CHF 46.60

1-24 hours

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

Swissmedic Nr.: 57151004
Index: 07.03.20

Pharmacode: 3268358
GTIN/EAN: 7680571510042
Markteintritt: 29.06.2006

Kategorie: B Mehrmalige Abgabe auf eine ärztliche Verschreibung hin.


Minirin®/- Melt (60 mcg)

Desmopressin (H01BA02)

30 Stk

(0/5 , 724)

Um Minirin®/- Melt (60 mcg) 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 Minirin®/- Melt (60 mcg)'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 Minirin/- Melt und wann wird es angewendet?

Minirin ist eine leicht veränderte, synthetisch hergestellte Abwandlung des antidiuretischen Hormons (ADH, Vasopressin), das normalerweise von der Hirnanhangsdrüse in den Blutkreislauf abgegeben wird und die Urinausscheidung reguliert.

Minirin wird auf Verschreibung des Arztes oder der Ärztin bei jenen Krankheiten angewendet, bei denen infolge zu geringer Produktion des körpereigenen antidiuretischen Hormons die Nieren nicht im Stande sind, den Harn genügend zu konzentrieren.

Bei Bettnässern (Kinder ab 5 Jahren, Jugendliche und Erwachsene) kann mit einer Anwendung von Minirin vor dem Schlafengehen die während der Nacht ausgeschiedene Harnmenge soweit verringert werden, dass die Patienten trocken bleiben.

+-Was sollte dazu beachtet werden?

Bei der Behandlung des Bettnässens darf Minirin nur einmal innert 24 Stunden, nämlich vor dem Schlafengehen, in der vom Arzt bzw. von der Ärztin verschriebenen Dosis angewendet werden. Zudem sollte 1 Stunde vor der Anwendung von Minirin bis 8 Stunden danach die Flüssigkeitsaufnahme reduziert und aufs Durstlöschen beschränkt werden. 

+-Wann darf Minirin/- Melt nicht angewendet werden?

Minirin ist bei Patienten, deren übermässige Harnausscheidung nicht auf das Fehlen des antidiuretischen Hormons zurückzuführen ist, wirkungslos.

Minirin darf nicht angewendet werden bei:

  • Herzfehlern, Herzschwäche und Herzbeschwerden;
  • anderen Erkrankungen, die eine Behandlung mit harntreibenden Substanzen (Diuretika) erfordern, (zum Beispiel Bluthochdruck);
  • krankhaft gesteigertem Durstgefühl mit stark erhöhter Flüssigkeitsaufnahme;
  • Natriummangel im Blut (Hyponaträmie);
  • einem Syndrom der übermässigen Sekretion des antidiuretischen Hormon (ADH);
  • eingeschränkter Nierenfunktion;
  • Überempfindlichkeit gegenüber einem der Inhaltsstoffe.

Minirin ist für bettnässende Kinder unter 5 Jahren nicht geeignet und sollte daher nicht angewendet werden.

Minirin ist für die Behandlung von Blutungen oder Blutungsstörungen nicht geeignet.

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

Wenn Sie oder Ihr Kind mit Minirin behandelt wird, achten Sie darauf, dass Sie oder Ihr Kind eine übermässige Flüssigkeitsaufnahme (sehr viel trinken) vermeiden. Denken Sie auch an das Verschlucken von Wasser bei sportlichen Aktivitäten wie Schwimmen. Eltern sollten ihr Kind diesbezüglich überwachen.

Die Behandlung mit Minirin kann ohne gleichzeitige Einschränkung der Flüssigkeitsaufnahme auch bei korrekter Dosierung zu einer Überwässerung des Körpers und zu einem Natriummangel im Blut führen. Zeichen davon sind Gewichtszunahme, Kopfschmerzen, Übelkeit, Erbrechen und Ödembildung (Wasseransammlung im Gewebe). Sollten Sie die Anzeichen bei Ihnen oder Ihrem Kind feststellen, wenden Sie sich umgehend an Ihren Arzt oder Ärztin.

Wenn Sie an Störungen des Flüssigkeits- und Salzhaushalts leiden wie zum Beispiel bei Erbrechen, Durchfall, Infektionskrankheiten und Fieber sollten Sie sich an Ihren Arzt bzw. Ihre Ärztin wenden, da möglicherweise Ihre Minirin Dosis angepasst werden muss.

Besondere Vorsicht ist geboten, wenn Sie an einem erhöhten Hirndruck (intrakranieller Druck) leiden.

Besondere Vorsicht ist bei sehr jungen und bei älteren Patienten geboten, da diese evtl. empfindlicher auf die Anwendung von Minirin reagieren.

Bei gleichzeitiger Einnahme von Minirin und einem der folgenden Arzneimittel kann die Wirkung von Minirin verstärkt werden und sich damit das Risiko für eine Überwässerung des Körpers erhöhen:

  • Rheumamittel mit dem Wirkstoff Indometacin;
  • blutfettsenkende Arzneimittel mit dem Wirkstoff Clofibrat;
  • Arzneimittel zur Förderung der Geburtswehen mit dem Wirkstoff Oxytocin;
  • Arzneimittel zur Behandlung von Epilepsie mit dem Wirkstoff Carbamazepin;
  • Arzneimittel zur Behandlung von Depressionen mit sogenannten trizyklischen Antidepressiva oder Serotoninwiederaufnahme-Hemmern;
  • Arzneimittel zur Behandlung von psychischen Erkrankungen mit dem Wirkstoff Chlorpromazin;
  • Arzneimittel mit Wirkungen auf den Wasser- und Salzhaushalt des Körpers wie z.B. mit dem Wirkstoff Chlorpropamid;
  • Arzneimittel zur Behandlung von Durchfallerkrankungen mit dem Wirkstoff Loperamid.

Bei gleichzeitiger Einnahme von Lithium (bei Manie) oder bei blutzuckersenkenden Arzneimitteln mit dem Wirkstoff von Glibenclamid kann die Wirkung von Minirin abgeschwächt sein.

Wenn Sie Arzneimittel gegen hohen Blutdruck einnehmen, ist es wichtig, dass Ihr Arzt bzw. Ihre Ärztin regelmässig den Blutdruck, den Natrium-Gehalt des Blutes und die Harnausscheidung bei Ihnen kontrolliert.

Bei Auftreten von Überempfindlichkeitsreaktionen, was in seltenen Fällen geschehen kann (siehe unter: «Welche Nebenwirkungen kann Minirin/- Melt haben?»), müssen Sie die Behandlung sofort abbrechen und einen Arzt bzw. eine Ärztin benachrichtigen.

Infomieren 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 (Externa)!

+-Darf Minirin/- Melt während einer Schwangerschaft oder in der Stillzeit eingenommen/angewendet werden?

Schwangerschaft

Bei Schwangeren, welche an einem Mangel an körpereigenem antidiuretischem Hormon leiden, kann die Minirin-Behandlung auch während der Schwangerschaft weitergeführt werden. Es ist jedoch zu beachten, dass während einer Schwangerschaft der Bedarf an Minirin ansteigen kann. Schwangere, welche täglich Minirin benötigen, sollten daher gleich zu Beginn der Schwangerschaft ihren Arzt bzw. ihre Ärztin über ihre Minirin-Anwendung informieren. Wenn Sie während der Schwangerschaft Minirin anwenden, sollte Ihr Arzt oder Ihre Ärztin Ihnen regelmässig den Blutdruck kontrollieren.

Stillzeit

Minirin tritt nur in kleinen Mengen in die Muttermilch über. Minirin hat beim Säugling keine Wirkung.

+-Wie verwenden Sie Minirin/- Melt?

Die Dosierung und die Dauer der Behandlung werden von Ihrem Arzt bzw. Ihrer Ärztin individuell festgelegt.

Bei Mangel an körpereigenem antidiuretischem Hormon wird Ihnen der Arzt bzw. die Ärztin üblicherweise die Verabreichung bzw. die Einnahme folgender Mengen verschreiben:

Erwachsene  

Tabletten: 1 Tablette 0,1 oder 0,2 mg, 3× täglich.

Sublingualtabletten: 1 Sublingualtablette 60 µg oder 120 µg, 1?4× täglich. Die  Sublingualtablette soll vor dem Schlucken 10 Sekunden unter der Zunge gehalten werden.

Kinder

Tabletten: 1 Tablette zu 0,1 oder 0,2 mg, 3× täglich.

Sublingualtabletten: 1 Sublingualtablette 60 µg oder 120 µg, 1?2× täglich. Die Sublingualtablette soll vor dem Schlucken 10 Sekunden unter der Zunge gehalten werden.

Säuglinge

Minirin Tabletten und Minirin Melt Sublingualtabletten sind nicht für die Anwendung bei Säuglingen bestimmt.

Bei Kindern ab 5 Jahren, Jugendlichen und Erwachsenen, die das Bett nässen

Beginnen mit 2 Tabletten 0,1 mg resp. 1 Tablette 0,2 mg, oder 2 Sublingualtabletten 60 µg resp. 1 Sublingualtablette 120 µg ½ bis 1 Stunde vor dem Schlafengehen. Die Sublingualtablette soll vor dem Schlucken 10 Sekunden unter der Zunge gehalten werden. 

Minirin Melt Sublingualtabletten

Gebrauchsanweisung zum Öffnen der Blister:

1. Blisterstreifen am markierten Ende öffnen.

                          

 

2. Den ersten Blister entlang der perforierten Linie abtrennen.

 

 

 

Die nicht versiegelte Ecke jedes einzelnen Blisters ist mit einem Pfeil markiert und mit einer kleinen dreieckigen Schutzkappe versehen. Die Schutzkappe entfernen und die Abdeckung des Blisters anheben und entfernen. Die Tablette kann nun entnommen werden.

3. Zur Entnahme der übrigen Tabletten folgen Sie Punkt 2.

4. Falls die Blister-Abdeckung reisst, können die Ränder entlang der perforierten Linie mit einer Schere abgeschnitten werden.

Falls eine Tablette auseinander bricht, können die einzelnen Teile eingenommen werden. Falls eine Tablette in mehr als 3 Teile zerbricht, werden die Teile im Blister belassen und weggeworfen. 

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. Ihrer Ärztin oder Apothekerin.

+-Welche Nebenwirkungen kann Minirin/- Melt haben?

Folgende Nebenwirkungen können bei der Einnahme oder Anwendung von Minirin auftreten:

Häufig können Müdigkeit, Kopfschmerzen, Bauchschmerzen und -krämpfe, Übelkeit, Durchfall, ein vorübergehender Abfall des Blutdruckes, eine erhöhte Pulsfrequenz und Gesichtsrötungen mit Hitzegefühl auftreten.

Sehr selten kann es zu einem Rückstau von Wasser im Gewebe, einem zu niedrigen Natriumspiegel im Blut bis hin zu Krämpfen, einem Hirnödem und tiefe Bewusstlosigkeit (Koma) kommen.

In sehr seltenen Fällen treten zudem allergische Reaktionen, Überempfindlichkeitsreaktionen, wie z.B. Juckreiz, Hautausschläge, Fieber, Bronchialkrämpfe oder schockartige allergische Allgemeinreaktion auf. Auch emotionale Störungen bei Kindern, die gegen Bettnässen behandelt werden, werden beobachtet.

Ferner kann es zu Blutgerinnungsproblemen (Thrombosen in Hirn- und Herzkranzgefässen) kommen.

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

Bei Überdosierung besteht die Gefahr einer Überwässerung des Körpers. Es sind dabei Anzeichen wie erhöhter Blutdruck, erhöhte Pulsfrequenz, Gesichtsrötung, Kopfschmerzen, Krämpfe, Übelkeit und Bauchkrämpfe und in schweren Fällen allgemeine Krampfanfälle, Hirnödem und tiefe Bewusstlosigkeit (Koma) zu erwarten. Nehmen Sie unverzüglich Kontakt mit Ihrem Arzt bzw. Ärztin auf. Alle Verdachtsfälle auf Hirnödem (Krampfanfälle und Bewusstseinsverlust) erfordern eine sofortige Einweisung in die Intensivtherapie.

+-Was ist ferner zu beachten?

Minirin Tabletten nicht über 25° C lagern. Minirin Melt Sublingualtabletten bei Raumtemperatur (15?25° C) aufbewahren. Minirin ist in der Originalverpackung vor Licht und Feuchtigkeit geschützt aufzubewahren.

Ausser Reichweite von Kindern 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.

+-Was ist in Minirin/- Melt enthalten?

Minirin Tabletten

Wirkstoff: Desmopressin 0,1 mg resp. 0,2 mg.

Minirin Melt Sublingualtabletten

Wirkstoff: Desmopressin 60 µg resp. 120 µg.

+-Zulassungsnummer

49002, 57151 (Swissmedic).

+-Wo erhalten Sie Minirin/- Melt? Welche Packungen sind erhältlich?

In Apotheken nur gegen ärztliche Verschreibung.

Minirin Tabletten

Tabletten à 0,1 mg: Packungen zu 30 und 90.

Tabletten à 0,2 mg: Packungen zu 30 und 90.

Minirin Melt Sublingualtabletten 

Sublingualtabletten à 60 µg: Packungen zu 30 und 100.

Sublingualtabletten à 120 µg: Packungen zu 30 und 100.

+-Zulassungsinhaberin

Ferring AG, 6340 Baar.

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

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