natgillin/translations-raw huggingface dataset:
Before you receive dental treatment or undergo dental surgery, tell your dentist you are receiving treatment with Zoledronic acid Teva Generics.
Prije nego što započnete liječenje kod zubara ili ako idete na stomatološki kirurški zahvat, obavijestite svog zubara da se liječite Zoledronatnom kiselinom Teva
- Do not use this medicine if you notice any discolouration or particles in the solution.
- Ovaj lijek se ne smije upotrijebiti ako primijetite promjenu boje otopine ili čestice u otopini.
Clinical efficacy in the treatment of osteoporosis in patients at increased risk of fracture after a recent hip fracture (RFT)
Klinička djelotvornost u liječenju osteoporoze u bolesnika s povećanim rizikom za prijelom nakon nedavnog prijeloma kuka
Ask your doctor, pharmacist or nurse for advice before taking this medicine.
Obratite se svom liječniku, ljekarniku ili medicinskoj sestri za savjet prije nego što uzmete ovaj lijek.
The incidence of post-dose symptoms occuring within the first three days after administration of zoledronic acid can be reduced with the administration of paracetamol or ibuprofen shortly following zoledronic acid administration.
Incidencija simptoma nakon doze koji se javljaju u roku od prva tri dana nakon primjene zoledronatne kiseline može se smanjiti primjenom paracetamola ili ibuprofena ubrzo nakon primjene zoledronatne kiseline.
Based on laboratory assessment, transient asymptomatic calcium levels below the normal reference range (less than 2.10 mmol/l) occurred in 2.3% of zoledronic acid-treated patients in a large clinical trial compared to 21% of zoledronic acid-treated patients in the Paget's disease trials.
Na osnovi laboratorijske procjene prolazne asimptomatske razine kalcija ispod normalnog referentnog raspona (manje od 2,10 mmol/l) zabilježene su u 2,3% bolesnika liječenih zoledronatnom kiselinom u velikom kliničkom ispitivanju u usporedbi sa 21% bolesnika liječenih zoledronatnom kiselinom u kliničkim ispitivanjima Pagetove bolesti.
Hypocalcaemia
Hipokalcijemija
The incidence of these reactions decreased markedly with subsequent annual doses of zoledronic acid.
Incidencija tih nuspojava značajno se smanjila sa sljedećim godišnjim dozama zoledronatne kiseline.
Days of disability
Broj dana fizičke onesposobljenosti
Vitamin D levels were not routinely measured but a loading dose of vitamin D (50,000 to 125,000 IU orally or via the 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 zoledronic acid 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 zoledronatnoj kiselini 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].
Zoledronic acid is not metabolised and is excreted unchanged via the kidney.
Zoledronatna kiselina se ne metabolizira te se izlučuje nepromijenjena putem bubrega.
Uncommon Lethargy, paraesthesia, somnolence, tremor, syncope, dysgeusia
Manje često Letargija, parestezija, somnolencija, tremor, sinkopa, disgeusija
The incidence of fractures was 8 for zoledronic acid-treated patients versus 7 for risedronate-treated patients (p=0.8055).
Incidencija prijeloma bila je 8 bolesnika liječenih zoledronatnom kiselinom naspram 7 bolesnika liječenih risedronatom (p=0,8055).
Pliva Ljubljana d.o.o.
Pliva Hrvatska d.o.o. Tel.
Zoledronic acid has been associated with renal impairment manifested as deterioration in renal function (i.e. increased serum creatinine) and in rare cases acute renal failure.
Zoledronatna kiselina bila je povezana s oštećenjem funkcije bubrega koje se očitovalo kao slabljenje bubrežne funkcije (npr. povišena razina kreatinina u serumu) i u rijetkim slučajevima kao akutno zatajenje bubrega.
Six patients who achieved therapeutic response 6 months after treatment with zoledronic acid and later experienced disease relapse during the extended follow-up period were re-treated with zoledronic acid after a mean time of 6.5 years from initial treatment to re-treatment.
Šest bolesnika u kojih je postignut terapijski odgovor nakon 6 mjeseci liječenja zoledronatnom kiselinom i u kojih je kasnije tijekom razdoblja praćenja zabilježen relaps, ponovo su liječeni zoledronatnom kiselinom nakon srednjeg vremena od 6,5 godina nakon početnog do ponovnog liječenja.
Zoledronic acid 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 zoledronatnom kiselinom 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 izgradnje kosti u 12. tjednu.
Clinical efficacy in the treatment of post-menopausal osteoporosis (PFT) The efficacy and safety of zoledronic acid 5 mg once a year for 3 consecutive years were demonstrated in post-menopausal women (7,736 women aged 65-89 years) with either: a femoral neck bone mineral density (BMD) with a T-score ≤ -1.5 and at least two mild or one moderate existing vertebral fracture(s); or a femoral neck BMD T-score ≤ -2.5 with or without evidence of existing vertebral fracture(s).
Djelotvornost i sigurnost primjene zoledronatne kiseline u dozi od 5 mg jednom na godinu tijekom tri uzastopne godine dokazane su kod žena u postmenopauzi (7736 žena u dobi od 65 do 89 godina) s jednim od dva uvjeta: BMD T-vrijednost vrata bedrene kosti ≤ -1,5 te najmanje dva blaga ili jedan umjereno teški postojeći vertebralni prijelom; ili BMD T-vrijednost vrata bedrene kosti ≤ -2,5 sa znakovima postojećeg(ih) vertebralnog(ih) prijeloma ili bez njih.
• A single dose of Zoledronic acid Teva Generics should not exceed 5 mg and the duration of infusion should be at least 15 minutes (see section 4.2).
• Jednokratna doza Zoledronatne kiseline Teva Generics ne smije biti veća od 5 mg, a trajanje infuzije treba biti najmanje 15 minuta (vidjeti dio 4.2).
It is unknown whether zoledronic acid is excreted into human milk.
Nije poznato izlučuje li se zoledronatna kiselina u majčino mlijeko.
In clinical trials in osteoporosis, approximately 0.2% of patients had notable declines of serum calcium levels (less than 1.87 mmol/l) following zoledronic acid administration.
Otprilike 0,2% bolesnika u kliničkom ispitivanju osteoporoze imalo je značajan pad razina kalcija u serumu (manje od 1,87 mmol/l) nakon primjene zoledronatne kiseline.
Unusual fracture of the thigh bone particularly in patients on long-term treatment for osteoporosis may occur rarely.
Rijetko može doći do neuobičajenih prijeloma bedrene kosti, posebno u bolesnika na dugotrajnoj terapiji radi osteoporoze.
(≥1/100 to <1/10); uncommon (≥1/1,000 to <1/100); rare (≥1/10,000 to <1/1,000); very rare (<1/10,000); not known (cannot be estimated from the available data).
(≥1/100 do <1/10), manje često (≥1/1000 do <1/100), rijetko (≥1/10 000 do <1/1000), vrlo rijetko
- The other ingredients are mannitol, sodium citrate and water for injections.
- Drugi sastojci su manitol, natrijev citrat i voda za injekcije.
- Severe renal impairment with creatinine clearance < 35 ml/min (see section 4.4).
- Teško oštećenje funkcije bubrega s klirensom kreatinina < 35 ml/min (vidjeti dio 4.4).
You must not be given Zoledronic acid Teva Generics:
Ne smijete primati Zoledronatnu kiselinu Teva Generics:
Therefore, interactions resulting from displacement of highly proteinbound drugs are unlikely.
Zbog toga, interakcije nastale istiskivanjem lijekova koji su u velikoj mjeri vezani na proteine nisu vjerojatne.
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 koji su dobivali 0,6 mg/kg u obliku 15-minutne infuzije u intervalima od tri dana, ukupno šest puta (čime se dobila kumulativna doza koja je odgovarala AUC razinama koje su bile otprilike šesterostruko 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 2-3 tjedna (kumulativna doza je odgovarala sedmerostrukoj terapijskoj izloženosti u ljudi).
Uncommon Insomnia
Manje često Insomnija
Patients with hepatic impairment No dose adjustment is required (see section 5.2).
Nije potrebno prilagođavati dozu (vidjeti dio 5.2).
Zoledronic acid is contraindicated during pregnancy (see section 4.3).
Trudnoća Zoledronatna kiselina je kontraindicirana tijekom trudnoće (vidjeti dio 4.3).
Zoledronic acid Teva Generics must not be allowed to come into contact with any calcium-containing solutions.
Zoledronatna kiselina Teva Generics ne smije doći u kontakt s otopinama koje sadržavaju kalcij.
Small observed increases in AUC(0-24hr), by about 30% to 40% in mild to moderate renal impairment, compared to a patient with normal renal function, and lack of accumulation of drug with multiple doses irrespective of renal function, suggest that dose adjustments of zoledronic acid in mild (Clcr = 50-80 ml/min) and moderate renal impairment down to a creatinine clearance of 35 ml/min are not necessary.
Mala zapažena povećanja AUC(024hr) vrijednosti za oko 30% do 40% u slučaju blagog do umjerenog oštećenja bubrega u usporedbi s bolesnikom s normalnom funkcijom bubrega te pomanjkanje nakupljanja lijeka pri višestrukim dozama, bez obzira na bubrežnu funkciju, navode na zaključak da nije potrebno prilagođavati dozu zoledronatne kiseline u slučaju blagog (Clcr = 50-80 ml/min) i umjerenog oštećenja bubrega s klirensom kreatinina većim od 35 ml/min.
Renal failure requiring dialysis or with a fatal outcome has rarely occurred in patients with underlying renal impairment or with any of the risk factors described above.
Zatajenje bubrega koje iziskuje dijalizu ili je završilo smrću rijetko se pojavilo u bolesnika s već postojećim oštećenjem bubrega ili bilo kojim od prethodno opisanih čimbenika rizika.
It is supplied in multipacks containing 5 or 10 bags.
Dostupna je u višestrukim pakovanjima sa 5 ili 10 vrećica.
The European Medicines Agency has waived the obligation to submit the results of studies with the reference medicinal product containing zoledronic acid 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 referentnog lijeka koji sadrži zoledronatnu kiselinu u svim podskupinama pedijatrijske populacije u liječenju Pagetove bolesti kosti, liječenju osteoporoze u žena u postmenopauzi s povećanim rizikom od prijeloma, liječenju osteoporoze 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).
There was a transient increase in serum creatinine observed within 10 days in 1.8% of zoledronic acid-treated patients versus 0.8% of placebo-treated patients.
Zapaženo je prolazno povećanje kreatinina u serumu unutar 10 dana u 1,8% bolesnika liječenih zoledronatnom kiselinom te u 0,8% bolesnika koji su primali placebo.
Table 4 Between treatment comparisons of the incidence of key clinical fracture variables
Tablica 4 Usporedbe incidencije ključnih varijabli kliničkog prijeloma između liječenja
• Creatinine clearance should be calculated based on actual body weight using the Cockcroft-Gault formula before each zoledronic acid dose.
• Prije svake doze zoledronatne kiseline treba izračunati klirens kreatinina na temelju stvarne tjelesne težine koristeći Cockcroft-Gaultovu formulu.
Talk to your doctor before you are given Zoledronic acid Teva Generics: - if you are being treated with any other bisphosphonate medicine, since the combined effects of these medicines taken together with Zoledronic acid Teva Generics are unknown.
Obavijestite svojeg liječnika prije nego što počnete uzimati Zoledronatnu kiselinu Teva Generics: - ako se liječite drugim bisfosfonatima jer nisu poznati kombinirani učinci tih lijekova i Zoledronatne kiseline Teva Generics.
Zoledronic acid Teva Generics has no or negligible influence on the ability to drive and use machines.
Zoledronatna kiselina Teva Generics ne utječe ili zanemarivo utječe na sposobnost upravljanja vozilima i rada sa strojevima.
Zoledronic acid belongs to the class of nitrogen-containing bisphosphonates and acts primarily on bone.
Zoledronatna kiselina pripada skupini bisfosfonata koji sadržavaju dušik i djeluju prvenstveno na kosti.
Atypical subtrochanteric and diaphyseal femoral fractures have been reported with bisphosphonate therapy, primarily in patients receiving long-term treatment for osteoporosis.
Atipični subtrohanterični i dijafizealni prijelomi bedrene kosti prijavljeni su uz terapiju bisfosfonatima, prvenstveno u bolesnika koji se dugotrajno liječe od osteoporoze.
Zoledronic acid significantly increased BMD at the lumbar spine, hip, and distal radius relative to treatment with placebo at all timepoints (6, 12, 24 and 36 months).
Zoledronatna kiselina je značajno povećala BMD lumbalne kralježnice, kuka i distalnog dijela palčane kosti u usporedbi s liječenjem placebom i to u svim vremenskim točkama (6, 12, 24 i 36 mjeseci).
Treatment with zoledronic acid resulted in an increase in BMD of 5.4% at the total hip and 4.3% at the femoral neck over 24 months as compared to placebo.
Liječenje zoledronatnom kiselinom rezultiralo je povećanjem BMD-a od 5,4% cijelog kuka i 4,3% vrata bedrene kosti više od 24 mjeseca u usporedbi s placebom.
The Marketing Authorisation Holder (MAH) shall ensure that the educational programme implemented for the authorised indications of treatment of osteoporosis in post-menopausal women and in men at increased risk of fracture, including those with a recent low-trauma hip fracture, and treatment of osteoporosis associated with long-term systemic glucocorticoid therapy in post-menopausal women and in men at increased risk of fracture is updated.
Nositelj odobrenja mora osigurati ažuriranje programa izobrazbe koji se provodi za odobrene indikacije liječenja osteoporoze u postmenopauzalnih žena te u muškaraca s povećanim rizikom od prijeloma, uključujući one s nedavnim prijelomom kuka nakon slabe traume, te liječenja osteoporoze povezane s dugotrajnom sistemskom terapijom glukokortikoidima u postmenopauzalnih žena i u muškaraca s povećanim rizikom od prijeloma.
Patients must be appropriately hydrated prior to administration of zoledronic acid.
Bolesnici moraju biti prikladno hidrirani prije primjene zoledronatne kiseline.
• Patients, especially elderly patients and those receiving diuretic therapy, should be appropriately hydrated prior to administration of Zoledronic acid Teva Generics.
• Bolesnici, osobito stariji i oni koji primaju diuretsko liječenje, moraju biti prikladno hidrirani prije primjene Zoledronatne kiseline Teva Generics.
Pre-existing hypocalcaemia must be treated by adequate intake of calcium and vitamin D before initiating therapy with zoledronic acid (see section 4.3).
Postojeća se hipokalcijemija mora prije uvođenja terapije zoledronatnom kiselinom liječiti odgovarajućim unosom kalcija i vitamina D (vidjeti dio 4.3).
The rate of atrial fibrillation serious adverse events was increased in patients receiving zoledronic acid (1.3%) (51 out of 3,862) compared with patients receiving placebo (0.6%) (22 out of 3,852).
Stopa ozbiljnih štetnih događaja fibrilacije atrija bila je veća u bolesnika koji su primali zoledronatnu kiselinu (1,3%) (51 od 3862) nego u onih koji su primali placebo (0,6%) (22 od 3852).
• Patients, especially elderly patients and those receiving diuretic therapy, should be appropriately hydrated prior to administration of zoledronic acid.
• Bolesnici, osobito stariji i oni koji primaju diuretsko liječenje, moraju biti prikladno hidrirani prije primjene zoledronatne kiseline.
Any unused solution should be discarded.
Neiskorištenu otopinu treba zbrinuti.
Pharmacodynamic effects The selective action of bisphosphonates on bone is based on their high affinity for mineralised bone.
Selektivno djelovanje bisfosfonata na kost zasniva se na njihovom visokom afinitetu prema mineraliziranoj kosti.
Zoledronic acid (5 mg in 100 ml ready-to-infuse solution) is administered via a vented infusion line and given at a constant infusion rate.
Zoledronatna kiselina (5 mg u 100 ml otopine spremne za infuziju) primjenjuje se putem infuzijske cjevčice s odzračivanjem uz konstantnu brzinu infuzije.
Bone biopsies were obtained from the iliac crest 1 year after the third annual dose in 152 post-menopausal patients with osteoporosis treated with zoledronic acid (N=82) or placebo (N=70).
Godinu dana nakon treće godišnje doze biopsijom su uzeti uzorci iz grebena ilijačne kosti od 152 bolesnice u postmenopauzi s osteoporozom liječene zoledronatnom kiselinom (N=82) ili placebom (N=70).
The use of Zoledronic acid Teva Generics in children and adolescents has not been studied.
Nije ispitana primjena Zoledronatne kiseline Teva Generics u djece i adolescenata.
Table 3 Between treatment comparisons of the incidence of key clinical fracture variables over 3 years
Tablica 3 Usporedbe ispitivanih skupina s obzirom na incidenciju ključnih varijabli kliničkih prijeloma tijekom 3 godine
PARTICULARS TO APPEAR ON THE IMMEDIATE PACKAGING BAG
PODACI KOJI SE MORAJU NALAZITI NA UNUTARNJEM PAKIRANJU
What Zoledronic acid Teva Generics is and what it is used for What you need to know before you are given Zoledronic acid Teva Generics How Zoledronic acid Teva Generics is given Possible side effects
Što je Zoledronatna kiselina Teva Generics i za što se koristi Što morate znati prije nego primite Zoledronatnu kiselinu Teva Generics Kako se primjenjuje Zoledronatna kiselina Teva Generics
What Zoledronic acid Teva Generics looks like and contents of the pack Zoledronic acid Teva Generics is a clear and colourless solution for infusion.
Kako Zoledronatna kiselina Teva Generics izgleda i sadržaj pakovanja Zoledronatna kiselina Teva Generics je bistra i bezbojna otopina za infuziju.
Discontinuation of bisphosphonate therapy in patients suspected to have an atypical femur fracture should be considered pending evaluation of the patient, based on an individual benefit risk assessment.
U tijeku evaluacije bolesnika u kojih se sumnja na atipičan prijelom bedrene kosti mora se razmotriti prekid terapije bisfosfonatima na temelju individualne procjene koristi i rizika.
1 bottle of 100 ml.
1 bočica od 100 ml.
The clinical judgement of the treating physician should guide the management plan of each patient based on individual benefit/risk assessment.
Procjena liječnika mora se zasnivati na kliničkom statusu svakog pojedinog bolesnika te individualnoj procjeni koristi i rizika.
Patients being treated with zoledronic acid should not be treated with such products or any other bisphosphonate concomitantly, since the combined effects of these agents are unknown.
Bolesnici koji se liječe zoledronatnom kiselinom ne smiju se istovremeno liječiti tim lijekovima ili nekim drugim bisfosfonatima jer nisu poznati kombinirani učinci tih lijekova.
Ask your doctor, pharmacist or nurse for advice before taking any medicine.
Obratite se svomliječniku, ljekarniku ili medicinskoj sestri za savjet prije nego što uzmete bilo koji lijek.
If not used immediately, in-use storage times and conditions prior to use are the responsibility of the user and would normally not be longer than 24 hours at 2°C - 8°C.
Ako se ne primijeni odmah, vrijeme i uvjeti čuvanja lijeka prije uporabe odgovornost su korisnika i normalno ne smiju biti dulji od 24 sata pri 2°C - 8°C.
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 pojedinačne doze infuzijom u pasa, doza od 1,0 mg/kg (šesterostruko 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.
Before stopping Zoledronic acid Teva Generics therapy If you are considering stopping Zoledronic acid Teva Generics treatment, please go to your next appointment and discuss this with your doctor.
Ako razmišljate o prekidu liječenja Zoledronatnom kiselinom Teva Generics, molimo dođite na sljedeći termin i o toj odluci razgovarate sa svojim liječnikom.
Uncommon Influenza, nasopharyngitis
Manje često Influenca, nazofaringitis
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 zoledronic acid and placebo treatment groups over three years.
U kliničkim ispitivanjima osteoporoze promjena klirensa kreatinina (mjerenog jednom godišnje prije doziranja) i incidencija zatajenja i oštećenja bubrega bile su usporedive u skupini liječenoj zoledronatnom kiselinom i u skupini koja je primala placebo tijekom tri godine.
If not used immediately, in-use storage times and conditions prior to use are the responsibility of the user and would normally not be longer than 24 hours at 2 to 8°C.
Ako se ne primijeni odmah, vrijeme i uvjeti čuvanja lijeka prije uporabe odgovornost su korisnika i normalno ne smiju biti duži od 24 sata na 2 do 8°C.
• in adult men at increased risk of fracture.
• u žena u postmenopauzi • u odraslih muškaraca s povećanim rizikom od prijeloma.
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.
I (P1NP) i serumski beta-C-telopeptidi (bCTx) u podskupinama u rasponu od 517 do 1246 bolesnica.
In the intravenous bolus studies, the doses that were welltolerated 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 povećanjem trajanja ispitivanja: dozu od 0,2 i 0,02 mg/kg na dan 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 samo od 0,005 mg/kg.
In the HORIZON-RFT study zoledronic acid treatment significantly increased BMD at the total hip and femoral neck relative to treatment with placebo at all timepoints.
U ispitivanju HORIZON-RFT liječenje zoledronatnom kiselinom je značajno povećalo BMD cijelog kuka i vrata bedrene kosti obzirom na placebo u svim vremenskim točkama.
Headache, dizziness, sickness, vomiting, diarrhoea, pain in the muscles, pain in the bones and/or joints, pain in the back, arms or legs, flu-like symptoms (e.g. tiredness, chills, joint and muscle pain), chills, feeling of tiredness and lack of interest, weakness, pain, feeling unwell.
Glavobolja, omaglica, mučnina, povraćanje, proljev, bol u mišićima, bol u kostima i/ili zglobovima, bol u leđima, rukama ili nogama, simptomi nalik gripi (npr. umor, zimica, bol u zglobovima i mišićima), zimica, osjećaj umora i gubitak interesa, slabost, bol, opće loše osjećanje.