CHF 20.50

1-24 hours

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

Swissmedic Nr.: 56910005
Index: 02.07.20

Pharmacode: 2991236
GTIN/EAN: 7680569100057
Markteintritt: 30.08.2005

Kategorie: B Mehrmalige Abgabe auf eine ärztliche Verschreibung hin.


Quiril® comp. 10/20 (32.5 mg)

Quinapril und Diuretika (C09BA06)

30 Stk

(0/5 , 772)

Um Quiril® comp. 10/20 (32.5 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 Quiril® comp. 10/20 (32.5 mg)'s gegen Unterschrift (24h) oder dem Medikamenten-Taxi nach einer Online Sprechstunde, falls gewünscht.

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You can get more infos with the following doctors during an online consultation. They might prescribe you this medicament.
Dr. Kathrin Holderegger, Weinfelden (TG)
Generalist
Gynaecologist


Tariff:
First 10 minutes: CHF 32.12
Next 5 minutes: CHF 14.75
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Dr. Tim Schäufele, Bern (BE)
Cardiologist
Generalist
Internist


Tariff:
First 10 minutes: CHF 32.91
Next 5 minutes: CHF 15.28
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Consult by Webcam
Dr. Christian Loewe, Teufen AR (AR)
Generalist


Tariff:
First 10 minutes: CHF 32.12
Next 5 minutes: CHF 14.75
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Consult by Webcam
+-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 Quiril comp. und wann wird es angewendet?

Quiril comp. ist ein Arzneimittel, das zur Behandlung von hohem Blutdruck (Hypertonie) angewendet wird. Es enthält die Wirkstoffe Quinapril und Hydrochlorothiazid. Quinapril gehört zur Gruppe der «Angiotensin-Converting-Enzym-Hemmer» («ACE-Hemmer»). Seine Wirkung beruht auf einer Hemmung körpereigener Stoffe, die unter anderem für einen erhöhten Blutdruck verantwortlich sind. Hydrochlorothiazid ist ein Wirkstoff, der zu einer vermehrten Salz- und Wasserausscheidung durch die Nieren führt (Diuretikum). Hydrochlorothiazid hat ebenfalls einen blutdrucksenkenden Effekt. Die Wirkmechanismen der beiden Substanzen ergänzen sich gegenseitig und führen dadurch zu einer gesteigerten Blutdrucksenkung. Quiril comp. wird nur auf Verschreibung des Arztes bzw. der Ärztin zur Therapie des Bluthochdrucks angewendet, wenn die Behandlung mit einem Kombinationspräparat notwendig ist. Eine Kombinationstherapie wird grundsätzlich dann empfohlen, wenn eine Behandlung mit den Einzelstoffen nicht ausreichend wirksam ist.

+-Was sollte dazu beachtet werden?

Um Ihr Befinden zu verbessern, kann Ihr Arzt bzw. Ihre Ärztin zusätzliche Massnahmen wie z.B. eine Gewichtsabnahme oder Änderungen der Ernährung empfehlen.

+-Wann darf Quiril comp. nicht angewendet werden?

Bei Überempfindlichkeit gegen die Wirkstoffe oder die Hilfsstoffe in diesem Präparat sowie gegen Sulfonamide darf Quiril comp. nicht eingenommen werden.

Quiril comp. darf ausserdem nicht angewendet werden, wenn bei Ihnen im Zusammenhang mit der Einnahme anderer blutdrucksenkender Mittel, wie anderer ACE-Hemmer oder Angiotensin-II-Rezeptor-Antagonisten, oder in Ihrer Familie Schwellungen im Gesicht, an Augen, Lippen oder Zunge oder ähnliche Krankheitszeichen aufgetreten sind.

In diesen Fällen sollten Sie ihren Arzt bzw. Ihre Ärztin informieren.

Sie dürfen Quiril comp. auch nicht einnehmen, wenn Sie an

  • einer schweren Nierenfunktionsstörung;
  • schwere Leberfunktionsstörungen;
  • übermässig erhöhtem Kalziumspiegel im Blut;
  • an Natriummangel im Blut leiden oder
  • an Diabetes (Typ 1 oder 2), mässig oder schwer eingeschränkter Nierenfunktion, erhöhtem Kaliumspiegel im Blut oder Herzinsuffizienz mit niedrigem Blutdruck leiden und gleichzeitig Aliskiren, einen blutdrucksenkenden Wirkstoff, einnehmen;
  • an Diabetes (Typ 1 oder 2) mit Organschäden, mässig oder schwer eingeschränkter Nierenfunktion, erhöhtem Kaliumspiegel im Blut oder Herzchwäche (sogenannter Herzinsuffizienz) mit niedrigem Blutdruck leiden und gleichzeitig gewisse blutrucksenkende Mittel (Angiotensin-Rezeptor-Antagonisten oder ACE-Hemmer) einnehmen.

Während der Schwangerschaft dürfen Sie Quiril comp. nicht einnehmen (siehe «Darf Quiril comp. während einer Schwangerschaft oder in der Stillzeit eingenommen werden?»).

+-Wann ist bei der Einnahme von Quiril comp. Vorsicht geboten?

Wirkung auf die Fahrtüchtigkeit und auf das Bedienen von Maschinen

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

Die Reaktionsfähigkeit kann durch die individuell in Erscheinung tretenden Nebenwirkungen von Quiril comp. beeinträchtigt werden. Daher sollten Sie vor entsprechenden Tätigkeiten wissen, wie Sie auf dieses Medikament reagieren. Spezielle Vorsicht ist geboten zu Beginn der Behandlung, bei einer Dosiserhöhung oder einem Arzneimittelwechsel, wie auch bei der Einnahme von Alkohol.

Bitte achten Sie vor allem bei Behandlungsbeginn auf folgende Anzeichen einer möglichen Unverträglichkeit oder zu starken Wirkung:

Haut und Gefässsystem

Falls Sie nach Einnahme von Quiril comp. Schwellungen im Gesicht, an Augen, Lippen oder Zunge bemerken oder wenn Schwierigkeiten beim Atmen auftreten, melden Sie dies bitte sofort Ihrem Arzt bzw. Ihrer Ärztin und nehmen Sie Quiril comp. nicht weiter ein.

Magen-Darmtrakt

Treten bei Ihnen während der Behandlung Bauchschmerzen mit oder ohne Übelkeit und Erbrechen auf, so benachrichtigen Sie bitte Ihren Arzt oder Ihre Ärztin. Ihr Arzt oder Ihre Ärztin kann feststellen, ob diese Erscheinungen im Zusammenhang mit der Einnahme von Quiril comp. stehen.

Zu niedriger Blutdruck

Informieren Sie Ihren Arzt bzw. Ihre Ärztin ebenfalls, wenn Sie speziell zu Behandlungsbeginn unter starker Benommenheit leiden. Dies könnte mit einer übermässigen Blutdrucksenkung zusammenhängen. Ihr Arzt bzw. Ihre Ärztin wird dann eine Dosisanpassung vornehmen. Die Möglichkeit eines zu starken Blutdruckabfalls besteht auch, wenn Sie z.B. aufgrund von Durchfall, Erbrechen oder übermässigem Schwitzen zu viel Flüssigkeit verloren haben. Sprechen Sie auch in diesem Fall mit Ihrem Arzt bzw. Ihrer Ärztin.

Blutbild

Treten bei Ihnen Anzeichen einer Infektion auf (z.B. Fieber, Halsschmerzen), die nicht innerhalb von 2?3 Tagen wieder abklingen, oder eine Gelbfärbung der Haut auf, suchen Sie bitte unverzüglich Ihren Arzt bzw. Ihre Ärztin auf. Er/Sie kann durch eine Blutuntersuchung feststellen, ob diese Erscheinungen mit der Quiril comp.-Behandlung zusammenhängen.

Informieren Sie Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin, wenn Sie

  • an anderen Krankheiten leiden (besonders, wenn es sich um Erkrankungen der Blutgefässe handelt),
  • Allergien haben oder
  • andere Arzneimittel (auch selbstgekaufte!) einnehmen, oder äusserlich anwenden.

Dies gilt vor allem für wasserausschwemmende und andere blutdrucksenkende Arzneimittel, Kaliumpräparate oder kaliumhaltige Diätsalze, Arzneimittel, welche zu niedrigen Kalium im Blut führen können, Lithiumpräparate, bestimmte Schmerzmittel oder entzündungshemmende Arzneimittel, Kortisonpräparate, Herzglykoside, (Digoxin), tetracyclinhaltige Antibiotika, bestimmte Arzneimittel gegen Depressionen oder Schlaflosigkeit, Mittel gegen Verstopfung, gewisse Arzneimittel, die nach Transplantationen oder bei einigen Krebsarten eingesetzt werden (sogenannte mTOR-Hemmer), bestimmte Arzneimittel gegen Diabetes (sogenannte DDP4-Hemmer), Arzneimittel gegen Gicht, Cholestyramin, Colestipol sowie Methyldopa. Quiril comp. kann in seltenen Fällen die Wirkung von Insulin resp. oralen Antidiabetika verstärken oder die Blutzuckerkontrolle erschweren. Wenn Sie an Diabetes leiden und mit Insulin oder oralen Antidiabetika behandelt werden, sollten Sie besonders aufmerksam auf Zeichen einer Hypoglykämie (Unterzuckerung) achten. Quiril comp. kann bei bestehender Zuckerkrankheit die Blutzuckerwerte erhöhen und die Blutzuckerkontrolle erschweren. Daher sind die Blutzuckerwerte sorgfältig zu überwachen. Eventuell wird Ihnen Ihr Arzt Kalium verschreiben und eine Anpassung der Antidiabetika Dosierung vornehmen. Die Anwendung von Quiril comp. in Kombination mit Medikamenten, die den Wirkstoff Aliskiren enthalten (oder gegen Bluthochdruck oder Herzschwäche verschrieben wurden, sog. Sartane und ACE-Hemmer), wird nicht empfohlen.

Durch gleichzeitigen Alkoholgenuss kann die blutdrucksenkende Wirkung von Quiril comp. verstärkt werden.

Falls Sie sich einer Operation, Narkose oder einer Dialysebehandlung unterziehen müssen, teilen Sie Ihrem Arzt bzw. Ihrer Ärztin bitte mit, dass Sie einen ACE-Hemmer einnehmen. Ebenfalls sollten Sie Ihrem Arzt bzw. Ihrer Ärztin mitteilen, dass Sie einen ACE-Hemmer einnehmen, wenn bei Ihnen eine Desensibilisierungstherapie mit Bienen- oder Wespengift vorgesehen ist. Selten kann es auch nach Insektenstichen zu einer Allergie kommen.

Sollte eine Penicillin-oder Sulfonamidallergie bei Ihnen bekannt sein, könnte bei Einnahme von Quiril comp. ein erhöhtes Risiko für akute Kurzsichtigkeit oder grünen Star auftreten. Wenn Sie plötzlich an Sehschärfe verlieren oder Augenschmerzen haben (üblicherweise innerhalb von Stunden bis Wochen nach Beginn der Einnahme von Quiril comp.), melden Sie dies sofort Ihrem Arzt bzw. Ihrer Ärztin und nehmen Sie Quiril comp. nicht weiter ein.

+-Darf Quiril comp. während einer Schwangerschaft oder in der Stillzeit eingenommen werden?

Quiril comp. darf in der Schwangerschaft nicht eingenommen werden, da ein klares Risiko für das ungeborene Kind besteht. Quiril comp. darf auch nicht eingenommen werden, wenn Sie eine Schwangerschaft planen. Falls Sie während der Behandlung mit Quiril comp. schwanger werden, müssen Sie sofort die Therapie abbrechen und Ihren Arzt bzw. Ihre Ärztin konsultieren. Wenn Sie im gebärfähigen Alter sind, müssen Sie eine wirksame Methode der Empfängnisverhütung anwenden.

Während der Anwendung von Quiril comp. soll nicht gestillt werden.

+-Wie verwenden Sie Quiril comp.?

Quiril comp. kann unabhängig von den Mahlzeiten mit etwas Flüssigkeit eingenommen werden. Die Dosierung wird von Ihrem Arzt bzw. Ihrer Ärztin festgelegt. Im Allgemeinen gelten folgende Dosierungsrichtlinien: die übliche Dosierung beträgt morgens 1 Filmtablette Quiril comp. 10 (10 mg Quinapril/12,5 mg Hydrochlorothiazid).

Falls dies nicht ausreicht, wird Ihr Arzt bzw. Ihre Ärztin die Dosierung auf morgens 1 Filmtablette Quiril comp. 20 (20 mg Quinapril/12,5 mg Hydrochlorothiazid) oder auf maximal 2 Filmtabletten Quiril comp. 10 erhöhen.

Hinweis

Falls Sie an einem Salz- und/oder Flüssigkeitsmangel (z.B. aufgrund von Erbrechen, Durchfall oder einer vorangegangenen Behandlung mit einem wasserausschwemmenden Arzneimittel), an einer gleichzeitig vorhandenen Herzleistungsschwäche oder an schwerem Bluthochdruck leiden, kann es zu Beginn der Behandlung mit Quiril comp. zu einem übermässigen Blutdruckabfall kommen. Sie sollten daher in diesen Fällen nach der ersten Einnahme des Präparates 2?4 Stunden unter ärztlicher Aufsicht bleiben.

Dosiseinstellung bei älteren Patienten und Patienten mit eingeschränkter Nierenfunktion

Bei älteren Patienten und bei Patienten mit eingeschränkter Nierenfunktion wird Ihr Arzt bzw. Ihre Ärztin die Behandlung mit 5 mg Quinapril als Einzelsubstanz beginnen und anschliessend eine Einstellung der für Sie richtigen Dosierung mit Quiril comp. vornehmen.

Bei Kindern und Jugendlichen

Zur Anwendung von Quiril comp. bei Kindern und Jugendlichen liegen bisher keine klinischen Erfahrungen vor. Die Anwendung des Präparates bei Kindern und Jugendlichen kann daher nicht empfohlen werden.

Ändern Sie nicht von sich aus die vorgeschriebene 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 Quiril comp. haben?

Folgende Nebenwirkungen können bei der Einnahme von Quiril comp. auftreten:

Bisher beobachtete unerwünschte Wirkungen waren gewöhnlich geringfügig ausgeprägt und von vorübergehender Natur.

Häufig beobachtet wurden virale Infektionen, Infektionen der Atmungswege, Schlaflosigkeit, Kopfschmerzen, Schwindel, niedrigem Blutdruck , Schläfrigkeit, Benommenheit, Gesichtsrötung, Husten, Bronchitis, Schnupfen, Halsschmerzen, Brustschmerzen, Übelkeit, Erbrechen, Bauchschmerzen, Appetitlosigkeit, Durchfall, Verdauungsstörungen, Rückenschmerzen, Muskelschmerzen, Kraftlosigkeit und Müdigkeit.

Gelegentlich kann es auch zu Sehstörungen, Überempfindlichkeitsreaktionen, Quincke-Ödem, Nervosität, Verstimmungszuständen, Missempfindungen (z.B. Kribbeln), Herzklopfen, Herzjagen, Engegefühl in der Brust, Herzinfarkt, Herzinsuffizienz, Herzrhythmusstörungen, Kurzatmigkeit, Nasennebenhöhlenentzündung, Mund- und Rachentrockenheit, Blähungen, Verstopfung, Magenbeschwerden, Juckreiz, allergischen Hauterscheinungen (z.B. Hautausschlag, Nesselsucht, Lichtüberempfindlichkeit), Schmetterlingsflechte, vermehrtem Schwitzen, Gelenkschmerzen, Infektionen des Harntraktes, Impotenz, Wasseransammlungen im Gewebe und Fieber kommen.

Eine bisher unbemerkte Zuckerkrankheit kann zum Ausbruch kommen. Bei Patienten mit bereits bestehender Zuckerkrankheit wurden erhöhte Blutzuckerwerte gemessen. Bei entsprechend veranlagten Patienten können Gichtanfälle ausgelöst werden.

Selten können eine Entzündung der Magenschleimhaut, Entzündung der Bauchspeicheldrüse, Nierenfunktionsstörungen, akute Nierenentzündungen sowie ein kurzdauernder Bewusstseinsverlust (Ohnmacht) auftreten. In Einzelfällen wurden Leberfunktionsstörungen beobachtet.

Des Weiteren gab es einzelne Fälle von Blutarmut, akuter allergischer Allgemeinreaktion, vorübergehende akute Kurzsichtigkeit oder grüner Star (kann sich innerhalb von Stunden bis Wochen nach Einnahme von Quiril comp. mit verminderter Sehschärfe oder Augenschmerz äussern), Blutdruckabfall bei Lagewechsel, Haarausfall, Schälen der Haut und blasenbildender Erkrankung der Haut.

In seltenen Fällen kann Quiril comp. zu Leberschädigungen führen. Beim Auftreten von Müdigkeit, Appetitlosigkeit, Übelkeit, entfärbtem Stuhl, dunklem Urin oder Gelbsucht sollten Sie umgehend mit Ihrem Arzt bzw. Ihrer Ärztin Kontakt aufnehmen, damit das Arzneimittel bei Bedarf abgesetzt werden kann und die erforderlichen Untersuchungen durchgeführt werden können. Informieren Sie bitte Ihren Arzt bzw. Ihre Ärztin beim Auftreten solcher oder anderer Beschwerden.

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?

In der Originalverpackung, bei Raumtemperatur (15?25 °C) und ausser Reichweite von Kindern lagern.

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 Quiril comp. enthalten?

Quiril comp. 10

1 Filmtablette mit Bruchrille (teilbar) enthält 10,83 mg Quinaprilhydrochlorid (entspr. 10 mg Quinapril), 12,50 mg Hydrochlorothiazid sowie Hilfsstoffe.

Quiril comp. 20

1 Filmtablette mit Bruchrille (teilbar) enthält 21,66 mg Quinaprilhydrochlorid (entspr. 20 mg Quinapril), 12,50 mg Hydrochlorothiazid sowie Hilfsstoffe.

+-Zulassungsnummer

56910 (Swissmedic).

+-Wo erhalten Sie Quiril comp.? Welche Packungen sind erhältlich?

Sie erhalten Quiril comp. in Apotheken nur gegen ärztliche Verschreibung.

Quiril comp. 10: 30 und 100 Filmtabletten.

Quiril comp. 20: 30 und 100 Filmtabletten.

+-Zulassungsinhaberin

Sandoz Pharmaceuticals AG, Risch; Domizil: Rotkreuz.

Diese Packungsbeilage wurde im März 2014 letztmals durch die Arzneimittelbehörde (Swissmedic) geprüft.

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