1. 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)
EUCARBON herbal – a product of Trenka Ges.m.b.H. Vienna
TRENKA Chem. pharm. Fabrik Ges.m.b.H

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

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

4. 1. Basics Our intestine – a universe Total surface: approx. 400m2
Total length:
Small intestine: 4 to 6 meters
Large intestine: 1 to 2 meters
TRENKA Chem. pharm. Fabrik Ges.m.b.H

5. The best in compressed form
2. Components
The best in compressed form
Finely-pulverized vegetable charcoal
Senna leaves
Rhubarb roots
Essential mint oils
Essential fennel oils
TRENKA Chem. pharm. Fabrik Ges.m.b.H

6. 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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

7. 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.
TRENKA Chem. pharm. Fabrik Ges.m.b.H

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

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

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

11. 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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

12. 2. Components – 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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

13. 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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

14. 3. Application & Effects of EUCARBON
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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

15. 3. Application & Effects of EUCARBON
Duration of treatment:
Mid to long-term treatment (8 to 12 weeks): EUCARBON® herbal becomes an intestinal regulator 1 2 3 4 5 1 1 6 7 8 9 10 11 12
WEEKS
TRENKA Chem. pharm. Fabrik Ges.m.b.H

16. All types of constipation Slow bowel Hemorrhoids Anal fissures
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)
TRENKA Chem. pharm. Fabrik Ges.m.b.H

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

18. Why does EUCARBON® provide soft stool?
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.
TRENKA Chem. pharm. Fabrik Ges.m.b.H

19. EUCARBON® herbal is an intestinal transit regulator.
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 !
TRENKA Chem. pharm. Fabrik Ges.m.b.H

20. Irritable Bowel Syndrome
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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

21. Irritable Bowel Syndrome
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.
TRENKA Chem. pharm. Fabrik Ges.m.b.H

22. 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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

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

24. 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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

25. 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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

26. 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!
TRENKA Chem. pharm. Fabrik Ges.m.b.H

27. 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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

28. Ultrasonography & Radiology
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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

29. Ultrasonography & Radiology
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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

30. 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.
TRENKA Chem. pharm. Fabrik Ges.m.b.H

31. 8. Guidelines for Professionals
Classification of physicians to visit according to their ability and frequency of prescribing EUCARBON® herbal :
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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

32. 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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

33. 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
TRENKA Chem. pharm. Fabrik Ges.m.b.H

34. 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!
TRENKA Chem. pharm. Fabrik Ges.m.b.H

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