• 25 mg Arnica montana D2
• 25 mg Convallaria majalis D1
• 25 mg Prunus spinosa mother tincture
• 100 mg Crataegus mother tincture

• magnesium stearate
• wheat starch
• lactose-1 water

indication Mild heart failure and dysautomnia, old age and heart disease, CRATAEGUS PENTARKAN T tablets

• The preparation is a homeopathic medicine for use in diseases of the cardiovascular system.
• The area of ​​application is derived from the homeopathic drug pictures. This includes:
  • Mild heart failure, e.g. B. Old age heart.

dosage Mild heart failure and dysautomnia, old age and heart disease, CRATAEGUS PENTARKAN T tablets

• Unless otherwise prescribed, the usual dose is:
  • Adults should take 1 tablet 1 to 3 times daily.
  • A maximum dose of 3 tablets per day should not be exceeded due to the amount of heart-active components (glycosides) contained.
  • If the symptoms improve, the frequency of administration should be reduced.

• duration of use
  • Homeopathic medicines should not be taken for long periods of time without medical advice.

• If you use more than you should
  • Taking large amounts of the drug can lead to poisoning with lily of the valley glycosides (Convallaria majalis).
  • In the event of an overdose of lily-of-the-valley glycosides, the symptoms are to be expected as with digitalis poisoning.
  • Gastrointestinal symptoms such as nausea, vomiting and salivation, more rarely diarrhea and neurotoxic symptoms (visual disturbances with scotomas, color vision disturbances, confusion) can occur as early symptoms of intoxication, later mydriasis, hallucinations, delirium, and possibly tremor and convulsions.
  • A variety of cardiac arrhythmias is possible:
    • Bigeminy, sinus bradycardia with ventricular tachycardia, ventricular fibrillation.
  • In case of overdose, please inform your doctor immediately. He will decide what countermeasures are needed. The order of therapeutic measures depends on the severity of the poisoning. In the case of only a slight overdose, discontinuation of the preparation and careful monitoring by the doctor are sufficient.
  • Therapy for intoxication
  • Poison Removal:
    • In the case of acute intoxication: Gastric lavage after premedication of 1 mg atropine im Repeated administration of large amounts of activated charcoal to reduce absorption.
    • In the case of chronic cumulative and slight overdose, discontinuation of the preparation and careful monitoring of the patient. Influences that lead to a change in cardenolide glycoside tolerance should be avoided or corrected (disorders of the electrolyte and acid-base balance).
  • Further measures:
    • Correction of water and electrolyte balance:
      • IV drip to compensate for dehydration caused by vomiting with monitoring and balancing of the water-electrolyte balance. Any existing magnesium deficit must be compensated. In the case of hypokalemia, the serum potassium level should be increased to normal values ​​(contraindication: AV block). Respiratory assistance, as lack of oxygen increases toxicity. circulatory aid. Treatment of cardiac arrhythmia with atropine (in the case of heart block or bradycardia), with lidocaine iv (in the case of ventricular tachycardia or ventricular fibrillation) and with phenytoin, e.g. B. phenhydan, epanutin), (in the case of extrasystole; possibly pacemaker). In the event of cardiac arrest, initiate resuscitation measures, e.g. B. Cardiac massage. Nitro preparations have proven effective in stenocardia (note: nitro preparations can lead to a rapid drop in blood pressure). For restlessness, fear and exogenous psychosis: Immobilization of the patient, possibly sedation, e.g. B. Diazepam. Transport: Obligatory hospital treatment, as monitor monitoring is required. Bed rest.

• If you forgot the application
  • Do not take a double dose to make up for a forgotten dose.

• If you cancel the application
  • No harmful effects are to be expected if you cancel the application.

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

way Mild heart failure and dysautomnia, old age and heart disease, CRATAEGUS PENTARKAN T tablets

• You should take the tablet half an hour before or after eating, preferably slowly dissolving it in your mouth.

side effects

• Like all medicines, the preparation can have side effects, although not everyone gets them.
• Due to the ingredient Convallaria majalis (lily of the valley), the following undesirable effects are possible:
  • Gastrointestinal tract:
    • Nausea, vomiting, upset stomach and diarrhea, loss of appetite
  • Cardiovascular:
    • Irregular pulse and cardiac arrhythmias
  • sense organs:
    • Visual disturbances (e.g. changes in yellow/green color vision), tiredness, hallucinations, convulsions, tremor, delirium
  • Skin:
    • skin rashes
  • Statements on the frequency cannot be made.
• A notice:
  • When taking a homeopathic medicine, the existing symptoms can temporarily worsen (initial aggravation). In this case, you should stop taking the medicine and consult your doctor.
• If you get any side effects, talk to your doctor or pharmacist. This also applies to side effects that are not specified.

interactions Mild heart failure and dysautomnia, old age and heart disease, CRATAEGUS PENTARKAN T tablets

• When used with other medicines
  • Please tell your doctor or pharmacist if you are using or have recently used any other medicines, including medicines obtained without a prescription.
  • As a precaution, any drug used concomitantly with this drug should consider the possibility of an interaction.
  • Effects and thus also side effects of the drug can be increased with the simultaneous administration of:
    • Calcium (must not be injected iv),
    • Medicines that lower potassium/magnesium levels:
      • diuretics,
      • laxatives (abuse),
      • benzylpenicillin,
      • amphotericin B,
      • licorice root extract,
      • cortisone (corticosteroids, ACTH),
      • acetylsalicylic acid,
      • lithium salts,
      • carbonic anhydrase inhibitors,
    • beta-blockers (slowing down the heartbeat),
    • nifedipine
    • Medicines that promote cardiac arrhythmia:
      • suxamethonium chloride,
      • reserpine,
      • tricyclic antidepressants,
      • sympathomimetics,
      • phosphodiesterase inhibitors (e.g. theophylline),
    • Medicines that increase blood levels of cardiac glycosides (P-glycoprotein inhibitors):
      • amiodarone (up to several weeks (months) after you stop taking it),
      • atorvastatin,
      • ciclosporin,
      • quinine/quinidine,
      • chloroquine/hydroxychloroquine,
      • spironolactone,
      • calcium antagonists (verapamil, diltiazem, etc.),
      • itraconazole/ketoconazole,
      • erythromycin/clarithromycin,
      • sirolimus/tacrolimus,
      • indinavir/ritonavir.
• When used with food and drink
  • The effect of a homeopathic medicinal product can be adversely affected by generally damaging lifestyle factors and by stimulants and stimulants.

Contraindications

• The medicine must not be used:
  • in children and adolescents under the age of 18,
  • during pregnancy and lactation,
  • if you are hypersensitive to one of the active ingredients or to other cardioactive glycosides (e.g. digitoxin),
  • Treatment with cardiac glycosides (e.g. digitoxin, digoxin),
  • suspected poisoning with cardiac glycosides,
  • Cardiac insufficiency of severity NYHA III and IV,
  • lack of potassium in the blood (hypokalemia),
  • lack of magnesium in the blood (hypomagnesaemia),
  • increased level of calcium in the blood (hypercalcaemia),
  • Cardiac arrhythmia with a slow heart rate (bradycardia),
  • with a sharp increase in heart rate (ventricular tachycardia),
  • Conduction disorders with a slow heart rate (AV block II or III degree),
  • with disturbed sinus node function (except for pacemaker therapy),
  • with abnormal electrical conduction pathways of the heart (e.g. WPW syndrome) or suspected such,
  • heart muscle disease with narrowing of the outflow tract (hypertrophic cardiomyopathy with obstruction),
  • Pathological expansion of the main artery (aorta) in the chest area (thoracic aortic aneurysm),
  • a planned electrical cardioversion (regularization of the heartbeat rate),
  • simultaneous intravenous administration of calcium salts (see Interactions).
  • if you are allergic (hypersensitive) to arnica and other daisy plants, or any of the other ingredients.

pregnancy and breast feeding period

• The drug must not be used during pregnancy and breastfeeding.

patient notes

• Particular caution is required when using:
  • The drug should not be used without medical advice and does not replace other drugs prescribed by the doctor.
  • The ingredient Convallaria majalis contains cardioactive glycosides. There are significant differences in glycoside sensitivity from person to person.
  • If the symptoms of the disease persist for more than 6 weeks or if there is accumulation of water in the legs, a doctor should be consulted. In the case of pain in the heart area, which can radiate into the arms, the upper abdomen or the neck area, or in the case of shortness of breath, rapid medical evaluation is required.

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