Примери за използване на Tolvaptan на Английски и техните преводи на Български
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Tolvaptan must not be re-initiated in patients unless the cause for the observed liver injury is definitively established to be unrelated to treatment with tolvaptan.
If liver injury is suspected, tolvaptan should be promptly discontinued,
Tolvaptan should not be re-initiated in patients unless the cause for the observed liver injury is definitively established to be unrelated to treatment with tolvaptan.
Tolvaptan(n= 961)
Tolvaptan affinity for the human V2 receptor is 1.8 times that of native AVP.
Following multiple once daily dosing of 300 mg, tolvaptan exposure was only increased 6.4-fold when compared to a 30 mg dose.
Tolvaptan treatment had no statistically significant favourable
changes were not significantly correlated with tolvaptan exposure.
Following an additional 2 years of tolvaptan treatment, resulting in a total of 5 years on tolvaptan therapy no new safety signals were identified.
Further reductions have to be considered if patients cannot tolerate the reduced tolvaptan doses.
120 mg/day in ADPKD patients, tolvaptan exposure(AUC) increases linearly.
will decrease tolvaptan exposure and efficacy.
A reversible reduction in GFR has been observed in ADPKD trials at the initiation of tolvaptan treatment.
Co-administration of tolvaptan and fluconazole, a moderate CYP3A inhibitor, produced a 200% and 80% increase in tolvaptan AUC and Cmax, respectively.
associated with tolvaptan therapy are tabulated below.
Dose adjustment for patients taking strong CYP3A inhibitors In patients taking strong CYP3A inhibitors(see section 4.5), tolvaptan doses have to be reduced as follows.
Dose adjustment for patients taking moderate CYP3A inhibitors In patients taking moderate CYP3A inhibitors, tolvaptan doses have to be reduced as follows.
the pooled analysis of the two trials revealed five-fold more tolvaptan than placebo patients achieved normalisation of serum sodium concentrations(49% vs. 11%).
Two(2/957, 0.2%) of these tolvaptan treatedpatients, as well as a third patient from an extension open label trial, exhibited increases in hepatic enzymes(> 3× ULN) with concomitant elevations in BT(> 2× ULN).
Statins commonly used in the tolvaptan phase 3 pivotal trial(e.g., rosuvastatin and pitavastatin) are OATP1B1 or OATP1B3 substrates, however no difference in AE profile was observed during the phase 3 pivotal trial for tolvaptan in ADPKD.