CHF 216.85

1-24 hours

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

Swissmedic Nr.: 58450003
Index: 07.06.20

Pharmacode: 3764784
GTIN/EAN: 7680584500030
Markteintritt: 08.04.2008

Kategorie: B Mehrmalige Abgabe auf eine ärztliche Verschreibung hin.


Janumet® (550 mg)

Metformin und Sitagliptin (A10BD07)

196 Stk

(0/5 , 776)

Um Janumet® (550 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 Janumet® (550 mg)'s gegen Unterschrift (24h) oder dem Medikamenten-Taxi nach einer Online Sprechstunde, falls gewünscht.

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Dr. Kathrin Holderegger, Weinfelden (TG)
Generalist
Gynaecologist


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


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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 Janumet und wann wird es angewendet?

Janumet ist eine Tablette, die zwei Wirkstoffe enthält, Sitagliptinphosphat und Metformin. Sitagliptin gehört zu einer Klasse von Arzneimitteln, die DPP-4 Hemmer (Dipeptidylpeptidase-4-Hemmer) genannt werden und Metformin gehört zur Klasse der Biguanide. Gemeinsam senken sie den Blutzucker von Patienten mit Diabetes mellitus Typ 2 (Zuckerkrankheit). Diabetes mellitus Typ 2 wird auch Nicht-Insulinabhängiger Diabetes mellitus genannt.

Ihr Arzt bzw. Ihre Ärztin hat Ihnen Janumet verschrieben, um Ihren Blutzucker zu senken, der wegen Ihrer Diabetes Typ 2 Erkrankung zu hoch ist und nicht allein durch Diät und körperliche Betätigung behandelt werden kann. Janumet verbessert den Insulinspiegel im Blut nach einer Mahlzeit und senkt die vom Körper produzierte Zuckermenge. Janumet unterstützt die Nutzung von körpereigenem Insulin.

Janumet darf nur auf Verschreibung des Arztes bzw. der Ärztin eingenommen werden.

+-Was sollte dazu beachtet werden?

Was ist Diabetes Typ 2?

Diabetes Typ 2 ist eine Krankheit, bei der Ihr Körper einerseits nicht genügend Insulin produziert und andererseits das von Ihrem Körper produzierte Insulin nicht so stark wirkt, wie es sollte. Es kann aber auch sein, dass Ihr Körper zuviel Zucker produziert. Wenn dies geschieht, reichert sich Zucker (Glukose) im Blut an. Dies kann zu gefährlichen gesundheitlichen Problemen führen.

Das Hauptziel der Behandlung von Diabetes ist die Senkung Ihres Blutzuckers auf ein normales Niveau. Die Senkung und Kontrolle des Blutzuckers kann dazu beitragen, die Komplikationen des Diabetes, wie beispielsweise Herzkrankheiten, Nierenerkrankung, Blindheit und Amputationen zu verhindern oder zu verzögern.

Hoher Blutzucker kann durch Diät und genügend Bewegung, sowie durch bestimmte Arzneimittel gesenkt werden.

+-Wann darf Janumet nicht eingenommen/angewendet werden?

Nehmen Sie Janumet nicht ein, wenn Sie:

  • allergisch auf einen Wirkstoff oder einen Hilfsstoff dieses Arzneimittels sind
  • an Diabetes Typ 1 leiden
  • unter metabolischer Azidose oder diabetischer Ketoazidose leiden (erhöhte Konzentration von Ketonen im Blut oder Urin)
  • Nierenprobleme irgendwelcher Art haben
  • Nehmen Sie Janumet auch nicht ein, wenn Sie Erkrankungen haben, die zu Nierenproblemen führen können wie bestimmte Herzerkrankungen, bestimmte schwerwiegende Infektionen, oder Dehydrierung (grosser Verlust von Körperflüssigkeiten) haben
  • eine radiologische Untersuchung machen müssen, bei der Ihnen ein Farbstoff oder ein Kontrastmittel gespritzt wird.

Besprechen Sie mit Ihrem Arzt bzw. Ihrer Ärztin, wann Sie die Einnahme von Janumet beenden müssen und wann Sie es wieder einnehmen dürfen.

+-Wann ist bei der Einnahme/Anwendung von Janumet Vorsicht geboten?

Informieren Sie Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin über die folgenden aktuellen oder früheren Erkrankungen:

  • Nierenprobleme.
  • Lebererkrankungen.
  • Herzprobleme.
  • Wenn Sie älter als 80 Jahre alt sind. Patienten über 80 Jahre sollten Janumet nicht einnehmen, es sei denn, die Niere wurde untersucht und als gesund eingestuft.
  • Alkoholmissbrauch (regelmässiger Alkoholkonsum oder kurzfristiges Rauschtrinken).
  • Wenn Sie schwanger sind oder schwanger werden wollen.
  • Wenn Sie stillen.
  • Wenn Sie unter Austrocknung leiden (grosser Verlust von Körperflüssigkeiten), beispielsweise bei Erkrankungen mit starkem Erbrechen, Diarrhö, Fieber oder wenn Sie viel weniger Flüssigkeit zu sich nehmen als normalerweise.
  • Wenn Sie sich operieren lassen müssen.

Während der Einnahme von Janumet

Es wurden Fälle von Bauchspeicheldrüsenentzündungen (Pankreatitis) bei Patienten die Janumet einnahmen beobachtet. Eine Pankreatitis ist eine schwerwiegende, potentiell lebensbedrohende Krankheit. Beenden Sie die Einnahme von Janumet und suchen Sie Ihren Arzt bzw. Ihre Ärztin auf, falls Sie starke und anhaltende Bauchschmerzen, mit oder ohne Erbrechen bekommen, da Sie an Pankreatitis leiden könnten.

Verwendung bei Kindern und Jugendlichen

Janumet wurde bei Kindern und Jugendlichen unter 18 Jahren nicht untersucht.

Verwendung bei älteren Personen

Janumet sollte von älteren Patienten nur unter regelmässiger ärztlicher Kontrolle eingenommen werden.

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.
+-Darf Janumet während einer Schwangerschaft oder in der Stillzeit eingenommen/angewendet werden?

Frauen, die schwanger sind oder eine Schwangerschaft planen, sollten ihren Arzt bzw. Ihre Ärztin konsultieren, bevor sie Janumet einnehmen. Die Einnahme von Janumet wird während der Schwangerschaft nicht empfohlen.

Es ist nicht bekannt, ob Janumet in die Muttermilch übergeht. Sie sollten deshalb Janumet nicht einnehmen, wenn Sie stillen oder die Absicht haben zu stillen. Sprechen Sie mit Ihrem Arzt bzw. Ihrer Ärztin.

+-Wie verwenden Sie Janumet?

Nehmen Sie Janumet genau so ein, wie es Ihnen von Ihrem Arzt bzw. Ihrer Ärztin verschrieben wurde. Ihr Arzt bzw. Ihre Ärztin sagt Ihnen, zu welchen Tageszeiten Sie wie viele Tabletten Janumet einnehmen müssen.

Es kann sein, dass Ihr Arzt bzw. Ihre Ärztin die Dosis erhöht, um eine optimale Blutzuckereinstellung zu erreichen.

Ihr Arzt bzw. Ihre Ärztin kann Ihnen Janumet zusammen mit bestimmten anderen Arzneimitteln verschreiben, die den Blutzucker senken, beispielsweise Sulfonylharnstoffe oder Insulin.

Nehmen Sie Janumet zusammen mit einer Mahlzeit ein, um das Risiko von Magenbeschwerden zu verringern.

Nehmen Sie Janumet so lange ein, wie von Ihrem Arzt bzw. Ihrer Ärztin verschrieben, damit Ihr Blutzucker unter Kontrolle bleibt.

Es kann sein, dass Sie Janumet für eine kurze Zeit absetzen müssen. Informieren Sie Ihren Arzt bzw. Ihre Ärztin, wenn Sie

  • unter Austrocknung leiden (grosser Verlust von Körperflüssigkeiten), beispielsweise bei Erkrankungen mit starkem Erbrechen, Diarrhö, Fieber oder wenn Sie viel weniger Flüssigkeit zu sich nehmen als normalerweise.
  • eine Operation an sich durchführen lassen.
  • eine radiologische Untersuchung machen müssen, bei der Ihnen ein Farbstoff oder ein Kontrastmittel gespritzt wird.

Diät und Bewegung können dazu beitragen, dass Ihr Körper den Blutzucker besser verwertet. Es ist wichtig, dass Sie die von Ihrem Arzt bzw. Ihrer Ärztin verschriebene Diät, ausreichende Bewegung und das Programm für Gewichtsreduktion einhalten, während Sie Janumet einnehmen.

Falls Sie einmal eine deutlich höhere als die vorgeschriebene Dosis Janumet einnehmen, informieren Sie sofort Ihren Arzt bzw. Ihre Ärztin.

Sollten Sie einmal eine Dosis vergessen haben, nehmen Sie diese ein, sobald Sie sich daran erinnern. Wenn Sie sich erst daran erinnern, wenn die nächste Dosis an der Reihe ist, überspringen Sie die verpasste Dosis und fahren Sie einfach mit dem regulären Schema weiter. Nehmen Sie keine doppelte Dosis Janumet ein.

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

+-Welche Nebenwirkungen kann Janumet haben?

In seltenen Fällen kann Metformin, einer der in Janumet enthaltenen Wirkstoffe, eine ernsthafte Nebenwirkung verursachen, die Laktatazidose genannt wird. Laktatazidose ist ein lebensgefährlicher medizinischer Notfall, der in einem Spital behandelt werden muss. Laktatazidose wird durch eine Anreicherung von Milchsäure in Ihrem Blut verursacht.

Beenden Sie die Einnahme von Janumet, wenn Sie folgende Symptome einer Laktatazidose verspüren:

  • Sie fühlen sich schwach und müde.
  • Sie haben ungewöhnliche (anormale) Muskelschmerzen.
  • Sie haben Mühe beim Atmen.
  • Sie leiden unter Bauchschmerzen mit Übelkeit und Erbrechen oder Diarrhö.
  • Sie verspüren Kälte, besonders in Ihren Armen und Beinen.
  • Sie fühlen sich schwindlig oder leicht benommen.
  • Sie haben einen langsamen oder unregelmässigen Herzschlag.
  • Ihr Gesundheitszustand verändert sich plötzlich.

Die Gefahr einer Laktatazidose ist erhöht, wenn Sie:

  • Nierenprobleme haben.
  • unter Herzinsuffizienz leiden, die eine Behandlung mit Arzneimitteln erfordert.
  • zu viel Alkohol konsumieren (oft und regelmässig oder kurzfristiges Rauschtrinken).
  • unter Austrocknung leiden (grosser Verlust von Körperflüssigkeiten). Dies kann bei Erkrankungen mit Fieber, Erbrechen oder Diarrhö der Fall sein. Eine Austrocknung kann auch auftreten, wenn Sie bei körperlicher Anstrengung viel schwitzen und dann nicht genügend Flüssigkeit zu sich nehmen.
  • bestimmte radiologische Untersuchungen machen müssen, bei denen Ihnen ein Farbstoff oder ein Kontrastmittel gespritzt wird.
  • bei Operationen.
  • einen Herzanfall, eine schwere Infektion oder einen Schlaganfall erleiden.
  • 80 Jahre oder älter sind und Ihre Nierenfunktion nicht untersucht wurde.

Weitere häufige Nebenwirkungen von Janumet sind Kopfschmerzen, tiefer Blutzucker (Hypoglykämie) und Magen-Darm-Störungen wie z.B. Durchfall, Übelkeit, Verdauungsstörungen, Blähungen, Erbrechen und metallischer Geschmack, Bauchschmerzen, Appetitverlust. In den meisten Fällen treten diese Erscheinungen zu Beginn der Behandlung auf und verschwinden dann von alleine, ohne dass die Behandlung abgebrochen werden muss. Bei längerer Behandlung mit Metformin, wird Ihr Arzt bzw. Ihre Ärztin regelmässig Ihr Blut untersuchen, da es sehr selten zu einer Verminderung von Vitamin B12 kommen kann. In vereinzelten Fällen kann es zu einer Abnahme der weissen Blutkörperchen und der Blutplättchen kommen. Ebenfalls können verstopfte oder laufende Nase, Halsentzündung, Entzündung der oberen Atemwege und Kopfschmerzen auftreten. Die Einnahme von Janumet zusammen mit einer Mahlzeit kann Magenproblemen vorbeugen. Wenn Sie jedoch unübliche oder unerwartete Magenprobleme haben, sollten Sie Ihren Arzt bzw. Ihre Ärztin informieren. Magenprobleme, die im späteren Verlauf der Behandlung auftreten, können ein Anzeichen für eine ernsthaftere Erkrankung sein.

Wenn Janumet zusammen mit einem Sulfonylharnstoff oder Insulin eingenommen wird, kann es wegen des Sulfonylharnstoffs oder Insulins zu einem tiefen Blutzucker kommen (Hypoglykämie). Ihr Arzt resp. Ihre Ärztin wird die Dosierung des Sulfonylharnstoffs reduzieren. Wenn Janumet in Kombination mit einem Sulfonylharnstoff eingenommen wird, kann es manchmal auch zu einer Verstopfung kommen.

Zusätzlichen Nebenwirkungen können bei Einnahme von Janumet oder Sitagliptin, einem der Wirkstoffe von Janumet auftreten. Beim alleinigen Gebrauch von Janumet und/oder zusammen mit anderen Arzneimitteln zur Behandlung des Diabetes wurde über diese unerwünschten Wirkungen berichtet:

  • Symptome einer schwerwiegenden allergischen Reaktion, können Hautausschlag, Nesselausschlag, und Schwellung von Gesicht, Lippen, Zunge und Hals, verbunden mit Atem- oder Schluckproblemen sein. Falls Sie eine allergische Reaktion haben, sollten Sie die Behandlung mit Janumet beenden und Ihren Arzt bzw. Ihre Ärztin sofort kontaktieren. Ihr Arzt bzw. Ihre Ärztin können Ihnen ein Arzneimittel verschreiben, um Ihre allergische Reaktion zu behandeln und ein anderes Arzneimittel zur Behandlung ihres Diabetes.
  • Es kann zu einer Entzündung der Bauchspeicheldrüse kommen. Falls Sie starke und anhaltende Bauchschmerzen, mit oder ohne Erbrechen bekommen, sollten Sie die Behandlung mit Janumet beenden und sofort Ihren Arzt bzw. Ärztin kontaktieren.
  • Nierenprobleme (manche erfordern eine Dialyse).
  • Verstopfung.
  • Erbrechen.
  • Gelenkschmerzen.
  • Muskelschmerzen.
  • Arm- oder Beinschmerzen.
  • Rückenschmerzen.
  • Jucken.

Weitere Symptome, die oben nicht aufgelistet sind, können vereinzelt bei Patienten auftreten.

Wenn Sie Nebenwirkungen bemerken, die hier nicht beschrieben sind, wenn unübliche Symptome auftauchen oder wenn bekannte Symptome anhalten oder sich verschlimmern, sollten Sie Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin informieren.

+-Was ist ferner zu beachten?

Bewahren Sie das Arzneimittel ausserhalb der Reichweite von Kindern auf.

Lagern Sie Janumet nicht bei Temperaturen über 30 °C. 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.

+-Was ist in Janumet enthalten?

Janumet enthält Sitagliptin als Sitagliptinphosphat-Monohydrat, Metformin und Hilfsstoffe für die Tablettenherstellung.

+-Zulassungsnummer

58450 (Swissmedic).

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

In Apotheken nur gegen ärztliche Verschreibung.

Janumet ist erhältlich als 50 mg/500 mg, 50 mg/850 mg und 50 mg/1000 mg Filmtabletten in Packungen zu 56 oder 196 Filmtabletten.

+-Zulassungsinhaberin

MSD MERCK SHARP & DOHME AG, Luzern.

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

S-WPPI-MK0431A-T-022015/0431A-CHE-2015-010844

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Evaluate medicament: Janumet® (550 mg)


Write about your experience with the medicament. Share your experiences about the medication which you are currently taking or have taken. This information will help others. Thank you for your participation!

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I hereby certify that all information is true and accurate. My evaluation reflects my personal experience. My evaluation is appropriate and serves to benefit others before usage of the medicament.
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