• 50 mg acetylsalicylic acid

• Cellulose powder
• Glycine
• Cornstarch
• Sodium saccharine
• Flavors, natural, nature-identical

Indication / GODAMED, Acetylsalicylic acid application

• The drug inhibits, among other things, the sticking together and clumping of blood platelets (thrombocytes) and thus prevents the formation of blood clots (thrombi).
• The medicine is used
  • for unstable angina pectoris (heart pain due to circulatory disorders in the coronary arteries) - as part of standard therapy
  • in acute myocardial infarction - as part of standard therapy
  • to prevent another heart attack after the first heart attack (for re-infarction prophylaxis)
  • after operations or other interventions on arterial blood vessels (after arterial vascular surgery or interventional procedures e.g. after aortocoronary vein Baypass [ACVB], after percutaneous transluminal coronary angioplasty [PTCA])
  • for the prevention of temporary insufficient blood circulation in the brain (TIA: transient ischemic attacks) and cerebral infarctions after previous stages (e.g. temporary paralysis of the face or arm muscles or temporary loss of vision) have occurred.
• notice
  • The medicine is not suitable for the treatment of painful conditions.

GODAMED, Acetylsalicylic acid dosage

• Always take the medicine exactly as directed. Please ask your doctor or pharmacist if you are not sure.
  • Unless otherwise prescribed by your doctor, the usual dose is
    • For unstable angina pectoris (heart pain due to circulatory disorders in the coronary arteries)
      • A daily dose of 2 tablets (equivalent to 100 mg acetylsalicylic acid per day) is recommended.
    • In the event of an acute heart attack
      • A daily dose of 2 tablets (equivalent to 100 mg acetylsalicylic acid per day) is recommended.
    • To prevent another heart attack after the first heart attack (reinfarction prophylaxis)
      • A daily dose of 300 mg acetylsalicylic acid is recommended. For this purpose, tablets with higher active ingredient strengths are available.
    • After operations or other interventions on arterial blood vessels (after arterial vascular surgery or interventional procedures; e.g. after ACVB; with PTCA)
      • A daily dose of 2 tablets (equivalent to 100 mg acetylsalicylic acid per day) is recommended.
      • The most favorable time to start treatment with the aortocoronary venous bypass (ACVB) drug appears to be 24 hours after surgery.
    • For the prevention of temporary low blood flow to the brain (TIA) and cerebral infarction after previous stages have occurred
      • A daily dose of 1-2 tablets (equivalent to 50-100 mg acetylsalicylic acid per day) is recommended.

• Duration of application
  • The drug is intended for long-term use. The duration of the usage will be decided by the medicating doctor.
  • Please talk to your doctor or pharmacist if you have the impression that the effect of the medicine is too strong or too weak.

• If you take more medicine than you should
  • Dizziness and ringing ears, especially in children and the elderly, can be signs of serious poisoning.
  • If you suspect an overdose of the drug, please notify your doctor immediately.
    • Depending on the severity of an overdose / poisoning, he or she can decide on any measures that may be required.

• If you forget to take the medicine
  • If you have taken too little of the medicine or if you missed a dose, do not take about double the amount the next time, but continue taking as described in the dosage instructions or as prescribed by your doctor.

• If you stop taking the medicine
  • Please do not interrupt or end your treatment with the medicine without first consulting your doctor.

• If you have any further questions on the use of the medicinal product, ask your doctor or pharmacist.

GODAMED, Acetylsalicylic acid way

• If possible, swallow the tablets whole with plenty of liquid (e.g. 1 glass of water) after a meal.
• Do not take on an empty stomach!
• For treatment of acute myocardial infarction, the 1st tablet should be chewed or chewed.

GODAMED, Acetylsalicylic acid Side effects

• Like all medicines, this can cause side effects, although not everybody gets them.
  • When evaluating side effects, the following frequencies are used as a basis:
    • very often more than 1 in 10 people treated
    • often less than 1 in 10 but more than 1 in 100 patients
    • occasionally less than 1 in 100 but more than 1 in 1000 patients
    • rarely less than 1 in 1000, but more than 1 in 10,000 patients
    • very rarely less than 1 in 10,000 patients
    • not known frequency cannot be estimated from the available data
  • blood
    • Not known:
      • Bleeding such as B. nosebleeds, bleeding gums or skin bleeding with a possible prolongation of the bleeding time. This effect can last for 4 to 8 days after ingestion.
    • Serious bleeding such as B. cerebral haemorrhages, especially in patients with uncontrolled high blood pressure and / or simultaneous treatment with anti-coagulant drugs have been reported, which in individual cases can be potentially life-threatening.
  • Immune system (hypersensitivity reactions, allergies)
    • Occasionally:
      • Hypersensitivity reactions such as skin reactions.
    • Rarely:
      • Hypersensitivity reactions such as severe skin reactions (very rarely up to erythema exudativum multiforme), possibly with a drop in blood pressure, attacks of shortness of breath, cramp-like narrowing of the airways and swelling of the face, tongue and larynx (Quincke's edema), especially in asthmatics.
  • metabolism
    • Very rare:
      • Decrease in blood sugar levels (hypoglycaemia).
    • Acetylsalicylic acid reduces uric acid excretion in low doses. In patients at risk for this, this can under certain circumstances trigger a gout attack.
  • Nervous system
    • Headache, dizziness, confusion, impaired hearing or ringing in the ears (tinnitus) may be signs of an overdose, especially in children and the elderly.
  • respiratory tract
    • Occasionally:
      • Runny nose
  • Gastrointestinal tract
    • Often:
      • Gastrointestinal complaints such as heartburn, nausea, vomiting, abdominal pain and diarrhea, slight loss of blood from the gastrointestinal area (microbleeding).
    • Occasionally:
      • Bleeding in the stomach or intestines.
      • After prolonged use of the drug, anemia (iron deficiency anemia) can occur due to hidden blood loss from the stomach or intestines.
      • Ulcers in the stomach or intestines, which very rarely can lead to a breakthrough.
      • If black stools or bloody vomiting (signs of severe gastric bleeding) occur, notify your doctor immediately.
  • liver
    • Very rare:
      • Increases in liver enzymes.
  • Kidneys
    • Very rare:
      • Kidney dysfunction.
  • Countermeasures
    • If you experience the above side effects, you should not take the medicine again.
    • Notify your doctor so that they can decide the severity and what action to take if necessary.
    • At the first signs of a hypersensitivity reaction, the drug should not be taken again.
  • Please inform your doctor or pharmacist if one of the listed side effects gets serious, or if you notice side effects not listed here.

GODAMED, Acetylsalicylic acid Interactions

• When taking the drug with other drugs
  • Please tell your doctor or pharmacist if you are taking / using or have recently taken / used any other medicines, including medicines obtained without a prescription.
  • The effect of the treatment can be influenced if acetylsalicylic acid is taken together with medicines for the following diseases:
    • Blood clots (e.g. warfarin)
    • Organ rejection after transplantation (ciclosporin, tacrolimus)
    • High blood pressure (such as diuretics and ACE inhibitors)
    • Pain and inflammation (such as steroids and anti-inflammatories)
    • Gout (probenecid)
    • Cancer or rheumatoid arthritis (methotrexate)
  • The effect of the drugs or groups of drugs listed below can be influenced by simultaneous treatment with the drug.
  • Enhancement of the effect up to an increased risk of side effects:
    • anti-coagulant medicines, e.g. B. Heparin: Acetylsalicylic acid may increase the risk of bleeding if taken before treatment to dissolve blood clots. Therefore, if you are about to undergo such treatment, you should watch out for signs of external or internal bleeding (e.g. bruises)
    • other antiplatelet agents (medicines that stop platelets from sticking together and clumping together, e.g. ticlopidine, clopidogrel)
    • with alcohol consumption: the risk of gastrointestinal ulcers and bleeding is increased
    • Medicines to lower blood sugar (anti-diabetic drugs, e.g. sulphonylureas): the blood sugar level may drop
    • Digoxin (medicine to strengthen the heart)
    • Valproic acid (medicine used to treat brain seizures [epilepsy]).
  • If medicinal products containing ibuprofen are used at the same time, the anticoagulant effect of low-dose acetylsalicylic acid (preventing blood clots from forming) may be impaired. An interaction is unlikely with occasional ibuprofen use.
  • Before using acetylsalicylic acid, please tell your doctor what other medications you are already taking. If you use acetylsalicylic acid regularly, talk to your doctor before taking any other medicine. This also applies to non-prescription drugs.
• Taking the medicine with food and drink
  • Please note that acetylsalicylic acid should not be taken together with alcohol.

GODAMED, Acetylsalicylic acid Contraindications

• The medicine must not be taken
  • if you are allergic (hypersensitive) to acetylsalicylic acid or any of the other ingredients of the medicine
  • if you have had asthma attacks or are otherwise hypersensitive (allergic) to salicylates (a group of substances related to acetylsalicylic acid) or other non-steroidal anti-inflammatory drugs in the past
  • for acute gastric and intestinal ulcers
  • if there is a pathologically increased tendency to bleed (hemorrhagic diathesis)
  • in liver and kidney failure
  • if you have severe cardiac insufficiency that has not been adequately treated (heart failure)
  • if you are taking methotrexate 15 mg or more per week at the same time
  • in the last 3 months of pregnancy in a dose of more than 150 mg acetylsalicylic acid per day.

pregnancy GODAMED, Acetylsalicylic acid and breast feeding period

• pregnancy and breast feeding period
  • If you are diagnosed with pregnancy while taking the medicine, please notify your doctor immediately.
  • In the first and second trimester of pregnancy, you may only take the medicine on the order of your doctor.
  • In the last 3 months of pregnancy, you must not take acetylsalicylic acid, the active ingredient of the medicine, before and during childbirth at a dose of more than 150 mg per day due to an increased risk of complications for mother and child. Acetylsalicylic acid up to 150 mg per day You may only take day in the last trimester of pregnancy on the order of your doctor.
  • The active ingredient acetylsalicylic acid and its breakdown products pass into breast milk in small amounts. Since no adverse consequences for the infant have become known to date, interruption of breastfeeding will generally not be necessary if a daily dose of up to 150 mg is used. If higher doses are taken (over 150 mg daily dose), breastfeeding should be discontinued.

Patient GODAMED, Acetylsalicylic acid information

• Special care is required when taking the drug
  • hypersensitivity (allergy) to other pain relievers and anti-inflammatory drugs, other drugs for rheumatism or other allergy-causing substances
  • if there are other allergies (e.g. with skin reactions, itching, nettle rash)
  • for bronchial asthma, hay fever, swelling of the nasal mucous membrane (nasal polyps), chronic respiratory diseases
  • with simultaneous treatment with anticoagulant drugs (e.g. coumarin derivatives, heparin - with the exception of low-dose heparin treatment)
  • if you have a history of gastrointestinal ulcer or gastrointestinal bleeding
  • with impaired liver and / or kidney function
  • Before operations (also for smaller interventions such as the extraction of a tooth): the bleeding time may be prolonged. Please inform your doctor or dentist if you have taken the medicine.
  • Acetylsalicylic acid reduces uric acid excretion in low doses. In a correspondingly endangered patient, this can, under certain circumstances, trigger a gout attack.
  • If you cut or injure yourself, it may take a little longer than usual for the bleeding to stop. This is related to the way the medicine works. Smaller cuts and injuries (e.g. when shaving) are usually irrelevant. If you have unusual bleeding (from an unusual location or of unusual duration), contact your doctor.
  • Medicines containing acetylsalicylic acid should not be used for long periods or in higher doses without consulting your doctor.
  • Children and adolescents
    • The medicinal product should only be used in children and adolescents with febrile illnesses on medical advice and only if other measures do not work. If these illnesses lead to prolonged vomiting, this can be a sign of Reye's syndrome, a very rare but life-threatening disease that requires immediate medical treatment.

• Driving and using machines
  • There are no special precautions required.