natgillin/translations-raw huggingface dataset:
Interruption and restarting is likely to be more frequent for CPA/EE (2mg/0.035mg) which is indicated for treatment of androgen-dependent diseases such as acne, and for which the product label implies that the medication may be discontinued after improvement of symptoms and be restarted in case of recurrence of symptoms.
Pri kombinaciji CPA/EE (2 mg/0,035 mg), ki je indicirana za zdravljenje bolezni, povezanih z androgeni, na primer aken, obstaja večja verjetnost za prekinitev in ponoven začetek zdravljenja, saj je na nalepki navedeno, da se lahko zdravljenje z zdravilom prekine, ko se simptomi izboljšajo, in ponovno začne, če se ti ponovno pojavijo.
The MAH conducted a systematic review of the scientific literature (cut-off date: 14 Feb 2013) in MEDLINE, EMBASE, Derwent Drug File, and BIOSIS Previews on clinical studies covering cardiovascular diseases and CPA/EE(2mg/0.035mg).
Imetnik dovoljenja za promet je sistematično pregledal znanstveno literaturo (presečni datum: 14. februar 2013) o kliničnih študijah v zvezi s srčno-žilnimi boleznimi in CPA/EE (2 mg/0,035 mg) v podatkovnih zbirkah MEDLINE, EMBASE, Derwent Drug File in BIOSIS Previews.
Only one study evaluated the efficacy of CPA/EE (2mg/0.035mg) versus placebo.
Samo v eni študiji so ocenjevali učinkovitost CPA/EE (2 mg/0,035 mg) v primerjavi s placebom.
Thromboembolic events are known, rare adverse drug reactions associated with the use of estrogenprogestogen containing preparations including CPA/EE (2mg/0.035mg).
Trombembolični dogodki so že znani redki neželeni učinki, povezani z uporabo zdravil, ki vsebujejo estrogen in progestogen, vključno s CPA/EE (2 mg/0,035 mg).
892 (92.1%) of 968 cases reported non-fatal TE in association with CPA/EE (2mg/0.035mg) use, of which 760 were medically confirmed.
V 892 (92,1 %) od 968 primerov so poročali o TED, povezanimi z uporabo CPA/EE (2 mg/0,035 mg), brez smrtnega izida, od tega je bilo 760 zdravniško potrjenih primerov.
The PRAC reviewed all available data from clinical studies, pharmacoepidemiological studies, published literature, post-marketing experience on the safety of cyproterone acetate/ethinylestradiol (2mg/0.035mg) containing medicinal products, as well as stakeholders' submissions in particular with regards to the thromboembolic events.
PRAC je preučil vse razpoložljive podatke iz kliničnih študij, farmakoepidemioloških študij in objavljene literature, izkušnje v zvezi z varnostjo zdravil, ki vsebujejo ciproteron acetat/etinilestradiol (2 mg/0,035 mg), v obdobju trženja ter tudi dokumentacijo, ki so jo predložile zainteresirane strani, zlasti v zvezi s trombemboličnimi dogodki.
There are two large, ongoing post-marketing surveillance studies which yield incidental data on the use of CPA/EE (2mg/0.035mg) containing medicinal products.
Trenutno potekata dve obsežni študiji spremljanja varnosti v obdobju trženja, v katerih pridobivajo naključne podatke o uporabi zdravil, ki vsebujejo CPA/EE (2 mg/0,035 mg).
The estimate is based on the calculated patient exposure of 75,417,345 women-years and 789 reports of venous embolic and thrombotic events worldwide.
Ocena temelji na izračunu, da je bilo zdravilu izpostavljenih 75 417 345 žensk-let in da so z vsega sveta poročali o 789 venskih emboličnih in trombotičnih dogodkih.
The contraceptive effect of CPA/EE (2mg/0.035mg) was investigated in several studies at the time of authorisation.
Kontracepcijski učinek CPA/EE (2 mg/0,035 mg) so proučevali v več študijah, ki so potekale v času odobritve dovoljenja.
Direct questioning of the prescribing physician would be needed to ascertain this true proportion.
Da bi ugotovili dejanski delež teh receptov, bi morali o tem neposredno povprašati zdravnike, ki so jih predpisali.
• The PRAC also noted the available data concerning the hormonal contraceptive effect of cyproterone acetate/ ethinylestradiol (2mg/0.035mg) containing medicinal products.
• PRAC je prav tako upošteval razpoložljive podatke v zvezi s hormonskim kontracepcijskim učinkom zdravil, ki vsebujejo ciproteron acetat/etinilestradiol (2 mg/0,035 mg);
There is only sparse data on arterial thrombotic and thromboembolic diseases with CPA/EE (2mg/0.035mg) or cyproterone acetate alone.
O arterijskih trombotičnih in trombemboličnih boleznih pri uporabi CPA/EE (2 mg/0,035 mg) ali samega ciproteron acetata je na voljo malo podatkov.
It also noted the available data concerning the hormonal contraceptive effect of CPA/EE (2mg/0.035mg) containing medicinal products.
Prav tako je upošteval razpoložljive podatke v zvezi s hormonskim kontracepcijskim učinkom zdravil, ki vsebujejo CPA/EE (2 mg/0,035 mg).
In this study almost 67% of women prescribed CPA-containing preparations remembered after the discussion with their healthcare professional that their individual prescription was written for acne and/or PCOS, indicating that the skin condition was discussed during the counselling and was mentioned as the main reason to prescribe CPA/EE (2mg/0.035mg).
V tej študiji se je skoraj 67 % žensk, ki so jim predpisali sredstva, ki vsebujejo CPA, po pogovoru z zdravstvenim delavcem spomnilo, da so posamezen recept prejele za akne in/ali PCOS, kar kaže na to, da so bile med posvetom obravnavane težave s kožo, ki so bile navedene kot glavni razlog za predpis recepta za CPA/EE (2 mg/0,035 mg).
The estimate is based on the calculated global patient exposure of 75,417,345 women-years and 968 received TE reports worldwide.
Ocena temelji na izračunu, da je bilo po vsem svetu zdravilu izpostavljenih 75 417 345 žensk-let in da so z vsega sveta poročali o 968 primerih TED.
The total number of patients exposed in these studies amounts to
Skupno število bolnic, ki so bile v študijah izpostavljene zdravilu, je bilo 2 455.
The wording of the indication of cyproterone acetate/ethinylestradiol (2mg/0.035mg) containing medicinal products varies between the EU Member States.
Besedilni opis indikacije za zdravila, ki vsebujejo ciproteron acetat/etinilestradiol (2 mg/0,035 mg), se v posameznih državah članicah EU razlikuje.
CPA/EE (2mg/0.035mg) containing medicinal products have anti-androgenic effects.
Zdravila, ki vsebujejo CPA/EE (2 mg/0,035 mg), imajo antiandrogene učinke.
These studies investigate the safety of the combined oral contraceptives YAZ (3 mg drospirenone/0.020mg ethinylestradiol) and Qlaira (dienogest/estradiol valerate, step down dose regimen) respectively.
V teh študijah proučujejo varnost kombiniranih peroralnih kontracepcijskih sredstev YAZ (3 mg drospirenona/0,020 mg etinilestradiola) oziroma Qlaira (dienogest/estradiol valerat, shema z zmanjševanjem odmerka).
Data from these two studies indicate that, even where the primary reason for consultation is almost certainly contraception, 63% of prescriptions for CPA/EE (2mg/0.035mg) could be linked by the patients themselves to acne and/or other hyper-androgenous conditions.
Podatki iz teh dveh študij kažejo, da so tudi v primerih, ko je bila glavni razlog za posvet z zdravnikom skoraj zagotovo kontracepcija, bolnice lahko 63 % receptov za CPA/EE (2 mg/0,035 mg) povezale z aknami in/ali drugimi hiperandrogenimi stanji.
These studies give some information regarding the use of CPA/EE (2mg/0.035mg) as a contraceptive.
V študijah so pridobili nekaj informacij v zvezi z uporabo CPA/EE (2 mg/0,035 mg) za namene kontracepcije.
A total of 52 (5.4%) of 968 retrieved cases reported one or more ATEs in association with CPA/EE (2mg/0.035mg) use.
V skupno 52 (5,4 %) od 968 zabeleženih primerov so poročali o enem ali več arterijskih trombemboličnih dogodkih, povezanih z uporabo CPA/EE (2 mg/0,035 mg).
Hormone preparations containing CPA/EE were part of the comparator arms in these studies.
V primerjalnih krakih teh študij uporabljajo hormonska sredstva, ki vsebujejo CPA/EE.
• The PRAC reviewed all available data from clinical studies, pharmacoepidemiological studies, published literature, post-marketing experience on the safety of cyproterone acetate/ ethinylestradiol (2mg/0.035mg) containing medicinal products, as well as stakeholders' submissions in particular with regards to the risk of thromboembolic events.
• PRAC je preučil vse razpoložljive podatke iz kliničnih študij, farmakoepidemioloških študij in objavljene literature, izkušnje po začetku trženja v zvezi z varnostjo zdravil, ki vsebujejo ciproteron acetat/etinilestradiol (2 mg/0,035 mg), ter tudi vloge zainteresiranih strani, zlasti v zvezi s tveganjem za trombembolične dogodke;
Furthermore the PRAC requested that a PASS will be conducted to evaluate the effectiveness of the risk minimisation activities.
PRAC je zahteval izvedbo študije varnosti zdravila v obdobju trženja (PASS) za oceno učinkovitosti dejavnosti za zmanjšanje tveganja;
Fatal cases
Primeri s smrtnim izidom
A total of 789 (81.5%) of 968 retrieved cases reported one or more VTEs in association with CPA/EE (2mg/0.035mg) use.
V skupno 789 (81,5 %) od 968 zabeleženih primerov so poročali o enem ali več venskih trombemboličnih dogodkih, povezanih z uporabo CPA/EE (2 mg/0,035 mg).
The PRAC concluded that the risk-benefit balance of cyproterone acetate/ethinylestradiol (2mg/0.035mg) containing medicinal product(s) in the treatment of moderate to severe acne related to androgen-sensitivity (with or without seborrhea) and/or hirsutism, in women of reproductive age remains favourable subject to the restrictions, warnings, other changes to the product information, additional pharmacovigilance activities and additional risk minimisation measures agreed.
PRAC je zaključil, da je razmerje med koristmi in tveganji za zdravila, ki vsebujejo ciproteron acetat/etinilestradiol (2 mg/0,035 mg), pri zdravljenju zmernih do hudih oblik aken, povezanih z občutljivostjo za androgene (z ali brez seboreje), in/ali hirzutizma pri ženskah v rodnem obdobju še naprej pozitivno, če se upoštevajo dogovorjene omejitve, opozorila, druge spremembe informacij o zdravilu, dodatne dejavnosti farmakovigilance in dodatni ukrepi za zmanjšanje tveganja.
Off-label use would primarily equate to prescription of CPA/EE (2mg/0.035mg) as a contraceptive in patients with no requirement for acne treatment.
Uporaba, ki ni skladna z indikacijami, se nanaša zlasti na predpisovanje CPA/EE (2 mg/0,035 mg) za namene kontracepcije pri bolnicah, ki ne potrebujejo zdravljenja aken.
Overall summary of the scientific evaluation of cyproterone acetate/ethinylestradiol (2mg/0.035mg) containing medicinal product(s) by PRAC
Splošni povzetek znanstvenega vrednotenja zdravil, ki vsebujejo ciproteron acetat/etinilestradiol (2 mg/0,035 mg)
In the INAS-SCORE study 20.2% of use is in contraception from a total of 1094 users of CPAcontaining preparations which represents 5.5% of the total study population.
V študiji INAS-SCORE so pri skupno 1 094 uporabnicah sredstev z vsebnostjo CPA, ki predstavljajo 5,5 % celotne proučevane populacije, zabeležili 20,2 % primerov uporabe za kontracepcijo.
In INAS-OC study 28.1% of use is in contraception, from a total of 1672 users of CPA-containing preparations enrolled in the study, representing 7.5% of the total study population.
V študiji INAS-OC so pri skupno 1 672 sodelujočih uporabnicah sredstev z vsebnostjo CPA, ki predstavljajo 7,5 % celotne proučevane populacije, zabeležili 28,1 % primerov uporabe za kontracepcijo.
The MAH commented that data from these two studies indicate that, even where the primary reason for consultation is almost certainly contraception, 63% of prescriptions for CPA/EE (2mg/0.035mg) could be linked by the patients themselves to acne and/or other hyperandrogenous conditions.
Imetnik dovoljenja za promet je izpostavil, da podatki iz teh dveh študij kažejo, da so tudi v primerih, ko je bila glavni razlog za posvet z zdravnikom skoraj zagotovo kontracepcija, bolnice lahko 63 % receptov za CPA/EE (2 mg/0,035 mg) povezale z aknami in/ali drugimi hiperandrogenimi stanji.
These studies (INAS-OC and INAS-SCORE) investigate the safety of the combined oral contraceptive drugs YAZ (3 mg drospirenone/0.020mg ethinylestradiol) and Qlaira (dienogest/estradiol valerate, step down dose regimen) respectively.
V študijah (INAS-OC in INAS-SCORE) proučujejo varnost kombiniranih peroralnih kontracepcijskih sredstev YAZ (3 mg drospirenona/0,020 mg etinilestradiola) oziroma Qlaira (dienogest/estradiol valerat, shema z zmanjševanjem odmerka).
The PRAC in accordance with Article 107j(3) of Directive 2001/83/EC, recommended by majority that a. the marketing authorisation holders should sponsor a post-authorisation safety study together with the follow up evaluation of the results of that study, as well as a drug utilisation study (see Annex IV - Conditions of marketing Authorisations); b. the marketing authorisation holders should implement risk minimisation measures; c. the marketing authorisations of the cyproterone acetate/ethinylestradiol (2mg/0.035mg) containing medicinal products (see Annex I) should be varied (in accordance with changes to the product information as set out in Annex III).
• v zvezi z alopecijo je PRAC na podlagi vseh razpoložljivih podatkov o varnosti, zlasti v zvezi s tveganji za resne trombembolične dogodke, in zelo omejenih podatkov o učinkovitosti v skladu s členom 116 Direktive 2001/83/ES zaključil, da razmerje med tveganji in koristmi ni pozitivno, zato tovrstna zdravila ne bi smela biti več indicirana za to terapevtsko indikacijo; je PRAC v skladu s členom 107j(3) Direktive 2001/83/ES z večino priporočil: a. naj imetniki dovoljenj za promet sponzorirajo študijo varnosti zdravila v obdobju trženja in nadaljnje vrednotenje rezultatov študije ter tudi študijo uporabe zdravila (glejte Prilogo IVPogoji dovoljenj za promet z zdravili); b. naj imetniki dovoljenj za promet izvajajo ukrepe za zmanjšanje tveganja; c. spremembo (skladno s spremembami informacij o zdravilu, kot je navedeno v Prilogi III) pogojev dovoljenj za promet z zdravili, ki vsebujejo ciproteron acetat/etinilestradiol (2 mg/0,035 mg) (glejte Prilogo I).
Cyproterone acetate/ethinylestradiol (2mg/0.035mg) containing medicinal products are known to increase risk of thromboembolic events (TE).
Zdravila, ki vsebujejo ciproteron acetat/etinilestradiol (2 mg/0,035 mg), dokazano povečujejo tveganje za trombembolične dogodke (TED).
The product was authorised firstly in Germany in 1985 and followed the rest of the EU countries.
Poleg tega zavira sintezo androgenov z negativnim povratnim učinkom na os hipotalamus - hipofizajajčniki.Zdravilo je bilo leta 1985 najprej odobreno v Nemčiji, nato pa še v ostalih državah EU.
A total of 175 cases (all serious, medically confirmed (38.3%, n=67 in total) and non-medically confirmed (61.7%, n=108 in total)) reporting thrombotic / thromboembolic events (TE) irrespective of their nature (arterial, venous and unspecified) occurring in female patients in association with CPA/EE (2mg/0.035mg) were received by the MAH from worldwide sources additionally to the 968 TE cases presented in the main analysis.
n = skupno 67) in zdravniško nepotrjenih (61,7 %, n = skupno 108)) trombotičnih/trombemboličnih dogodkih (TED) vseh vrst (arterijski, venski ali neopredeljeni), ki so se pri ženskah pojavili v povezavi s CPA/EE (2 mg/0,035 mg).
In this study, around 60% of women prescribed a CPA/EE-containing preparation specifically reported in the baseline questionnaire that their CPA/EE (2mg/0.035mg) prescription was due to acne and/or polycystic ovary syndrome (PCOS).
V tej študiji je približno 60 % žensk, ki so jim predpisali sredstva, ki vsebujejo CPA/EE, na vprašalniku ob začetku študije izrecno navedlo, da so recept za CPA/EE (2 mg/0,035 mg) prejele zaradi aken in/ali sindroma policističnih jajčnikov (polycystic ovary syndrome - PCOS).
Finally educational material for prescribers on the risk of VTEs and ATEs as well for patients for awareness of the VTEs and ATEs symptoms have been requested by PRAC for submission within the risk management plan.
PRAC je zahteval tudi, da se v okviru načrta za obvladovanje tveganja predloži izobraževalno gradivo o tveganju za VTE in ATE za zdravstvene delavce, ki bodo predpisovali zdravilo, in gradivo za ozaveščanje bolnic o simptomih VTE in ATE.
Off Label Use
Uporaba, ki ni skladna z indikacijami
The protocol of drug utilisation study in order to better characterise prescribing practices for the medicinal products during typical clinical use in representative groups of prescribers and to assess main reasons for prescription should be also be submitted as part of the RMP.
V okviru RMP je treba predložiti tudi protokol študije uporabe zdravila, s katero bi bolje razjasnili prakse pri predpisovanju teh zdravil med običajno klinično uporabo pri reprezentativni skupini zdravstvenih delavcev, ki predpisujejo ta zdravila, in opredelili glavne razloge za predpisovanje.
An increased risk for thrombotic / thromboembolic events (that may be fatal in 1-2% of cases) is listed in the Core company data sheet (CCDS) for CPA/EE (2mg/0.035mg).
V krovnem dokumentu farmacevtske družbe (Core Company Data Sheet - CCDS) za CPA/EE (2 mg/0,035 mg) je navedeno povečano tveganje za trombotične/trombembolične dogodke (ki se lahko v 1-2 % primerov končajo s smrtnim izidom).
This translates into the global spontaneous reporting rate of 0.10 fatal TE reports per 100,000 womenyears with CPA/EE (2mg/0.035mg).
To pomeni, da je bila globalna stopnja spontanega poročanja 0,10 poročila o TED s smrtnim izidom na 100 000 žensk-let s CPA/EE (2 mg/0,035 mg).
With exception of study report AI58, no cases of VTEs or ATEs were reported in patients from the 10 MAH- sponsored clinical trials with (CPA/EE) (2mg/0.035mg).
Razen v poročilu o študiji AI58 v 10 kliničnih preskušanjih s CPA/EE (2 mg/0,035 mg), ki jih je podprl imetnik dovoljenja za promet, pri bolnicah niso zabeležili primerov VTE ali ATE.
This translates into a global spontaneous reporting rate of 1.2 non-fatal TE reports per 100,000 women-years with CPA/EE (2mg/0.035mg).
To pomeni, da je bila globalna stopnja spontanega poročanja 1,2 poročila o TED brez smrtnega izida na 100 000 žensk-let s CPA/EE (2 mg/0,035 mg).
In this study, around 60% of women prescribed a CPA-containing preparation specifically reported in the baseline questionnaire that their CPA/EE (2mg/0.035mg) prescription was due to acne and/or PCOS.
V tej študiji je približno 60 % žensk, ki so jim predpisali sredstva, ki vsebujejo CPA, na vprašalniku ob začetku študije izrecno navedlo, da so recept za CPA/EE (2 mg/0,035 mg) prejele zaradi aken in/ali sindroma policističnih jajčnikov.
The PRAC is of the opinion that the benefits of CPA/EE (2mg/0.035mg) containing medicinal products continue to outweigh the risks in the treatment of moderate to severe acne related to androgen-sensitivity (with or without seborrhea) and/or hirsutism, in women of reproductive age.
PRAC je menil, da so koristi zdravil, ki vsebujejo CPA/EE (2 mg/0,035 mg), še naprej večje od z njimi povezanih tveganj pri zdravljenju zmernih do hudih oblik aken, povezanih z občutljivostjo za androgene (z ali brez seboreje), in/ali hirzutizma pri ženskah v rodnem obdobju.
The PRAC concluded that the benefit-risk balance of cyproterone acetate/ethinylestradiol (2mg/0.035mg) containing medicinal products is favourable as the benefits continue to outweigh the risks in the treatment of moderate to severe acne related to androgen-sensitivity (with or without seborrhoea) and/or hirsutism, in women of reproductive age.
PRAC je zaključil, da je razmerje med koristmi in tveganji za zdravila, ki vsebujejo ciproteron acetat/etinilestradiol (2 mg/0,035 mg), pozitivno, saj so koristi zdravil še naprej večje od z njimi povezanih tveganj pri zdravljenju zmernih do hudih oblik aken, povezanih z občutljivostjo za androgene (z ali brez seboreje), in/ali hirzutizma pri ženskah v rodnem obdobju.
• The PRAC is of the opinion that the benefits of cyproterone acetate/ ethinylestradiol (2mg/0.035mg) containing medicinal products continue to outweigh the risks in the treatment of moderate to severe acne related to androgen-sensitivity (with or without seborrhea) and/or hirsutism, in women of reproductive age.
• PRAC je menil, da so koristi zdravil, ki vsebujejo ciproteron acetat/etinilestradiol (2 mg/0,035 mg), še naprej večje od z njimi povezanih tveganj pri zdravljenju zmernih do hudih oblik aken, povezanih s preobčutljivostjo za androgene (z ali brez seboreje), in/ali hirzutizma pri ženskah v rodnem obdobju.
This translates into reporting rate of 1.05 ADR reports per 100,000 women-years with CPA/EE (2mg/0.035mg).
To pomeni, da je bila stopnja poročanja 1,05 poročila o neželenih učinkih na 100 000 žensk-let s CPA/EE (2 mg/0,035 mg).
This translates into reporting rate of 0.07 ADR reports per 100,000 women-years with CPA/EE (2mg/0.035mg).
To pomeni, da je bila stopnja poročanja 0,07 poročila o neželenih učinkih na 100 000 žensk-let s CPA/EE (2 mg/0,035 mg).
French assessment report February 2013 Rationale for the triggering of procedure under Article 107i of Directive 2001/83/EC on cyproterone/ethinylestradiol (2mg/0.035mg) presented by ANSM, France history of VTE before prescribing EE-containing medicinal products (e.g. combined oral contraceptives (COC)) is, therefore, recommended in the product information of the products.
Razlogi za sproženje postopka po členu 107i Direktive 2001/83/ES za ciproteron/etinilestradiol (2 mg/0,035 mg), ki jih je predstavila ANSM, Francija.
Several observational studies have assessed the VTE risk with use of CPA/EE (2mg/0.035mg).
V primerjalnih krakih teh študij uporabljajo hormonska sredstva, ki vsebujejo CPA/EE (2 mg/0,035 mg).
Hormone preparations containing CPA/EE (2mg/0.035mg) are part of the comparator arms in these studies.
Tveganje za VTE pri uporabi CPA/EE (2 mg/0,035 mg) so ocenjevali v več opazovalnih študijah.
1 July 2010
1. julija 2010
The final opinion was converted into a Decision by the European Commission on 1 July 2010.
Končno mnenje je bilo spremenjeno v odločbo Evropske komisije dne 1. julija 2010.
The referral procedure started on 13 May 2009.
Napotitveni postopek se je začel dne 13. maja 2009.
Opinion following an Article 35
Mnenje v zvezi z napotitvijo v skladu s členom 35
The detailed grounds for the re-examination were submitted to the Agency by 18 January 2010 and the procedure started on 19 January 2010.
Podrobna utemeljitev zahtevka za ponovni pregled je bila agenciji predložena 18. januarja 2010, postopek pa se je začel 19. januarja 2010.
Written explanations were provided by the applicants/marketing authorisation holders on 18 August 2009.
Predlagatelji/imetniki dovoljenj za promet z zdravilom so pisna pojasnila predložili 18. avgusta 2009.
The rapporteur and co-rapporteur appointed were: Mrs R. Kearsley and Dr J.G.
Za poročevalca je bila imenovana ga. R. Kearsley, za soporočevalca pa dr. J.G.
During its meeting of 8-10 December 2009 the CVMP appointed Dr J. Hederová as the rapporteur and Dr J. Bureš as the co-rapporteur for the re-examination procedure.
CVMP je na seji od 8. do 10. decembra 2009 za poročevalko pri ponovnem pregledu imenoval dr. J. Hederovo, za soporočevalca pa dr. J. Bureša.
The issues considered during the re-examination related to the evaluation of the prudent use warnings for specific products and not to the overall CVMP recommendation.
V ponovnem pregledu so bile obravnavane zadeve v zvezi s presojo opozoril o preudarni rabi za določena zdravila, ne pa splošno priporočilo CVMP.
The aim of the referral was to ensure that the products identified are indicated only for appropriate conditions, that dosage strategies are set to minimise the likelihood of development of antimicrobial resistance and that appropriate withdrawal periods are fixed to guarantee consumer protection.
Cilj napotitve je bil zagotoviti, da so evidentirana zdravila indicirana le za ustrezna stanja, da so strategije odmerjanja določene tako, da zmanjšajo verjetnost razvoja odpornosti proti protimikrobnim zdravilom, in da so določene ustrezne karence, ki zagotavljajo zaščito potrošnika.
The list of product names concerned is given in Annex I. The scientific conclusions are provided in Annex II together with the amended summary of product characteristics and package leaflet in the Annex III.
Seznam zadevnih imen zdravil je naveden v Dodatku I. Znanstveni zaključki so na voljo v Dodatku II, dopolnjena povzetek glavnih značilnosti zdravila in navodilo za uporabo pa v Dodatku III.