CHF 29.50

1-24 hours

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

Swissmedic Nr.: 52034035
Index: 02.07.20

Pharmacode: 1563076
GTIN/EAN: 7680520340355
Markteintritt: 24.05.1993

Kategorie: B Mehrmalige Abgabe auf eine ärztliche Verschreibung hin.


Concor® 5 plus/- 10 plus (17.5 mg)

Bisoprolol und Thiazide (C07BB07)

100 Stk

(0/5 , 720)

Um Concor® 5 plus/- 10 plus (17.5 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 Concor® 5 plus/- 10 plus (17.5 mg)'s gegen Unterschrift (24h) oder dem Medikamenten-Taxi nach einer Online Sprechstunde, falls gewünscht.

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Dr. Bernhard Schaller, Muttenz (BL)
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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 Concor plus und wann wird es angewendet?

Concor plus ist eine Kombination von zwei Wirkstoffen, die sich gegenseitig ergänzen. Concor plus senkt den erhöhten Blutdruck (Hypertonie).

Bisoprolol senkt den erhöhten Blutdruck und vermindert bei einer eventuell bestehenden koronaren Herzkrankheit (Angina pectoris) die Häufigkeit und Schwere der Schmerzanfälle. Gleichzeitig werden vom Nervensystem kommende Reize gedämpft, wodurch Überreaktionen des Herzens, wie Pulsjagen und Herzklopfen, vermieden werden.

Hydrochlorothiazid regt die Harnausscheidung an, wodurch unter anderem der Natriumchlorid- und Wassergehalt im Körper vermindert und der Blutdruck gesenkt werden.

Concor plus darf nur auf Verschreibung des Arztes oder der Ärztin angewendet werden.

+-Was sollte dazu beachtet werden?

Sie können den Behandlungserfolg in vielen Fällen deutlich unterstützen, wenn Sie Ihre Bewegungs- und Essgewohnheiten nach den Empfehlungen Ihres Arztes ausrichten.

Das Auftreten von Nebenwirkungen (z.B. stark verlangsamter Herzschlag, zu niedriger Blutdruck oder andere Krankheitszeichen wie zunehmende Atemnot, die auf eine Verschlechterung der Herzschwäche hinweisen) kann zum Abbruch der Behandlung mit Concor plus führen.

Während der Therapie mit Concor plus sollte eine regelmässige Kontrolle des Salz- und Wasserhaushaltes (insbesondere Kalium, Natrium und Kalzium), sowie der Blutfette erfolgen. Patienten, die zuckerkrank sind, sollten regelmässig, speziell zu Behandlungsbeginn, ihren Blutzucker kontrollieren, weil die Wirkung der blutzuckersenkenden Arzneimittel durch Concor plus verstärkt werden kann. Bei Patienten, die an Gicht leiden, muss regelmässig eine Kontrolle der Harnsäure erfolgen.

+-Wann darf Concor plus nicht eingenommen werden?

Concor plus darf nicht eingenommen werden bei bestimmten Herzfunktionsstörungen (z.B. AV-Block 2. oder 3. Grades ohne Herzschrittmacher, Sinusknoten-Syndrom, sinuatrialer Block), bei akuter Herzmuskelschwäche, bei plötzlicher Verschlechterung einer Herzmuskelschwäche, bei stark verlangsamtem und unregelmässigem Herzschlag vor Therapiebeginn (Puls unter 50 Schlägen/Minute), bei schweren Formen von peripheren Durchblutungsstörungen (z.B. der Beine und Hände) infolge Arterienverengung, bei Schockzuständen (mit tiefem Blutdruck und Kreislaufversagen einhergehend), bei unbehandelten Tumoren des Nebennierenmarks (Phäochromozytom), bei gewissen Störungen des Stoffwechsels (metabolische Azidose), bei schweren Störungen des Salz- und Wasserhaushalts (z.B. therapieresistenter Kaliummangel), bei schweren Leber- und Nierenfunktionsstörungen, bei schwerem Asthma, bei Gicht und bei schwangerschaftsbedingtem Bluthochdruck.

Bei bekannter Überempfindlichkeit auf Bisoprolol, Hydrochlorothiazid, einen Hilfsstoff von Concor plus, andere Thiazide oder Sulfonamide soll Concor plus nicht angewendet werden.

+-Wann ist bei der Einnahme von Concor plus Vorsicht geboten?
  • Concor plus darf nur mit besonderer Vorsicht eingenommen werden bei gleichzeitiger Herzmuskelschwäche (Herzinsuffizienz), gewissen Störungen der Herzfunktion (z.B. AV-Block 1. Grades), gewissen Durchblutungsstörungen des Herzens (z.B. Prinzmetal-Angina), Leberfunktionsstörungen, peripheren, arteriellen Durchblutungsstörungen, Schuppenflechte (Psoriasis) sowie bei strengem Fasten. Bei gleichzeitiger Desensibilisierungstherapie wegen Allergie/Heuschnupfen ist Vorsicht geboten.
  • Beim Auftreten von akut verminderter Sehschärfe oder Augenschmerz (innerhalb von Stunden bis Wochen nach Beginn der Therapie) kontaktieren Sie bitte umgehend Ihren Arzt bzw. Ihre Ärztin. Er bzw. sie wird Ihnen gegebenenfalls empfehlen die Behandlung abzusetzen.
  • Beim Auftreten von Hautreaktionen nach Sonnenlichtbestrahlung wird empfohlen, die exponierten Hautstellen entsprechend zu schützen. In schweren Fällen sollte die Therapie abgebrochen werden.
  • Bei bestimmten Tumoren des Nebennierenmarks (Phäochromozytom) darf Concor plus erst nach vorheriger Gabe von Alpha-Rezeptoren-Blockern angewendet werden.
  • Bei schweren Atemwegserkrankungen (mit Verengung der Atemwege, welche Symptome wie Atemnot verursachen können, z.B. COPD).
  • Bei Asthma kann eine Dosisanpassung von bronchienerweiternden Arzneimitteln notwendig werden.
  • Bei Diabetikern mit stark schwankenden Blutzuckerwerten, bei der Kombination mit oralen Antidiabetika oder Insulin ist Vorsicht geboten. Concor plus kann die Symptome eines stark erniedrigten Blutzuckerspiegels (Hypoglykämie), unter anderem den erhöhten Herzschlag, verschleiern oder vermindern.
  • Die Symptome einer Schilddrüsenüberfunktion (Thyreotoxikose) können durch Concor plus verdeckt werden.
  • Eine Langzeitanwendung von Concor plus kann zu einer Kalzium-Anreicherung (Hyperkalzämie) im Blut führen.

Wechselwirkungen mit anderen Arzneimitteln

Zahlreiche andere Arzneimittel und Alkohol können bei gleichzeitiger Einnahme mit Concor plus die blutdrucksenkende Wirkung verstärken oder abschwächen bzw. unerwünschte Wirkungen auslösen oder verstärken. Bitte informieren Sie daher Ihren Arzt, Ihre Ärztin über alle Arzneimittel, die Sie einnehmen.

  • Die gleichzeitige Anwendung von Narkosemitteln kann eine verstärkte Blutdrucksenkung zur Folge haben. Concor plus kann Wechselwirkungen mit anderen Arzneimitteln eingehen. Der Narkosearzt muss deshalb vor einer Narkose über die Behandlung mit Concor plus informiert werden.
  • Bei gleichzeitiger Anwendung von Lithium kann Concor plus die Ausscheidung von Lithium verringern und so die unerwünschten Wirkungen von Lithium auf Herz und Nerven verstärken.
  • Bei gleichzeitiger Anwendung von gewissen anderen blutdrucksenkenden Arzneimitteln, wie z.B. zentral wirksame blutdrucksenkende Arzneimittel, Kalzium-Antagonisten oder ACE-Hemmer, wurde eine verstärkte Blutdrucksenkung beobachtet.
  • Bei gleichzeitiger Einnahme von Concor plus und Mitteln gegen Herzrhythmusstörungen (Antiarrhythmika) kann die dämpfende Wirkung auf das Herz verstärkt werden. Dies ist insbesondere bei Verapamil und Diltiazem zu beachten. Ein gleichzeitiger Kaliummangel begünstigt das Auftreten von Herzrhythmusstörungen.
  • Die Kombination mit zu Kaliumverlusten führenden Arzneimitteln, wie gewisse Antibiotika (z.B. Amphotericin B), Abführmittel oder Kortison, verstärkt das Risiko eines Kaliummangels und begünstigt das Auftreten von Herzrhythmusstörungen. Kortison kann die blutdrucksenkende Wirkung von Concor plus vermindern.
  • Bei gleichzeitiger Therapie mit Digitalispräparaten begünstigt ein Kaliummangel das Auftreten von Digitalis-bedingten Nebenwirkungen wie z.B. Herzrhythmusstörungen.
  • Die blutdrucksenkende Wirkung von Concor plus kann durch die gleichzeitige Gabe von bestimmten Schmerz- und Rheumamitteln vermindert werden.
  • Bestimmte andere blutdrucksenkende Arzneimittel, Schlaf- und Beruhigungsmittel, Arzneimittel zur Behandlung einer Depression, Alkohol sowie Augentropfen zur lokalen Behandlung des grünen Stars können zu verstärktem Blutdruckabfall führen.
  • Bei Patienten mit hohen Harnsäurewerten kann das Risiko eines Gichtanfalls erhöht werden. Die Wirkung von Gichtmitteln kann durch Concor plus abgeschwächt werden.
  • Bei Kombination von Concor plus und Mefloquin-haltigen Malariamitteln ist das Risiko für eine Pulsverlangsamung erhöht.
  • Eine gleichzeitige Einnahme von gewissen Lipidsenkern (z.B. Colestyramin, Colestipol) kann die Wirkung von Concor plus abschwächen.
  • Durch individuell auftretende unterschiedliche Reaktionen auf die Blutdrucksenkung kann die Fähigkeit zur aktiven Teilnahme am Strassenverkehr oder zum Bedienen von Maschinen beeinträchtigt werden. Dies gilt in verstärktem Masse bei Behandlungsbeginn, bei einem Wechsel des Arzneimittels sowie im Zusammenwirken mit Alkohol.

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

+-Darf Concor plus während einer Schwangerschaft oder in der Stillzeit eingenommen werden?

Concor plus sollte während der Schwangerschaft nicht angewendet werden, es sei denn, es ist klar notwendig. Stillende Mütter sollten auf die Anwendung von Concor plus verzichten.

+-Wie verwenden Sie Concor plus?

Allgemeine Dosierungshinweise

Die Behandlung mit Concor plus wird vom Arzt bzw. der Ärztin individuell dem Patienten angepasst. Die Filmtabletten sollten morgens nüchtern oder zum Frühstück unzerkaut mit etwas Flüssigkeit eingenommen werden. Es ist auf eine ausreichende Flüssigkeitsaufnahme zu achten. Die übliche Dosierung beträgt 1 Tablette Concor 5 plus resp. 1 Tablette Concor 10 plus pro Tag.

Spezielle Dosierungshinweise

Die Anwendung und Sicherheit von Concor plus bei Kindern und Jugendlichen ist bisher nicht geprüft worden. Deshalb wird Concor plus für die Behandlung von Kindern und Jugendlichen nicht empfohlen. Für ältere Patienten ist keine Dosisanpassung notwendig. Für Patienten mit leichten bis mittelschweren Nierenfunktionsstörungen ist die niedrigere Dosierung Concor 5 plus zu bevorzugen.

Vorgehen bei vergessenen Tabletten

Falls Sie die Einnahme von Concor plus vergessen haben, so dürfen Sie das nicht durch die Einnahme der doppelten Menge Filmtabletten kompensieren. Sie führen die Therapie wie gewohnt und von Ihrem Arzt oder Ihrer Ärztin verordnet fort.

Beendigung der Behandlung

Bitte unterbrechen oder beenden Sie die Behandlung mit Concor plus nicht ohne vorherige Absprache mit Ihrem Arzt bzw. Ihrer Ärztin. Besonders bei Patienten mit gewissen Durchblutungsstörungen des Herzens (koronare Herzkrankheit, Angina pectoris) sollte die Behandlung nicht plötzlich, sondern schrittweise beendet werden, um eine mögliche Verschlechterung des Zustandes durch das Absetzen von Concor plus zu vermeiden.

Vorgehen bei Überdosierung

Bei einer Überdosierung benachrichtigen Sie bitte Ihren Arzt bzw. Ihre Ärztin. Diese können entsprechend der Schwere der Überdosierung über die gegebenenfalls erforderlichen Massnahmen entscheiden.

Die häufigsten Zeichen einer Überdosierung mit Concor plus sind verlangsamter Herzschlag (Bradykardie), plötzlich auftretende Atemprobleme (Bronchialverkrampfung), starker Blutdruckabfall, plötzlich auftretende Herzprobleme (akute Herzmuskelschwäche) und bei Diabetikern Unterzuckerung (Hypoglykämie). Ihr Arzt oder Ihre Ärztin wird Sie über die weitere Behandlung genau orientieren.

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 Concor plus haben?

Häufig:

Erhöhung der Blutfettwerte, der Blutharnsäurewerte sowie der Blutzuckerwerte, Störungen des Wasser- und Elektrolythaushaltes (z.B. Verminderung der Kalium- und Natriumwerte im Blut), Erschöpfungszustände (Fatigue), Schwindel, Kopfschmerzen und Schwitzen. Diese Erscheinungen treten insbesondere zu Behandlungsbeginn auf, sind meist leichter Natur und verschwinden im weiteren Verlauf der Behandlung.

Kribbeln und Kältegefühl in den Extremitäten, Übelkeit, Erbrechen, Durchfall, Verstopfung, Bauchschmerzen.

Gelegentlich:

Allgemeine Schwäche (Asthenie), Schlafstörungen, Depression, Magen-Darm-Beschwerden, Appetitverlust, Muskelschwäche, Muskelkrämpfe, verlangsamter Herzschlag (Bradykardie), verstärkter Blutdruckabfall, erhöhter Atemwiderstand bei Patienten mit Asthma und chronischen Atemwegserkrankungen, Entzündungen der Bauchspeicheldrüse.

Selten:

Gesteigerte Traumaktivität, Halluzinationen, Überempfindlichkeitsreaktionen der Haut wie Jucken, Rötung, Ausschlag oder Sonnenallergie, reduzierter Tränenfluss (bei Kontaktlinsenträgern zu beachten), Sehstörungen, Kreislaufkollaps, allergischer Schnupfen, Gelbsucht, Hepatitis, Potenzstörungen, Hörstörungen, Blutbildveränderungen (Leukopenie, Thrombozytopenie).

Sehr selten:

Reduzierung der Säure im Blut (metabolische Alkalose), Mundtrockenheit, Schmerzen in der Brust, Bindehautentzündung des Auges (Konjunktivitis), kreisrunder Haarausfall, Auslösung bzw. Verschlechterung einer Schuppenflechte (Psoriasis), Immunkrankheiten der Haut (kutaner Lupus erythematodes), Verminderung der weissen Blutkörperchen (Agranulozytose), Entzündung der Gefässe (Vaskulitis).

Häufigkeit unbekannt:

Lungenfibrose (interstitielle Lungenerkrankung).

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?

Das Arzneimittel soll ausserhalb der Reichweite von Kindern aufbewahrt und darf nur bis zu dem auf dem Behälter mit EXP bezeichneten Datum verwendet werden. Concor plus soll bei Temperaturen nicht über 30 °C aufbewahrt werden.

Weitere Auskünfte erteilen Ihnen Ihr Arzt, Apotheker bzw. Ihre Ärztin, Apothekerin, die über die ausführliche Fachinformation verfügen.

+-Was ist in Concor plus enthalten?

1 Filmtablette enthält:

Concor 5 plus: 5 mg Bisoprololfumarat (2:1) und 12.5 mg Hydrochlorothiazid sowie Hilfsstoffe.

Concor 10 plus: 10 mg Bisoprololfumarat (2:1) und 25 mg Hydrochlorothiazid sowie Hilfsstoffe.

+-Zulassungsnummer

52034 (Swissmedic).

+-Wo erhalten Sie Concor plus? Welche Packungen sind erhältlich?

Sie erhalten Concor plus in Apotheken nur gegen ärztliche Verschreibung.

Es sind jeweils Packungen mit 30 oder 100 Filmtabletten erhältlich.

+-Zulassungsinhaberin

Merck (Schweiz) AG, Zug.

Diese Packungsbeilage wurde im Mai 2015 letztmals durch die Arzneimittelbehörde (Swissmedic) geprüft.

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