CHF 70.25

1-24 hours

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

Swissmedic Nr.: 54616066
Index: 07.03.20

Pharmacode: 2153423
GTIN/EAN: 7680546160661
Markteintritt: 17.06.1998

Kategorie: B Mehrmalige Abgabe auf eine ärztliche Verschreibung hin.


Nocutil Nasenspray (0.2 mg)

Desmopressin (H01BA02)

5 ml

(0/5 , 748)

Um Nocutil Nasenspray (0.2 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 Nocutil Nasenspray (0.2 mg)'s gegen Unterschrift (24h) oder dem Medikamenten-Taxi nach einer Online Sprechstunde, falls gewünscht.

You can get more infos with the following doctors during an online consultation. They might prescribe you this medicament.
Dr. David Herren, Einigen (BE)
Generalist
Internist


Tariff:
First 10 minutes: CHF 32.91
Next 5 minutes: CHF 15.28
Day tarif
Dr. Ueli Krebs, Thun (BE)
Generalist
Internist


Tariff:
First 10 minutes: CHF 32.91
Next 5 minutes: CHF 15.28
Day tarif
Dr. Carla Bonomo Coradi, Männedorf (ZH)
Generalist
Internist


Tariff:
First 10 minutes: CHF 33.71
Next 5 minutes: CHF 15.81
Day tarif
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.

Nocutil 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.

Nocutil 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.

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

Nocutil 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.

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

Wenn Sie oder Ihr Kind mit Nocutil 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 Nocutil 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 Nocutil 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 evt. empfindlicher auf die Anwendung von Nocutil reagieren.

Bei gleichzeitiger Einnahme von Nocutil und einem der folgenden Arzneimittel kann die Wirkung von Nocutil 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 Nocutil 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.

Durch Vernarbungen oder Schwellungen (Schnupfen) der Nasenschleimhaut kann die Aufnahme des Wirkstoffes in Nocutil Nasenspray unregelmässig sein.

Bei Auftreten von Überempfindlichkeitsreaktionen, was in seltenen Fällen geschehen kann (siehe unter: «Welche Nebenwirkungen kann Nocutil Nasenspray 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!

Schwangerschaft

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

Stillzeit

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

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

Bei intranasaler Anwendung beträgt die Dosis 10 ? 40 µg täglich, verteilt auf 1-2 Verabreichungen entsprechend:

Nasenspray: täglich 1 ? 4 Sprühstösse (tägliche Maximaldosis: 2 x 2 Sprühstösse).

Kinder

Bei intranasaler Anwendung beträgt die Dosis  5 ? 20 µg täglich, verteilt auf 1-2 Verabreichungen entsprechend:

Nasenspray: täglich 1 ? 2 Sprühstösse (tägliche Maximaldosis: 2 x 1 Sprühstoss).

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 Apothekerbzw. Ihre Ärztin oder Apothekerin.

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

Häufig können Müdigkeit, Kopfschmerzen, Bauchschmerzen- und krämpfe, Übelkeit, Durchfall, ein vorübergehender Abfall des Blutdruckes, eine erhöhte Pulsfrequenz und Gesichtsrötungen mit Hitzegefühl auftreten. Bei der Anwendung des Nasensprays können häufig eine verstopfte Nase, Nasenbluten oder Schnupfen 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.

Nocutil bei Raumtemperatur (15?25 °C) und in der Originalverpackung vor Licht geschützt lagern.

Ausser Reichweite von Kindern aufbewahren.

Das Arzneimittel darf nur bis zu dem auf dem Behälter mit «Exp.» bezeichneten Datum verwendet werden.

Nasenspray: Nach Anbruch der Flasche ist diese 8 Wochen haltbar.

Weitere Auskünfte erteilen Ihnen Ihr Arzt oder Apothekerbzw. Ihre Ärztin oder Apothekerin. Diese Personen verfügen über die ausführliche Fachinformation.

Nasenspray

1 ml Nocutil Nasenspray enthält als Wirkstoff 0,1 mg Desmopressinacetat (entsprechend 0,089 mg Desmopressin) und als Konservierungsmittel Benzalkoniumchlorid, sowie weitere Hilfsstoffe.

54616 (Swissmedic)

In Apotheken nur gegen ärztliche Verschreibung.

Nasenspray Lösung

Flaschen zu 5 ml (50 Sprühstösse) 1 und 3.

Gebro Pharma AG, 4410 Liestal.

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

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