Glossary entry

French term or phrase:

sous couvert de

English translation:

with ongoing Uromitexan cotreatment

Added to glossary by Drmanu49
Feb 1, 2022 11:30
2 yrs ago
50 viewers *
French term

sous couvert de

French to English Medical Medical (general) Chemotherapy regimen
Hello
Not sure what this little phrase means here, the translator has put "under the protection of"


Context:
Endoxan : 600 mg iv sous couvert d'Uromitexan

Thank you!
Change log

Feb 4, 2022 13:35: Drmanu49 Created KOG entry

Discussion

Gabrielle Leyden Feb 2, 2022:
combined administration As Drmanu49 and others say, combined with protective administration of Uromitexan (if you want to get the whole idea in)
Drmanu49 Feb 1, 2022:
This is a frequent combined treatment.
Sue Davis Feb 1, 2022:
https://forum.wordreference.com/threads/sous-couvert-de.3205... This ref suggests 'under the protection of". Endoxan (cyclophosphamide) can irritate the bladder. 'Uromitexan (Mesna) is co-administered to prevent irritation and bleeding. https://www.macmillan.org.uk/cancer-information-and-support/...

Proposed translations

+4
10 mins
Selected

with ongoing Uromitexan cotreatment

Résumé des Caractéristiques du Produit - Répertoire des ...
http://agence-prd.ansm.sante.fr › php › ecodex › rcp
24 nov. 2005 — ENDOXAN 1000 mg, poudre pour solution injectable ... Il est recommandé d'associer l'administration d'UROMITEXAN à partir de 600 mg/m2/j ...

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Note added at 10 minutes (2022-02-01 11:41:13 GMT)
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or combined with UROMITEXAN
Peer comment(s):

agree abe(L)solano
1 hr
Thank you.
agree Anastasia Kalantzi
2 hrs
Thank you.
agree Andrew Bramhall : Co-treatment, with a hyphen;
3 hrs
Thank you.
agree Erzsébet Czopyk : with remarks of Andrew Bramhall too
1 day 22 hrs
Thank you.
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4 KudoZ points awarded for this answer. Comment: "Thank you!"
15 mins

covered by

Endoxan : 600 mg iv covered Uromitexan

--------------------------------------------------
Note added at 22 mins (2022-02-01 11:52:49 GMT)
--------------------------------------------------

Endoxan: 600 mg IV covered by Urometexan. ( Urometexan is given to cover Endoxan, probably in order to avoid some adverse reactions or for other reason. In this situations we usually say that medication X is covered by medication Y)

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Note added at 29 mins (2022-02-01 11:59:38 GMT)
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Explanation:
Endoxan : 600 mg iv covered by Uromitexan ( and NOT Endoxan : 600 mg iv covered Uromitexan, as I wrote by mistake in the explanation, I can not change.)
Peer comment(s):

neutral writeaway : any refs to back so much confidence?
3 mins
my medical work experience in UK.
neutral Drmanu49 : Gallicism
3 mins
neutral Anastasia Kalantzi : Car on pourrait l'utiliser si on avait l'expression équivalente de "sous le couvert de, protégé par, sous la responsabilité de quelqu'un".
2 hrs
Something went wrong...
+1
3 hrs

= to counter (one of) the effects of

It should be clear to medical people why the two drugs are administered together, but something like "cotreatment", "combined with", etc. might result in non-experts thinking both contribute actively to remedying the problem, where in fact Endoxan can damage the bladder lining and Uromitexan counters that side effect to at least some extent.

The French have gone to the trouble of indicating the protective nature of the administration. This should be repeated in English, I feel. "Under the protection of" is short and sweet and would probably be clear to the professional.

"in conjunction with Uromitexan to counter adverse side effects" is exact, I think, but lengthy.

Note that the square brackets are mine.

ENDOXAN [...] Il est recommandé d'associer l'administration [d'Endoxan] d'Uromitexan (Mesna) à partir de 600 mg/m2/j et/ou d'assurer une hydratation suffisante (absorption ou perfusion) pendant ou immédiatement après la prise du traitement pour réaliser une diurèse forcée et prévenir ainsi le risque de toxicité des voies urinaires.
https://base-donnees-publique.medicaments.gouv.fr/affichageD...

Endoxan is a cyclophosphamide

"COMPOSITION DU MÉDICAMENT ENDOXAN
p cp p fl p fl
Cyclophosphamide 50 mg 500 mg 1 000 mg"
https://www.vidal.fr/medicaments/gammes/endoxan-21176.html

"ENDOXAN (cyclophosphamide)"
https://www.has-sante.fr/jcms/c_2627627/fr/endoxan-cyclophos...

"Uromitexan
(mesna)
DIN (Drug Identification Number)
02241411 UROMITEXAN 100MG/ML INJECTION"
https://www.medbroadcast.com/drug/getdrug/uromitexan

"The chemotherapy drugs ifosfamide and cyclophosphamide [ENDOXAN] can sometimes irritate the lining of the bladder. This can cause bleeding from the bladder and may show up as blood in your urine (pee). This is called haematuria. Mesna [UROMETIXAN] helps protect your bladder to prevent irritation and bleeding."
https://www.macmillan.org.uk/cancer-information-and-support/...

"Administrer l’ENDOXAN® (500 à 1500 mg selon les cas) dilué dans 250 ml de Sérum Salé 0.9%, en dérivation avec l’UROMITEXAN®, 200 mg dilué dans 100 ml de Sérum Salé 0.9%. La perfusion doit passer en 1 heure environ."
http://www.rhone-alpes-sep.org/wp-content/uploads/2013/03/EN...

"Indications UROMITEXAN
Prévention de la toxicité urinaire des oxazaphosphorines (CYCLOPHOSPHAMIDE à fortes doses: ≥ 600 mg /m2/J, ifosfamide quelle que soit la dose)."
https://www.doctissimo.fr/medicament-UROMITEXAN.htm



Peer comment(s):

agree Anastasia Kalantzi : In the sense of deputize, replace, substitute, or appease, diminish, yes it could be.
6 hrs
neutral abe(L)solano : I would avoid the use of this construction, since it may lead to confusion as in "Y counteracts X" (having Y the opposite effect/being the antidote of X). I´m a Pharmacist and "counter/counteract" should be used with extreme caution.
16 hrs
Something went wrong...
+2
20 hrs
French term (edited): sous couvert d\'Uromitexan

with mesna rescue

"Protection", "uroprotection" or "bladder protection" may work as well.

-----------------------------------------------------------------------------

Name: Mesna

Alternate Names:
D 7093
Mesna rescue
Mesnex
Mesnex uroprotection
Mesnum
Mistabron
Mitexan
Mucofluid
Sodium 2-mercaptoethanolsulfonate
UCB 3983
Uromitexan

Abbreviations: None

Category: Ancillary Agent

Subcategory: None

NSC Number: 113891

Primary Site: None

Histology: None

Remarks: A prophylactic detoxifying agent used to inhibit hemorrhagic cystitis caused by ifosfamide. FDA approved for bladder protection when using cyclophosphamide (prevents bladder toxicity).
https://seer.cancer.gov/seertools/seerrx/rx/53c44b01102c1290...

Peer comment(s):

agree Sue Davis
5 hrs
agree Anastasia Kalantzi
9 hrs
Something went wrong...

Reference comments

12 mins
Reference:

use of Uromitexan with cyclophosphamide

the translator's interpretation doesn't seem too far out given the usually use of Uromitexan to decrease the risk of bleeding from the bladder with cyclophosphamide
Peer comments on this reference comment:

agree Anastasia Kalantzi
8 hrs
agree abe(L)solano : Yes, I see they use "under protection of" when using both discussed drugs in animal models.
20 hrs
Something went wrong...
1 day 12 hrs
Reference:

Ref.

Indications/Uses
Prevention of urothelial toxicity due to oxazaphosphorines (Holoxan, Endoxan, Ixoten).
Uromitexan should always be given in tumour therapy with Holoxan. Where Endoxan or Ixoten are being used for tumour therapy, Uromitexan should always be given with bolus doses (over 10 mg/kg) of the cytotoxic agent and in all patients at special risk. The principle risk factors are: previous pelvic radiotherapy, cystitis with previous Holoxan, Endoxan or Ixoten therapy or a history of disorders of the urinary tract.

https://www.mims.com/hongkong/drug/info/uromitexan?type=full
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