YOMESAN 500 мг Таблетка
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Инструкция по применению YOMESAN
Содержание инструкции
Yomesan 500 mg chewable tablets
niclosamide
Read this leaflet carefully before you start to take this medicine as it contains important
information for you.
- Keep this leaflet. You may need to read it again.
- If you have any questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you only. Do not pass it on to others, even if their symptoms are the same as yours, as it may be harmful.
- If you get any side effects, even those not listed in this leaflet, tell your doctor or pharmacist. See section 4.
Contents of this leaflet:
- 1. What Yomesan is and what it is used for
- 2. What you need to know before you take Yomesan
- 3. How to take Yomesan
- 4. Possible side effects
- 5. How to store Yomesan
- 6. Contents of the pack and other information
1. What is Yomesan and what is it used for
Yomesan contains the active ingredient niclosamide, an antiparasitic substance that belongs to the group of
anthelmintic, anticestodal drugs, derivatives of salicylic acid.
This medicine is used for the treatment of the following tapeworm infestations in adults and children:
- infestations by Taenia saginata(beef tapeworm),
- infestations by Taenia solium(pork tapeworm),
- infestations by Diphyllobothrium latum(fish tapeworm),
- infestations by Hymenolepis nana(dwarf tapeworm).
2. What you need to know before taking Yomesan
Do not take Yomesan
- if you are allergic to niclosamide or any of the other ingredients of this medicine (listed in section 6).
Warnings and precautions
Talk to your doctor or pharmacist before taking Yomesan.
Yomesan eliminates the tapeworm present in the intestine.
Yomesan is not effective in cases of cysticercosis and echinococcosis, diseases caused by larvae of Taenia soliumand of
other parasites ( E. multiocularisor E. Granulosus) which are located and develop outside the intestine.
The absence of scoleces (the “head” of the tapeworm, with which it adheres to the intestinal wall) in the stool does not indicate that
Yomesan has not worked. After contact with the medicine, the parasites are damaged and may be
unrecognizable.
If you want a rapid expulsion of the entire body (strobila) of the tapeworm, you can administer, 2 hours after
taking the entire daily dose of Yomesan (or, in the case of the dwarf tapeworm, Hymenolepis nana, after the last
dose of treatment), a strong saline purgative (e.g. sodium sulfate or magnesium sulfate) to promote
elimination of the parasite with liquid stools. It is possible that the scolex will not be found in the stool even
with a drastic purgative: in this case, the tapeworm will be eliminated in fragments during the following days.
If you do not take the purgative, you may find segments (proglottids) of tapeworm in your stool for about 2 days
after the end of treatment with Yomesan. After this period, you should no longer find either proglottids or
eggs. If you become reinfected with Taenia saginataor Taenia solium, scoleces or eggs will not appear in the stool
before 3 months.
Only if the parasite is the dwarf tapeworm ( Hymenolepis nana)is a 14-day observation period necessary, because
any surviving scoleces regenerate very quickly and form sexually mature parasites, which
begin to produce eggs in the stool as early as 10 days.
Yomesan has a lethal effect only on the adult parasite but not on the eggs; in case of infestation with Taenia solium
(tapeworm) it is essential to take a drastic purgative, this to avoid that, if adequate hygiene rules are not observed,
cysticercosis may develop, i.e. an infestation caused by the larval form of
the parasite by ingestion of the eggs. The purgative, in fact, aims to eliminate as quickly as possible the
final segments (proglottids) containing the mature eggs, before they are digested releasing the eggs
into the intestine.
Other medicines and Yomesan
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other
medicines, including those available without a prescription.
Yomesan with alcohol
During therapy, it is advisable to avoid drinking alcohol because the medicine is soluble in alcohol
which may increase its absorption.
Pregnancy and breastfeeding
If you are pregnant, suspect you are pregnant or are planning a pregnancy, or if you are breastfeeding, ask your doctor or pharmacist for advice before taking this medicine.
Pregnancy
Studies in animals do not indicate any direct or indirect adverse effects on reproductive toxicity.
As a precaution, during pregnancy, and especially during the first trimester, use this medicine only
when absolutely necessary.
Breastfeeding
It is not known whether niclosamide is excreted in human milk. If you are breastfeeding, your doctor will prescribe Yomesan only
after assessing the risk/benefit ratio.
Driving and using machines
Yomesan may impair the ability to drive or operate machinery, due to effects on the
central nervous system. See section 4.
3. How to take Yomesan
Take this medicine following exactly the instructions of your doctor or pharmacist. If you have any doubts
consult your doctor or pharmacist
Dosage
The recommended doses are:
| Infesting agent | a i Age group | Daily dose day 1 days 2 - 7 | |
| Taenia saginata Taenia solium and Diphyllobothrium latum | z Adults and children over 6 years | 4 tablets | |
| n Children from 2 to 6 years | 2 tablets | ||
| Children under 2 years | 1 tablet | ||
| g A Hymenolepis nana | Adults and children over 6 years | 4 tablets | 2 tablets/day |
| Children from 2 to 6 years | 2 tablets | 1 tablet/day | |
| Children under 2 years | 1 tablet | 1/2 tablet/day | |
Method of administration
Oral use.
The entire daily dose must be taken immediately after breakfast.
The chewable tablets, with a pleasant taste, must be chewed until reduced to a homogeneous paste
and then swallowed with a little water.
The tablets can also be crumbled into water and then ingested.
The elimination of intestinal mucus produced abundantly in tapeworm infections can be favored
by taking acidic fruit juices which allow easier access of the active ingredient to the tapeworm located below the
mucus.
In case of constipation, it is necessary to normalize intestinal peristalsis (muscle contraction of the digestive tract)
before taking Yomesan. No other dietary measures are necessary.
Special populations
Use in patients with reduced hepatic (liver) or renal function
Niclosamide is not absorbed in appreciable quantities by the gastrointestinal tract and does not interfere with the
function of the liver or kidneys. Therefore, no dosage adjustments are necessary in case of reduced hepatic or
renal function.
Use in children
For younger children, the tablets must be appropriately reduced to a homogeneous paste before
being administered with a little water.
If you use more Yomesan than you should
No cases of overdose have been reported.
If you accidentally take an excessive dose of Yomesan, immediately inform your doctor or go to the nearest
hospital.
If you have any doubts about the use of this medicine, consult your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
The adverse reactions listed below are derived from spontaneous reports and, therefore, it is not possible to define their
frequency.
Immune system disorders
- allergic reaction, for example erythema (redness of the skin), itching, rash,
- anaphylactic reaction (severe allergic reaction),
- anaphylactic shock (sudden drop in blood pressure due to severe allergic reaction).
Nervous system disorders
- dizziness.
Vascular disorders
- cyanosis (bluish discoloration of the skin due to reduced oxygen in the blood).
Gastrointestinal disorders
- nausea,
- vomiting,
- gastrointestinal and abdominal pain,
- retching,
- diarrhoea.
Skin and subcutaneous tissue disorders
- skin rash,
- itching,
- hyperhidrosis (excessive sweating).
Systemic disorders and conditions related to the site of administration
- feeling unwell (fatigue).
Reporting of side effects
If you get any side effects, even those not listed in this leaflet, tell your doctor or
pharmacist. You can also report side effects directly through the national reporting system at www.agenziafarmaco.gov.it/it/responsabili. By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Yomesan
Store in the original package.
Do not use this medicine after the expiry date which is reported on the pack. The expiry date refers
to the last day of that month.
Keep this medicine out of the sight and reach of children.
Do not dispose of any medicine in wastewater or household waste. Ask your pharmacist how to dispose of the
medicines you no longer use. This will help protect the environment.
6. Contents of the pack and other information
What Yomesan contains
- The active ingredient is: niclosamide. Each tablet contains 500 mg of niclosamide.
- The other ingredients are: sodium saccharin, vanillin, sodium lauryl sulfate, polyvinylpyrrolidone, corn starch, talc, magnesium stearate.
Description of the appearance of Yomesan and contents
Yomesan is available as chewable, grey-yellow, round tablets with “FE” imprinted on one side and the
Bayer cross on the other.
The pack contains 4 tablets of 500 mg.
Marketing Authorisation Holder
BAYER AG- KAISER, WILHELM - ALLEE 1, 51373 LEVERKUSEN (GERMANY)
Marketing Authorisation Holder:
Bayer S.p.A. - V.le Certosa 130 - Milan
Manufacturer
Bayer OY
Turku – Finland
Bayer Pharma AG
Leverkusen - Germany
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- Страна регистрации
- Форма выпускаTablet, 500 MG
- Код АТХP02DA01
- Действующее вещество
- Отпускается по рецептуДа
- Производитель
- Информация на этой странице носит справочный характер и не является медицинской консультацией. Перед началом приема лекарства обязательно проконсультируйтесь с врачом.
- Аналоги YOMESANФорма выпуска: Coated tablet, 3 MGДействующее вещество: ИвермектинПроизводитель: DIFA COOPER S.P.A.Отпускается по рецептуФорма выпуска: Coated tablet, 3 MGДействующее вещество: ИвермектинПроизводитель: SUBSTIPHARMОтпускается по рецептуФорма выпуска: Tablet, 3 MGДействующее вещество: ИвермектинПроизводитель: S.F. GROUP S.R.L.Отпускается по рецепту
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YOMESAN требует рецепта в Италия. Вы можете уточнить у врача онлайн, подходит ли это лекарство для вашей ситуации.
Действующее вещество YOMESAN — niclosamide. Эта информация помогает определить лекарства с тем же составом под другими торговыми названиями.
YOMESAN производится компанией BAYER AG. Упаковка и торговое название могут отличаться в зависимости от дистрибьютора.
Врачи, включая Семейные врачи, Психиатры, Дерматологи, Кардиологи, Эндокринологи, Гастроэнтерологи, Пульмонологи, Нефрологи, Ревматологи, Гематологи, Инфекционисты, Аллергологи, Гериатры, Педиатры, Онкологи, могут оценить целесообразность применения YOMESAN с учетом вашей ситуации и местных правил. Вы можете записаться на онлайн-консультацию, чтобы обсудить возможные варианты.
Польша имеет хорошо развитую систему здравоохранения в крупных городах, таких как Варшава, Краков, Вроцлав и Гданьск. Аптеки широко доступны и работают в соответствии с действующим законодательством, обеспечивая доступ к рецептурным препаратам.
Вы можете купить YOMESAN в Варшаве, Кракове, Вроцлаве или Гданьске в любой аптеке при наличии действующего рецепта.
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Другие лекарства с тем же действующим веществом (niclosamide) включают IVERMEKTINA DIFA, IVERSKAB, SKAVER. Они могут отличаться торговым названием или формой выпуска, но содержат одинаковый терапевтический компонент. Перед изменением лечения рекомендуется проконсультироваться с врачом.
