CHF 48.25

1-24 hours

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

Swissmedic Nr.: 61299003
Index: 06.03.20

Pharmacode: 5502410
GTIN/EAN: 7680612990031
Markteintritt: 02.08.2010

Kategorie: B Mehrmalige Abgabe auf eine ärztliche Verschreibung hin.


Clopidogrel Spirig HC® (75 mg)

Clopidogrel (B01AC04)

28 Stk

(0/5 , 760)

Um Clopidogrel Spirig HC® (75 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 Clopidogrel Spirig HC® (75 mg)'s gegen Unterschrift (24h) oder dem Medikamenten-Taxi nach einer Online Sprechstunde, falls gewünscht.

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Dr. David Herren, Einigen (BE)
Generalist
Internist


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Dr. Ueli Krebs, Thun (BE)
Generalist
Internist


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Dr. Carla Bonomo Coradi, Männedorf (ZH)
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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 Clopidogrel Spirig HC und wann wird es angewendet?

Clopidogrel, der Wirkstoff in Clopidogrel Spirig HC Filmtabletten, gehört zu einer Gruppe von Arzneimitteln, die als Thrombozytenaggregations-hemmer bezeichnet werden. Blutplättchen (Thrombozyten) sind sehr kleine Blutzellen (kleiner als rote oder weisse Blutkörperchen), die sich während der Bildung eines Blutpfropfs (Thrombus) zusammenklumpen. Thrombozytenaggregationshemmer verhindern dieses Zusammen-klumpen und verringern auf diese Weise das Risiko der Entstehung von Blutgerinnseln (sogenannten Thrombosen).

Da Sie kürzlich einen Schlaganfall oder Herzinfarkt erlitten haben oder an einer peripheren Arterienverengung leiden, haben Sie ein erhöhtes Risiko für ein Wiederauftreten dieser Ereignisse.

Um dieses Risiko zu reduzieren, haben Sie Clopidogrel Spirig HC verschrieben bekommen.

Clopidogrel Spirig HC wurde Ihnen ebenfalls verschrieben

  • bei peripherer arterieller Verschlusskrankheit, oder,
  • falls Sie starke Brustschmerzen erlitten haben, sogenannte «instabile Angina pectoris» oder «Herzinfarkt». In diesem Fall kann Ihr Arzt bzw. Ihre Ärztin Ihnen gleichzeitig Acetylsalicylsäure verschreiben (eine Substanz, die in vielen Arzneimitteln gegen Schmerzen und Fieber vorhanden ist).
  • Wenn Sie an einer unregelmässigen Herzschlagfrequenz leiden, das sogenannte Vorhofflimmern  und wenn Sie nicht mit oralen Antikoagulanzien behandelt werden dürfen. In diesem Fall wird der Arzt bzw. die Ärztin Ihnen zusätzlich Acetylsalicylsäure verschreiben.

Clopidogrel Spirig HC wird ebenfalls zur Vorbeugung von Thrombosen nach Implantation von vaskulären Endoprothesen (Stent) in Kombination mit Acetylsalicylsäure angewendet.

Clopidogrel Spirig HC darf nur auf Verschreibung des Arztes bzw. der Ärztin eingenommen und nicht an andere Personen weitergegeben werden.

+-Was sollte dazu beachtet werden?

Gewisse Faktoren wie Bluthochdruck, erhöhtes Cholesterin, Rauchen oder Zuckerkrankheit sind oftmals die Ursache arterieller Erkrankungen; es ist deshalb wichtig, seine Lebensweise im Sinne einer Herabsetzung dieser Risikofaktoren zu verändern.

Fragen Sie Ihren Arzt bzw. Ihre Ärztin um Rat.

+-Wann darf Clopidogrel Spirig HC nicht angewendet werden?

Clopidogrel Spirig HC darf nicht angewendet werden wenn Sie:

  • eine Überempfindlichkeit (Allergie) gegen dieses Arzneimittel aufweisen oder früher allergisch auf Ticlopidin oder der Substanz Prasugrel reagiert haben,
  • an einer Blutgerinnungsstörung leiden, aufgrund derer Sie ein erhöhtes Risiko für innere Blutungen haben (z.B. zu Blutungen im Gewebe, in Organen oder in Gelenken Ihres Körpers),
  • an einer Krankheit leiden, aufgrund derer Sie ein erhöhtes Risiko für innere Blutungen haben (z.B. ein Magen- oder Darmgeschwür),
  • eine erhöhte Blutungsneigung haben,
  • an einer schweren Leberfunktionsstörung leiden.

Bei Kindern und Jugendlichen unter 18 Jahren wurde die Wirksamkeit und Sicherheit der Anwendung von Clopidogrel Spirig HC nicht untersucht.

Falls Sie glauben, dass einer dieser krankhaften Zustände bei Ihnen vorliegen könnte, oder falls Sie diesbezüglich unsicher sind, suchen Sie bitte Ihren Arzt bzw. Ihre Ärztin auf, bevor Sie mit der Einnahme von Clopidogrel Spirig HC Filmtabletten beginnen.

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

Bevor Sie Clopidogrel Spirig HC einnehmen, müssen Sie Ihren Arzt oder Ihre Ärztin darüber informieren, wenn Sie:

  • vor kurzem eine ernste Verletzung hatten,
  • sich vor kurzem einer Operation (einschliesslich eines zahnärztlichen Eingriffes) unterzogen haben,
  • an einer Blutgerinnungsstörung leiden, aufgrund derer Sie ein erhöhtes Risiko für innere Blutungen haben (z.B. zu Blutungen im Gewebe, in Organen oder in Gelenken Ihres Körpers),
  • an einer Krankheit leiden, die Blutungen hervorrufen kann (z.B. ein Magengeschwür),
  • sich in den nächsten zwei Wochen einer Operation (einschliesslich eines zahnärztlichen Eingriffes) unterziehen,
  • an Nieren- oder Leberstörungen leiden.
  • vor kurzem einen Schlaganfall erlitten haben;
  • vor kurzem einen Myokardinfarkt erlitten haben (Clopidogrel Spirig HC darf nach einer Streptokinase-Therapie nicht angewendet werden);
  • unzureichend oder nicht kontrollierten Bluthochdruck aufweisen;
  • an erworbener Hämophilie leiden (Blutgerinnungsstörungen).

Clopidogrel Spirig HC verändert die Gerinnungsfähigkeit des Blutes. Wenn Sie sich schneiden oder verletzen, kann die Blutung eventuell etwas länger als sonst andauern.

Kleinere Schnitte und Verletzungen, die z.B. beim Rasieren auftreten können, sind in der Regel ohne Bedeutung. Wenn Sie trotzdem verunsichert sind oder eine ungewöhnliche Blutung feststellen, sollten Sie sich unverzüglich mit Ihrem Arzt bzw. Ihrer Ärztin in Verbindung setzen.

Nach Implantation einer vaskulären Endoprothese (Stent) oder bei Patienten, die einen starken Brustschmerz erlitten haben (instabile Angina pectoris oder Herzinfarkt), kann Clopidogrel Spirig HC in Kombination mit Acetylsalicylsäure (75?325 mg täglich) verschrieben werden. Diese Substanz ist in vielen Arzneimitteln gegen Schmerzen und Fieber enthalten. In solchen Fällen wird in der Regel zur langfristigen Kombination mit Clopidogrel eine fixe Tagesdosis von 75?100 mg Acetylsalicylsäure empfohlen. Bei anderen Vorbedingungen muss die Verabreichung von Acetylsalicylsäure während einer längeren Zeitspanne mit Ihrem Arzt bzw. Ihrer Ärztin besprochen werden. Eine gelegentliche Verabreichung von Acetylsalicylsäure (nicht mehr als 1000 mg während 24 Stunden) sollte problemlos sein.

Gewisse Arzneimittel, ob sie nun von Ihrem Arzt bzw. Ihrer Ärztin verschrieben wurden oder frei verkäuflich sind, können die Wirkung dieses Arzneimittels ändern, und es können unerwünschte Wirkungen auftreten. Daher sollten Sie, bevor Sie ? während einer Behandlung mit Clopidogrel Spirig HC ? ein anderes Medikament einnehmen, Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin fragen.

Die gleichzeitige Einnahme folgender Medikamente mit Clopidogrel Spirig HC wird nicht empfohlen:

  • Protonen-Pumpen-Inhibitor (z.B. Omeprazol) für die Behandlung von Magenschmerzen.
  • Andere Arzneimittel, die zur Hemmung der Blutgerinnung eingesetzt werden, wie Phenprocoumon (Marcoumar), Acenocoumarol (Sintrom) ,Heparin oder Warfarin.
  • Nichtsteroidale Antirheumatika des Typs Aspirin (Arzneimittel zur Behandlung von schmerzhaften und/oder entzündlichen Zuständen von Muskeln und Gelenken) dürfen nur auf ausdrückliche Verordnung und unter Kontrolle eines Arztes bzw. einer Ärztin gleichzeitig mit Clopidogrel Spirig HC eingenommen werden.
  • Antidepressiva (Fluvoxamin, Fluoxetin, Moclobemid).
  • Antimykotika (Variconazol, Fluconazol).
  • Antibiotika (Ciprofloxacin).
  • Antiepileptika (Carbamazepin).

Clopidogrel Spirig HC enthält Laktose. Patienten mit der seltenen hereditären Galaktose-Intoleranz, mit Laktase-Mangel oder Glucose-Galaktose-Malabsorption sollten dieses Medikament nicht einnehmen.

Informieren Sie Ihren Arzt oder Apotheker, bzw. Ihre Ärztin oder Apothekerin, wenn Sie an anderen Krankheiten leiden, Allergien haben oder andere Arzneimittel (auch selbstgekaufte!) einnehmen oder äusserlich anwenden.

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

Falls Sie schwanger sind oder Ihr Kind stillen, müssen Sie dies Ihrem Arzt bzw. Ihrer Ärztin mitteilen. Er wird entscheiden, ob Sie Clopidogrel Spirig HC während der Schwangerschaft oder Stillzeit einnehmen dürfen.

Falls Sie während der Einnahme von Clopidogrel Spirig HC schwanger werden, teilen Sie dies Ihrem Arzt bzw. Ihrer Ärztin unverzüglich mit.

Während der Behandlung mit Clopidogrel Spirig HC dürfen Sie nicht stillen.

+-Wie verwenden Sie Clopidogrel Spirig HC?

Die Filmtablette soll mit etwas Wasser ? unzerkaut und ohne sie zu lutschen ? während oder unabhängig von den Mahlzeiten eingenommen werden. Es wird aber empfohlen, sie immer zum selben Zeitpunkt einzunehmen.

Erwachsene

Prävention atherothrombotischer Ereignisse (Schlaganfall, Herzinfarkt)

Falls vom Arzt bzw. von der Ärztin nicht anders verordnet, nehmen Sie 1 Filmtablette Clopidogrel Spirig HC mg pro Tag. Starke Brustschmerzen (instabile Angina pectoris oder Herzinfarkt): Ihr Arzt bzw. Ihre Ärztin kann Ihnen am Anfang der Behandlung eine Ladedosis von 300 mg Clopidogrel (4 Filmtabletten Clopidogrel Spirig HC) verschreiben. Für die Langzeitbehandlung wird 1 Filmtablette Clopidogrel Spirig HC zu 75 mg täglich verabreicht (in Kombination mit 75?325 mg Acetylsalicylsäure täglich).

Prävention von Thrombosen nach Implantation von vaskulärer Endoprothese (Stent)

1× täglich 1 Filmtablette zu 75 mg Clopidogrel Spirig HC, in Kombination mit Acetylsalicylsäure (in den klinischen Studien wurden 325 mg pro Tag verwendet). Im Falle einer Stentimplantation kann die Behandlung am ersten Tag eventuell mit einer Ladedosis von 300 mg Clopidogrel (4 Filmtabletten Clopidogrel Spirig HC) begonnen werden.

Kinder und Jugendliche

Die Wirksamkeit und Sicherheit der Anwendung von Clopidogrel Spirig HC bei Kindern und Jugendlichen unter 18 Jahren wurde nicht untersucht.

Bei Nieren- und Leberinsuffizienz

Clopidogrel Spirig HC ist bei diesem Patiententyp mit Vorsicht anzuwenden.

Ältere Personen

Eine Dosisanpassung ist bei älteren Patienten nicht erforderlich.

Behandlungsdauer

Bei Clopidogrel Spirig HC handelt es sich um eine Langzeitbehandlung. Daher müssen Sie Clopidogrel Spirig HC so lange einnehmen, wie es Ihnen Ihr Arzt bzw. Ihre Ärztin verordnet.

Falls Sie eine Überdosis Clopidogrel Spirig HC eingenommen haben, informieren Sie umgehend Ihren Arzt bzw. Ihre Ärztin oder suchen Sie die Notaufnahme des nächstgelegenen Spitals auf. Die Einnahme einer grossen Anzahl von Filmtabletten könnte das Risiko schwerer Blutungen erhöhen, die eine notfallmässige Behandlung erfordern.

Falls Sie die Einnahme von Clopidogrel Spirig HC einmal vergessen haben und merken dies innerhalb der nächsten 12 Stunden nach dem üblichen Einnahmezeitpunkt merken sollten Sie die Einnahme sofort nachholen und die nächste Filmtablette dann zur gewohnten Zeit einnehmen. Wenn Sie den üblichen Einnahmezeitpunkt um mehr als 12 Stunden verpasst haben, nehmen Sie einfach die nächste Filmtablette zum vorgesehenen nächsten Einnahmezeitpunkt. Nehmen Sie nicht die doppelte Tablettenmenge ein, um die vergessene Filmtablette nachzuholen.

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

+-Welche Nebenwirkungen kann Clopidogrel Spirig HC haben?

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

Häufig: Blutungen, Verdauungsstörungen, Bauchschmerzen, Durchfälle, kleine Blutergüsse.

Gelegentlich: Magen- oder Darmgeschwüre und -blutungen, Nasenbluten, blaue Flecken (Ekchymosen), Blut im Urin, Augen-, Lungen-, Muskel-, Gelenk- und Hirnblutungen. Schwindelgefühl, Kribbeln in Händen und Füssen, Kopfschmerzen. Übelkeit, Magenschleimhautentzündung (Gastritis), Blähungen, Verstopfung, Erbrechen. Leber- und Gallenstörungen. Juckreiz.

Selten: Schwindelanfälle.

Sehr selten: Generalisierte allergische Reaktionen (Ödem des Gesichts, der Lippen und/oder der Zunge). Schwere hämatologische Zwischenfälle (Neutropenie: Verminderung der Anzahl einer Fraktion der weissen Blutkörperchen) können auftreten und schwere Infektionen verursachen, erworbene Hämophilie (Blutgerinnungsstörungen). Geschmacksstörungen. Verwirrtheit, Halluzinationen. Gefässentzündungen, niedriger Blutdruck. Atembeschwerden. Dickdarmentzündung (Kolitis), Bauchspeicheldrüsenentzündung, Entzündung der Mundschleimhaut. Leberentzündung (Hepatitis). Hautausschlag, Ekzem. Gelenkschmerzen, Muskelschmerzen. Nierenerkrankung. Fieber.

Beim Auftreten folgender Symptome sollten Sie die Therapie mit Clopidogrel Spirig HC absetzen und sofort Ihren Arzt bzw. Ihre Ärztin aufsuchen: Fieber, Halsentzündungen, Geschwüre im Mund- und Halsbereich, verlängerte oder verstärkte Blutungen, Blutergüsse, Hauteinblutungen, Schwarzverfärbung des Stuhls.

Wenn Sie Clopidogrel zusammen mit Acetylsalicylsäure (Aspirin) (Acetylsalicylsäure: Substanz, die in zahlreichen Arzneimitteln enthalten ist und die zur Linderung von Schmerzen und zur Fiebersenkung angewendet wird), nicht-steroidalen Entzündungshemmer, Heparin oder irgendeinem anderen Arzneimittel einnehmen, das eine Blutung infolge einer Verletzung, eines chirurgischen Eingriffs oder jeglicher anderer Ursache auslösen bzw. verlängern könnte, müssen Sie Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin über jedes Auftreten einer Blutung unterrichten.

Wenn Sie das Auftreten irgendeiner anderen unerwünschten Wirkung feststellen, sollten Sie Ihren Arzt oder Apotheker, bzw. Ihre Ärztin oder Apothekerin informieren.

+-Was ist ferner zu beachten?

Das Arzneimittel darf nur bis zu dem auf der Packung mit «EXP.» bezeichneten Datum verwendet werden. Sollten Sie Tabletten besitzen, deren Haltbarkeit abgelaufen ist, so bringen Sie diese bitte in Ihre Apotheke zurück.

Clopidogrel Spirig HC bei Raumtemperatur (15-25 °C), in der Originalpackung und für Kinder unerreichbar aufbewahren.

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

+-Was ist in Clopidogrel Spirig HC enthalten?

1 Filmtablette enthält:

Wirkstoff: Clopidogrel 75 mg.

Hilfsstoffe: Hilfsstoffe für die Tablettierung.

+-Zulassungsnummer

61299 (Swissmedic).

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

In Apotheken nur gegen ärztliche Verschreibung.

Filmtabletten zu 75 mg: Packungen zu 28 und 84.

+-Zulassungsinhaberin

Spirig HealthCare AG, 4622 Egerkingen/Schweiz.

Diese Packungsbeilage wurde im Dezember 2013 letztmals durch die Arzneimittelbehörde (Swissmedic) geprüft.

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