Kytta® Schmerzsalbe

Kytta® Schmerzsalbe
Kytta® Schmerzsalbe is used on the skin for the treatment of joint pains,
sprains, inflammation and strains associated with restricted joint movement. The active
ingredient is Comfrey Root Liquid Extract. It has anti-inflammatory (reduces inflammation
and swelling) and analgesic (pain relieving) properties.

Before you use Kytta® Schmerzsalbe
Some people must not use this cream. Do not use this cream:

if you are allergic (hypersensitive) to comfrey root extract, parabens (ethyl (E214), propyl (E216), methyl (E218), isobutyl & butyl-4-hydroxybenzoate), cetostearyl alcohol, rosemary oil (see “Other special warnings”) or any of the other ingredients.
If you often suffer from allergic reactions, you may be more likely to experience an allergic reaction.
if you are allergic to peanut or soya - Kytta® Schmerzsalbe contains:peanut oil (arachis oil)
to treat an open wound
if the child is under 12 years of age

You must be especially careful:

It is for use on the skin only.
The cream should not be applied to the eyes , mucous membranes (lips, nostrils, ears, anus (back passage)), genitals (private parts) and open wounds or broken or irritated skin.

If any of the conditions above apply to you, please discuss your treatment with your doctor
before using this cream.
Discontinue use of the cream if the skin becomes irritated, red or dry.

Taking other medicines
Always tell your doctor or pharmacist about all the medicines you are taking. This includes
medicines you have bought yourself as well as those you have on prescription from your
doctor.

Pregnancy and breastfeeding
If you are pregnant or breastfeeding, do not use this medicine.

Other special warnings

The fragrance contains benzyl benzoate which may cause mild irritation to the skin, eyes and mucous membranes which are the lips, nostrils, ears, anus (back passage) and genitals (private parts).
Kytta® Schmerzsalbe contains parabens (ethyl (E214), propyl (E216), methyl (E218), isobutyl & butyl-4-hydroxybenzoate). These can cause allergic reactions, which may be delayed. It also contains cetostearyl alcohol, which may cause swelling (inflammation) of the skin (contact dermatitis) e.g. red, itchy, scaly skin, where the cream is applied.
Kytta® Schmerzsalbe contains rosemary oil. This can cause allergic reactions, including difficulty in breathing in sensitized individuals.

Driving and using machinery
Kytta® Schmerzsalbe should not affect your ability to drive or operate
machinery.

How to use Kytta® Schmerzsalbe
Always use Kytta® Schmerzsalbe exactly as indicated in this leaflet. You
should check with your doctor or pharmacist if you are not sure. If you are using this cream for the first time, you should test on a small area first e.g. your wrist, to make sure there is no reaction. The cream should only be used on skin that is intact and not broken. For use on the skin only. Wash your hands before and after using the cream.
The usual dose is as follows:
Adults, the elderly and children age 12 years and over:
Apply a thread of cream, 2-6cm in length, to the part of the body to be treated, and
massage in carefully. Adjust the amount of cream to be used depending on the size of the
joint to be treated and how bad the symptoms are. Repeat this 4 times a day for up to 8
days.
This product is not recommended for use in children under the age of 12 years.
You should not use this cream for longer than 3 weeks.
If symptoms worsen or persist, a doctor or pharmacist should be consulted.
If your symptoms are accompanied by swelling of the joint, redness or fever, consult your
doctor.
If you apply more of the cream than you should: Wash off any excess cream.
If this cream is accidentally swallowed you should contact a doctor straight away or go to
the nearest casualty department as you may need urgent medical attention.
If you forget to use Kytta® Schmerzsalbe:
If you miss applying your cream at the correct time, do not worry. Simply carry on with the
next application at your usual time. Do not apply the medicine twice to make up for a
forgotten dose.

Possible side effects
Kytta® Schmerzsalbe is suitable for most people, but, like all medicines it
may sometimes cause side effects. Most people find this medicine causes no problems
when the right amount is used for the correct length of time (see section 3 above).
The following side effects may occur:
Skin reactions can occur at the site where the cream is applied because of reactions to some
of the individual ingredients. This may cause skin inflammation (contact dermatitis), a
painful and burning skin sensation, or dry, irritated skin (eczema).
Kytta® Schmerzsalbe can lead to allergic (hypersensitivity) reactions at
the site of treatment. These reactions can cause reddening of the skin and the appearance
of nodules and blisters (skin rash), usually with itching.
There may also be generalised hypersensitivity reactions, which may affect:

the skin (e.g. reddening, itching, hives, rashes not just at the application site, as well as a rapid swelling of the skin of the face, the eyelids and the area around the mouth (angioedema)).
the digestive tract (e.g. abdominal pain, nausea, diarrhoea).
the eyes (e.g. red, watery, itchy eyes (allergic conjunctivitis)).
the respiratory tract (e.g. inflammation of the nasal airways (allergic rhinitis), wheezing, difficulty breathing).

The frequency of these side effects occurring is not known.
If you experience any of these side effects, stop using this medicine and tell your doctor as
soon as possible.
If you notice any unwanted effects, even one not mentioned here,please go and see your doctor.

How to store Kytta® Schmerzsalbe
Keep out of sight and reach of children.
There are no special storage conditions. Store in the original package.
Do not use Kytta® Schmerzsalbe after the expiry date which is printed on the carton and on the tube. The expiry date refers to the last day of that month.
This medicine should be used within 1 year of first opening the tube.

Do not use Kytta® Schmerzsalbe if you notice any of the following:

If the cream colour is different from the colour beige.
If fluid comes out of the tube.
If there is a change in the typical smell of the cream.

Further Information
Ingredients
Each 100 g of cream contains 35g of liquid extract (1:2) from Comfrey root (Symphytum
officinale L.) (Extraction solvent: ethanol 60% v/v).
The other ingredients are arachis oil (peanut), cetostearyl alcohol, glycerol-1-stearate, sodium laurylsulfate, lavender oil, spruce needle oil, purified water, phenonip (phenoxyethanol, parahydroxybenzoates – ethyl (E214), propyl (E216), methyl (E218)
isobutyl and butyl-4-hydroxybenzoate), Eumulgin L and sodium hydroxide. Perfume oil
R07338 Spezial PH: benzyl acetate, benzyl benzoate, eugenol, heliotropin, hydroxycitronellal, lavender oil, lemon oil, petitgrain oil, rosemary oil, phenylethyl alcohol, linalyl acetate, linalool.

What the medicine looks like
Kytta® Schmerzsalbe is a beige coloured cream containing 35g of
comfrey root extract per 100g of the cream. It is packed in 25g, 50g, 100g and 150g
aluminium tubes. Not all pack sizes may be marketed.

Manufacturer:

Merck KGaA & Co, Werk Spittal, Hoesslgasse 20, 9800 Spittal/Drau, Austria