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זאלדיאר ZALDIAR (PARACETAMOL, TRAMADOL HYDROCHLORIDE)

תרופה במרשם תרופה בסל נרקוטיקה ציטוטוקסיקה

צורת מתן:

פומי : PER OS

צורת מינון:

טבליות מצופות פילם : FILM COATED TABLETS

Pregnancy & Lactation : הריון/הנקה

4.6       Fertility, pregnancy and lactation
Pregnancy

Since Zaldiar is a fixed combination of active ingredients including tramadol, it should not be used during pregnancy.
• Data regarding paracetamol:


Studies in animals are insufficient to conclude on reproductive toxicity. A large amount of data on pregnant women indicate neither malformative, nor feto/neonatal toxicity. Epidemiological studies on neurodevelopment in children exposed to paracetamol in utero show inconclusive results.

• Data regarding tramadol:
There is inadequate evidence available to assess the safety of tramadol in pregnant women.
Tramadol administered before or during birth does not affect uterine contractility. In neonates it may induce changes in the respiratory rate which are usually not clinically relevant. Long-term treatment during pregnancy may lead to withdrawal symptoms in the newborn after birth, as a consequence of habituation.

Breast-feeding:

Since Zaldiar is a fixed combination of active ingredients including tramadol, it should not be used during lactation or alternatively, breast feeding should be discontinued during treatment with Zaldiar. Discontinuation of breast-feeding is generally not necessary following a single dose of Zaldiar..

• Data regarding paracetamol:
Paracetamol is excreted in breast milk but not in a clinically significant amount.

Data regarding tramadol:

Approximately 0.1% of the maternal dose of tramadol is excreted in breast milk. In the immediate post-partum period, for maternal oral daily dosage up to 400 mg, this corresponds to a mean amount of tramadol ingested by breast-fed infants of 3% of the maternal weight-adjusted dosage. For this reason tramadol should not be used during lactation or alternatively, breast- feeding should be discontinued during treatment with tramadol. Discontinuation of breast- feeding is generally not necessary following a single dose of tramadol.

Fertility

Post marketing surveillance does not suggest an effect of tramadol on fertility.
Animal studies did not show an effect of tramadol on fertility. No study on fertility was accomplished with the combination of tramadol and paracetamol


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בעל רישום

TEC-O-PHARM-LIBRA LTD

רישום

135 90 31296 00

מחיר

0 ₪

מידע נוסף

עלון מידע לרופא

26.05.20 - עלון לרופא 05.12.22 - עלון לרופא 20.12.23 - עלון לרופא

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13.02.18 - עלון לצרכן אנגלית 26.05.20 - עלון לצרכן עברית 13.02.18 - עלון לצרכן ערבית 05.12.22 - עלון לצרכן אנגלית 05.12.22 - עלון לצרכן עברית 05.12.22 - עלון לצרכן ערבית 21.12.23 - עלון לצרכן אנגלית 20.12.23 - עלון לצרכן עברית 21.12.23 - עלון לצרכן ערבית 11.01.12 - החמרה לעלון 16.10.13 - החמרה לעלון 05.12.22 - החמרה לעלון

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