natgillin/translations-raw huggingface dataset:
Therefore the committee concluded that nimesulide use should be restricted to acute conditions only i.e. treatment of acute pain and primary dysmenorrhoea.
Zato je odbor sklenil, da je treba uporabo nimesulida omejiti na akutna stanja, to je samo za zdravljenje akutne bolečine in primarne dismenoreje.
As discussed throughout the assessment report, the SALT study presented several limitations such as small number of identified cases, all severe cases are of acute liver failure and very wide confidential intervals making the results not being robust.
V študiji SALT je bilo predstavljenih več omejitev, kot je na primer majhno število ugotovljenih primerov; vsi hudi primeri so akutne okvare jeter in zelo široki intervali zaupanja, kar je bilo navedeno tudi v celotnem poročilu o oceni in zaradi česar rezultati niso trdni.
Nimesulide is associated with an increased risk of hepatotoxicity versus no-use or past use.
Nimesulid se povezuje s povečanim tveganjem toksičnosti za jetra v primerjavi z njegovo neuporabo ali uporabo v preteklosti.
Furthermore, the limitations of the current available data lead to uncertainties on hepatotoxicity, and concerns remain especially with prolonged use of nimesulide.
Omejenost trenutno razpoložljivih podatkov sproža negotovosti glede toksičnosti za jetra in zato ostajajo zadržki predvsem pri podaljšani uporabi nimesulida.
The risk of gastrointestinal complications due to nimesulide is lower than for ketorolac, piroxicam, indomethacin and azopropazone, but not proven to be consistently different from other NSAIDs such as celecoxib, ibuprofen, naproxen, ketoprofen, diclofenac, sulindac and meloxicam.
Tveganje za zaplete v prebavilih zaradi nimesulida je nižje kot pri ketoralaku, piroksikami, indometacinu in azoproprazonu, vendar se dokazano ne razlikuje od drugih nesteroidnih protivnetnih zdravil, kot so celekoksib, ibuprofen, naproksen, ketoprofen, diklofenak, sulindak in meloksikam.
The recommended dosage is 100 mg twice daily and the maximum duration of treatment is 15 days with the shortest duration of treatment recommended to minimise the occurrence of side effects.
Priporočeni odmerek je 100 mg dvakrat na dan, zdravljenje pa lahko traja največ 15 dni, pri čemer je priporočeno kar najkrajše zdravljenje za zmanjšanje pojavljanja neželenih učinkov.
• Considering the maximum duration of 15 days of treatment to minimise the risk for hepatotoxicity and aiming a further minimisation of the risks associated with nimesulide, the Committee considered that nimesulide use should be restricted to acute conditions only i.e. treatment of acute pain and primary dysmenorrhoea.
• Ob upoštevanju najdaljšega časa zdravljenja 15 dni za čim večje zmanjšanje tveganja toksičnosti za jetra in z namenom nadaljnjega zmanjševanja tveganj, povezanih z nimesulidom, je Odbor menil, da je treba uporabo nimesulida omejiti samo na akutna stanja, to je za zdravljenje akutne bolečine in primarne dismenoreje.
Data available including a new epidemiological study (FVG GI study) confirms that all NSAIDs can induce damage to the gastroduodenal mucosa and increase the risk of upper gastrointestinal complications (UGIC).
Razpoložljivi podatki, vključno z rezultati nove epidemiološke študije (študija FVG GI), potrjujejo, da lahko vsa nesteroidna protivnetna zdravila povzročijo poškodbe sluznice želodca in dvanajstnika ter povečano tveganje za zaplete v zgornjih prebavilih (UGIC).
In May 2007, following new information regarding cases of fulminant hepatic failure associated with the use of nimesulide, Ireland suspended the marketing authorisations for all systemic medicinal products containing nimesulide and a procedure under Article 107 was started.
Maja 2007 je Irska po novih informacijah o primerih fulminantne odpovedi jeter, povezanih z uporabo nimesulida, začasno umaknila dovoljenja za promet z vsemi sistematskimi zdravili, ki vsebujejo nimesulid, in sprožen je bil postopek v skladu s členom 107.
The hepatotoxic profile compared to ibuprofen varies from worse in spontaneous reports, to comparable with respect to hospitalisations for liver injury or slightly better with respect to severe liver injury requiring transplant.
Profil toksičnosti za jetra je v primerjavi z ibuprofenom različen; v spontanih poročilih je slabši, medtem ko je primerljiv glede na hospitalizacije zaradi poškodb jeter ali celo boljši glede na hude okvare jeter, ki zahtevajo presaditev.
Although there are some results of clinical studies that may suggest rapid onset of analgesic action associated with the use of nimesulide compared with other NSAIDs, the clinical relevance of the measured differences in onset of pain relief is doubtful.
Čeprav nekateri rezultati kliničnih študij morda nakazujejo hiter začetek protibolečinskega delovanja, povezanega z uporabo nimesulida, v primerjavi z drugimi nesteroidnimi protivnetnimi zdravili, pa je klinični pomen ugotovljenih razlik glede ublažitve bolečin vprašljiv.
Overall nimesulide is at least as effective as other NSAIDs in short-term use indications for pain.
Na splošno je nimesulid najmanj tako učinkovit kot druga nesteroidna protivnetna zdravila pri indikacijah za kratkotrajno uporabo za lajšanje bolečin.
• The Committee considered that evidence of the clinically efficacy of nimesulide-containing products for systemic use in the indications for short-term treatment has been shown.
• Odbor je menil, da je bila klinična učinkovitost zdravil, ki vsebujejo nimesulid, za sistemsko uporabo pri indikacijah za kratkotrajno zdravljenje, dokazana.
It was concluded that the risk-benefit balance remained positive subject to amendments to the Marketing Authorisations, including introduction of restrictions for the safe use of the products.
Sklenjeno je bilo, da razmerje med koristmi in tveganjem ostane pozitivno, vendar z dopolnili dovoljenj za promet z zdravilom, vključno z novimi omejitvami za varno uporabo zdravil.
Scientific conclusions and grounds for the amendments of the Summary of Product Characteristics and Package Leaflet presented by the EMA
Znanstveni zaključki in podlaga za dopolnilo povzetka glavnih značilnosti zdravila in navodil za uporabo, ki jih je predstavila Evropska agencija za zdravila
Data suggests that that the renal safety for nimesulide is comparable to other NSAIDs and also comparable or slightly favourable with regards to skin, immunological and nervous system safety.
Podatki kažejo, da je varnost za ledvice pri nimesulidu primerljiva z drugimi nesteroidnimi protivnetnimi zdravili, prav tako pa je primerljiva ali nekoliko boljša varnost za kožo ter za imunski in živčni sistem.
The hepatoxicity of nimesulide was previously assessed under the Article 107 procedure triggered by the new information regarding cases of fulminant hepatic failure associated with its use in Ireland and the consequent suspension of the marketing authorisations for nimesulide in that Member State.
Toksičnost nimesulida za jetra je bila predhodno ocenjena v postopku v skladu s členom 107, ki so ga sprožile nove informacije o primerih fulminantnih okvar jeter, povezanih z njegovo uporabo na Irskem in posledičnim začasnim umikom dovoljenj za promet z zdravili, ki vsebujejo nimesulid, v tej državi članici.
Therefore, the CHMP recommended the variation to the terms of the Marketing Authorisations for nimesulide-containing medicinal products for systemic use referred in Annex I, subject to the conditions set out in Annex IV and for which the amendments of the Summary of Product Characteristics and Package Leaflet are set out in Annex III.
Zato je Odbor priporočil spremembo pogojev za dovoljenja za promet z zdravili, ki vsebujejo nimesulid in so navedena v Dodatku I, za sistemsko uporabo v skladu s pogoji, navedenimi v Dodatku IV, in za katere so dopolnitve za povzetek glavnih značilnosti zdravila in navodila za uporabo navedeni v Dodatku III.
Further to consideration of all data available at that time, it was concluded that the incidence of hepatic reactions associated with nimesulide treatment was slightly higher when compared to other NSAIDs but that there was no increased incidence in severe hepatic reactions.
Po preučitvi vseh podatkov, ki so bili takrat na voljo, je bilo ugotovljeno, da je pojavnost jetrnih reakcij, povezanih z zdravljenjem z nimesulidom, nekoliko večja v primerjavi z drugimi nesteroidnimi protivnetnimi zdravili, ni pa bilo povečane pojavnosti pri hudih jetrnih reakcijah.
Moreover, considering that the review and assessment of the available data for nimesulide under the Article 107 focused on the hepatic safety of nimesulide and that only limited information regarding the gastrointestinal toxicity profile of nimesulide was considered, it was agreed that a full risk-benefit assessment should be conducted in the framework an Article 31 procedure, where the risks of nimesulide should be weighted vis-à-vis the gastrointestinal risks of other NSAIDs.
Ob upoštevanju, da so se v pregledu in oceni razpoložljivih podatkov za nimesulid v skladu s členom 107 osredotočili posebno na varnost nimesulida za jetra ter da so bile obravnavane samo omejene informacije glede toksičnega profila nimesulida za prebavila, je bilo sklenjeno, da se celovita ocena razmerja med koristmi in tveganjem izvede po postopku v skladu s členom 31, pri čemer je treba tveganja, povezana z nimesulidom, pretehtati glede na tveganja za prebavila pri drugih nesteroidnih protivnetnih zdravilih.
• The Committee, in light of the above, considered that there is a risk of chronic use of nimesulide in “symptomatic treatment of painful osteoarthritis” and concludes that the riskbenefit balance of nimesulide-containing medicinal products for systemic use is no longer favourable in this indication.
• Ob upoštevanju navedenega je Odbor menil, da obstaja tveganje pri kronični uporabi nimesulida pri „simptomatskem zdravljenju bolečega osteoartritisa“, in sklenil, da razmerje med koristmi in tveganji za zdravila, ki vsebujejo nimesulid za sistemsko uporabo, za to indikacijo ni več ugodno.
No unequivocal and clinically meaningful advantage over other NSAIDs has been demonstrated and, therefore the Committee considered the efficacy of nimesulide to be similar to other NSAIDs available.
Dokazana ni bila nobena nedvoumna in klinično pomembna prednost v primerjavi z drugimi nesteroidnimi protivnetnimi zdravili in zato je Odbor menil, da je učinkovitost nimesulida podobna učinkovitosti drugih nesteroidnih protivnetnih zdravil, ki so na voljo.
There is an increased risk of hepatoxicity associated with nimesulide whose magnitude still raises uncertainties.
Obstaja povečano tveganje toksičnosti za jetra, povezano z nimesulidom, obseg tveganja pa je še vedno negotov.
In view of the risk of chronic use in the treatment of osteoarthritis and aiming further minimisation of the risks associated with nimesulide, the CHMP concluded that nimesulide has no longer a positive risk- benefit in this indication.
Ob upoštevanju tveganja pri kronični uporabi za zdravljenje osteoartritisa in z namenom nadaljnjega zmanjševanja tveganj, povezanih z nimesulidom, je CHMP sklenil, da nimesulid nima več pozitivnega razmerja med koristmi in tveganjem za to indikacijo.
It seems that the risk profile of nimesulide is not better than for other NSAIDs with regards to cardiovascular disorders.
Kaže, da profil tveganja nimesulida v primerjavi z drugimi nesteroidnimi protivnetnimi zdravili pri srčno-žilnih obolenjih ni boljši.
Based on available data, it is concluded that the proven efficacy of nimesulide in short-term clinical studies is consistent with the indication for short-term use only (i.e. maximum 15 days of treatment) as previously restricted to minimise the risks for hepatoxicity.
Na podlagi razpoložljivih podatkov je ugotovljeno, da je dokazana učinkovitost nimesulida pri kratkotrajnih kliničnih študijah v skladu z indikacijo samo za kratkotrajno uporabo (to je največ 15 dni zdravljenja), kot je bilo predhodno omejeno, za zmanjševanje tveganja toksičnosti za jetra.
• The Committee considered that nimesulide overall gastrointestinal toxicity is comparable to other NSAIDs but that nimesulide is associated with an increased risk for hepatotoxicity.
• Odbor je menil, da je splošna toksičnost nimesulida za prebavila primerljiva z drugimi nesteroidnimi protivnetnimi zdravili, nimesulid pa je povezan s povečanim tveganjem toksičnosti za jetra.
In view of the uncertainties regarding the magnitude and the determinants of possible nimesulide-induced harm, the riskbenefit balance was considered positive subject to amendments to the product information and conditions to the Marketing Authorisations for all products containing nimesulide for systemic use.
Ob upoštevanju negotovosti glede obsega in dejavnikov možne škode zaradi nimesulida se je upoštevalo, da je razmerje med koristmi in tveganjem pozitivno pod pogojem, da se v informacije o zdravilu vključijo določena dopolnila in pogoji za dovoljenje za promet za vsa zdravila, ki vsebujejo nimesulid za sistemsko rabo.
Nimesulide was subject of an Article 31 referral to the CHMP in 2002, following national suspension of the Marketing Authorisations for nimesulide-containing medicinal products in Finland, and subsequently in Spain due to concerns regarding hepatotoxicity.
Za nimesulid je bil leta 2002 po nacionalnem umiku dovoljenja za promet z zdravili, ki vsebujejo nimesulid, na Finskem sprožen napotitveni postopek na CHMP v skladu s členom 31 ter posledično tudi v Španiji zaradi zadržkov glede toksičnosti za jetra.
Overall and further to consideration of the data submitted, it was concluded that a small increase in the absolute risk for hepatotoxic reactions, including severe hepatic reactions, associated with nimesulide could not be excluded.
Na splošno in po nadaljnjem preučevanju predloženih podatkov je bilo ugotovljeno, da ni mogoče izključiti majhnega povečanja absolutnega tveganja, povezanega z uporabo nimesulida, za toksične reakcije na jetrih, vključno s hudimi jetrnimi reakcijami.
Nimesulide efficacy is proven in short-term clinical studies which is consistent with the indication for short-term use (i.e. maximum 15 days of treatment) previously introduced to minimise the risks for hepatoxicity.
Učinkovitost nimesulida je dokazana pri kratkotrajnih kliničnih študijah, kar je v skladu z indikacijo za kratkotrajno uporabo (to je največ 15 dni zdravljenja), kar je bilo že prej dodano k zmanjšanju tveganja toksičnosti za jetra.
In the context of this review, limited information on the gastrointestinal toxicity profile of nimesulide in comparison to other NSAIDs, and the possible consequences of switching to other NSAIDs with a higher gastrointestinal toxicity risk was considered.
V okviru tega pregleda so obravnavali omejene informacije o toksičnem profilu nimesulida za prebavila v primerjavi z drugimi nesteroidnimi protivnetnimi zdravili ter možnih posledicah zamenjave z drugimi nesteroidnimi protivnetnimi zdravili z večjim tveganjem za toksičnost za prebavila.
No new safety issue with respect to cardiovascular disorders, renal safety, skin, immunological and nervous system safety has arisen from the data submitted during this review.
Iz podatkov, ki so bili predloženi med tem pregledom, ne izhajajo nobeni novi zadržki v zvezi s srčno-žilnimi obolenji, varnostjo za ledvica, kožo ter imunskim in živčnim sistemom.
Overall, gastrointestinal toxicity of nimesulide is regarded to be comparable to other available NSAIDs.
Na splošno se upošteva, da je toksičnost nimesulida za prebavila primerljiva z drugimi razpoložljivimi nesteroidnimi protivnetnimi zdravili.
Further to the review of all available data, it is overall concluded that nimesulide seems to have a worst safety profile for hepatotoxicity compared to diclofenac and naproxen, both for severe liver injury requiring transplant and for hospitalisation for liver injury.
Po pregledu razpoložljivih podatkov je bilo ugotovljeno, naj bi imel nimesulid slabši varnostni profil toksičnosti za jetra v primerjavi z diklofenakom in naproksenom tako za hude poškodbe jeter, ki zahtevajo presaditev, kot za hospitalizacijo pri poškodbi jeter.
The additional measures would contribute to minimising the risks associated with the use of nimesulide whilst awaiting the full risk-benefit assessment of the Article 31 referral.
Dodatni ukrepi bi med čakanjem na celotno oceno razmerja med koristmi in tveganji po napotitvi v skladu s členom 31 vplivali na zmanjšanje tveganj, povezanih z uporabo nimesulida,.
The reported cases showed an association with non-A non-B non-paracetamol-related fulminant hepatic failure requiring liver transplantation in Ireland higher with nimesulide than with any other medicinal product.
V primerih, o katerih so poročali na Irskem, se je pokazalo, da je povezava med fulminantno odpovedjo jeter, ki ni bila povezana s hepatitisom A, hepatitisom B ali paracetomolom, ko je bila potrebna presaditev jeter, in med nimesulidom močnejša kot pri kateremkoli drugem zdravilu.
Some of these cases were considered to be confounded by concomitant disease/hepatotoxic medication and a clear causal relationship with nimesulide could not be concluded.
Vendar naj bi se v nekaterih primerih kazali tudi učinki sočasnega zdravljenja z drugimi zdravili, ki so toksična za jetra, in jasne vzročne povezave z nimesulidom ni bilo mogoče dokazati.
When combining both liver injury and GI toxicity nimesulide falls in the mid range of the other NSAIDs.
Če upoštevamo tako poškodbe jeter kot toksičnost za prebavila, je nimesulid v primerjavi z drugimi nesteroidnimi protivnetnimi zdravili v srednjem segmentu.
At that time the magnitude of the increased risk of severe hepatic adverse reactions with nimesulide compared to other NSAIDs seen in spontaneous reporting, clinical and epidemiological studies seemed slight, with the exception of the signal raised by Ireland.
Takrat so rezultati spontanih poročil, kliničnih in epidemioloških študij pokazali, da je obseg povečanega tveganja za hude jetrne neželene reakcije pri uporabi nimesulida, v primerjavi z drugimi nesteroidnimi protivnetnimi zdravili, relativno majhen z izjemo opozorilnega znaka, ki so ga opazili na Irskem.
The combined safety profile in terms of hepatotoxicity and gastro intestinal toxicity for nimesulide is shown as worse than some other alternative NSAIDs such as diclofenac and naproxen.
Skupni varnostni profil nimesulida v smislu toksičnosti za jetra in toksičnosti za prebavila je v primerjavi z drugimi nesteroidnimi protivnetnimi zdravili, kot sta diklofenak in naproksen, dokazano slabši.
The safety profile in terms of hepatotoxicity and gastro intestinal toxicity for nimesulide is shown as worse than alternative NSAIDs such as diclofenac and naproxen.
Varnostni profil nimesulida je v smislu toksičnosti za jetra in toksičnosti za prebavila v primerjavi z drugimi nesteroidnimi protivnetnimi zdravili, kot sta diklofenak in naproksen, dokazano slabši.
ANNEX CONDITIONS OR RESTRICTIONS WITH REGARD TO THE SAFE AND EFFECTIVE USE OF THE MEDICINAL PRODUCT TO BE IMPLEMENTED BY THE MEMBER STATES
PRILOGA POGOJI ALI OMEJITVE GLEDE VARNE IN UČINKOVITE UPORABE ZDRAVILA, KI JIH MORAJO UVELJAVITI DRŽAVE ČLANICE
- That the dose of caffeine expressed as caffeine base is one half the dose of caffeine expressed as caffeine citrate (20mg caffeine citrate is equivalent to 10mg caffeine base) and that prescriptions should clearly indicate that caffeine citrate is to be administered.
- Podatek, da je odmerek kofeina, izražen kot kofeinska baza, ena polovica odmerka kofeina, izraženega kot kofein citrat (20 mg kofein citrata je enakovredno 10 mg kofeinske baze) in da morajo recepti jasno navajati, da je treba uporabiti kofein citrat.
CONDITIONS OR RESTRICTIONS WITH REGARD TO THE SAFE AND EFFECTIVE USE OF THE MEDICINAL PRODUCT TO BE IMPLEMENTED BY THE MEMBER STATES The Member States shall agree with the Marketing Authorisation Holder the final text of a card suitable for display in neonatal intensive care units.
POGOJI ALI OMEJITVE GLEDE VARNE IN UČINKOVITE UPORABE ZDRAVILA, KI JIH MORAJO UVELJAVITI DRŽAVE ČLANICE Imetniki dovoljenja za promet z zdravilom bodo z državami članicami sklenili dogovor glede končnega besedila kartice, primernega za prikazovanje v enotah za intenzivno nego novorojenčkov.
- That the product should be used immediately after opening the ampoule and unused portions left in the ampoule should be discarded - That baseline plasma levels may need measuring because of an increased risk of toxicity if o The neonate has been previously treated with theophylline o The mother has been consuming large amounts of caffeine prior to delivery or breast feeding - That caffeine and theophylline should not be used concurrently - That if caffeine and doxapram are used concurrently, the patient should be closely monitored - That additional plasma caffeine monitoring and dosage adjustment may be necessary in at risk situations such as preterm infants: o With cholestatic hepatitis o With significant renal impairment o With seizure disorders o With cardiac disease o less than 28 weeks gestational age and/or body weight <1000g particularly when receiving parenteral nutrition o with co-administration of medicinal products known to interfere with caffeine metabolism - That cardiac disorders (including arrhythmias) may arise in neonates with pre-existing cardiac disease - That all suspected adverse reactions should be reported in accordance with national reporting requirements - In particular, if convulsions, seizures, necrotising enterocolitis, symptoms and signs of caffeine withdrawal, medically abnormal decrease in infant weight gain or interactions with other medicines are suspected as being associated with the use of caffeine citrate, these should be reported to <insert local name and address of Chiesi Farmaceutici S.p.A.
- Podatek, da bo morda potrebno dodatno spremljanje kofeina v plazmi in prilagajanje odmerka v tveganih situacijah, kot pri prezgodaj rojenih dojenčkih: o s holestatičnim hepatitisom, o z znatnim poslabšanjem delovanja ledvic, o z motnjami napadov, o z boleznimi srca, o z manj kot 28 tedni gestacijske starosti in/ali telesno maso < 1000 g, še posebej pri prejemanju parenteralne prehrane, o s sočasnim dajanjem zdravil, ki motijo metabolizem kofeina.
The Member States shall ensure that the card contains the following key elements and is provided by the Marketing Authorisation Holder to all neonatal intensive care units where the product is likely to be used at launch of the product: - That Peyona is for the treatment of primary apnoea - That treatment with Peyona must be provided in a neonatal intensive care unit and initiated and supervised by a physician experienced in neonatal intensive care - Details of the loading and maintenance dosages and that caffeine may accumulate in premature neonates because of its long half-life.
Države članice morajo zagotoviti, da kartica vsebuje naslednje ključne elemente in jo imetnik dovoljenja za promet z zdravilom priskrbi vsem enotam za intenzivno nego novorojenčkom, kjer se bo zdravilo po vsej verjetnosti uporabljalo ob izdaji zdravila na trg: - Zdravilo Peyona je namenjeno zdravljenju primarne apneje.
The valid summary of product characteristics, labelling and package leaflet are the final versions achieved during the Coordination group procedure.
Veljavni povzetek glavnih značilnosti zdravila, označevanja in navodila za uporabo, so zadnje verzije pridobljene v postopku koordinacijske skupine
Annex III Summary of product characteristics, labelling and package leaflet
PRILOGA III POVZETEK GLAVNIH ZNAČILNOSTI ZDRAVILA IN NAVODILO ZA UPORABO
This overview was last updated in April 2018.
Pregled je bil nazadnje posodobljen aprila 2018.
Further information on Credelio can be found on the Agency's website: ema.europa.eu/Find medicine/Veterinary medicines/European public assessment reports.
Nadaljnje informacije o zdravilu Credelio so na voljo na spletni strani agencije: ema.europa.eu/Find medicine/Veterinary medicines/European public assessment reports.
In all studies below animals had natural infestations.
V vseh študijah, navedenih v nadaljevanju, so živali imele naravne infestacije.
Credelio received a marketing authorisation valid throughout the EU on 25 April 2017.
Zdravilo Credelio je pridobilo dovoljenje za promet, veljavno po vsej Evropski uniji, 25. aprila 2017.