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Springer Medizinisch und wirtschaftlich rationale Arzneitherapie

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£46.99 £43.71 £44.43 £45.14 £45.86 £46.57 £47.29 26 April 2026 16 May 2026 05 June 2026 25 June 2026 15 July 2026

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50 days 16 days 15 days · current 0 13 25 38 50 £44 £45 £47 Days at Price

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Price levels: 3 different prices over 81 days

Description

A. Entzundlicher Rheumatismus Akutes rheumatisches Fieber: (familiar gehliuft, erste Manifestation meistens im 10. bis 12. Lebensjahr, heute a~erst selten). Sofortige Beseitigung der Streptokokken und anschlieBende Dauerbehandlung mit 1,2 Mill. E Benzathin-Benzylpenicillin (Tardocillin®) eimnal monatlich oder mit 0,5 g Sulfo namiden (Durenat®) taglich. 1m akuten Stadium Prednisolon (40 bis 60 mg taglich) fur 4 bis 6 Wochen und zusatzlich bis zu 4,0 g Acetylsalicylsaure. Progressiv-chronische Polyarthritis: (bei Erwachsenen nicht selten, hliufigstes Manifestationsalter 40 bis 60 Jahre, bei Frauen hliufiger als bei Mannern). Voraussetzung fUr eine erfolgreiche medikamentose Therapie ist eine wirkungsvolle Kran kengymnastik und Bewegungstherapie. Keine Chemotherapie, keine sog. Herdsanierung. Medikamentose Dauerbehandlung mit: Analgetica: z. B. Acetylsalicylsaure, Phenylbutazon, Indometacin. Prednisolon (nur wenn Analgetica nicht mehr ausreichen, und nur zusatzlich, niemals an stelle von Analgetica) a) bei akuter Verschlimmerung, kurzfristig ca. 1 Woche hochdosiert, ausschleichende Dosierung nicht erforderlich; b) selten Dauerbehandlung erforderlich, dann Tagesdosen um 10 mg, meistens weniger, einmal taglich morgens (Achtung, Patienten verschweigen eventuell eigenmlichtige DosiserhOhung). Basistherapeutica D-Penicillamin, Gold: sorgfaltge Oberwachung, damit gefahrliche Nebenwirkungen ver mieden werden. 30% Versager, 40% partielle Remission, 30% Vollremission. Chloroquin: wird nur noch selten verwendet; Wirksamkeit ist weniger sicher als bei Penicillamin und Gold. Cytostatica und Immunsuppressiva: nur nach Konsultation eines Spezialisten. Spondylarthritis ankylopoetica (M. Bechterew): (kann dominant erblich sein, Manner sind hliufiger befallen als Frauen). Wichtige Voraussetzungen fUr den Erfolg der medikamentosen Therapie sind taglich aktive und passive Bewegungsiibungen. Dauerbehandlung nur mit Analgetica: Indometacin (Amuno®): gilt bei dieser Indikation als besonders wirksam.

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