CHF 62.20

1-24 hours

Delivery is possible through one of our partner pharmacies after consultation.

Swissmedic Nr.: 57623016
Index: 02.07.10

Pharmacode: 5765960
GTIN/EAN: 7680576230167
Markteintritt: 13.10.2006

Kategorie: B Mehrmalige Abgabe auf eine ärztliche Verschreibung hin.


Carvedilol Spirig HC® (25 mg)

Carvedilol (C07AG02)

100 Stk

(0/5 , 788)

Um Carvedilol Spirig HC® (25 mg) kaufen zu können, benötigen Sie zunächst ein Rezept. Bei Deindoktor.ch können Sie im Rahmen einer Online-Sprechstunde per Webcam, mit dem Artz Ihrer Wahl, ein elektronische Rezept erhalten.

Das mit DeinDoktor.ch erhaltene Rezept kann in einer der 1400 Schweizer Apotheken verwendet werden. Wir organisieren mit einer unserer Partner-Apotheken eine Sendung Ihres Carvedilol Spirig HC® (25 mg)'s gegen Unterschrift (24h) oder dem Medikamenten-Taxi nach einer Online Sprechstunde, falls gewünscht.

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+-Medicaments
Your received prescription through DeinDoktor.ch is usable to get your medicaments in any of the 1400 Swiss pharmacies or in the Swiss online pharmacies. We can arrange with one of our pharmacy-partners a delivery against signature (24h) or medicament-taxi after an online-consultation.
+-Was ist Carvedilol Spirig HC und wann wird es angewendet?

Carvedilol Spirig HC enthält einen blutdrucksenkenden Wirkstoff. Zwei Wirkungen dieses Wirkstoffes führen zur Blutdrucksenkung. Einerseits wirkt er als Betablocker, indem er das Herz und den Kreislauf gegen übermässige Stressreize abschirmt, und anderseits erweitert er die kleinen Blutgefässe in der Peripherie.

Carvedilol Spirig HC darf nur auf Verschreibung des Arztes oder der Ärztin zur Behandlung des erhöhten Blutdrucks (Hypertonie) angewendet werden.

Ferner wird Carvedilol Spirig HC zur Prophylaxe von Durchblutungs­störungen der Herzkranzgefässe (Angina pectoris) eingesetzt. Carvedilol Spirig HC bewirkt, dass das Herz weniger belastet wird. Es kommt daher mit dem vorhandenen Blutangebot eher aus, das infolge der verengten Herzkranzgefässe eingeschränkt ist.

Carvedilol Spirig HC wird auch zur Behandlung der Herzinsuffizienz (Herzleistungsschwäche) zusammen mit Herzglykosiden, einem Diuretikum (wassertreibendes Arzneimittel) und einem ACE-Hemmer (Angiotensin-Converting-Enzym-Inhibitor) eingesetzt. Bei Herzleistungsschwäche ist das Herz nicht mehr in der Lage, die ausreichende Menge Blut aus den Herzkammern in die Schlagadern auszustossen. Zusätzlich mit den anderen Arzneimitteln wird Ihr Blutdruck gesenkt, das Schlagvolumen des Herzens nimmt zu.

+-Was sollte dazu beachtet werden?

Sie können die blutdrucksenkende Wirkung von Carvedilol Spirig HC unterstützen, indem Sie nicht rauchen, sich möglichst fettarm ernähren, sich viel körperliche Bewegung verschaffen und auf ein normales Körpergewicht achten. Fragen Sie Ihren Arzt oder Ihre Ärztin, ob eine salzarme Diät während der Behandlung mit Carvedilol Spirig HC notwendig ist.

+-Wann darf Carvedilol Spirig HC nicht angewendet werden?

Bei Überempfindlichkeit gegen Carvedilol Spirig HC oder gegen einen der Hilfsstoffe oder andere Betablocker, langsamen Puls, bestimmten Herz- und Lebererkrankungen, bei stark erniedrigtem Blutdruck (unterhalb von 85 mmHg), schweren Kreislaufstörungen, bestimmten Atemwegserkrankungen (z.B. Asthma, chronische Bronchitis), während einer Desensibilisierung bei Allergien und bei gleichzeitiger Gabe von MAO-Hemmern (Arzneimittel gegen Depressionen) darf Carvedilol Spirig HC nicht angewendet werden. Bei Langsam-Metabolisierern kann es zu einer erhöhten Carvedilol-Konzentration kommen. Mangels Erfahrung darf Carvedilol Spirig HC bei diesen Patienten oder Patientinnen deshalb nicht angewendet werden.

+-Wann ist bei der Einnahme von Carvedilol Spirig HC Vorsicht geboten?

Informieren Sie Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin, wenn Sie

  • an Herz-, Leber-, Nieren- oder Atemwegserkrankungen, Durchblutungsstörungen, Schilddrüsenerkrankungen, Zuckerkrankheit, Schuppenflechte (Psoriasis) leiden oder früher asthmatische Beschwerden hatten,
  • sich einer Operation unterziehen müssen,
  • an anderen Krankheiten leiden,
  • Allergien haben
  • oder andere Arzneimittel (auch selbst gekaufte!) einnehmen oder äusserlich anwenden!

Bei Diabetikern kann Carvedilol Spirig HC die Symptome eines Blutzuckerabfalls (Hypoglykämie) verschleiern oder abschwächen. Diabetiker sollten jede Änderung bezüglich ihrer Blutzuckerwerte ihrem Arzt oder ihrer Ärztin mitteilen.

Die gleichzeitige Einnahme von Rifampicin (Antibiotikum, Tuberkulostatikum) kann zu einer Abschwächung der Blutdrucksenkung führen.

Falls Sie Clonidin gegen Bluthochdruck oder Migräne einnehmen, sollten Sie weder Clonidin noch Carvedilol Spirig HC von sich aus absetzen, ohne mit Ihrem Arzt bzw. Ihrer Ärztin darüber gesprochen zu haben.

Die gleichzeitige Einnahme von Clonidin kann zu einer Veränderung des Blutdrucks und der Herzfrequenz führen und sollte deshalb mit dem Arzt oder der Ärztin abgesprochen werden.

Bei älteren Patienten oder Patientinnen besteht die Gefahr eines verstärkten Blutdruckabfalles.

Bei gleichzeitiger Behandlung mit Cyclosporin (ein Arzneimittel zur Verhinderung von Abstossungsreaktionen nach Organtransplantationen) kann die Wirkung von Cyclosporin verstärkt werden. Ihr Arzt oder Ihre Ärztin wird Sie deshalb engmaschig überwachen und eventuell die Dosierung von Cyclosporin anpassen.

Carvedilol Spirig HC kann aufgrund der möglichen Nebenwirkungen (z.B. Schwindel, Müdigkeit) die Reaktionsfähigkeit, die Fahrtüchtigkeit und Fähigkeit, Werkzeuge oder Maschinen zu bedienen, beeinträchtigen! Dies gilt besonders bei Behandlungsbeginn, nach einer Dosissteigerung, bei Präparatewechsel oder wenn zusätzlich Alkohol konsumiert wird. Deshalb ist Vorsicht im Strassenverkehr und beim Bedienen von Maschinen geboten.

Die gleichzeitige Anwendung von sogenannten nichtsteroidalen Antirheumatika (NSAR ? wie z.B, Acetylsalicylsäure oder Ibuprofen) und Betablockern kann zu einem Anstieg des Blutdrucks und zu einer beeinträchtigten Blutdruckkontrolle führen.

Herzinsuffizienz-Patienten oder Patientinnen sollten ihren Arzt oder ihre Ärztin aufsuchen, sobald sie Zeichen oder Symptome einer Verschlechterung ihrer Herzinsuffizienz bemerken (Gewichtszunahme oder Kurzatmigkeit).

Sie könnten beim Stehen unter Blutdruckabfällen leiden, welche zu Schwindel und selten zu Ohnmachtsanfällen führen könnten. Sie sollten sich setzen oder hinlegen, wenn sich diese Symptome bemerkbar machen.

Patienten oder Patientinnen, welche unter Schwindel oder Müdigkeit leiden, sollten nicht Auto fahren oder gefährliche Aufgaben wahrnehmen. Dies gilt zudem grundsätzlich für alle Patienten oder Patientinnen bei Behandlungsbeginn und während der Dosissteigerung.

Bei Kontaktlinsenträgern kann sich die Verminderung der Tränenflüssigkeit negativ auf den Tragkomfort von Linsen auswirken.

+-Darf Carvedilol Spirig HC während einer Schwangerschaft oder in der Stillzeit eingenommen werden?

Carvedilol Spirig HC darf während der Schwangerschaft und Stillzeit nicht eingenommen werden.

+-Wie verwenden Sie Carvedilol Spirig HC?

Behandlung des erhöhten Blutdrucks

Zu Beginn der Behandlung wird während zwei Tagen, ältere Patienten oder Patientinnen während zwei Wochen, 1 Tablette à 12,5 mg eingenommen. Anschliessend wird normalerweise täglich eine Tablette à 25 mg eingenommen. Falls nötig, kann der Arzt oder die Ärztin eine Erhöhung der Dosierung auf höchstens 2 Tabletten à 25 mg täglich anordnen. Bei einigen Patienten oder Patientinnen, besonders bei älteren, kann der Blutdruck manchmal schon mit einer 1 Tablette à 12,5 mg pro Tag genügend gesenkt werden.

Angina pectoris

Zu Beginn der Behandlung wird während zwei Tagen morgens und abends je 1 Tablette à 12,5 mg eingenommen. Anschliessend wird normalerweise morgens und abends je 1 Tablette à 25 mg eingenommen. Falls nötig, kann der Arzt oder die Ärztin eine Erhöhung der Dosierung anordnen.

Behandlung der Herzinsuffizienz

Zu Beginn der Behandlung wird während 2 Wochen 2 mal täglich je 1 Tablette Carvedilol Spirig HC à 3,125 mg eingenommen. Ihr Arzt oder Ihre Ärztin wird die Dosierung von Carvedilol Spirig HC genau mit Ihnen besprechen. In der Regel wird anschliessend während 2 Wochen 2 mal täglich je 1 Tablette Carvedilol Spirig HC à 6,25 mg, dann während 2 Wochen 2 mal täglich je 1 Tablette Carvedilol Spirig HC à 12,5 mg und anschliessend während 2 Wochen 2 mal täglich je 1 Tablette Carvedilol Spirig HC à 25 mg eingenommen.

Sie sollten Ihren Arzt oder Ihre Ärztin aufsuchen, sobald Sie unter Schwindel oder Ohnmachtsanfällen beim Anpassen der Dosierung leiden.

Ältere Patienten oder Patientinnen sollten im Allgemeinen die Dosierung von 2 mal täglich 1 Tablette à 25 mg nicht überschreiten.

Die Tabletten werden mit etwas Flüssigkeit, während oder nach den Mahlzeiten, unzerkaut geschluckt.

Carvedilol Spirig HC sollte wie alle diese Arzneimittel nach längerer Einnahme schrittweise abgesetzt werden. Unterbrechen Sie daher die Einnahme des Arzneimittels nicht ohne Anordnung durch Ihren Arzt oder Ihre Ärztin.

Ändern Sie nicht von sich aus die verschriebene Dosierung. Wenn Sie glauben, das Arzneimittel wirke zu schwach oder zu stark, so sprechen Sie mit Ihrem Arzt oder Apotheker bzw. mit Ihrer Ärztin oder Apothekerin.

+-Welche Nebenwirkungen kann Carvedilol Spirig HC haben?

Folgende Nebenwirkungen können bei der Einnahme von Carvedilol Spirig HC auftreten:

Schwindel, Kopfschmerzen und Müdigkeit können gelegentlich zu Beginn der Behandlung auftreten und gehen meist vorüber.

Gelegentlich wurden auch langsamer Puls, niedriger Blutdruck, Kribbeln oder Kältegefühl in Händen und Füssen, vermehrtes Schwitzen, Ödeme, Gewichtszunahme, verstopfte Nase, Bronchitis, Bauchschmerzen, Durchfall, Übelkeit, Erbrechen, grippeähnliche Symptome, Kraftlosigkeit, Rücken-, Gelenk- und Muskelschmerzen beobachtet.

Selten wurden Schlafstörungen, Impotenz und Augenreizungen beobachtet.

Informieren Sie Ihren Arzt oder Ihre Ärztin, wenn solche Störungen länger anhalten.

Vereinzelt sind Atemnot, auffallend langsamer Puls, unregelmässiger Herzschlag, Schmerzen in der Herzgegend, traurige Stimmung, unwillkürlicher Harnverlust bei Frauen, allergische Reaktionen (z.B. Juckreiz, Hautausschläge) und Sehstörungen vorgekommen. Bei solchen Erscheinungen sollten Sie umgehend Ihren Arzt oder Ihre Ärztin informieren.

Zusätzlich wurden nach Markteinführung Fälle von Haarausfall in möglichen Zusammenhang mit Carvedilol berichtet.

Wenn Sie Nebenwirkungen bemerken, die hier nicht beschrieben sind, sollten Sie Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin informieren.

+-Was ist ferner zu beachten?

Carvedilol Spirig HC in der Originalverpackung bei Raumtemperatur (15-25 °C) und für Kinder unerreichbar aufbewahren.

Das Arzneimittel darf nur bis zu dem auf dem Behälter mit «EXP» bezeichneten Datum verwendet werden.

Weitere Auskünfte erteilt Ihnen Ihr Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin. Diese Personen verfügen über die ausführliche Fachinformation.

Bitte bringen Sie nicht mehr benötigte Arzneimittel zur Entsorgung in Ihre Apotheke zurück.

+-Was ist in Carvedilol Spirig HC enthalten?

Carvedilol Spirig HC enthält Carvedilol als Wirkstoff sowie Hilfsstoffe und ist als Tabletten zu 3,125 mg, 6,25 mg, 12,5 mg und 25 mg erhältlich.

+-Zulassungsnummer

57623 (Swissmedic).

+-Wo erhalten Sie Carvedilol Spirig HC? Welche Packungen sind erhältlich?

Carvedilol Spirig HC ist in Apotheken nur gegen ärztliche Verschreibung erhältlich.

Carvedilol Spirig HC 3.125/6.25: Packungen zu 30 Tabletten.

Carvedilol Spirig HC 12.5/25: Packungen zu 30 und 100 Tabletten.

+-Zulassungsinhaberin

Spirig HealthCare AG, 4622 Egerkingen.

Diese Packungsbeilage wurde im Februar 2011 letztmals durch die Arzneimittelbehörde (Swissmedic) geprüft.

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