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Læknablaðið - 01.10.2017, Side 20

Læknablaðið - 01.10.2017, Side 20
420 LÆKNAblaðið 2017/103 R A N N S Ó K N Heimildir 1. Aspelund T, Gudnason V, Magnusdottir BT, Andersen K, Sigurdsson G, Thorsson B, et al. Analysing the Large Decline in Coronary Heart Disease Mortality in the Icelandic Population Aged 25-74 between the Years 1981 and 2006. PLoS One. 2010;5(11):e13957. 2. Thorolfsdottir RB, Aspelund T, Capewell S, Critchley J, Gudnason V, Andersen K. Population assessment of fut- ure trajectories in coronary heart disease mortality. PLoS One. 2014;9(1):1–8. 3. Andersen K, Johannesdottir BK, Kristjansson JM, Gudnason T. Decreasing case fatality in myocardial infarction is explained by improved medical treatment. Acta Cardiol. 2011;66(1):39–49. 4. Sigfusson N, Sigurdsson G, Agnarsson U, Gudmundsdottir II, Stefansdottir I, Sigvaldason H, et al. Declining Coronary Heart Disease Mortality in Iceland: Contribution by Incidence, Recurrence and Case Fatality Rate. Scand Cardiovasc J. 2002;36(6):337–41. 5. 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Ráðleggingar um mataræði fyrir fullorðna og börn frá tveggja ára aldri. Embætti Landlæknis, Reykjavik 2016. 32. Matthiessen J, Andersen L, Barbieri H, Borodulin K, Knudsen V, Korup K, et al. The Nordic Monitoring System 2011–2014: Status and development of diet, physical acti- vity, smoking, alcohol and overweight. Nordic Council of Ministers, Denmark 2016. 33. Thorsson B, Steingrimsdottir L, Halldorsdottir S, Andersen K, Sigurdsson G, Aspelund T, et al. Changes in total cholesterol levels in Western societies are not related to statin, but rather dietary factors: the example of the Icelandic population. Eur Heart J. 2013;34(24):1778–82. 34. Jonsdottir L, Jensson V. Þróun tóbaksneyslu á Íslandi. Embætti landlæknis, Reykjavik 2016. 35. Sigfusson N, Sigurdsson G, Sigvaldason H, Gudnason V. Breytingar á reykingavenjum miðaldra og eldri Íslendinga síðastliðin þrjátíu ár og ástæður þeirra. Niðurstöður úr hóprannsóknum Hjartaverndar. Læknablaðið. 2003;89(6):489–98. 36. 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Associations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE): a prospective cohort study. The Lancet. 2017 Aug 29, 51. Andersen K, Gudnason V. Stefnumörkun í heilbrigðismál- um: leiðin til lýðheilsu. Læknablaðið. 2013;99(3):129–34. 52. Danielsen R, Thorgeirsson G, Einarsson H, Olafsson O, Aspelund T, Harris TB, et al. Prevalence of heart failure in the elderly and future projections: the AGES-Reykjavik study. Scand Cardiovasc J. 2017;51(4):183–9. 53. Sturlaugsdottir R, Aspelund T, Bjornsdottir G, Sigurdsson S, Thorsson B, Eiriksdottir G, et al. Prevalence and determ- inants of carotid plaque in the cross-sectional REFINE- Reykjavik study. BMJ Open. 2016;6(11):e012457. 54. Rasmussen LB, Andersen LF, Borodulin K, Barbieri HE, Fagt S, Matthiessen J, et al. Nordic monitoring of diet, physical activity and overweight. Nordic Council of Ministers, Denmark 2012. 55. Rose G. Sick individuals and sick populations. Int J Epidemiol. 2001;30(3):427-32. Pakkningar: Lyfjaform og styrkur, pakkningastærð Forðatöflur 4 mg 28 stk Forðatöflur 4 mg 84 stk Forðatöflur 8 mg 28 stk Forðatöflur 8 mg 84 stk fesoterodin fumarat Með Toviaz® 4 mg og Toviaz® 8 mg borið saman við lyfleysu í viku 12 ** Með Toviaz® 8 mg borið saman við lyfleysu og tolterodin ER 4 mg í viku 12 *** Færri salernisferðir með Toviaz® 8 mg en með lyfleysu **** Meðferð með Toviaz® 8 mg dró marktækt úr fjölda tilvika bráðaþvagleka í viku 12 borið saman við tolterodin ER 4mg (p= 0,017) og lyfleysu (p<0,001) 1. Toviaz SmPC 3. ágúst 2016 2. Chapple C. et al. BJU Int. 2014;114:418-26. 3. Kaplan S.A. et al. BJU Int. 2010;107: 1432-1440. 4. Chapple C. et al. Eur Urol. 2007;52(4):1204-12. 5. Herschorn S. et al. BJU Int. 2010;105(1):58-66. Þegar manni er mál, þá er manni mál! Fleiri sjúklingar haldast „þurrir“ 5**** 2 af hverjum 3 Minnkuð tíðni bráðaþvagleka2* -80% Minnkuð tíðni bráðrar þvaglátaþarfar3** -45.5% -18.6% Toviaz ® (fesoterodine) Meðferð við einkennum [aukinni tíðni þvagláta og/eða bráðri þvaglátaþörf og/eða bráðaþvagleka] sem geta komið fram hjá fullorðnum sjúklingum með ofvirka þvagblöðru. P P 1 7 0 5 0 1 Minnkuð tíðni þvagláta4*** Skyndileg bráð þvaglátaþörf og bráðaþvagleki eru algengustu einkenni ofvirkrar þvagblöðru. Með Toviaz® 4 og 8mg er hægt að draga marktækt úr einkennum, borið saman við lyfleysu.2,3 Verð er hægt að sjá á www.lgn.is Greiðsluþátttaka: Já. Stjörnumerktur texti (*) er umskrifaður og/eða styttur úr upplýsingum um lyfið, sem samþykktar voru af EMA 3. ágúst 2016. Upplýsingar um lyfið er að finna á www.serlyfjaskra.is, auk þess sem hægt er að fá hann hjá umboðsaðila Pfizer, Icepharma hf Icepharma . Lyngháls 13 . 110 Reykjavík . S: 540-8000 . www.icepharma.is Stytt samantekt á eiginleikum lyfs fyrir Toviaz® (fesoterodine) TOVIAZ 4 mg og 8 mg forðatöflur. Innihaldslýsing: Hver forðatafla inniheldur fesóteródín fumarat 4 mg, sem samsvarar 3,1 mg af fesóteródíni, eða fesóteródín fumarat 8 mg, sem samsvarar 6,2 mg af fesóteródíni. Ábendingar: TOVIAZ er ætlað til meðferðar hjá fullorðnum á einkennum (aukin tíðni þvagláta og/eða bráð þörf fyrir þvaglát og/eða bráðaþvagleki) sem fram geta komið hjá sjúklingum með ofvirka þvagblöðru (overactive bladder syndrome). Frábendingar: Ofnæmi fyrir virka efninu eða fyrir jarðhnetum eða soja eða einhverju hjálparefnanna. Þvagteppa. Magateppa. Ómeðhöndluð (uncontrolled) þrönghornsgláka. Vöðvaslensfár. Alvarlega skert lifrarstarfsemi (Child Pugh flokkur C). Samhliðanotkun öflugra CYP3A4 hemla hjá sjúklingum með meðal til alvarlega skerðingu á nýrna- eða lifrarstarfsemi. Alvarleg sáraristilbólga. Eitrunarrisaristill (toxic megacolon). Upplýsingar um aukaverkanir, milliverkanir, varnaðarorð og önnur mikilvæg atriði má nálgast í sérlyfjaskrá - www.serlyfjaskra.is. Dags. síðustu samþykktar SmPC sem þessi stytti texti byggir á: 3. ágúst 2016. Markaðsleyfishafi: Pfizer Limited. Fyrir frekari upplýsingar um lyfið má hafa samband við Icepharma hf. Lynghálsi 13, s. 540 8000. Dregur úr einkennum ofvirkrar þvagblöðru 1 1

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