CHF 17.40

1-24 hours

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

Swissmedic Nr.: 40536124
Index: 01.03.10

Pharmacode: 1809784
GTIN/EAN: 7680405361246
Markteintritt: 25.01.1977

Kategorie: B Mehrmalige Abgabe auf eine ärztliche Verschreibung hin.


Dalmadorm® Filmtabletten (30 mg)

Flurazepam (N05CD01)

30 Stk

(0/5 , 2082)

Um Dalmadorm® Filmtabletten (30 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 Dalmadorm® Filmtabletten (30 mg)'s gegen Unterschrift (24h) oder dem Medikamenten-Taxi nach einer Online Sprechstunde, falls gewünscht.


No doctor is now available for video consultation.
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.

Sie erhielten Dalmadorm auf Verschreibung des Arztes oder der Ärztin und sollten es nur gemäss seinen oder ihren Anweisungen einnehmen. Der Wirkstoff ist Flurazepam und gehört zur Gruppe der Benzodiazepine. Dalmadorm besitzt eine ausgeprägte schlaffördernde Wirkung und verhilft Ihnen zu einem Schlaf von sechs bis acht Stunden Dauer. Ihr Arzt bzw. Ihre Ärztin verordnet Ihnen Dalmadorm, wenn Sie an einer der folgenden Formen von Schlafstörungen leiden: Einschlafstörungen, häufiges nächtliches Erwachen, zu frühes Erwachen am Morgen, Schlafstörungen in Verbindung mit Angstzuständen und infolge chronischer Krankheiten.

Nicht jede Schlafstörung bedarf einer medikamentösen Behandlung. Oft genügt eine Anpassung der Lebensgewohnheiten und der Umgebung, um wieder zu einem gesunden Schlaf zurückzufinden.

Dalmadorm darf nicht angewendet werden bei:

  • Überempfindlichkeit gegenüber dem Wirkstoff Flurazepam, anderen Benzodiazepinen bzw. einem anderen Bestandteil des Arzneimittels,
  • schwerer Muskelschwäche (Myasthenia gravis),
  • schweren Erkrankungen der Lungen oder schwerer Beeinträchtigung der Atemfunktion,
  • Aussetzen der Atmung im Schlaf (Schlafapnoe Syndrom),
  • schweren psychiatrischen Störungen (Angstzustände, Zwangsstörungen, Psychosen),
  • schwerer Leberfunktionsstörung

Gewöhnung

Nach der Einnahme über einige Wochen kann ein gewisser Verlust der schlaffördernden Wirkung eintreten.

Abhängigkeit

Die Einnahme von Dalmadorm kann ? wie bei allen benzodiazepinhaltigen Präparaten ? zu einer Abhängigkeit führen. Diese kann vor allem bei einer ununterbrochenen Einnahme über längere Zeit (in gewissen Fällen bereits nach einigen Wochen) sowie bei Einnahme einer höheren Dosis auftreten. Das Risiko ist bei Alkohol- und Drogenabhängigkeit und gewissen psychiatrischen Erkrankungen erhöht.

Um das Risiko der Entwicklung einer Abhängigkeit möglichst klein zu halten, beachten Sie bitte folgende Hinweise:

  • Nehmen Sie Dalmadorm nur auf Anordnung Ihres Arztes oder Ihrer Ärztin ein;
  • Erhöhen Sie auf keinen Fall die vom Arzt, bzw. der Ärztin verschriebene Dosis;
  • Informieren Sie Ihren Arzt oder ihre Ärztin, wenn Sie das Arzneimittel absetzen wollen, bei längerer Behandlung wird eine allmähliche Reduktion der Dosis empfohlen;
  • Ihr Arzt bzw. Ihre Ärztin wird periodisch darüber entscheiden, ob die Behandlung weitergeführt werden muss;
  • Eine Einnahme über längere Zeit (in der Regel mehr als vier Wochen) darf nur unter sorgfältiger ärztlicher Überwachung erfolgen.
  • Kinder und Jugendliche sollten das Präparat nicht einnehmen, es sei denn, der Arzt bzw. die Ärztin hielte dies für notwendig.

Entzugssymptome

Ein abruptes Absetzen kann, sogar wenn das Arzneimittel nur während kurzer Zeit und in einer normalen Dosierung eingenommen wurde, Entzugssymptome zur Folge haben. Es können Depression, Nervosität, Muskelschwäche, aussergewöhnliche Angst, Spannungszustände, Zittern, Ruhelosigkeit, Verwirrung, Stimmungsveränderungen, Wiederauftreten der Schlafstörungen, Reizbarkeit, Schwitzen, Durchfall, Kopfschmerzen, sowie Muskel- und Bauchkrämpfe auftreten. In schweren Fällen können auch eine verfremdete Wahrnehmung der Umwelt, Veränderung des Persönlichkeitsgefühls, Taubheit und Kribbeln in Armen und Beinen, Überempfindlichkeit gegenüber Licht, Geräuschen und körperlichem Kontakt, Halluzinationen und epileptische Anfälle auftreten. In seltenen Fällen kann der Entzug nach überhöhten Dosierungen auch Verwirrungszustände, psychotische Störungen und Krampfanfälle hervorrufen. Das Einsetzen von Entzugserscheinungen schwankt je nach Wirkungsdauer der Substanz zwischen ein paar Stunden und einer Woche oder mehr nach Absetzen der Therapie.

Verstärktes Wiederauftreten der Schlaflosigkeit und Angstgefühl

Bei Abbruch der Behandlung können vorübergehend Symptome, welche zu einer Behandlung mit Dalmadorm führten, in verstärkter Form erneut auftreten. Sie können von anderen Reaktionen wie Stimmungsveränderungen, Angstgefühl oder Schlafstörungen und Unruhe begleitet sein.

Gedächtnisstörungen

Benzodiazepine (wie der Wirkstoff von Dalmadorm) können nach der Einnahme Gedächtnislücken verursachen. Der Zustand tritt üblicherweise 1-2 Stunden nach der Einnahme auf und kann mehrere Stunden andauern. Das bedeutet, dass Sie unter Umständen Dinge tun, an die Sie sich später nicht mehr erinnern können. Dieses Risiko steigt mit der Höhe der Dosierung und wenn Sie zusätzlich Alkohol konsumieren. Eine ausreichend lange, ununterbrochene Schlafdauer (7?8 Stunden) kann dieses Risiko verringern. Wenn Sie zum Zeitpunkt, an welchem das Arzneimittel am stärksten wirkt, aufgeweckt werden, kann das Erinnerungsvermögen eingeschränkt sein.

Psychiatrische und «paradoxe» Reaktionen

Bei der Anwendung von Benzodiazepinen kann es, insbesondere bei älteren Patienten oder Kindern, zu psychiatrischen sowie sogenannten «paradoxen» Reaktionen, d.h. der eigentlich beabsichtigten Wirkung des Arzneimittels entgegengesetzten Reaktionen kommen wie z.B. Aggressivität, Aufregung, Verwirrung, Unruhe, Erregbarkeit, Reizbarkeit, Wahnvorstellungen, Wutausbrüche, Albträume, Halluzinationen, Psychosen, unangemessenes Verhalten und andere Verhaltensstörungen. Es können auch bereits vorbestehende Depressionen mit suizidalen Tendenzen aufgedeckt werden. In solchen Fällen sollte die Behandlung mit diesem Arzneimittel beendet werden.

Der Wechsel von einem Benzodiazepin-haltigen Arzneimittel zu einem anderen darf nur auf ärztliche Verordnung vorgenommen werden.

Informieren Sie Ihren Arzt bzw. Ihre Ärztin über allfällige Herz-, Atemwegs-, Nieren- oder Lebererkrankungen sowie wenn bei Ihnen eine Alkohol-, Arzneimittel- oder Drogenabhängigkeit besteht oder früher bestand.

Aufgrund der entspannenden Wirkung auf die Muskeln kann das Risiko für Stürze und in der Folge von Knochenbrüchen, besonders bei älteren Menschen, die in der Nacht aufstehen, erhöht sein.

Alkoholische Getränke verstärken die Wirkung von Dalmadorm. Die individuellen Reaktionen sind nicht vorhersehbar. Das kann unter anderem dazu führen, dass Sie unsorgfältig, unbeholfen oder langsam reagieren. Verzichten Sie deshalb am besten ganz auf alkoholische Getränke, wenn Sie Dalmadorm einnehmen.

Dieses Arzneimittel kann die Reaktionsfähigkeit, die Fahrtüchtigkeit und Fähigkeit Werkzeuge oder Maschinen zu bedienen, beeinträchtigen. Bei ungenügender Schlafdauer ist das Risiko einer eingeschränkten Wachsamkeit zusätzlich erhöht.

Sie sollten neben Dalmadorm nur andere Arzneimittel einnehmen, wenn Ihr Arzt bzw. Ihre Ärztin einverstanden ist. Andere Schlafmittel, auf Gehirn, Nerven und Psyche wirkende Arzneimittel, Beruhigungsmittel, Arzneimittel gegen Angstzustände oder Depressionen, verschiedene Schmerzmittel, muskelrelaxierende Substanzen, Arzneimittel gegen Allergien, Arzneimittel gegen Epilepsie, Narkosemittel, Blutdrucksenker und Betablocker können die Wirkung von Dalmadorm verstärken.

Die Kombination mit starken Schmerzmitteln (z.B. Opiaten) kann zu einer verstärkten Euphorie (überschwängliche Gemütsverfassung) und damit zu eine schnelleren psychischen Abhängigkeit führen.

Auch andere Wirkstoffe können die Wirkung von Benzodiazepinen und Benzodiazepin-ähnlichen Wirkstoffen verstärken. Beispiele hierfür sind Arzneimittel gegen Magenübersäuerung (Cimetidin oder Protonenpumpenhemmer wie Omeprazol), Arzneimittel die bei Alkoholabhängigkeit angewendet werden (wie Disulfiram/Antabus®), oder Antiepileptika (wie Hydantoine oder Barbiturate). Bei Kombination dieser Antiepileptika mit Dalmadorm können auch die unerwünschten Wirkungent von Dalmadorm vermehrt hervortreten.

Arzneimittel wie Theophyllin oder Aminophyllin und bestimmte Arzneimittel gegen schwere Infektionskrankheiten wie z.B. Tuberkulose (Rifampicin) können die Wirkung oder Wirkungsdauer von Benzodiazepinen beeinträchtigen.

  • 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!

Informieren Sie Ihren Arzt bzw. Ihre Ärztin, wenn Sie schwanger sind, planen schwanger zu werden oder stillen.

Wenn Sie schwanger sind oder es werden möchten, dürfen Sie Dalmadorm ausschliesslich nach Rücksprache mit dem Arzt oder Ihrer Ärztin einnehmen. Dalmadorm tritt in die Muttermilch über; daher sollten Sie auf die Einnahme von Dalmadorm in der Stillzeit verzichten, da sonst Ihr Kind trinkfaul oder schläfrig werden könnte.

Erwachsene

Ihr Arzt bzw. Ihre Ärztin wird Ihnen in der Regel 15 oder 30 mg Dalmadorm verschreiben. Gehören Sie zu den älteren oder geschwächten Patienten, genügen in der Regel 15 mg pro Tag.

Kinder und Jugendliche

Dalmadorm ist nicht zur Anwendung bei Kinder und Jugendliche bestimmt.

Dalmadorm Filmtabletten nehmen Sie unmittelbar vor dem Schlafengehen ein, am besten mit Wasser. Die Filmtabletten weisen eine Zierbruchrille auf.

Sie dürfen für eine erleichterte Einnahme geteilt werden, nicht aber zur Dosierung einer halben Einheit. Die Dauer der Behandlung mit Dalmadorm wird Ihr Arzt bzw. Ihre Ärztin bestimmen.

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.

Häufig: Gefühlsarmut, Schläfrigkeit während des Tages, verminderte Aufmerksamkeit, gestörte Bewegungskoordination, Benommenheit, Schwindel, Kopfschmerzen, Veränderung des Geschmackssinnes, Muskelschwäche (dadurch kann die Gefahr für Stürze und in der Folge von Knochenbrüchen erhöht sein), Müdigkeit.

Gelegentlich: Anhaltende Dämpfung des Nervensystems (Sedierung) bei älteren oder geschwächten Personen, Verwirrungszustände.

Selten: Überempfindlichkeitsreaktionen, paradoxe Erregungszustände, Sehstörungen (Doppeltsehen), Drehschwindel, tiefer Blutdruck, Dämpfung der Atmung (insbesondere während der Nacht), Beschwerden im Magen-Darm-Bereich, Übelkeit, bittere Geschmacksempfindung, Hautreaktionen (Ausschlag), Harnverhalten, Störungen des Sexualtriebes.

Sehr selten: Gelbsucht

Unbekannte Häufigkeit: Störungen des Blutbildes, Verwirrtheit, Abhängigkeit, Entzugssyndrom, verstärktes Wiederauftreten der ursprünglichen Symptome nach dem Absetzen, Depression, paradoxe Reaktionen wie Angst, Schlafstörungen, Schlaflosigkeit, Albträume, Unruhe, Aufregung, Reizbarkeit, Aggression, Wahnvorstellungen, psychotische Störungen, anormales Verhalten, emotionale Störungen, Suizidversuche, Suizidgedanken, Störungen im Bewegungsablauf, Gedächtnislücken nach der Einnahme.

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

Bei Raumtemperatur (15-25 °C) und für Kinder unzugänglich 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.

Dalmadorm: 1 Filmtablette mit Zierbruchrille (ockergelb) enthält als Wirkstoff 30 mg Flurazepamhydrochlorid.

Dalmadorm mite: 1 Filmtablette mit Zierbruchrille (ockergelb) enthält als Wirkstoff 15 mg Flurazepamhydrochlorid.

Hilfsstoffe

Maisstärke, Mannitol, mikrokristalline Cellulose, Talk, Hypromellose, Stearinsäure, Magnesiumstearat.

Im Filmüberzug: Hypromellose, Talkum, Ethylcellulose, , Macrogol 400, Macrogol 6000, Farbstoffe: Eisenoxide und -hydroxide (E 172), Titandioxid (E 171).

40536 (Swissmedic).

In Apotheken nur gegen ärztliche Verschreibung.

Dalmadorm: Filmtabletten (mit Zierbruchrille) zu 30 mg 10, 30, 100.

Dalmadorm mite: Filmtabletten (mit Zierbruchrille) zu 15 mg 10, 30, 100.

MEDA Pharmaceuticals Switzerland GmbH, 8602 Wangen-Brüttisellen.

Diese Packungsbeilage wurde im März 2014 letztmals durch die Arzneimittelbehörde (Swissmedic) geprüft.

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