CHF 6.85

1-24 hours

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

Swissmedic Nr.: 49406010
Index: 07.10.10

Pharmacode: 1375883
GTIN/EAN: 7680494060105
Markteintritt: 29.12.1989

Kategorie: B Mehrmalige Abgabe auf eine ärztliche Verschreibung hin.


Primofenac®/-Retard, Filmtabletten, Suppositorien (50 mg)

Diclofenac (M01AB05)

20 Stk

(0/5 , 800)

Um Primofenac®/-Retard, Filmtabletten, Suppositorien (50 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 Primofenac®/-Retard, Filmtabletten, Suppositorien (50 mg)'s gegen Unterschrift (24h) oder dem Medikamenten-Taxi nach einer Online Sprechstunde, falls gewünscht.

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Dr. David Herren, Einigen (BE)
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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 Primofenac/-Retard und wann wird es angewendet?

Primofenac/-Retard ist ein nichtsteroidales Antirheumatikum und wirkt entzündungshemmend und schmerzlindernd.

Die Anwendung von Primofenac/-Retard kann von den Symptomen einer Entzündung wie Schmerz und Schwellung befreien, indem es die Synthese der Moleküle (Prostaglandine) blockiert, welche verantwortlich sind für Entzündung, Schmerz und Fieber. Es kann jedoch nicht die Ursachen heilen.

Primofenac/-Retard wird auf Verschreibung des Arztes bzw. der Ärztin angewendet zur Behandlung von:

  • Rheumatischen Krankheiten, wie z.B. Arthrosen;
  • Entzündung und Schmerz bei Gichtanfall;
  • Schmerzhafte Leiden des Rückens und der Halswirbelsäule;
  • Weichteilrheumatismus;
  • Entzündungen und Schmerzen nach Verletzungen (z.B. Verstauchung, Zerrungen) und operativen Eingriffen (z.B. in der Zahnheilkunde und in der Orthopädie);
  • Schmerzen und Entzündungen bei Frauenleiden;
  • Migräneanfällen (gilt nur für Zäpfchen);
  • Als ergänzende Behandlung bei verschiedenen schmerzhaften akuten Infektionskrankheiten, insbesondere im Bereich von Ohren, Nase und Hals.

Primofenac/-Retard soll nicht zur ausschliesslichen Fiebersenkung verwendet werden.

+-Wann darf Primofenac/-Retard nicht angewendet werden?

Primofenac/-Retard darf nicht angewendet werden:

  • Wenn Sie auf einen der Inhaltsstoffe allergisch reagieren oder nach der Einnahme von Acetylsalicylsäure oder anderen Schmerz- oder Rheumamitteln, sogenannten nichtsteroidalen entzündungshemmenden Arzneimitteln Atemnot oder allergieähnliche Hautreaktionen hatten;
  • Im letzten Drittel der Schwangerschaft;
  • Bei aktiven Magen- und/oder Dünndarm-Geschwüren (Zwölffingerdarmgeschwüren);
  • oder Magen-/Darmblutungen oder Perforation, oder bei Symptomen wie Blut im Stuhl oder schwarzem Stuhl;
  • Bei chronischen Darmentzündungen (Morbus Crohn, Colitis ulcerosa);
  • Bei schwerer Einschränkung der Leber- oder Nierenfunktion;
  • Bei schwerer Herzleistungsschwäche;
  • Zur Behandlung von Schmerzen nach einer koronaren Bypassoperation am Herzen (resp. Einsatz einer Herz-Lungen-Maschine);
  • Bei Entzündungen im Enddarmbereich (mit Blutung und Ausfluss) dürfen Primofenac Zäpfchen nicht angewendet werden.

Falls einer dieser Zustände bei Ihnen zutrifft, sagen Sie es Ihrem Arzt bzw. Ihrer Ärztin und wenden Sie Primofenac/-Retard nicht an. Ihr Arzt bzw. Ihre Ärztin wird entscheiden, ob dieses Arzneimittel für Sie geeignet ist.

Wegen ihres hohen Wirkstoffgehalts sind Filmtabletten zu 50 mg und Zäpfchen zu 50 und 100 mg nicht für die Anwendung bei Kindern unter 14 Jahren geeignet.

Wenn Sie glauben, dass Sie möglicherweise allergisch sind, fragen Sie Ihren Arzt bzw. Ihre Ärztin um Rat.

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

Während der Behandlung mit Primofenac/-Retard können im oberen Magen-Darm-Trakt Schleimhautgeschwüre, selten Blutungen oder in Einzelfällen Perforationen (Magen-, Darmdurchbrüche) auftreten. Diese Komplikationen können während der Behandlung jederzeit auch ohne Warnsymptome auftreten. Um dieses Risiko zu verringern, verschreibt Ihr Arzt oder Ihre Ärztin Ihnen die kleinste wirksame Dosis während der kürzest möglichen Therapiedauer. Wenden Sie sich an Ihren Arzt oder Ihre Ärztin, wenn Sie Magenschmerzen haben und einen Zusammenhang mit der Einnahme des Arzneimittels vermuten.

Für gewisse Schmerzmittel, die so genannten COX-2-Hemmer, wurde unter hohen Dosierungen und/oder Langzeitbehandlung ein erhöhtes Risiko für Herzinfarkt und Schlaganfall festgestellt. Ob dieses erhöhte Risiko auch für Primofenac/-Retard zutrifft, ist noch nicht bekannt. Falls Sie bereits einen Herzinfarkt, Schlaganfall oder eine Venenthrombose hatten, oder falls Sie Risikofaktoren haben wie hoher Blutdruck, Diabetes (Zuckerkrankheit), hohe Blutfettwerte, Rauchen, wird Ihr Arzt oder Ihre Ärztin entscheiden, ob Sie Primofenac/-Retard trotzdem anwenden können. Informieren Sie in jedem Fall Ihren Arzt oder Ihre Ärztin darüber.

Die Einnahme von Primofenac/-Retard kann die Funktion Ihrer Nieren beeinträchtigen, was zu einer Erhöhung des Blutdrucks und/oder Flüssigkeitsansammlungen (Ödemen) führen kann. Informieren Sie Ihren Arzt oder Ihre Ärztin, wenn Sie herzkrank oder nierenkrank sind, falls Sie Arzneimittel gegen Bluthochdruck (z.B. harntreibende Mittel, ACE-Hemmer) einnehmen oder bei einem erhöhten Flüssigkeitsverlust, z.B. durch starkes Schwitzen.

In sehr seltenen Fällen können Entzündungshemmer (einschliesslich Primofenac/-Retard) schwerwiegende Hautreaktionen (z.B. Hautausschlag) auslösen. Bei den ersten Anzeichen einer Hautreaktion ist die Behandlung mit Primofenac/-Retard abzubrechen und den Arzt bzw. die Ärztin zu informieren.

Dieses Arzneimittel kann die Reaktionsfähigkeit, die Fahrtüchtigkeit und die Fähigkeit, Werkzeuge oder Maschinen zu bedienen, beeinträchtigen!

Insbesondere beim Auftreten von Schwindel, Sehstörungen oder anderen zentralnervösen Störungen sollten Sie auf das Führen eines Motorfahrzeuges oder das Bedienen von Maschinen verzichten und umgehend Ihren Arzt oder Ihre Ärztin aufsuchen.

Ferner ist besondere Vorsicht angezeigt, wenn Sie Primofenac/-Retard gleichzeitig mit anderen entzündungshemmenden Arzneimitteln (wie Acetylsalicylsäure/Aspirin, Kortikosteroide), «Blutverdünner» oder SSRI's (gegen Depression) einnehmen, wenn Sie Asthma, Heuschnupfen (saisonale allergische Rhinitis), Leber- oder Nierenprobleme, Blutgerinnungsstörungen haben oder andere Schwierigkeiten mit dem Blut, einschliesslich ein seltenes Leberproblem bekannt als Porphyrie.

Wenn einer dieser Zustände zutrifft, informieren Sie Ihren Arzt bzw. Ihre Ärztin bevor Sie Primofenac/-Retard einnehmen bzw. anwenden.

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, insbesondere, wenn Sie folgende Arzneimittel einnehmen:

Lithium oder Serotonin-Wiederaufnahmehemmer (SSRI's) (zur Behandlung von Depressionen), Digoxin (bei Herzproblemen),

Diuretika (zur Erhöhung der Harnausscheidung), ACE-Hemmer oder Betablocker (gegen Bluthochdruck und Herzprobleme),

andere entzündungshemmende Arzneimittel wie Acetylsalicylsäure (Aspirin) oder Ibuprofen, Kortikosteroide, gerinnungshemmende Arzneimittel (Antikoagulantien), Arzneimittel zur Behandlung von Diabetes (ausgenommen Insulin), Methotrexat (bei Arthritis und Krebserkrankung), Ciclosporin

oder Tacrolimus (bei Organtransplantation), Trimethoprim (bei Harnwegsinfektionen), Chinolon-Antibiotika (Arzneimittel gegen Infektionen), oder Voriconazol (ein Arzneimittel zur Behandlung von Pilzinfektion) oder Phenytoin (ein Arzneimittel zur Behandlung von epileptischen Anfällen).

Primofenac/-Retard kann die Anzeichen einer Infektion (z.B. Kopfschmerzen, hohe Körpertemperatur) abschwächen und somit das Aufdecken und die angemessene Behandlung der Infektion erschweren.

In sehr seltenen Fällen kann Primofenac/-Retard, wie andere entzündungshemmende Arzneimittel, schwere allergische Reaktionen (z.B. Ausschlag) verursachen. Informieren Sie deshalb umgehend Ihren Arzt bzw. Ihre Ärztin, falls eine solche Reaktion bei Ihnen auftritt.

Wenn Sie Primofenac/-Retard längere Zeit (mehr als 2-3 Wochen) einnehmen, sollten Sie die regelmässigen von Ihrem Arzt oder Ihrer Ärztin angeordneten Kontrolluntersuchungen nicht versäumen.

Vorsicht ist bei älteren Patientinnen und Patienten geboten. Sie können auf die Wirkung von Primofenac/-Retard empfindlicher reagieren. Deswegen sollten sie vorsorglich die niedrigste wirksame Dosierung verwenden.

+-Darf Primofenac/-Retard während einer Schwangerschaft oder in der Stillzeit eingenommen/angewendet werden?

Schwangerschaft

Sollten Sie schwanger sein oder eine Schwangerschaft planen, sollten Sie Diclofenac nur nach Rücksprache mit Ihrem Arzt bzw. Ihrer Ärztin einnehmen. Im letzten Drittel der Schwangerschaft darf Primofenac/-Retard nicht eingenommen werden.

Stillzeit

Primofenac/-Retard sollte während der Stillzeit nicht eingenommen werden, ausser Ihr Arzt bzw. Ihre Ärztin hat es Ihnen ausdrücklich erlaubt.

+-Wie verwenden Sie Primofenac/-Retard?

Die Dosierung und Anwendung wird vom Arzt oder der Ärztin je nach Anwendungsbereich, Alter und Ausprägung der Beschwerden individuell festgelegt; die Anweisungen sind sorgfältig zu befolgen. Überschreiten Sie nicht die empfohlene Tagesdosis und Behandlungsdauer.

Erwachsene

Zu Beginn der Behandlung beträgt die Tagesdosis im Allgemeinen 100-150 mg. In leichteren Fällen und zur Langzeitbehandlung sind 75-100 mg pro Tag in der Regel ausreichend.

Gewöhnlich wird die Tagesdosis auf 2?3 Teildosen aufgeteilt. Nehmen Sie nicht mehr als die maximale Tagesdosis von 150 mg.

Zur Vermeidung von Nachtschmerzen und/oder Morgensteifigkeit können auch 1 Zäpfchen zu 100 mg auf die Nacht und 1 Filmtablette zu 50 mg während des Tages verabreicht werden.

Bei Menstruationsschmerzen beginnen Sie die Behandlung mit einer Einzeldosis von 50?100 mg, sobald die ersten Beschwerden auftreten. Wenn erforderlich, setzen Sie die Behandlung während einiger Tage mit bis zu dreimal täglich 50 mg fort. Wenn während 2?3 Menstruationen mit der maximalen Tagesdosis von 150 mg keine ausreichende Schmerzlinderung erreicht wird, können Sie während der darauf folgenden Regelblutungen die Dosierung auf bis zu 200 mg täglich erhöhen. Überschreiten Sie nicht die Tagesdosis von 200 mg.

Die Filmtabletten sind mit viel Flüssigkeit vorzugsweise vor der Mahlzeit einzunehmen. Die Filmtabletten dürfen nicht gekaut oder geteilt werden.

Zur Behandlung der Migräne stehen Ihnen nach Verschreibung des Arztes bzw. der Ärztin Primofenac Zäpfchen zur Verfügung. Im Allgemeinen genügt es, sofort beim ersten Anzeichen eines Migräneanfalls 1 Zäpfchen Primofenac 100 mg anzuwenden.

Die Zäpfchen werden von der Umhüllung befreit und in den entleerten Enddarm tief eingeführt. Falls nötig darf bei anhaltenden Schmerzen ein weiteres Zäpfchen eingeführt werden.

Bei einer Fortsetzung der Behandlung an den folgenden Tagen darf die Dosis von 150 mg pro Tag (z.B. 3 Zäpfchen zu 50 mg) nicht überschritten werden.

Retard Filmtabletten

1× täglich 1 Retard Filmtablette.

Bei Bedarf kann die Tagesdosis auf 150 mg (1 Retard Filmtablette zu 100 mg in Kombination mit Filmtabletten zu 50 mg oder Zäpfchen zu 50 mg) erhöht werden, die vorzugsweise über den Tag zu verteilen sind.

Zur Vermeidung von Nachtschmerzen und/oder Morgensteifigkeit wird Primofenac Retard abends eingenommen.

Primofenac Retard Filmtabletten sollen ganz, am besten mit viel Flüssigkeit, vorzugsweise zu der Mahlzeit eingenommen werden. Die Filmtabletten dürfen nicht gekaut oder geteilt werden.

Kinder und Jugendliche

Aufgrund der Dosierungsstärke wird die Anwendung von Primofenac Retard Filmtabletten 100 mg und Primofenac Zäpfchen zu 100 mg bei Kindern und Jugendlichen nicht empfohlen.

Die Anwendung von Primofenac Filmtabletten zu 50 mg und Zäpfchen zu 50 mg ist für Kinder unter 14 Jahren nicht geeignet.

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.

+-Welche Nebenwirkungen kann Primofenac/-Retard haben?

Folgende Nebenwirkungen können bei der Einnahme/Anwendung von Primofenac/-Retard auftreten:

Häufig sind Kopfschmerzen, Benommenheit, Schwindel, Übelkeit, Erbrechen, Durchfall, Magenbeschwerden, Bauchschmerzen, Blähungen, verminderter Appetit, Hautausschlag, Flüssigkeitsansammlung, Schwellung, erhöhter Blutdruck, lokale Irritationen (Suppositorien), Veränderung der Leberfunktion (z.B. Erhöhung der Leberenzymkonzentration im Blut).

Selten sind Überempfindlichkeitsreaktion mit Schwellung im Gesicht, Mund, an den Gliedmassen (bis hin zu Blutdruckabfall und Schock), Asthma, Schläfrigkeit, Entzündungen und Geschwüre des Magendarmtraktes, Bluterbrechen, blutiger Durchfall, Mastdarmentzündung (Suppositorien), gestörte Leberfunktion, Leberentzündung, Gelbsucht (sehr selten Leberversagen), Nesselsucht.

Sehr selten sind Veränderungen des Blutbildes, unübliche Blutung, Bluterguss, psychische Probleme (inkl. Schlaflosigkeit, Reizbarkeit), Missempfindung, Gedächtnisstörung, Krämpfe, Angstgefühl, Zittern, Geschmackstörung, Sehstörung, Sehschwäche, Ohrgeräusch, vermindertes Hörvermögen, starrer Nacken, Herzprobleme, erhöhter Blutdruck, Gefäss-, Lungen-, Dickdarmentzündung, Verschlimmerung von Hämorrhoiden (Suppositorien), Verstopfung, Entzündung der Bauchspeicheldrüse, der Mundschleimhaut, der Zunge, Ekzem, Juckreiz, entzündliche Hautrötung, Haarausfall, Hautblutung, akute Nierenprobleme, Blut im Urin, Blutung aufgrund von Hämorrhoiden (Suppositorien).

Informieren Sie Ihren Arzt bzw. Ihre Ärztin, falls Sie eine dieser Nebenwirkungen feststellen.

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

+-Was ist ferner zu beachten?

Filmtabletten bei Raumtemperatur (15-25 °C) vor Feuchtigkeit und Wärme geschützt und ausser Reichweite von Kindern aufbewahren.

Zäpfchen bei Raumtemperatur (15-25 °C) und 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 Primofenac/-Retard enthalten?

Primofenac Filmtabletten 50 mg

1 Filmtablette enthält 50 mg Diclofenac-Natrium, Dibutylphthalat sowie andere Hilfsstoffe.

Primofenac Retard Filmtabletten 100 mg

1 Filmtablette enthält 100 mg Diclofenac-Natrium, Dibutylphthalat sowie andere Hilfsstoffe.

Primofenac Suppositorien 50 mg oder 100 mg

1 Suppositorium enthält 50 mg oder 100 mg Diclofenac-Natrium sowie andere Hilfsstoffe.

+-Zulassungsnummer

49406, 49407, 49409 (Swissmedic)

+-Wo erhalten Sie Primofenac/-Retard? Welche Packungen sind erhältlich?

In Apotheken nur gegen ärztliche Verschreibung.

Primofenac Filmtabletten 50 mg: Packungen zu 20 und 100.

Primofenac Retard Filmtabletten 100 mg: Packungen zu 10, 30 und 100.

Primofenac Suppositorien 50 mg oder 100 mg: Packungen zu 10.

+-Zulassungsinhaberin

Streuli Pharma AG, 8730 Uznach

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

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