Examples of using Pitolisant in English and their translations into Swedish
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Colloquial
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Official
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Medicine
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Ecclesiastic
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Ecclesiastic
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Official/political
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Computer
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Programming
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Political
The effect of race on metabolism of pitolisant has not been evaluated.
Combination with pitolisant should be made with a careful monitoring see section 4.4.
In rats, pitolisant/metabolites were shown to cross the placenta see section 5.3.
Pitolisant is contra-indicated in patients with severe hepatic impairment(Child-Pugh C)
The effect of pitolisant on EDS was also assessed in this population using the ESS score.
In clinical trials, no specific cardiac safety signal was identified at therapeutic doses of pitolisant.
Pitolisant also modulates various neurotransmitter systems,
However no increase in dopamine release in the striatal complex including nucleus accumbens was evidenced for pitolisant.
Co-administration of pitolisant with rifampicin in multiple doses significantly decreases pitolisant mean Cmax
Pitolisant should not be used during pregnancy unless the potential benefit outweighs the potential risk for foetus.
Gastric disorders caused by hyperacidity have been reported during clinical studies in 3.5% of the patients receiving pitolisant.
The active substance, pitolisant, attaches to receptors on cells in the brain that are involved in stimulating alertness.
Pitolisant exhibits high serum protein binding(>
Enzyme inducers Co-administration of pitolisant with rifampicin in multiple doses significantly decreases pitolisant mean Cmax
Pitolisant shows greater than 50% inhibition towards OCT1(organic cation transporters 1) at 1.33 µM, the extrapolated IC50 of pitolisant is 0.795 µM.
Narcoleptic patients with high frequency weekly cataplexy rates at baseline were included 54 patients treated with pitolisant and 51 with placebo.
Patients with abnormal levels of sleepiness who take pitolisant should be advised that their level of wakefulness may not return to normal.
Therefore, co-administration of pitolisant with potent CYP3A4 inducers(e.g. rifampicin,
Cataplexy attacks frequency in patients displaying this symptom was decreased significantly(p=0.034) with pitolisant(-65%) compared to placebo -10.
Pitolisant shows greater than 50% inhibition towards OCT1(organic cation transporters 1) at 1.33 µM, the extrapolated IC50 of pitolisant is 0.795 µM see section 4.5.