Fludrocortison-Tabletten

About fludrocortisone

Fludrocortisone belongs to a group of medicines called corticosteroids. It is sometimes referred to simply as an oral steroid. It is used as a replacement treatment for people whose adrenal glands do not produce sufficient natural corticosteroids - a condition known as Addison's disease. It is also used for people who have had surgery to remove their adrenal glands and who therefore no longer produce natural corticosteroids.

The two natural corticosteroids which need replacing are called hydrocortisone (cortisol) and aldosterone. The body's natural hydrocortisone can be replaced by taking hydrocortisone as a tablet or injection, but a substitute medicine has to be used to replace the body's natural aldosterone. Fludrocortisone is the substitute medicine used. It is used because its action in the body is similar to that of aldosterone. It will help to regulate your blood pressure and blood salt level.

Before taking fludrocortisone

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking fludrocortisone it is important that your doctor or pharmacist knows:

• Wenn Sie schwanger sind oder stillen.

• Wenn Sie unter hohem Blutdruck (Hypertonie) leiden.

• If you have had a heart attack or have any other heart problems.

• Wenn Sie Leber- oder Nierenprobleme haben.

• If you (or anyone in your family) have diabetes or increased eye pressure (glaucoma).

• If you have weakened bones (osteoporosis).

• Wenn Sie eine Schilddrüsenunterfunktion haben.

• If you have ever had a mental health problem - for example, depression.

• Wenn Sie Epilepsie haben.

• If you have had a stomach ulcer or an inflammatory bowel disorder.

• Wenn Sie irgendeine Art von Infektion haben oder wenn Sie jemals Tuberkulose (TB) hatten.

• If you (or anyone you are in close contact with) have recently had chickenpox, measles or shingles.

• If you have ever had a blood clot in an artery or vein.

• If you have a condition known as myasthenia gravis, which causes muscle weakness, or if you have ever developed muscle pain after taking a steroid medicine.

• wenn Sie andere Arzneimittel einnehmen, auch solche, die ohne Rezept erhältlich sind, sowie pflanzliche und ergänzende Arzneimittel.

• Wenn Sie schon einmal eine allergische Reaktion auf ein Arzneimittel hatten.

How to take fludrocortisone

• Before starting this treatment, read the manufacturer's printed information leaflet from inside the pack and be careful to follow any printed instructions you have also been given. The leaflet will give you more information about fludrocortisone and a full list of side-effects which you may experience from taking it.

• Your doctor or pharmacist will tell you how many tablets to take. This information will also be on the label of the packet of tablets to remind you. It is important that you take fludrocortisone exactly as your doctor has told you. It is usual to take fludrocortisone once daily, just after breakfast.

• Try to take your dose at the same time each day, as this will help you to remember to take it. If you do forget to take a dose, take it as soon as you remember. If you do not remember until the following day, skip the missed dose. Do not take two doses together to make up for a forgotten dose.

• Continue to take fludrocortisone tablets regularly each day - it is vital for your well-being. Fludrocortisone replacement treatment is almost always lifelong.

Das Beste aus Ihrer Behandlung herausholen

• You will be given a 'Steroid Treatment Card' which says that you are on steroids and contains some important advice for you. It is important that you read this card and carry it with you at all times. It also contains details about your dose, the length of time you have been taking fludrocortisone, and who prescribed it for you. Please make sure that this information is kept up to date.

• If you are having an operation or dental treatment or any treatment for an injury, tell the person carrying out the treatment that you are taking fludrocortisone and show them your treatment card.

• Versuchen Sie, Ihre regelmäßigen Termine bei Ihrem Arzt einzuhalten. So kann er sich über Ihre Fortschritte informieren. Ihr Arzt wird Sie von Zeit zu Zeit untersuchen lassen, um sicherzustellen, dass Sie frei von unerwünschten Nebenwirkungen der Behandlung sind.

• If you become ill it is important that you make an appointment to see your doctor straightaway. Also, if you come into contact with anyone who has measles, shingles or chickenpox (or anyone who suspects they might have them), you should see your doctor as soon as possible.

• Make sure you get your next supply of tablets well in advance so that you never run out. People with Addison's disease are entitled to free NHS prescriptions.

• Some vaccines may not be suitable for you. If you need any immunisations, make sure you mention that you are taking fludrocortisone.

• If you need to buy any medicines, check with a pharmacist that they are suitable for you to take with your other medicines.

• 'Thinning' of the bones (osteoporosis) is more common in people with Addison's disease compared to the general population. Regular exercise, a good diet and not smoking will all help to prevent the development of osteoporosis, or reduce its severity.

Can fludrocortisone cause problems?

Along with their useful effects, all medicines can cause unwanted side-effects although not everyone experiences them. The table below lists some of the more common side-effects associated with fludrocortisone treatment.You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects usually improve as your body adjusts to the new medicine, but other unwanted effects may develop with long-term fludrocortisone treatment. Speak with your doctor or pharmacist if any of the following side-effects continue or become troublesome.

Important: you should let your doctor know if you start to experience blurred vision or other vision problems whilst taking fludrocortisone.

If you experience any other symptoms which you think may be due to this medicine, discuss them with your doctor or pharmacist.

How to store fludrocortisone

• Bewahren Sie alle Arzneimittel außerhalb der Reichweite und Sichtweite von Kindern auf.

• Some brands of fludrocortisone tablet may need to be stored in a refrigerator (between 2°C and 8°C). Check the manufacturer's information that comes with your medicine.

• Keep the container tightly closed.

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