Efient® (5 mg)

CHF 90.70

1-24 hours

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

Swissmedic Nr.: 59136002
Index: 06.03.20

Pharmacode: 4324171
GTIN/EAN: 7680591360023
Markteintritt: 29.07.2009

Kategorie: B Mehrmalige Abgabe auf eine ärztliche Verschreibung hin.

Prasugrel (B01AC22)

28 Stk

(0/5 , 796)

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

Get this medicament

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Consult a doctor

You can get more infos with the following doctors during an online consultation. They might prescribe you this medicament.

Dr. Kathrin Holderegger, Weinfelden (TG)
Generalist
Gynaecologist

Tariff:
First 10 minutes: CHF 97.08
Next 5 minutes: CHF 18.73
Night tarif

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Consult by Webcam

Dr. Tim Schäufele, Bern (BE)
Cardiologist
Generalist
Internist

Tariff:
First 10 minutes: CHF 100.09
Next 5 minutes: CHF 19.4
Night tarif

View Profile

Consult by Webcam

+-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 Efient und wann wird es angewendet?

Prasugrel, der Wirkstoff in Efient Filmtabletten, gehört zu einer Gruppe von Arzneimitteln, die als Thrombozytenaggregationshemmer bezeichnet werden. Blutplättchen (Thrombozyten) sind sehr kleine Blutzellen, die im Blut zirkulieren. Wenn ein Blutgefäss verletzt wird, z.B. durch eine Schnittwunde, verklumpen die Blutplättchen, um einen Blutpfropf (Thrombus) zu bilden. Deshalb sind die Blutplättchen sehr wichtig, um Blutungen zu stoppen. Falls sich Blutklümpchen bilden z.B. in einer Arterie, können diese sehr gefährlich werden, da sie die Blutversorgung unterbrechen können und somit einen Herzinfarkt, einen Schlaganfall oder den Tod auslösen können. Blutklümpchen in Arterien, die das Herz mit Blut versorgen, können ebenfalls die Blutversorgung verringern mit der Folge einer instabilen Angina pectoris (starke Brustschmerzen).

Efient verhindert dieses Zusammenklumpen und verringert auf diese Weise das Risiko der Entstehung von Blutgerinnseln.

Sie haben Efient verschrieben bekommen, da Sie kürzlich einen Herzinfarkt oder einen instabilen Angina pectoris Anfall hatten und mit einem Verfahren behandelt wurden, das blockierte Arterien im Herzen öffnet. Möglicherweise wurden Ihnen auch Stents eingesetzt, um eine blockierte oder verengte Arterie, die das Herz mit Blut versorgt, offen zu halten. Efient vermindert das Risiko weiterer Herzinfarkte oder Schlaganfälle oder an einem dieser Ereignisse zu sterben.

Ihr Arzt bzw. Ärztin hat Ihnen dieses Medikament verschrieben und wird Ihnen auch Acetylsalicylsäure (z.B. Aspirin), einen anderen Thrombozytenaggregationshemmer, geben. Efient darf nur auf Verschreibung des Arztes bzw. Ärztin eingenommen und nicht an andere Personen weitergegeben werden.

+-Wann darf Efient nicht angewendet werden?

Efient darf nicht angewendet werden:

wenn Sie eine Überempfindlichkeit/Allergie auf den Wirkstoff Prasugrel oder auf einen der weiteren Hilfsstoffe in Efient haben. Eine allergische Reaktion kann sich als Hautausschlag, Juckreiz, geschwollenes Gesicht, geschwollene Lippen oder Atemnot äussern. Sollten diese Symptome auftreten, informieren Sie bitte umgehend Ihren Arzt bzw. Ärztin darüber.

wenn Sie jemals einen Schlaganfall oder eine vorübergehende Durchblutungsstörung des Gehirns (transitorische ischämische Attacke, TIA) erlitten haben.
wenn Sie eine schwerwiegende Lebererkrankung haben.

+-Wann ist bei der Einnahme von Efient Vorsicht geboten?

Bevor Sie Efient einnehmen, müssen Sie Ihren Arzt bzw. Ärztin darüber informieren, falls Sie ein erhöhtes Blutungsrisiko haben, z.B. da

Sie 75 Jahre oder älter sind. Möglicherweise entscheidet Ihr Arzt bzw. Ihre Ärztin Ihnen 5 mg als Tagesdosis zu geben, da bei der Einnahme von Efient 10 mg ein grösseres Blutungsrisiko bei Patienten über 75 Jahren im Vergleich zu Patienten unter 75 Jahren beobachtet wurde,
Sie vor kurzem eine ernste Verletzung hatten,
Sie sich vor kurzem einer Operation unterzogen (einschliesslich zahnärztliche Eingriffe, abgesehen von routinemässigen Zahnreinigungen) hatten,
Sie derzeit oder immer wieder Blutungen im Bereich des Magen-Darmtrakts (z.B. Magengeschwür, Kolonpolypen) haben, oder wenn Sie eine mittelschwere bis schwere Nierenfunktionsstörung haben oder sonst an einer Krankheit leiden, aufgrund derer Sie ein erhöhtes Risiko für Blutungen haben,

Sie weniger als 60 kg wiegen. Ihr Arzt bzw. Ärztin sollte Ihnen eine Tagesdosis von 5 mg Efient verschreiben, falls Sie weniger als 60 kg wiegen, da bei der Einnahme von Efient ein grösseres Blutungsrisiko bei Patienten mit einem Körpergewicht unter 60 kg im Vergleich zu Patienten mit einem Körpergewicht über 60 kg besteht,

Sie bestimmte Medikamente einnehmen (siehe «Kombination mit anderen Medikamenten»).
Sie sich in den nächsten 7 Tagen einer Operation unterziehen (einschliesslich zahnärztlichen Eingriffen, abgesehen von routinemässigen Zahnreinigungen). Es kann sein, dass Ihr Arzt bzw. Ärztin vorübergehend, aufgrund eines erhöhten Blutungsrisikos, die Behandlung mit Efient absetzt. Vor dem Absetzen ist es wichtig, dies mit Ihrem behandelnden Arzt bzw. Ärztin zu besprechen, da sowohl die Risiken als auch der Nutzen von Efient auf einer regelmässigen Einnahme basieren.

Wenn Sie früher allergisch auf Clopidogrel oder andere auf Thrombozyten wirkende Substanzen reagiert haben, informieren Sie bitte Ihren Arzt hierüber, bevor Sie die Therapie mit Efient beginnen. Sollten Sie dann Efient einnehmen und eine allergische Reaktion entwickeln, die sich als Hautausschlag, Juckreiz, Gesichtsschwellung, geschwollenen Lippen oder Atemnot äussern können, benachrichtigen Sie bitte umgehend Ihren Arzt.

Wenden Sie sich unverzüglich an Ihren Arzt, wenn Sie eine sogenannte thrombotische-thrombozytopenische Purpura (TTP) entwickeln. Dieses beinhaltet Fieber und Blutungen unter der Haut, die wie kleine rote Pünktchen aussehen können, mit oder ohne unerklärlicher, ausgeprägter Müdigkeit, Verwirrtheit sowie Gelbfärbung von Haut oder Augen (Gelbsucht).

Bitte kontaktieren Sie umgehend Ihren Arzt bzw. Ärztin, sollten Sie die folgenden Symptome bemerken

Plötzliche Gefühllosigkeit oder Schwäche im Arm, Bein oder Gesicht, besonders falls nur eine Körperseite betroffen ist, plötzliche Verwirrtheit, Schwierigkeiten beim Sprechen oder Verstehen von anderen Personen, plötzliche Schwierigkeiten beim Gehen oder Gleichgewichtsverlust, Koordinationsverlust oder plötzlicher Schwindel oder plötzliche, schwere Kopfschmerzen unbekannter Ursache. Alle aufgelisteten Symptome können Hinweise auf einen Schlaganfall sein. Bei den meisten Patienten, die Efient einnehmen, trat ein Schlaganfall nur als seltene Nebenwirkung auf und ereignet sich überwiegend bei jenen Patienten, die bereits vorher einen Schlaganfall oder eine vorübergehende, ischämische Attacke (Streifung) hatten.

Bitte informieren Sie Ihren Arzt bzw. Ärztin, falls Sie Folgendes bemerken:

Blut im Urin
Blutungen im Afterbereich, Blut im Stuhl oder schwarz gefärbter Stuhl
Unkontrollierte Blutungen, z.B. infolge einer Schnittwunde.

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.

Kombination mit anderen Medikamenten

Bitte informieren Sie Ihren Arzt bzw. Ärztin, falls Sie andere Medikamente einnehmen oder kürzlich eingenommen haben, einschliesslich rezeptfreier Medikamente, Nahrungs-ergänzungsmitteln und pflanzlichen Präparaten.

Falls Sie Warfarin (ein Antikoagulans) oder nicht-steroidale Entzündungshemmer (z.B. Ibuprofen) zur Behandlung von Schmerzen und Fieber einnehmen, ist es besonders wichtig, dies Ihrem Arzt bzw. Ärztin mitzuteilen. In Kombination mit Efient können diese Arzneimittel das Blutungsrisiko erhöhen.

Nehmen Sie während der Behandlung mit Efient nur weitere Medikamente ein, wenn Ihr Arzt bzw. Ärztin damit einverstanden ist.

Wichtige Hinweise zu den Hilfsstoffen in Efient

Efient enthält Laktose. Falls Sie auf bestimmte Zucker mit einer Unverträglichkeit reagieren (z.B. Galaktoseintoleranz oder Lapp-Laktase-Defizienz), konsultieren Sie bitte Ihren Arzt bzw. Ärztin, bevor sie dieses Medikament einnehmen.

Wirkung auf die Fahrtüchtigkeit und auf das Bedienen von Maschinen

Es ist unwahrscheinlich, dass Efient die Reaktionsfähigkeit, die Fahrtüchtigkeit und die Fähigkeit, Werkzeuge oder Maschinen zu bedienen, beeinträchtigt.

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

Falls Sie während der Behandlung mit Efient schwanger werden oder schwanger werden möchten, müssen Sie dies Ihrem Arzt bzw. Ärztin mitteilen.

Falls Sie vorhaben zu stillen, fragen Sie bitte Ihren Arzt bzw. Ärztin um Rat. Da ein Risiko für das gestillte Kind nicht ausgeschlossen werden kann, soll bei Anwendung von Efient während der Stillzeit auf Flaschennahrung umgestellt werden.

+-Wie verwenden Sie Efient?

Nehmen Sie Efient genau nach Anweisung Ihres Arztes bzw. Ärztin ein. Der Nutzen und die Risiken im Zusammenhang mit Efient basieren auf der regelmässigen Einnahme; deshalb ist es wichtig, dass Sie Efient genau nach den ärztlichen Anweisungen einnehmen. Im Zweifelsfall konsultieren Sie bitte Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin.

Ihr Arzt bzw. Ärztin wird Ihnen nähere Details zur Therapiedauer und Dosierung von Efient Tabletten mitteilen.

Bei Behandlungsbeginn werden Sie von Ihrem Arzt bzw. Ärztin eine einmalige Startdosis von 60 mg Efient erhalten. Üblicherweise werden täglich 10 mg Efient eingenommen.

Efient wird während oder zwischen den Mahlzeiten oral eingenommen.

Nehmen Sie das Medikament immer etwa zur gleichen Tageszeit ein.

Die Tabletten dürfen nicht zerteilt oder zermörsert werden.

Üblicherweise wird Ihnen Ihr Arzt bzw. Ärztin zusätzlich ein niedrigdosiertes Acetylsalicylsäure-Präparat (z.B. Aspirin ?100 mg pro Tag) mit einem Einnahmehinweis verschreiben.

Nach dem Behandlungsbeginn mit Efient ist es wichtig, dass Sie alle Ärzte, Zahnärzte, Apotheker und andere Medizinalpersonen bei denen Sie in Behandlung sind, über diese Medikamenteneinnahme informieren.

Die Anwendung und Sicherheit von Efient bei Kindern und Jugendlichen unter 18 Jahren wurde bisher nicht geprüft.

Falls Sie eine Überdosis Efient eingenommen haben, informieren Sie umgehend Ihren Arzt bzw. Ärztin oder suchen Sie die Notaufnahme des nächstgelegenen Krankenhauses auf, da ein erhöhtes Blutungsrisiko möglich ist. Zeigen Sie Ihrem Arzt bzw. Ärztin die Arzneimittelpackung.

Falls Sie die Einnahme von Efient einmal vergessen haben, holen Sie die Einnahme umgehend nach. Wenn Sie die Einnahme um einen ganzen Tag vergessen haben, nehmen Sie die nächste Tablette zum nächsten regulär vorgesehenen Zeitpunkt ein. Nehmen Sie nicht die doppelte Tablettenmenge an einem Tag ein. Sie können anhand des Kalenders auf der Packung mit 28 bzw. 98 Tabletten überprüfen, an welchem Tag Sie die letzte Efient Filmtablette eingenommen haben.

Beenden Sie nicht von sich aus die Einnahme von Efient. Um durch die Einnahme von Efient einem Herzinfarkt oder einem Schlaganfall vorzubeugen, ist eine regelmässige Einnahme wichtig.

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. mit Ihrer Ärztin oder Apothekerin.

+-Welche Nebenwirkungen kann Efient haben?

Wie bei allen Medikamenten, können auch bei Efient Nebenwirkungen auftreten. Nicht bei allen Patienten muss dies der Fall sein (siehe: Wann ist bei der Einnahme von Efient Vorsicht geboten?).

Da Efient das Zusammenklumpen von Blutplättchen verhindert, sind Blutungen die häufigste Nebenwirkung, wobei alle folgenden genannten Symptome dafür Anzeichen sind.

Aufgetretene Nebenwirkungen in klinischen Studien mit Efient

Häufig (tritt bei mehr als 1 von 100 Patienten, aber bei weniger als 1 von 10 Patienten auf):

Blutungen im Magen-Darmtrakt
Blutungen an einer Nadeleinstichstelle
Nasenbluten
Hautausschlag
Hämatome/ Blutergüsse (kleine, blaue Flecken auf oder unter der Haut)
Blut im Urin
Niedrige Hämoglobinwerte oder wenige, rote Blutkörperchen (Anämie)

Gelegentlich (tritt bei mehr als 1 von 1000 Patienten, aber bei weniger als 1 von 100 Patienten auf):

Überempfindlichkeitsreaktionen (Hautausschlag, Juckreiz, geschwollene Lippen/Zunge oder Atemnot)
Spontane Blutungen in folgenden Bereichen: Auge, After, Zahnfleisch, Bereich der inneren Organe
Blutungen nach einer Operation
Abhusten von Blut
Blut im Stuhl

Wenngleich schwere Blutungen nur gelegentlich auftreten, können diese tödlich enden, falls sie unbehandelt bleiben.

Falls eine Nebenwirkung schwerwiegend wird oder Sie das Auftreten einer 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 entsorgen Sie diese bitte nicht über das Abwasser oder den Hausmüll, sondern bringen Sie diese bitte in Ihre Apotheke zurück. Diese Massnahmen tragen dazu bei, die Umwelt zu schützen.

In der Originalpackung bei Raumtemperatur (15?25 °C) aufbewahren.

Efient Tabletten ausser Reichweite von Kindern aufbewahren.

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

+-Was ist in Efient enthalten?

1 Tablette enthält:

Jede Efient 5 mg Filmtablette enthält 5 mg Prasugrel als Prasugrelhydrochlorid sowie Laktose und weitere Hilfsstoffe für die Tablettierung.
Jede Efient 10 mg Filmtablette enthält 10 mg Prasugrel als Prasugrelhydrochlorid sowie Laktose und weitere Hilfsstoffe für die Tablettierung.

+-Zulassungsnummer

59136 (Swissmedic).

+-Wo erhalten Sie Efient? Welche Packungen sind erhältlich?

In Apotheken nur gegen ärztliche Verschreibung.

Filmtabletten zu 5 mg: Packungen zu 28 und 98 Filmtabletten

Filmtabletten zu 10 mg: Packungen zu 28 und 98 Filmtabletten, und Spitalpackung zu 30.

+-Zulassungsinhaberin

Eli Lilly (Suisse) S.A., 1214 Vernier/Genève.

Diese Packungsbeilage wurde im November 2012 letztmals durch die Arzneimittelbehörde (Swissmedic) geprüft.

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