natgillin/translations-raw huggingface dataset:
Actelsar HCT fixed dose combination (40 mg telmisartan/12.5 mg hydrochlorothiazide and 80 mg telmisartan/12.5 mg hydrochlorothiazide) is indicated in adults whose blood pressure is not adequately controlled on telmisartan alone.
Actelsar HCT je kombinacija fiksne doze (40 mg telmisartana/12,5 mg hidroklorotiazida i 80 mg telmisartana/12,5 mg hidroklorotiazida), indicirana kod odraslih bolesnika čiji se krvni tlak ne može adekvatno kontrolirati samo telmisartanom.
ONTARGET (ONgoing Telmisartan Alone and in Combination with Ramipril Global Endpoint Trial) compared the effects of telmisartan, ramipril and the combination of telmisartan and ramipril on cardiovascular outcomes in 25620 patients aged 55 years or older with a history of coronary artery disease, stroke, TIA, peripheral arterial disease, or type 2 diabetes mellitus accompanied by evidence of end-organ damage (e.g. retinopathy, left ventricular hypertrophy, macro- or microalbuminuria), which is a population at risk for cardiovascular events.
Trial) je usporedilo učinke telmisartana, ramiprila te kombinacije telmisartana i ramiprila na kardiovaskularne ishode na 25 620 bolesnika u dobi od 55 i više godina s anamnezom bolesti koronarnih arterija, moždanog udara, TIA-e, periferne arterijske bolesti, ili šećerne bolesti tipa 2 popraćenog dokazom o oštećenju perifernih organa (npr. retinopatija, hipertrofija lijevog ventrikula, makro- ili mikroalbuminurija), a koji su predstavljali populaciju pod rizikom za kardiovaskularne događaje.
In a pooled analysis of two similar 8 week double-blind placebo-controlled clinical trials vs. valsartan/hydrochlorothiazide 160 mg/25 mg (n=2,121 patients evaluated for efficacy) a significantly greater blood pressure lowering effect of 2.2/1.2 mm Hg (SBP/DBP) was demonstrated (difference in adjusted mean changes from baseline, respectively) in favour of telmisartan/hydrochlorothiazide 80 mg/25 mg combination.
U združenoj analizi dvaju sličnih dvostruko-slijepih, placebom kontroliranih kliničkih ispitivanja, u trajanju 8 tjedana, u odnosu na valsartan/hidroklorotiazid 160 mg/25 mg (djelotvornost ocjenjivana na n=2 121 bolesnika, pokazao se značajno veći učinak snižavanja krvnog tlaka, u vrijednosti 2,2/1,2 mm Hg (SKT/DKT) (razlika u podešenim prosječnim promjenama u odnosu na početnu vrijednost, po istom redoslijedu) u korist kombinacije telmisartan/hidroklorotiazid 80 mg/25 mg.
- if you are allergic to telmisartan or any of the other ingredients of this medicine (listed in section 6).
- ako ste alergični na telmisartan ili neki drugi sastojak ovog lijeka (naveden u dijelu 6.). - ako ste alergični na hidroklorotiazid ili neki od drugih derivata sulfonamida.
Actelsar HCT is also available at the dose strength 80 mg/25 mg
Actelsar HCT je također dostupan u jačini doze od 80 mg/25 mg.
Actelsar HCT is also available at the dose strengths 40 mg/12.5 mg and 80 mg/12.5 mg
Actelsar HCT je također dostupan u jačinama doza od 40 mg/12,5 mg i 80 mg/12,5 mg.
Hypochloraemic alkalosis
Hipokloremična alkaloza
Actelsar HCT 80 mg/25 mg tablets are white or almost white, 9.0 x 17.0 mm oval-shaped and biconvex tablets marked with “TH” on one side and “25” on the other side.
Actelsar HCT 80 mg/25 mg tablete su bijele ili gotovo bijele ovalne bikonveksne tablete, dimenzija 9,0 x 17,0 mm, s jedne strane označene oznakom „TH“ i oznakom „25“ na drugoj strani.
The incidence of the primary endpoint was similar in the telmisartan (16.7 %) and ramipril (16.5 %) groups.
(16,7%) i ramiprilu (16,5%).
Hepatic function abnormal/liver disorder
Abnormalna jetrena funkcija / poremećaj jetre
Telmisartan was found to be similarly effective to ramipril in the pre-specified secondary endpoint of cardiovascular death, non-fatal myocardial infarction, and non-fatal stroke [0.99 (97.5% CI 0.90-1.08), p (non-inferiority) =0.0004], the primary endpoint in the reference study HOPE (The Heart Outcomes Prevention Evaluation Study), which had investigated the effect of ramipril vs. placebo.
Otkriveno je da telmisartan ima sličnu učinkovitost kao i ramipril u unaprijed određenom sekundarnom ishodu od kardiovaskularne smrti, nefatalnog infarkta miokarda i nefatalnog moždanog udara [0,99 (97,5% CI 0,90-1,08), p (za neinferiornost) = 0,0004], što je bio primarni ishod u referentnoj studiji HOPE (studija procjene prevencije ishoda povezanih sa srcem - engl.
In patients taking telmisartan alone the following additional side effects have been reported:
Kod bolesnika koji uzimaju monoterapiju telmisartana prijavljene su sljedeće nuspojave.
Very rare (may affect up to 1 in 10,000 people): Progressive scarring of lung tissue (interstitial lung disease)**
Progresivan nastanak ožiljaka u tkivu pluća (intersticijska bolest pluća)**
Aplastic anaemia, haemolytic anaemia, bone marrow failure, leukopenia, neutropenia, agranulocytosis
Aplastična anemija, hemolitička anemija, zatajenje koštane srži, leukopenija, neutropenija, agranulocitoza
Magnesium stearate (E470b) Potassium hydroxide Meglumine
6.1 Popis pomoćnih tvari magnezijev stearat (E470b) kalijev hidroksid meglumin povidon natrijev škroboglikolat (vrste A)
CV mortality and all cause mortality were numerically higher with the combination.
Stopa smrtnosti od svih uzroka bila je
PARTICULARS TO APPEAR ON THE OUTER PACKAGING Carton for HDPE tablet container
PODACI KOJI SE MORAJU NALAZITI NA VANJSKOM PAKIRANJU Kutija za HDPE spremnik s tabletama
Actelsar HCT must not be used in patients with severe renal impairment (creatinine clearance <30 ml/min) (see section 4.3).
Oštećenje funkcije bubrega i presađen bubreg Actelsar HCT ne smije se primjenjivati kod bolesnika s teškim oštećenjem funkcije bubrega (klirens kreatinina <30 ml/min) (vidjeti dio 4.3).
- Diabetes.
- šećerna bolest.
There was evidence for a benefit of telmisartan compared to placebo in the pre-specified secondary composite endpoint of cardiovascular death, non-fatal myocardial infarction, and non-fatal stroke [0.87 (95% CI 0.76-1.00, p=0.048)].
Postojao je dokaz pozitivnih učinaka telmisartana u usporedbi s placebom u unaprijed određenom sekundarnom kompozitnom ishodu kardiovaskularne smrti, nefatalnog infarkta miokarda i nefatalnog moždanog udara [0,87 (95% CI 0,76-1,00, p = 0,048)].
Co-administration of lithium and Actelsar HCT is not recommended (see section 4.4).
HCT se ne preporučuje (vidjeti dio 4.4).
Sepsis* (often called “blood poisoning”), is a severe infection with whole-body inflammatory response, rapid swelling of the skin and mucosa (angioedema), blistering and peeling of the top layer of skin (toxic epidermal necrolysis); these side effects are rare (may affect up to 1 in 1,000 people) or of unknown frequency (toxic epidermal necrolysis) but are extremely serious and patients should stop taking the medicine and see their doctor immediately.
Sepsa* (često se naziva „trovanje krvi“) je teška infekcija s upalnom reakcijom cijelog tijela, brzo oticanje kože i sluznice (angioedem), stvaranje mjehura i ljuštenje gornjeg sloja kože (toksična epidermalna nekroliza); ove nuspojave su rijetke (mogu se javiti u do 1 na 1000 osoba) ili su nepoznate učestalosti (toksična epidermalna nekroliza), ali izuzetno ozbiljne, te bolesnici moraju prekinuti s primjenom lijeka i trenutno se javiti liječniku.
Upper respiratory tract infection (e.g. sore throat, inflamed sinuses, common cold), urinary tract infections, deficiency in red blood cells (anaemia), high potassium levels, slow heart rate (bradycardia), kidney impairment including acute kidney failure, weakness, cough.
Infekcija gornjeg dišnog sustava (npr. upaljeno grlo, upala sinusa, obična prehlada), infekcije mokraćnog sustava, nedostatak crvenih krvnih stanica (slabokrvnost/anemija), visoke vrijednosti kalija, usporeni srčani otkucaji (bradikardija), oštećenje bubrega uključujući akutno zatajenje bubrega,
Arthralgia, muscle cramps, pain in limb Reproductive system and breast disorders Uncommon:
Artralgija, grčevi mišića, bol u udovima Poremećaji reproduktivnog sustava i dojki Manje često:
The overall incidence of adverse reactions reported with telmisartan/hydrochlorothiazide was comparable to those reported with telmisartan alone in randomised controlled trials involving 1,471 patients randomised to receive telmisartan plus hydrochlorothiazide (835) or telmisartan alone (636).
Ukupna incidencija nuspojava prijavljenih uz telmisartan/hidroklportiazid usporediva je s onima prijavljenima uz sami telmisartan u randomiziranim kontroliranim ispitivanjima koja uključuju 1471
Abnormal hepatic function/liver disorder2 Skin and subcutaneous tissue disorders Rare:
Abnormalna jetrena funkcija/poremećaj jetre2 Poremećaji kože i potkožnog tkiva
Dose adjustment of the antidiabetic medicinal products may be required (see section 4.4).
Antidijabetički lijekovi (oralni lijekovi i inzulin) Može biti potrebna prilagodba doze antidijabetičkih lijekova (vidjeti dio 4.4).
No statistically significant difference in the incidence of the primary composite endpoint (cardiovascular death, non-fatal myocardial infarction, non-fatal stroke, or hospitalization for congestive heart failure) was found [15.7 % in the telmisartan and 17.0 % in the placebo groups with a hazard ratio of 0.92 (95 % CI 0.81 - 1.05, p=0.22)].
Nije pronađena statistički značajna razlika u incidenciji primarnog kompozitnog ishoda (kardiovaskularna smrt, nefatalni infarkt miokarda, nefatalni moždani udar ili hospitalizacija zbog kongestivnog zatajenja srca) [15,7% u skupini na telmisartanu i 17,0% u skupini na placebu, s omjerom rizika od 0,92 (95%
Overdose with hydrochlorothiazide is associated with electrolyte depletion (hypokalaemia, hypochloraemia) and hypovolaemia resulting from excessive diuresis.
Predoziranje hidroklorotiazidom je povezano s deplecijom elektrolita (hipokalemija,
Actelsar HCT 40 mg/12.5 mg tablets Actelsar HCT 80 mg/12.5 mg tablets
Actelsar HCT 40 mg/12,5 mg tablete Actelsar HCT 80 mg/12,5 mg tablete
Keep this medicine out of the sight and reach of children.
Kako čuvati Actelsar HCT Lijek čuvajte izvan pogleda i dohvata djece.
Actelsar HCT fixed dose combination (80 mg telmisartan/25 mg hydrochlorothiazide) is indicated in adults whose blood pressure is not adequately controlled on Actelsar HCT 80 mg/12.5 mg (80 mg telmisartan/12.5 mg hydrochlorothiazide) or adults who have been previously stabilised on telmisartan and hydrochlorothiazide given separately.
Actelsar HCT je kombinacija fiksne doze (80 mg telmisartana/25 mg hidroklorotiazida), indicirana kod odraslih osoba čiji se krvni tlak ne može adekvatno kontrolirati Actelsarom HTC 80 mg/12,5 mg (80 mg telmisartana/12,5 mg hidroklorotiazida) ili odraslih osoba koje su prethodno stabilizirane zasebnim terapijama telmisartana i hidroklorotiazida.
Investigations Not known:
Pretrage Nepoznato:
- Medicines that are affected by changes of the blood potassium level such as heart medicines (e.g. digoxin) or medicines to control the rhythm of your heart (e.g. quinidine, disopyramide, amiodarone, sotalol), medicines used for mental disorders (e.g. thioridazine, chlorpromazine, levomepromazine) and other medicines such as certain antibiotics (e.g. sparfloxacine, pentamidine) or certain medicines to treat allergic reactions (e.g. terfenadine).
- lijekovi na koje utječu promjene vrijednosti kalija u krvi kao što su lijekovi za srce (npr. digoksin) ili lijekovi za kontrolu srčanog ritma (npr. kinidin, disopiramid, amiodaron, sotalol), lijekovi koji se primjenjuju za duševne poremećaje (npr. tioridazin, klorpromazin, levomepromazin) i drugi lijekovi kao što su određeni antibiotici (npr. sparfloksacin, pentamidin) ili određeni lijekovi za liječenje alergijskih reakcija (npr. terfenadin).
Potassium-sparing diuretics, potassium supplements or potassium-containing salt substitutes should be co-administered cautiously with Actelsar HCT (see section 4.5).
Ako se uz Actelsar HCT istodobno primjenjuju diuretici koji štede kalij, nadomjesci kalija, ili zamjene za sol koje sadrže kalij potreban je oprez (vidjeti dio 4.5).
Telmisartan does not show affinity for other receptors, including AT2 and other less characterised AT receptors.
Telmisartan ne pokazuje afinitet za druge receptore, uključujući
Back pain, muscle spasms, myalgia
Bol u leđima, mišićni spazmi, mialgija
Telmisartan: The pharmacokinetics of orally administered telmisartan are non-linear over doses from 20-160 mg with greater than proportional increases of plasma concentrations (Cmax and AUC) with increasing doses.
20-160 mg s više nego proporcionalnim povećanjem koncetracija u plazmi (Cmax i AUC) pri rastućim dozama.
- Actelsar HCT 80 mg/25 mg may be administered once daily in patients whose blood pressure is not adequately controlled by Actelsar HCT 80 mg/12.5 mg or in patients who have been previously stabilised on telmisartan and hydrochlorothiazide given separately.
- Actelsar HCT 80 mg/12,5 mg se primjenjuje jedanput dnevno kod bolesnika čiji se krvni tlak adekvatno ne kontrolira Actelsarom HTC 80 mg/12,5 mg ili bolesnika koji su prethodno stabilizirani zasebnim terapijama telmisartana i hidroklorotiazida.
White or almost white, 6.55 x 13.6 mm oval-shaped and biconvex tablets marked with “TH” on one side.
Bijele ili gotovo bijele ovalne bikonveksne tablete, dimenzija 6,55 x 13,6 mm, s oznakom „TH“ s jedne strane.
High HCTZ use (≥50,000 mg cumulative) was associated with an adjusted OR of 1.29 (95% CI: 1.23
Velika primjena hidroklorotiazida (≥50 000 mg kumulativno) bila je povezana s prilagođenim OR od 1,29 (95% CI: 1,23-1,35) za BCC i 3,98 (95% CI: 3,68-4,31) za SCC.
Summary of the safety profile The most commonly reported adverse reaction is dizziness.
Najčešća prijavljena nuspojava je omaglica.
Patients were randomized to one of the three following treatment groups: telmisartan 80 mg (n = 8542), ramipril 10 mg (n = 8576), or the combination of telmisartan 80 mg plus ramipril 10 mg (n = 8502), and followed for a mean observation time of 4.5 years.
(n = 8542), ramipril 10 mg (n = 8576), ili kombinacija telmisartana 80 mg plus ramipril 10 mg
Hyperuricaemia, hyponatraemia
Hiperuricemija, hiponatremija
- Hyponatraemia and hypochloraemic alkalosis There is no evidence that Actelsar HCT would reduce or prevent diuretic-induced hyponatraemia.
Ne postoje dokazi da Actelsar HCT smanjuje ili sprječava hiponatremiju induciranu diureticima.
Actelsar HCT 80 mg/25 mg tablets
Actelsar HCT 80 mg/25 mg tablete
Low platelet count (thrombocytopenia), increase in certain white blood cells (eosinophilia), serious allergic reaction (e.g. hypersensitivity, anaphylactic reaction, drug rash), low blood sugar levels (in diabetic patients), upset stomach, eczema (a skin disorder), arthrosis, inflammation of the tendons, decreased haemoglobin (a blood protein), somnolence.
Niski broj trombocita (trombocitopenija), porast određenih bijelih krvnih stanica (eozinofilija), ozbiljna alergijska reakcija (npr. preosjetljivost, anafilaktička reakcija, osip uzrokovan uzimanjem lijeka), niske vrijednosti šećera u krvi (kod dijabetičara), nadražaj želuca, ekcem (poremećaj kože),
Based on modest experience in patients with mild to moderate renal impairment (creatinine clearance of 30-60 ml/min, mean about 50 ml/min) no dose adjustment is necessary in patients with decreased renal function.
Na osnovi skromnog iskustva kod bolesnika s blagim do umjerenim oštećenjem funkcije bubrega (klirens kreatinina od 30-60 ml/min, prosjek oko
Dizziness or drowsiness may occasionally occur when taking Actelsar HCT.
Kod uzimanja Actelsara HCT mogu se povremeno pojaviti omaglica ili omamljenost.
Actelsar HCT 40 mg/12.5 mg tablets Each tablet contains 40 mg telmisartan and 12.5 mg hydrochlorothiazide.
Actelsar HCT 40 mg/12,5 mg tablete Jedna tableta sadržava 40 mg telmisartana i 12,5 mg hidroklorotiazida.
Very rare (may affect up to 1 in 10,000 people): Increased pH (disturbed acid-base balance) due to low blood chloride level.
Povišen pH (poremećena acidobazna ravnoteža) zbog niske razine klorida u krvi.
Actelsar HCT 80 mg/12.5 mg tablets Each tablet contains 80 mg telmisartan and 12.5 mg hydrochlorothiazide.
Actelsar HCT 80 mg/12,5 mg tablete Jedna tableta sadržava 80 mg telmisartana i 12,5 mg hidroklorotiazida.
Telmisartan is not removed by haemodialysis.
Liječenje Telmisartan se ne uklanja hemodijalizom.
- Kidney disease or kidney transplant.
- bolest bubrega ili presađeni bubreg.
- Anti-cholinergic medicines (medicines used to treat a variety of disorders such as gastrointestinal cramps, urinary bladder spasm, asthma, motion sickness, muscular spasms, Parkinson's disease and as an aid to anaesthesia) such as atropine and biperiden.
- antikolinergički lijekovi (lijekovi koji se primjenjuju u liječenju niza poremećaja poput grčeva probavnog sustava, grča mokraćnog mjehura, astme, bolesti kretanja, grčeva mišića, Parkinsonove bolesti te kao pomoć u anesteziji) kao što su atropin i biperiden. - amantadin (lijek koji se primjenjuje za liječenje Parkinsonove bolesti te se također primjenjuje u liječenju ili prevenciji određenih bolesti uzrokovanih virusima).
These could be symptoms of an increase of pressure in your eye and can happen within hours to weeks of taking Actelsar HCT.
- djelatna tvar hidroklorotiazid može izazvati neobičnu reakciju koja rezultira smanjenjem vida i boli u očima, koji mogu biti simptomi povišenog tlaka u oku, a do njih može doći unutar nekoliko sati do tjedana primjene Actelsara HCT.
ACE inhibitors, potassium-sparing diuretics, potassium supplements, salt substitutes containing potassium, cyclosporin or other medicinal products such as heparin sodium).
Lijekovi koji mogu povisiti vrijednosti kalija ili inducirati hiperkalemiju (npr. ACE inhibitori, diuretici koji štede kalij, nadomjesci kalija, zamjenske soli koje sadrže kalij, ciklosporin, ili drugi lijekovi kao što je heparin natrij).
Suspicious skin lesions should be promptly examined potentially including histological examinations of biopsies.
potencijalno uključujući histološke preglede uzorka dobivenog biopsijom.
In the “Prevention Regimen For Effectively avoiding Second Strokes” (PRoFESS) trial in patients 50 years and older, who recently experienced stroke, an increased incidence of sepsis was noted for telmisartan compared with placebo, 0.70 % vs. 0.49 % [RR 1.43 (95 % confidence interval 1.00-2.06)]; the incidence of fatal sepsis cases was increased for patients taking telmisartan (0.33 %) vs. patients taking placebo (0.16 %) [RR 2.07 (95 % confidence interval 1.14-3.76)].
0,49% [RR 1,43 (95% interval pouzdanosti 1,00 - 2,06)]; incidencija slučajeva fatalne sepse je povećana za bolesnike koji su uzimali telmisartan (0,33%) u odnosu na bolesnike na placebu (0,16%) [RR 2,07 (95% interval pouzdanosti 1,14 - 3,76)].
Sialadenitis
Sijaloadenitis
These medicinal products may potentiate the effect of hydrochlorothiazide on serum potassium (see section 4.4).
Ovi lijekovi mogu potencirati učinak hidroklorotiazida na serumski kalij
Actelsar HCT 40 mg/12.5 mg tablets
Actelsar HCT 40 mg/12,5 mg tablete
Musculoskeletal, connective tissue and bone disorders Not known:
Poremećaji mišićno-koštanog sustava i vezivnog tkiva Nepoznato:
Exacerbation or activation of systemic lupus erythematosus1 Metabolism and nutrition disorders Uncommon:
Egzacerbacija ili aktivacija sistemskog lupus eritematozusa1
Lithium
Citokrom
Teл.
ACE
Side effects of unknown frequency (frequency cannot be estimated from the available data) Inflammation of the salivary gland, skin and lip cancer (Non-melanoma skin cancer), decreases in the number (or even lack) of cells in the blood, including low red and white blood cell count, serious allergic reactions (e.g. hypersensitivity, anaphylactic reaction), decreased or loss of appetite, restlessness, light-headedness, blurred or yellowing of vision, decrease in vision and eye pain (possible signs of acute myopia or acute-angle closure glaucoma), inflammation of blood vessels (vasculitis necrotising), inflamed pancreas, upset stomach, yellowing of the skin or eyes (jaundice), lupus-like syndrome (a condition mimicking a disease called systemic lupus erythematosus where the body's immune system attacks the body); skin disorders such as inflamed blood vessels in the skin, increased sensitivity to sunlight, rash, redness of the skin, blistering of the lips, eyes or mouth, skin peeling , fever (possible signs of erythema multiforme), weakness, kidney inflammation or impaired kidney function, glucose in the urine (glycosuria), fever, impaired electrolyte balance, high blood cholesterol levels, decreased blood volume, increased blood levels of glucose, difficulties in controlling blood/ urine levels of glucose in patients with a diagnosis of diabetes mellitus,or fat in the blood.
Upala žlijezda slinovnica, rak kože i usana (nemelanomski rak kože), smanjenje broja (ili čak nedostatak) stanica u krvi, uključujući niske vrijednosti crvenih i bijelih krvnih stanica, ozbiljne alergijske reakcije (npr. preosjetljivost, anfilaktička reakcija), smanjen ili gubitak apetita, nemir, ošamućenost, zamućeni vid ili žutilo pred očima, slabljenje vida i bol u oku (mogući znakovi akutne kratkovidnosti ili akutnog glaukoma zatvorenog kuta), upala krvnih žila (nekrotizirajući vaskulitis), upala gušterače (pankreatitis), nadražen želudac, žutilo kože ili bjeloočnica (žutica), sindrom sličan lupusu (stanje koje oponaša bolest koja se naziva sistemski lupus eritematozus pri kojem imunološki sustav tijela napada tijelo), poremećaji kože kao što je upala krvnih žila kože, povećana osjetljivost na sunčevu svjetlost, osip, crvenilo kože, mjehurići na usnicama, očima ili u ustima, ljuštenje kože, vrućica (mogući znakovi multiformnog eritema), slabost, upala bubrega ili oštećenje bubrežne funkcije, glukoza u urinu (glikozurija), vrućica, poremećena ravnoteža elektrolita, visoke vrijednosti kolesterola u krvi, smanjeni volumen krvi, povišene vrijednosti glukoze u krvi, poteškoće s kontrolom razine glukoze u krvi/urinu u bolesnika s dijagnozom šećerne bolesti,ili masnoća u krvi.