Application notes
The total dose should not be exceeded without consulting a doctor or pharmacist.
How to use?
Take the medicine whole with liquid (e.g. 1 glass of water).
For acute myocardial infarction: Bite the medicine and let it work in the oral cavity.
Duration of use?
The duration of use depends on the nature of the symptoms and/or the course of the disease. It should therefore be determined in consultation with your doctor. In principle, the duration of use is not limited, so the medicine can be used for longer periods.
Overdose?
A variety of overdose symptoms can occur, including dizziness, ringing in the ears, visual disturbances, confusion and breathing disorders. If you suspect an overdose, contact a doctor immediately.
Have you forgotten to take it?
Continue taking the medicine as normal (i.e. not double the amount) at the next prescribed time.
As a general rule: Pay particular attention to conscientious dosing, especially with infants, small children and older people. If in doubt, ask your doctor or pharmacist about any effects or precautions.
A dosage prescribed by a doctor may differ from the information on the package leaflet. As the doctor will adjust it individually, you should therefore use the medicine according to his instructions.
Dosage
For unstable angina pectoris:
Adults 1 tablet 1 time a day before a meal (approx. 30 minutes)
For acute myocardial infarction - single dose:
Adults 1 tablet 1 tablet at the beginning of the attack
For acute myocardial infarction - follow-up treatment:
Adults 1 tablet 1 time a day before a meal (approx. 30 minutes)
To prevent a heart attack:
Adults 1 tablet 3 times a day before a meal (approx. 30 minutes)
After arterial vascular surgery:
Adults 1 tablet 1 time a day before a meal (approx. 30 minutes)
For circulatory disorders in the brain (prevention of cerebral infarction):
Adults 1 tablet 1 time a day before a meal (approx. 30 minutes)
Application areas
The medicine is not suitable for the treatment of pain conditions.
- Blood thinning (inhibition of platelet aggregation, i.e. the adhesion of blood platelets) in the following cases
- Prevention and long-term treatment of angina pectoris (main complaint in coronary heart disease)
- Acute myocardial infarction
- Prevention of a heart attack
- Condition after arterial vascular surgery
- Circulatory disorders in the brain (prevention of cerebral infarction)
Mode of action
How does the active ingredient of the medicine work?
The active ingredient has an analgesic, antipyretic and anti-inflammatory effect. It blocks the formation of certain messenger substances in the body, known as prostaglandins. These are significantly involved in the development of pain, fever and inflammation.
Blood clotting is also influenced by acetylsalicylic acid. The substance prevents the blood platelets (thrombocytes) from clumping together and thus improves the blood's ability to flow.
Composition
Based on 1 tablet
100 mg acetylsalicylic acid
+ cellulose, microcrystalline
23.73 mg lactose-1-water
+ maize starch
+ Stearic acid (vegetable)
+ silicon dioxide, highly dispersed
+ triethyl citrate
+ talc
+ Methacrylic acid-ethyl acrylate copolymer (1:1)
Contraindications
What speaks against an application?
Always:
- Hypersensitivity to the ingredients
- Asthma attack, history of medication with a similar effect
- Ulcers in the digestive tract, such as
- Stomach or duodenal ulcer
- Increased blood loss with a tendency to bleed (haemorrhagic diathesis)
- Liver failure
- Kidney failure
- Severe heart failure that is not controlled by medication
Under certain circumstances - talk to your doctor or pharmacist about this:
- Tendency to allergies
- hives
- Bronchial asthma
- Severe colds (rhinitis)
- Blood clotting disorder (coagulopathy)
- Bleeding in the gastrointestinal tract
- Other bleeding, such as
- Cerebral hemorrhage
- Impaired liver function
- Impaired kidney function
- High blood pressure
- Heart failure
- Electrolyte and fluid deficiency conditions (dehydration)
- Impending surgery
- Glucose-6-phosphate dehydrogenase deficiency (special inherited metabolic disorder)
- Tendency to gout attacks
Which age group should be considered?
- Children and adolescents under the age of 18: No dosage information is available for this age group.
What about pregnancy and breastfeeding?
- Pregnancy: Consult your doctor. Various considerations play a role in whether and how the medicine can be used during pregnancy.
- Breastfeeding: Consult your doctor or pharmacist. They will check your particular situation and advise you accordingly as to whether and how you can continue breastfeeding.
If you have been prescribed the medicine despite a contraindication, talk to your doctor or pharmacist. The therapeutic benefit may be greater than the risk associated with the use of a contraindication.
Side effects
What adverse effects can occur?
- Gastrointestinal complaints, such as
- Heartburn
- nausea
- vomiting
- abdominal pain
- diarrhea
- Microbleeds (barely visible or noticeable bleeding from tiny vessels), especially in the gastrointestinal tract
- Ulcers in the digestive tract, which can very rarely break through
- Bleeding in the gastrointestinal tract (gastrointestinal bleeding)
- Inflammation of the gastric mucosa
- Hypersensitivity reactions of the skin
If you notice any discomfort or change during treatment, contact your doctor or pharmacist.
The information provided here is based primarily on side effects that occur in at least one in 1,000 patients treated.
Hints
What should you bear in mind?
- In children and adolescents with febrile illnesses, the medicine should only be given on medical advice. Reye's syndrome, a rare but life-threatening condition in which prolonged vomiting occurs, may occur.
- Caution: Patients with nasal polyps, chronic respiratory tract infections, asthma or a tendency to allergic reactions such as hay fever: the medicine may trigger an asthma attack or a severe allergic skin reaction. Therefore, consult your doctor before use.
- Before an operation - including minor procedures such as pulling a tooth - stop taking/using the medicine, as the bleeding time may be prolonged.
- Take care if you are intolerant to lactose. If you have to follow a diabetic diet, you should take the sugar content into account.
- There may be medicines with which interactions occur. You should therefore generally tell your doctor or pharmacist about any other medicine you are already taking before starting treatment with a new medicine. This also applies to medicines that you buy yourself, use only occasionally or have been using for some time.
- Alcohol consumption should be avoided as far as possible during long-term treatment. Occasional alcohol consumption in small quantities is permitted, but not together with the medication.
