natgillin/translations-raw huggingface dataset:
The efficacy of Zurampic 200 mg and 400 mg once daily was studied in 3 multicentre, randomised, double-blind, placebo-controlled clinical studies in 1,537 adult patients (13% of these patients were elderly, ≥65 years old) with hyperuricaemia and gout in combination with a xanthine oxidase inhibitor, allopurinol (CLEAR1 and CLEAR2) or febuxostat (CRYSTAL).
Djelotvornost lijeka Zurampic u dozi od 200 mg i 400 mg jedanput dnevno ispitana je u 3 multicentrična, randomizirana, dvostruko slijepa, placebom kontrolirana ispitivanja u 1537 odraslih bolesnika (13% ovih bolesnika bili su starije osobe, u dobi od ≥65 godina) s hiperuricemijom i gihtom, u kombinaciji s inhibitorom ksantin oksidaze, alopurinolom (CLEAR1 i CLEAR2) ili febuksostatom (CRYSTAL).
No dose adjustment is necessary in patients with mild or moderate renal impairment (CrCL of 30-89 mL/min) (see sections 4.8, 5.1 and 5.2).
Nije potrebna prilagodba doze u bolesnika s blagim ili umjerenim oštećenjem funkcije bubrega (CrCL od 30 do 89 ml/min) (vidjeti dijelove 4.8, 5.1 i 5.2).
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Ako imate dodatna pitanja o primjeni ovog lijeka, obratite se svom liječniku ili ljekarniku.
In the long-term uncontrolled extension trials, the rates of gout flares requiring treatment further decreased in the 60% of subjects who entered the extension studies and continued treatment with Zurampic 200 mg in combination with allopurinol or febuxostat for up to an additional year of treatment.
U dugotrajnim, nekontroliranim nastavcima ispitivanja, stope akutnih napadaja gihta koja je potrebno liječiti dodatno su se smanjile u 60% ispitanika koji su bili uključeni u nastavke ispitivanja i nastavili liječenje lijekom Zurampic u dozi od 200 mg u kombinaciji s alopurinolom ili febuksostatom tijekom dodatne godine liječenja.
Post-hoc analyses in a subgroup of patients with high cardiovascular risk at baseline (as defined by transient ischemic attack, angina pectoris, heart failure, myocardial infarction, peripheral vascular disease and/or stroke), showed that the incidence of Major Adverse Cardiovascular Events was 1/52 for placebo and 4/53 for Zurampic 200 mg, when used in combination with a xanthine oxidase inhibitor.
Post-hoc analiza u podskupini bolesnika s visokim kardiovaskularnim rizikom na početku liječenja (definirano kao prolazni ishemijski napad, angina pektoris, zatajenje srca, infarkt miokarda, periferna vaskularna bolest i/ili moždani udar) pokazala je da je incidencija velikih neželjenih kardiovaskularnih događaja bila 1/52 za placebo i 4/53 za Zurampic u dozi od 200 mg, prilikom istodobne primjene s inhibitorom ksantin oksidaze.
Renal-related adverse reactions were reported in patients treated with Zurampic 200 mg (5.7%) and Zurampic 400 mg (11.8%) compared to placebo (4.5%), resulting in discontinuation of treatment in 1.2%, 3.3% and 1%, respectively (see section 4.4).
Nuspojave povezane s bubrezima prijavljene su u bolesnika liječenih lijekom Zurampic u dozi od 200 mg (5,7%) i dozi od 400 mg (11,8%) u usporedbi s placebom (4,5%), rezultirajući prekidom liječenja u 1,2%, 3,3% odnosno 1% slučajeva (vidjeti dio 4.4).
Lesinurad undergoes oxidative metabolism mainly via cytochrome P450 (CYP) 2C9 to intermediate metabolite M3c (not detected in vivo) and is subsequently metabolised by mEH to metabolite M4; there is minimal contribution from CYP1A1, CYP2C19, and CYP3A to the metabolism of lesinurad.
Oksidativni metabolizam lesinurada uglavnom se odvija putem citokroma P450 (CYP) 2C9, do intermedijarnog metabolita M3c (nije otkriven in vivo) koji se naknadno metabolizira putem mEH do metabolita M4; doprinos CYP1A1, CYP2C19 i CYP3A metabolizmu lesinurada je minimalan.
**Includes the preferred terms: renal failure, renal failure chronic and renal failure acute.
**Uključuje preporučene pojmove: zatajenje bubrega, kronično zatajenje bubrega i akutno zatajenje bubrega.
Zurampic is administered as a 50:50 mixture of lesinurad atropisomers.
Zurampic se primjenjuje kao smjesa atropoizomera lesinurada u omjeru 50:50.
Female patients of childbearing potential should not rely on hormonal contraception alone when taking Zurampic (see sections 4.4 and 4.5).
Žene reproduktivne dobi ne smiju se pouzdati samo u hormonsku kontracepciju tijekom uzimanja lijeka Zurampic (vidjeti dijelove 4.4 i 4.5).
Zurampic, in combination with a xanthine oxidase inhibitor, is indicated in adults for the adjunctive treatment of hyperuricaemia in gout patients (with or without tophi) who have not achieved target serum uric acid levels with an adequate dose of a xanthine oxidase inhibitor alone.
Zurampic je, u kombinaciji s inhibitorom ksantin oksidaze, indiciran kao dodatno liječenje hiperuricemije u odraslih bolesnika s gihtom (s ili bez tofa) koji nisu postigli ciljne razine uratne (mokraćne) kiseline u serumu uz liječenje samo inhibitorom ksantin oksidaze u odgovarajućoj dozi.
Mean (SE) Serum Uric Acid (mg/dL)
Srednja vrijednost mokraćne kiseline u serumu (mg/dl)
However, the in vivo activity of OATP1B1, OAT1, OAT3 and OCT1 was not affected by lesinurad.
Međutim, in vivo aktivnost OATP1B1, OAT1, OAT3 i OCT1 nije bila pod utjecajem lesinurada.
The most frequent renal-related adverse reaction was blood creatinine increased (4.3% with Zurampic 200 mg and 7.8% with Zurampic 400 mg compared to 2.3% with placebo).
Najčešća nuspojava povezana s bubrezima bila je povišena razina kreatinina u krvi (4,3% za Zurampic u dozi od 200 mg i 7,8% za Zurampic u dozi od 400 mg, u usporedbi s 2,3% za placebo).
Effect of CYP2C9 genotype
Učinak CYP2C9 genotipa
Metabolites are not known to contribute to the uric acid lowering effects of lesinurad.
Nije poznato doprinose li metaboliti učinku lesinurada na sniženje razine mokraćne kiseline.
The gout flare should be managed concurrently as appropriate for the individual patient.
Akutni napadaj gihta treba liječiti istodobno, kako je prikladno za pojedinog bolesnika.
Each film-coated tablet contains 200 mg of lesinurad.
Svaka filmom obložena tableta sadrži 200 mg lesinurada.
Therefore, it is recommended that Zurampic should be used with caution in patients taking moderate inhibitors of CYP2C9.
Prema tome, preporučuje se oprez kada se Zurampic primjenjuje u bolesnika koji uzimaju umjerene inhibitore CYP2C9.
Zurampic should be used with caution in patients with a CrCL of 30 to less than 45 mL/min (see section 4.4).
Potreban je oprez prilikom primjene lijeka Zurampic u bolesnika s CrCL od 30 do manje od 45 ml/min (vidjeti dio 4.4).
Lesinurad is a substrate of OATP1B1, OAT1, OAT3 and OCT1.
Lesinurad je supstrat OATP1B1, OAT1, OAT3 i OCT1.
Zurampic when added to febuxostat caused an immediate reduction of the mean serum uric acid levels, as compared to placebo, which was sustained in the long term in those patients who continued treatment.
Kada se Zurampic primijenio zajedno s febuksostatom uzrokovao je trenutno smanjenje srednje razine mokraćne kiseline u serumu, u usporedbi s placebom, koje je dugoročno održano u onih bolesnika koji su nastavili liječenje.
Zurampic causes an increase in renal uric acid excretion, which may lead to transient increases in serum creatinine, renal-related adverse reactions and kidney stones.
Zurampic uzrokuje pojačano izlučivanja mokraćne kiseline bubrezima, što može dovesti do prolaznih povišenja razine serumskog kreatinina, nuspojava povezanih s bubrezima i bubrežne kamence.
Treatment with lesinurad 200 mg in combination with a xanthine oxidase inhibitor was associated with an increased incidence of serum creatinine elevations, which are related to increased renal uric acid excretion.
Kombinirano liječenje lesinuradom u dozi od 200 mg i inhibitorom ksantin oksidaze bilo je povezano s povećanom incidencijom povišenja serumskog kreatinina, koja su povezana s povećanim izlučivanjem mokraćne kiseline putem bubrega.
Following administration of a single dose of lesinurad at 400 mg in patients with mild (Child-Pugh class A) or moderate (Child-Pugh class B) hepatic impairment, lesinurad Cmax was comparable and lesinurad AUC was 7% and 33% higher, respectively, compared to individuals with normal hepatic function.
Nakon primjene jednokratne doze lesinurada u dozi od 400 mg u bolesnika s blagim (Child-Pugh stadij A) ili umjerenim (Child-Pugh stadij B) oštećenjem funkcije jetre, vrijednost Cmax lesinurada bila je usporediva, dok je vrijednost AUC lesinurada bila 7% odnosno 33% veća u usporedbi s osobama s normalnom funkcijom jetre.
Zurampic should not be used during breast-feeding.
Zurampic se ne smije primjenjivati tijekom dojenja.
In patients with moderate renal impairment, the incidence of renalrelated adverse reactions was similar across all treatment groups: Zurampic 200 mg (12.7%), Zurampic 400 mg (16.3%) and placebo (13.3%).
U bolesnika s umjerenim oštećenjem funkcije bubrega, incidencija nuspojava povezanih s bubrezima bila je slična u svim terapijskim skupinama: Zurampic u dozi od 200 mg (12,7%), Zurampic u dozi od 400 mg (16,3%) i placebo (13,3%).
Zurampic when added to allopurinol caused an immediate reduction of the mean serum uric acid levels, as compared to placebo, which was sustained in the long term in those patients who continued treatment (see Figure 1).
Kada se Zurampic primijenio zajedno s alopurinolom uzrokovao je trenutno smanjenje srednje razine mokraćne kiseline u serumu, u usporedbi s placebom, koje je bilo dugoročno održano u onih bolesnika koji su nastavili liječenje (vidjeti Sliku 1).
Table 1 lists adverse reactions identified in clinical studies with patients receiving Zurampic 200 mg once daily in combination with a xanthine oxidase inhibitor, allopurinol or febuxostat.
Tablici 1 prikazane su nuspojave identificirane u kliničkim ispitivanjima s bolesnicima u kojih je primijenjen Zurampic u dozi od 200 mg jedanput dnevno u kombinaciji s inhibitorom ksantin oksidaze, alopurinolom ili febuksostatom.
Proportion of patients who met serum uric acid Target (<5.0 mg/dL) N(%)
Udio bolesnika koji su postigli ciljnu razinu mokraćne kiseline u serumu (<5,0 mg/dL) N(%)
When Zurampic 200 mg was added to a xanthine oxidase inhibitor (i.e. febuxostat), additional 25% and 19% of sUA reductions were observed at 6 hours and 24 hours post-dose, respectively.
Kada se Zurampic u dozi od 200 mg primijenio zajedno s inhibitorom ksantin oksidaze (tj. febuksostatom), opažena su dodatna smanjenja razine mokraćne kiseline u serumu od 25% nakon 6 sati, odnosno 19% nakon 24 sata.
HMG-CoA reductase inhibitors that are sensitive CYP3A substrates may interact with lesinurad.
Moguća je interakcija inhibitora HMG-CoA reduktaze koji su osjetljivi supstrati CYP3A s lesinuradom.
Salicylates at doses higher than 325 mg per day may decrease the serum uric acid lowering activity of lesinurad and should not be co-administered with Zurampic.
Pri dozama višima od 325 mg dnevno, salicilati mogu smanjiti djelovanje lesinurada na sniženje razine mokraćne kiseline u serumu, te se ne smiju primjenjivati istodobno s lijekom Zurampic.
In the subgroup of patients with a baseline sUA ≥5.0 mg/dL, after 3 weeks of febuxostat therapy, a significant difference was achieved at all study visits for Zurampic 200 mg in combination with febuxostat compared with placebo in combination with febuxostat (see Table 3).
U podskupini bolesnika s početnom vrijednosti sUA ≥5,0 mg/dl, nakon 3 tjedna liječenja febuksostatom, značajna razlika je postignuta prilikom svih posjeta u ispitivanju za Zurampic u dozi od 200 mg u kombinaciji s febuksostatom u usporedbi s kombinacijom placeba i febuksostata (vidjeti Tablicu 3).
Gout flare prophylaxis with colchicine or an NSAID is recommended for at least 5 months when starting Zurampic therapy (see section 4.2).
Preporučuje se profilaksa akutnih napadaja gihta kolhicinom ili NSAIL-ovima tijekom najmanje 5 mjeseci prilikom započinjanja liječenja lijekom Zurampic (vidjeti dio 4.2).
Gout flare prophylaxis with colchicine or a nonsteroidal anti-inflammatory drug (NSAID) is recommended for at least 5 months when starting therapy (see section 4.4).
Preporučuje se profilaksa akutnih napadaja gihta kolhicinom ili nesteroidnim protuupalnim lijekom (NSAIL) tijekom najmanje 5 mjeseci prilikom započinjanja liječenja (vidjeti dio 4.4).
No overall differences in safety of Zurampic were observed in patients with mild or moderate renal impairment (eCrCL of30-89 mL/min) compared to patients with normal renal function (see sections 4.2 and 5.2).
Nisu zamijećene sveukupne razlike u sigurnosti lijeka Zurampic u bolesnika s blagim ili umjerenim oštećenjem funkcije bubrega (eCrCL od 30 do 89 ml/min) u usporedbi s bolesnicima s normalnom funkcijom bubrega (vidjeti dijelove 4.2 i 5.2).
Mean sUA reductions following Zurampic 200 mg administration alone were approximately 46% and 26% at 6 hours and 24 hours post-dose, respectively.
Srednja smanjenja razine mokraćne kiseline u serumu nakon primjene samo lijeka Zurampic u dozi od 200 mg bila su približno 46% nakon 6 sati, odnosno 26% nakon 24 sata.
Clinical outcomes - tophus resolution and reduction In CRYSTAL, the proportion of subjects who experienced a complete resolution (defined as 100% resolution of at least one target tophus and no single tophus showing progression) of ≥1 target tophus was higher in the group treated with Zurampic 200 mg in combination with febuxostat compared with placebo in combination with febuxostat, although the difference was not statistically different (26% compared with 21%).
U ispitivanju CRYSTAL, udio ispitanika u kojih je postignuto potpuno povlačenje (definirano kao 100 %-tno povlačenje najmanje jednog ciljnog tofa i bez znakova progresije bilo kojeg tofa) jednog ili više ciljnih tofa bio je veći u skupini liječenoj lijekom Zurampic u dozi od 200 mg u kombinaciji s febuksostatom, u usporedbi s kombinacijom placeba i febuksostata, iako razlika nije bila statistički značajna (26% u usporedbi s 21%).
Failure to follow these instructions may increase the risk of kidney side effects.
Ukoliko se ove upute ne slijede, rizik od bubrežnih nuspojava može biti povećan.
Zurampic must always be taken together with your morning dose of either allopurinol or febuxostat.
Zurampic se uvijek mora uzeti zajedno s Vašom jutarnjom dozom bilo alopurinola bilo febuksostata.
Placebo + allopurinol
Vremenska točka Placebo + alopurinol
Including the combination long-term extension studies, the incidences of serious renal-related adverse reactions (including acute renal failure) per 100 patientyears of exposure were 0.4 and 1.4 for Zurampic 200 mg and Zurampic 400 mg in combination with a xanthine oxidase inhibitor, respectively (see sections 4.2 and 4.4).
Uključujući dugotrajne nastavke ispitivanja kombiniranog liječenja, incidencija ozbiljnih nuspojava povezanih s bubrezima (uključujući akutno zatajenje bubrega) na 100 bolesnik-godina izloženosti bila je 0,4 za Zurampic u dozi od 200 mg, odnosno 1,4 za Zurampic u dozi od 400 mg u kombinaciji s inhibitorom ksantin oksidaze (vidjeti dijelove 4.2 i 4.4).
Table 1 Adverse reactions by System Organ Class and frequency
Tablica 1 Nuspojave po organskim sustavima i učestalosti
Severe renal impairment (CrCL less than 30 mL/min), end-stage renal disease, kidney transplant recipients or patients on dialysis (see section 4.2).
Teško oštećenje funkcije bubrega (CrCL manji od 30 ml/min), završni stadij bolesti bubrega, primatelji presatka bubrega ili bolesnici na dijalizi (vidjeti dio 4.2).
No dose adjustment is necessary in patients with mild or moderate hepatic impairment (Child-Pugh classes A and B) (see section 5.2).
Nije potrebna prilagodba doze u bolesnika s blagim ili umjerenim oštećenjem funkcije jetre (ChildPugh stadij A ili B) (vidjeti dio 5.2).
In each of the studies, a greater proportion of patients treated with Zurampic 200 mg in combination with allopurinol compared with placebo in combination with allopurinol achieved a serum uric acid less than 5 mg/dL by Month 6 (CLEAR1: 29% versus 10%; CLEAR2: 35% versus 5%).
U svakom od ispitivanja, veći je udio bolesnika liječenih lijekom Zurampic u dozi od 200 mg u kombinaciji s alopurinolom, u usporedbi s onima liječenima kombinacijom placeba i alopurinola, postigao razinu mokraćne kiseline u serumu manju od 5 mg/dl do 6. mjeseca (CLEAR1: 29% naspram 10%; CLEAR2: 35% naspram 5%).
In the pivotal clinical trials, a greater proportion of patients using lipid lowering or antihypertensive medicines that were CYP3A substrates required concomitant medicinal product change when treated with Zurampic 200 mg in combination with a xanthine oxidase inhibitor, compared with patients treated with placebo in combination with a xanthine oxidase inhibitor (35% versus 28%, respectively).
U pivotalnim je kliničkim ispitivanjima bio veći udio bolesnika u kojih je bila potrebna promjena istodobno primjenjivanog lijeka za sniženje lipida ili antihipertenzivnog lijeka koji su supstrati CYP3A kada se Zurampic primjenjivao u dozi od 200 mg u kombinaciji s inhibitorom ksantin oksidaze nego u bolesnika liječenih placebom u kombinaciji s inhibitorom ksantin oksidaze (35% naspram 28%).
Zurampic 200 mg tablets lesinurad
Zurampic 200 mg tablete lesinurad
Zurampic 200 mg vs. placebo
Zurampic 200 mg naspram placeba
In a 6-month double-blind, placebo-controlled monotherapy study of Zurampic, renal-related adverse reactions and serious renal-related adverse reactions (including acute renal failure) were reported in 17.8% and 4.7% of patients respectively, receiving Zurampic 400 mg alone and in no patients receiving placebo (see sections 4.2 and 4.4).
U 6-mjesečnom, dvostruko slijepom, placebom kontroliranom ispitivanju monoterapije lijekom Zurampic, nuspojave povezane s bubrezima odnosno ozbiljne nuspojave povezane s bubrezima (uključujući akutno zatajenje bubrega) prijavljene su u 17,8% odnosno 4,7% bolesnika u kojih je primjenjivan samo lijek Zurampic u dozi od 400 mg, dok u bolesnika koji su primali placebo nisu prijavljene (vidjeti dijelove 4.2 i 4.4).
Lesinurad exposure is increased when it is co-administered with inhibitors of CYP2C9.
Izloženost lesinuradu povećava se kada se on primjenjuje istodobno s inhibitorima CYP2C9.
Patients continued their allopurinol dose and were randomised 1:1:1 to receive Zurampic 200 mg, Zurampic 400 mg, or placebo once daily.
Bolesnici su nastavili uzimati svoju dozu alopurinola i randomizirani su u omjeru 1:1:1 za primjenu lijeka Zurampic u dozi od 200 mg, lijeka Zurampic u dozi od 400 mg ili placeba jedanput dnevno.
In these studies, kidney stone adverse reactions (nephrolithiasis being the most frequent) were reported in patients treated with Zurampic 200 mg (0.6%), Zurampic 400 mg (2.5%) and placebo (1.7%).
U ovim ispitivanjima, nuspojave bubrežnih kamenaca (od kojih je najčešća nefrolitijaza) prijavljene su u bolesnika liječenih lijekom Zurampic u dozi od 200 mg (0,6%), u dozi od 400 mg (2,5%) i placebom (1,7%).
Lesinurad is mainly metabolised by CYP2C9 and mEH, and to a lesser extent by CYP1A1, CYP2C19 and CYP3A.
Lesinurad se pretežno metabolizira putem CYP2C9 i mEH, te u manjoj mjeri putem CYP1A1, CYP2C19 i CYP3A.
Zurampic must not be initiated in patients with severe renal impairment (CrCL less than 30 mL/min), with end-stage renal disease or in patients on dialysis (see sections 4.3 and 4.4).
Primjena lijeka Zurampic ne smije se započeti u bolesnika s teškim oštećenjem funkcije bubrega (CrCL manji od 30 ml/min) ili završnim stadijem bolesti bubrega ili u bolesnika koji su na dijalizi (vidjeti dijelove 4.3 i 4.4).
Rare cases of hypersensitivity (photodermatosis, photosensitivity reaction, dermatitis allergic, pruritus and urticaria) have been reported with lesinurad during the clinical programme.
Tijekom kliničkog programa s lesinuradom prijavljeni su rijetki slučajevi preosjetljivosti (fotodermatoza, reakcija fotoosjetljivosti, alergijski dermatitis, pruritus i urtikarija).
Zurampic as add-on to allopurinol in inadequate responders CLEAR1 and CLEAR2 enrolled patients with gout who were on a stable dose of allopurinol of at least 300 mg (or 200 mg for moderate renal impairment), had serum uric acid levels greater than 6.5 mg/dL and reported at least 2 gout flares in the previous 12 months.
Zurampic kao dodatak alopurinolu u bolesnika s nezadovoljavajućim odgovorom U ispitivanja CLEAR1 i CLEAR2 uključeni su bolesnici s gihtom koji su liječeni stabilnom dozom alopurinola od najmanje 300 mg (ili 200 mg u slučaju umjerenog oštećenja funkcije bubrega), koji su imali razine mokraćne kiseline u serumu iznad 6,5 mg/dl i u kojih su prijavljena najmanje 2 akutna napadaja gihta u prethodnih 12 mjeseci.
Figure 1 Mean serum uric acid levels in pooled clinical studies with Zurampic in combination with allopurinol in patients with inadequate response (sUA ≥6 mg/dL) to allopurinol alone
Slika 1 Srednje razine mokraćne kiseline u serumu u združenim kliničkim ispitivanjima kombinacije lijeka Zurampic i alopurinola u bolesnika s nezadovoljavajućim odgovorom (sUA ≥6 mg/dl) na liječenje samo alopurinolom
CYP2C9 poor metabolisers
Spori CYP2C9 metabolizatori
Among serious renal-related adverse reactions: renal failure, renal failure acute and renal impairment were reported in 1.9%, 1.9% and 0.9% respectively, of patients receiving lesinurad 400 mg monotherapy and in no patients receiving placebo.
Među ozbiljnim nuspojavama povezanima s bubrezima: zatajenje bubrega, akutno zatajenje bubrega i oštećenje funkcije bubrega prijavljeni su u 1,9%, 1,9% odnosno 0,9% bolesnika u kojih je primjenjivana monoterapija lesinuradom u dozi od 400 mg, dok u bolesnika koji su primali placebo nisu prijavljene.
Patients who are known or suspected to be CYP2C9 poor metabolisers based on previous history or experience with other CYP2C9 substrates should use Zurampic with caution (see section 4.4).
Zurampic se treba primjenjivati s oprezom u bolesnika za koje je poznato ili se sumnja da su spori CYP2C9 metabolizatori, s obzirom na prethodnu anamnezu ili iskustvo s drugim supstratima CYP2C9 (vidjeti dio 4.4).
Patients received febuxostat 80 mg once daily for 3 weeks and then were randomised 1:1:1 to once daily doses of Zurampic 200 mg, Zurampic 400 mg, or placebo in combination with febuxostat.
U bolesnika je primjenjivan febuksostat u dozi od 80 mg jedanput dnevno tijekom 3 tjedna nakon čega su randomizirani u omjeru 1:1:1 za primjenu lijeka Zurampic u dozi od 200 mg, lijeka Zurampic u dozi od 400 mg ili placeba jedanput dnevno u kombinaciji s febuksostatom.
Consistent serum uric acid lowering was observed in patients who were receiving low dose acetylsalicylic acid in the placebo-controlled clinical studies in combination with allopurinol or febuxostat.
Opaženo je konzistentno sniženje razine mokraćne kiseline u serumu u bolesnika u kojih su primjenjivane niske doze acetilsalicilatne kiseline u placebom kontroliranim kliničkim ispitivanjima, u kombinaciji s alopurinolom ili febuksostatom.
Atropisomer 1 is extensively metabolised by CYP2C9 whereas atropisomer 2 is minimally metabolised by both CYP2C9 and CYP3A4.
Atropoizomer 1 opsežno se metabolizira putem CYP2C9, dok se atropoizomer 2 minimalno metabolizira i putem CYP2C9 i CYP3A4.
Serious renal-related adverse reactions, e.g. acute renal failure and renal impairment, were reported in patients treated with lesinurad 400 mg (1%) and placebo (0.4%) and in no patients on lesinurad 200 mg.
Ozbiljne nuspojave povezane s bubrezima, npr. akutno zatajenje bubrega i oštećenje funkcije bubrega, prijavljene su u bolesnika liječenih lesinuradom u dozi od 400 mg (1%) i placebom (0,4%), te nisu prijavljene u bolesnika liječenih lesinuradom u dozi od 200 mg.
Continuous treatment with Zurampic decreases the frequency of gout flares.
Kontinuirano liječenje lijekom Zurampic smanjuje učestalost akutnih napadaja gihta.