Wobenzym, 360 tablets

active ingredients

• Pineapple stem bromelaine 67.5-76.5 mg
• 100 mg rutoside-3 water
• Trypsin 32-48 mg

ingredients

• stearic acid
• maltodextrin
• triethyl citrate
• Methacrylic acid-methyl methacrylate copolymer (1:1)
• Silica, colloidal
• Corn starch, pregelatinized
• Magnesium stearate (vegetable)
• water, purified
• vanillin
• 141.9 mg lactose-1 water at most
• Macrogol 6000
• titanium dioxide
• talc

Indication :

• This is an anti-inflammatory medicine.
• It is used in adults as supportive treatment for
  • Swelling, inflammation or pain as a result of injury
  • superficial vein inflammation (thrombophlebitis)
  • Inflammation of the urinary and genital tract (urogenital tract)
  • Painful and activated arthroses (chronic joint wear) and
  • Soft tissue rheumatism (disease with symptoms in the muscles, tendons, ligaments)
• The preparation has anti-inflammatory effects.
• This medicine contains active substances that also reduce swelling and fluid retention (oedema) in the tissues caused by inflammation or injury. The enzymes contained in this medicine also reduce blood clotting by increasing the time it takes for a blood clot to form.

• The total dose should not be exceeded without consulting a doctor or pharmacist.
  
  Type of application?
  Take the medicine with liquid (e.g. 1 glass of water).
  
  Duration of use?
  You should not use the medicine for more than 2 weeks without medical advice.
  
  overdose?
  Overdose can cause diarrhea. If you suspect an overdose, contact a doctor immediately.
  
  In general, pay attention to a conscientious dosage, especially for babies, small children and the elderly. If in doubt, ask your doctor or pharmacist about any effects or precautions.
  
  A dosage prescribed by the doctor may deviate from the information on the package leaflet. Therefore, since the doctor adjusts them individually, you should use the medicine according to his instructions.

Dosage :

• Always take this medicine exactly as your doctor or pharmacist has told you.
• Check with your doctor or pharmacist if you are not sure.
• The recommended daily dose is 6 tablets, unless otherwise prescribed by the attending physician; the maximum daily dose of 12 tablets should not be exceeded.
• Duration of treatment
  • Treatment should be continued until the symptoms disappear. If the symptoms have not subsided after 14 days, you should consult a doctor as this may be a disease that requires medical treatment.
• If you take more than you should
  • slight diarrhea can occur, which usually does not require any additional treatment and disappears after the preparation is discontinued. If the diarrhea persists despite stopping the drug, contact a doctor immediately.
• If you forget to take a dose
  • do not take a double dose, but continue your dosing schedule as usual.
• If you stop taking
  • please talk to your doctor about the reasons for this.
• If you have any further questions on the use of the medicine, ask your doctor or pharmacist.

way :

• It is recommended that the tablets be taken throughout the day (e.g. 3 tablets twice) or as a single dose whole with plenty of liquid at least 30 minutes before a meal or 90 minutes after a meal.

Side effects :

• Like all medicines, this can have side effects, although not everyone gets them.
• The following side effects have been reported during clinical trials and/or post-marketing experience:
  • Rare: (affects up to 1 in 1,000 people)
    • Allergic reactions such as skin rash, itching, reddening of the skin, various types of gastrointestinal disorders such as gastrointestinal cramps,
    • If there are signs of a hypersensitivity reaction (difficulty breathing, itchy or reddened skin, allergic reaction), stop taking the product and consult a doctor.
  • Uncommon: (affects up to 1 in 100 people)
    • Asthma-like symptoms, feeling of fullness, flatulence, change in stool texture, colour, smell.
  • Very rare: (affects up to 1 in 10,000 people)
    • Diarrhea, nausea, vomiting, sweating, headache, flatulence, feeling hungry.
• Adverse reactions after taking the preparation are usually temporary, but can also be a sign of too high a dose.
• Discomfort in the gastrointestinal tract can be avoided by spreading the dose over the day and by strictly observing the time of administration (at least 30 minutes before a meal or 90 minutes after a meal).
• Taking this medicine may change the texture, color or smell of the stool.
• If you get any side effects, talk to your doctor, pharmacist or nurse. This also applies to side effects that are not specified.

Interactions :

• Taking together with other medicines
  • Please tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription.
    • Concomitant administration of this preparation and antibiotics increases plasma and urine levels of antibiotics, especially tetracyclines, sulfonamides and amoxicillin. The dose of antibiotics will be adjusted accordingly by your doctor.
    • You must not take the medicine if you are using other medicines that affect blood clotting. The inhibition of blood clotting can be increased if medicines that affect blood clotting are taken at the same time.

Contraindications :

• The drug must not be taken
  • if you are allergic (hypersensitive) to the active substances, pineapple or any of the other ingredients of this medicine
  • of children and young people under the age of 18
  • during pregnancy and lactation
  • if you have a congenital or acquired blood clotting disorder such as B. suffer from hemophilia
  • if you suffer from severe liver and/or kidney damage
  • if you are about to have an operation
  • With the simultaneous use of drugs that affect blood clotting

Pregnancy and lactation :

• If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine, like any other medicine.
• There are no adequate studies on the use during pregnancy and lactation. The preparation must therefore not be used in pregnant or breastfeeding women.
• fertility
  • Studies on the safety of the drug do not reveal any dangers in terms of fertility and/or childbearing potential for humans.

Patient Notes :

• Warnings and Precautions
  • Please talk to your doctor or pharmacist before taking this medicine.
  • Before any surgical intervention, the anticoagulant activity of the preparation should be taken into account and the patient should be monitored accordingly. In any case, the preparation should be discontinued 4 days before the operation.
  • children and teenage love
    • For children and adolescents under 18 years of age, there is insufficient experience in the mentioned areas of application.
• Ability to drive and use machines
  • There are no known effects on the ability to drive and use machines.

What speaks against an application?

- Hypersensitivity to the ingredients
- Blood clotting disorder
- Severe liver damage
- Severe kidney damage
- Immediately before an operation

Which age group should be considered?
- Children and adolescents under 18 years of age: The medicine must not be used.

What about pregnancy and lactation?
- Pregnancy: The medicine must not be used.
- Breast-feeding: the drug must not be used.

If you have been prescribed the drug despite a contraindication, talk to your doctor or pharmacist. The therapeutic benefit can be higher than the risk that the use involves in the event of a contraindication.

What adverse effects may occur?

- Flatulence
- Escaping intestinal gases
- Change in stool
- Discoloration of stool
- Bronchial asthma If

you notice any changes in your condition or changes during treatment, contact your doctor or pharmacist.

For the information at this point, side effects are primarily taken into account that occur in at least one in 1,000 patients treated.

Storage

Storage before opening
The medicinal product must be stored   in the dark (eg in the outer carton)
  protected from heat . Storage after opening or preparation The medicinal product may be used for a maximum of 6 months after opening/preparation! After opening/preparation, the medicinal product must be stored   - at room temperature   - in the dark (e.g. in the outer carton) ! This information only applies to the tablets in the can. The printed expiry date applies to the tablets in the blister pack.
What should you consider?
- Before an operation - this also includes minor interventions such as tooth extraction - state how you are taking/using the medicine, as the bleeding time may be longer.
- Beware of allergies to pineapple, kiwi, melon and papaya!
- Beware of intolerance to lactose. If you have to follow a diabetic diet, you should consider the sugar content.
- There may be medicines with which interactions occur. You should therefore generally tell your doctor or pharmacist about any other medicine you are already using 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.

How do the ingredients of the drug work?

The drug consists of an active ingredient combination of enzymes and rutoside. It affects blood clotting, has an anti-inflammatory effect and is said to help reduce swelling after injuries.

What is included in medicines?
 

Manufacturer: MUCOS Pharma GmbH & Co. KG