natgillin/translations-raw huggingface dataset:
In order to prevent medication errors it is important to check the vial labels to ensure that the medicinal product being prepared and administered is Herzuma (trastuzumab) and not Kadcyla (trastuzumab emtansine).
U svrhu sprečavanja medikacijskih pogrešaka, važno je provjeriti naljepnice na bočicama kako biste bili sigurni da je lijek koji se priprema i primjenjuje Herzuma (trastuzumab), a ne Kadcyla (trastuzumab emtanzin).
In the pivotal trials (H0648g, M77001), paclitaxel or docetaxel was administered the day following the first dose of trastuzumab (for dose, see the Summary of Product Characteristics (SmPC) for paclitaxel or docetaxel) and immediately after the subsequent doses of trastuzumab if the preceding dose of trastuzumab was well tolerated.
U pivotalnim kliničkim ispitivanjima (H0648g, M77001) paklitaksel ili docetaksel primjenjivan je dan nakon prve doze trastuzumaba (za dozu vidjeti Sažetak opisa svojstava lijeka za paklitaksel ili docetaksel) i neposredno nakon sljedećih doza trastuzumaba ako je bolesnik prethodnu dozu trastuzumaba dobro podnio.
Any remaining reconstituted solution should be discarded.
Neupotrijebljeni ostatak rekonstituirane otopine potrebno je zbrinuti.
After reconstitution, 1 mL concentrate contains 21 mg of trastuzumab.
Nakon rekonstitucije, 1 ml koncentrata sadrži 21 mg trastuzumaba.
In the final population PK model, in addition to primary tumour type, body-weight, serum aspartate aminotransferase and albumin were identified as statistically significant covariates affecting the exposure of trastuzumab.
U konačnom populacijskom farmakokinetičkom modelu, kao statistički značajne kovarijante koje utječu na izloženost trastuzumabu su, uz primarnu vrstu tumora, identificirane i tjelesna težina te razina aspartat aminotransferaze i albumina u serumu.
Always keep this medicine in the closed original pack at a temperature of 2ºC - 8ºC in a refrigerator.
Sljedeće informacije namijenjene su samo liječnicima i zdravstvenim radnicima Uvijek čuvajte ovaj lijek u zatvorenom originalnom pakiranju u hladnjaku na temperaturi od 2°C - 8°C.
Neutralizing anti-trastuzumab antibodies were detected in post-baseline samples in 2 of 30 patients in the trastuzumab intravenous arm.
Neutralizirajuća protutijela na trastuzumab pronađena su u uzorcima prikupljenima nakon početka ispitivanja u 2 od 30 bolesnika u skupini liječenoj lijekom trastuzumabom za intravensku primjenu.
From a microbiological point of view, the reconstituted solution and Herzuma infusion solution should be used immediately.
S mikrobiološkog stajališta, rekonstituiranu otopinu i infuzijsku otopinu lijeka Herzuma potrebno je odmah primijeniti.
Patients with EBC should be treated with Herzuma for 1 year or until disease recurrence, whichever occurs first; extending treatment in EBC beyond one year is not recommended (see section 5.1).
U bolesnika s ranim rakom dojke liječenje lijekom Herzuma traje godinu dana ili do povrata bolesti, što god nastupi ranije; ne preporučuje se produljiti liječenje ranog raka dojke dulje od jedne godine (vidjeti dio 5.1).
Each vial contains 420 mg trastuzumab that has to be dissolved in 20 mL of water for injection.
Jedna bočica sadrži 420 mg trastuzumaba koji treba otopiti u 20 ml vode za injekcije.
 Severe dyspnoea at rest due to complications of advanced malignancy or requiring supplementary oxygen therapy.
• Teška dispneja u mirovanju zbog komplikacija uznapredovale zloćudne bolesti ili potreba za dodatnom terapijom kisikom.
In one of the 3 pivotal studies conducted in which a median follow-up of 5.5 years was available (BCIRG006) a continuous increase in the cumulative rate of symptomatic cardiac or LVEF events was observed in patients who were administered trastuzumab concurrently with a taxane following anthracycline therapy up to 2.37% compared to approximately 1% in the two comparator arms (anthracycline plus cyclophosphamide followed by taxane and taxane, carboplatin and trastuzumab).
U jednom od 3 provedena pivotalna ispitivanja s medijanom vremena praćenja od 5,5 godina (BCIRG006), u bolesnica koje su nakon anatraciklinske terapije trastzumab primale istodobno s taksanima, zabilježen je kontinuirani porast kumulativne stope simptomatskih srčanih događaja ili događaja povezanih s LVEF-om; do 2,37% u odnosu na oko 1% u dvije usporedne skupine (antraciklin plus ciklofosfamid uz nastavak liječenja taksanima te kombinacija taksana, karboplatina i trastuzumaba).
Congestive heart failure (NYHA Class II - IV) is a common adverse reaction associated with the use of Herzuma and has been associated with a fatal outcome (see section 4.4).
Kongestivno zatajenje srca (NYHA klase II - IV), česta je nuspojava kod primjene lijeka Herzuma, ponekad povezana i sa smrtnim ishodom (vidjeti dio 4.4).
A final analysis was performed after a median follow-up of 8 years, which showed that 1 year trastuzumab treatment is associated with a 24% risk reduction compared to observation only (HR=0.76, 95% CI 0.67, 0.86).
Završna analiza provedena nakon medijana praćenja od 8 godina ukazala je na smanjenje rizika od 24% u skupini liječenoj trastuzumabom tijekom 1 godine u usporedbi sa samo opservacijom (HR = 0,76, 95% CI 0,67; 0,86).
Patients who had previously received anthracycline-based adjuvant chemotherapy were treated with paclitaxel (175 mg/m infused over 3 hours) with or without trastuzumab.
Bolesnice koje su prethodno primale antraciklinsku adjuvantnu kemoterapiju liječene su paklitakselom (175 mg/m u trosatnoj infuziji) u kombinaciji s trastuzumabom ili bez njega.
In rare cases, a reduction in the amount of (amniotic) fluid that surrounds the developing baby within the womb has been observed in pregnant women receiving Herzuma.
U rijetkim je slučajevima u trudnica koje primaju lijek Herzuma primijećeno smanjenje količine (amnijske) tekućine koja okružuje bebu u razvoju unutar maternice.
Despite the crossover to trastuzumab in the control arm, the addition of trastuzumab to paclitaxel chemotherapy resulted in a 52% decrease in the risk of disease recurrence.
Unatoč prijelazu na liječenje trastuzumabom u kontrolnoj skupini, dodavanje trastuzumaba kemoterapiji paklitakselom rezultiralo je smanjenjem rizika od ponovne pojave bolesti za 52%.
- cisplatin - 80 mg/m every 3 weeks for 6 cycles on day 1 of each cycle.
- cisplatin - 80 mg/m svaka 3 tjedna u 6 ciklusa, 1. dan svakog ciklusa.
Table 10 Overview of efficacy analyses BCIRG 006 AC→D versus DCarbH
Tablica 10 Pregled analize djelotvornosti u ispitivanju BCIRG 006; AC→D u odnosu na DcarbH
Faint ⁄ barely perceptible membranous reactivity in ≥ 10% of tumour cells; cells are reactive only in part of their membrane
Vrlo slaba/jedva primjetna membranska reaktivnost u ≥ 10% tumorskih stanica; stanice su reaktivne samo u dijelu membrane
In the BCIRG 006 study, trastuzumab was administered either in combination with docetaxel, following AC chemotherapy (AC→DH) or in combination with docetaxel and carboplatin (DCarbH).
U sklopu ispitivanja BCIRG 006 trastuzumab je primjenjivan u kombinaciji s docetakselom nakon AC kemoterapije (AC→DH) ili u kombinaciji s docetakselom i karboplatinom (DCarbH).
If patients have a continued decrease in left ventricular function, but remain asymptomatic, the physician should consider discontinuing therapy if no clinical benefit of Herzuma therapy has been seen.
Ako se u bolesnika primijeti kontinuirano smanjenje funkcije lijeve klijetke, koje ostaje asimptomatsko, potrebno je razmotriti prekid terapije lijekom Herzuma ako ona nije polučila nikakvu kliničku korist.
If the patient has missed a dose of Herzuma by more than one week, a re-loading dose of Herzuma should be administered over approximately 90 minutes (weekly regimen: 4 mg/kg; three-weekly regimen: 8 mg/kg) as soon as possible.
Ako je bolesnik propustio primiti dozu lijeka Herzuma za više od tjedan dana, potrebno je što prije ponoviti udarnu dozu lijeka Herzuma u infuziji trajanja približno 90 minuta (tjedni ciklusi: 4 mg/kg; trotjedni ciklusi: 8 mg/kg).
Infusion-related reactions and hypersensitivity
Reakcije povezane s infuzijom i preosjetljivost
More patients treated with trastuzumab and paclitaxel progressed in the central nervous system than those treated with paclitaxel alone (12.6% versus 6.5%; p=0.377).
Pojava metastaza u središnjem živčanom sustavu bila je češća u bolesnica liječenih trastuzumabom i paklitakselom u odnosu na one liječene samo paklitakselom (12,6% naspram 6,5%; p = 0,377).
The frequency of progression in the liver was significantly reduced in patients treated with the combination of trastuzumab and paclitaxel, compared to paclitaxel alone (21.8% versus 45.7%; p=0.004).
Učestalost pojave metastaza u jetri bila je znatno smanjena u bolesnica liječenih kombinacijom trastuzumaba i paklitaksela u usporedbi sa samim paklitakselom (21,8% naspram 45,7%; p = 0,004).
In the neoadjuvant-adjuvant treatment setting, study MO16432, a multicentre randomised trial, was designed to investigate the clinical efficacy of concurrent administration of trastuzumab with neoadjuvant chemotherapy including both an anthracycline and a taxane, followed by adjuvant trastuzumab, up to total treatment duration of 1 year.
U sklopu neoadjuvantnog-adjuvantnog liječenja, multicentrično, randomizirano ispitivanje MO16432 osmišljeno je da ispita kliničku djelotvornost istodobne primjene trastuzumaba s neoadjuvantnom kemoterapijom, koja je uključivala i antraciklin i taksan, nakon čega je slijedilo adjuvantno liječenje trastuzumabom do ukupno 1 godine liječenja.
Herzuma in combination with capecitabine or 5-fluorouracil and cisplatin is indicated for the treatment of adult patients with HER2 positive metastatic adenocarcinoma of the stomach or gastro-esophageal junction who have not received prior anti-cancer treatment for their metastatic disease.
Lijek Herzuma je u kombinaciji s kapecitabinom ili 5-fluorouracilom i cisplatinom indiciran u liječenju odraslih bolesnika s HER2 pozitivnim metastatskim adenokarcinomom želuca ili gastroezofagealnog spoja, koji nisu prethodno primali kemoterapiju za metastatsku bolest.
- capecitabine - 1000 mg/m orally twice daily for 14 days every 3 weeks for 6 cycles (evening of day 1 to morning of day 15 of each cycle)
- kapecitabin - 1000 mg/m² peroralno, dvaput dnevno, tijekom 14 dana svaka 3 tjedna u 6 ciklusa (od večeri 1. dana do jutra 15. dana svakog ciklusa)
In the pivotal trial BO22227, trastuzumab was administered concurrently with neoadjuvant chemotherapy that contained four cycles of epirubicin (cumulative dose 300 mg/m2); at a median follow-up exceeding 70 months, the incidence of cardiac failure/congestive cardiac failure was 0.3% in the trastuzumab intravenous arm.
U pivotalnom ispitivanju BO22227, trastuzumab se primjenjivao istodobno s neoadjuvantnom kemoterapijom koja se sastojala od četiri ciklusa epirubicina (kumulativna doza: 300 mg/m2); nakon medijana praćenja od više od 70 mjeseci, incidencija zatajenja srca/kongestivnog zatajenja srca iznosila je 0,3% u skupini koja je primala trastuzumab intravensku primjenu.
In the BCIRG 006 study, HER2 positive, EBC was defined as either lymph node positive or high risk node negative patients with no (pN0) lymph node involvement, and at least 1 of the following factors: tumour size greater than 2 cm, estrogen receptor and progesterone receptor negative, histological and/or nuclear grade 2 - 3, or age < 35 years.
U ispitivanju BCIRG 006 HER2 pozitivni rani rak dojke bio je definiran bilo kao tumor s pozitivnim limfnim čvorovima ili visokorizični tumor s negativnim limfnim čvorovima te barem jednim od sljedećih čimbenika: tumor veći od 2 cm, negativni estrogenski i progesteronski receptori, histološki i/ili nuklearni gradus 2 do 3 ili dob < 35 godina.
The non-linear elimination parameter values were 8.81 mg/day for the maximum elimination rate (Vmax) and 8.92 μg/mL for the Michaelis-Menten constant (Km) for the MBC, EBC and AGC patients.
Vrijednosti parametara nelinearne eliminacije bile su 8,81 mg/dan za maksimalnu brzinu eliminacije (Vmax) i 8,92 µg/ml za Michaelis-Mentenovu konstantu (Km) u bolesnika s metastatskim rakom dojke, ranim rakom dojke i uznapredovalim rakom želuca.
Do not use this medicine after the expiry date which is stated on the outer carton and on the vial label after EXP.
Ovaj lijek se ne smije upotrijebiti nakon isteka roka valjanosti navedenog na kutiji i naljepnici bočice iza kratice „EXP“.
Table 5 Efficacy results from the non-comparative monotherapy and combination therapy studies
Tablica 5 Rezultati djelotvornosti iz nekomparativnih ispitivanja monoterapije i kombinirane terapije
Trastuzumab has been studied in combination with anastrozole for first line treatment of MBC in HER2 overexpressing, hormone-receptor (i.e. estrogen-receptor [ER] and/or progesterone-receptor [PR]) positive postmenopausal patients.
Trastuzumab je ispitivan u kombinaciji s anastrozolom u prvoj liniji liječenja postmenopauzalnih bolesnica s metastatskim rakom dojke pozitivnim na povećanu ekspresiju HER2 i hormonske receptore (tj. estrogenske [ER] i/ili progesteronske receptore [PR]).
All candidates for treatment with Herzuma, but especially those with prior anthracycline and cyclophosphamide (AC) exposure, should undergo baseline cardiac assessment including history and physical examination, electrocardiogram (ECG), echocardiogram, and/or multigated acquisition (MUGA) scan or magnetic resonance imaging.
Svi bolesnici koji su kandidati za liječenje lijekom Herzuma, osobito oni prethodno liječeni antraciklinima i ciklofosfamidom (AC protokol), prije početka liječenja moraju obaviti osnovni kardiološki pregled koji uključuje uzimanje anamneze, fizikalni pregled, elektrokardiogram (EKG), ultrazvuk srca i/ili radionuklidnu ventrikulografiju (MUGA) ili magnetsku rezonanciju.
In this final analysis, extending trastuzumab treatment for a duration of two years did not show additional benefit over treatment for 1 year [DFS HR in the intent to treat (ITT) population of 2 years versus 1 year=0.99 (95% CI: 0.87, 1.13), p-value=0.90 and OS HR=0.98 (0.83, 1.15); p-value=0.78].
U toj završnoj analizi produljenje liječenja trastuzumabom na dvije godine nije pokazalo dodatne korisne učinke u odnosu na jednogodišnje liječenje [omjer hazarda za preživljenje bez simptoma bolesti (DFS HR) u populaciji koju se namjeravalo liječiti (ITT) tijekom 2 godine naspram 1 godine = 0,99 (95% CI: 0,87; 1,13), p-vrijednost = 0,90 i omjer hazarda za ukupno preživljenje (OS HR) = 0,98 (0,83; 1,15); p-vrijednost = 0,78].
 you have metastatic breast cancer (breast cancer that has spread beyond the original tumour) with high levels of HER2.
• bolujete od metastatskog raka dojke (tumora dojke koji se proširio izvan dojke) s visokom razinom proteina HER2.
MBC and EBC patients had similar PK parameters (e.g. clearance [CL], the central compartment volume [Vc]) and population-predicted steady-state exposures (Cmin, Cmax and AUC).
Bolesnici s metastatskim rakom dojke i ranim rakom dojke imali su slične farmakokinetičke parametre (npr. klirens, volumen središnjeg odjeljka [Vc]) i razine izloženosti u stanju dinamičke ravnoteže (Cmin, Cmax i AUC) predviđene za tu populaciju.
Table 1 Undesirable effects reported with intravenous trastuzumab monotherapy or in combination with chemotherapy in pivotal clinical trials (N = 8386) and in post-marketing
Tablica 1 Nuspojave prijavljene kod primjene intravenske formulacije trastuzumaba u monoterapiji ili u kombinaciji s kemoterapijom u pivotalnim kliničkim ispitivanjima (N = 8386) i nakon stavljanja lijeka u promet
The vial contains 150 mg trastuzumab.
Bočica sadrži 150 mg trastuzumaba.
Herzuma should be carefully handled during reconstitution.
Tijekom rekonstitucije, lijekom Herzuma treba rukovati oprezno.
Causing excessive foaming during reconstitution or shaking the reconstituted Herzuma may result in problems with the amount of Herzuma that can be withdrawn from the vial.
Stvaranje prevelike pjene tijekom rekonstitucije ili protresanje rekonstituiranog lijeka Herzuma može uzrokovati poteškoće s izvlačenjem odgovarajuće količine lijeka Herzuma iz bočice.
Patients with MBC who have previously received anthracyclines are also at risk of cardiac dysfunction with Herzuma treatment, although the risk is lower than with concurrent use of Herzuma and anthracyclines.
U bolesnika s metastatskim rakom dojke koji su prethodno primali antracikline je također povećan rizik od disfunkcije srca pri liječenju lijekom Herzuma, premda je on manji od rizika u bolesnika koji istodobno primaju lijek Herzuma i antracikline.
The appropriate amount of solution should be withdrawn from the vial and added to an infusion bag containing 250 mL of 0.9% sodium chloride solution.
Odgovarajuću količinu otopine potrebno je izvući iz bočice i dodati u infuzijsku vrećicu koja sadrži 250 ml otopine 0,9%-tnog natrijevog klorida.
Biopsy specimen - staining pattern
Bioptat - karakteristika obojenja
The pharmacokinetics of trastuzumab were evaluated in a population pharmacokinetic model analysis using pooled data from 1,582 subjects, including patients with HER2 positive MBC, EBC, AGC or other tumour types, and healthy volunteers, in 18 Phase I, II and III trials receiving trastuzumab intravenous.
Farmakokinetika trastuzumaba ocjenjivala se u analizi populacijskog farmakokinetičkog modela, u kojoj su se koristili objedinjeni podaci prikupljeni u 1582 ispitanika, uključujući bolesnike s HER2 pozitivnim metastatskim rakom dojke, ranim rakom dojke, uznapredovalim rakom želuca ili drugim vrstama tumora te zdrave dobrovoljce koji su primali intravensku formulaciju trastuzumaba u 18 ispitivanja faze I, II i III.
Cardiac assessments, as performed at baseline, should be repeated every 3 months during treatment and every 6 months following discontinuation of treatment until 24 months from the last administration of Herzuma.
Kardiološke preglede, istovjetne onom obavljenom u sklopu početne procjene, potrebno je ponavljati svaka 3 mjeseca tijekom liječenja te svakih 6 mjeseci nakon završetka liječenja do 24 mjeseca od posljednje primjene lijeka Herzuma.
Herzuma is a powder for concentrate for solution for intravenous infusion, which is supplied in a glass vial with a rubber stopper containing 150 mg of trastuzumab.
Herzuma je prašak za koncentrat za otopinu za intravensku infuziju, dostupan u staklenoj bočici s gumenim čepom te sadrži 150 mg trastuzumaba.
The pre-planned final analysis of OS from the joint analysis of studies NSABP B-31 and NCCTG N9831 was performed when 707 deaths had occurred (median follow-up 8.3 years in the AC→PH
Unaprijed planirana konačna analiza ukupnog preživljenja iz skupne analize ispitivanja NSABP B-31 i NCCTG N9831 provedena je nakon 707 smrtnih slučajeva (medijan praćenja od 8,3 godine u skupini koja je primala AC→PH kemoterapiju).
Only patients with a large amount of HER2 will be treated with Herzuma.
Lijekom Herzuma će biti liječeni samo bolesnici s visokom razinom HER2.
Solutions of Herzuma for intravenous infusion are physically and chemically stable in polyvinylchloride, polyethylene or polypropylene bags containing sodium chloride 9 mg/mL (0.9%) solution for injection for 24 hours at temperatures not exceeding 30ºC.
Otopina lijeka Herzuma za intravensku infuziju u polivinilkloridnoj, polietilenskoj ili polipropilenskoj vrećici koja sadrži otopinu 9 mg/ml (0,9%) natrijevog klorida za injekciju, fizički i kemijski je stabilna 24 sata na temperaturama ispod 30°C.
The vial contains 420 mg trastuzumab.
Bočica sadrži 420 mg trastuzumaba.
If LVEF has not improved, or has declined further, or if symptomatic congestive heart failure (CHF) has developed, discontinuation of Herzuma should be strongly considered, unless the benefits for the individual patient are deemed to outweigh the risks.
Ako se LVEF ne poboljša ili se još više smanji, ili ako se razvije simptomatsko kongestivno zatajenje srca (CHF), potrebno je ozbiljno razmotriti mogućnost prekida liječenja lijekom Herzuma, osim u slučaju kada koristi za pojedinog bolesnika nadmašuju rizike.
The appropriate amount of solution should be withdrawn from the vial and added to a polyvinylchloride, polyethylene or polypropylene infusion bag containing 250 mL of 0.9% sodium chloride solution.
Odgovarajuću količinu otopine potrebno je izvući iz bočice i dodati u polivinilkloridnu, polietilensku ili polipropilensku infuzijsku vrećicu koja sadržava 250 ml otopine 0,9%-tnog natrijevog klorida.
In the NSABP B-31 and NCCTG N9831 studies, trastuzumab was administered in combination with paclitaxel, following AC chemotherapy.
U sklopu ispitivanja NSABP B-31 i NCCTG N9831 trastuzumab je primjenjivan u kombinaciji s paklitakselom nakon AC kemoterapije.
In study MO16432, trastuzumab (8 mg/kg loading dose, followed by 6 mg/kg maintenance every 3 weeks) was administered concurrently with 10 cycles of neoadjuvant chemotherapy as follows:
U ispitivanju MO16432, trastuzumab (udarna doza od 8 mg/kg, zatim doza održavanja od 6 mg/kg svaka 3 tjedna) je davan istodobno s 10 ciklusa neoadjuvantne kemoterapije,
Herzuma is indicated for the treatment of adult patients with HER2 positive metastatic breast cancer (MBC):
Lijek Herzuma je indiciran u liječenju odraslih bolesnika s HER2 pozitivnim metastatskim rakom dojke:
Median survival (months) (95% CI)
Medijan preživljenja (mjeseci) (95%CI)
Table 4 Efficacy results from the monotherapy and combination therapy studies
Tablica 4 Rezultati djelotvornosti iz ispitivanja monoterapije i kombinirane terapije
One vial contains 150 mg of trastuzumab, a humanised IgG1 monoclonal antibody produced by mammalian (Chinese hamster ovary) cell suspension culture and purified by affinity and ion exchange chromatography including specific viral inactivation and removal procedures.
Jedna bočica sadrži 150 mg trastuzumaba, humaniziranog IgG1 monoklonskog protutijela proizvedenog u kulturi stanica sisavaca u suspenziji (stanice jajnika kineskog hrčka) i pročišćenog afinitetnom i ionsko-izmjenjivačkom kromatografijom uključujući specifičnu inaktivaciju virusa i postupke uklanjanja.
The addition of trastuzumab to paclitaxel chemotherapy also resulted in a 37% decrease in the risk of death.
Dodavanje trastuzumaba kemoterapiji paklitakselom rezultiralo je i smanjenjem rizika od smrti za
Herzuma should only be used in patients with metastatic or early breast cancer whose tumours have either HER2 overexpression or HER2 gene amplification as determined by an accurate and validated assay (see sections 4.4 and 5.1).
Lijek Herzuma treba davati samo onim bolesnicima s metastatskim ili ranim rakom dojke čije tumorske stanice pokazuju povećanu ekspresiju HER2 ili HER2 gensku amplifikaciju što je potvrđeno preciznom i validiranom metodom (vidjeti dijelove 4.4 i 5.1).
Single doses of Herzuma alone greater than 10 mg/kg have not been administered in the clinical trials; a maintenance dose of 10 mg/kg q3w following a loading dose of 8 mg/kg has been studied in a clinical trial with metastatic gastric cancer patients.
Nisu ispitivane pojedinačne doze lijeka Herzuma veće od 10 mg/kg; doza održavanja od 10 mg/kg svaka 3 tjedna nakon udarne doze od 8 mg/kg ispitivana je u kliničkom ispitivanju u bolesnika s metastatskim rakom želuca.
• The other ingredients are L-histidine hydrochloride, L-histidine, α,α-trehalose dihydrate, polysorbate 20.
• Drugi sastojci su L-histidinklorid, L-histidin, α,α-trehaloza dihidrat, polisorbat 20.
If the patient has missed a dose of Herzuma by one week or less, then the usual maintenance dose (weekly regimen: 2 mg/kg; three-weekly regimen: 6 mg/kg) should be administered as soon as possible.
Ako je bolesnik propustio primiti dozu lijeka Herzuma za tjedan dana ili manje, nužno je što prije primijeniti uobičajenu dozu održavanja (tjedni ciklusi: 2 mg/kg; trotjedni ciklusi: 6 mg/kg).
L-histidine hydrochloride L-histidine α,α-trehalose dihydrate Polysorbate 20
L-histidinklorid L-histidin α,α-trehaloza dihidrat polisorbat 20
Hypertonia
(hipertonija)