{"id":20705,"date":"2025-04-17T14:02:10","date_gmt":"2025-04-17T12:02:10","guid":{"rendered":"https:\/\/www.apo.com/magazin\/?post_type=ratgeber&#038;p=20705"},"modified":"2025-05-05T15:24:43","modified_gmt":"2025-05-05T13:24:43","slug":"mtx-behandlung","status":"publish","type":"ratgeber","link":"https:\/\/www.apo.com/magazin\/rheuma\/mtx-behandlung","title":{"rendered":"Wie MTX Rheuma lindern kann"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><p><span data-contrast=\"auto\">Methotrexat (MTX) gilt als einer der wichtigsten Wirkstoffe in der Behandlung rheumatischer Erkrankungen \u2013 doch viele Patient:innen haben Fragen zu Wirkung, Anwendung und m\u00f6glichen Nebenwirkungen. Erfahren Sie in diesem Beitrag alles \u00fcber MTX bei Rheuma.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-2\"><p><strong>Inhaltsverzeichnis<\/strong><\/p>\n<ul>\n<li><a href=\"#Was ist MTX?\">Was ist MTX?<\/a><\/li>\n<li><a href=\"#Wie wirkt MTX bei Rheuma?\">Wie wirkt MTX bei Rheuma?<\/a><\/li>\n<li><a href=\"#F\u00fcr welche rheumatischen Erkrankungen wird MTX eingesetzt?\">F\u00fcr welche rheumatischen Erkrankungen wird MTX eingesetzt?<\/a><\/li>\n<li><a href=\"#Wie wird MTX angewendet?\">Wie wird MTX angewendet?<\/a><\/li>\n<li><a href=\"#Welche Nebenwirkungen kann MTX haben?\">Welche Nebenwirkungen kann MTX haben?<\/a><\/li>\n<li><a href=\"#Was sollten Patient:innen bei der Einnahme von MTX beachten?\">Was sollten Patient:innen bei der Einnahme von MTX beachten?<\/a><\/li>\n<\/ul>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-1{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-1 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-2{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #01063f;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#f4f4f4;padding: 20px 40px 20px 40px;\"><div class=\"fusion-text fusion-text-3\"><h2><b><span data-contrast=\"auto\">Das Wichtigste in K\u00fcrze<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h2>\n<ul>\n<li><span data-contrast=\"none\">Methotrexat (MTX) geh\u00f6rt zu den krankheitsmodifizierenden Antirheumatika (DMARDs) und kann den Verlauf rheumatischer Erkrankung langfristig positiv beeinflussen, indem es die Aktivit\u00e4t von \u00fcberaktiven Immunzellen hemmt.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">MTX wird h\u00e4ufig bei Autoimmunerkrankungen wie rheumatoider Arthritis, Psoriasis-Arthritis und juveniler idiopathischer Arthritis eingesetzt.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">Es wird nur einmal pro Woche eingenommen.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">Nebenwirkungen wie \u00dcbelkeit, Schleimhautentz\u00fcndungen, Haarausfall sowie schwerwiegendere Komplikationen wie Leber- und Nierensch\u00e4den oder Auswirkungen auf das Knochenmark sind m\u00f6glich. Daher sind regelm\u00e4\u00dfige \u00e4rztliche Kontrollen wichtig.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">Eine begleitende Einnahme von Fols\u00e4ure fr\u00fchestens 24 Stunden nach MTX kann helfen, Nebenwirkungen zu reduzieren.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-2{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-2 > .fusion-column-wrapper {padding-top : 20 !important;padding-right : 40 !important;margin-right : 1.92%;padding-bottom : 20 !important;padding-left : 40 !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-2{width:100% !important;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-2{width:100% !important;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-3{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-4\"><div id=\"Was ist MTX?\">\n<h2><b><span data-contrast=\"none\">Was ist MTX?<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h2>\n<\/div>\n<p><span data-contrast=\"auto\">Methotrexat, kurz MTX, ist ein bew\u00e4hrter Wirkstoff, der urspr\u00fcnglich zur Behandlung bestimmter Krebsarten entwickelt wurde und 1947 erstmalig zum Einsatz kam. Heute wird es in deutlich niedrigerer Dosierung vor allem bei Autoimmunerkrankungen eingesetzt. MTX bei <\/span><a href=\"https:\/\/www.apo.com\/magazin\/rheuma\"><span data-contrast=\"none\">Rheuma<\/span><\/a><span data-contrast=\"auto\"> hilft, das \u00fcberaktive Immunsystem zu regulieren und Entz\u00fcndungen im K\u00f6rper zu reduzieren.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<div id=\"Wie wirkt MTX bei Rheuma?\">\n<h2><b><span data-contrast=\"none\">Wie wirkt MTX bei Rheuma?<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h2>\n<\/div>\n<p><span data-contrast=\"auto\">Methotrexat geh\u00f6rt zur Gruppe der sogenannten <\/span><a href=\"https:\/\/www.apo.com\/magazin\/rheuma\/medikamente\"><b><span data-contrast=\"none\">krankheitsmodifizierenden Antirheumatika<\/span><\/b><span data-contrast=\"none\"> (DMARDs)<\/span><\/a><span data-contrast=\"auto\">. Das bedeutet: Es wirkt nicht nur gegen die Symptome, sondern kann den Verlauf der Erkrankung langfristig positiv beeinflussen. Besonders bei chronisch-entz\u00fcndlichen Gelenkerkrankungen wie der rheumatoiden Arthritis ist es eines der am h\u00e4ufigsten eingesetzten Basistherapeutika.<\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-3{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-3 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-3{width:100% !important;order : 0;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-3{width:100% !important;order : 0;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-4{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #01063f;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#f4f4f4;padding: 20px 40px 20px 40px;\"><div class=\"fusion-text fusion-text-5\"><h3>Gut zu wissen<\/h3>\n<\/div><div class=\"fusion-text fusion-text-6\"><p><span class=\"TextRun SCXW236564601 BCX2\" lang=\"DE-DE\" xml:lang=\"DE-DE\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW236564601 BCX2\">Die Wirkung von Methotrexat setzt nicht sofort ein \u2013 erste sp\u00fcrbare Effekte zeigen sich oft erst nach einigen Wochen.<\/span><span class=\"NormalTextRun SCXW236564601 BCX2\"> Grund ist,<\/span><span class=\"NormalTextRun SCXW236564601 BCX2\"> dass sich das Medikament erst im K\u00f6rper anreichern muss<\/span><span class=\"NormalTextRun SCXW236564601 BCX2\">.<\/span> <span class=\"NormalTextRun SCXW236564601 BCX2\">Sobald<\/span><span class=\"NormalTextRun SCXW236564601 BCX2\"> die MTX-Konzentration im Blut hoch genug ist, kann es die Entz\u00fcndung wirksam bek\u00e4mpfen.\u00a0<\/span><\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-4{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-4 > .fusion-column-wrapper {padding-top : 20 !important;padding-right : 40 !important;margin-right : 1.92%;padding-bottom : 20 !important;padding-left : 40 !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-4{width:100% !important;}.fusion-builder-column-4 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-4{width:100% !important;}.fusion-builder-column-4 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-5{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-7\"><p><span data-contrast=\"none\">Bei rheumatischen Erkrankungen greift das Immunsystem irrt\u00fcmlich k\u00f6rpereigenes Gewebe an. Es entsteht eine chronische Entz\u00fcndung, die Schmerzen, Schwellungen und langfristig auch Sch\u00e4den an den betroffenen Stellen verursachen kann. Methotrexat setzt genau an dieser fehlgeleiteten Immunabwehr an. Es blockiert ein wichtiges Enzym (Dihydrofolatreduktase), welches an der Umwandlung von Fols\u00e4ure in ihre aktive Form beteiligt ist. Zellen \u2013 vor allem \u00fcberaktive Immunzellen, die f\u00fcr die Entz\u00fcndung bei Rheuma verantwortlich sind \u2013 ben\u00f6tigen diese aktive Fols\u00e4ure, um DNA und RNA herzustellen, was f\u00fcr ihre Teilung und ihr Wachstum unerl\u00e4sslich ist. Durch die Blockade wird die \u00fcberm\u00e4\u00dfige Vermehrung der Immunzellen gestoppt. Somit schw\u00e4cht MTX bei Rheuma die fehlgeleitete Immunreaktion gezielt ab \u2013 das Immunsystem wird \u201egebremst\u201c, ohne es komplett auszuschalten.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<div id=\"F\u00fcr welche rheumatischen Erkrankungen wird MTX eingesetzt?\">\n<h2><b><span data-contrast=\"none\">F\u00fcr welche rheumatischen Erkrankungen wird MTX eingesetzt?<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h2>\n<\/div>\n<p><span data-contrast=\"auto\">Methotrexat ist eines der am h\u00e4ufigsten verwendeten Medikamente bei entz\u00fcndlich-rheumatischen Erkrankungen. Besonders bei Krankheiten, die durch eine \u00dcberreaktion des eigenen Immunsystems (Autoimmunerkrankungen) entstehen, kann MTX sehr wirksam sein.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">Rheumatoide Arthritis<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Zu diesen Autoimmunerkrankungen geh\u00f6rt die rheumatoide Arthritis. Sie ist eine chronisch-entz\u00fcndliche Erkrankung, bei der das Immunsystem f\u00e4lschlicherweise die Gelenke angreift und dort Entz\u00fcndungen verursacht. <\/span><a href=\"https:\/\/www.apo.com\/magazin\/rheuma\/symptome\"><span data-contrast=\"none\">Typische Symptome<\/span><\/a><span data-contrast=\"auto\"> sind Schmerzen, Schwellungen und Steifheit, besonders morgens. Hier gilt MTX als Goldstandard der Therapie.<\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-5{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-5 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-5{width:100% !important;order : 0;}.fusion-builder-column-5 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-5{width:100% !important;order : 0;}.fusion-builder-column-5 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-6{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #01063f;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#f4f4f4;padding: 20px 40px 20px 40px;\"><div class=\"fusion-text fusion-text-8\"><h3>Gut zu wissen<\/h3>\n<\/div><div class=\"fusion-text fusion-text-9\"><p><span data-contrast=\"auto\">Als Goldstandard bezeichnet man in der Medizin die Behandlung, die sich als besonders wirksam und zuverl\u00e4ssig bew\u00e4hrt hat. Sie gilt als beste verf\u00fcgbare Therapie f\u00fcr eine bestimmte Erkrankung und wird oft als Ma\u00dfstab verwendet, um neue Behandlungen oder Medikamente zu bewerten.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-6{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-6 > .fusion-column-wrapper {padding-top : 20 !important;padding-right : 40 !important;margin-right : 1.92%;padding-bottom : 20 !important;padding-left : 40 !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-6{width:100% !important;}.fusion-builder-column-6 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-6{width:100% !important;}.fusion-builder-column-6 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-7{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-8 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-10\"><h3><b><span data-contrast=\"auto\">Psoriasis-Arthritis<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Weiterhin wird Methotrexat h\u00e4ufig bei Psoriasis-Arthritis eingesetzt. Dabei handelt es sich um eine Autoimmunerkrankung, die sowohl die Haut als auch die Gelenke betrifft. Sie \u00e4u\u00dfert sich durch schmerzhafte, geschwollene und steife Gelenke, die oft morgens besonders stark sind und sich im Laufe des Tages bessern k\u00f6nnen. Zus\u00e4tzlich treten Hautver\u00e4nderungen wie ger\u00f6tete, schuppende Stellen oder Ver\u00e4nderungen an den N\u00e4geln auf.<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">Juvenile idiopathische Arthritis<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Dar\u00fcber hinaus hilft Methotrexat bei der <\/span><a href=\"https:\/\/www.apo.com\/magazin\/rheuma\/rheuma-bei-kindern\"><span data-contrast=\"none\">juvenilen idiopathischen Arthritis<\/span><\/a><span data-contrast=\"auto\">, einer Form von Rheuma, die bei Kindern und Jugendlichen auftreten kann. Besonders bei schwereren Verl\u00e4ufen oder wenn andere Medikamente wie entz\u00fcndungshemmende Schmerzmittel nicht ausreichen, ist MTX das Mittel der Wahl.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">Weitere Autoimmunerkrankungen<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Auch bei weiteren Autoimmunerkrankungen wie dem systemischen Lupus erythematodes, der systemischen Sklerose oder seltenen Erkrankungen wie <\/span><a href=\"https:\/\/www.apo.com\/magazin\/rheuma\/morbus-bechterew\"><span data-contrast=\"none\">Morbus Bechterew<\/span><\/a><span data-contrast=\"auto\"> wird Patient:innen MTX verschrieben.<\/span><\/p>\n<\/div><div ><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\" https:\/\/www.apo.com\/rezept-online-einloesen \" target=\"_self\" aria-label=\"service-banner_cardlink_878x200\"><img decoding=\"async\" width=\"878\" height=\"200\" alt=\"E-Rezept einl\u00f6sen per Versichertenkarte\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/01\/service-banner_cardlink_878x200.jpg\" class=\"img-responsive wp-image-19877\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/01\/service-banner_cardlink_878x200-200x46.jpg 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/01\/service-banner_cardlink_878x200-400x91.jpg 400w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/01\/service-banner_cardlink_878x200-600x137.jpg 600w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/01\/service-banner_cardlink_878x200-800x182.jpg 800w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/01\/service-banner_cardlink_878x200.jpg 878w\" sizes=\"(max-width: 640px) 100vw, 878px\" \/><\/a><\/span><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-11\"><p><span data-contrast=\"auto\">Bei uns erhalten Sie all Ihre Medikamente schnell und bequem von zuhause aus \u2013 ganz unkompliziert mit dem <\/span><a href=\"https:\/\/www.apo.com\/rezept-online-einloesen\"><span data-contrast=\"none\">E-Rezept<\/span><\/a><span data-contrast=\"auto\">. Einfach Gesundheitskarte scannen, Bestellung aufgeben und Medikamente an Ihre Wunschadresse geliefert bekommen.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<div id=\"Wie wird MTX angewendet?\">\n<h2><b><span data-contrast=\"auto\">Wie wird MTX angewendet? <\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h2>\n<\/div>\n<p><span data-contrast=\"auto\">Essenziell ist die richtige Anwendung von MTX bei Rheuma. So kann die bestm\u00f6gliche Wirkung erzielt und Nebenwirkungen minimiert werden.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">Einnahmeform: Tabletten vs. Spritzen\u00a0 <\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Methotrexat kann entweder als Tablette oder als Spritze verabreicht werden. Die Tabletten werden unabh\u00e4ngig von den Mahlzeiten mit einem Glas Wasser eingenommen. Spritzen werden meist unter die Haut gesetzt. Hierzu wird der Patient bzw. die Patientin zuvor in der Arztpraxis geschult. Beide Formen sind gleich wirksam. Daher h\u00e4ngt die Wahl der Einnahmeform von den individuellen Bed\u00fcrfnissen des Patienten oder der Patientin ab. Beispielsweise ist die Einnahme von Methotrexat als Tablette einfach und bequem, kann jedoch h\u00e4ufiger Nebenwirkungen wie \u00dcbelkeit oder Magen-Darm-Beschwerden hervorrufen. Auf der anderen Seite wird die Spritze oft besser vertragen, da sie den Verdauungstrakt umgeht, erfordert jedoch etwas \u00dcbung bei der Anwendung.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Bei all Ihren Fragen steht Ihnen unsere kompetente <\/span><a href=\"https:\/\/www.apo.com\/pharmazeutische-beratung\"><span data-contrast=\"none\">pharmazeutische Beratung gerne zur Seite \u2013 per Chat, E-Mail, Telefon und Video.<\/span><\/a><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><div ><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"https:\/\/www.apo.com\/pharmazeutische-beratung\" target=\"_self\" aria-label=\"banner_pharm_beratung_878x200px\"><img decoding=\"async\" width=\"878\" height=\"200\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/11\/banner_pharm_beratung_878x200px.jpg\" class=\"img-responsive wp-image-18111\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/11\/banner_pharm_beratung_878x200px-200x46.jpg 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/11\/banner_pharm_beratung_878x200px-400x91.jpg 400w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/11\/banner_pharm_beratung_878x200px-600x137.jpg 600w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/11\/banner_pharm_beratung_878x200px-800x182.jpg 800w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2023\/11\/banner_pharm_beratung_878x200px.jpg 878w\" sizes=\"(max-width: 640px) 100vw, 878px\" \/><\/a><\/span><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-12\"><h3><b><span data-contrast=\"auto\">Dosierung und Einnahmeplan<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Die genaue Dosierung wird individuell vom betreuenden Arzt bzw. der betreuenden \u00c4rztin festgelegt. Sie ist abh\u00e4ngig von der Krankheit und der Vertr\u00e4glichkeit des Medikaments. Dabei wird Methotrexat nur einmal pro Woche eingenommen, nicht t\u00e4glich. \u00dcblicherweise beginnt die Behandlung mit einer geringen Dosierung und wird bei Bedarf schrittweise erh\u00f6ht, bis die gew\u00fcnschte Wirkung erzielt ist. Nach Erreichen des gew\u00fcnschten Therapieergebnisses wird die Dosis m\u00f6glichst auf die niedrigste noch wirksame Menge eingestellt.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-7{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-7 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-7{width:100% !important;order : 0;}.fusion-builder-column-7 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-7{width:100% !important;order : 0;}.fusion-builder-column-7 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-8{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-9 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #01063f;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#f4f4f4;padding: 20px 40px 20px 40px;\"><div class=\"fusion-text fusion-text-13\"><h3>Gut zu wissen<\/h3>\n<\/div><div class=\"fusion-text fusion-text-14\"><p><span class=\"TextRun SCXW232467224 BCX2\" lang=\"DE-DE\" xml:lang=\"DE-DE\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW232467224 BCX2\">In der Pharmazie <\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">spricht man vom<\/span><span class=\"NormalTextRun SCXW232467224 BCX2\"> Prinzip \u201eso viel wie n\u00f6tig und so wenig wie m\u00f6glich\u201c<\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">, wenn <\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">die<\/span><span class=\"NormalTextRun SCXW232467224 BCX2\"> Dosis <\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">eines Medikaments <\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">hoch genug ist<\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">, <\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">um die gew\u00fcnschte Wirkung zu erzielen, <\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">aber <\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">gleichzeitig <\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">m\u00f6glichst<\/span> <span class=\"NormalTextRun SCXW232467224 BCX2\">niedrig ist<\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">, <\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">um<\/span> <span class=\"NormalTextRun SCXW232467224 BCX2\">Nebenwirkungen <\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">zu reduzieren<\/span><span class=\"NormalTextRun SCXW232467224 BCX2\">.<\/span><\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-8{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-8 > .fusion-column-wrapper {padding-top : 20 !important;padding-right : 40 !important;margin-right : 1.92%;padding-bottom : 20 !important;padding-left : 40 !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-8{width:100% !important;}.fusion-builder-column-8 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-8{width:100% !important;}.fusion-builder-column-8 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-9{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-10 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-15\"><h3><b><span data-contrast=\"auto\">Warum MTX nur einmal pro Woche eingenommen wird<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Methotrexat wird sowohl bei Krebs als auch bei rheumatischen Erkrankungen eingesetzt \u2013 aber in v\u00f6llig unterschiedlichen Dosierungen:<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<ul>\n<li><b><span data-contrast=\"auto\">Bei Krebs: <\/span><\/b><span data-contrast=\"auto\">sehr hohe Dosen, m\u00f6glicherweise auch t\u00e4glich, um das Wachstum schnell teilender Tumorzellen zu stoppen<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Bei Rheuma: <\/span><\/b><span data-contrast=\"auto\">niedrige Dosen, w\u00f6chentlich, um das Immunsystem zu regulieren und Entz\u00fcndungen zu hemmen<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Obwohl der Wirkstoff derselbe ist, unterscheidet sich die Wirkung je nach Dosierung grundlegend. MTX bei Rheuma zielt nicht auf die Zerst\u00f6rung von Zellen, sondern auf die Beruhigung des \u00fcberaktiven Immunsystems.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-9{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-9 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-9{width:100% !important;order : 0;}.fusion-builder-column-9 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-9{width:100% !important;order : 0;}.fusion-builder-column-9 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-10{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-11 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #01063f;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#f4f4f4;padding: 20px 40px 20px 40px;\"><div class=\"fusion-text fusion-text-16\"><h3>Gut zu wissen<\/h3>\n<\/div><div class=\"fusion-text fusion-text-17\"><p><span data-contrast=\"auto\">Eine falsche Dosierung von Methotrexat kann zu schwerwiegenden Nebenwirkungen f\u00fchren, teilweise mit t\u00f6dlichem Ausgang. Daher gibt es zahlreiche Ma\u00dfnahmen, die darauf abzielen, die korrekte w\u00f6chentliche Einnahme sicherzustellen und Dosierungsfehler zu vermeiden:<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ol>\n<li><span data-contrast=\"auto\">Methotrexat sollte nur von erfahrenen \u00c4rzt:innen verschrieben werden.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Patient:innen und Pflegekr\u00e4fte m\u00fcssen ausf\u00fchrlich und wiederholt \u00fcber die korrekte w\u00f6chentliche Dosierung sowie Anzeichen einer \u00dcberdosierung informiert werden.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Ein fester Wochentag f\u00fcr die Einnahme sollte gemeinsam festgelegt werden.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Bei jeder neuen Verordnung sollte \u00fcberpr\u00fcft werden, ob die Dosierungsanweisung verstanden wurde.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Im Verdachtsfall einer \u00dcberdosierung ist eine sofortige \u00e4rztliche Konsultation erforderlich.<\/span><span data-ccp-props=\"{}\"><br \/>\n<\/span><\/li>\n<\/ol>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-10{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-10 > .fusion-column-wrapper {padding-top : 20 !important;padding-right : 40 !important;margin-right : 1.92%;padding-bottom : 20 !important;padding-left : 40 !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-10{width:100% !important;}.fusion-builder-column-10 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-10{width:100% !important;}.fusion-builder-column-10 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-11{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-12 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-18\"><div id=\"Welche Nebenwirkungen kann MTX haben?\">\n<h2><b><span data-contrast=\"auto\">Welche Nebenwirkungen kann MTX haben?<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h2>\n<\/div>\n<p><span data-contrast=\"auto\">Methotrexat kann Nebenwirkungen verursachen, die von Beschwerden wie \u00dcbelkeit, Schleimhautentz\u00fcndungen und Haarausfall bis hin zu schwerwiegenden Komplikationen reichen. Dazu z\u00e4hlen Sch\u00e4den an Leber und Nieren (Hepato- und Nephrotoxizit\u00e4t), eine Lungenfibrose sowie eine Unterdr\u00fcckung der Blutbildung im Knochenmark (Myelosuppression), die das Risiko f\u00fcr Infektionen und Blutungen erh\u00f6ht. Die toxische Wirkung auf das Knochenmark ist dabei der wichtigste begrenzende Faktor bei der Dosierung von MTX. Regelm\u00e4\u00dfige \u00e4rztliche Kontrollen sind essenziell, um Risiken fr\u00fchzeitig zu erkennen.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"auto\">Fols\u00e4ure zur Vorbeugung von Nebenwirkungen<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Die Gabe von Fols\u00e4ure oder Folins\u00e4ure (aktive Form von Fols\u00e4ure) ist eine bew\u00e4hrte Methode, um die Nebenwirkungen einer Methotrexat-Therapie zu reduzieren und wird als \u201cRescue-Therapie\u201d bezeichnet. Dabei wird Fols\u00e4ure 24 bis 48 Stunden nach der Methotrexat-Gabe verabreicht. Sie hilft, Nebenwirkungen zu reduzieren. Auch bei \u00dcberdosierungen von Methotrexat kommt Folins\u00e4ure zum Einsatz.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<div id=\"Was sollten Patient:innen bei der Einnahme von MTX beachten?\">\n<h2><b><span data-contrast=\"none\">Was sollten Patient:innen bei der Einnahme von MTX beachten?<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h2>\n<div id=\"vorbeugen\">\n<p><span data-contrast=\"none\">MTX bei Rheuma wird <\/span><b><span data-contrast=\"none\">einmal pro Woche<\/span><\/b><span data-contrast=\"none\"> eingenommen \u2013 eine t\u00e4gliche Einnahme muss unbedingt vermieden werden, da sie zu schweren \u00dcberdosierungen f\u00fchren kann. Ein <\/span><b><span data-contrast=\"none\">fester Wochentag<\/span><\/b><span data-contrast=\"none\"> f\u00fcr die Einnahme hilft, Fehler zu vermeiden. Begleitend wird oft <\/span><b><span data-contrast=\"none\">Fols\u00e4ure <\/span><\/b><span data-contrast=\"none\">verschrieben, die fr\u00fchestens 24 Stunden nach MTX eingenommen werden sollte, um Nebenwirkungen zu reduzieren, ohne die Wirkung des Medikaments zu beeintr\u00e4chtigen. <\/span><b><span data-contrast=\"none\">Regelm\u00e4\u00dfige Blutkontrollen<\/span><\/b><span data-contrast=\"none\"> sind wichtig, um Nebenwirkungen wie Blutbildver\u00e4nderungen oder erh\u00f6hte Leberwerte fr\u00fchzeitig zu erkennen. Patient:innen sollten ihren Arzt oder ihre \u00c4rztin bei <\/span><b><span data-contrast=\"none\">Symptomen wie starker \u00dcbelkeit, ungew\u00f6hnlicher M\u00fcdigkeit oder Infektionszeichen (z. B. Fieber, Sch\u00fcttelfrost, Halsschmerzen und Husten)<\/span><\/b><span data-contrast=\"none\"> sofort informieren und neue Medikamente immer abstimmen, da <\/span><b><span data-contrast=\"none\">Wechselwirkungen <\/span><\/b><span data-contrast=\"none\">mit MTX m\u00f6glich sind.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<h2><b><span data-contrast=\"none\">Fazit<\/span><\/b><span data-ccp-props=\"{\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"auto\">Dank seiner entz\u00fcndungshemmenden und immunmodulierenden Eigenschaften kann MTX Rheuma effektiv therapieren. Um die Therapiesicherheit zu gew\u00e4hrleisten, ist hinsichtlich der Dosierung besondere Aufmerksamkeit seitens \u00c4rzt:innen und Patient:innen angesagt: Die einmal w\u00f6chentliche Einnahme, regelm\u00e4\u00dfige \u00e4rztliche Kontrollen und Anzeichen f\u00fcr potenzielle Nebenwirkungen und Infektionen sollten beachtet werden.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-11{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-11 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-11{width:100% !important;order : 0;}.fusion-builder-column-11 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-11{width:100% !important;order : 0;}.fusion-builder-column-11 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-12{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-13 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-19\"><p>\n<\/div><span id=\"kairion_data\" data-kairion=\"bluthochdruck\" style=\"display: none;\"><\/span><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-12{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-12 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-12{width:100% !important;order : 0;}.fusion-builder-column-12 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-12{width:100% !important;order : 0;}.fusion-builder-column-12 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-13{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-14 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\">.fusion-accordian  #accordion-20705-1 .panel-title a .fa-fusion-box{ color: #ffffff;}.fusion-accordian  #accordion-20705-1 .panel-title a .fa-fusion-box:before{ font-size: 16px; width: 16px;}.fusion-accordian  #accordion-20705-1 .panel-title a{font-size:28px;}.fusion-accordian  #accordion-20705-1 .fa-fusion-box { background-color: #212934;border-color: #212934;}.fusion-accordian  #accordion-20705-1 .panel-title a:hover, #accordion-20705-1 .fusion-toggle-boxed-mode:hover .panel-title a { color: #65bc7b;}.fusion-accordian  #accordion-20705-1 .panel-title .active .fa-fusion-box,.fusion-accordian  #accordion-20705-1 .panel-title a:hover .fa-fusion-box { background-color: #65bc7b!important;border-color: #65bc7b!important;}<\/style><div class=\"accordian fusion-accordian\"><div class=\"panel-group\" id=\"accordion-20705-1\"><div class=\"fusion-panel panel-default\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\"><a aria-expanded=\"false\" aria-controls=\"42d15a232bbcda25b\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-20705-1\" data-target=\"#42d15a232bbcda25b\" href=\"#42d15a232bbcda25b\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Quellen<\/span><\/a><\/h4><\/div><div id=\"42d15a232bbcda25b\" class=\"panel-collapse collapse \"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li><span data-contrast=\"none\">Deutsche Gesellschaft f\u00fcr Rheumatologie e.V.:\u202f<\/span><i><span data-contrast=\"none\">Skriptum Rheumatologie 3. Auflage 2023<\/span><\/i><span data-ccp-props=\"{\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Zhao et al. (2022). Application and pharmacological mechanism of methotrexate in rheumatoid arthritis. <\/span><i><span data-contrast=\"auto\">Biomedicine &amp; Pharmacotherapy<\/span><\/i><span data-contrast=\"auto\">, <\/span><i><span data-contrast=\"auto\">150<\/span><\/i><span data-contrast=\"auto\">, 113074.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">Scott D. G. (1988). Methotrexate and rheumatoid arthritis. <\/span><i><span data-contrast=\"none\">Journal of clinical pharmacy and therapeutics<\/span><\/i><span data-contrast=\"none\">, <\/span><i><span data-contrast=\"none\">13<\/span><\/i><span data-contrast=\"none\">(2), 85\u201389.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">Rote-Hand-Brief (2019) \u201cMethotrexat: Ma\u00dfnahmen zur Vermeidung von Dosierungsfehlern mit potenziell t\u00f6dlichen Folgen bei der Anwendung von Methotrexat bei Autoimmunerkrankungen\u201d<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/li>\n<li><i><span data-contrast=\"auto\">Immunsuppressiva &#8211; wissen @ AMBOSS<\/span><\/i><span data-contrast=\"auto\">. (o. D.). <\/span><a href=\"https:\/\/www.amboss.com\/de\/wissen\/immunsuppressiva\/\"><span data-contrast=\"none\">https:\/\/www.amboss.com\/de\/wissen\/immunsuppressiva\/<\/span><\/a><span data-ccp-props=\"{\">\u00a0<\/span><\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-13{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-13 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-13{width:100% !important;order : 0;}.fusion-builder-column-13 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-13{width:100% !important;order : 0;}.fusion-builder-column-13 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-14{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-15 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-20\"><h3><b><span data-contrast=\"auto\">Gepr\u00fcft durch unser pharmazeutisches Team<\/span><\/b><\/h3>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-14{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-14 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-14{width:100% !important;order : 0;}.fusion-builder-column-14 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-14{width:100% !important;order : 0;}.fusion-builder-column-14 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_3 1_3 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div ><span class=\" fusion-imageframe imageframe-none imageframe-3 hover-type-none\"><img decoding=\"async\" width=\"300\" height=\"300\" alt=\"Felix Hoffman, pharmazeutischer Experte\" title=\"Felix Hoffman\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-300x300.jpg\" class=\"img-responsive wp-image-19286\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-200x200.jpg 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-400x400.jpg 400w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-600x600.jpg 600w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-800x800.jpg 800w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51.jpg 1200w\" sizes=\"(max-width: 640px) 100vw, 400px\" \/><\/span><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-15{width:33.333333333333% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-15 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 5.76%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 5.76%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-15{width:33.333333333333% !important;order : 0;}.fusion-builder-column-15 > 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Von Zusammenh\u00e4ngen im Stoffwechsel hin zur Einnahme von Medikamenten. Wer sich damit auskennt, kann sein Leben positiv beeinflussen.\u201c<\/span><\/i><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/de.linkedin.com\/in\/hoffmannfelix90\"><b><span data-contrast=\"none\">Felix Hoffmann<\/span><\/b><\/a> <span data-contrast=\"auto\">lebt f\u00fcr die Pharmazie und bringt eine gro\u00dfe Expertise in der Beratung mit. Mit seinem fundierten Wissen garantiert er die hohen Qualit\u00e4tsstandards der pharmazeutischen Inhalte auf <\/span><a href=\"https:\/\/www.apo.com\/\"><span data-contrast=\"none\">apo.com<\/span><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-16{width:66.666666666667% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-16 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 2.88%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 2.88%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-16{width:66.666666666667% !important;order : 0;}.fusion-builder-column-16 > .fusion-column-wrapper {margin-right : 2.88%;margin-left : 2.88%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-16{width:100% !important;order : 0;}.fusion-builder-column-16 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-22\"><p><span data-contrast=\"auto\"><strong>Wichtiger Hinweis:<\/strong> Unsere Artikel und Grafiken werden von unserem Expertenteam aus Apotheker:innen \u00fcberpr\u00fcft. Grundlage sind stets seri\u00f6se Quellen, wissenschaftliche Artikel, Leitlinien und \u00e4rztliche Aussagen. 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