Traumeel® S

Written by

Urenus

in

DROPS – TABLETS – INJECTION SOLUTION – OINTMENT – GEL

Compositions:
Drops: 100 g containing: Arnica montana D2, Calendula officinalis D2, Hamamelis virginiana D2, Achillea millefolium D3 5 g each; Atropa bella-donna D4 25 g; Aconitum napellus D3, Mercurius solubilis Hahnemanni D8, Hepar sulfuris D8 10 g each; Matricaria recutita D3, Symphytum officinale D8 8 g each; Bellis perennis D2, Echinacea D2, Echinacea purpurea D2 2 g each; Hypericum perforatum D2 1 g. Contains 35 vol.-% alcohol.

Tablets: 1 tablet containing: Arnica montana D2, Calendula officinalis D2, Hamamelis virginiana D2, Achillea millefolium D3 15 mg each; Atropa bella-donna D4 75 mg; Aconitum napellus D3, Mercurius solubilis Hahnemanni D8, Hepar sulfuris D8 30 mg each; Matricaria recutita D3, Symphytum officinale D8 24 mg each; Bellis perennis D2, Echinacea D2, Echinacea purpurea D2 6 mg each; Hypericum perforatum D2 3 mg.

Injection solution: 2.2 ml containing: Arnica montana D2, Calendula officinalis D2, Matricaria recutita D3, Symphytum officinale D6, Achillea millefolium D3, Atropa bella-donna D2 2.2 mg each; Aconitum napellus D2 1.32 mg; Bellis perennis D2 1.1 mg; Hypericum perforatum D2 0.66 mg; Echinacea D2, Echinacea purpurea D2 0.55 mg each; Hamamelis virginiana D1 0.22 mg; Mercurius solubilis Hahnemanni D6 1.1 mg; Hepar sulfuris D6 2.2 mg.

Ointment: 100 g containing: Arnica montana D3 1.5 g; Calendula officinalis Ø, Hamamelis virginiana Ø 0.45 g each; Echinacea Ø, Echinacea purpurea Ø, Matricaria recutita Ø 0.15 g each; Symphytum officinale D4, Bellis perennis Ø 0.1 g each; Hypericum perforatum D6, Achillea millefolium Ø 0.09 g each; Aconitum napellus D1, Atropa bella-donna D1 0.05 g each; Mercurius solubilis Hahnemanni D6 0.04 g; Hepar sulfuris D6 0.025 g.
Ointment base: Hydrophilic ointment (DAB: emulsifying cetyl stearyl alcohol, liquid paraffin, soft white paraffin, purified water, ethanol), preserved with 13.8 vol.-% alcohol.

Gel: 100 g containing: Arnica montana D3 1.5 g; Calendula officinalis Ø, Hamamelis virginiana Ø 0.45 g each; Echinacea Ø, Echinacea purpurea Ø, Matricaria recutita Ø 0.15 g each; Symphytum officinale D4, Bellis perennis Ø 0.1 g each; Hypericum perforatum D6, Achillea millefolium Ø 0.09 g each; Aconitum napellus D1, Atropa bella-donna D1 0.05 g each; Mercurius solubilis Hahnemanni D6 0.04 g; Hepar sulfuris D6 0.025 g. Contains 25 vol.-% alcohol.

Indications:
Traumatic injuries of all kinds such as sprains, dislocations, contusions, hemarthrosis and effusions into a joint; regulation of inflammatory processes in various organs and tissues, including in particular acute and chronic/degenerative disorders of the musculoskeletal system.

Contraindications:
Known allergy (hypersensitivity) to one or more of the ingredients, including plants of the daisy family (Asteraceae) such as Arnica montana (arnica), Calendula officinalis (pot marigold), Chamomilla recutita (chamomile), Echinacea (coneflower), Achillea millefolium (yarrow), Bellis perennis (daisy).

Side effects:
Allergic (hypersensitivity) skin reactions may occur in very rare cases (i.e. affects less than 1 in 10,000 users).

Interactions with other medication:
None known.

Dosage:
Drops:
Standard dosage: Adults (and children 12 yrs. and older): 10 drops 3x daily.
Acute or initial dosage: Adults (and children 12 yrs. and older): 10 drops every 1/2 to 1 hr., up to 12x daily, and then continue with standard dosage.

Tablets:
Standard dosage: Adults (and children 12 yrs. and older): 1 tablet to be dissolved in the mouth 3x daily.
Acute or initial dosage: Adults (and children 12 yrs. and older): 1 tablet every 1/2 to 1 hr., up to 12x daily, and then continue with standard dosage.

Injection solution:
Standard dosage: Adults (and children 12 yrs. and older): 1 ampoule 1 to 3x weekly.
Traumeel injection solution may be administered by the s.c., i.d., i.m., i.a. or i.v. route.
Acute or initial dosage: Adults (and children 12 yrs. and older): 1 ampoule daily, and then continue with standard dosage.

Ointment:
Standard dosage: Adults (and children 12 yrs. and older): Apply 2x daily, or more often if needed.
For external use only. Apply generously to the affected area.
Traumeel may be applied using mild compression bandaging and/or occlusive bandaging.
Note: Cetylstearyl alcohol may cause local skin reactions (e.g. contact dermatitis).
Avoid contact with eyes, mucosae, open wounds or broken skin.

Gel:
Standard dosage: Adults (and children 12 yrs. and older): Apply 2x daily, or more often if needed.
For external use only. Apply generously to the affected area.
Traumeel may be applied using mild compression bandaging and/or occlusive bandaging.
Note: Avoid contact with eyes, mucosae, open wounds or broken skin.

Package sizes:
Drops: Drop bottles containing 30 and 100 ml.
Tablets: Packs containing 50 and 250 tablets.
Injection solution: Packs containing 10 and 100 ampoules of 2.2 ml each.
Ointment: Tubes containing 50 and 100 g of ointment.
Gel: Tubes containing 50 and 100 g of gel.

Pharmacological notes
Arnica montana: contusions, sprains, back pain, concussion, (purulent) infections, septic conditions, joint pain, mastitis, otitis, carbuncles, furunculosis, eczema, and injuries of the tendons.

Calendula officinalis: poor wound healing, ulceration, conjunctivitis, and gangrene.

Hamamelis virginiana: concussions, contusions, incision wounds, and carbuncles.

Achillea millefolium: ulcerations, arthritic complaints, bruised sensation, and inflammations (diverse).

Atropa bella-donna: inflammation (diverse organs and tissues), contusions, ulcerations, edema, lichen planus and simplex, and otitis media.

Aconitum napellus: congestive inflammatory conditions, Achilles tendon pain, arthritis, otitis, and gangrene.

Mercurius solubilis Hahnemanni: inflammation (diverse organs and tissues), rheumatic arthritis, sore muscles, lichen planus, otitis media, intertrigo, impetigo, and paradontosis.

Hepar sulfuris: gouty arthritis, ulceration, eczema, intertrigo, impetigo, mastitis, abscess, gangrene, and sinusitis.

Matricaria recutita: otitis, contusion, dermatitis, and a sensation of heaviness in the muscles.

Symphytum officinale: arthritis, contusions, fractures, and bone inflammation.

Bellis perennis: inflammation in general, sore joints, eczema, and sprains.

Echinacea: sepsis, contusions, concussions, and ulcerations.

Echinacea purpurea: infections, sepsis, and ulcerations.

Hypericum perforatum: arthritis, painful joints, and inflammation (diverse organs and tissues).

Clinical notes
Because of the individual constituents of Traumeel, the medication can be offered for the following conditions:

  1. Inflammatory musculoskeletal conditions:
    (a) traumatic (e.g. sprains, dislocations, contusions, and effusions)
    (b) degenerative joint disease with inflammatory components (e.g. osteoarthritis of the hip, knee, and small joints; and spondylosis with or without discogenic disease and its complications)
    (c) periarticular disorders (e.g. injuries of tendons, tendovaginitis, styloiditis, epicondylitis, bursitis, and rotator cuff syndrome)
  2. Infective: acute and chronic otitis media, sinusitis, abscesses of the sweat glands (sudoriparous abscesses), furuncles, carbuncles, mastitis, and paradontosis.
  3. Cutaneous disorders: fistular suppurations, eczema, dermatitis, lichen planus, intertrigo, impetigo, and incision wounds.
  4. Cerebral contusions and concussions (acute).
  5. Others: gangrene.

Note: The role of Traumeel in inflammation is specific and far reaching because of its various constituents. Inflammation has 6 pathophysiological stages: neurogenic, vascular, exudative, neutrophil migration, lymphocyte migration, and resorption and reconstruction.

Because of the homeopathic constituents, it is thought that the various ingredients in Traumeel have both a synergistic and a complementary relationship with each other in their action on the pathophysiological and clinical course of inflammation. For example, Aconitum napellus modulates and has an action on the first stage of inflammation (i.e. the neurogenic phase); at the same time, it paves the way for the constituents active in the vascular phase, such as Arnica, Hamamelis, Millefolium, Belladonna, and Hypericum. These constituents will, in turn, facilitate the action of Bellis perennis, which is active in the next exudative phase, and so forth. Mercurius solubilis and Hepar sulfuris influence neutrophil migration; Echinacea angustifolia and Echinacea purpurea, lymphocyte migration; and Calendula and Symphytum, resorption and reconstitution.

Apart from this synergistic action of the constituents, they also have a complementary effect. They are developed to have a functional tropism for the different stages of inflammation and an organ tropism for the different tissues affected by inflammation, such as muscles, bones, tendons, ligaments, vessels, nerves, and soft tissues. Therefore, Traumeel can be used in inflammation of several organs and tissues.

Inflammation manifests clinically as the typical signs of heat, redness, swelling, pain (i.e. calor, rubor, tumor, and dolor), and loss of function.
For calor, rubor, and tumor, Aconitum, Hamamelis, Millefolium, Bellis perennis, Belladonna, and Arnica will stabilize the vascular permeability and will prevent venous stasis.
Aconitum, Arnica, Chamomilla, and Hypericum perforatum are responsible for the analgesia in dolor.
Echinacea purpurea and Echinacea angustifolia, Mercurius solubilis, and Hepar sulfuris are antisuppurative; Calendula, Arnica montana, Echinacea purpurea, and Symphytum officinale promote wound healing and callus formation in the restitution and reintegration phase.

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