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1 TRENKA Chem. pharm. Fabrik Ges.m.b.H EUCARBON herbal – a product of Trenka Ges.m.b.H. Vienna ® P.P. Presentation Eucarbon (herbal) – Med. rep. Vers.

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Presentation on theme: "1 TRENKA Chem. pharm. Fabrik Ges.m.b.H EUCARBON herbal – a product of Trenka Ges.m.b.H. Vienna ® P.P. Presentation Eucarbon (herbal) – Med. rep. Vers."— Presentation transcript:

1 1 TRENKA Chem. pharm. Fabrik Ges.m.b.H EUCARBON herbal – a product of Trenka Ges.m.b.H. Vienna ® P.P. Presentation Eucarbon (herbal) – Med. rep. Vers. English Date: (Hüb) – 35 p. Grafic: (MHK)

2 2 TRENKA Chem. pharm. Fabrik Ges.m.b.H Contents 1.Basics - EUCARBON ® herbal and the Intestine 2.Ingredients of EUCARBON ® herbal 3.Application & Effects of EUCARBON ® herbal 4.Major Indications 5.FAQ 6.Interesting Facts 7.Contra-indications 8.Guidelines for Professionals

3 3 1. Basics ● developed in 1909 ● by Mag. F. Trenka & Prof. Pauli ● proven, unchanged formulation EUCARBON ® herbal – proven for more than 100 years TRENKA Chem. pharm. Fabrik Ges.m.b.H

4 4 1. Basics ● Total surface: approx. 400m 2 ● Total length: Small intestine: 4 to 6 meters Large intestine: 1 to 2 meters Our intestine – a universe TRENKA Chem. pharm. Fabrik Ges.m.b.H

5 5 2. Components The best in compressed form ●Finely-pulverized vegetable charcoal ●Senna leaves ●Rhubarb roots ●Essential mint oils ●Essential fennel oils

6 6 TRENKA Chem. pharm. Fabrik Ges.m.b.H 2. Components – Function Classification according to the functions of the ingredients Adsorbent:Finely-pulverized vegetable charcoal Laxative:Senna leaves Rhubarb roots Carminative & Spasmolytic: Essential mint oil Essential fennel oil

7 7 TRENKA Chem. pharm. Fabrik Ges.m.b.H 2. Components – Types of Charcoal ●Vegetable charcoal: carbonisation ●Finely-pulverised vegetable charcoal (EUCARBON ® herbal): carbonisation + pulverisation ●Activated charcoal: carbonisation + activation The difference lies in the adsorption power.

8 8 TRENKA Chem. pharm. Fabrik Ges.m.b.H Activated charcoal has an adsorption power which is times higher than vegetable charcoal (acc. to Non-clinical overview, Module 2.4., dated 4/2011) 2. Components – Activated charcoal / vegetable charcoal

9 9 TRENKA Chem. pharm. Fabrik Ges.m.b.H 2. Components – Types of Charcoal Activated charcoal: ●Inhibits the effect of other drugs and ●causes constipation  Resolves one problem, but creates another

10 10 TRENKA Chem. pharm. Fabrik Ges.m.b.H 2. Components – Senna & Rhubarb Active substances in senna & rhubarb: anthraquinone glycosides (AG) ● stimulate intestinal peristalsis ● reduce water adsorption in the intestine

11 11 TRENKA Chem. pharm. Fabrik Ges.m.b.H 2. Components – Anthraquinone Glycosides ● Each EUCARBON ® herbal tablet contains 5 mg AG ● The average treshold for a laxative effect by AG is 30 mg / day ● To achieve a laxative effect with EUCARBON ® herbal, an average of 5 tablets / day is required

12 12 TRENKA Chem. pharm. Fabrik Ges.m.b.H 2. Components – Mint & Fennel ●Mint & fennel ●stimulate evacuation of intestinal gases ●reduce painful contractions ●relieve cramps of the unstriated intestinal muscles ●relieve the feeling of painful tension ●stop the development of bacteria which cause fermentations ●essential mint oils stimulate bile secretion. Bile is necessary for lipolysis

13 13 TRENKA Chem. pharm. Fabrik Ges.m.b.H 3. Application & Effects of EUCARBON How to use EUCARBON ® herbal to achieve one effect/ a combination of effects Simply change dosage and/or duration of treatment

14 14 TRENKA Chem. pharm. Fabrik Ges.m.b.H 3. Application & Effects of EUCARBON Effects: ● At low doses, from 1 to 3 tablets daily, EUCARBON ® herbal has an adsorbent effect ● At higher doses, from 4 to 6 tablets daily, EUCARBON ® herbal has both, an adsorbent and a laxative effect

15 15 TRENKA Chem. pharm. Fabrik Ges.m.b.H 3. Application & Effects of EUCARBON Duration of treatment: ● Mid to long-term treatment (8 to 12 weeks): EUCARBON ® herbal becomes an intestinal regulator WEEKS

16 16 TRENKA Chem. pharm. Fabrik Ges.m.b.H 4. Major Indications ●Dyspepsia ● Bloating ● Flatulence ●Meteorism ●Indigestion ●All types of constipation ●Slow bowel ●Hemorrhoids ●Anal fissures 1 – 3 tablets/day (adsorbing effect) 4 – 6 tablets/day (laxative and absorbing effect)

17 17 TRENKA Chem. pharm. Fabrik Ges.m.b.H 5. FAQ ● Pain at the moment of defecation ● Reflex constipation due to fear of pain Why should EUCARBON ® herbal be used for treatment of hemorrhoids and anal fissures? Serious problem of these two pathologies:  That’s why soft stool is essential in these two pathologies

18 18 TRENKA Chem. pharm. Fabrik Ges.m.b.H 5. FAQ Why does EUCARBON ® provide soft stool? Anthraquinone glycosides are hydrophilic.  Once in the colon, they soak up water and thus provide soft stool. Conclusio: The more fluid we want a faecal bolus to be, the higher the dosage of EUCARBON ® herbal should be.

19 19 TRENKA Chem. pharm. Fabrik Ges.m.b.H 6. Interesting Facts EUCARBON ® herbal is an intestinal transit regulator. Treatment of the irritable bowel syndrome (IBS) = EUCARBON ® herbal  Idea that should guide our activity !

20 20 TRENKA Chem. pharm. Fabrik Ges.m.b.H 6. Interesting Facts – Irritable Bowel Syndrome A brief overview of the irritable bowel syndrome: Patients complain about a certain number of symptoms in the gastro-intestinal tract.  Diagnosis takes place through elimination. ● The physician carries out the required investigations ● if there is no organic cause / explanation, and if the symptoms persist  the diagnosis is irritable bowel syndrome

21 21 TRENKA Chem. pharm. Fabrik Ges.m.b.H 6. Interesting Facts – Irritable Bowel Syndrome Various causes of the IBS: ● Stress ● Mainly sedentary activities ● Unbalanced diet ● Bad food hygiene ● Lack of exercise ● Long-term medical treatment ● etc.

22 22 TRENKA Chem. pharm. Fabrik Ges.m.b.H 6. Interesting Facts – IBS, Symptoms & Treatment Symptoms of the IBS: ● Gases ● Constipation ● Diarrhoea ● Constipation occurring alternately with diarrhoea ● Diffuse abdominal pain in the lower abdomen Treatment of the IBS:  There is only one treatment of the IBS: symptomatic treatment

23 23 TRENKA Chem. pharm. Fabrik Ges.m.b.H 6. Interesting Facts – IBS, Symptomatic Treatment ● against flatulence ● against diarrhoea ● against constipation ● against pain Additional prescription of an anxiolytic adsorbent antidiarrhoeal laxative antispasmodic

24 24 TRENKA Chem. pharm. Fabrik Ges.m.b.H 6. Interesting Facts – IBS, Treatment with EUCARBON ® ● Adsorbent ● Laxative ● Antispasmodic at low doses EUCARBON ® herbal is an adsorbent at high doses EUCARBON ® herbal is also a laxative essential mint & fennel oil in EUCARBON ® herbal have a spasmolytic & carminative effect Moreover, EUCARBON ® herbal yields a reduction of abdominal distension by adsorption and elimination of gases, considerably reducing pain

25 25 TRENKA Chem. pharm. Fabrik Ges.m.b.H 6. Interesting Facts – IBS, Treatment with EUCARBON ® Treating the IBS with EUCARBON ® herbal to achieve regulation of the intestinal transit, 2 conditions should be observed: 1. Duration of treatment 2. Dose reduction in function of intestinal transit improvement

26 26 TRENKA Chem. pharm. Fabrik Ges.m.b.H 6. Interesting Facts – IBS, Duration of Treatment The average duration of treatment with EUCARBON ® herbal until achieving intestinal transit regulation is 8 to 12 weeks WEEKS If the patient stops treatment before intestinal transit regulation is achieved, treatment should be started anew!

27 27 TRENKA Chem. pharm. Fabrik Ges.m.b.H 6. Interesting Facts – IBS, Dose Reduction Criterion for reduction of the dose: faecal bolus As soon as the faecal bolus becomes softer or as soon as there are signs of diarrhoea, it can be concluded that ● intestinal transit has improved and ● dose should be reduced, until achieving regulation of digestion

28 28 TRENKA Chem. pharm. Fabrik Ges.m.b.H 6. Interesting Facts – Ultrasonography & Radiology EUCARBON ® herbal before ultrasonography and radiology: To prepare patients for: ● x-ray examinations of the kidneys, the gallbladder, the liver and the spleen ● Abdominal ultrasonography Objectives: To obtain clear radiographs, we need an adsorbing and laxative effect ●total elimination of gases ●intensive cleaning of the digestive tract

29 29 TRENKA Chem. pharm. Fabrik Ges.m.b.H 6. Interesting Facts – Ultrasonography & Radiology Three possible preparation patterns: 3 days before examination: 2 tablets – 3x per day 1 day before examination: 4 tablets in the morning and 4 tablets in the evening In urgent cases: 6 – 8 tablets in the evening in one single intake before going to sleep  The shorter the preparation time, the higher the dosage must be

30 30 TRENKA Chem. pharm. Fabrik Ges.m.b.H 7. Contra-indications Like all other laxatives, EUCARBON ® herbal may not be taken in case of: ● appendicitis ● intestinal obstruction ● surgery emergencies Other contra-indications: progressing gastro-intestinal ulcers – an ulcer is an open wound which triggers pain when getting in contact with sulphur. In case of healed ulcers EUCARBON ® herbal may be taken safely.

31 31 TRENKA Chem. pharm. Fabrik Ges.m.b.H 8. Guidelines for Professionals Gastroenterologists ● all indications of EUCARBON ® herbal ● obviously, the focus should be the irritable bowel syndrome ● let us not forget proctology with the problems of pain at the moment of defecation Classification of physicians to visit according to their ability and frequency of prescribing EUCARBON ® herbal :

32 32 TRENKA Chem. pharm. Fabrik Ges.m.b.H 8. Guidelines for Professionals Internal Medicine: ● all indications of EUCARBON ® herbal General Practitioners: ● all indications ● the General Practitioner also encounters many cases of the irritable bowel syndrome Radiologists: ● preparation of patients for x-ray examinations and abdominal ultrasonography

33 33 TRENKA Chem. pharm. Fabrik Ges.m.b.H 8. Guidelines for Professionals Gynecologists ● constipation is a pathology of pregnant women ● hormonal problem (prolactin) ● one of the side-effects of this pregnancy hormone is constipation ● as pregnancy progresses, abdominal pressure increases – even small amounts of gas often cause severe complaints and extreme discomfort ● pregnant women should use EUCARBON ® herbal only on medical advice

34 34 TRENKA Chem. pharm. Fabrik Ges.m.b.H 8. Guidelines for Professionals Each physician should advise the patient of the laxative effect of EUCARBON ® herbal and – as for any other laxative – it should be used with precaution, in order to avoid diarrhoea!

35 35 TRENKA Chem. pharm. Fabrik Ges.m.b.H Thank you for your attention!


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