CHF 17.75

1-24 hours

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

Swissmedic Nr.: 45351043
Index: 07.08.30

Pharmacode: 5497353
GTIN/EAN: 7680453510436
Markteintritt: 02.06.1983

Kategorie: B Mehrmalige Abgabe auf eine ärztliche Verschreibung hin.


Utrogestan® (100 mg)

Progesteron (G03DA04)

30 Stk

(0/5 , 7220)

Um Utrogestan® (100 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 Utrogestan® (100 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. Tim Schäufele, Bern (BE)
Cardiologist
Generalist
Internist


Tariff:
First 10 minutes: CHF 100.09
Next 5 minutes: CHF 19.4
Weekend 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.

Utrogestan enthält den Wirkstoff Progesteron, ein weibliches Geschlechtshormon der Gruppe der Gestagene. Progesteron wird von den Eierstöcken ausgeschieden. Es spielt eine wichtige Rolle bei der Regulierung des weiblichen Menstruations-Zyklus sowie des normalen Schwangerschaftsverlaufs. Das in den Utrogestan-Kapseln enthaltene Progesteron entspricht in seiner Struktur der physiologischen (natürlichen) Form des im Verlauf des weibli­chen Zyklus produzierten Hormons. Die spezielle, sogenannte mikronisierte Darreichungsform verleiht ihm eine verlängerte Wirkzeit.

Utrogestan wird auf ärztliche Verordnung als Ergänzung zu einer Behandlung mit Östrogen, einer anderen Art von weiblichem Geschlechtshormon, sowie bei bestimmten Fällen eines Progesteronmangels angewendet.

Je nach Behandlung werden die Utrogestan-Kapseln über den Mund (oral) oder die Scheide (vaginal) verabreicht.

Orale Verabreichung

Bei Frauen mit erhaltener Gebärmutter im Rahmen einer hormonalen Behandlung von (natürlichen oder infolge Entfernung der Eierstöcke auftretenden) Wechseljahrbeschwerden als Ergänzung zu einer Östrogenbehandlung. Die Kombination der beiden Hormone verringert das erhöhte Risiko eines Gebärmutterkrebses, das sich bei der alleinigen Verabreichung eines Östrogens einstellt.

Wechseljahrbeschwerden äussern sich vor allem in Hitzewallungen, Schweissausbrüchen, Herzklopfen, Schlafstörungen und/oder seelischen Beschwerden, wie Reizbarkeit und depressive Verstimmung.

Depressive Zustände können durch eine solche Behandlung jedoch nur dann beeinflusst werden, wenn sie in direktem Zusammenhang mit den Hitzewallungen stehen.

Prämenopause (Zeitraum vor den Wechseljahren; körperliche und seelische Beschwerden: siehe oben).

Prämenstruelles Syndrom (körperliche und seelische Beschwerden, die einige Tage vor Beginn der Monatsblutung auftreten).

Unregelmässige Monatsblutungen, sofern diese nachweislich auf hormonale Störungen und nicht auf krankhafte Veränderungen an den Eierstöcken oder der Gebärmutter zurückzuführen sind.

Vaginale Verabreichung

Zyklusstörungen und Unfruchtbarkeit infolge eines erwiesenen Progesteronmangels im Rahmen eines medizinisch assistierten Fortpflanzungsprogramms nach einer Stimulierung der Eizellenreifung mittels anderer Hormone («In-vitro-Fertilisation»).

Vor Beginn der Behandlung wird Sie der Arzt bzw. die Ärztin einer gründlichen gynäkologischen Untersuchung unterziehen, und es ist unabdingbar, dass Sie seine bzw. Ihre Anweisungen beachten.

Utrogestan darf nicht angewendet werden bei:

  • Überempfindlichkeit gegenüber Progesteron oder einen anderen der Inhaltsstoffe des Präparates;
  • bei Lebertumoren oder anderen schweren gegenwärtigen oder früheren Erkrankungen der Leber;
  • bei vermutetem oder nachgewiesenem Brust- oder Gebärmutterkrebs;
  • Gebärmutter- oder Scheidenblutungen ungeklärter Ursache;
  • arteriell- oder venenthromboembolische Störungen, Hirnblutung.

Weiterhin dürfen Sie Utrogestan nicht verwenden, wenn sich bei Ihnen während einer früheren Schwangerschaft oder Hormonbehandlung eine geschlechtshormonabhängige Störung verschlimmert oder aber erstmals eingestellt hat, so z.B. eine Gelbsucht, starker Juckreiz, eine bestimmte Art Hautausschlag (genannt Schwangerschaftsherpes) oder eine bestimmte Art Stoffwechselkrankheit der Leber (Porphyrie).

Wenn Utrogestan als Ergänzung zu einem Östrogenpräparat (z.B. für eine Hormonersatzbehandlung) verschrieben worden ist sind die allgemeinen Vorsichtsmassnahmen gültig. Bitte beachten Sie auch die Patientininformation des Östrogens.

Blutungen können zu Behandlungsbeginn auftreten. Diese verschwinden im Allgemeinen nach einigen Behandlungszyklen. Sollten sie jedoch anhalten und/oder stärker und/oder unregelmässig werden, müssen Sie Ihren Arzt informieren, damit er etwaige organische Störungen ausschliessen kann.

Im Gegensatz zu vaginaler Verabreichung darf Utrogestan oral während der Schwangerschaft nicht angewendet werden. Vor dem Beginn der oralen Therapie muss eine Schwangerschaft ausgeschlossen werden (siehe Kapitel Schwangerschaft und Stillzeit).

Zwingende Gründe für ein sofortiges Absetzen der Behandlung

Erste Anzeichen von thromboembolischen oder thrombophlebitischen Störungen (z.B. Schmerzen oder Schwellungen der Gliedmassen, Brustschmerzen, akute Sehstörungen, erstmaliges Auftreten von starken, ungewöhnlichen oder migräneartigen Kopfschmerzen), plötzliche Anzeichen eines cerebrovaskülaren Ereignisses oder plötzlicher starker Blutdruckanstieg, Anzeichen von ungewohnten Schmerzen im oberen Bauchraum, die nicht schnell von selbst vergehen, von Juckreiz am ganzen Körper, Auftreten von Gelbsucht, erstes oder wiederholtes Auftreten einer Depression.

Ihr Arzt wird Ihnen erklären, dass das Risiko einer thromboembolischen Störung durch verschiedene Faktoren erhöht werden kann. Zu diesen Faktoren gehören ein hoher Blutdruck (Hypertonie), Krampfadern, schwerer Diabetes, frühere Thrombosebehandlungen sowie Übergewicht und Rauchen.

Es ist deshalb wichtig, dass Sie Ihren Arzt darüber informieren, wenn Sie an Asthma, Migräne, Krämpfen (Epilepsie) oder Nieren-, Leber- oder Herzerkrankungen leiden, da sich diese durch eine Flüssigkeitsansammlung verschlimmern können.

Utrogestan kann den Stoffwechsel von Zucker (Glucose) beeinträchtigen. Falls Sie an Diabetes leiden und antidiabetische Medikamente einnehmen, müssen Sie Ihren Arzt davon in Kenntnis setzen, da möglicherweise eine Anpassung der Dosierung des Antidiabetikums erforderlich ist. Nur der Arzt kann über eine solche Anpassung entscheiden.

Weiterhin muss die Behandlung auch im Falle einer längeren Bettlägerigkeit (z.B. nach einem Unfall) sowie 6 Wochen vor einer geplanten Operation unterbrochen werden.

Bei einigen Personen kann Utrogestan Schwindelgefühle und eine vorübergehende Schläfrigkeit hervorrufen. Diese unerwünschten Wirkungen treten im Allgemeinen 1 bis 4 Stunden nach der Einnahme einer Kapsel auf. Es ist deshalb Vorsicht geboten, wenn Sie ein Motorfahrzeug lenken oder Maschinen bedienen.

Eine Reihe von Medikamenten kann die Wirksamkeit von Utrogestan erhöhen oder herabsetzen, wenn sie zur gleichen Zeit eingenommen werden. Umgekehrt kann Utrogestan die Wirksamkeit anderer Medikamente erhöhen oder herabsetzen.

Aus diesem Grund ist es wichtig, dass Sie Ihren Arzt darüber informieren, wenn Sie Medikamente für folgende Beschwerden einnehmen (oder einzunehmen beabsichtigen):

  • Bakterielle Infektionen (Antibiotika wie Ampicillin, Tetrazyklin und Rifampicin);
  • Entzündungen (Phenylbutazon);
  • Diabetes (Insulin, orale Antidiabetika);
  • Schlafstörungen (Barbiturate);
  • Epilepsie (Carbamazepin und Phenytoin);
  • Bluthochdruck (Spironolacton).

Nur Ihr Arzt kann entscheiden, ob die Dosierung von Utrogestan angepasst werden muss.

Informieren Sie Ihren Arzt oder Apotheker, wenn Sie an andern Krankheiten leiden, Allergien haben oder andere Medikamente (auch selbstgekaufte!) einnehmen.

Orale Verabreichung

Die orale Verabreichung von Utrogestan hat keine Indikation während der Schwangerschaft und in der Stillzeit.

Die vorhandenen Daten bezüglich der oralen Verabreichung von Utrogestan während der Schwangerschaft sind ungenügend. Folglich/Infolgedessen können keine Nebenwirkungen evaluiert werden. Breit angelegte/umfangreiche epidemiologische Studien zeigen keine Evidenz eines erhöhten Risikos einer Schädigung der Kinder, deren Mütter vor der Schwangerschaft ein orales Kontrazeptivum eingenommen haben. Auch zeigen diese Studien keine teratogenen Effekte, falls ein Kontrazeptivum fälschlicherweise während der Schwangerschaft verwendet wurde. Vorhandene Daten aus Tierexperimenten weisen keine aussagekräftigen Resultate über eventuelle schädigende Effekte auf.

Vaginale Verabreichung

Die vaginale Verabreichung von Utrogestan ist während den ersten Schwangerschaftswochen (höchstens bis zur 10. oder 12. Woche) empfohlen.

Eine Studie zeigt ein zwei- bis vierfach erhöhtes Risiko für angeborene Missbildungen des Harnleiters bei Knaben, deren Mutter kurz vor der Schwangerschaft oder in den ersten 14 Wochen der Schwangerschaft ein Gestagen angewendet hat. Ein besonders erhöhtes Risiko zeigte sich vor allem bei Frauen, die eine Infertilitätstherapie erhalten haben. Es wurde jedoch nicht klar belegt, ob die Infertilitätstherapie der Grund für diese Missbildungen war oder aber ob die Ursache auf eine Hormonanomalie der Mutter (Infertilität) zurückzuführen ist.

Progesteron tritt in kleinen Mengen in die Muttermilch über. Die Wirkungen auf den Säugling sind jedoch nicht bekannt. Aus Vorsichtsgründen und wegen des Fehlens einer Indikation soll Utrogestan in der Stillzeit weder oral noch vaginal verabreicht werden.

Utrogestan kann oral (über den Mund) oder vaginal (über die Scheide) verabreicht werden. Verabreichungsart, Dosierung und Behandlungsdauer werden von Ihrem Arzt festgelegt.

Orale Verabreichung

Als Ergänzung zu einer Hormonersatzbehandlung während und nach den Wechseljahren beträgt die Dosierung im Allgemeinen jeweils 2 Kapseln Utrogestan zu 100 mg an 12 bis 14 aufeinanderfolgenden Tagen während jedes monatliche Östrogenbehandlungszyklus. In der Regel tritt 3 bis 5 Tage nach der Einnahme der letzten Utrogestan-Kapsel eine vaginale Blutung auf (die mit einer normalen Regelblutung vergleichbar ist).

Für Beschwerden in der Prämenopause, für prämenstruelle Beschwerden sowie Zyklusunregelmässigkeiten werden im Allgemeinen 2 bis 3 Kapseln Utrogestan zu 100 mg täglich verschrieben, die jeweils während 10 Tagen, d.h. vom 17. bis 26. Tag des Monatszyklus, einzunehmen sind.

Die Dosierung von 2 Kapseln Utrogestan zu 100 mg kann durch 1 Kapsel Utrogestan zu 200 mg ersetzt werden.

Vaginale Verabreichung

Bei Zyklusstörungen beträgt die Dosierung im Allgemeinen 2 bis 3 Kapseln zu 100 mg täglich, die jeweils während 10 Tagen, nämlich vom 17. bis 26. Tag des Monatszyklus, einzunehmen sind.

Im Rahmen eines Programms zur medizinisch assistierten Fortpflanzung beträgt die Dosierung in der Regel 4 Kapseln zu 100 mg täglich ab dem Tag, an dem der Arzt zur Auslösung des Eisprungs ein anderes Hormon gespritzt hat. Danach ist mit der vaginalen Verabreichung von Utrogestan höchstens bis zur 12. Schwangerschaftswoche fortzufahren.

Damit die Kapseln ihre ganze Wirksamkeit entfalten können, müssen sie tief in die Scheide eingeführt werden.

Die Dosierung von 4 Kapseln Utrogestan zu 100 mg kann durch 2 Kapseln Utrogestan zu 200 mg ersetzt werden.

Ändern Sie nicht von sich aus die verschriebene Dosierung. Wenn Sie glauben, das Medikament wirke zu schwach oder zu stark, so sprechen Sie mit Ihrem Arzt oder Apotheker.

Die Anwendung und Sicherheit von Utrogestan Kapseln bei Kindern und Jugendlichen ist bisher nicht geprüft worden.

Orale Verabreichung

Folgende Nebenwirkungen können bei der Einnahme von Utrogestan auftreten:

Häufig: Unregelmässige Monatsblutung oder «Spotting» (Schmierblutungen zwischen den normalen Monatsblutungen, im Allgemeinen während der ersten zwei Behandlungsmonaten), Kopfschmerzen.

Gelegentlich: Spannungsgefühl in den Brüsten, Schläfrigkeit, Schwindel, Depressionen; Juckreiz, Hautausschläge (Nesselsucht), Gelbsucht, Akne, Hautflecken, Magen-Darm-Beschwerden wie Übelkeit, Erbrechen.

Selten: Gewichtszunahme, Veränderung der Glukosever­träglichkeit.

Bericht von 2 vereinzelten Überempfindlichkeitsreaktionen (Allergie mit Hautrötungen, Schwitzen, Herzklopfen, in bestimmten Fällen mit Schwindel bis zur Ohnmacht).

Vaginale Verabreichung

Selten: Örtliche Unverträglichkeit (Brennen, Juckreiz oder schmieriger Ausfluss) oder allgemeine Nebenwirkungen (Schläfrigkeit, Schwindelgefühl).

Wenden Sie sich beim Auftreten unerwünschter Wirkungen an Ihren Arzt.

Das Auftreten einer Reihe von unerwünschten Nebenwirkungen bedingt den sofortigen Abbruch der Behandlung (siehe «Wann ist bei der Anwendung von Utrogestan Vorsicht geboten?»).

Das Medikament muss bei Raumtemperatur (15 bis 25 °C) und für Kinder unerreichbar aufbewahrt werden. Es darf nur bis zu dem auf der Packung mit «EXP» bezeichneten Datum verwendet werden.

Im Falle einer Biopsie-Verschreibung müssen Sie das Personal darüber informieren, dass Sie diese Gestagenbehandlung verwenden.

Weitere Auskünfte erteilt Ihnen Ihr Arzt oder Apotheker, der über die ausführliche Fachinformation verfügt.

1 Kapsel enthält:

Utrogestan 100 mg: 100 mg mikronisiertes Progesteron (Wirkstoff) und Hilfstoffe, einschließlich des Farbstoffs Titandioxid (E171).

Utrogestan 200 mg: 200 mg mikronisiertes Progesteron (Wirkstoff) und Hilfstoffe, einschließlich des Farbstoffs Titandioxid (E171).

45351 (Swissmedic).

In Apotheken nur gegen ärztliche Verschreibung.

Packungen zu 30 und 90 Kapseln Utrogestan 100 mg und 15 und 45 Kapseln Utrogestan 200 mg.

Vifor SA, Villars-sur-Glâne.

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

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