natgillin/translations-raw huggingface dataset:
Multiple once daily dosing of mirabegron IR resulted in a 90% increase in Cmax and a 229% increase in AUC of a single dose of metoprolol.
Višekratno doziranje jednom dnevno mirabegrona IR rezultiralo je 90%-tnim povećanjem Cmax i 229%-tnim povećanjem AUC nakon jednokratne doze metoprolola.
The following table provides the daily dosing recommendations for subjects with renal or hepatic impairment in the absence and presence of strong CYP3A inhibitors (see sections 4.4, 4.5 and 5.2).
Sljedeća tablica navodi preporučene dnevne doze za osobe s oštećenom bubrežnom ili jetrenom funkcijom uz primjenu ili bez primjene snažnih inhibitora CYP3A (vidjeti dio 4.4, 4.5 i 5.2).
Mean difference from placebo† -
Srednja razlika od placeba†
Betmiga has not been studied in patients with severe hepatic impairment (Child-Pugh Class C) and, therefore, it is not recommended for use in this patient population.
Betmiga nije ispitivana kod bolesnika s teškim oštećenjem jetre (Child-Pugh stadij C) te se stoga ne preporučuje njegova primjena u toj populaciji bolesnika.
- Tell your doctor if you use thioridazine (a medicine for mental illness), propafenone or flecainide (medicines for abnormal heart rhythm), imipramine or desipramine (medicines used for depression).
- Obavijestite svog liječnika ako uzimate tioridazin (lijek za duševne bolesti), propafenon ili flekainid (lijekove za poremećaje srčanog ritma), imipramin ili dezipramin (lijekove koji se primjenjuju kod depresije).
- if you are allergic to mirabegron or any of the other ingredients of this medicine (listed in section 6) - if you have very high uncontrolled blood pressure.
- ako ste alergični na mirabegron ili neki drugi sastojak ovog lijeka (naveden u dijelu 6.).
They recovered in a short time after mirabegron discontinuation.
Bolesnici su se oporavili ubrzo nakon prekida liječenja mirabegronom.
Pre-clinical studies have identified target organs of toxicity that are consistent with clinical observations.
5.3 Neklinički podaci o sigurnosti primjene Pretklinička ispitivanja utvrdila su ciljne organe toksičnosti što se podudara s kliničkim zapažanjima.
In the three 12-week phase 3 double blind, placebo controlled studies, 88% of the patients completed treatment with this medicinal product, and 4% of the patients discontinued due to adverse events.
U 3 dvostruko slijepa, placebo kontrolirana ispitivanja faze 3, u trajanju od 12 tjedana, kod 88% bolesnika liječenje ovim lijekom provedeno je do kraja, a kod 4% bolesnika ono je prekinuto zbog nuspojava.
EU/1/12/809/001 10 prolonged-release tablets EU/1/12/809/002 20 prolonged-release tablets EU/1/12/809/003 30 prolonged-release tablets EU/1/12/809/004 60 prolonged-release tablets EU/1/12/809/005 90 prolonged-release tablets EU/1/12/809/006 200 prolonged-release tablets EU/1/12/809/015 50 prolonged-release tablets EU/1/12/809/016 100 prolonged-release tablets
EU/1/12/809/001 10 tableta s produljenim oslobađanjem EU/1/12/809/002 20 tableta s produljenim oslobađanjem EU/1/12/809/003 30 tableta s produljenim oslobađanjem EU/1/12/809/004 60 tableta s produljenim oslobađanjem EU/1/12/809/005 90 tableta s produljenim oslobađanjem EU/1/12/809/006 200 tableta s produljenim oslobađanjem EU/1/12/809/015 50 tableta s produljenim oslobađanjem EU/1/12/809/016 100 tableta s produljenim oslobađanjem
- if you have kidney or liver problems.
Imate li probleme s bubrezima i jetrom
In addition, malformations of the lung (absent accessory lobe of the lung) and increased post-implantation loss were observed in the rabbit at systemic exposures 14-fold higher than observed at the MHRD, while in the rat reversible effects on ossification were noted (wavy ribs, delayed ossification, decreased number of ossified sternebrae, metacarpi or metatarsi) at systemic exposures 22-fold higher than observed at the MHRD.
Uz to utvrđene su malformacije pluća (nedostatak akcesornog lobusa pluća) te gubitak zametka nakon implantacije u kunića nakon sustavnog izlaganja 14 puta većeg od onog kod MHRD, dok su kod štakora, zabilježeni reverzibilni učinci osifikacija (neravna rebra i zakašnjela osifikacija sternebra, metakarpusa i metatarzusa) pri sustavnim izloženostima 22 puta većim od onih kod MHRD.
Transient increases in liver enzymes and hepatocyte changes (necrosis and decrease in glycogen particles) were seen in rats.
U štakora je primijećen prolazni porast jetrenih enzima i promjene u hepatocitima (nekroza i sniženje glikogenskih čestica).
Mirabegron showed relaxation of bladder smooth muscle in rat and human isolated tissue, increased cyclic adenosine monophosphate (cAMP) concentrations in rat bladder tissue and showed a bladder relaxant effect in rat urinary bladder function models.
Mirabegron je izazvao opuštanje glatke muskulature mjehura u štakora i u izoliranom humanom tkivu, porast koncentracije cikličkog adenozin-monofosfata (cAMP) u tkivu mjehura štakora i relaksirajući učinak na funkcionalnim modelima mjehura štakora.
Table 1: Daily dosing recommendations for subjects with renal or hepatic impairment in the absence and presence of strong CYP3A inhibitors
Tablica 1: Preporučene dnevne doze za osobe s oštećenom bubrežnom ili jetrenom funkcijom uz primjenu ili bez primjene snažnih inhibitora CYP3A
Clinically relevant drug interactions between mirabegron and medicinal products that inhibit, induce or are a substrate for one of the CYP isozymes or transporters are not expected except for the inhibitory effect of mirabegron on the metabolism of CYP2D6 substrates.
Ne očekuje se klinički značajna interakcija između mirabegrona i lijekova koji inhibiraju, induciraju ili su supstrat u reakcijama za jedan od izoenzima CYP ili staničnim transporterima, osim inhibicijskog učinka mirabegrona na metabolizam supstrata CYP2D6.
However, in patients with mild to moderate renal impairment (GFR 30 to 89 mL/min/1.73 m2) or mild hepatic impairment (Child-Pugh Class A) concomitantly receiving strong CYP3A inhibitors, such as itraconazole, ketoconazole, ritonavir and clarithromycin, the recommended dose is 25 mg once daily with or without food (see section 4.2).
30 do 89 ml/min/1,73 m2) ili blagim oštećenjem jetre (Child-Pugh stadij A) koji istodobno primaju snažne inhibitore CYP3A, poput itrakonazola, ketokonazola, ritonavira i klaritromicina, preporučena doza je 25 mg jedanput na dan s hranom ili bez nje (vidjeti dio 4.2).
The volume of distribution at steady state (Vss) is approximately 1670 L. Mirabegron is bound (approximately 71%) to human plasma proteins, and shows moderate affinity for albumin and alpha-1 acid glycoprotein.
Mirabegron se veže (oko 71%) na humane proteine plazme i pokazuje umjereni afinitet za albumin i alfa-1 kiseli glikoprotein.
Betmiga at doses of 50 mg or 100 mg had no effect on the QT interval individually corrected for heart rate (QTcI interval) when evaluated either by sex or by the overall group.
Učinak na QT-interval Betmiga u dozama od 50 mg ili 100 mg nije imao učinka na QT-interval, pojedinačno korigiran prema frekvenciji srčanih otkucaja (QTcI interval) kada je bio procjenjivan bilo po spolu ili sveukupno po skupinama.
Co-administration of a 50 mg tablet with a high-fat meal reduced mirabegron Cmax and AUC by 45% and 17%, respectively.
Istodobna primjena tablete od 50 mg s obrokom s visokim sadržajem masnoće smanjuje Cmax i AUC mirabegrona za 45% odnosno 17%.
- Tell your doctor if you use digoxin (a medicine for heart failure or abnormal heart rhythm).
- Obavijestite svog liječnika ako uzimate digoksin (lijek kod zatajivanja srca ili poremećenog srčanog ritma).
Data are limited in patients with severe renal impairment (GFR 15 to 29 mL/min/1.73 m2); based on a pharmacokinetic study (see section 5.2) a dose reduction to 25 mg is recommended in this population.
Podaci o primjeni su ograničeni kod bolesnika s teškim oštećenjem bubrega (GFR 15 do 29 ml/min/1,73 m2); na temelju podataka dobivenih u ispitivanjima farmakokinetike (vidjeti dio 5.2) kod ovih se bolesnika preporučuje smanjenje doze na 25 mg.
Mirabegron has not been studied in patients with end stage renal disease (GFR < 15 mL/min/1.73 m2 or patients requiring haemodialysis).
Mirabegron nije ispitivan kod bolesnika u terminalnoj fazi bubrežne bolesti (GFR <15 ml/min/1,73 m2 ili bolesnicima na hemodijalizi).
No dose adjustment is needed for mirabegron when administered with therapeutic doses of rifampicin or other CYP3A or P-gp inducers.
Nije potrebno prilagođavati dozu mirabegrona kada se primjenjuje s terapijskim dozama rifampicina ili drugih induktora CYP3A ili P-gp.
Mirabegron distributes to erythrocytes.
Mirabegron se distribuira u eritrocite.
Urinary tract infection
Infekcije urinarnog trakta
90 prolonged-release tablets
90 tableta s produljenim oslobađanjem
CYP2D6 polymorphism
Polimorfizam CYP2D6
In a phase 1 study assessing the effect of Betmiga on IOP using Goldmann applanation tonometry in 310 healthy subjects, a dose of mirabegron 100 mg was non-inferior to placebo for the primary endpoint of the treatment difference in mean change from baseline to day 56 in subject-average IOP; the upper bound of the two-sided 95% CI of the treatment difference between mirabegron 100 mg and placebo was 0.3 mm Hg.
U ispitivanju faze 1 procjene učinka lijeka Betmiga na IOT korištenjem aplanacijskog tonometra po Goldmannu kod 310 zdravih ispitanika, doza mirabegrona od 100 mg nije bila inferiorna placebu za primarni ishod razlike liječenja u srednjoj vrijednosti promjene od početnih prosječnih vrijednosti IOT-a za ispitanike i vrijednosti nakon 56 dana liječenja; gornja granica dvostranog 95% CI razlike liječenja između 100 mg mirabegrona i placeba iznosila je 0,3 mm Hg.
Efficacy of Betmiga was evaluated in three phase 3 randomized, double blind, placebo controlled, 12week studies for the treatment of overactive bladder with symptoms of urgency and frequency with or without incontinence.
Djelotvornost lijeka Betmiga ispitivana je u 3 randomizirana, dvostruko slijepa, placebo kontrolirana ispitivanja faze 3, u trajanju od 12 tjedana, za liječenje prekomjerno aktivnog mokraćnog mjehura sa simptomima nagona na mokrenje i učestalog mokrenja s inkontinencijom ili bez inkontinencije.
Therefore, after reviewing all data, confusional state should be included in section 4.8 of the SmPC with frequency unknown.
Stoga je nakon ocjene svih podataka donesen zaključak da u dio 4.8 Sažetka opisa svojstava lijeka treba uvrstiti nuspojavu 'konfuzija' uz učestalost 'nepoznato'.
In volunteers with moderate hepatic impairment (Child-Pugh Class B), mean Cmax and AUC values were 175% and 65% higher.
Kod dobrovoljaca s umjerenim oštećenjem jetre (Child-Pugh stadij B), srednje vrijednosti Cmax i AUC bile su više za 175% odnosno 65%.
FAS: Full analysis set, all randomized patients who took at least 1 dose of double blind study drug and who had a micturition measurement in the baseline diary and at least 1 post-baseline visit diary with a micturition measurement.
Full Analysis Set), svi randomizirani bolesnici koji su primili najmanje 1 dozu dvostruko slijepo ispitivanog lijeka i kod kojih je provedeno mjerenje mikcije u dnevniku početnih vrijednosti, i najmanje 1 mjerenje mikcije u dnevniku kontrolnih pregleda s mjerenjem mikcije.
It is likely that this medicine passes into your breast milk.
Betmiga vjerojatno prelazi u majčino mlijeko.
- Swelling of the eyelid (eyelid oedema) - Swelling of the lip (lip oedema) - Swelling of the deeper layers of the skin caused by a build-up of fluid, which can affect any part of the body including the face, tongue or throat and may cause difficulty in breathing
- Oticanje usana (edem usana) - Oticanje dubljih slojeva kože uzrokovano nakupljanjem tekućine, koje može zahvatiti bilo koji dio tijela uključujući lice, jezik ili grlo i može uzrokovati otežano disanje (angioedem) - Male ljubičaste točke po koži (purpura) - Upala malih krvnih žila prvenstveno u koži (leukocitoklastični vaskulitis).
Mirabegron inhibited P-gp-mediated drug transport at high concentrations.
Mirabegron je u visokim koncentracijama inhibirao transport lijeka posredovan P-gp-om.
The Cmax and AUC of mirabegron and its metabolites following multiple oral doses in elderly volunteers (≥ 65 years) were similar to those in younger volunteers (18-45 years).
Nakon višekratnih oralnih doza u starijih dobrovoljaca (≥65 godina) Cmax i AUC mirabegrona i njegovih metabolita bili su slični onima u mlađih dobrovoljaca (18-45 godina).
If you have taken more tablets than you have been told to take, or if someone else accidentally takes your tablets, contact your doctor, pharmacist or hospital for advice immediately.
Ako ste uzeli više tableta nego što Vam je rečeno, ili netko drugi slučajno uzme
10 prolonged-release tablets 20 prolonged-release tablets 30 prolonged-release tablets 50 prolonged-release tablets 60 prolonged-release tablets 90 prolonged-release tablets 100 prolonged-release tablets 200 prolonged-release tablets
10 tableta s produljenim oslobađanjem 20 tableta s produljenim oslobađanjem 30 tableta s produljenim oslobađanjem 50 tableta s produljenim oslobađanjem 60 tableta s produljenim oslobađanjem 90 tableta s produljenim oslobađanjem 100 tableta s produljenim oslobađanjem 200 tableta s produljenim oslobađanjem
This medicinal product is not recommended for use in patients with moderate hepatic impairment (Child-Pugh B) concomitantly receiving strong CYP3A inhibitors (see section 4.5).
Ovaj se lijek ne preporučuje za primjenu i u bolesnika s umjerenim oštećenjem jetre (Child-Pugh B) koji istodobno primaju snažne inhibitore CYP3A (vidjeti dio 4.5).
In volunteers with moderate renal impairment (eGFR-MDRD 30 to 59 mL/min/1.73 m2), Cmax and AUC were increased by 23% and 66%, respectively.
U dobrovoljaca s umjerenim oštećenjem bubrega (eGFR-MDRD 30 do 59 ml/min/1,73 m2), Cmax i AUC bile su povećane za 23% odnosno 66%.
Vulvovaginal pruritus
Vulvovaginal ni svrbež
Pooled studies consisted of 046 (Europe/Australia), 047 (North America [NA]) and 074 (Europe/NA).
(Sjeverna Amerika) i 074 (Europa/Sjeverna Amerika).
Betmiga may increase your chances of not being able to empty your bladder if you have bladder outlet obstruction or if you are taking other medicines to treat overactive bladder.
Vam može povećati vjerojatnost za nemogućnost pražnjenja mjehura ako imate opstrukciju izlaznog dijela mokraćnog mjehura ili ako uzimate lijekove za liječenje prekomjerno aktivnog mokraćnog mjehura.
Betmiga at doses of 50 mg and 100 mg once daily for 12 weeks in men with lower urinary tract symptoms (LUTS) and bladder outlet obstruction (BOO) showed no effect on cystometry parameters and was safe and well tolerated.
Betmiga primijenjen u muškaraca sa simptomima donjeg urinarnog trakta i opstrukcijom na izlazu iz mjehura u dozama od 50 mg i 100 mg jedanput na dan kroz 12 tjedana, nije imao utjecaja na parametre cistometrije i njegova je primjena bila sigurna i dobro tolerirana.
Betmiga, at therapeutic doses, has not demonstrated clinically relevant QT prolongation in clinical studies (see section 5.1).
Bolesnici s urođenim ili stečenim produljenjem QT intervala U kliničkim ispitivanjima Betmiga u terapijskim dozama nije pokazao klinički relevantno produljenje QT intervala (vidjeti dio 5.1).
Effect of CYP2D6 polymorphism
Učinak polimorfizma CYP2D6
Angioedema*
Purpura Angioedem*
Mirabegron is predicted not to cause clinically relevant inhibition of OCT-mediated drug transport.
Ne očekuje se da će mirabegron izazvati klinički značajnu inhibiciju transporta lijeka pomoću sustava
Mirabegron is a weak inhibitor of P-gp.
Učinak mirabegrona na transportere Mirabegron je slabi inhibitor P-gp.
EU/1/12/809/008 10 prolonged-release tablets EU/1/12/809/009 20 prolonged-release tablets EU/1/12/809/010 30 prolonged-release tablets EU/1/12/809/011 60 prolonged-release tablets EU/1/12/809/012 90 prolonged-release tablets EU/1/12/809/013 200 prolonged-release tablets EU/1/12/809/017 50 prolonged-release tablets EU/1/12/809/018 100 prolonged-release tablets
EU/1/12/809/009 20 tableta s produljenim oslobađanjem EU/1/12/809/010 30 tableta s produljenim oslobađanjem EU/1/12/809/011 60 tableta s produljenim oslobađanjem EU/1/12/809/012 90 tableta s produljenim oslobađanjem
Mean level of urgency (FAS) (Secondary)
Srednja razina urgencije (FAS) (Sekundarni)
Caution is also advised if mirabegron is co-administered with CYP2D6 substrates that are individually dose titrated.
Oprez se također savjetuje pri istodobnoj primjeni mirabegrona sa supstratima CYP2D6 kojima se individualno titrira doza.
The MAH has cumulatively reviewed the cases of confusional state using the HLGT Deliria (including confusion).
Nositelj odobrenja za stavljanje lijeka u promet proveo je kumulativnu ocjenu slučajeva konfuzije koristeći skupni pojam visoke razine (engl. high-level group term, HLGT) ‘delirij' (uključujući konfuziju).
There was also a case with confirmed positive rechallenge of symptoms after starting mirabegron three times.
U jednom je slučaju potvrđen i pozitivan rechallenge, odnosno ponovna pojava simptoma nakon uvođenja mirabegrona u tri navrata.
In females administered mirabegron at the 50 mg dose, the mean difference from placebo on QTcI interval at 5 hours post dose was 3.67 msec (upper bound of the one-sided 95% CI 5.72 msec).
Kod žena kojima je primjenjen mirabegron u dozi od 50 mg, razlika srednje vrijednosti naspram placebo skupine za QTcI interval 5 sati nakon primjene doze, iznosila je 3,67 msek (gornja granica jednostranog 95% CI 5,72 msek).
Mirabegron 100 mg once daily did not increase IOP in healthy subjects after 56 days of treatment.
Mirabegron primjenjivan kod zdravih ispitanika u dozi od 100 mg jedanput dnevno nakon 56 dana nije utjecao na porast IOT-a.
Very rare side effects (may affect up to 1 in 10,000 people)
Vrlo rijetke nuspojave (mogu se pojaviti kod do 1 na 10 000 ljudi)
Insomnia* Confusional state*
Nesanica* Konfuzija*
Pooled studies consisted of studies 046 (Europe/Australia), 047 (North America [NA]) and 074 (Europe/NA).
Objedinjeni rezultati ispitivanja uključivali su rezultate ispitivanja 046 (Europa/Australija), 047
Following single dose administration of 100 mg Betmiga in volunteers with mild renal impairment (eGFR-MDRD 60 to 89 mL/min/1.73 m2), mean mirabegron Cmax and AUC were increased by 6% and 31% relative to volunteers with normal renal function.
Nakon primjene pojedinačne doze od 100 mg lijeka Betmiga u dobrovoljaca s blagim oštećenjem bubrega (eGFR-MDRD 60 do 89 ml/min/1,73 m2), srednja vrijednost Cmax i AUC mirabegrona povećana je za 6% odnosno 31%, prema dobrovoljcima s normalnom funkcijom bubrega.
PARTICULARS TO APPEAR ON THE OUTER PACKAGING CARTON FOR BOTTLES
PODACI KOJI SE MORAJU NALAZITI NA VANJSKOM PAKIRANJU KUTIJA ZA BOCE
In this study in male patients with LUTS/BOO, the adjusted mean (SE) change from baseline to end of treatment in post void residual volume (mL) was 0.55 (10.702), 17.89 (10.190), 30.77 (10.598) for the placebo, mirabegron 50 mg and mirabegron 100 mg treatment groups.
iznosila je 0,55 (10,702), 17,89 (10,190) odnosno 30,77 (10,598) za placebo skupinu, odnosno mirabegron 50 mg i mirabegron 100 mg liječenih skupina.
The effects of mirabegron on maximum flow rate and detrusor pressure at maximum flow rate were assessed in this urodynamic study consisting of 200 male patients with LUTS and BOO.
Učinak mirabegrona na maksimalnu brzinu protoka i tlak detruzora pri maksimalnoj brzini protoka procijenjen je u ispitivanju urodinamike na 200 muških bolesnika sa simptomima donjeg mokraćnog sustava i opstrukcijom na izlazu iz mjehura.
In healthy subjects who are genotypically poor metabolisers of CYP2D6 substrates (used as a surrogate for CYP2D6 inhibition), mean Cmax and AUCinf of a single 160 mg dose of a mirabegron IR formulation were 14% and 19% higher than in extensive metabolisers, indicating that CYP2D6 genetic polymorphism has minimal impact on the mean plasma exposure to mirabegron.
U zdravih osoba, koje po svom genotipu slabo metaboliziraju supstrate CYP2D6 (koji su korišteni kao surogati za inhibiciju CYP2D6), nakon primjene jednokratne doze mirabegrona od 160 mg u obliku pripravka s trenutnim oslobađanjem, srednja vrijednost Cmax i AUCinf bila je 14 % odnosno 19 % viša nego u osoba koje ekstenzivno metaboliziraju supstrat, indicirajući da genetski polimorfizam
Betmiga has not been studied in patients with end stage renal disease (GFR < 15 mL/min/1.73 m2 or patients requiring haemodialysis) or severe hepatic impairment (Child-Pugh Class C) and it is therefore not recommended for use in these patient populations (see sections 4.4 and 5.2).
Betmiga nije ispitivan u bolesnika u terminalnom stadiju bubrežne bolesti (GFR <15 ml/min/1,73 m2 ili bolesnicima koji su zahtijevali hemodijalizu) ili s teškim oštećenjem jetre (Child-Pugh stadij C) te se stoga ne preporučuje njegova primjena u tim populacijama bolesnika (vidjeti dio 4.4 i 5.2).
Betmiga is not recommended in patients with severe renal impairment (GFR 15 to 29 mL/min/1.73 m2) or patients with moderate hepatic impairment (Child-Pugh Class B) concomitantly receiving strong CYP3A inhibitors (see sections 4.2 and 4.4).
Betmiga se ne preporučuje kod bolesnika s teškim oštećenjem bubrega (GFR 15 do 29 ml/min/1,73 m2) ili kod bolesnika s umjerenim oštećenjem jetre (Child-Pugh stadij B) koji istodobno primaju snažne inhibitore CYP3A (vidjeti dio 4.2 i 4.4).
In vitro and ex vivo studies have shown the involvement from butyrylcholinesterase, UGT and possibly alcohol dehydrogenase (ADH) in the metabolism of mirabegron, in addition to CYP3A4 and CYP2D6.
Ispitivanja in vitro i ex vivo pokazala su da uz CYP3A4 i CYP2D6 u metabolizmu mirabegrona sudjeluju i butirilholinesteraza, UGT i vjerojatno alkoholna dehidrogenaza (ADH).
Table 4: Co-primary efficacy endpoints for patients with prior OAB antimuscarinic therapy
Tablica 4: Višestruki primarni ishodi djelotvornosti kod bolesnika koji su ranije primali antimuskarinske lijekove za OAB-a
How to store Betmiga
Kako čuvati Betmigu
Betmiga 25 mg tablets
Betmiga 25 mg tablete
Leukocytoclastic vasculitis Purpura
Leukocitoklast ični vaskulitis
Mean number of episodes with urgency grades 3 or 4 per 24 hours (FAS) (Secondary)
Srednji broj epizoda urgencije stupnja 3 ili 4 tijekom 24 sata (FAS) (Sekundarni)
The activation of the M2 pathway also inhibits beta 3-adrenoceptor induced increases in cAMP.
receptora također inhibira porast koncentracije cAMP induciranog stimulacijom beta 3
Caution is advised if mirabegron is co-administered with medicinal products with a narrow therapeutic index and significantly metabolised by CYP2D6, such as thioridazine, Type 1C antiarrhythmics (e.g., flecainide, propafenone) and tricyclic antidepressants (e.g., imipramine, desipramine).
Savjetuje se oprez ako se mirabegron istodobno primjenjuje s lijekovima koji imaju uski terapijski indeks i kada se metaboliziraju pomoću CYP2D6, kao što su tioridazin, antiaritmici tipa 1C (npr.
The maximum mean difference from placebo in heart rate ranged from 6.7 bpm with mirabegron 50 mg up to 17.3 bpm with mirabegron 200 mg in healthy subjects.
Maksimalna srednja vrijednost razlike frekvencije srca u zdravih dobrovoljaca u odnosu na placebo kretala se između 6,7 otkucaja u minuti uz 50 mg mirabegrona, do 17,3 otkucaja u minuti uz 200 mg mirabegrona.
This medicine may require dose adjustment by your doctor.
Liječnik će možda trebati prilagoditi dozu ovog lijeka.
No dose adjustment is needed for mirabegron when administered with CYP2D6 inhibitors or in patients who are CYP2D6 poor metabolisers.
Nema potrebe prilagođavanja doze mirabegrona kada se primjenjuje s inhibitorima CYP2D6 ili kod bolesnika koji slabo metaboliziraju supstrat CYP2D6.
Betmiga 50 mg prolonged release film-coated tablets are oval, yellow film-coated tablets, debossed with the company logo and “355” on the same side.
Betmiga 50 mg tablete s produljenim oslobađanjem su ovalne, žute filmom obložene tablete, s utisnutim logom tvrtke i oznakom “355” s iste strane.