Swissmedic Nr.: 35960023
Index: 01.06.00
Pharmacode: 557955
GTIN/EAN: 7680359600231
Markteintritt: 14.07.1971
Kategorie: A Einmalige Abgabe auf eine ärztliche Verschreibung hin.
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Quilonorm/Quilonorm retard sind Lithiumpräparate, die zur Vorsorge und Behandlung gestörter psychischer Funktionen angewendet werden (affektive Störungen des manisch-depressiven Formenkreises).
Quilonorm/Quilonorm retard darf nur auf Verschreibung des Arztes bzw. der Ärztin angewendet werden.
Quilonorm/Quilonorm retard kann bei ungenügendem Ansprechen auf andere Antidepressiva auch als Ergänzungsbehandlung zu anderen Antidepressiva verschrieben werden. In diesem Fall wird Quilonorm/Quilonorm retard in Kombination mit anderen Antidepressiva eingenommen.
Die volle Wirkung tritt mitunter erst nach Monaten ein und in vielen Fällen ist eine jahrelange, ununterbrochene Lithiumtherapie notwendig.
Bei Überempfindlichkeit auf Lithium oder gegen einen anderen Inhaltsstoff von Quilonorm/Quilonorm retard. Bei Erkrankungen der Niere, bei angeborenen (bei Ihnen oder in Ihrer Familie) oder erworbenen Herzfunktionsstörungen (z.B. ersichtlich aus einem veränderten EKG), bei Störungen der Schilddrüsenfunktion, bei Wasser- oder Salzmangelzuständen durch starkes Schwitzen (z.B. nach schwerer körperlicher Anstrengung, Aufenthalt in heissem Klima oder während einer fieberhaften Erkrankung) sowie bei allen Erkrankungen, die eine kochsalzarme Diät erfordern.
In diesen Fällen wird Ihr Arzt bzw. Ihre Ärztin entscheiden, ob eine Behandlung trotzdem angezeigt ist und weitere Massnahmen zum Schutze Ihrer Gesundheit anordnen.
Wenn Quilonorm/Quilonorm retard eingenommen wird, darf nicht gestillt werden (siehe Kapitel «Darf Quilonorm/Quilonorm retard während einer Schwangerschaft oder in der Stillzeit eingenommen werden?»).
Dieses Arzneimittel kann die Reaktionsfähigkeit, die Fahrtüchtigkeit und die Fähigkeit, Werkzeuge oder Maschinen zu bedienen, beeinträchtigen.
Beim Autofahren ist zu beachten, dass zu Beginn der Behandlung mitunter eine Müdigkeit auftritt, die das Reaktionsvermögen beeinträchtigt.
Sie sollten stets für eine ausreichende Flüssigkeits- und Kochsalzaufnahme besorgt sein. Dies ist besonders wichtig in schweisstreibenden Situationen (z.B. Sport) oder wenn Sie übermässig viel Harn lassen. Vermeiden Sie rigorose Abmagerungskuren oder salzarme Diäten (siehe «Welche Nebenwirkungen kann Quilonorm/Quilonorm retard haben?»).
Der in Quilonorm/Quilonorm retard enthaltene Wirkstoff Lithium ist bei erhöhten Konzentrationen im Blut schädlich. Deshalb führt Ihr Arzt bzw. Ihre Ärztin eine regelmässige Blutuntersuchung zur Bestimmung des Lithium-Blutspiegels durch, um unerwünschte Wirkungen zu vermeiden. Die Empfindlichkeit auf Lithium ist von Patient/Patientin zu Patient/Patientin verschieden. Brechen Sie die Therapie mit Quilonorm/Quilonorm retard sofort ab und informieren Sie oder Ihre Angehörige ohne Verzug Ihren Arzt bzw. Ihre Ärztin, falls Sie eines oder mehrere der folgenden Symptome deutlich verspüren:
Ständiger starker Durst und Harndrang, Durchfall, Übelkeit, Herzrhythmusstörungen, Bewegungs- und Sprachstörungen, starkes und unter Umständen unregelmässiges Zittern der Hände, Muskelzuckungen und starke Schläfrigkeit oder Trägheit.
Die Nierenfunktion sollte von Ihrem Arzt bzw. von Ihrer Ärztin überprüft werden, da es bei Anwendung von Quilonorm/Quilnorm retard sehr selten zu Nierenschädigungen kommen kann.
Nehmen Sie das Arzneimittel zu der von Ihrem Arzt bzw. Ihrer Ärztin festgesetzten Zeit ein. Falls Sie eine Dosis vergessen haben, warten Sie den nächsten vorgeschriebenen Zeitpunkt der Einnahme ab. Nehmen Sie keine doppelten Dosen zur Kompensation vergessener Dosierungen ein!
Bei gleichzeitiger Einnahme von Lithium und entzündungshemmenden Schmerzmitteln, Metronidazol, gewissen Arzneimitteln zur Behandlung von Bluthochdruck oder Herzinsuffizienz, wie ACE-Hemmer (z.B. Captopril, Enalapril) oder Angiotensin-II-Rezeptor-Antagonisten, sogenannter Sartane (z.B. Candesartan, Valsartan), kann sich der Lithiumspiegel erhöhen und zu starken Nebenwirkungen führen. Sie müssen Ihren Arzt bzw. Ihre Ärztin informieren, wenn Sie solche Arzneimittel einnehmen.
Auch die gleichzeitige Einnahme weiterer Arzneimittel wie harntreibende Mittel, Antidepressiva, Arzneimittel bei psychischen Störungen, Antiepileptika oder Calcitonin ist dem Arzt bzw. der Ärztin zu melden bzw. mit ihm/ihr zu besprechen.
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!
Wenn Sie schwanger sind dürfen Sie Quilonorm/Quilonorm retard nicht einnehmen. Wenn Sie planen schwanger zu werden, besprechen Sie dies mit Ihrem Arzt bzw. Ihrer Ärztin. Wenn Sie im gebärfähigen Alter sind und Quilonorm/Quilonorm retard einnehmen, sollten Sie auf eine sichere Empfängnisverhütung achten. Falls Sie trotzdem schwanger werden, müssen Sie umgehend Ihren Arzt bzw. Ihre Ärztin kontaktieren.
Während der Behandlung mit Quilonorm/Quilonorm retard darf nicht gestillt werden.
Falls vom Arzt bzw. der Ärztin nicht anders verordnet:
3-4 Tabletten pro Tag.
2 Filmtabletten pro Tag.
Falls vom Arzt bzw. der Ärztin nicht anders verordnet, ist die Tagesdosis von Quilonorm auf 3, diejenige von Quilonorm retard auf 2 Einnahmen zu verteilen.
Die Dosierung wird von Ihrem Arzt bzw. Ihrer Ärztin individuell, aufgrund Ihres Krankheitsbildes und Lithium-Blutspiegels eingestellt. Ältere Patienten bzw. Patientinnen benötigen oft kleinere Dosen, um die gewünschte therapeutische Wirkung zu erreichen, und Nebenwirkungen können sich bei älteren Patienten bzw. Patientinnen bei Dosierungen äussern, die von jüngeren Patienten bzw. Patientinnen toleriert werden.
Quilonorm/Quilonorm retard ist zur Behandlung von Kindern unter 12 Jahren nicht geeignet.
Eine Anwendung des Präparates bei Jugendlichen soll nur in Spitälern mit entsprechender Erfahrung erfolgen.
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.
Auftreten und Ausmass der Nebenwirkungen sind von der Dosis, aber auch von der individuellen Empfindlichkeit abhängig.
Folgende Nebenwirkungen können bei der Einnahme von Quilonorm/Quilonorm retard auftreten:
Leichtes Zittern der Hände, erhöhte Harnmenge, Durst und Übelkeit. Diese Wirkungen verschwinden gewöhnlich im Verlauf der Therapie oder nach einer Verkleinerung der Dosis.
Ganzer Körper: Ödeme (Wasseransammlung im Gewebe).
Herz und Kreislauf: Herzrhythmusstörungen, EKG-Veränderungen, niedriger Blutdruck, Kreislaufversagen.
Nervensystem: Zittern der Hände, Muskelzuckungen oder Krämpfe, Bewegungsstörungen, Anfälle, verwaschene Sprache, Schwindel, Augenzittern, Bewusstlosigkeit, Kopfschmerzen.
Haut: Haarausfall, Akne, Ausschläge, Juckreiz, Auslösen oder Verstärken der Psoriasis (Schuppenflechte).
Hormonell: Kropfbildung, Störung der Schilddrüsenfunktion.
Magen und Darm: Appetitmangel, Übelkeit und Erbrechen, Durchfall, Bauchschmerzen, übermässiger Speichelfluss, Mundtrockenheit.
Blut: Anstieg der weissen und roten Blutkörperchen sowie der Blutplättchen.
Stoffwechsel: Anstieg des Blutzuckers, Anstieg von Kalzium im Blut, Gewichtszunahme.
Muskulatur: Gelenkschmerzen, Muskelschmerzen.
Gehirn: Halluzinationen, Schläfrigkeit, Gedächtnisverlust.
Nieren: Durst, erhöhte Harnmengen, Harninkontinenz, Nierenstörungen (nephrotisches Syndrom). Sehr selten bleibende Nierenschädigung (Fibrose).
Geschlechtsorgane: Impotenz, Funktionsstörungen.
Sinnesorgane: Sehstörungen.
Beim Auftreten einer der oben beschriebenen Nebenwirkungen oder wenn Sie Nebenwirkungen bemerken, die hier nicht beschrieben sind, sollten Sie Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin informieren.
Das Arzneimittel darf nur bis zu dem auf dem Behälter mit «EXP» bezeichneten Datum verwendet werden.
Bei Raumtemperatur (15-25 °C) und 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.
1 Tablette enthält 536 mg Lithiumacetat entsprechend 8,1 mmol Lithium, Aromastoffe sowie weitere Hilfsstoffe.
1 Filmtablette enthält 450 mg Lithiumcarbonat entsprechend 12,2 mmol Lithium sowie Hilfsstoffe.
33460, 35960 (Swissmedic).
In Apotheken gegen ärztliche Verschreibung, die nur zum einmaligen Bezug berechtigt.
Packungen zu 50 und 250 Tabletten.
Packungen zu 60 und 300 Filmtabletten.
Doetsch Grether AG, 4051 Basel.
Diese Packungsbeilage wurde im Juli 2015 letztmals durch die Arzneimittelbehörde (Swissmedic) geprüft.
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