Pharmaton - capsules represent a combination of the standardised Panax ginseng extract G115 with selected vitamins, minerals and trace elements necessary for maintaining health.

Application

What is Pharmaton and what is it used for?

Pharmaton - capsules represent a combination of the standardised Panax Ginseng extract G115 with selected vitamins, minerals and trace elements necessary for the maintenance of health.

G115 is an extract obtained by special procedures from the genuine Panax Ginseng C. A. Meyer, which contains standardised amounts of the ginsenosides that are partly responsible for its effectiveness.

In trials and studies it has been shown that the standardised ginseng extract G115 increases general cell activity, which can support physical and mental performance.

An undersupply of vitamins, minerals and trace elements can lead to general weakness, fatigue, decrease in vitality, reduced resistance and slower recovery after illness.

Pharmaton - capsules are used

.

	for tiredness and feeling of weakness;
	For the treatment or prevention of vitamin and mineral deficiencies, conditionally
Due to dieting, slimming diets, loss of appetite, unbalanced diet, inadequate
Nutritional intake in old age;
	during recovery.

Pharmaton capsules are used in adults and adolescents over 12 years of age.

What should you pay attention to before taking it?

What should you be aware of before taking Pharmaton?

Pharmaton must not be taken,

. . .

	If you are allergic to the active substances, peanut, soya or any of the substances listed in section 6.
the other ingredients of Pharmaton - capsules are;
	for insufficient kidney function;
	in disorders of calcium metabolism (e.g. hypercalcaemia and hypercalcuria);
	In cases of illness due to previous overdose of vitamins A or D
(Hypervitaminoses A or D);
	If you are medicated with retinoids (vitamin A, e.g. for acne) or vitamin D
become;
	if you suffer from kidney stones or urinary stones;
	for disorders of the iron and/or copper metabolism;
	in disorders of the oxalic acid metabolism;
	if you have a certain hereditary, very rare metabolic disorder (deficiency of
glucose-6-phospate dehydrogenase) is present;
	of children under 12 years of age.

Warnings and precautions.
Please talk to your doctor or pharmacist before taking Pharmaton, . . . .

	If you are pregnant or of childbearing age or breastfeeding: Pregnant women and women in
of childbearing age without assured protection against conception must not, because of the risk of
child malformations a daily dose of 5,000 I.U. vitamin A as well as of 600 I.U.
In principle, do not exceed cholecalciferol (vitamin D3). This also applies to the breastfeeding period
(see ,,Pregnancy and lactation");
	if you have been diagnosed with significantly elevated blood lipid levels (hypertriglyceridaemia type
V) or if you need to undergo blood purification (haemodialysis): the intake
of vitamin A can lead to an overdose of vitamin A (hypervitaminosis);
	If you are taking medicines to inhibit blood clotting at the same time (oral
Anticoagulants) (see ,,Taking Pharmaton with others
Medicinal products").

While taking Pharmaton - capsules, you should refrain from taking additional vitamin and mineral preparations of the same composition. High doses of some active ingredients, especially vitamin A, vitamin D, iron and copper, can be harmful to health.
Taking Pharmaton with other medicines.
Inform your doctor or pharmacist if you are taking/using, have recently taken/used or intend to take/use any other medicines.

If ginseng-containing medicines and medicines for thinning the blood (anticoagulants) are taken at the same time, the effect of the blood thinner taken (e.g. warfarin) may possibly be reduced. Please talk to your doctor before taking this medicine if you are taking medicines to thin your blood. If necessary, your doctor must check the setting with these medicines.

Pharmaton - capsules contain iron. Iron-containing medicinal products cause an inhibition of antibiotic absorption when taken at the same time as certain medicinal products against infections (antibiotics from the tetracycline group); it is therefore essential to keep an interval of at least 2 hours between taking Pharmaton capsules and tetracycline antibiotics.

If taken according to the recommendations, no interactions of the vitamins contained in Pharmaton - capsules are to be expected. For some vitamins, however, multiple types of possible interactions are known, partly at higher dosages.
Generally known interactions caused by:

Vitamin A
If contraceptives ("the pill") are taken at the same time, there is an increase in the vitamin A blood level. Simultaneous administration of cholestyramine (for lowering cholesterol), paraffin oil or neomycin (antibiotic = medicine against infections) reduces the absorption of vitamin A. High doses of vitamin A may increase the effect of concomitant treatment with certain blood thinning medicines. Also, the simultaneous intake of antacids (neutralising stomach medicines), sucralfate (for the treatment of gastrointestinal ulcers), isotretinoids (vitamin A-like medicines, e.g. against acne) and other vitamin A-containing medicines should be avoided.

Vitamin D3
Vitamin D levels may be elevated with concomitant administration of certain hormones (oestrogens), isoniazid (anti-tuberculosis drug) and diuretic drugs (thiazide diuretics), leading to abnormal calcium blood levels. On the other hand, the absorption of vitamin D can be reduced if antacids (stomach neutralisers), verapamil (used to treat high blood pressure, cardiac arrhythmias and circulatory disorders of the heart) are taken at the same time,
Cholestyramine (for lowering cholesterol), barbiturates (anaesthetics), phenytoin (medicines for treating epilepsy) and anticonvulsants. Vitamin D increases the effect of doxorubicin (a drug used to treat cancer). The adverse effects of cardiac glycosides may increase as a result of an increase in calcium blood levels during vitamin D treatment.

Vitamin E
The effect of medicines to thin the blood may be increased if vitamin E is taken at the same time.

Vitamin B1
5-Fluorouracil (medicine used to treat cancer) cancels the effect of vitamin B1. Antacids (stomach neutralisers) inhibit the absorption of vitamin B1.

Vitamin B6
The simultaneous administration of isoniazid (medicine against tuberculosis) or D-penicillamine (medicine for certain forms of arthritis) may increase the need for vitamin B6 (pyridoxine). Vitamin B6 in daily doses of 5 mg or more can weaken the effect of levodopa (medicine for Parkinson's disease).

Vitamin B12
Neomycin (antibiotic = medicine against infections), aminosalicylic acid (medicine against certain intestinal inflammations) and H2 blockers (medicine to reduce stomach acid) can reduce the absorption of vitamin B12.

Vitamin C
Acetylsalicylic acid reduces the absorption of vitamin C (ascorbic acid) into the body by about one third. Vitamin C can interfere with some urine sugar tests. Therefore, the administration of vitamin C should be discontinued a few days before such a test.

Biotin
There are indications that anticonvulsant drugs lower the blood level of biotin. Conversely, biotin can also reduce the effectiveness of medicines used to treat epilepsy. If biotin is taken at the same time as large amounts of raw chicken egg white over a long period of time, the absorption of biotin may be severely restricted.The blood levels of vitamin B12, folic acid, vitamin B6 and vitamin C can be reduced by contraceptives (,,the pill").

Pregnancy and breastfeeding.
If you are pregnant or breast-feeding, or if you suspect you may be pregnant or intend to become pregnant, ask your doctor or pharmacist before taking this medicine.
for advice.

Pregnant women and women of childbearing age without reliable protection against conception must not exceed a daily dose of 5,000 I.U. vitamin A and 600 I.U. cholecalciferol (vitamin D3) because of the risk of foetal malformations. Constant overdoses of
Vitamin D can have a harmful effect on the unborn or newborn baby. This must be taken into account especially if the newborn receives additional vitamin D.

Sufficient experience is not available on the use of ginseng extract in humans during pregnancy and lactation.

The intake of Pharmaton - capsules during pregnancy and breastfeeding is therefore not recommended.

Driving ability and ability to operate machinery.
No studies have been carried out on the effects on the ability to drive and operate machinery.

Pharmaton contains lactose (lactose monohydrate) and peanut oil.
Please only take Pharmaton - Capsules after consulting your doctor if you are known to suffer from a sugar intolerance.

Pharmaton - capsules contain 1.28 mg peanut oil in 1 capsule. If you are hypersensitive (allergic) to peanut or soya, do not take this medicine.

Note for diabetics: Pharmaton - capsules contain 308 mg carbohydrates in 1 capsule corresponding to 0.025 bread units (BE). Taking ginseng can slightly lower blood sugar levels.

How should the medicine be taken?

How to take Pharmaton?

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. The recommended dose for adults and adolescents over 12 years of age is 1 capsule 1 x daily.

Type and duration of use
To take.

Pharmaton - capsules should preferably be taken during breakfast. The
capsules are to be taken with sufficient liquid.

If you cannot swallow the capsules because of their size, cut open one end of the capsule, squeeze the contents of the capsule onto a spoon and take it mixed with some jam, honey or another food.

Special patient groups
Older people
The same dosage recommendations apply to older people.

Children under 12 years
Pharmaton must not be used in children under 12 years of age, as the composition of Pharmaton - capsules is adjusted to the daily requirements of adults and adolescents over 12 years of age.

If you have taken a larger amount of Pharmaton than you should
If you suspect an overdose with Pharmaton - Capsules, contact a doctor immediately.

There is no experience with an overdose of Pharmaton - capsules or of ginseng extract G115.

Symptoms of poisoning in case of overdose are caused by the fat-soluble vitamins A and D. Long-term daily intake of larger amounts (corresponding to more than
37 capsules for vitamin A and more than 10 capsules for vitamin D) may cause symptoms of chronic poisoning such as vomiting, headache, drowsiness and diarrhoea.

Severe acute poisoning can be caused by an overdose of iron. The total daily intake of iron and zinc should not exceed 15 mg each for both trace elements.

If you forget to take Pharmaton
Continue taking it at the next time. Do not take double the amount if you have forgotten to take it before.

If you have any further questions about taking this medicine, ask your doctor or pharmacist.

.

What are the possible side effects?

What side effects may occur?

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Frequent: affects 1 to 10 people in 100

.

	Headache
	Nausea, vomiting

Infrequent: affects 1 to 10 people in 1,000.
Diarrhoea

Not known (frequency cannot be estimated based on available data)

	Hypersensitivity reactions
	Rash, itching
	Fake
	Stomach pain

Reporting of side effects.
If you notice any side effects, contact your doctor or pharmacist. This also applies to side effects that are not mentioned in this leaflet. You can
Also report side effects directly to the Federal Office for Safety in Health Care, Inst. Pharmacovigilance, Traisengasse 5, AT-1200 VIENNA, Fax: + 43 (0) 50 555 36207, Website: http://www.basg.gv.at/. By reporting side effects, you can help ensure that more information is made available about the safety of this medicine.

Special instructions for storage

How to store Pharmaton?

Do not store above 25 ºC.

Keep the bottle tightly closed.

Keep this medicine out of the reach of children.

Do not use this medicine after the expiry date which is stated on the carton and on the label after "use by". The expiry date refers to the last day of the month indicated.

Do not dispose of the medicinal product in waste water or household waste. Ask your pharmacist how to dispose of the medicine when you stop using it. In doing so, they contribute to the protection of the environment.

Special notes on the content

Contents of the pack and further information

What Pharmaton contains
The active ingredients are per capsule:

Standardised Panax ginseng extract G115 (dry extract of ginseng root
(Ginseng radix of Panax Ginseng C. A. Meyer), standardised to 4 % ginsenosides,
ratio of starting drug to extract 3-7:1, extracting agent ethanol/water 40:60) 40.0 mg
11 Vitamins:
Retinol palmitate (vitamin A) 2,667 I.U.Cholecalciferol (vitamin D3) 200 I.U.Tocopherol acetate (vitamin E) 14.9 mg

Thiamine mononitrate	(Vitamin B1)	1.4 mg
Riboflavin	(Vitamin B2)	1.6 mg
Pyridoxine hydrochloride	(Vitamin B6)	2.0 mg
Cyanocobalamin	(Vitamin B12)	1.0 g
Ascorbic acid	(Vitamin C)	60.0 mg
Biotin	150.0 g
Nicotinamide	18.0 mg
Folic acid	0.1 mg

4 trace elements:
Copper (copper sulphate 5.6 mg) 2.0 mgSelenium (sodium selenite 0.111 mg) 50.0 g

Manganese	(Manganese sulphate 7.75 mg)	2.5 mg
Zinc	(zinc sulphate monohydrate 2.75 mg)	1.0 mg

3 minerals:

Iron	(Ferrous sulphate 30.9 mg)	10.0 mg
Magnesium	(magnesium sulphate 71.0 mg)	10.0 mg
Calcium	(Calcium hydrogen phosphate 340.0 mg)	100.0 mg
and lecithin	100.0 mg

The other ingredients are:
Lactose monohydrate, highly dispersed silicon dioxide, beet oil, hard fat, ethyl vanillin, peanut oil, butylated hydroxyanisole (E320), butylated hydroxytoluene (E321), medium chain triglycerides, -tocopherol, gelatine, glycerol, colouring agents: iron oxide red (E172), iron oxide black (E172).

What Pharmaton looks like and contents of the pack.
Elong, smooth, shiny, dark brown soft capsules

Brown glass bottle with internally coated aluminium cap
Packs of 30, 100 and 10 x 100 (bundle pack) capsules.