Remifemin Plus film-coated tablets, 100 pcs

Instructions for use for Remifemin Plus film-coated tablets, 100 pcs

Important notes (compulsory information):

Remifemin plus film-coated tablets. Active ingredient: Dry extract made of St. John's wort and Cimicifugawurelstock. Areas of application: In case of complaints in the climacteric such as hot flashes, sweats, depressive mood states and psychovestistical disturbances such as depression, internal tension, irritability, concentration weakness, insomnia, anxiety and / or nervous restlessness, premenstrual psychovest agent complaints.

For risks and side effects, read the package leaflet and ask your doctor or pharmacist.


LEAFLET: INFORMATION FOR THE USER

Remifemin plus film-coated tablets
Active substance: Dry extract made of St. John's wort and Cimicifugaisburst
Herbal medicine for the treatment of complaints in menopause

Read the entire leaflet carefully because it contains important information for you. This medicine is available without prescription. However, in order to achieve the best possible treatment success, Remifemin Plus must be used properly.

• Lift the package leaflet. You might want to read it again.
• Ask your pharmacist if you need more information or advice.
• If your symptoms aggravate or get no improvement after 4 to 6 weeks, you must definitely visit a doctor.
• If one of the listed side effects you significantly affect it or notice side effects that are not specified in this information information, please inform your doctor or pharmacist.

This leaflet contains:

1. What is Remifemin Plus and what is it used for?
2. What do you need to consider before taking Remifemin Plus?
3. How is Remifemin Plus to take?
4. WHAT SIDE EFFECTS ARE POSSIBLE?
5. How is Remifemin Plus to keep?
6. ADDITIONAL INFORMATION

1. What is Remifemin Plus and what is it applied for?

Remifemin Plus is a herbal medicine for the treatment of complaints in menopause. Remifemin Plus is used in complaints in the climacteric such as hot flashes, sweats, depressed mood states and psychovestistical disturbances such as depression, internal tension, irritability, concentration weakness, insomnia, anxiety and / or nervous restlessness, premenstrual psychova-agitative complaints.

2. What do you need to consider before taking Remifemin Plus?

Remifemin Plus must not be taken:

• if they are treated at the same time with another medicinal product, which is one of the following drugs or A drug from one of the following material groups includes:
  • Medicines for suppressing repulsion reactions to grafts:
    • Ciclosporin
    • Tacrolimus for internal use
    • Sirolimus
  • Medicines for the treatment of HIV infections or AIDS:
    • Proteinase inhibitors like Indinavir
    • Non-nucleoside reverse transcriptase inhibitors like Nevirapin
  • Cytostatics like
    • Imatinib
    • Irinotecan with the exception of monoclonal antibodies.
• If you are hypersensitive to Cimicifugaburstelstock or St. John's herb or any of the other ingredients of Remifemin Plus.
• if you know that there is a light hypersensitivity of the skin.

Special care when taking Remifemin Plus is required:

• Drugs containing how Remifemin plus components from St. John's Wort (Hypericum) can interact with other drugs: active ingredients from hypericum can accelerate the excretion of other drugs and thus reduce the effectiveness of these other substances. If a simultaneous application of Remifemin Plus is held with other medicines necessary, your doctor must concern the possible interactions: impairment of digoxin, verapamil, simvastatin, midazolam, medicines for inhibiting blood clotting (phenprocoumon, warfarin).
• For women, the hormonal contraceptives (Contraception agent) use, it may be possible for interim bleeding as a result of an interaction. These patients should be advised with regard to additional contraceptive measures because the security of these funds may be reduced.
• If your scheduling is disturbed or occurs again.
• Even if you have ongoing unclear complaints or other complaints have to reconcile you should consult a doctor. These cases may be diseases that have to be clarified by a doctor.
• If you take estrogens at the same time, this may only take place under medical supervision. Talk to your doctor.
• If your liver is prehistory. Then you should take Remifemin Plus only after consulting the doctor.
• If signs of liver damage occur (yellow color or eyes, dark urine, upper abdominal pain, nausea, appetite loss, fatigue). Then you should stop taking Remifemin Plus immediately and visit a doctor.
• If you are in treatment for breast cancer or other hormone-dependent tumors, you should not take preparations from Cimicifuga without a medical advice.
• If the symptoms worse during treatment with Remifemin Plus, you should ask a doctor or pharmacist for advice.

When taking Remifemin Plus with other medicines:

• Remifemin Plus can interact with numerous other medicines in the sense that the concentration of these substances is lowered in the blood and may be weakened by their effectiveness. These fabrics include the following drugs: medicines for inhibiting blood clotting (Phenprocoumon, Warfarin), Digoxin, Verapamil, Simvastatin, Midazolam, Hormonal Contracematin, "Pill" (Occurrence of interim bleeding)
• other substances against depression such as amitriptylin and nortriptylin.
• With simultaneous use of certain depression treatment (trazodon, paroxetine, sertraline), undesirable effects (such as nausea, vomiting, anxiety, restlessness, confusion) may occur in individual cases.
• With simultaneous treatment with other medicines that act photosensitizing, a reinforcement of phototoxic effects is possible (see section "side effects").

Please inform your doctor or pharmacist if you take other medicines or recently taken, even if it is non-prescription medicines.

Pregnancy and breast feeding period:
To apply Remifemin Plus in pregnancy and in lactation, there are no sufficient data. Remifemin Plus is therefore not to be taken during pregnancy and lactation.

Driveion and use of machines:
There are no special precautions required.

Important information about certain other ingredients of Remifemin Plus:
This medicine contains lactose. Please take Remifemin Plus only after consulting with your doctor if you are known to suffer from any intolerance to certain sugars.

3. How to take Remifemin Plus?

Always take Remifemin Plus exactly as directed in this leaflet. Please ask your doctor or pharmacist if you are not sure. Unless otherwise prescribed by the doctor, the usual dose is: 2 times a day 1 Film tablet, if necessary 2 film tablets 2 times a day. The film-coated tablets are included in the morning and in the evening with liquid with liquid. You can take the film-coated tablets regardless of meals.

Type of application:
Remifemin Plus is to be taken.

Duration of application:
As the treatment results are still improving for prolonged duration of use, Remifemin Plus should be used for a long time. However, not to overlook other diseases, the doctor should be visited after 6 months. Please talk to your doctor or pharmacist if you have the impression that the effect of Remifemin Plus is too strong or too weak.

If you take a larger amount of Remifemin Plus than you should:
In overdosing Remifemin Plus, the listed side effects can increase enhanced. You should discontinue the medicine and consult a doctor.

If you forget to take Remifemin Plus:
Do not take the double dose if you forget the previous ingestion.

If you have further questions about the application of the medicine, ask your doctor or pharmacist.

4. Which side effects are possible?

Like all medicines, Remifemin plus can have side effects that do not have to occur each other. In the evaluation of side effects, the following frequency information is based on:

The frequency information on side effects is based on the following categories:
Very often:	more than 1 treated from 10
Frequently:	1 to 10 treated from 100
Occasionally:	1 to 10 treated from 1 000
Rarely:	1 to 10 treated from 10 000
Very rare:	less than 1 treated from 10 000
Not known:	Frequency on the basis of the available data does not estimate.

Possible side effects:
Rarely:
Gastrointestinal complaints (upper abdominal problems, diarrhea), Allergic reactions of the skin (hives, skinchilden, rash), swelling in the face or to the limbs, increasing the liver values (transaminases), weight gain.

Very rare:
Fatigue or restlessness, especially for light-skinned individuals due to increased sensitivity of the skin over UV light (PhotoSensitization): SonnenBrand-like reactions of the skin parts exposed to strong irradiation (sun, solarium), liver damage in the use of medicines with CimicifugAburstelstock. At present, a secure causal relationship with these medicines is not proven.

In these cases, you should discontinue the medicine and visit your doctor. Please inform your doctor or pharmacist if one of the listed side effects will significantly affect it or notice side effects that are not specified in this document formation.

5. What is Remifemin Plus to keep?

Store drug out of reach of children. You must not use the medicinal product after the expiry date printed on the side tab of this packing. The expiry date refers to the last day of the month. Do not store more than 25 ° C!

6. Further information

What Remifemin Plus includes:
The active ingredients are: 1 film tablet contains: Hyperici Herb. Extra. SICC. (Dry extract from St. John's wort) according to total hypericin (standard.) = 0.25 mg and Cimicifugae Rhiz. Extra. SICC. (Dry extract made of CimicifugAburstelstock) according to triterpen glycosides calculated as 27-deoxyactein (standard.) = 1.0 Mg. The other ingredients are: microcrystalline cellulose, iron oxide E 172, glycerol carrying, glycerolalconate, high-dispersed silica, indigotine E 132, potato starch, lactose, macrogol MW = 6000, magnesium stearate, methylhydroxypropylcellulose, talc.

How Remifemin Plus looks like and content of the pack:
Round-curved, dark green film-coated tablets. Remifemin Plus is in packs with 60 (N2) and 100 (N3) Film tablets available.

Pharmaceutical entrepreneur and manufacturer:
Schaper & Brümmer GmbH & Co. KG
Bahnhofstraße 35
38259 Salzgitter
Tel.: (0 53 41) 3 07-0
Fax: (0 53 41) 3 07-124
[email protected]
http://www.schaper-bruemmer.com

This information information was last revised in April 2012.

Source: Information of the leaflet
Status: 08/2016