natgillin/translations-raw huggingface dataset:
Tell your doctor if you have multiple sclerosis, optic neuritis (inflammation of the nerves of the eyes) or transverse myelitis (inflammation of the spinal cord).
Če imate multiplo sklerozo, optični nevritis (vnetje očesnega živca) ali transverzni mielitis (vnetje hrbtnega mozga), to povejte svojemu zdravniku.
Tell your doctor if you have a history of congestive heart failure, because Enbrel needs to be used with caution under these circumstances.  Vaccinations:
V tem primeru je potrebna previdnost pri uporabi zdravila Enbrel. • Cepljenja:
Some vaccines, such as oral polio vaccine, should not be given while using Enbrel.
Med zdravljenjem z zdravilom Enbrel ne smete prejeti nekaterih cepiv, npr. peroralnega cepiva proti otroški paralizi.
Please consult your doctor before you receive any vaccines.  Chickenpox:
Posvetujte se z zdravnikom, preden prejmete katerokoli cepivo. • Norice:
Tell your doctor if you are exposed to chickenpox when using Enbrel.
Če ste bili med zdravljenjem z zdravilom Enbrel izpostavljeni noricam, to povejte svojemu zdravniku.
300 Taking other medicines
Uporaba drugih zdravil
Tell the doctor or pharmacist if you are taking, or have recently taken any other medicines, even those not prescribed by the doctor.
Obvestite svojega zdravnika ali farmacevta, če jemljete ali ste pred kratkim jemali katerokoli zdravilo, tudi če ste ga dobili brez recepta.
You should not use Enbrel with medicines that contain the active ingredients anakinra or abatacept..
Zdravila Enbrel ne smete jemati skupaj z zdravili, ki vsebujejo zdravilni učinkovini anakinro ali abatacept.
Taking Enbrel with food and drink
284 Uporaba zdravila Enbrel skupaj s hrano in pijačo
If you become pregnant, you should consult your doctor.
Če med zdravljenjem zanosite, se nemudoma posvetujte s svojim zdravnikom.
A 25 mg strength of Enbrel is available for doses of 25 mg (or less).
Za 25- miligramski odmerek (ali za manjše odmerke) je na voljo zdravilo Enbrel jakosti 25 mg.
Dosing for adult patients (age 18 years or older)
Odmerjanje pri odraslih (starih 18 let in starejših)
301 Dosing for children and adolescents
Odmerjanje pri otrocih in mladostnikih
For psoriasis in patients from the age of 8 years, the dose recommended is 0.8 mg of Enbrel per kg bodyweight (up to a maximum of 50 mg), and should be given once weekly.
Če zdravilo Enbrel po 12 tednih
If Enbrel has no effect on the child’ s condition after 12 weeks, your doctor may tell you to stop using this medicine.
285 nima nobenega učinka na otrokovo stanje, vam bo zdravnik mogoče naročil, da prenehajte uporabljati to zdravilo.
If you are concerned about any side effects, or if you notice any side effects that are not listed in this leaflet, please tell your doctor or pharmacist.
Če ste zaradi kateregakoli neželenega učinka zaskrbljeni ali če opazite katerikoli neželeni učinek, ki ni omenjen v tem navodilu, obvestite svojega zdravnika ali farmacevta.
302  Feeling nervous or anxious, throbbing sensations, sudden reddening of the skin and/ or a warm feeling.  Severe rash, itching, or hives (elevated patches of red or pale skin that often itch).
• Težave pri požiranju ali dihanju. • Otekanje obraza, žrela, rok ali nog. • Občutek živčnosti ali tesnobe, utripajoč občutek, nenadna pordelost kože in/ ali občutek toplote. • Hud izpuščaj, srbenje ali koprivnica (rdeče ali blede kožne spremembe nad ravnjo kože, ki pogosto srbijo).
Serious side effects
286 Resni neželeni učinki
If you notice any of the following, you may need urgent medical attention.
Če opazite karkoli od naslednjega, boste morda potrebovali/ bo otrok morda potreboval nujno zdravniško pomoč.
 Rare (may occur in less than 1 in 1,000 patients): serious allergic reactions (including severe localized swelling of the skin and wheezing); combined low platelet, red, and white blood cell count; nervous system disorders (with signs and symptoms similar to those of multiple sclerosis or inflammation of the nerves of the eyes or spinal cord); tuberculosis; worsening congestive heart failure; seizures; lupus or lupus-like syndrome (symptoms may include persistent rash, fever, joint pain, and tiredness); inflammation of the blood vessels; low red blood cell count, low white blood
• Redki (pojavijo se lahko pri manj kot 1 od 1. 000 bolnikov): resne alergijske reakcije (vključno s hudim lokaliziranim otekanjem kože in piskajočim dihanjem), kombinacija znižanja števila trombocitov in rdečih ter belih krvnih celic, motnje živčevja (z znaki in simptomi, podobnimi multipli sklerozi ali vnetje očesnih živcev ali hrbtenjače), tuberkuloza, poslabšanje kongestivnega srčnega popuščanja, epileptični napadi, lupus ali lupusu podoben sindrom (med simptomi so lahko trdovraten izpuščaj, zvišana telesna temperatura, bolečine v sklepih in utrujenost), vnetje krvnih žil, nizko število rdečih krvnih celic, nizko število belih krvnih celic, nizko število nevtrofilcev (vrste belih krvnih celic), povišane vrednosti jetrnih encimov pri krvnih preiskavah; kožni izpuščaj, ki lahko povzroči močno mehurjenje in luščenje kože.
5.
287 5.
The other ingredients are:
Vsaka viala zdravila Enbrel 50 mg vsebuje 50 mg etanercepta.
Enbrel 50 mg is supplied as a white powder for solution for injection.
Zdravilo Enbrel 50 mg je na voljo v obliki belega praška za raztopino za injiciranje.
Each pack contains 2, 4 or 12 single dose vials and 4, 8 or 24 alcohol swabs.
Vsako pakiranje vsebuje 2, 4 ali 12 enoodmernih vial in 4, 8 ali 24 alkoholnih tamponov.
304 Marketing Authorisation Holder and Manufacturer
Imetnik dovoljenja za promet z zdravilom in izdelovalec
Ireland Wyeth Pharmaceuticals Tel: + 353 1 449 3500 Fax: + +353 1 449 3522
288 Portugal Ísland Česká Republika Wyeth Lederle Portugal (Farma) Lda.
Magyarország Wyeth Kft Tel: +36 1 453 33 30 Fax: +36 1 240 4632
United Kingdom Malta Ελλάδα Wyeth Pharmaceuticals Vivian Corporation Ltd.
T: + 30 2 10 99 81 600 Φαξ: + 30 2 10 99 21 994
Tel: +44 845 367 0098 Tel: +35621 344610 Tηλ: +30 2 10 99 81 600 Fax: +44 1628 414802 Fax: +35621 341087 Φαξ: +30 2 10 99 21 994
United Kingdom Wyeth Pharmaceuticals Tel: + 44 845 367 0098 Fax: + 44 1628 414802
Nederland España Wyeth Pharmaceuticals B. V.
305 España Wyeth Farma S. A.
Wyeth Farma S. A.
Tel: + 31 23 567 2567 Fax: +31 23 567 2599
Tel: +31 23 567 2567 Tel: +34 91 334 65 65 Fax: +31 23 567 2599 Fax: +34 91 663 65 53
Withdrawing the Enbrel solution from the vial f.
Jemanje raztopine zdravila Enbrel iz viale
You will be instructed by your doctor or his/ her assistant on the techniques of self-injection.
Zdravnik ali medicinska sestra vas bosta natančno poučila o pravilni tehniki samoinjiciranja.
 Check your syringe contains 1 ml of water for injections.  If you are not sure how to fill your syringe ask your doctor or nurse.  Make sure your syringe does not contain any air bubbles.  With the Enbrel vial upright on a flat surface, such as a table, insert the syringe needle straight down through the centre ring of the grey stopper of the vial (see Diagram 2).
• Preverite, če brizga vsebuje 1 ml vode za injekcije. • Če niste prepričani, kako napolniti brizgo, vprašajte svojega zdravnika ali medicinsko sestro. • Prepričajte se, da v brizgi ni zračnih mehurčkov. • Ko je viala z zdravilom Enbrel postavljena pokončno na ravni površini, na primer mizi, vstavite iglo brizge naravnost navzdol skozi osrednji obroč sivega zamaška viale (glejte shemo 2).
If the needle is not correctly lined up, you will feel constant resistance as it goes through the stopper and no “ pop”.
Če igla ne bo pravilno poravnana, boste pri prodiranju skozi zamašek ves čas čutili odpor in ne
 Push the plunger in VERY SLOWLY until all the water for injections is in the vial.
• ZELO POČASI potiskajte bat v brizgo, dokler ne iztisnete vso vodo za injekcije v vialo.
Slowly pull the plunger back to draw the liquid into the syringe (see Diagram 7).
• Ko je igla še vedno v viali, dvignite vialo tako, da bo obrnjena na glavo, približno v višini oči.
Diagram 7.
Počasi potegnite bat nazaj, da izvlečete raztopino v brizgo (glejte shemo 7).
308  With the needle still inserted in the vial, check the syringe for air bubbles.
• Ko je igla še v viali, preverite, ali so v brizgi zračni mehurčki.
Do NOT inject into areas where the skin is tender, bruised, red, or hard.
NE injicirajte v predelih, kjer je koža občutljiva, 292 poškodovana, rdeča ali otrdela.
(It may be helpful to keep notes on the location of the previous injections.)
(Pomagalo bo, če si boste beležili mesta predhodnih injekcij.) • Če imate luskavico, se morate izogibati neposrednemu injiciranju v vsa privzdignjena, zadebeljena, rdeča ali luskava področja na koži (‘ psoriatične kožne spremembe ’).
With the other hand, hold the syringe like a pencil.  With a quick, short motion, push the needle all the way into the skin at an angle between 45° and 90° (see Diagram10).
Z drugo roko kot svinčnik držite brizgo. • S hitro in kratko kretnjo potisnite iglo do konca v kožo pod kotom 45 do 90 stopinj (glejte shemo 10).
Diagram 10
Shema 10
Diagram 11
Shema 11
If you have any questions, please talk to a doctor, nurse or pharmacist who is familiar with Enbrel.
293 Če imate kakršnakoli vprašanja, se posvetujte z zdravnikom, farmacevtom ali medicinsko sestro, ki dobro poznajo zdravilo Enbrel.
INFORMATION FOR THE USER
294 NAVODILO ZA UPORABO
Enbrel 50 mg powder and solvent for solution for injection Etanercept
Enbrel 50 mg prašek in vehikel za raztopino za injiciranje etanercept
You may need to read it again.  Your doctor will also give you a Patient Alert Card, which contains important safety information that you need to be aware of before and during treatment with Enbrel.  If you any have further questions, ask your doctor or pharmacist.  This medicine has been prescribed for you.
Morda ga boste želeli ponovno prebrati. • Zdravnik vam bo dal tudi opozorilno kartico bolnika, ki vsebuje pomembne varnostne podatke, ki jih morate poznati pred zdravljenjem z zdravilom Enbrel in med zdravljenjem. • Če imate dodatna vprašanja, se posvetujte z zdravnikom ali s farmacevtom. • Zdravilo je bilo predpisano vam osebno in ga ne smete dajati drugim.
Enbrel is also prescribed for the treatment of severe psoriasis in patients from the age of 8 years who have had an inadequate response to (or are unable to take) phototherapies and other systemic therapies.
Zdravilo Enbrel se predpisuje tudi za zdravljenje hude psoriaze pri bolnikih od 8. leta starosti naprej, ki so se nezadostno odzvali na fototerapije ali druge sistemske terapije (ali jih niso prenašali).
312 Enbrel is not effective in the treatment of Wegener’ s granulomatosis, a rare inflammatory disease.
Zdravilo Enbrel ni učinkovito pri zdravljenju redke vnetne bolezni – Wegenerjeve granulomatoze.
2.
295 2.
Some vaccines, such as oral polio vaccine, should not be given while receiving Enbrel.
Med zdravljenjem z zdravilom Enbrel ne smete prejeti nekaterih cepiv, npr. peroralnega cepiva proti otroški paralizi.
Tell you doctor if you are exposed to chickenpox when using Enbrel.
Če ste bili med zdravljenjem z zdravilom Enbrel izpostavljeni noricam, to povejte svojemu zdravniku.
313 Taking other medicines
Uporaba drugih zdravil
You should not use Enbrel with medicines that contain the active ingredients anakinra or abatacept.
Zdravila Enbrel ne smete jemati skupaj z zdravili, ki vsebujejo zdravilni učinkovini anakinro ali abatacept.
Taking Enbrel with food and drink
296 Uporaba zdravila Enbrel skupaj s hrano in pijačo
Always use Enbrel exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
Če ste negotovi, se posvetujte z zdravnikom ali s farmacevtom.
314 Dosing for children and adolescents
Odmerjanje pri otrocih in mladostnikih
The doctor will provide you with detailed directions for preparing and measuring the appropriate dose.
Otrokov zdravnik vam bo natančno pojasnil, kako boste pripravili in odmerili primeren odmerek
If Enbrel has no effect on the child’ s condition after 12 weeks, your doctor may tell you to stop using this medicine.
297 nima nobenega učinka na otrokovo stanje, vam bo zdravnik mogoče naročil, da prenehajte uporabljati to zdravilo.
If you use more Enbrel than you should:
Če ste uporabili večji odmerek zdravila Enbrel, kot bi smeli
315  Swelling of the face, throat, hands, or feet.  Feeling nervous or anxious, throbbing sensations, sudden reddening of the skin and/ or a warm feeling.  Severe rash, itching, or hives (elevated patches of red or pale skin that often itch).
• Težave pri požiranju ali dihanju. • Otekanje obraza, žrela, rok ali nog. • Občutek živčnosti ali tesnobe, utripajoč občutek, nenadna pordelost kože in/ ali občutek toplote. • Hud izpuščaj, srbenje ali koprivnica (rdeče ali blede kožne spremembe nad ravnjo kože, ki pogosto srbijo).
Serious side effects
298 Resni neželeni učinki
5.
299 5.
These measures will help to protect environment.
Takšni ukrepi pomagajo varovati okolje.
Each vial of Enbrel 50 mg contains 50 mg of etanercept.
Vsaka viala zdravila Enbrel 50 mg vsebuje 50 mg etanercepta.
Enbrel 50 mg is supplied as a white powder and solvent for solution for injection.
Zdravilo Enbrel 50 mg je na voljo v obliki belega praška in vehikla za raztopino za injiciranje.
Each pack contains 2, 4 or 12 single dose vials, 2, 4 or 12 pre-filled syringes of water for injections, 2, 4 or 12 needles, 2, 4 or 12 vial adaptors and 4, 8 or 24 alcohol swabs.
Vsako pakiranje vsebuje 2, 4 ali 12 enoodmernih vial, 2, 4 ali 12 napolnjenih injekcijskih brizg z vodo za injekcije, 2, 4 ali 12 igel, 2, 4 ali 12 adapterjev za viale in 4, 8 ali 24 alkoholnih tamponov.
317 Marketing Authorisation Holder and Manufacturer
Imetnik dovoljenja za promet z zdravilom in izdelovalec
Ireland Wyeth Pharmaceuticals Tel: + 353 1 449 3500 Fax: + 353 1 449 3522
300 Portugal Ísland Česká Republika Wyeth Lederle Portugal (Farma) Lda.
Sverige Wyeth AB Tel: + 46 8 470 3200 Fax: + 46 8 730 0666
Tel: +46 8 470 3200
Ελλάδα Wyeth Hellas A. E. B. E.
Fax: +36 1 240 4632
T: + 30 2 10 99 81 600 Φαξ: + 30 2 10 99 21 994
Fax: +46 8 730 0666
United Kingdom Wyeth Pharmaceuticals Tel: + 44 845 367 0098 Fax: + 44 1628 414802
Tel: +44 845 367 0098 Tel: +35621 344610 Tηλ: +30 2 10 99 81 600 Fax: +44 1628 414802 Fax: +35621 341087 Φαξ: +30 2 10 99 21 994
319  The dose tray should contain the items listed below.
Vedno uporabljajte le naštete pripomočke.
DO NOT use any other syringe.
NE uporabljajte drugih brizg.
 Remove the contents of the tray.  Remove the plastic cap from the Enbrel vial.
• S podstavka vzemite vso vsebino. • Z viale zdravila Enbrel snemite plastičen pokrovček.
DO NOT remove the grey stopper or aluminium ring around the top of the vial (see Diagram 1).
Z vrha viale NE odstranjujte sivega gumijastega zamaška niti aluminijastega obročka (glejte shemo 1).
 Use a new alcohol swab to clean the grey stopper on the Enbrel vial.
• Z drugim alkoholnim tamponom očistite siv gumijasti zamašek na viali.
With the other hand, push straight down firmly on the adaptor package until you feel the adaptor spike penetrate the vial stopper and FEEL AND HEAR THE ADAPTOR RIM LOCK INTO PLACE (see Diagram 3).
Adapterja NE POTISKAJTE navzdol pod kotom (glejte shemo 4).
It is important that the vial adaptor spike completely penetrates the vial stopper.
302
320  While holding the vial in one hand, remove the plastic packaging from the vial adaptor (see Diagram 5).
• Z eno roko še vedno držite vialo, z drugo pa odstranite plastično embalažo iz adapterja (glejte shemo 5).
 Remove the protective rubber cover from the syringe tip by breaking the white cap along the perforation.
• S konice injekcijske brizge odstranite zaščitni gumijasti pokrovček tako, da prelomite belo kapico na perforiranem delu.
 Do not use the syringe if this perforation is already broken.
• Če je zaščitni pokrovček že prelomljen na perforiranem delu, brizge ne smete uporabiti.
Diagram 7.
Shema 7
321 d.
303 d.
 While holding the vial upright on the flat surface, push the plunger VERY SLOWLY until all the solvent is in the vial (see Diagram 8).
• Medtem, ko držite vialo pokonci na ravni površini, potiskajte bat brizge ZELO POČASI, dokler ni ves vehikel v viali (glejte shemo 8).
This will help to reduce foaming (lots of bubbles).  Once the solvent is added to the Enbrel, the plunger may move up by itself.
Tako boste zmanjšali penjenje (nastajanje mehurčkov). • Ko je vehikel dodan zdravilu Enbrel, se lahko zgodi, da se bat brizge sam pomakne navzgor.
DO NOT shake the vial.
NE stresajte viale.
DO NOT use Enbrel if all the powder in the vial is not dissolved within 10 minutes.
NE uporabljajte zdravila Enbrel, če se ves prašek v viali ni raztopil v 10 minutah.
Diagram 11.
• Nato počasi potegnite bat nazaj, da posesa raztopino v brizgo (glejte shemo 11).
323  While holding the needle and container in one hand, pick up the syringe and insert the syringe tip into the needle opening.  Attach the syringe to the needle by turning it clockwise until completely secured (see Diagram 14).
• Po prelomu plombe, odstranite krajši, širši del plastične embalaže. • Igla bo ostala v daljšem delu embalaže. • Medtem, ko držite iglo z neodstranjenim delom embalaže v eni roki, primite z drugo roko brizgo ter vstavite konico brizge v odprtino igle. • Iglo pritrdite tako, da jo zavrtite v smer urinega kazalca, dokler se ne ustavi (glejte shemo 14).
Diagram 14.
305 Shema 14
324 Diagram 17.
306 Shema 17.
(It may be helpful to keep notes on the location of the previous injections.)  If you have psoriasis, you should try not to inject directly into any raised, thick, red, or scaly skin patches (“ psoriasis skin lesions”).
(Pomagalo bo, če si boste beležili mesta predhodnih injekcij.) • Če imate luskavico, se morate izogibati neposrednemu injiciranju v vsa privzdignjena, zadebeljena, rdeča ali luskava področja na koži (‘ psoriatične kožne spremembe ’).
DO NOT touch this area again before giving the injection.
• Mesto, kjer nameravate vbrizgati zdravilo Enbrel, s krožnim gibom obrišite z alkoholnim zložencem.
With the other hand, hold the syringe like a pencil.
Nato se NE dotikajte več tega predela, dokler ne boste dali injekcije. • Ko se očiščeni predel kože posuši, ga z eno roko nežno stisnite in ga trdno primite.
 With a quick, short motion, push the needle all the way into the skin at an angle between 45° and 90° (see Diagram 18).
Z drugo roko kot svinčnik držite brizgo. • S hitro in kratko kretnjo potisnite iglo do konca v kožo pod kotom 45 do 90 stopinj (glejte shemo 18).
Be careful not to push the needle into the skin too slowly, or with great force.
Pazite, da ne boste igle potisnili v kožo prepočasi ali z veliko silo.
325  When the needle is completely inserted into the skin, release the skin that you are holding.
• Ko je igla v celoti v koži, spustite kožo, ki ste jo držali.
Then push the plunger to inject all of the solution at a slow, steady rate (see Diagram 19).
Nato potisnite bat tako, da boste počasi in enakomerno injicirali vso raztopino (glejte shemo 19).
Diagram 19.
307 Shema 19
DO NOT rub the injection site.
Mesto injiciranja NE masirajte.
INFORMATION FOR THE USER
308 NAVODILO ZA UPORABO
Enbrel 25 mg/ ml powder and solvent for solution for injection for paediatric use Etanercept
Enbrel 25 mg/ ml prašek in vehikel za raztopino za injiciranje za uporabo pri otrocih etanercept
You may need to read it again.  Your doctor will also give you a Patient Alert Card, which contains important safety information that you need to be aware of before and during treatment with Enbrel.  If you have any further questions, ask your doctor or pharmacist.  This medicine has been prescribed for a child in your care.
Morda ga boste želeli ponovno prebrati. • Zdravnik vam bo dal tudi opozorilno kartico bolnika, ki vsebuje pomembne varnostne podatke, ki jih morate poznati pred zdravljenjem z zdravilom Enbrel in med zdravljenjem. • Če imate dodatna vprašanja, se posvetujte z zdravnikom ali s farmacevtom. • Zdravilo je bilo predpisano vašemu otroku osebno in ga ne smete dajati drugim.
It may harm them, even if their symptoms are the same as those of the child you are caring for.  If you are concerned about any side effect, or if you notice any side effects that are not listed in this leaflet, please tell your doctor or pharmacist.
Njim bi lahko celo škodovalo, čeprav imajo znake bolezni, podobne tistim pri otroku, za katerega skrbite. • Če ste zaradi kateregakoli neželenega učinka zaskrbljeni ali če opazite katerikoli neželeni učinek, ki ni omenjen v tem navodilu, obvestite svojega zdravnika ali farmacevta.
Etanercept works by reducing the inflammation associated with the disease that the child under your care has.
Etanercept deluje tako, da zmanjšuje vnetje, ki je povezano z otrokovo boleznijo.
Enbrel is prescribed for the treatment of the following diseases in children and adolescents:
Zdravilo Enbrel se predpisuje za zdravljenje naslednjih bolezni pri otrocih in mladostnikih:
 Polyarticular juvenile idiopathic arthritis (a type of juvenile arthritis that affects many joints), in patients from the age of 4 years who have had an inadequate response to (or are unable to take) methotrexate.  Severe psoriasis in patients from the age of 8 years who have had an inadequate response to (or are unable to take), phototherapies or other systemic therapies.
poliartikularnega juvenilnega idiopatskega artritisa (vrsta juvenilnega artritisa, ki prizadene številne sklepe) pri bolnikih od 4. leta starosti naprej, ki so se nezadostno odzvali na metotreksat (ali ga niso mogli jemati);
If the child you are caring for has Wegener’ s granulomatosis talk to your doctor.
Če ima otrok za katerega skrbite Wegenerjevo granulomatozo, se posvetujte s svojim zdravnikom.
If the child you are caring for is allergic to etanercept or any of the other ingredients of Enbrel.
Če je otrok, za katerega skrbite, alergičen na (preobčutljiv za) etanercept ali katerokoli sestavino zdravila Enbrel.
If the child experiences allergic reactions such as chest tightness, wheezing, dizziness or rash, do not inject more Enbrel, and contact your doctor immediately.  Serious blood infection:
Nemudoma se posvetujte s svojim zdravnikom.
If the child has, or is at risk of developing, a serious blood infection called sepsis.
Če ima otrok resno okužbo krvi (sepso), ali če pri otroku obstaja tveganje za njen pojav.
If the child has an infection of any kind.
Če ima otrok kakršnokoli okužbo.
If you are unsure, please talk to your doctor.  Newborn babies:
Če ste v dvomih, se posvetujte s svojim zdravnikom. • Novorojenčki:
In premature or newborn babies, because it contains benzyl alcohol.
Pri nedonošenčkih in novorojenčkih, ker vsebuje benzilalkohol.
If the child develops a new infection, or is about to have any major surgery, the doctor may wish to monitor the child's treatment with Enbrel.  Infections/ diabetes:
Če se pri otroku pojavi nova okužba, ali če ima predvideno kakršnokoli večjo operacijo, bo zdravnik morda želel zdravljenje z zdravilom Enbrel nadzirati. • Okužbe/ sladkorna bolezen:
Tell your doctor if the child has a history of recurrent infections, or suffers from diabetes or other conditions that increase the risk of infection.  Infections/ monitoring:
Če ima otrok ponavljajoče se okužbe, sladkorno bolezen ali kako drugo stanje, pri katerem je tveganje za okužbo večje, to povejte zdravniku. • Okužbe/ spremljanje:
If the child develops symptoms of an infection such as fever, chills or cough, notify your doctor immediately.
Če se pri vašem otroku razvijejo simptomi okužbe, na primer vročina, mrzlica ali kašelj, o tem nemudoma obvestite zdravnika.
Your doctor may decide to continue to monitor the child for the presence of infections after the child stops using Enbrel.  Tuberculosis:
Mogoče se bo vaš zdravnik odločil, da bo vašega otroka tudi po koncu zdravljenja spremljal glede prisotnosti okužb. • Tuberkuloza:
It is very important that you tell your doctor if the child has ever had tuberculosis, or has been in close contact with someone who has had tuberculosis.
Zelo pomembno je, da poveste svojemu zdravniku, ali je vaš otrok kdaj imel tuberkulozo ali bil v tesnem stiku s kom, ki je imel tuberkulozo.