natgillin/translations-raw huggingface dataset:
In February 2016, a joint inspection by the Medicines and Healthcare Products Regulatory Agency (MHRA) and the US Food and Drug Administration (FDA) found critical and major deficiencies and concluded that PII was non-compliant with the legal requirements and/or the principles and guidelines of Good Manufacturing Practice (GMP) as provided for by Union law. 
Februarja 2016 sta regulativna agencija Združenega kraljestva za zdravila in zdravstvene izdelke (MHRA) in agencija ZDA za zdravila in prehrano (FDA) v skupnem inšpekcijskem pregledu odkrili kritične in večje pomanjkljivosti ter zaključili, da družba PII ne deluje v skladu z zakonskimi zahtevami in/ali načeli in smernicami dobre proizvodne prakse, kot zahteva zakonodaja Unije.
The additional risks due to non-compliance to GMP can potentially lead to potential cross-contamination with other drugs produced at the site, including hormones, cytotoxics and teratogens. 
Dodatna tveganja zaradi neskladnosti z dobro proizvodno prakso lahko morebiti privedejo do možne navzkrižne kontaminacije z drugimi zdravili, ki se izdelujejo v tem obratu, vključno s hormoni, citotoksičnimi zdravili in teratogenimi učinkovinami.
Dutasteride Actavis is indicated for the treatment of the benign prostatic hyperplasia and was first approved in the EU on 3 June 2015 via a decentralised procedure, with Denmark acting as Reference Member State. 
Zdravilo Dutasteride Actavis je indicirano za zdravljenje benigne hiperplazije prostate in je dovoljenje za promet v EU pridobilo 3. junija 2015 po decentraliziranem postopku, pri čemer je bila v vlogi referenčne države članice Danska.
On 17 June 2016, the European Commission (EC) initiated a referral procedure under Article 31 of Directive 2001/83/EC, and requested the Agency to assess the potential impact of the deficiencies on the quality, safety and the benefit risk balance of the medicinal products which have been authorised by the European Commission and the Member States. 
Evropska komisija je 17. junija 2016 sprožila napotitveni postopek v skladu s členom 31 Direktive 2001/83/ES in zahtevala od agencije, da oceni morebiten vpliv pomanjkljivosti na kakovost, varnost in razmerje med tveganji in koristmi zdravil, ki so pridobila dovoljenje za promet od Evropske komisije in v državah članicah.
The safety profile of Ammonaps in urea cycle disorders is well established. 
Varnostni profil zdravila Ammonaps pri motnjah v ciklusu sečnine je dobro uveljavljen.
A medicinal product may be considered critical based on the evaluation of the potential unmet medical need, considering the availability of suitable alternative medicinal products in the respective Member State(s) and, as appropriate, the nature of the disease to be treated. 
Zdravilo se lahko šteje za zdravilo kritičnega pomena na podlagi ocene morebitnih neizpolnjenih zdravstvenih potreb ter ob upoštevanju razpoložljivosti ustreznih alternativnih zdravil v eni ali več zadevnih državah članicah in, če je primerno, narave zdravljene bolezni.
It is acknowledged that the shift of manufacturing of Ammonaps to a dedicated area using dedicated equipment provides some reassurance and the risk of cross-contamination following this change is considered low. 
Res je, da je selitev proizvodnje zdravila Ammonaps v ločeno območje z ločeno opremo do neke mere zadovoljiva in da je tveganje za navzkrižno kontaminacijo po tej selitvi nizko.
This certificate of GMP compliance is valid until 30 June 2017. 
Ta certifikat o skladnosti z dobro proizvodno prakso je veljaven do 30. junija 2017.
All medicinal products Dutasteride Actavis currently available on the EU market were manufactured at an alternative manufacturing site already registered in the marketing authorisation at time of approval. 
Vsa zdravila Dutasteride Actavis, ki so trenutno na voljo na trgu EU, so bila proizvedena v drugem proizvodnem obratu, ki je bilo v času pridobitve dovoljenja za promet že registrirano v dovoljenju za promet z zdravilom.
• The CHMP considered the procedure under Article 31 of Directive 2001/83/EC for medicinal products for which Pharmaceutics International Inc, Maryland, USA, is included in the marketing authorisation as manufacturing site; 
• odbor CHMP je obravnaval postopek v skladu s členom 31 Direktive 2001/83/ES za zdravila, za katera je družba Pharmaceutics International Inc. iz Marylanda v ZDA vključena v dovoljenje za promet z zdravilom kot proizvodni obrat;
Given the absence of reports of cross-contamination and taking into consideration the criticality of the product and the improvements in manufacturing which has reduced the risk of cross-contamination to low, it is recommended that the supply of Ammonaps from PII is maintained for the patient population for whom no other treatment option is available. 
Glede na odsotnost poročil o navzkrižni kontaminaciji in z upoštevanjem kritičnega pomena zdravila ter izboljšav v proizvodnji, s čimer je tveganje za navzkrižno kontaminacijo postalo majhno, se priporoča, da se dobava zdravila Ammonaps iz družbe PII ohrani za populacijo bolnikov, pri katerih ni na voljo druge možnosti zdravljenja.
Lutinus (and associated names) 
Zdravilo Lutinus (in povezana imena)
Also, unless no alternative options are available for patients, the use of Ammonaps granules should be limited to patients requiring administration through a nasogastric tube or gastrostomy. 
Razen če za bolnike ni druge možnosti, je treba uporabo zdravila Ammonaps v obliki zrnc omejiti na bolnike, ki potrebujejo dajanje skozi nazogastrično sondo ali gastrostomo.
Based on the nature of the disease and the fact that therapeutic alternatives are not available in all Member States, the CHMP considers the product Ammonaps to be critical. 
Zaradi narave bolezni in dejstva, da alternativna zdravila niso na voljo v vseh državah članicah EU, CHMP meni, da je zdravilo Ammonaps kritičnega pomena.
No alternative manufacturer is registered in the marketing authorisation of SoliCol D3. 
V dovoljenju za promet z zdravilom SoliCol D3 ni registriran noben drug izdelovalec.
It is indicated to treat the patients who have urea cycle disorders (UCDs), involving deficiencies of carbamylphosphate synthetase, ornithine transcarbamylase or argininosuccinate synthetase. 
Indicirano je za zdravljenje bolnikov z motnjami v ciklusu sečnine, kar vključuje pomanjkanje karbamil-fosfat-sintetaze, ornitin-transkarbamilaze ali argininosukcinat-sintetaze.
The current certificate of GMP compliance of PII will no longer be valid after 30 June 2017. 
Trenutni certifikat o skladnosti z dobro proizvodno prakso za družbo PII po 30. juniju 2017 ne bo več veljaven.
• The CHMP noted that batches of Lutinus from Pharmaceutics international Inc. are currently available on the EU market. 
• odbor CHMP ugotavlja, da so serije zdravila Lutinus iz družbe Pharmaceutics International Inc. trenutno na voljo na trgu EU;
According to this statement of non-compliance, the NCA should evaluate the criticality of products being supplied by PII and enact measures to ensure continued supply where appropriate. 
V skladu s to izjavo o neskladnosti mora zadevni nacionalni pristojni organ oceniti kritičnost zdravil, ki jih dobavlja družba PII, in uvesti ukrepe za zagotovitev neprekinjene dobave, kjer je to potrebno.
• There is no alternative manufacturing site registered in the marketing authorisation for SoliCol D3 and the CHMP noted that no batches of SoliCol D3 are currently available on the EU market; 
• V dovoljenju za promet z zdravilom SoliCol D3 ni registriran noben drug proizvodni obrat in odbor CHMP ugotavlja, da trenutno na trgu EU ni serij zdravila SoliCol D3;
The product has not yet been launched on the market and the MAH confirmed that no commercial batches of the product had been manufactured at PII. 
Zdravilo še ni bilo dano na trg in imetnik dovoljenja za promet z zdravilom je potrdil, da v družbi PII ni bila proizvedena nobena komercialna serija zdravila.
The MAH should provide progress reports to inform on the progression of the actions taken to restore GMP compliance of the site after each identified milestone in accordance with the agreed timelines. 
Imetnik dovoljenja za promet z zdravilom mora priskrbeti poročila o napredku in z njimi poročati o napredovanju ukrepov za ponovno vzpostavitev skladnosti z dobro proizvodno prakso v proizvodnem obratu po vsakem opredeljenem mejniku v skladu z dogovorjeno časovnico.
The statement of noncompliance with GMP of PII clarifies that marketing authorisation holders are requested to contact the relevant National Competent Authority (NCA) to verify whether their products are considered medically critical to public health in their territory. 
Izjava o neskladnosti z dobro proizvodno prakso za družbo PII vsebuje tudi poziv imetnikom dovoljenja za promet, naj stopijo v stik z ustreznim nacionalnim pristojnim organom, kjer lahko preverijo, ali njihova zdravila štejejo kot kritična za javno zdravje na njihovem ozemlju.
Dutasteride Actavis is a medicinal product containing the active substance dutasteride, a triple 5αreductase inhibitor. 
Zdravilo Dutasteride Actavis vsebuje zdravilno učinkovino dutasterid, trojni zaviralec 5-alfa reduktaze.
PII is the only manufacturing site registered on the marketing authorisation for the manufacture of the finished products. 
Družba PII je edini proizvodni obrat, ki je v dovoljenju za promet z zdravilom registrirano za izdelavo končnega zdravila.
However the non-compliance with good manufacturing practice presents a degree of unquantifiable risk which cannot be detected reliably through post-marketing data, hence the lack of any significant concerns cannot provide sufficient reassurance over the safety of the batches manufactured at PII. 
Vendar pa neskladnost z dobro proizvodno prakso pomeni neopredeljivo tveganje, ki ga s podatki iz obdobja trženja ni mogoče zanesljivo zaznati, zato odsotnost pomembnih pomislekov ni zadostno zagotovilo o varnosti serij, proizvedenih v družbi PII.
The non-compliance with good manufacturing practice presents a degree of unquantifiable risk which cannot be detected reliably through postmarketing data; hence the lack of any significant concerns cannot provide sufficient reassurance over the safety of the batches manufactured at PII. 
Neskladnost z dobro proizvodno prakso pomeni neopredeljivo tveganje, ki ga s podatki iz obdobja trženja ni mogoče zanesljivo zaznati, zato odsotnost pomembnih pomislekov ni zadostno zagotovilo o varnosti serij, proizvedenih v družbi PII.
The MHRA issued a corresponding certificate of GMP compliance for the site, limited to medicinal products confirmed by National Competent Authorities as being critical to public health. 
Agencija MHRA je izdala ustrezen certifikat o skladnosti z dobro proizvodno prakso za proizvodni obrat družbe, ki pa velja samo za zdravila, za katera so pristojni nacionalni organi potrdili, da so kritičnega pomena za javno zdravje.
Notwithstanding the above, the CHMP takes note of the statement of non-compliance with GMP of PII by the Supervisory Authority which recommends that in Member States where the product is not considered critical to public health, all batches of Ammonaps from Pharmaceutics Internationals Inc. should be recalled and the supply from this manufacturing site prohibited. 
Ne glede na zgoraj navedeno CHMP meni, da je treba upoštevati izjavo nadzornega organa o neskladnosti z dobro proizvodno prakso za družbo PII, v kateri se priporoča, da se v državah članicah, v katerih zdravilo ni kritičnega pomena za javno zdravje, vse serije zdravila Ammonaps, proizvedene v družbi Pharmaceutics Internationals Inc., odpokličejo in njihova dobava iz tega proizvodnega obrata prepove.
Dutasteride Actavis (and associated names) 
Zdravilo Dutasteride Actavis (in povezana imena)
As a consequence, the CHMP is of the opinion that pursuant to Article 116 of Directive 2001/83/EC, the marketing authorisations of SoliCol D3 should be suspended. 
Posledično odbor meni, da je treba v skladu s členom 116 Direktive 2001/83/ES dovoljenja za promet z zdravilom SoliCol D3 začasno umakniti.
• The CHMP noted that there are no batches of Dutasteride Actavis from Pharmaceutics international Inc. on the EU market. 
• odbor CHMP ugotavlja, da na trgu EU ni serij zdravila Dutasteride Actavis iz družbe Pharmaceutics International Inc.;
No commercial batches of the product have been manufactured by PII, nor released in the EU market. 
Družba PII ni proizvedla nobene komercialne serije zdravila, na trg EU pa tudi ni bila sproščena nobena komercialna serija iz te družbe.
In addition to the above conclusions, the CHMP noted the recommendations from the Supervisory Authority in the statement of non-compliance with GMP of PII that all batches of Lutinus from Pharmaceutics Internationals Inc. should be recalled and the supply from this manufacturing site prohibited. 
CHMP meni, da je treba poleg zgornjih ugotovitev upoštevati tudi priporočilo nadzornega organa v izjavi o neskladnosti z dobro proizvodno prakso za družbo PII, da bi bilo treba vse serije zdravila Lutinus, proizvedene v družbi Pharmaceutics Internationals Inc., odpoklicati in prepovedati njihovo dobavo iz tega proizvodnega obrata.
• Lutinus is currently manufactured at an alternative manufacturing site registered in their marketing authorisation; 
• Zdravilo Lutinus se trenutno proizvaja v drugem proizvodnem obratu, registriranem v dovoljenju za promet z zdravilom;
• The CHMP considered the GMP compliance certificate for Pharmaceutics International Inc. issued by the MHRA on 15th June 2016 restricted to medicinal products considered critical to public health and valid until 30 June 2017; Ammonaps 
• odbor CHMP je obravnaval certifikat o skladnosti z dobro proizvodno prakso za družbo Pharmaceutics International Inc., ki ga je izdala agencija MHRA 15. junija 2016 in je omejen na zdravila, ki so kritičnega pomena za javno zdravje, ter velja do 30. junija 2017.
Ammonaps is a centrally authorised product containing the active substance sodium phenylbutyrate. 
Zdravilo Ammonaps, ki je dovoljenje za promet pridobilo po centraliziranem postopku, vsebuje zdravilno učinkovino natrijev fenilbutirat.
Dutasteride (and associated names) 
Zdravilo Dutasteride (in povezana imena)
The benefits of Ammonaps in its approved indication of urea cycle disorders are well established. 
Koristi zdravila Ammonaps pri odobreni indikaciji motenj v ciklusu sečnine so dobro uveljavljene.
The MAH should provide evidence by 30 June 2017 that the manufacturing process complies with the requirements of Commission Directive 2003/94/EC (as amended) laying down the principles and guidelines of GMP as provided for in Article 8(3) of Directive 2001/83/EC, as this is a condition to the marketing authorisation. 
Imetnik dovoljenja za promet z zdravilom mora do 30. junija 2017 predložiti dokaz, da je proizvodni postopek skladen z zahtevami Direktive Komisije 2003/94/ES (kakor je bila spremenjena) o določitvi načel in smernic dobre proizvodne prakse, kot je določeno v členu 8(3) Direktive 2001/83/ES, saj je to pogoj za izdajo dovoljenja za promet z zdravilom.
• Dutasteride Actavis is currently manufactured at an alternative manufacturing site registered in their marketing authorisation; 
• Zdravilo Dutasteride Actavis se trenutno proizvaja v drugem proizvodnem obratu, registriranem v dovoljenju za promet z zdravilom;
On 15th June 2016 the MHRA issued a GMP Statement of Non-Compliance (SNC) for PII, recommending a restriction of supply in the EU and the recall of the medicinal products manufactured at this site unless considered critical to public health. 
Agencija MHRA je 15. junija 2016 družbi PII izdala izjavo o neskladnosti z dobro proizvodno prakso in v njej priporočila omejitev dobave v EU ter odpoklic zdravil, proizvedenih v obratu družbe, razen v primeru, da so kritičnega pomena za javno zdravje.
• The CHMP considers that at present, the particulars and documents provided for in Article 8(3) of Directive 2001/83/EC are incorrect. 
• odbor meni, da so podatki in dokumenti iz člena 8(3) Direktive 2001/83/ES trenutno nepravilni.
• The CHMP considered the Statement of Non-Compliance with GMP for Pharmaceutics International Inc. issued by the MHRA on 15th June 2016 recommending a restriction of supply in the EU and the recall of the medicinal products manufactured at this site unless considered critical to public health; 
• odbor CHMP je obravnaval izjavo o neskladnosti z dobro proizvodno prakso za družbo Pharmaceutics International Inc., ki jo je izdala agencija MHRA 15. junija 2016 in s katero je ta priporočila omejitev dobave v EU in odpoklic zdravil, proizvedenih v tem obratu, razen v primeru, da so kritičnega pomena za javno zdravje;
Also, in view of the statement of non-compliance that was issued for Pharmaceutics International Inc. on 15 June 2016, the CHMP considered that the particulars and documents provided for in Article 8(3) of Directive 2001/83/EC are incorrect and that the terms of the marketing authorisation of Lutinus (and associated names) should be varied to remove Pharmaceutics International Inc. as manufacturing site. 
Tudi glede na izjavo o neskladnosti, izdano za družbo Pharmaceutics International Inc. dne 15. junija 2016, je odbor CHMP ocenil, da so podatki in dokumenti iz člena 8(3) Direktive 2001/83/ES nepravilni in da je treba pogoje dovoljenja za promet z zdravilom Lutinus (in povezanimi imeni) spremeniti tako, da se družba Pharmaceutics International Inc. kot proizvodni obrat izloči.
As a consequence, the CHMP recommends that the marketing authorisation for Lutinus (and associated names) should be varied to remove Pharmaceutical International Inc. as manufacturing site from their marketing authorisations. 
Odbor posledično priporoča, da se dovoljenje za promet z zdravilom Lutinus (in povezanimi imeni) spremeni tako, da se družba Pharmaceutics International Inc. izloči iz dovoljenj za promet z zdravilom kot proizvodni obrat.
• There is no alternative manufacturing site registered in the marketing authorisation of Ammonaps; 
• V dovoljenju za promet z zdravilom Ammonaps ni registriran noben drug proizvodni obrat;
As a consequence, the CHMP recommends that the marketing authorisation for Dutasteride Actavis (and associated names) should be varied to remove Pharmaceutical International Inc. as manufacturing site from their marketing authorisations. 
Odbor posledično priporoča, da se dovoljenje za promet z zdravilom Dutasteride Actavis (in povezanimi imeni) spremeni tako, da se družba Pharmaceutics International Inc. izloči iz dovoljenj za promet z zdravilom kot proizvodni obrat.
For the suspension of SoliCol D3 to be lifted, the marketing authorisation holder shall provide evidence that the manufacturing process complies with the requirements of Commission Directive 2003/94/EC (as amended) laying down the principles and guidelines of GMP as provided for in Article 8(3) of Directive 2001/83/EC. 
Za preklic začasnega umika dovoljenja za promet z zdravilom SoliCol D3 mora imetnik dovoljenja za promet z zdravilom predložiti dokaz, da je proizvodni postopek skladen z zahtevami Direktive Komisije 2003/94/ES (kot je bila spremenjena) o določitvi načel in smernic dobre proizvodne prakse, kot je določeno v členu 8(3) Direktive 2001/83/ES.
In view of the certificate of non-GMP compliance issued for Pharmaceutics International, Inc., the CHMP considered that the particulars and documents provided for in Article 8(3) of Directive 2001/83/EC are incorrect and therefore, pursuant to Article 116 of Directive 2001/83/EC, the marketing authorisations of SoliCol D3 should be suspended. 
Glede na izjavo o neskladnosti z dobro proizvodno prakso, izdano za družbo Pharmaceutics International Inc., je odbor CHMP ocenil, da so podatki in dokumenti iz člena 8(3) Direktive 2001/83/ES nepravilni, zato je treba v skladu s členom 116 Direktive 2001/83/ES dovoljenja za promet z zdravilom SoliCol D3 začasno umakniti.
• The CHMP considers that in the absence of GMP compliance of the manufacturing site Pharmaceutics International Inc., the particulars and documents provided for in Article 8(3) of Directive 2001/83/EC for Lutinus are incorrect. 
• odbor CHMP meni, da so zaradi neskladnosti proizvodnega obrata družbe Pharmaceutics International Inc. z dobro proizvodno prakso podatki in dokumenti iz člena 8(3) Direktive 2001/83/ES za zdravilo Lutinus nepravilni.
Ammonaps 
Zdravilo Ammonaps
For the suspension of SoliCol D3 to be lifted, the marketing authorisation holder(s) shall provide evidence that the manufacturing process complies with the requirements of Commission Directive 2003/94/EC laying down the principles and guidelines of GMP as provided for in Article 8(3) of Directive 2001/83/EC. 
Za preklic začasnega umika dovoljenja za promet z zdravilom SoliCol D3 mora imetnik oziroma morajo imetniki dovoljenja za promet z zdravilom predložiti dokaz, da je proizvodni postopek skladen z zahtevami Direktive Komisije 2003/94/ES o določitvi načel in smernic dobre proizvodne prakse, kot je določeno v členu 8(3) Direktive 2001/83/ES.
• The CHMP considers that in the absence of GMP compliance of the manufacturing site Pharmaceutics International Inc., the particulars and documents provided for in Article 8(3) of Directive 2001/83/EC for Dutasteride Actavis are incorrect. 
• odbor CHMP meni, da so zaradi neskladnosti proizvodnega obrata družbe Pharmaceutics International Inc. z dobro proizvodno prakso podatki in dokumenti iz člena 8(3) Direktive 2001/83/ES za zdravilo Dutasteride Actavis nepravilni.
• In view of the nature of the disease and the fact that alternatives are not available in all Member States;the CHMP considers Ammonaps critical to public health; The CHMP, as a consequence, considers that the benefit-risk balance of Ammonaps remains favourable for critical use and therefore recommends that the marketing authorisations be varied and subject to the condition that the marketing authorisation holder for Ammonaps provides evidence by 30 June 2017 that the manufacturing process complies with the requirements of Commission Directive 
Odbor CHMP posledično meni, da razmerje med tveganji in koristmi zdravila Ammonaps pri kritični uporabi ostaja ugodno, in zato priporoča, da se dovoljenja za promet z zdravilom spremenijo, izpolnjen pa mora biti pogoj, da imetnik dovoljenja za promet z zdravilom Ammonaps do 30. junija 2017 predloži dokaz, da je proizvodni postopek skladen z zahtevami Direktive Komisije 2003/94/ES o določitvi načel in smernic dobre proizvodne prakse, kot je določeno v členu 8(3) Direktive 2001/83/ES.
In view of the statement of non-compliance that was issued for Pharmaceutics International Inc. on 15 June 2016, is the CHMP considered that the particulars and documents provided for in Article 8(3) of Directive 2001/83/EC are incorrect and that the terms of the marketing authorisation of Dutasteride 
Glede na izjavo o neskladnosti, izdano za družbo Pharmaceutics International Inc. dne 15. junija 2016, je odbor CHMP ocenil, da so podatki in dokumenti iz člena 8(3) Direktive 2001/83/ES nepravilni in da je treba pogoje dovoljenja za promet z zdravilom Dutasteride Actavis (in povezanimi imeni) spremeniti tako, da se družba Pharmaceutics International Inc. kot proizvodno mesto izloči.
This summary was last updated in April 2016. 
Povzetek je bil nazadnje posodobljen aprila-2016.
It works by increasing the levels of certain neurotransmitters, serotonin and noradrenaline, in the central nervous system. 
Deluje tako, da poveča ravni nekaterih živčnih prenašalcev, serotonina in noradrenalina, v osrednjem živčnem sistemu.
A neurotransmitter is a substance that relays signals from a nerve cell to another cell. 
Živčni prenašalec je snov, ki prenaša signale od ene živčne celice do druge.
The full EPAR for Clomicalm can be found on the Agency's website: ema.europa.eu/Find medicine/Veterinary medicines/European public assessment reports. 
Celotno evropsko javno poročilo o oceni zdravila Clomicalm je na voljo na spletni strani agencije: ema.europa.eu/Find medicine/Veterinary medicines/European public assessment reports.
If a child accidentally swallows the medicine, this could cause serious reactions. 
Če otrok nenamerno zaužije zdravilo, lahko to povzroči hude reakcije.