CHF 15.55

1-24 hours

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

Swissmedic Nr.: 55811004
Index: 01.01.40

Pharmacode: 2588434
GTIN/EAN: 7680558110043
Markteintritt: 18.09.2002

Kategorie: A Einmalige Abgabe auf eine ärztliche Verschreibung hin.


Zaldiar® (362.5 mg)

Tramadol, Kombinationen (N02AX52)

20 Stk

(0/5 , 1164)

Um Zaldiar® (362.5 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 Zaldiar® (362.5 mg)'s gegen Unterschrift (24h) oder dem Medikamenten-Taxi nach einer Online Sprechstunde, falls gewünscht.

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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 Zaldiar und wann wird es angewendet?

Zaldiar wird oral verabreicht und enthält Tramadol und Paracetamol. Beide Wirkstoffe sind Schmerzmittel.

Zaldiar lindert Schmerzen. Die Schmerzen können mässig bis schwer sein und verschiedene Ursachen haben.

Zaldiar darf nur auf Verschreibung des Arztes oder der Ärztin angewandt werden.

+-Was sollte dazu beachtet werden?

Zaldiar ist ein stark wirksames Schmerzmittel, das bei längerem Gebrauch zu Gewöhnung und Abhängigkeit führen kann. Befolgen Sie bitte genau die von Ihrem Arzt bzw. Ihrer Ärztin vorgeschriebene Dosierung und Behandlungsdauer.

+-Wann darf Zaldiar nicht eingenommen werden?

Zaldiar darf nicht eingenommen werden:

  • Bei einer bekannten Überempfindlichkeit gegenüber Tramadol, anderen opioidähnlichen Arzneimitteln (wie z.B. Codein) und/oder Paracetamol. Eine solche Überempfindlichkeit äussert sich z.B. durch Asthma, Atemnot, Kreislaufbeschwerden, Schwellungen der Haut und Schleimhäute oder Hautausschläge (Nesselfieber).
  • Bei akuten Vergiftungen mit Alkohol, Schlafmitteln, Schmerzmitteln oder Psychopharmaka (Arzneimittel mit Wirkungen auf Stimmungslage und Gefühlsleben).
  • Wenn Sie Monoaminooxidasehemmer (MAO-Hemmer: Arzneimittel zur Behandlung von Depressionen oder von Parkinson-Erkrankung) einnehmen oder in den letzten 14 Tagen eingenommen haben.
  • Wenn Sie schwere Leber- oder Nierenprobleme haben.
  • Wenn Sie an Epilepsie leiden oder in der Vergangenheit Krampfanfälle hatten, oder wenn bei Ihnen ein bekanntes Risiko für Krampfanfälle besteht (beispielsweise Kopftrauma, Alkohol- und Drogenentzug, Entzündungen des zentralen Nervensystems).
  • Bei einer erblichen Leberstörung (sogenannte Meulengracht-Krankheit).
  • Als Ersatztherapie bei opioidabhängigen Patienten oder Patientinnen, da es die Entzugserscheinungen nicht verhindert.
  • Bei Kindern und Jugendlichen unter 16 Jahren.
+-Wann ist bei der Einnahme von Zaldiar Vorsicht geboten?
  • Wenn Sie eine Abhängigkeit von anderen Schmerzmitteln (Opioiden) für möglich halten
  • wenn Sie an einer Bewusstseinsstörung leiden (wenn Sie sich einer Ohnmacht nahe fühlen)
  • bei einem Schockzustand (kalter Schweiss kann ein Anzeichen dafür sein)
  • wenn Sie an Zuständen mit erhöhtem Hirndruck (eventuell nach Kopfverletzungen oder Erkrankungen des Gehirns) leiden
  • wenn Sie Schwierigkeiten beim Atmen haben
  • wenn Sie zu Epilepsie oder zu Krampfanfällen neigen
  • wenn Sie ein Leber- oder Nierenleiden haben

Sprechen Sie in diesen Fällen vor Beginn der Einnahme mit Ihrem Arzt bzw. mit Ihrer Ärztin. Patienten oder Patientinnen, die auf Arzneimittel vom Typ der sogenannten Opioide (wie z.B. Codein) empfindlich reagieren (z.B. mit epileptischen Anfällen), sollen Zaldiar nur mit Vorsicht anwenden.

Es sind epileptische Anfälle bei Patienten oder Patientinnen beschrieben worden, die Tramadol in der empfohlenen Dosis eingenommen haben. Das Risiko kann sich erhöhen, wenn die empfohlene maximale Tagesdosis von 300 mg Tramadol und 2600 mg Paracetamol überschritten wird.

Bitte beachten Sie, dass Zaldiar zu einer seelischen und körperlichen Abhängigkeit führen kann. Bei längerem Gebrauch kann die Wirkung von Zaldiar nachlassen, sodass höhere Arzneimengen eingenommen werden müssen (Toleranz-Entwicklung). Bei Patienten oder Patientinnen, die zu Missbrauch oder Abhängigkeit von Arzneimitteln neigen, ist daher eine Behandlung mit Zaldiar nur für kurze Dauer und unter strengster ärztlicher Kontrolle durchzuführen.

Bitte teilen Sie Ihrem Arzt bzw. Ihrer Ärztin auch mit, wenn eines dieser Probleme während der Anwendung von Zaldiar auftritt oder wenn diese früher einmal bei Ihnen zutrafen.

Anwendung von Zaldiar mit anderen Arzneimitteln

Zaldiar darf nicht zusammen mit MAO-Hemmstoffen (bestimmten Arzneimitteln zur Behandlung von Depressionen und der Parkinson-Erkrankung) eingenommen werden (siehe Rubrik «Wann darf Zaldiar nicht eingenommen werden?»)

Die schmerzlindernde Wirkung von Zaldiar kann vermindert und die Wirkungsdauer verkürzt werden, wenn Sie Arzneimittel einnehmen, die einen der folgenden Wirkstoffe enthalten:

  • Carbamazepin (gegen epileptische Krampfanfälle)
  • Ondansetron (gegen Übelkeit)

Ihr Arzt bzw. Ihre Ärztin wird Ihnen sagen, ob und gegebenenfalls in welcher Dosierung Sie Zaldiar in diesem Fall anwenden dürfen.

Das Risiko von Nebenwirkungen erhöht sich

  • wenn Sie Zaldiar und gleichzeitig Alkohol oder Arzneimittel anwenden, die ebenfalls dämpfend auf die Gehirnfunktion wirken. Sie könnten sich benommen oder einer Ohnmacht nahe fühlen. Falls dies passiert, informieren Sie bitte Ihren Arzt bzw. Ihre Ärztin. Diese anderen Arzneimittel umfassen Beruhigungsmittel, Schlafmittel und bestimmte Schmerzmittel wie Morphin und Codein (auch als Hustenmittel).
  • wenn Sie Arzneimittel einnehmen, die Krämpfe (Anfälle) auslösen können, wie z.B. bestimmte Arzneimittel gegen Depressionen oder psychische Erkrankungen. Das Risiko für Krampfanfälle kann ansteigen, wenn Sie gleichzeitig Zaldiar einnehmen. Ihr Arzt bzw. Ihre Ärztin wird Ihnen mitteilen, ob Zaldiar für Sie geeignet ist.
  • wenn Sie bestimmte Arzneimittel gegen Depressionen einnehmen (wie z.B. Serotonin-Wiederaufnahme-Hemmer, Serotonin-Noradrenalin-Wiederaufnahme-Hemmer) oder stark wirksame Beruhigungsmittel. Die Wirkungen von diesen Arzneimitteln und Zaldiar können sich gegenseitig beeinflussen, und bei Ihnen können Symptome auftreten wie unwillkürliches, rhythmisches Muskelzucken, einschliesslich Augenzucken (Zucken der Muskeln, die die Augenbewegung steuern), Unruhe, übermässiges Schwitzen, unwillkürliches Zittern, gesteigerte Reflexe, erhöhte Muskelanspannung, Körpertemperatur über 38 °C (sog. Serotonin-Syndrom).
  • wenn Sie bestimmte Blutverdünnungsmittel (Arzneimittel die eine normale Blutgerinnung verhindern z.B. Marcoumar) gleichzeitig mit Zaldiar einnehmen. Die blutgerinnungshemmende Wirkung dieser Arzneimittel kann beeinflusst werden und es kann zu Blutungen kommen.

Bei Einnahme von Zaldiar zusammen mit Nahrungsmitteln und Getränken

Trinken Sie während der Behandlung mit Zaldiar keinen Alkohol, da dessen Wirkung verstärkt und die Wirkung des Arzneimittels in unvorhersehbarer Weise beeinflusst werden kann. Besonders bei fehlender gleichzeitiger Nahrungsaufnahme erhöht sich die Gefahr einer Leberschädigung. Nicht alkoholische Getränke und Nahrungsmittel beeinflussen die Wirkung von Zaldiar nicht.

Folgende Auswirkungen können auftreten, wenn die Behandlung mit Zaldiar abgebrochen wird:

Wenn Sie die Behandlung mit Zaldiar unterbrechen oder vorzeitig beenden, führt dies wahrscheinlich zu einem erneuten Auftreten der Schmerzen. Möchten Sie die Behandlung wegen unangenehmer Begleiterscheinungen abbrechen, wenden Sie sich bitte an Ihren Arzt oder an Ihre Ärztin.

Im Allgemeinen wird ein Abbruch der Behandlung mit Zaldiar keine Nachwirkungen haben. Bei einigen wenigen Patienten oder Patientinnen, die Tramadol über einen sehr langen Zeitraum eingenommen haben, kann es jedoch zu Nachwirkungen kommen. Sie könnten sich unruhig, ängstlich, nervös oder zittrig fühlen. Sie könnten hyperaktiv sein, Schlafstörungen oder Magen-Darm-Beschwerden haben. Sehr wenige Personen könnten Panikanfälle, Halluzinationen, Fehlempfindungen wie Kribbeln, Prickeln und Taubheitsgefühl oder Ohrgeräusche (Tinnitus) bekommen. Weitere ungewöhnliche Symptome des zentralen Nervensystems, wie z.B. Verwirrung, Wahn, veränderte Wahrnehmung der eigenen Person (Depersonalisation) und der Realität (Derealisation) sowie Verfolgungswahn (Paranoia), sind sehr selten beobachtet worden. Wenn eine dieser Nebenwirkungen nach Abbruch der Behandlung mit Zaldiar bei Ihnen auftritt, wenden Sie sich bitte an Ihren Arzt bzw. an Ihre Ärztin.

Bei vorgeschädigter Niere oder Leber oder bei Gallenwegstörungen ist eine sorgfältige Überwachung notwendig.

Bei einer seltenen erblichen Krankheit der roten Blutkörperchen, dem sogenannten «Glucose-6-Phosphat-Dehydrogenasemangel» sowie beim gleichzeitigen Gebrauch von Arzneimitteln, die die Leber beeinflussen, namentlich gewisse Mittel gegen Tuberkulose und Anfallsleiden (Epilepsie) oder bei Arzneimitteln mit dem Wirkstoff Zidovudin, die bei Immunschwäche (AIDS) eingesetzt werden, soll die Einnahme nur nach Anweisung des Arztes oder der Ärztin erfolgen.

Einzelne Personen mit Überempfindlichkeit auf Schmerz- oder Rheumamittel können auch auf Paracetamol, einen der Bestandteile von Zaldiar, überempfindlich reagieren (siehe Rubrik «Welche Nebenwirkungen kann Zaldiar haben?»).

Während einer Behandlung mit Zaldiar ist ohne ärztlichen Rat auf die gleichzeitige Einnahme jeglicher Arzneimittel die Paracetamol (auch frei verkäufliche) oder Tramadol enthalten, zu verzichten.

Dieses Arzneimittel kann die Reaktionsfähigkeit, die Fähigkeit Werkzeuge oder Maschinen zu bedienen und die Fahrtüchtigkeit beeinträchtigen! Dies gilt insbesondere für die gemeinsame Anwendung mit Substanzen, welche die Psyche beeinflussen und mit Alkohol.

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!

+-Darf Zaldiar während einer Schwangerschaft oder in der Stillzeit eingenommen werden?

Schwangerschaft

Die sichere Anwendung von Zaldiar während der Schwangerschaft wurde nicht geprüft. Daher sollten Sie Zaldiar nicht einnehmen, wenn Sie schwanger sind oder es werden möchten, es sei denn auf ausdrückliche Anweisung Ihres Arztes bzw. Ihrer Ärztin.

Die wiederholte Einnahme von Zaldiar in der Schwangerschaft kann zur Gewöhnung des ungeborenen Kindes an Tramadol und infolgedessen nach der Geburt zu Entzugserscheinungen beim Neugeborenen führen.

Stillzeit

Paracetamol tritt in der Muttermilch auf. Auch Tramadol wird in geringen Mengen in die Muttermilch ausgeschieden. Zaldiar sollte deshalb von stillenden Frauen nicht eingenommen werden.

+-Wie verwenden Sie Zaldiar?

Zaldiar darf nur von Erwachsenen und Jugendlichen über 16 Jahren eingenommen werden.

Verwenden Sie Zaldiar immer genau nach Anweisung des Arztes bzw. der Ärztin ein. Wenn Sie unsicher sind, fragen Sie Ihren Arzt oder Ihre Ärztin, bzw. Ihren Apotheker oder Ihre Apothekerin.

Die Dosierung sollte der Stärke Ihrer Schmerzen und Ihrer individuellen Empfindlichkeit angepasst werden. Grundsätzlich sollte die geringste schmerzlindernd wirkende Dosis gewählt werden.

Wenn vom Arzt oder der Ärztin nicht anders verordnet, beträgt die maximale Einzeldosis von Zaldiar 1 bis 2 Tabletten alle 4 bis 6 Stunden zur Schmerzlinderung, nach Bedarf bis zu einer Höchstdosis von 8 Tabletten pro Tag.

Die Filmtabletten dürfen nicht geteilt oder zerkaut werden und müssen unabhängig von den Mahlzeiten mit ausreichend Flüssigkeit eingenommen werden.

Zaldiar sollte nicht länger als notwendig angewendet werden. Wenn eine länger dauernde Schmerzbehandlung erforderlich erscheint, wird Ihr Arzt bzw. Ihre Ärztin gegebenenfalls in kurzen Abständen überprüfen  (etwa durch das Einlegen von Anwendungspausen), ob und inwieweit die Anwendung von Zaldiar weiterhin erforderlich ist.

Was tun wenn Sie zu viel Zaldiar eingenommen haben?

Wenn versehentlich eine Überdosis von Zaldiar Tabletten eingenommen wurde, benachrichtigen Sie so rasch als möglich einen Arzt oder eine Ärztin. Übelkeit, Erbrechen, Bauchschmerzen, Appetitlosigkeit, allgemeines Krankheitsgefühl können ein Hinweis auf eine Überdosierung sein, treten aber erst mehrere Stunden bis einen Tag nach Einnahme auf.

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 Zaldiar haben?

Folgende Nebenwirkungen können bei der Einnahme von Zaldiar auftreten:

Sehr häufig: Schwindel, Schläfrigkeit und Übelkeit.

Häufig: Stimmungsveränderungen wie Angstzustände, Nervosität oder Euphorie, Schlafstörungen, Verwirrung, Kopfschmerzen, Zittern, Verstopfung, Erbrechen, Durchfall, Mundtrockenheit, Verdauungsstörungen, Bauchschmerzen, Blähungen, Juckreiz, Schwitzen.

Gelegentlich: psychiatrische Störungen (wie Depression, Erinnerungslücken (Amnesie), Entpersonalisierung, emotionale Labilität, Halluzination, Albträume, Impotenz, abnormes Denken), unwillkürliche Muskelkontraktionen, Empfindungsstörungen wie Kribbeln/Taubsein, geistig-körperliche Erstarrung, Migräne, verstärkte Migräne, erhöhter Muskeltonus, Ohrensausen (Tinnitus), Sehstörungen, Pupillenerweiterung, Pupillenverengung, Bluthochdruck (Hypertonie), verstärkte Hypertonie, Herzklopfen, schneller oder unregelmässiger Herzschlag (Tachykardie, Arrhythmie), Atemnot, Schluckbeschwerden, Blutstuhl, Hautreaktionen wie Hautausschläge und Nesselsucht, Störungen beim Wasserlassen (Miktionsstörungen, Harnverhalt), Schüttelfrost, Hitzewallungen, Brustschmerzen, Muskelstarre, Gewichtsverlust, Schwäche sowie Blutarmut (Anämie), erhöhte Leberenzymwerte und Albumin im Urin.

Selten: Störungen der Bewegungskoordination, Krämpfe, Sprachstörungen, Delirium, kurzdauernder Bewusstseinsverlust, verminderte Harnausscheidung, Drogenmissbrauch und bei plötzlich abgebrochener Anwendung Symptome einer Entzugsreaktion (wie Unruhe, Ängstlichkeit, Nervosität, Schlafstörungen, gesteigerte Aktivität, Zittern und Magen-Darmbeschwerden, sehr selten auch Panikattacken, schwere Angstzustände, Halluzination, Empfindungsstörungen, Ohrensausen).

Unbekannte Häufigkeit: Senkung des Blutzuckerspiegels.

Folgende weiteren Nebenwirkungen, von denen bekannt ist, dass sie unter Tramadol oder Paracetamol auftreten können, können nicht ausgeschlossen werden:

Auftreten von Überempfindlichkeitsreaktionen wie Schwellungen und Ausschläge der Haut und Schleimhäute bis hin zu schweren Haut- und Schleimhautreaktionen (sehr selten), allergische Reaktionen bis hin zum Schock, Verlangsamung des Herzschlags (Bradykardie), Kollaps, Appetitveränderung, motorische Schwäche, Stimmungs-, Aktivitäts- oder Verhaltensveränderungen.

Wenn Nebenwirkungen wie z.B. Hautausschläge oder allergische Reaktionen mit Atemstörungen auftreten, darf das Arzneimittel nicht weiter eingenommen werden und es soll so rasch als möglich der Arzt oder die Ärztin konsultiert werden.

Wenn Sie Nebenwirkungen bemerken, die hier nicht beschrieben sind, sollten Sie Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin informieren. Ebenso sollten Sie Ihren Arzt oder Apotheker bzw. Ihre Ärztin oder Apothekerin informieren, wenn Nebenwirkungen störend werden, häufig auftreten und/oder schwerer werden. Sollten Sie schwere, unerwünschte Wirkungen empfinden, ist der Arzt oder die Ärztin unverzüglich aufzusuchen.

+-Was ist ferner zu beachten?

Ausserhalb der Reichweite von Kindern aufbewahren. Wenn ein Kind versehentlich Zaldiar Tabletten verschluckt, informieren Sie bitte unverzüglich Ihren Arzt oder Ihre Ärztin.

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

Zaldiar Tabletten sollen in der Originalverpackung bei Raumtemperatur (15 bis 25 °C) aufbewahrt werden.

Zaldiar darf nicht verwendet werden, wenn sich die Tabletten sichtbar verändert haben.

Falls Sie im Besitze von verfallenen Arzneimitteln sind, bringen Sie diese zur Entsorgung in die Apotheke zurück.

Weitere Auskünfte erteilt Ihnen Ihr Arzt oder Apotheker, bzw. Ihre Ärztin oder Apothekerin. Diese Personen verfügen über die ausführliche Fachinformation.

+-Was ist in Zaldiar enthalten?

1 Filmtablette Zaldiar enthält als Wirkstoffe 37,5 mg Tramadolhydrochlorid (Tramadol) und 325 mg Paracetamol sowie für die Tablettenherstellung notwendige Hilfsstoffe.

+-Zulassungsnummer

55811 (Swissmedic).

+-Wo erhalten Sie Zaldiar? Welche Packungen sind erhältlich?

In Apotheken gegen ärztliche Verschreibung, die nur zum einmaligem Bezug berechtigt.

Zaldiar Filmtabletten: Packung zu 10, 20 und 60 Filmtabletten.

+-Zulassungsinhaberin

Grünenthal Pharma AG, Glarus Süd.

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

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