natgillin/translations-raw huggingface dataset:
Trydonis was also statistically significantly superior to a fixed combination of beclometasone dipropionate and formoterol, to tiotropium and to a fixed combination of indacaterol and glycopyrronium in terms of improvement in quality of life (measured by the Saint George Respiratory Questionnaire - SGRQ - total score). 
Zdravilo Trydonis je bilo tudi statistično značilno boljše od fiksne kombinacije beklometazondipropionata in formoterola, od tiotropija in fiksne kombinacije indakaterola in glikopironija v smislu izboljšanja kakovosti življenja (izmerjeno kot skupni seštevek po vprašalniku SGRQ - Saint George Respiratory Questionnaire).
The maximum dose is two inhalations of Trydonis twice daily. 
Največji odmerek sta dve inhalaciji zdravila Trydonis dvakrat na dan.
• decrease in bone mineral density (thinning of the bones) 
• zmanjšanje mineralne gostote kosti (redčenje kosti);
Trydonis can reduce exacerbations (flare-ups) of COPD symptoms. 
Zdravilo Trydonis lahko zmanjša poslabšanja (izbruhe) simptomov KOPB.
Trydonis is unlikely to affect your ability to drive and use machines. 
Ni verjetno, da bi zdravilo Trydonis vplivalo na sposobnost vožnje in upravljanja strojev.
The recommended dose is two inhalations of Trydonis twice daily. 
Priporočeni odmerek sta dve inhalaciji zdravila Trydonis dvakrat na dan.
The use of Trydonis with the AeroChamber Plus spacer in COPD patients increased the lung delivery of beclometasone 17-monopropionate, formoterol and glycopyrronium (maximum plasma concentration increased by 15%, 58% and 60% respectively). 
Učinek nastavka Uporaba zdravila Trydonis z nastavkom AeroChamber Plus pri bolnikih s KOPB je povečala v pljučih doseženo količino beklometazon 17-monopropionata, formoterola in glikopironija (največja koncentracija v plazmi se je povečala za 15 %, 58 % oz. 60 %).
Trydonis should only be used during pregnancy if the expected benefit to the patient outweighs the potential risk to the foetus. 
Zdravilo Trydonis se lahko med nosečnostjo uporablja le, če so pričakovane koristi za mater večje od možnega tveganja za zarodek.
Do not stop using Trydonis or lower the dose, even if you are feeling better or you have no symptoms. 
Pomembno je, da zdravilo Trydonis uporabljate vsak dan. Ne prenehajte uporabljati zdravila Trydonis in ne zmanjšujte odmerka, četudi se počutite bolje ali nimate simptomov.
Trydonis is a medicine to help breathing that contains the three active substances: 
Zdravilo Trydonis pomaga pri dihanju in vsebuje tri učinkovine:
Infants and neonates born to mothers receiving substantial doses of Trydonis should be observed for adrenal suppression. 
Pri dojenčkih in novorojenčkih, rojenim materam, ki so prejele večje odmerke zdravila Trydonis, je treba zato spremljati pojav zaviranja nadledvičnih žlez.
If this occurs you should stop using Trydonis and use your quick-acting “reliever” inhaler straightaway to treat the shortness of breath and wheezing. 
Če se to zgodi, prenehajte uporabljati zdravilo Trydonis in nemudoma uporabite hitrodelujoči "inhalator z olajševalcem", da boste obvladali kratko sapo in piskajoče dihanje.
A decision must be made whether to discontinue breast-feeding or to discontinue/abstain from Trydonis therapy taking into account the benefit of breast-feeding for the child and the benefit of therapy for the mothers. 
Odločiti se je treba med prenehanjem dojenja in prenehanjem/prekinitvijo zdravljenja z zdravilom Trydonis, pri čemer je treba pretehtati prednosti dojenja za otroka in prednosti zdravljenja za mater.
1 Adverse reactions reported in the SmPC of at least one of the individual components, but not observed as adverse reactions in the clinical development of Trydonis 
1 Neželeni učinki, poročani v povzetku glavnih značilnosti zdravila za vsaj eno od posamičnih sestavin, ki pa jih niso opazili med neželenimi učinki v kliničnem razvoju zdravila Trydonis
Trydonis can be used at the recommended dose in patients with mild to moderate renal impairment. 
Zdravilo Trydonis se lahko uporablja v priporočenem odmerku pri bolnikih z blago do zmerno okvaro ledvic.
Caution is also required when Trydonis is used by patients with thyrotoxicosis, diabetes mellitus, pheochromocytoma and untreated hypokalaemia. 
Previdnost je potrebna tudi pri uporabi zdravila Trydonis pri bolnikih s tirotoksikozo, sladkorno boleznijo, feokromocitomom in nezdravljeno hipokaliemijo.
An overdose of Trydonis may produce signs and symptoms due to the individual component's actions, including those seen with overdose of other beta2-agonists or anticholinergics and consistent with the known inhaled corticosteroid class effects (see section 4.4). 
Preveliko odmerjanje zdravila Trydonis lahko povzroči znake in simptome zaradi delovanja posamičnih sestavin, vključno s tistimi, ki se pojavijo pri prevelikem odmerjanju drugih agonistov adrenergičnih receptorjev beta2 ali antiholinergikov in so skladni z znanimi učinki razreda inhalacijskih kortikosteroidov (glejte poglavje 4.4).
Trydonis should be discontinued immediately, the patient assessed and alternative therapy instituted if necessary. 
Uporabo zdravila Trydonis je treba takoj prekiniti, bolnika pregledati in uvesti drugo zdravljenje, če je to potrebno.
No specific studies have been performed with Trydonis with regard to the safety in human fertility. 
Specifičnih študij varnosti zdravila Trydonis glede plodnosti pri ljudeh niso izvedli.
You should not use Trydonis during breast-feeding. 
Zdravila Trydonis ne uporabljajte med dojenjem.
Since glycopyrronium is eliminated mainly by the renal route, drug interaction could potentially occur with medicinal products affecting renal excretion mechanisms (see section 5.2). 
Ker se glikopironij izloča v glavnem skozi ledvice, se lahko pojavijo interakcije z zdravili, ki vplivajo na mehanizem ledvičnega izločanja (glejte poglavje 5.2).
You and your doctor must make a decision whether to discontinue breast-feeding or to discontinue/abstain from Trydonis therapy taking into account the benefit of breast-feeding for your child and the benefit of therapy for you. 
Vi in zdravnik se morate odločiti med prenehanjem dojenja in prenehanjem/prekinitvijo zdravljenja z zdravilom Trydonis, pri čemer morate pretehtati prednosti dojenja za otroka in prednosti zdravljenja za vas.
Therefore, as a precautionary measure, it is preferable to avoid the use of Trydonis during pregnancy and during labour. 
Iz previdnostnih razlogov se je med nosečnostjo in med porodom uporabi zdravila Trydonis bolje izogibati.
Simulations performed with a pharmacokinetic model showed that even when covariates had extreme values (body weight less than 40 kg and concomitant glomerular filtration rate below 27 mL/min/1.73 m²), exposure to Trydonis active substances remains in approximately a 2.5-fold range compared to the exposure in a typical patient with median covariate values. 
Simulacije, opravljene na farmakokinetičnem modelu, so pokazale, da je tudi v primeru izjemnih vrednosti sospremenljivk (telesna masa manj kot 40 kg in sočasno stopnja glomerularne filtracije pod 27 ml/min/1,73 m²) izpostavljenost učinkovinam v zdravilu Trydonis ostala v razponu približno 2,5-kratnika v primerjavi z izpostavljenostjo običajnega bolnika z mediano vrednostjo sospremenljivk.
Trydonis contains beclometasone dipropionate, formoterol and glycopyrronium in a solution formulation resulting in an aerosol with extrafine particles with an average mass median aerodynamic diameter (MMAD) of around 1.1 micrometres and co-deposition of the three components. 
Zdravilo Trydonis vsebuje beklometazondipropionat, formoterol in glikopironij v obliki raztopine, iz katere nastane aerosol z izredno majhnimi delci s srednjim masnim aerodinamičnim premerom (MMAD - mass median aerodynamic diameter) približno 1,1 mikrometra in kodepozicijo treh učinkovin.
Additionally, due to the anticholinergic effect of glycopyrronium, the long-term co-administration of Trydonis with other anticholinergic-containing medicinal products is not recommended (see section 4.5). 
Prav tako se zaradi antiholinergičnega učinka glikopironija dolgotrajnega sočasnega dajanja zdravila Trydonis z drugimi zdravili, ki vsebujejo antiholinergike, ne priporoča (glejte poglavje 4.5).
If you develop worsening shortness of breath or wheezing (breathing with a whistling sound), straight after inhaling your medicine, stop using Trydonis inhaler and use your quick-acting “reliever” inhaler straightaway. 
Če se vam takoj po inhaliranju zdravila poslabša kratka sapa ali piskajoče dihanje (dihanje s piskajočim zvokom), nehajte uporabljati zdravilo Trydonis in nemudoma uporabite hitrodelujoči "inhalator z olajševalcem".
Wipe inside and outside of the mouthpiece and the inhaler with a clean, dry cloth or tissue. 
Zunanjost in notranjost ustnika ter inhalator obrišite s čisto suho krpo ali papirnatim robčkom
There are no or limited amount of data from the use of Trydonis in pregnant women. 
Podatkov o uporabi zdravila Trydonis pri nosečnicah ni oziroma so omejeni.
In an inhalation study in telemetered dogs, the cardiovascular system was a major target system for acute effects of Trydonis (increase in heart rate, decrease in blood pressure, ECG changes at higher doses), effects probably mainly related to the beta2-adrenergic activity of formoterol and the anti-muscarinic activity of glycopyrronium. 
V inhalacijski študiji s telemetriranimi psi je bil kardiovaskularni sistem glavni ciljni sistem za akutne učinke zdravila Trydonis (zvišanje srčnega utripa, zmanjšanje krvnega tlaka, spremembe na EKG pri večjih odmerkih), kar so učinki, ki so najverjetneje v glavnem povezani z beta2 adrenergičnim delovanjem formoterola in antimuskarinskim delovanjem glikopironija.
In repeat dose inhalation studies with Trydonis in rats and dogs of up to 13 weeks duration, the main observed alterations were related to effects on the immune system (probably due to systemic corticosteroid effects of beclometasone dipropionate and its active metabolite beclometasone17-monopropionate) and on the cardiovascular system (probably related to the beta2-adrenergic activity of formoterol and the anti-muscarinic activity of glycopyrronium). 
V inhalacijskih študijah toksičnosti pri ponavljajočih odmerkih z zdravilom Trydonis pri podganah in psih, ki so trajale do 13 tednov, so bile glavne opažene spremembe povezane z učinki na imunski sistem (verjetno zaradi sistemskih učinkov kortikosteroidov beklometazondipropionata in njegovega aktivnega presnosvka beklometazon 17-monopropionata) in na kardiovaskularni sistem (verjetno povezano z beta2 adrenergičnim delovanjem formoterola formoterola in antimuskarinskim delovanjem glikopironija).
Cleaning of the Trydonis inhaler 
Čiščenje inhalatorja z zdravilom Trydonis
Single dose pharmacokinetic data (see section 5.2) have demonstrated that in comparison to routine use without a spacer device, the use of Trydonis with the AeroChamber Plus spacer device increased the total systemic exposure (AUC0-t) to glycopyrronium. 
Farmakokinetični podatki po enkratnem odmerku (glejte poglavje 5.2) so pokazali, da je v primerjavi z redno uporabo brez nastavka uporaba zdravila Trydonis z nastavkom AeroChamber Plus povečala skupno sistemsko izpostavljenost (AUC0-t) glikopironiju.
In patients with severe hepatic impairment, Trydonis should be used only if the expected benefit outweighs the potential risk (see section 5.2). 
Pri bolnikih s hudo okvaro jeter se lahko zdravilo Trydonis uporablja le, če so pričakovane koristi večje od možnih tveganj (glejte poglavje 5.2).
A responder analysis showed that a significantly greater percentage of patients had a clinically significant improvement (focal score greater than or equal to 1) after 26 weeks with Trydonis than with a fixed combination of beclometasone dipropionate and formoterol (57.4% versus 51.8%; p = 0.027). 
Analiza odzivnih bolnikov je pokazala, da je imel značilno večji odstotek bolnikov klinično pomembno izboljšanje (fokalni seštevek 1 ali več) po 26 tednih zdravljenja z zdravilom Trydonis v primerjavi s fiksno kombinacijo beklometazondipropionata in formoterola (57,4 % v primerjavi z 51,8 %; p = 0,027).
A responder analysis showed that a significantly greater percentage of patients had a clinically significant improvement (reduction versus baseline of greater than or equal to 4) after 26 and 52 weeks with Trydonis than with a fixed combination of beclometasone dipropionate and formoterol and with tiotropium. 
Analiza odzivnih bolnikov je pokazala, da je imel značilno večji odstotek bolnikov klinično pomembno izboljšanje (zmanjšanje glede na izhodišče za 4 ali več) po 26 oz. 52 tednih zdravljenja z zdravilom Trydonis v primerjavi s fiksno kombinacijo beklometazondipropionata in formoterola in s tiotropijem.
If you forget to use Trydonis 
Če ste pozabili uporabiti zdravilo Trydonis
This study also investigated the potential pharmacokinetic interaction between the active components of Trydonis by comparing the pharmacokinetic data obtained after a single dose of the extemporary combination or after a single dose of the single components beclometasone dipropionate/formoterol or glycopyrronium. 
Ta študija je preučila tudi morebitne farmakokinetične interakcije med učinkovinami v zdravilu Trydonis na tak način, da je primerjala farmakokinetične podatke, pridobljene po enkratneme odmerku trojne kombinacije, ki je bila sestavljena iz fiksne kombinacije beklometazondipropionata in formoterola plus glikopironija ali po enem odmerku posamičnih sestavin beklometazondipropionata /formoterola ali glikopironija.
It is preferable to avoid the use of Trydonis during labour due to the inhibitory effects of formoterol on uterine contractions. 
Med rojevanjem se je uporabi zdravila Trydonis bolje izogniti zaradi zaviralnih učinkov formoterola na krčenje maternice.
In patients with severe renal impairment, including those with end-stage renal disease requiring dialysis, especially if associated with a significant body weight reduction, Trydonis should be used only if the expected benefit outweighs the potential risk (see section 5.2). 
Pri bolnikih s hudo okvaro ledvic, vključno s tistimi s končno ledvično odpovedjo, ki zahteva dializno zdravljenje, zlasti če je povezana s pomembnim zmanjšanjem telesne mase, se lahko zdravilo Trydonis uporablja le, če so pričakovane koristi večje od možnih tveganj (glejte poglavje 5.2).
The European Medicines Agency has waived the obligation to submit the results of studies with Trydonis in all subsets of the paediatric population in COPD (see section 4.2 for information on paediatric use). 
Trydonis za vse podskupine pediatrične populacije s KOPB (za podatke o uporabi pri pediatrični populaciji glejte poglavje 4.2).
Trydonis is for inhalation use. 
Zdravilo Trydonis se uporablja za inhaliranje.
Trydonis is provided with a dose counter or dose indicator on the back of the inhaler, which shows how many actuations are left. 
Zdravilo Trydonis je opremljeno s števcem odmerkov ali kazalnikom odmerkom, ki je na zadnji strani inhalatorja in kaže, koliko sprožitev je še ostalo.
Related to Trydonis 
V povezavi z zdravilom Trydonis
If you stop using Trydonis 
Če ste prenehali uporabljati zdravilo Trydonis
There is no relevant use of Trydonis in the paediatric population (under 18 years of age) for the indication of COPD. 
Zdravilo Trydonis ni namenjeno za uporabo pri pediatrični populaciji (pri otrocih, starih do 18 let) za indikacijo kronične obstruktivne pljučne bolezni (KOPB).
If you are already using Trydonis 
Če že uporabljate zdravilo Trydonis
What Trydonis looks like and contents of the pack 
Izgled zdravila Trydonis in vsebina pakiranja
For beclometasone dipropionate, this results in a more potent effect than formulations with a non-extrafine particle size distribution (100 micrograms of beclometasone dipropionate extrafine in Trydonis are equivalent to 250 micrograms of beclometasone dipropionate in a non-extrafine formulation). 
Beklometazondipropionat v obliki izredno majhnih delcev ima veliko močnejši učinek kot formulacije, kjer porazdelitev ni v obliki izredno majhnih delcev (100 mikrogramov beklometazondipropionata v obliki izredno majhnih delcev v zdravilu Trydonis ustreza 250 mikrogramom beklometazondipropionata v formulacijah, ki niso v obliki izredno majhnih delcev).
How to use Trydonis 
Kako uporabljati zdravilo Trydonis
Trydonis should be administered with caution in patients with active or quiescent pulmonary tuberculosis, fungal and viral infections in the airways. 
Zdravilo Trydonis je treba pri bolnikih z aktivno ali mirujočo pljučno tuberkulozo ter glivično in virusno okužbo dihal uporabljati previdno.
Compared with tiotropium, Trydonis significantly improved IC by 39 mL (p = 0.025) and 60 mL (p = 0.001) after 26 and 52 weeks of treatment respectively. 
V primerjavi s tiotropijem je zdravilo Trydonis značilno izboljšalo IC za 39 ml (p = 0,025) oz. 60 ml (p = 0,001) po 26 oz. 52 tednih zdravljenja.
The most frequently reported adverse reactions with Trydonis were oral candidiasis (which occurred in 0.8% of the exposed subjects), which is normally associated with inhaled corticosteroids; muscle spasms (0.4%), which can be attributed to the long-acting beta2-agonist component; dry mouth (0.4%), which is a typical anticholinergic effect. 
izpostavljenih oseb), ki je normalno povezana z inhalacijskimi kortikosteroidi; mišični spazmi (0,4 %), ki se lahko pripišejo sestavini dolgodelujočega agonista adrenergičnih receptorjev beta2; suha usta (0,4 %), kar je običajni antiholinergični učinek.
Study TRINITY compared Trydonis with tiotropium 18 micrograms inhalation powder, hard capsule, one inhalation once daily; in addition, effects were compared with an extemporary triple combination made of a fixed combination of beclometasone dipropionate and formoterol 100/6 micrograms two inhalations twice daily plus tiotropium 18 micrograms inhalation powder, hard capsule, one inhalation once daily (2,691 randomised patients). 
V študiji TRINITY so primerjali zdravilo Trydonis s tiotropijem 18 mikrogramov praška za inhaliranje, trda kapsula, ena inhalacija enkrat na dan; poleg tega so učinke primerjali s trojno kombinacijo, ki je bila sestavljena iz fiksne kombinacije beklometazondipropionata in formoterola 100/6 mikrogramov, dve inhalaciji dvakrat na dan, plus tiotropij 18 mikrogramov prašek za inhaliranje, trda kapsula, ena inhalacija enkrat na dan (2.691 randomiziranih bolnikov).
No differences were observed when comparing Trydonis and the extemporary triple combination made of a fixed combination of beclometasone dipropionate and formoterol plus tiotropium (difference of 3 mL in pre-dose FEV1 after 52 weeks of treatment). 
V primerjavi zdravila Trydonis in trojne kombinacije, ki je bila sestavljena iz fiksne kombinacije beklometazondipropionata in formoterola plus tiotropija, niso opazili razlik (razlika 3 ml v FEV1 pred odmerkom po 52 tednih zdravljenja).
• Disulfiram, a medicine used in the treatment of people with alcoholism (drinking problems) or metronidazole, an antibiotic to treat infection in your body can cause side effects (e.g. feeling sick, being sick, stomach pain) due to the small amount of alcohol in Trydonis. 
• disulfiram, zdravilom, ki se uporablja za zdravljenje ljudi z alkoholizmom ali metrodinazolom, antibiotikom za zdravljenje okužb v telesu lahko zaradi majhne količine alkohola v zdravilu
Trydonis 87 micrograms/5 micrograms/9 micrograms pressurised inhalation, solution 
Trydonis 87 mikrogramov/5 mikrogramov/9 mikrogramov inhalacijska raztopina pod tlakom
Compared with tiotropium, Trydonis also reduced the rate of severe exacerbations (i.e. excluding moderate exacerbations) by 32% (rate: 0.067 versus 0.098 events per patient/year; p = 0.017). 
V primerjavi s tiotropijem je zdravilo Trydonis zmanjšalo tudi stopnjo hudih poslabšanj (tj. brez zmernih poslabšanj) za 32 % (razmerje: 0,067 v primerjavi z 0,098 dogodka na bolnika/leto; p = 0,017).
• medicines for treating - abnormal heart rhythms (quinidine, disopyramide, procainamide), - allergic reactions (antihistamines), - symptoms of depression or mental disorders such as monoamine oxidase inhibitors (for example phenelzine and isocarboxazid), tricyclic antidepressants (for example amitriptyline and imipramine), phenothiazines can cause some changes in the electrocardiogram (ECG, heart trace). 
- alergijskih reakcij (antihistaminiki), - simptomov depresije ali duševnih bolezni, kot so zaviralci monoaminooksidaze (na primer fenelzin in izokarboksazid), triciklični antidepresivi (na primer amitriptilin in imipramin),
Study TRILOGY compared Trydonis with a fixed combination of beclometasone dipropionate and formoterol 100/6 micrograms two inhalations twice daily (1,368 randomised patients). 
V študiji TRILOGY so primerjali zdravilo Trydonis s fiksno kombinacijo beklometazondipropionata in formoterola 100/6 mikrogramov, dve inhalaciji dvakrat na dan (1.368 randomiziranih bolnikov).
Contents of the pack and other information 
Shranjevanje zdravila Trydonis Vsebina pakiranja in dodatne informacije
Compared with a fixed combination of indacaterol and glycopyrronium, Trydonis improved average pre-dose FEV1 over the 52-week treatment period by 22 mL (p=0.018). 
V primerjavi s fiksno kombinacijo indakaterola in glikopironija je zdravilo Trydonis izboljšalo povprečni FEV1 pred odmerkom po 52-tedenskem zdravljenju za 22 ml (p = 0,018).
Trydonis is used as a maintenance treatment for your COPD. 
Zdravilo Trydonis se uporablja za vzdrževalno zdravljenje KOPB.
Trydonis comes in a pressurised container (coated aluminium), with a metering valve. 
Zdravilo Trydonis je na voljo v tlačnem vsebniku (obloženem z aluminijem) z odmernim ventilom.
No differences were observed when comparing Trydonis with the extemporary triple combination made of beclometasone dipropionate and formoterol fixed combination plus tiotropium (moderate/severe exacerbation rate: 0.46 versus 0.45 events per patient/year). 
V primerjavi zdravila Trydonis s trojno kombinacijo, ki je bila sestavljena iz fiksne kombinacije beklometazondipropionata in formoterola plus tiotropija, niso opazili razlik (razmerje zmernih/hudih poslabšanj: 0,46 v primerjavi z 0,45 dogodka na bolnika/leto).
TRIBUTE was a 52-week activecontrolled study comparing Trydonis with a fixed combination of indacaterol/glycopyrronium 85/43 micrograms inhalation powder, hard capsule, one inhalation once daily (1,532 randomised patients). 
TRIBUTE je bila 52-tedenska študija, nadzorovana z učinkovino, v kateri so primerjali zdravilo Trydonis s fiksno kombinacijo indakaterola/glikopironija 85/43 mikrogramov prašek za inhaliranje, trda kapsula, ena inhalacija enkrat na dan (1.532 randomiziranih bolnikov).
No differences were observed when comparing Trydonis and the extemporary triple combination made of fluticasone and vilanterol fixed combination plus tiotropium. 
V primerjavi zdravila Trydonis in trojne kombinacije, sestavljene iz fiksne kombinacije flutikazona in vilanterola plus tiotropija ni bilo opaznih razlik.
• problems with how your adrenal glands work (adrenal suppression) 
• težave z delovanjem nadledvične žleze (adrenosupresija);
The pharmacokinetics of beclometasone dipropionate in patients with hepatic impairment has not been studied, however, as beclometasone dipropionate undergoes a very rapid metabolism via esterase enzymes present in intestinal fluid, serum, lungs and liver to form the more polar products beclometasone 21-monopropionate, beclometasone 17-monopropionate and beclometasone, hepatic impairment is not expected to modify the pharmacokinetics and safety profile of beclometasone dipropionate. 
Farmakokinetike beklometazondipropionata pri bolnikih z jetrno okvaro niso preučili, vendar pa se ne pričakuje, da bi jetrna okvara spremenila farmakokinetiko in profil varnosti beklometazondipropionata, saj se beklometazondipropionat zelo hitro presnovi z encimi esteraze, ki so prisotni v črevesnem soku, serumu, pljučih in jetrih, in tvori bolj polarne produkte, beklometazon 21
Talk to your doctor or pharmacist before using Trydonis: 
Pred začetkom uporabe zdravila Trydonis se posvetujte z zdravnikom ali farmacevtom: