertebralne prijelome i prijelome kuka, bila je procijenjena u 2127 muškaraca i žena u dobi od 50 do 95 godina (srednja dob 74,5 godina) s nedavnim (unutar 90 dana) prijelomom kuka nakon manje traume koji su praćeni u prosjeku 2 godine tijekom liječenja ispitivanim lijekom (Aclasta).
Uncommon (may affect up to 1 in 100 people) Swelling, redness, pain and itching to the eyes or eye sensitivity to light.
Manje često (može se javiti u do 1 na 100 osoba) Oticanje, crvenilo, bol i svrbež očiju ili osjetljivost očiju na svjetlost.
In the three-year osteoporosis study standing height was measured annually using a stadiometer.
U trogodišnjem ispitivanju osteoporoze, jednom godišnje je mjerena visina u stojećem položaju uz pomoć stadiometra.
Aclasta is contraindicated during pregnancy (see section 4.3).
Aclasta je kontraindicirana tijekom trudnoće (vidjeti dio 4.3).
More patients reported serious adverse events in the zoledronic acid group than in the placebo group (5 [27.8%] patients versus 1 [6.3%] patient).
Više je bolesnika prijavilo ozbiljne nuspojave u skupini koja je primala zoledronatnu kiselinu nego u skupini koja je primala placebo (5 [27.8%] bolesnika naspram 1 [6.3%] bolesnika).
The study was planned to include 92 patients, however only 34 patients were enrolled and randomised to receive either a twice-yearly 0.05 mg/kg (max. 5 mg) intravenous zoledronic acid infusion or placebo for one year.
Planirano je da se u ispitivanje uključe 92 bolesnika, međutim, uključeno je samo 34 bolesnika koji su randomizirani na primanje ili intravenske infuzije zoledronatne kiseline u dozi od 0,05 mg/kg dvaput godišnje (maksimalno 5 mg) ili placeba, tijekom razdoblja od godine dana.
What Aclasta contains - The active substance is zoledronic acid.
Što Aclasta sadrži - Djelatna tvar je zoledronatna kiselina.
Hypocalcaemia*
Hipokalcijemija*
While on treatment, invasive dental procedures should be performed with caution and avoided in close proximity to zoledronic acid treatment.
Invazivne stomatološke zahvate treba izvoditi s oprezom za vrijeme liječenja i izbjegavati neposredno nakon liječenja zoledronatnom kiselinom.
Therefore, interactions resulting from displacement of highly protein-bound medicinal products are unlikely.
Zbog toga, interakcije nastale istiskivanjem lijekova koji su u velikoj mjeri vezani na proteine nisu vjerojatne.
There was a transient increase in serum creatinine observed within 10 days in 1.8% of Aclasta-treated patients versus 0.8% of placebo-treated patients.
Zapaženo je prolazno povećanje kreatinina u serumu unutar 10 dana u 1,8% bolesnika liječenih Aclastom naspram 0,8% bolesnika koji su primali placebo.
In patients treated with Aclasta, no osteomalacia, marrow fibrosis or woven bone formation was detected.
U bolesnica liječenih Aclastom, nisu otkriveni osteomalacija, fibroza srži niti stvaranje nelamelarne kosti.
Caution is indicated when zoledronic acid is administered in conjunction with medicinal products that can significantly impact renal function (e.g. aminoglycosides or diuretics that may cause dehydration) (see section 4.4).
Oprez je indiciran kada se zoledronatna kiselina primjenjuje zajedno s lijekovima koji mogu značajno utjecati na funkciju bubrega (npr. aminoglikozidi ili diuretici koji mogu uzrokovati dehidraciju) (vidjeti dio 4.4).
The management plan for patients who develop ONJ should be set up in close collaboration between the treating physician and a dentist or oral surgeon with expertise in ONJ.
Plan liječenja bolesnika koji razviju ONJ potrebno je postaviti u uskoj suradnji između liječnika i stomatologa ili oralnog kirurga sa iskustvom u liječenju ONJ.
In the intravenous infusion studies, renal tolerability of zoledronic acid was established in rats when given 0.6 mg/kg as 15-minute infusions at 3-day intervals, six times in total (for a cumulative dose that corresponded to AUC levels about 6 times the human therapeutic exposure) while five 15-minute infusions of 0.25 mg/kg administered at 2-3-week intervals (a cumulative dose that corresponded to 7 times the human therapeutic exposure) were well tolerated in dogs.
U ispitivanjima s intravenskom infuzijom, bubrežna podnošljivost zoledronatne kiseline utvrđena je u štakora kada su dobivali 0,6 mg/kg u obliku 15-minutnih infuzija u intervalima od 3 dana, ukupno šest puta (čime se dobila kumulativna doza koja je odgovarala AUC razinama koje su bile oko 6 puta veće od terapijske izloženosti u ljudi), dok su psi dobro podnosili pet 15-minutnih infuzija u dozi od 0,25 mg/kg koje su primjenjivane u intervalima od 2 do 3 tjedna (kumulativna doza je odgovarala 7 puta većoj od terapijske izloženosti u ljudi).
In clinical trials in osteoporosis, approximately 0.2% of patients had notable declines of serum calcium levels (less than 1.87 mmol/l) following Aclasta administration.
Otprilike 0,2% bolesnika u kliničkim ispitivanjima osteoporoze imalo je značajno sniženje razina kalcija u serumu (manje od 1,87 mmol/l) nakon primjene Aclaste.
These fractures occur after minimal or no trauma and some patients experience thigh or groin pain, often associated with imaging features of stress fractures, weeks to months before presenting with a completed femoral fracture.
Ti prijelomi nastaju nakon minimalne traume ili bez nje, a neki bolesnici osjete bol u bedru ili preponi, često praćenu radiološkim obilježjima stres prijeloma, tjednima odnosno mjesecima prije potpunog prijeloma bedrene kosti.
Aclasta must not be mixed or given intravenously with any other medicinal product and must be given through a separate vented infusion line at a constant infusion rate.
Aclasta se ne smije miješati niti primijeniti intravenski s drugim lijekovima te se mora dati putem zasebne infuzijske cjevčice s odzračivačem uz konstantnu brzinu infuzije.
Aclasta treatment rapidly reduced the rate of bone turnover from elevated post-menopausal levels with the nadir for resorption markers observed at 7 days, and for formation markers at 12 weeks.
Liječenje Aclastom dovelo je do brzog smanjenja stope pregradnje kosti s povišenih razina u postmenopauzi, pri čemu je najniža vrijednost markera resorpcije opažena 7. dana, a markera stvaranja kosti u 12. tjednu.
Contact your doctor and dentist immediately if you experience any problems with your mouth or teeth such as loose teeth, pain or swelling, or non-healing of sores or discharge, as these could be signs of osteonecrosis of the jaw.
Odmah se obratite se svom liječniku i zubaru ako imate bilo koji problem s Vašim ustima ili zubima kao što su klimavi zubi, bol ili oticanje, ili ranice koje ne cijele ili iscjedak, jer to mogu biti znakovi osteonekroze čeljusti.
Uncommon Lethargy, paraesthesia, somnolence, tremor, syncope, dysgeusia
Manje često Letargija, parestezija, somnolencija, tremor, sinkopa, disgeuzija
The European Medicines Agency has waived the obligation to submit the results of studies with Aclasta in all subsets of the paediatric population in Paget's disease of the bone, osteoporosis in post-menopausal women at an increased risk of fracture, osteoporosis in men at increased risk of fracture and prevention of clinical fractures after a hip fracture in men and women (see section 4.2 for information on paediatric use).
Europska agencija za lijekove izuzela je obvezu podnošenja rezultata ispitivanja lijeka Aclasta u svim podskupinama pedijatrijske populacije u Pagetovoj bolesti kostiju, osteoporozi u postmenopauzalnih žena s povećanim rizikom od prijeloma, osteoporozi u muškaraca s povećanim rizikom od prijeloma i prevenciji kliničkih prijeloma nakon prijeloma kuka u muškaraca i žena (vidjeti dio 4.2 za informacije o pedijatrijskoj primjeni).
The Aclasta group revealed approximately 2.5 mm less height loss compared to placebo (95% CI: 1.6 mm, 3.5 mm) [p<0.0001].
Skupina na Aclasti pokazala je otprilike 2,5 mm manji gubitak tjelesne visine, u usporedbi s placebom (95% CI: 1,6 mm, 3,5 mm) [p<0,0001].
The following information is intended for healthcare professionals only (see section 3):
Sljedeće informacije namijenjene su samo zdravstvenim radnicima (vidjeti dio 3): Kako pripremiti i primijeniti Aclastu
Flu, upper respiratory tract infections, decreased red cell count, loss of appetite, sleeplessness, sleepiness which may include reduced alertness and awareness, tingling sensation or numbness, extreme tiredness, trembling, temporary loss of consciousness, eye infection or irritation or inflammation with pain and redness, spinning sensation, increased blood pressure, flushing, cough, shortness of breath, upset stomach, abdominal pain, constipation, dry mouth, heartburn, skin rash, excessive sweating, itching, skin reddening, neck pain, stiffness in muscles, bones and/or joints, joint swelling, muscle spasms, shoulder pain, pain in your chest muscles and rib cage, joint inflammation, muscular weakness, abnormal kidney test results, abnormal frequent urination, swelling of hands, ankles or feet, thirst, toothache, taste disturbances.
Gripa, infekcije gornjih dišnih puteva, snižen broj crvenih krvnih stanica, gubitak apetita, nesanica, pospanost koja može uključivati smanjenu pažnju i svijest, osjećaj trnaca ili ukočenost, izraziti umor, drhtanje, privremeni gubitak svijesti, infekcija oka ili iritacija ili upala uz bol i crvenilo, osjećaj vrtnje, povišeni krvni tlak, crvenilo uz osjećaj vrućine, kašalj, nedostatak zraka, nelagoda u trbuhu, bol u trbuhu, zatvor, suha usta, žgaravica, kožni osip, pojačano znojenje, svrbež, crvenilo kože, bol u vratu, ukočenost u mišićima, kostima i/ili zglobovima, oticanje zgloba, grčevi mišića, bol u ramenu, bol u Vašim prsnim mišićima i rebrima, upala zgloba, mišićna slabost, nenormalni rezultati bubrežnih testova, neuobičajeno često mokrenje, oticanje šaka, gležnjeva ili stopala, žeđ, zubobolja, poremećaji okusa.
In the single-dose dog infusion studies, 1.0 mg/kg (6 fold the recommended human therapeutic exposure based on AUC) administered over 15 minutes was well tolerated with no renal effects.
U ispitivanjima jednokratne doze infuzijom u pasa, doza od 1,0 mg/kg (6 puta viša od preporučene terapijske izloženosti u ljudi bazirano na AUC-u) primijenjena u trajanju od 15 minuta bila je dobro podnesena, bez učinaka na bubrege.
Aclasta 5 mg solution for infusion zoledronic acid
Aclasta 5 mg otopina za infuziju zoledronatna kiselina
It is an inhibitor of osteoclast-mediated bone resorption.
Ona je inhibitor resorpcije kostiju posredovane osteoklastima.
Effect on bone mineral density (BMD)
Učinak na mineralnu gustoću kostiju (bone mineral density - BMD)
The majority of these reactions were mild to moderate and resolved within three days of the event onset.
Te reakcije su većinom bile blage do umjerene, a povukle su se unutar tri dana od pojave.
• A single dose of Aclasta should not exceed 5 mg and the duration of infusion should be at least
• Jednokratna doza Aclaste ne smije biti veća od 5 mg, a trajanje infuzije treba biti najmanje 15 minuta (vidjeti dio 4.2).
Aclasta contains sodium
Aclasta sadrži natrij
Aclasta significantly reduced the mean days of limited activity and the days of bed rest due to back pain by 17.9 days and 11.3 days respectively compared to placebo and significantly reduced the mean days of limited activity and the days of bed rest due to fractures by 2.9 days and 0.5 days respectively compared to placebo (all p<0.01).
Aclasta je značajno smanjila srednju vrijednost broja dana s ograničenom aktivnošću te dana provedenih u krevetu zbog boli u leđima za 17,9 dana, odnosno 11,3 dana u usporedbi s placebom te je značajno smanjila srednju vrijednost broja dana s ograničenom aktivnošću te dana provedenih u krevetu zbog prijeloma za 2,9 dana, odnosno 0,5 dana u usporedbi s placebom (za sve p<0,01).
The hip fracture event rate was 1.44% for Aclasta-treated patients compared to 2.49% for placebo-treated patients.
Stopa događaja prijeloma kuka bila je 1,44% kod bolesnica liječenih Aclastom, u usporedbi s 2,49% kod bolesnica koje su primale placebo.
In patients with renal impairment, the systemic exposure to concomitant medicinal products that are primarily excreted via the kidney may increase.
U bolesnika s oštećenjem bubrega, može se povećati sustavna izloženost istodobno primijenjenim lijekovima koji se primarno izlučuju bubrezima.
Vitamin D levels were not routinely measured but a loading dose of vitamin D (50,000 to 125,000 IU orally or by intramuscular route) was given to the majority of patients 2 weeks prior to infusion.
D nisu se rutinski mjerile, ali većina bolesnika je primila dodatnu dozu vitamina D (50 000 do 125 000 IU peroralno ili intramuskularno) 2 tjedna prije infuzije.
The renal clearance of zoledronic acid was correlated with creatinine clearance, renal clearance representing 75  33% of the creatinine clearance, which showed a mean of 84  29 ml/min (range 22 to 143 ml/min) in the 64 patients studied.
Bubrežni klirens zoledronatne kiseline uspoređen je s klirensom kreatinina, pri čemu je bubrežni klirens predstavljao 75 ± 33% klirensa kreatinina, što je pokazalo srednju vrijednost od 84 ± 29 ml/min (raspon od 22 do 143 ml/min) u 64 ispitivana bolesnika.
In clinical trials in osteoporosis, the change in creatinine clearance (measured annually prior to dosing) and the incidence of renal failure and impairment was comparable for both the Aclasta and placebo treatment groups over three years.
U kliničkim ispitivanjima osteoporoze, promjena klirensa kreatinina (mjerenog godišnje prije doziranja) i incidencija zatajenja i oštećenja bubrega bile su usporedive u skupini liječenoj Aclastom i skupini koja je primala placebo tijekom tri godine.
There was no accumulation of the active substance in plasma after multiple doses given every 28 days.
Nakon primjene višestrukih doza svakih 28 dana nije došlo do nakupljanja djelatne tvari u plazmi.
In the intravenous bolus studies, the doses that were well-tolerated decreased with increasing study duration: 0.2 and 0.02 mg/kg daily was well tolerated for 4 weeks in rats and dogs, respectively but only 0.01 mg/kg and 0.005 mg/kg in rats and dogs, respectively, when given for 52 weeks.
U ispitivanjima s intravenskom bolus injekcijom, doze koje su se dobro podnosile smanjivale su se s produljenjem trajanja ispitivanja: dozu od 0,2 i 0,02 mg/kg dnevno dobro su podnosili štakori, odnosno psi tijekom 4 tjedna, no nakon 52 tjedna primjene štakori su podnosili dozu od samo 0,01 mg/kg, a psi od samo 0,005 mg/kg.
In addition, the following documents should be included in the patient information pack:
Osim toga, u informativni paket za bolesnika potrebno je uključiti sljedeće dokumente:
Not known (frequency cannot be estimated from the available data) Severe allergic reactions including dizziness and difficulty breathing, swelling mainly of the face and throat, decreased blood pressure, dehydration secondary to post-dose symptoms such as fever, vomiting and diarrhoea.
Nepoznato (učestalost se ne može procijeniti iz dostupnih podataka) Teške alergijske reakcije koje uključuju omaglicu i teškoće pri disanju, oticanje uglavnom lica i grla, sniženi krvni tlak, dehidracija uslijed simptoma koji se javljaju nakon primanja doze kao što su vrućica, povraćanje ili proljev.
Contact your doctor if you experience pain, weakness or discomfort in your thigh, hip or groin as this may be an early indication of a possible fracture of the thigh bone.
Obratite se svom liječniku ako osjetite bol, slabost ili nelagodu u bedru, kuku ili preponi, budući da bi to mogla biti rana naznaka mogućeg prijeloma bedrene kosti.
This medicinal product must not be allowed to come into contact with any calcium-containing solutions.
Ovaj lijek ne smije doći u kontakt s otopinama koje sadržavaju kalcij.
All patients received adequate supplementation with vitamin D and calcium in the post-menopausal osteoporosis trial, the prevention of clinical fractures after hip fracture trial, and the Paget's disease trials (see also section 4.2).
Svi su bolesnici primili odgovarajući nadomjestak vitamina D i kalcija u ispitivanju osteoporoze u postmenopauzi, prevenciji kliničkih prijeloma nakon ispitivanja prijeloma kuka te ispitivanjima Pagetove bolesti (također vidjeti dio 4.2).
In patients with a recent low-trauma hip fracture, it is recommended to give the Aclasta infusion at least two weeks after hip fracture repair (see section 5.1).
U bolesnika s nedavnim prijelomom kuka nakon manje traume preporučuje se primjena infuzije Aclaste najmanje dva tjedana nakon oporavka prijeloma kuka (vidjeti dio 5.1).