Eiropas Savienība - igauņu - EMA (European Medicines Agency)

merck sharp & dohme b.v.  - follitropiin beeta - infertility; hypogonadism - suguhormoonid ja genitaalsüsteemi, - naine:fertavid on näidustatud ravi naiste viljatus järgmistes kliinilistes situatsioonides:anovulation (kaasa arvatud polütsüstiliste munasarjade haigus, pcod) naistel, kellel on olnud allu ravile clomifene citratecontrolled munasarja hyperstimulation esile kutsuda arengut mitme follicles on meditsiiniliselt viljastamise programmid [e. in vitro viljastamise/embrüo ülekanne (ivf/et), gamete-sisese fallopian ülekanne (gift) ja intracytoplasmic spermatosoidi süstimine (icsi). mees:puudulik spermatogeneesi tõttu hypogonadotrophic hüpogonadism.

Eiropas Savienība - igauņu - EMA (European Medicines Agency)

merck sharp & dohme b.v.  - inimese papilloomiviiruse tüübi 6 l1-proteiini, inimese papilloomiviiruse tüübi 11 l1-proteiini, inimese papilloomiviiruse tüübi 16 l1-proteiini, inimese papilloomiviiruse tüübi 18 l1-proteiini - papillomavirus infections; uterine cervical dysplasia; condylomata acuminata; immunization - vaktsiinid - gardasil on vaktsiin kasutamiseks vanuses 9 aastat ennetamise:premalignant suguelundite kahjustused (emakakaela, vulvar ja tupe), premalignant anal kahjustused, emakakaela vähk ja päraku vähk põhjuslikult seotud teatavate oncogenic inimese papilloomiviiruse (hpv) tüübid;suguelundite tüükad (condyloma acuminata) põhjuslikult seotud kindlate hpv tüübid. vt lõigud 4. 4 ja 5. 1, et saada olulist teavet selle näidustust toetavate andmete kohta. kasutada gardasil peab olema kooskõlas ametlike soovitustega.

Eiropas Savienība - igauņu - EMA (European Medicines Agency)

merck sharp & dohme b.v. - inimese papilloomiviiruse vaktsiin [tüübid 6, 11, 16, 18, 31, 33, 45, 52, 58] (rekombinantne, adsorbeeritud) - condylomata acuminata; papillomavirus infections; immunization; uterine cervical dysplasia - papilloomiviiruse vaktsiini - gardasil 9 on näidustatud aktiivse immuniseerimise üksikisikute alates vanusest 9 aastat vastu järgmised hpv haigused:premalignant traumad ning kasvajad, mis mõjutavad emakakaela, häbeme, tupe ja päraku, mis on põhjustatud vaktsiini hpv typesgenital tüükad (condyloma acuminata), mis on põhjustatud konkreetse hpv tüübid. vt lõigud 4. 4 ja 5. 1 oluline teave andmete kohta, mida toetada nende tähiste. kasutada gardasil 9 peaks olema kooskõlas ametlike soovitustega.

Eiropas Savienība - igauņu - EMA (European Medicines Agency)

merck sharp & dohme b.v. - interferoon alfa-2b - carcinoid tumor; leukemia, hairy cell; lymphoma, follicular; hepatitis b, chronic; hepatitis c, chronic; leukemia, myelogenous, chronic, bcr-abl positive; melanoma; multiple myeloma - immunostimulants, - kroonilise hepatiidi btreatment täiskasvanud patsientidel, kellel on krooniline b-hepatiidi seotud tõendid hepatiit-b viiruse replikatsiooni (esinemine dna-hepatiit-b viiruse dna (hbv-dna) ja hepatiit-b antigeeni (hbeag), suurenenud alaniini kontsentratsioon (alt) ja histoloogiliselt tõestatud aktiivne maksapõletik ja / või fibroos. kroonilise hepatiidi cenne algatamise ravi introna, tuleks kaaluda tulemused kliinilistes uuringutes võrreldi introna koos pegylated interferoon. täiskasvanud patientsintrona on näidustatud ravi täiskasvanud patsientidel, kellel on krooniline hepatiit c, kes on kõrgenenud transaminases ilma maksa dekompensatsiooni ja kes on positiivsed c-hepatiidi viiruse rna (hcv-rna). parim viis kasutada introna see märge on koos ribavirin. lapsed kolme-aastased ja vanemad ning adolescentsintrona on märgitud kombinatsioon raviskeemi, mille ribavirin, laste ravimiseks kolme-aastased ja vanemad) ja noorukid, kellel on krooniline hepatiit c, ei ole varem töödeldud, ilma maksa dekompensatsiooni, ja kes on positiivsed hcv-rna. kui otsustatakse, et ei ravi edasi lükata, kuni täiskasvanueani, on tähtis arvestada, et kombineeritud ravi põhjustatud kasvu inhibeerimine, mille tulemusena vähendatud lõplik täiskasvanud kõrgus mõnedel patsientidel. otsus ravida, tuleb teha iga juhtumi puhul eraldi. karvane-cell leukaemiatreatment patsientidele, kellel karvane raku leukeemia. kroonilise müeloidse leukaemiamonotherapytreatment täiskasvanud patsientidel philadelphia-kromosoom - või bcr/abl-translokatsioon-positiivse kroonilise müeloidse leukeemia. kliiniline kogemus näitab, et hematoloogiline ja tsütogeneetiline suur / väike vastus on kättesaadav enamik patsiente ravida. oluline tsütogeneetiline vastus on defineeritud < 34 % ph+ leukaemic rakud luuüdis, arvestades, et alaealine vastus on ≥ 34 %, kuid < 90 % ph+ rakkude üdi. kombinatsioon therapythe kombinatsioonis interferoon alfa-2b ja cytarabine (ara-c), mida manustatakse esimese 12 kuu jooksul ravi on tõestatud, et oluliselt suurendada määra suurt tsütogeneetiline vastused ja oluliselt pikendavad üldine elulemus kolm aastat ja võrreldes interferoon alfa-2b monotherapy. mitu myelomaas hooldus ravi patsientidel, kes on saavutatud objektiivne remissioon (rohkem kui 50% võrra myeloma valk) pärast esialgset induktsiooni-kemoteraapiat. praegune kliiniline kogemus näitab, et säilitusravi interferoon alfa-2b pikendab platoo etapp; kuid toimet üldisele elulemusele ei ole veenvalt tõendanud,. follikulaarne lymphomatreatment suure-kasvaja-koormuse follikulaarne lümfoom, nagu täiendust sobiva koostisega induktsioon kemoteraapia, nagu karbonaad-nagu raviskeemi. kõrge tuumori koormus on määratletud, millel on vähemalt üks järgmine omadus: mahukad kasvaja mass (> 7 cm), kaasamine kolm või rohkem sõlmpunkti saidid (igaüks > 3 cm), süsteemsed sümptomid (kaalulangus > 10 %, pyrexia > 38°c rohkem kui kaheksa päeva, või öine higistamine), splenomegaly kaugemale moodustisi, oluline organ obstruktsiooni või kompressiooni sündroom, orbiidi või epiduraalsed kaasamine, seroossest efusioon või leukeemia. carcinoid tumourtreatment, carcinoid kasvajad koos lümfisõlmede või maksa metastases ja "carcinoid sündroomi". pahaloomuliste melanomaas abiaine ravi patsientidel, kes on vaba haiguse pärast operatsiooni, kuid on suur oht süsteemsete juhtumite kordumist e. patsiendid, kellel on esmane või korduv (kliinilistel või patoloogilistel) lümfisõlmede.

Eiropas Savienība - igauņu - EMA (European Medicines Agency)

merck sharp & dohme b.v. - raltegravir - hiv-nakkused - viirusevastased ravimid süsteemseks kasutamiseks - isentress on näidustatud kombinatsioonis teiste retroviiruste ravimid raviks inimese immuunpuudulikkuse viiruse (hiv-1) nakkus.

Eiropas Savienība - igauņu - EMA (European Medicines Agency)

merck sharp & dohme b.v. - fosaprepitant - vomiting; cancer - antiemeetikumid ja antinauseants, - ennetamine iiveldus ja oksendamine, mis on seotud kõrgelt ja mõõdukalt emetogenic vähk, kemoteraapia täiskasvanud ja pediaatriliste patsientide vanuses 6 kuud ja vanemad. ivemend 150 mg on esitatud osana kombineeritud ravi.

Eiropas Savienība - igauņu - EMA (European Medicines Agency)

merck sharp & dohme b.v. - sitagliptin, metformiin vesinikkloriid - suhkurtõbi, tüüp 2 - diabeetis kasutatavad ravimid - patsientidel, kellel on tüüp 2 diabeet:janumet on näidustatud lisandina toitumise ja treeningu parandamiseks glycaemic kontrolli patsientidel, ebapiisavalt kontrollitud nende maksimaalne talutav annus metformiin üksi või need, kes on juba ravitakse kombinatsioon sitagliptin ja metformiin. janumet on näidustatud kombinatsioonis sulphonylurea i. , kolmekordne kombineeritud ravi) lisandina toitumise ja treeningu patsientidel, ebapiisavalt kontrollitud nende maksimaalne talutav annus metformiin ja sulphonylurea. janumet on näidustatud triple kombineeritud ravi ppar agonist i. , thiazolidinedione) lisandina toitumise ja treeningu patsientidel, ebapiisavalt kontrollitud nende maksimaalne talutav annus metformiin ja ppar agonist. janumet on ka märgitud, et lisada kohta, et insuliini i. , kolmekordne kombineeritud ravi) lisandina toitumise ja treeningu parandamiseks glycaemic kontrolli patsientidel, kui see on stabiilne annus insuliin ja metformiin üksi ei taga piisavat kontrolli glycaemic.

Eiropas Savienība - igauņu - EMA (European Medicines Agency)

merck sharp and dohme b.v - sitagliptiin - suhkurtõbi, tüüp 2 - diabeetis kasutatavad ravimid - täiskasvanud patsientidel, kellel on tüüp-2 diabeet, januvia on näidustatud parandada glycaemic kontroll:kui monotherapy:patsientidel, ebapiisavalt kontrollitud dieet ja füüsiline koormus üksi ning kellele metformiin ei sobi tõttu vastunäidustusi või talumatust;dual suukaudne ravi koos:metformiin, kui dieedi ja füüsilise koormuse pluss metformiin üksi ei taga piisavat glycaemic kontrolli;sulphonylurea, kui dieedi ja füüsilise koormuse pluss maksimaalne talutav annus sulphonylurea üksi ei taga piisavat glycaemic kontrolli ja kui metformiin ei sobi tõttu vastunäidustusi või talumatust;a peroxisome-proliferator-activated-retseptor gamma (ppary) agonist i. a thiazolidinedione), kui kasutada ppary agonist on sobiv ja kui dieedi ja füüsilise koormuse pluss ppary agonist üksi ei taga piisavat glycaemic kontrolli;ppary agonist i. a thiazolidinedione), kui kasutada ppary agonist on sobiv ja kui dieedi ja füüsilise koormuse pluss ppary agonist üksi ei taga piisavat glycaemic kontrolli;kui kolmekordse suukaudse ravi koos:sulphonylurea ja metformiin, kui dieedi ja füüsilise koormuse pluss dual ravi nende ravimitega ei ole tagatud piisav glycaemic kontrolli;ppary agonist ja metformiin, kui kasutada ppary agonist on sobiv ja kui dieedi ja füüsilise koormuse pluss dual ravi nende ravimitega ei taga piisavat kontrolli glycaemic. januvia on ka märgitud, et add-on, et insuliini (koos või ilma metformiin), kui dieedi ja füüsilise koormuse pluss stabiilse annuse insuliini ei taga piisavat kontrolli glycaemic.

Eiropas Savienība - igauņu - EMA (European Medicines Agency)

merck sharp & dohme b.v. - pembrolizumab - melanoma; hodgkin disease; carcinoma, renal cell; carcinoma, non-small-cell lung; carcinoma, transitional cell; squamous cell carcinoma of head and neck; urologic neoplasms; endometrial neoplasms - antineoplastilised ained - melanomakeytruda as monotherapy is indicated for the treatment of adults and adolescents aged 12 years and older with advanced (unresectable or metastatic) melanoma. keytruda as monotherapy is indicated for the adjuvant treatment of adults and adolescents aged 12 years and older with stage iib, iic, or with stage iii melanoma and lymph node involvement who have undergone complete resection. non small cell lung carcinoma (nsclc)keytruda as monotherapy is indicated for the adjuvant treatment of adults with non-small cell lung carcinoma who are at high risk of recurrence following complete resection and platinum based chemotherapy (for selection criteria, see section 5. keytruda as monotherapy is indicated for the first line treatment of metastatic non small cell lung carcinoma in adults whose tumours express pd l1 with a ≥ 50% tumour proportion score (tps) with no egfr or alk positive tumour mutations. keytruda, in combination with pemetrexed and platinum chemotherapy, is indicated for the first-line treatment of metastatic non squamous non small cell lung carcinoma in adults whose tumours have no egfr or alk positive mutations. keytruda, in combination with carboplatin and either paclitaxel or nab paclitaxel, is indicated for the first line treatment of metastatic squamous non small cell lung carcinoma in adults. keytruda  as monotherapy is indicated for the treatment of locally advanced or metastatic non small cell lung carcinoma in adults whose tumours express pd l1 with a ≥ 1% tps and who have received at least one prior chemotherapy regimen. patsiendid, kellel on egfr-või kristallimise positiivne kasvaja mutatsioonid peaks ka saanud suunatud ravi enne saanud keytruda. classical hodgkin lymphoma (chl)keytruda as monotherapy is indicated for the treatment of adult and paediatric patients aged 3 years and older with relapsed or refractory classical hodgkin lymphoma who have failed autologous stem cell transplant (asct) or following at least two prior therapies when asct is not a treatment option. urothelial carcinomakeytruda as monotherapy is indicated for the treatment of locally advanced or metastatic urothelial carcinoma in adults who have received prior platinum containing chemotherapy. keytruda as monotherapy is indicated for the treatment of locally advanced or metastatic urothelial carcinoma in adults who are not eligible for cisplatin containing chemotherapy and whose tumours express pd l1 with a combined positive score (cps) ≥ 10. head and neck squamous cell carcinoma (hnscc)keytruda, as monotherapy or in combination with platinum and 5 fluorouracil (5 fu) chemotherapy, is indicated for the first line treatment of metastatic or unresectable recurrent head and neck squamous cell carcinoma in adults whose tumours express pd l1 with a cps ≥ 1. keytruda as monotherapy is indicated for the treatment of recurrent or metastatic head and neck squamous cell carcinoma in adults whose tumours express pd l1 with a ≥ 50% tps and progressing on or after platinum containing chemotherapy. renal cell carcinoma (rcc)keytruda, in combination with axitinib, is indicated for the first line treatment of advanced renal cell carcinoma in adults. keytruda  as monotherapy is indicated for the adjuvant treatment of adults with renal cell carcinoma at increased risk of recurrence following nephrectomy, or following nephrectomy and resection of metastatic lesions (for selection criteria, please see section 5. microsatellite instability high (msi-h) or mismatch repair deficient (dmmr) cancerscolorectal cancer (crc)keytruda as monotherapy is indicated for theadults with msi-h or dmmr colorectal cancer in the following settings:first line treatment of metastatic microsatellite instability high (msi h) or mismatch repair deficient (dmmr) colorectal cancer in adults;treatment of unresectable or metastatic colorectal cancer after previous fluoropyrimidine based combination therapy.  non-colorectal cancerskeytruda as monotherapy is indicated for the treatment of the following msi h or dmmr tumours in adults with:advanced or recurrent endometrial carcinoma, who have disease progression on or following prior treatment with a platinum containing therapy in any setting and who are not candidates for curative surgery or radiation;unresectable or metastatic gastric, small intestine, or biliary cancer, who have disease progression on or following at least one prior therapy. oesophageal carcinomakeytruda, in combination with platinum and fluoropyrimidine based chemotherapy, is indicated for the first-line treatment of locally advanced unresectable or metastatic carcinoma of the oesophagus or her-2 negative gastroesophageal junction adenocarcinoma, in adults whose tumours express pd l1 with a cps ≥ 10. triple negative breast cancer (tnbc)keytruda, in combination with chemotherapy as neoadjuvant treatment, and then continued as monotherapy as adjuvant treatment after surgery, is indicated for the treatment of adults with locally advanced, or early stage triple negative breast cancer at high risk of recurrence. keytruda, in combination with chemotherapy, is indicated for the treatment of locally recurrent unresectable or metastatic triple negative breast cancer in adults whose tumours express pd l1 with a cps ≥ 10 and who have not received prior chemotherapy for metastatic disease. endometrial carcinoma (ec)keytruda, in combination with lenvatinib, is indicated for the treatment of advanced or recurrent endometrial carcinoma in adults who have disease progression on or following prior treatment with a platinum containing therapy in any setting and who are not candidates for curative surgery or radiation. cervical cancerkeytruda, in combination with chemotherapy with or without bevacizumab, is indicated for the treatment of persistent, recurrent, or metastatic cervical cancer in adults whose tumours express pd l1 with a cps ≥ 1. gastric or gastro-oesophageal junction (gej) adenocarcinomakeytruda, in combination with trastuzumab, fluoropyrimidine and platinum-containing chemotherapy, is indicated for the first-line treatment of locally advanced unresectable or metastatic her2-positive gastric or gastro-oesophageal junction adenocarcinoma in adults whose tumours express pd-l1 with a cps ≥ 1.

Eiropas Savienība - igauņu - EMA (European Medicines Agency)

merck sharp and dohme b.v - posakonasool - candidiasis; mycoses; coccidioidomycosis; aspergillosis - antimükoosid süsteemseks kasutamiseks - noxafil gastro-resistant tablets are indicated for use in the treatment of the following fungal infections in adults (see sections 4. 2 ja 5. 1):- invasive aspergillosisnoxafil gastro-resistant tablets are indicated for use in the treatment of the following fungal infections in paediatric patients from 2 years of age weighing more than 40 kg and adults (see sections  4. 2 ja 5. 1):- invasive aspergillosis in patients with disease that is refractory to amphotericin b or itraconazole or in patients who are intolerant of these medicinal products;- fusariosis in patients with disease that is refractory to amphotericin b or in patients who are intolerant of amphotericin b;- chromoblastomycosis and mycetoma in patients with disease that is refractory to itraconazole or in patients who are intolerant of itraconazole;- coccidioidomycosis in patients with disease that is refractory to amphotericin b, itraconazole or fluconazole or in patients who are intolerant of these medicinal products. refractoriness defineeritakse kui infektsiooni progresseerumise või suutmatus parandada pärast vähemalt 7 päeva enne ravi annuste efektiivne seenhaiguste ravi. noxafil gastro-resistant tablets are also indicated for prophylaxis of invasive fungal infections in the following paediatric patients from 2 years of age weighing more than 40 kg and adults (see sections 4. 2 ja 5. 1):- patients receiving remission-induction chemotherapy for acute myelogenous leukaemia (aml) or myelodysplastic syndromes (mds) expected to result in prolonged neutropenia and who are at high risk of developing invasive fungal infections;- hematopoietic stem cell transplant (hsct) recipients who are undergoing high-dose immunosuppressive therapy for graft versus host disease and who are at high risk of developing invasive fungal infections. please refer to the summary of product characteristics of noxafil oral suspension for use in oropharyngeal candidiasis.  noxafil concentrate for solution for infusion is indicated for use in the treatment of the following fungal infections in adults (see sections 4. 2 ja 5. 1):- invasive aspergillosisnoxafil concentrate for solution for infusion is indicated for use in the treatment of the following fungal infections in adult and paediatric patients from 2 years of age (see sections 4. 2 ja 5. 1):- invasive aspergillosis in patients with disease that is refractory to amphotericin b or itraconazole or in patients who are intolerant of these medicinal products;- fusariosis in patients with disease that is refractory to amphotericin b or in patients who are intolerant of amphotericin b;- chromoblastomycosis and mycetoma in patients with disease that is refractory to itraconazole or in patients who are intolerant of itraconazole;- coccidioidomycosis in patients with disease that is refractory to amphotericin b, itraconazole or fluconazole or in patients who are intolerant of these medicinal products. refractoriness defineeritakse kui infektsiooni progresseerumise või suutmatus parandada pärast vähemalt 7 päeva enne ravi annuste efektiivne seenhaiguste ravi. noxafil concentrate for solution for infusion is also indicated for prophylaxis of invasive fungal infections in the following adult and paediatric patients from 2 years of age (see sections 4. 2 ja 5. 1):- patients receiving remission-induction chemotherapy for acute myelogenous leukaemia (aml) or myelodysplastic syndromes (mds) expected to result in prolonged neutropenia and who are at high risk of developing invasive fungal infections;- hematopoietic stem cell transplant (hsct) recipients who are undergoing high-dose immunosuppressive therapy for graft versus host disease (gvhd) and who are at high risk of developing invasive fungal infections. please refer to the summary of product characteristics of noxafil oral suspension for use in oropharyngeal candidiasis.  noxafil gastro resistant powder and solvent for oral suspension is indicated for use in the treatment of the following fungal infections in paediatric patients from 2 years of age (see sections 4. 2 ja 5. 1):- invasive aspergillosis in patients with disease that is refractory to amphotericin b or itraconazole or in patients who are intolerant of these medicinal products;- fusariosis in patients with disease that is refractory to amphotericin b or in patients who are intolerant of amphotericin b;- chromoblastomycosis and mycetoma in patients with disease that is refractory to itraconazole or in patients who are intolerant of itraconazole;- coccidioidomycosis in patients with disease that is refractory to amphotericin b, itraconazole or fluconazole or in patients who are intolerant of these medicinal products. refractoriness defineeritakse kui infektsiooni progresseerumise või suutmatus parandada pärast vähemalt 7 päeva enne ravi annuste efektiivne seenhaiguste ravi. noxafil gastro-resistant powder and solvent for oral suspension is indicated for prophylaxis of invasive fungal infections in the following paediatric patients from 2  years of age:- patients receiving remission-induction chemotherapy for acute myelogenous leukaemia (aml) or myelodysplastic syndromes (mds) expected to result in prolonged neutropenia and who are at high  risk of developing invasive fungal infections;- haematopoietic stem cell transplant (hsct) recipients who are undergoing high-dose immunosuppressive therapy for graft versus host disease and who are at high  risk of developing invasive fungal infections. please refer to the summary of product characteristics of noxafil concentrate for solution for infusion and the gastro-resistant tablets for use in primary treatment of invasive aspergillosis. please refer to the summary of product characteristics of noxafil oral suspension for use in oropharyngeal candidiasis.  noxafil oral suspension is indicated for use in the treatment of the following fungal infections in adults (see section 5. 1):- invasiivsed aspergillosis patsientidel, kellel on haigus, mis on tulekindlad, et amphotericin b või itraconazole, või patsientidel, kes ei talu neid ravimeid;- fusariosis patsientidel, kellel on haigus, mis on tulekindlad, et amphotericin b, või patsientidel, kes ei talu, amphotericin b;- chromoblastomycosis ja mycetoma patsientidel, kellel on haigus, mis on tulekindlad, et itraconazole, või patsientidel, kes ei talu, itraconazole;- coccidioidomycosis patsientidel, kellel on haigus, mis on tulekindlad, et amphotericin b, itraconazole või fluconazole, või patsientidel, kes ei talu neid ravimeid;- farüngeaalne kandidoos: kui esimese rea ravi patsientidel, kellel on raske haigus, või on immunocompromised, kelle vastus aktuaalne ravi on oodata halb. refractoriness defineeritakse kui infektsiooni progresseerumise või suutmatus parandada pärast vähemalt 7 päeva enne ravi annuste efektiivne seenhaiguste ravi. noxafil oral suspension is also indicated for prophylaxis of invasive fungal infections in the following patients:- patients receiving remission-induction chemotherapy for acute myelogenous leukaemia (aml) or myelodysplastic syndromes (mds) expected to result in prolonged neutropenia and who are at high risk of developing invasive fungal infections;- hematopoietic stem cell transplant (hsct) recipients who are undergoing high-dose immunosuppressive therapy for graft versus host disease and who are at high risk of developing invasive fungal infections. please refer to the summary of product characteristics of noxafil concentrate for solution for infusion and the gastro-resistant tablets for use in primary treatment of invasive aspergillosis.