natgillin/translations-raw huggingface dataset:
Naltrexone and 6-beta-naltrexol are not metabolised by cytochrome P450 enzymes and in vitro studies indicate that there is no potential for inhibition or induction of important isozymes. 
Naltrekson i 6-beta-naltreksol se ne metaboliziraju putem enzima citokroma P450 i in vitro ispitivanja pokazuju da ne postoji mogućnost za inhibiciju ili indukciju važnih izoenzima.
- Rhabdomyolysis 
- Rabdomioliza
Therefore, mild increases in creatinine observed after long-term treatment with naltrexone / bupropion are likely due to inhibition of OCT2 and not indicative of changes in creatinine clearance. 
Dakle, blaga povećanja kreatinina uočena nakon dugotrajnog liječenja s naltrekson / bupropionom su vjerojatno posljedica inhibicije OCT2 i ne ukazuju na promjene u klirensu kreatinina.
Bupropion and its metabolites competitively inhibit the OCT2 in the basolateral membrane of the renal tubule responsible for creatinine secretion, in a manner similar to the OCT2 substrate cimetidine. 
OCT2 supstrati Bupropion i njegovi metaboliti kompetitivno inhibiraju OCT2 u bazolateralnoj membrani bubrežnih tubula odgovornih za lučenje kreatinina, na način sličan OCT2 supstratu cimetidinu.
Patients must be advised to exercise caution while driving or operating machines during treatment with naltrexone/bupropion, especially at the beginning of the treatment or during the titration phase. 
Bolesnicima treba savjetovati oprez prilikom upravljanja vozilima ili rada sa strojevima tijekom liječenja naltrekson / bupropionom, posebice na početku liječenja ili tijekom faze titracije.
Following oral administration of 200 mg of 14C-bupropion hydrochloride in humans, 87% and 10% of the radioactive dose were recovered in the urine and feces, respectively. 
Nakon peroralne primjene 200 mg 14C-bupropionklorida u ljudi, 87 % i 10 % radioaktivne doze su pronađene u urinu odnosno fecesu.
However, approximately 12% of subjects took a concomitant opioid or opioid-like medicinal product while enrolled in the naltrexone / bupropion clinical studies, the majority of whom continued study treatment without interruption of naltrexone / bupropion dose, without untoward consequences. 
Ipak, oko 12 % ispitanika je uzelo istodobno opioide ili lijekove nalik opioidima dok su sudjelovali u kliničkim ispitivanjima s naltrekson / bupropionom, od kojih je većina nastavila liječenje u ispitivanju bez prekida doze naltrekson / bupropiona i bez nepovoljnih posljedica.
No events of dizziness, dry mouth, headache, or insomnia in subjects treated with naltrexone / bupropion were considered serious. 
Niti jedan događaj omaglice, suhih usta, glavobolje ili nesanice u ispitanika liječenih s naltrekson/bupropionom nije smatran ozbiljnim.
In clinical studies, 23.8% of subjects receiving naltrexone / bupropion and 11.9% of subjects receiving placebo discontinued treatment due to an adverse event. 
U kliničkim ispitivanjima, 23,8 % ispitanika koji su primali naltrekson / bupropion i 11,9 % ispitanika koji su primali placebo, prekinulo je liječenje zbog nuspojava.
Dose reduction is not necessary in patients with mild renal impairment. 
Smanjenje doze nije potrebno za bolesnike s blagim oštećenjem bubrega.
Human overdose experience 
Iskustvo predoziranja u ljudi
The medicinal product has two components: naltrexone, a mu-opioid antagonist, and bupropion, a weak inhibitor of neuronal dopamine and norepinephrine reuptake. 
Lijek ima dvije sastavnice: naltrekson, mu-opioidni antagonist i bupropion, slabi inhibitor ponovne pohrane dopamina i norepinefrina u neuronima.
Patients should be aware that they may be more sensitive to lower doses of opioids after naltrexone / bupropion treatment is discontinued. 
Bolesnici moraju biti svjesni da mogu biti osjetljiviji na niže doze opioida nakon prekida liječenja s naltrekson / bupropionom.
Administration of naltrexone / bupropion with inhibitors or inducers of UGT 1A2 and 2B7 should be undertaken with caution as these may alter the exposure of naltrexone. 
Primjenu naltrekson / bupropiona s inhibitorima ili induktorima UGT 1A2 i 2B7 treba provoditi s oprezom, jer ti lijekovi mogu promijeniti izloženost naltreksonu.
The fraction of the oral dose of bupropion excreted unchanged was 0.5%, a finding consistent with the extensive metabolism of bupropion. 
Frakcija oralne doze bupropiona od 0,5 % izlučuje se nepromijenjeno, što je u skladu s opsežnim metabolizmom bupropiona.
What you need to know before you take Mysimba 
Što morate znati prije nego počnete uzimati lijek Mysimba
Mysimba with alcohol 
Lijek Mysimba s alkoholom
The potential exists for a drug interaction between naltrexone / bupropion and drugs that induce or are substrates of the CYP2B6 isozyme. 
Postoji potencijal interakcije između naltrekson / bupropiona i lijekova koji induciraju ili su supstrati za CYP2B6 izoenzim.
Naltrexone / bupropion has influence on the ability to drive and use machines. 
Naltrekson / bupropion utječe na sposobnost upravljanja vozilima i rada sa strojevima.
Due to the antagonistic effect of naltrexone at the opioid receptor, patients taking naltrexone / bupropion may not fully benefit from treatment with opioid-containing medicinal products, such as cough and cold remedies, antidiarrhoeal preparations and opioid analgesics. 
Zbog antagonističkog učinka naltreksona na opioidni receptor, bolesnici koji uzimaju naltrekson / bupropion možda neće imati potpunu korist od liječenja s lijekovima koji sadrže opioide kao što su lijekovi protiv kašlja i prehlade, pripravci protiv proljeva i opioidni analgetici.
If naltrexone / bupropion is added to the treatment regimen of a patient already receiving a drug metabolised by CYP2D6, the need to decrease the dose of the original medicinal product should be considered, particularly for those concomitant medicinal products with a narrow therapeutic index. 
Ako se naltrekson / bupropion dodaje režimu liječenja bolesnika koji već prima lijek metaboliziran putem CYP2D6, mora se razmotriti smanjenje doze prvotnog lijeka i to naročito za istodobno uzimane lijekove s uskim terapijskim indeksom.
There are no known pharmacokinetic interactions between naltrexone and alcohol. 
Nema poznatih farmakokinetičkih interakcija između naltreksona i alkohola.
Caution should be used when prescribing naltrexone / bupropion to patients with predisposing factors that may increase the risk of seizure including: 
Treba biti oprezan kod propisivanja naltrekson / bupropiona bolesnicima sa predisponirajućim čimbenicima koji mogu povećati rizik od napadaja, uključujući:
CI, Confidence Interval; LS, Least Squares. 
CI, Interval pouzdanosti; LS (engl.
Do not take Mysimba with: 
Nemojte uzimati lijek Mysimba s:
In the arcuate nucleus of the hypothalamus, bupropion stimulates pro-opiomelanocortin (POMC) neurons that release alpha-melanocyte stimulating hormone (α-MSH), which in turn binds to and stimulates melanocortin 4 receptors (MC4-R). 
U arkuatnoj jezgri hipotalamusa, bupropion stimulira neurone pro-opiomelanokortina (engl. pro opiomelanocortin, POMC) koji otpuštaju alfa-hormon koji stimulira melanocite (engl. alpha melanocyte stimulating hormone, α-MSH), koji se zatim veže na i potiče melanokortin 4 receptore
Fasting glucose, mg/dL 
HDL-K, mg/dL
Submission of the protocol by 31 March 
Dostaviti protokol ispitivanja do 31. ožujka 2015.
Due to these reasons, naltrexone / bupropion should be used with caution in patients over 65 years of age and is not recommended in patients over 75 years of age. 
Zbog tih razloga, naltrekson / bupropion treba koristiti s oprezom u bolesnika starijih od 65 godina, a ne preporučuje se u bolesnika starijih od 75 godina.
Of the overall population of 4,536 subjects in the naltrexone / bupropion Phase 3 studies, 25% had hypertension, 33% had fasting glucose levels ≥100 mg/dL (5.6 mmol/L) at baseline, 54% had dyslipidaemia at study entry, and 11% had type 2 diabetes. 
Od ukupne populacije od 4536 ispitanika u ispitivanju faze 3 s naltrekson / bupropionom, 25 % je imalo hipertenziju, 33 % je imalo razinu glukoze na tašte ≥ 100 mg / dL (5,6 mmol / L) na početku, 54 % je imalo dislipidemiju pri uključivanju u ispitivanje, i 11 % je imalo dijabetes tipa 2.
Accumulation: 
Akumulacija:
Although in placebo-controlled clinical trials with naltrexone / bupropion for the treatment of obesity in adult subjects, no suicides or suicide attempts were reported in studies up to 56 weeks duration with naltrexone / bupropion, suicidality events (including suicidal ideation) have been reported in subjects of all ages treated with naltrexone / bupropion post-marketing. 
Iako u placebom kontroliranim kliničkim ispitivanjima s naltreksonom / bupropionom za liječenje pretilosti u odraslih ispitanika, nisu zabilježena samoubojstva ili pokušaji samoubojstva u ispitivanjima do 56 tjedana s naltreksonom / bupropionom, suicidalni događaji (uključujući suicidalne ideje) su prijavljeni u ispitanika svih dobnih skupina liječenih naltreksonom / bupropionom nakon stavljanja lijeka u promet.
Clinical experience included varying prandial conditions and supports the use of naltrexone / bupropion tablets with food. 
Kliničko iskustvo uključuje različite uvjete obroka i podupiru uporabu tableta naltrekson / bupropiona s hranom.
Greater HbA1c improvement compared to placebo was observed at the first post-baseline measurement (Week 16, p<0.001). 
Veće poboljšanje HbA1c u odnosu na placebo uočeno je u prvom mjerenju nakon početnog (16. tjedan, p
Type 2 diabetes 
Dijabetes tipa 2
The list of terms in Table 2 provides information on the adverse reactions of the individual components naltrexone (N) and bupropion (B) identified in their respective approved SmPCs for different indications. 
Popis pojmova u tablici 2 pruža informacije o nuspojavama pojedinačnih sastavnica naltreksona (N) i bupropiona (B) identificiranih u njihovim odobrenim Sažecima opisa svojstava lijeka za različite indikacije.
The body mass index is calculated as the measured body weight (kg) divided by the measured height squared (m2). 
Indeks tjelesne mase izračunava se kao izmjerena tjelesna težina (kg)
This incidence of seizure, along with incidence of seizure in subjects who received naltrexone / bupropion in a large cardiovascular outcomes trial (CVOT), was no higher than the seizure rate with bupropion as a single agent at approved doses. 
Ova incidencija napadaja, uz incidenciju napadaja u ispitanika koji su primali naltrekson / bupropion u velikom ispitivanju kardiovaskularnih ishoda (CVOT), nije bila veća od stope napadaja s bupropionom kao jedinim lijekom u odobrenoj dozi.
There is no clinical experience establishing the safety of naltrexone / bupropion in patients with a recent history of myocardial infarction, unstable heart disease or NYHA class III or IV congestive heart failure. 
Nema kliničkog iskustva koje bi ustanovilo sigurnost naltrekson / bupropiona u bolesnika s nedavnim infarktom miokarda u anamnezi, nestabilne bolesti srca ili kongestivnog zatajenja srca NYHA stupnja III ili IV.
Baseline mean BMI was 36 kg/m2 and mean waist circumference was 110 cm. 
Srednja vrijednost početnog BMI je bila 36 kg/m2, a srednja vrijednost opsega struka je bila 110 cm.
Additionally, Week 16 Responders who received naltrexone / bupropion had a high retention rate with 87% completing 1 year of treatment. 
Osim toga, ispitanici koji su odgovorili na liječenje u 16. tjednu i koji su primili naltrekson / bupropion su imali visoku stopu zadržavanja s 87 % onih koji su završili 1 godinu liječenja.
Neuropsychiatric symptoms and activation of mania Activation of mania and hypomania have been reported in patients with mood disorders who were treated with other similar medicinal products for major depressive disorder. 
Aktiviranje manije i hipomanije je prijavljeno u bolesnika s poremećajima raspoloženja, koji su liječeni s drugim sličnim lijekovima za veliki depresivni poremećaj.
The results from this study demonstrated that the area under the curve for plasma naltrexone and metabolites and for plasma bupropion and metabolites was increased by less than two-fold in patients with moderate and severe renal impairment, and smaller increases were observed for patients with mild renal impairment. 
Rezultati ovog ispitivanja pokazali su da je površina ispod krivulje za naltrekson i metabolite u plazmi te za bupropion i metabolite u plazmi bila povećana za manje od dva puta u bolesnika s umjerenim i teškim oštećenjem bubrega, a manja povećanja opažena su u bolesnika s blagim oštećenjem bubrega.
Because naltrexone and bupropion metabolic products are excreted in the urine and elderly people are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function. 
Budući da se metabolički produkti naltreksona i bupropiona izlučuju u urinu a stariji ljudi su skloniji smanjenju funkcije bubrega, treba pažljivo odabrati dozu, a može biti korisno motriti bubrežnu funkciju.
The safety and efficacy of naltrexone / bupropion in children and adolescents below 18 have not yet been established. 
Sigurnost i djelotvornost naltrekson / bupropiona u djece i adolescenata ispod 18 godina starosti nisu još ustanovljene.
Mysimba contains 2 active substances: naltrexone hydrochloride and bupropion hydrochloride and is used in obese or overweight adults to manage weight together with a reduced calorie diet and physical exercise. 
Lijek Mysimba sadrži 2 djelatne tvari: naltreksonklorid i bupropionklorid i koristi se u odraslih osoba koje su pretile ili prekomjerne težine za kontrolu njihove težine zajedno uz dijetu sa smanjenim unosom kalorija i tjelovježbu.
When naltrexone / bupropion was given with a high-fat meal the AUC and Cmax for naltrexone increased 2.1-fold and 3.7-fold and the AUC and Cmax for bupropion increased 1.4-fold and 1.8-fold, respectively. 
Kada je naltrekson / bupropion dan uz obrok s visokim udjelom masti, AUC i Cmax za naltrekson su se povisili 2,1 puta odnosno 3,7 puta a AUC i Cmax za bupropion su se povisili 1,4 puta odnosno 1,8 puta.
The MAH shall ensure that in each Member State where Mysimba is marketed, all healthcare professionals who are expected to prescribe Mysimba are provided with a prescriber guide. 
Nositelj odobrenja za stavljanje lijeka u promet mora osigurati da u svakoj državi članici u kojoj je lijek Mysimba stavljen na tržište, svi zdravstveni djelatnici za koje se očekuje da će propisivati lijek
Fever, muscle rigidity, rhabdomyolysis, hypotension, stupor, coma, and respiratory failure have been reported mainly when bupropion was part of multiple drug overdoses. 
Vrućica, ukočenost mišića, rabdomioliza, hipotenzija, stupor, koma, i respiratorno zatajenje su prijavljeni uglavnom kad je bupropion bio dio predoziranja s više lijekova.
There were no differences in bioavailability, as measured by AUC, of naltrexone or bupropion when administered in combination compared to each administered alone. 
Nije bilo razlike u bioraspoloživosti, mjerene kao AUC, naltreksona ili bupropiona kada su primijenjeni u kombinaciji u usporedbi kada su primijenjeni pojedinačno.
Naltrexone / bupropion should be discontinued and not restarted in patients who experience a seizure while being treated with the medicinal product. 
Naltrekson / bupropion se mora prekinuti i ne smije se ponovno započeti u bolesnika koji dožive napadaj dok se liječe lijekom.
The effects of naltrexone / bupropion on weight loss, weight maintenance, waist circumference, body composition, obesity-related markers for cardiovascular and metabolic parameters and patient reported assessments were examined in double-blind, placebo-controlled obesity Phase 2 and Phase 3 trials (BMI range 27-45 kg/m2) with study durations of 16 to 56 weeks randomised to naltrexone hydrochloride (16 to 50 mg/day) and/or bupropion hydrochloride (300 to 400 mg/day) or placebo. 
Učinci naltrekson / bupropiona na gubitak težine, održavanje težine, opseg struka, sastav tijela, markere povezane s pretilosti za kardiovaskularne i metaboličke parametre i procjene koje izvještavaju bolesnici su ispitani u dvostruko slijepom, placebom kontroliranom ispitivanju pretilosti faze 2 i faze 3 (BMI raspon 27-45 kg / m2) s trajanjem ispitivanja od 16 do 56 tjedna, randomizirano na naltreksonklorid (16 do 50 mg / dan) i / ili bupropionklorid (300 do 400 mg / dan) ili placebo.
Acute ingestion of doses in excess of 10 times the maximum therapeutic dose of bupropion (equivalent to approximately in excess of 8 times the recommended daily dose of naltrexone / bupropion) has been reported. 
Prijavljeno je akutno uzimanje doza 10 puta većih u odnosu na maksimalnu terapijsku dozu bupropiona (što odgovara otprilike 8 puta većoj od dnevne preporučene doze naltrekson / bupropiona).
• Patients receiving any concomitant treatment containing bupropion or naltrexone 
• Bolesnici koji dobivaju istodobno liječenje s bupropionom ili naltreksonom
In addition, there have been rare spontaneous postmarketing reports of erythema multiforme, Stevens-Johnson syndrome, and anaphylactic shock associated with bupropion. 
Osim toga, nakon stavljanja lijeka u promet bilo je i rijetkih spontanih prijava multiformnog eritema, Stevens-Johnsonovog sindroma, i anafilaktičkog šoka povezanih s bupropionom.
• Medicines to treat depression (such as desipramine, venlafaxine, imipramine, paroxetine, citalopram) or other mental health problems (such as risperidone, haloperidol, thioridazine); 
• lijekovi za liječenje depresije (kao što desipramin, venlafaksin, imipramin, paroksetin, citalopram) ili drugih problema mentalnog zdravlja (kao što su risperidon, haloperidol, tioridazin);
Preclinical data suggests that naltrexone and bupropion may have greater than additive effects in this region to reduce food intake when administered together. 
Pretklinički podaci ukazuju da naltrekson i bupropion imaju više nego aditivni učinak na ovom području na smanjenje unosa hrane kada se daju zajedno.
Following twice daily administration of naltrexone / bupropion, naltrexone does not accumulate, while 6-beta-naltrexol accumulates over time. 
Nakon primjene naltrekson / bupropiona dva puta dnevno, naltrekson se ne nakuplja dok se 6-betanaltreksol nakuplja tijekom vremena.
Other serious reactions reported with overdoses of bupropion alone included hallucinations, loss of consciousness, sinus tachycardia, and ECG changes such as conduction disturbances (including QRS prolongation) or arrhythmias. 
Ostale ozbiljne reakcije zabilježene s predoziranjem samim bupropionom uključile su halucinacije, gubitak svijesti, sinusnu tahikardiju i EKG promjene, kao što su poremećaji provođenja (uključujući QRS produljenje)
Other major metabolic routes are the formation of the metabolites 2-hydroxy-3-O-methyl naltrexone and 2-hydroxy-3-O-methyl-6-beta-naltrexol, believed to be mediated by catechol-O-methyl transferases (COMT), and glucuronidation, thought to be mediated by UGT1A1 and UGT2B7. 
Drugi glavni metabolitički putevi su stvaranje metabolita 2-hidroksi-3-O-metil naltreksona i 2-hidroksi-3-O-metil-6-beta-naltreksola, vjerojatno posredstvom katekol-O-metill transferaze (COMT), i glukuronidacijom vjerojatno posredstvom UGT1A1 i UGT2B7.
Increases of ~2- and ~4-fold for the area under the curve for bupropion were observed for patients with moderate and severe impairment respectively. 
Porast od ~2 i ~4 puta za područje ispod krivulje za bupropion uočen je u bolesnika s umjerenim odnosno teškim oštećenjem.
The MAH should conduct and submit results of a multicentre, randomised, doubleblind, placebo-controlled, phase 4 study to assess the effect of naltrexone extended release (ER) /bupropion ER on the occurrence of major adverse cardiovascular events (MACE) in overweight and obese subjects. 
Nositelj odobrenja treba provesti i dostaviti rezultate multicentričnog, randomiziranog, dvostruko slijepog, placebom kontroliranog, ispitivanja faze 4 radi procjene učinka naltreksona produženog oslobađanja (ER) / bupropiona ER na pojavu velikih štetnih kardiovaskularnih događaja (engl. major adverse cardiovascular events, MACE) u prekomjerno teških i pretilih ispitanika.
Among the group of subjects treated with naltrexone / bupropion, both cases of seizures were considered as serious and led to treatment discontinuation (see section 4.4). 
U skupini ispitanika liječenih naltrekson / bupropionom, oba slučaja napadaja su se smatrali ozbiljnima i doveli do prekida liječenja (vidjeti dio 4.4).
• Monoamine oxidase inhibitors (medicines to treat depression or Parkinson's disease) such as phenelzine, selegiline, or rasagiline. 
• Inhibitorima monoaminooksidaze (lijekovi za liječenje depresije ili Parkinsonove bolesti) kao što su fenelzin, selegilin ili rasagilin.
(listed in section 6); - if you have an abnormally high blood pressure (hypertension) that is not controlled using a medicinal product; 
- ako imate abnormalno povišeni krvni tlak (hipertenziju) koji nije pod kontrolom pomoću lijeka;
In one study, subjects received 800 mg naltrexone hydrochloride daily (equivalent to 25 times the recommended daily dose of naltrexone / bupropion) for up to one week showing no evidence of toxicity. 
U jednom ispitivanju ispitanici su dobili 800 mg naltreksonklorida dnevno (što odgovara 25 puta većoj dozi od preporučene dnevne doze naltrekson / bupropiona) do jednog tjedna i nisu pokazali znakove toksičnosti.
There is limited experience with overdose of naltrexone monotherapy in humans. 
Postoji ograničeno iskustvo s predoziranjem monoterapijom naltreksona kod ljudi.
The maximum daily dose of combined use of bupropion and naltrexone administered in clinical trials contained 50 mg naltrexone hydrochloride and 400 mg bupropion hydrochloride. 
Maksimalna dnevna doza kombinirane uporabe bupropiona i naltreksona primijenjena u kliničkim ispitivanjima je sadržavala 50 mg naltreksonklorida i 400 mg bupropionklorida.
Gastrointestinal adverse reactions: The vast majority of subjects treated with naltrexone / bupropion who experienced nausea reported the event within 4 weeks of starting treatment. 
Gastrointestinalne nuspojave: Velika većina ispitanika liječenih naltrekson / bupropionom koji su iskusili mučninu prijavili su događaj unutar 4 tjedna od početka liječenja.
Bupropion is extensively metabolised with three active metabolites: hydroxybupropion, threohydrobupropion and erythrohydrobupropion. 
Bupropion se opsežno metabolizira u tri aktivna metabolita: hidroksibupropion, treohidrobupropion i eritrohidrobupropion.
Drugs metabolised by cytochrome P450 (CYP) enzymes Bupropion is metabolised to its major active metabolite hydroxybupropion primarily by the cytochrome P450 CYP2B6; thus, the potential exists for interaction when administered with medicinal products that induce or inhibit CYP2B6. 
Lijekovi koji se metaboliziraju putem enzima citokroma P450 (CYP) Bupropion se metabolizira u svoj glavni aktivni metabolit hidroksibupropion prvenstveno putem citokroma P450 CYP2B6; stoga, postoji potencijal za interakcije prilikom primjene s lijekovima koji induciraju ili inhibiraju CYP2B6.
• concomitant administration of medicinal products that may lower the seizure threshold, including antipsychotics, antidepressants, antimalarials, tramadol, theophylline, systemic steroids, quinolones and sedating antihistamines 
• istodobna primjena lijekova koji mogu sniziti prag napadaja, uključujući antipsihotike, antidepresive, lijekove protiv malarije, tramadol, teofilin, sistemske steroide, kinolone i sedativne antihistaminike
The incidence of these common gastrointestinal adverse reactions in naltrexone / bupropion versus placebo was as follows: nausea (31.8% vs. 6.7%), constipation (18.1% vs. 7.2%), and vomiting (9.9% vs. 2.9%). 
Incidencije ovih čestih gastrointestinalnih nuspojava s naltrekson / bupropionom naspram placeba bile su kako slijedi: mučnina (31,8% naspram 6,7%), zatvor (18,1% naspram 7,2%), i povraćanje (9,9% naspram 2,9%).
Dry mouth may be associated with toothache and dental caries; in the subset of patients with dry mouth, a higher incidence of toothache and dental caries were observed in subjects treated with naltrexone / bupropion compared to subjects treated with placebo. 
Suha usta mogu biti povezana sa zuboboljom i zubnim karijesom; u podskupini bolesnika sa suhim ustima, veća incidencija zubobolje i zubnog karijesa opažena je u ispitanika liječenih naltrekson / bupropionom u odnosu na ispitanike koji su primali placebo.