Swissmedic Nr.: 19395030
Index: 06.03.10
Pharmacode: 1419333
GTIN/EAN: 7680193950301
Markteintritt: a.i.
Kategorie: A Une charge sur une prescription médicale.
(0/5 , 4176)Pour obtenir du Marcoumar® (3 mg), vous devez disposer d'une prescription médicale.
Sur Tondocteur.ch vous pouvez obtenir une prescription électronique suite a une
téléconsultation avec le docteur de votre choix.
Les prescriptions médicales obtenues sur Tondocteur.ch sont utilisables dans plus de
1400 pharmacies suisses.
Nous pouvons organiser l'envoi du Marcoumar® (3 mg) par la poste
contre signature (24 heures) ou par médicament-taxi après un consultation en ligne.
Marcoumar abaisse le pouvoir de coagulation du sang et empêche ainsi la formation de caillots sanguins (thrombus), qui peuvent bloquer la circulation sanguine.
Le traitement par ce médicament, qui consiste en fait à rendre le sang plus fluide, doit être poursuivi pendant une assez longue durée et être accompagné d'un contrôle précis de l'effet du médicament, étant donné qu'une fluidité excessive ou insuffisante pourrait s'avérer dangereuse.
Grâce à des examens spéciaux (détermination de la valeur d'INR), votre médecin mesure le pouvoir de coagulation de votre sang et fixe ensuite la quantité de Marcoumar que vous devez prendre. Vous devez respecter scrupuleusement ses instructions. Marcoumar ne doit être utilisé que sur prescription du médecin.
Votre médecin vous a remis une carte indiquant que vous prenez un anticoagulant. Veillez soigneusement à toujours porter cette carte sur vous pendant la durée du traitement. Dans certains cas (lors de voyages dans des régions peu médicalisées, p.ex.), votre médecin vous remettra un contre-produit approprié (contenant par exemple de la phytoménadione [vitamine K1] comme principe actif) que vous devrez également porter sur vous. Son mode d'emploi vous sera expliqué par votre médecin.
Marcoumar ne doit pas être utilisé lors d'hypersensibilité (allergie) à l'un de ses composants, de tendance aux hémorragies, de troubles graves de la coagulation (hémophilie, p.ex.), de maladies graves du foie ou des reins, d'ulcères de l'estomac ou de l'intestin, de forte hypertension ou de grossesse. Il ne faut pas non plus prendre Marcoumar avant et après certaines interventions chirurgicales et procédés thérapeutiques susceptibles d'entraîner des saignements incontrôlables.
Marcoumar est un médicament très efficace. Ses effets doivent toutefois être contrôlés très soigneusement. C?est pourquoi vous ne devez pas oublier de vous rendre aux examens de contrôle convenus avec votre médecin. Vous devez aussi veiller scrupuleusement à prendre les quantités prescrites de Marcoumar au moment voulu.
Il est nécessaire que vous informiez tous vos médecins traitants de votre traitement par Marcoumar. Vous devez aussi les prévenir si vous devez vous soumettre à une intervention chirurgicale planifiée ou à certaines interventions thérapeutiques (p.ex. angiographie, ponction lombaire, extraction de dents), si vous souffrez d?une maladie grave (en particulier maladies cardiaques et hypertension) ou si vous avez d?autres maladies (diabète, hyperthyroïdie, tumeurs, maladies des reins, infections, inflammations).
Vous ne devez pas prendre ou arrêter la prise d?autres médicaments sans en avoir d?abord parlé à votre médecin, car cela pourrait modifier l?action de Marcoumar. Cela s?applique aussi aux remèdes à base de plantes et plus particulièrement à ceux qui contiennent des extraits de millepertuis (Hypericum perforatum). Consultez votre médecin avant de prendre des médicaments contre la douleur, des antigrippaux, des antirhumatismaux, des diurétiques, des aides au sevrage alcoolique, des antidépresseurs, des antibiotiques, des anesthésiants, des médicaments qui influencent la coagulation sanguine (p.ex. héparine, clopidogrel), des antiarythmiques cardiaques, des médicaments contre les troubles thyroïdiens, des anticancéreux, des médicaments contre les brûlures d?estomac, des antiépileptiques, des antidiabétiques, des médicaments contre la goutte, des antituberculeux, des anti-inflammatoires, des médicaments pour faire baisser le taux de cholestérol, des anabolisants, des préparations à base de vitamine K, de la glucosamine ou d?autres médicaments. Votre médecin saura vous dire quels sont les médicaments convenant le mieux.
Toutes ces mesures visent à empêcher que surviennent des hémorragies. Si vous constatez malgré tout des saignements importants au niveau des gencives ou du nez, la présence de sang dans l?urine ou des selles de couleur noire, informez-en immédiatement votre médecin. Même en cas de léger saignement, il est préférable que vous preniez contact avec lui.
Si vous avez un accident, dites au médecin qui vous soigne que vous prenez des anticoagulants. Veillez aussi à toujours avoir sur vous votre carte indiquant que vous prenez des anticoagulants.
Si, pour une raison quelconque, vous devez vous adresser à un médecin qui n?est pas votre médecin habituel, signalez-lui que vous prenez du Marcoumar et qu?il ne doit pas vous faire d?injection dans les muscles.
Avant tout traitement dentaire, dites à votre dentiste que vous prenez Marcoumar.
Si vous envisagez de faire un grand voyage, parlez-en d?abord avec votre médecin.
Pendant le traitement par Marcoumar, vous devez veiller à avoir une alimentation équilibrée. Vous devez renoncer à consommer de façon irrégulière des quantités importantes d?aliments à forte teneur en vitamine K (p.ex. épinards, quelconques variétés de choux et plus particulièrement brocolis), étant donné que ces aliments peuvent affaiblir les effets de Marcoumar. La consommation de pamplemousses peut accroître le risque de saignements. La consommation de jus ou de baies de goji pourrait renforcer les effets de Marcoumar.
Évitez également de boire des quantités excessives d?alcool, ce dernier pouvant modifier les effets de Marcoumar.
Les comprimés Marcoumar contiennent du lactose. Informez votre médecin que vous prenez Marcoumar si vous présentez une intolérance au lactose.
Veuillez informer votre médecin ou votre pharmacien si
Marcoumar ne doit pas être utilisé pendant la grossesse. Si vous devenez enceinte pendant le traitement par Marcoumar, cela risque de constituer un danger pour votre enfant à naître. Par conséquent, si vous remarquez que vous êtes enceinte, informez-en votre médecin immédiatement. Si vous envisagez une grossesse, parlez-en également à votre médecin.
Les femmes en âge de procréer doivent utiliser une méthode de contraception efficace pendant toute la durée du traitement ainsi qu'au cours des 3 mois suivant son arrêt.
Marcoumar ne doit être pris pendant l'allaitement que sur prescription du médecin.
La dose quotidienne varie de patient à patient; elle est déterminée par votre médecin grâce aux examens du sang.
Ne changez pas de votre propre chef le dosage prescrit. Adressez-vous à votre médecin ou à votre pharmacien si vous estimez que l?efficacité du médicament est trop faible ou au contraire trop forte.
Avalez les comprimés en entier, sans les croquer, avec un peu d?eau.
L?utilisation et l?efficacité de Marcoumar n?ont pas à ce jour été étudiées chez les patients de moins de 14 ans.
Si vous avez oublié de prendre votre dose de Marcoumar à l?heure prévue, rattrapez la prise oubliée dès que possible le jour même. Si vous ne remarquez votre oubli de prise que le lendemain, ne rattrapez plus la prise oubliée. Poursuivez votre traitement en prenant le médicament à l?heure habituelle et contactez votre médecin.
Ne prenez jamais deux doses journalières le même jour.
Un surdosage de Marcoumar peut entraîner des saignements. Informez immédiatement votre médecin. Une perte de conscience peut être le signe d?une hémorragie cérébrale.
Des saignements dans différents organes, pouvant éventuellement mettre la vie en péril, peuvent survenir dans le cadre du traitement par Marcoumar.
La prise ou l?utilisation de Marcoumar peut provoquer les effets secondaires suivants:
Effets indésirables très fréquents: Hématomes lors de blessures, saignement du nez, saignement des gencives, sang dans les urines.
Effets indésirables occasionnels: Saignements internes, saignements au niveau de la moelle épinière et du cerveau, saignements oculaires, saignements au niveau des articulations ou des muscles, douleurs brûlantes dans les gros orteils, accompagnées d?une coloration anormale (purple toes).
Effets indésirables rares: Anémie due à des saignements, maladies du système digestif, chute des cheveux.
Effets indésirables très rares: Syndrome de compression du nerf de la cuisse suite à un saignement interne, hépatite généralement passagère avec ou sans jaunisse, défaillance du foie, nécroses de la peau (destruction de zones de la peau). Si vous subissez une nécrose de la peau ou développez des taches rouges sur la peau (purpura fulminans), vous devez immédiatement en informer votre médecin.
Effets indésirables de fréquence inconnue: Réactions cutanées allergiques inflammatoires, vomissements, diarrhée, nausées, perte d?appétit, affections des muscles squelettiques, des tissus conjonctifs ou des os, ostéoporose (fragilisation des os) après une longue durée de traitement.
Si vous remarquez des effets secondaires qui ne sont pas mentionnés dans cette notice, veuillez en informer votre médecin ou votre pharmacien.
Le médicament ne doit pas être utilisé au-delà de la date figurant après la mention «EXP» sur le récipient.
Ne pas conserver au-dessus de 30 °C.
Conserver hors de la portée des enfants.
Pour de plus amples renseignements, consultez votre médecin ou votre pharmacien qui disposent d'une information détaillée destinée aux professionnels.
1 comprimé (blanc) contient 3 mg de phenprocoumone en tant que principe actif, lactose et autres excipients.
19395 (Swissmedic).
En pharmacie, seulement sur ordonnance médicale non renouvelable.
Comprimés (quadrisécables) de 3 mg: 25 et 100 comprimés.
MEDA Pharma GmbH, 8602 Wangen-Brüttisellen.
Cette notice d?emballage a été vérifiée pour la dernière fois en octobre 2014 par l?autorité de contrôle des médicaments (Swissmedic).
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