Traumeel® S
Drops  Tablets  Injection solution  Ointment
Composition:
Drops: 100 g cont.: Arnica D 2, Calendula D 2, Hamamelis D 2, Millefolium D 3 5 g each; Belladonna D 4 25 g; Aconitum D 3, Mercurius solubilis Hahnemanni D 8, Hepar sulfuris D 8 10 g each; Chamomilla D 3, Symphytum D 8 8 g each; Bellis perennis D 2, Echinacea angustifolia D 2, Echinacea purpurea D 2 2 g each; Hypericum D 2 1 g. Contains 35 vol.-% alcohol.
Tablets: 1 tablet cont.: Arnica D 2, Calendula D 2, Hamamelis D 2, Millefolium D 3 15 mg each; Belladonna D 4 75 mg; Aconitum D 3, Mercurius solubilis Hahnemanni D 8, Hepar sulfuris D 8 30 mg each; Chamomilla D 3, Symphytum D 8 24 mg each; Bellis perennis D 2, Echinacea angustifolia D 2, Echinacea purpurea D 2 6 mg each; Hypericum D 2 3 mg.
Injection solution: 2.2 ml cont.: Arnica D 2, Calendula D 2, Chamomilla D 3, Symphytum D 6, Millefolium D 3, Belladonna D 2 2.2 µl each; Aconitum D 2 1.32 µl each; Bellis perennis D 2 1.1 µl each; Hypericum D 2 0.66 µl each; Echinacea angustifolia D 2, Echinacea purpurea D 2 0.55 µl each; Hamamelis D 1 0.22 µl each; Mercurius solubilis Hahnemanni D 6 1.1 mg, Hepar sulfuris D 6 2.2 µl.
Ointment: 100 g cont.: Arnica D 3 1.5 g; Calendula Ø, Hamamelis Ø 0.45 g each; Echinacea angustifolia Ø, Echinacea purpurea Ø, Chamomilla Ø 0.15 g each; Symphytum D 4, Bellis perennis Ø 0.1 g each; Hypericum D 6, Millefolium Ø 0.09 g each; Aconitum D 1, Belladonna D 1 0.05 g each; Mercurius solubilis Hahnemanni D 6 0.04 g; Hepar sulfuris D 6 0.025 g.
Ointment base: Hydrophilic ointment, preserved with 12.5 vol.-% ethanol.
Indications:
Drops, tablets, Injection solution: Injuries such as sprains dislocations, contusions, effusions of blood and effusions into a joint, fractures; post-operative and post-traumatic oedema and swelling of the soft tissues; inflammatory processes and degenerative processes associated with inflammation on the various organs and tissues, including, in particular, on the support and mobility apparatus (tendovaginitis, styloiditis, epicondylitis, bursitis, scapulohumeral periarthritis ect.); arthrosis of the hip, knee and small joints; commotio cerebri acuta.
Ointment: Injuries of all kinds (sports, accidents) such as sprains, dislocations, contusions, effusions of blood and effusions into a joint, fractures, etc; inflammatory processes and degenerative processes associated with inflammation on the various organs and tissues (e.g. periodontitis, suppuration of the gingival pockets, periodontosis), including, in particular, on the support and mobility apparatus (tendovaginitis, bursitis, scapulohumeral periarthritis) arthrosis of the hip, knee and small joints.
Contraindications:
Drops, tablets, injection solution: Hypersensitivity to one of the active ingredients or excipients, or hypersensitivity to members of the Compositae family. Principally contraindicated for patients with progressive systemic disease such as tuberculosis, leukoses, collagen disorders, multiple sclerosis, AIDS, HIV infection, and other autoimmune disorders.
Ointment: Hypersensitivity to one of the active ingredients or excipients, or hypersensitivity to members of the Compositae family.
Side effects:
Drops, tablets: Increased flow of saliva may occur after taking this medication; in such an event, do not continue therapy with this preparation.Hypersensitivity reactions may occur in individual cases.The following have been observed among patients taking medication containing preparations from rudbeckia (Echinacea): rashes, itching, facial swelling (rare), acute respiratory distress, vertigo, and acute hypotension.
Injection solution: Increased flow of saliva may occur after taking this medication; in such an event, do not continue therapy with this preparation. After intra-articular application temporary painful conditions of irritation at the joint, possibly accompanied by development of sterile effusions, may occur in rare cases. Ant-inflammatory treatment can effectively lead to abatement of these symptoms. In rare cases, patients with hypersensitivity to botanicals oft the Compositae family may experience anaphylactic reactions after administration of this preparation. Hypersensitivity reactions may occur in individual cases.The following have been observed among patients taking medication containing preparations from rudbeckia (Echinacea): rashes, itching, facial swelling (rare), acute respiratory distress, vertigo, and acute hypotension.
Ointment: Hypersensitivity reactions may occur in individual cases. Local allergic reactions (skin inflammation) have been reported.
Interactions with other medication: None known.
Dosage:
Drops: In general 10 drops 3 times daily; for swelling of the soft tissues 30 drops 3 times daily.
Tablets: In general, 1 tablet to be dissolved under the tongue 3 times daily.
Injection solution:
In acute disorders daily, otherwise 3-1 times weekly 1-2 ampoules i.m., s.c., i.d. (in the case of weals), i.v., intra-articular or periarticular.
Ointment: Apply to the affected parts and rub in, morning and evening, or if necessary, more often, possibly also applying an ointment dressing.
Note:
Do not apply Traumeel S Ointment over large surfaces of the body.
Package sizes:
Drops: Drop bottles containing 30 and 100 ml.
Tablets: Packs containing 50 and 250 tablets.
Injection solution: Packs containing 5, 10, 50 and 100 ampoules of 2.2 ml.
Ointment: Tubes containing 50 and 100 g of ointment.
 
Pharmacological and clinical notes
Arnica (mountain arnica)
To stimulate the healing of wounds, fractures, dislocations, contusions, haematomas, myocardial weakness, neuralgia, myalgia, analgesic, haemostatic.
Calendula (calendula)
Slowly healing wounds, promotes granulation, analgesic.
Hamamelis (witch-hazel)
Venous stasis, varicose veins, (thrombo-)phlebitis, crural ulcers, haemorrhoids, venous haemorrhages, anti-inflammatory, analgesic.
Millefolium (milfoil)
Haemorrhages, especially precapillary arteriovenous (anastomosis) oozing haemorrages.
Belladonna (deadly nightshade)
Localized reaction phases, cerebral sensitivity with cramp and delirium.
Aconitum (monkshood)
Fever with hot, dry skin, neuralgia, inflammatory rheumatism; improvement of the vasotonia: analgesic, haemostatic.
Mercurius solubilis Hahnemanni (mixture containing essentially mercuroamidonitrate)
Suppurations, abscesses, gingivitis, stomatitis, nasopharangeal catarrh, catarrh of the sinuses, cholangitis, shrinking action on oedematous conditions.
Hepar sulfuris (calcium sulphide)
Tendency to suppuration, especially on the skin and Iymph glands (furuncles, pyodermia, panaris, phlegmons), tonsillar abscesses, chalazions, hordeolums, haemicrania, urinary disorders, hypersensitivity to cold and draughts.
Chamomilla (chamomile)
Anti-inflammatory; stimulates granulation, promotes healing in difficulty healing wounds and ulcers; fistulae, haemorrhoids, mastitis, intertrigo, aphthous stomatitis, conditions of restlessness and excitation, disorders of dentition, otitis media, glandular swellings.
Symphytum (comfrey)
To accelerate callus formation in fractures; periostitis, causalgia, disorders arising from amputation stumps; contusions.
Bellis perennis (daisy)
Dislocations, contusions, sensation of soreness in the abdominal wall/cavity, exudative processes, resorption of oedema.
Echinacea angustifolia (narrow-leaved cone flower)
Increase in the mesenchymal defences; inflammation of all kinds and locations, septic processes; hyaluronidase inhibiting, anti-inflammatory action.
Echinacea purpurea (purple cone flower)
Activation of the histogenous and haematogenous defences in inflammatory processes and general infections, fibroblast-stimulating effect.
Hypericum (St. John's wort)
Neural and cerebral injuries, e.g. commotio cerebri; neural pains upon or after injuries; haemostatic.
 
Based on the individual homoeopathic constituents of Traumeel S, therapeutic possibilities result for the treatment of injuries, sprains and dislocations, contusions, effusions of blood and effusions into a joint, fractures, post operative and post-traumatic oedema and swelling of the soft tissues; inflammatory degenerative processes and those associated with inflammation on various organs and tissues, particularly on the support and mobility apparatus (tendovaginitis, styloiditis, epicondylitis, bursitis, periarthritis humeroscapularis, arthrosis), damaged discs and other degenerative diseases of the vertebral column with the corresponding intervertebral disorders, commotio cerebri (in association with Vertigoheel).
Otitis media acuta et chronica (oral, parenteral as well as local instillation of the drops), sinusitis.
Suppurative inflammation such as sudoriparous abscesses, furuncles, carbuncles, mastitis puerperalis.
Paradontosis (parenteral, oral, local infiltration in the oral mucosa), fistular suppurations, crural ulcers (ointment, orally and/or parenterally), eczema, neurodermatitis, lichen ruber planus, intertrigo.
In general to stimulate the sulphide enzymes, e.g. in therapeutical damage and in degenerative phases.
As after-treatment after myocardial infarction (regulation of the prothrombin level).
The mechanism of action of Traumeel S arises from a combination effect (Burgi) of vegetable and inorganic chemical factors, which are characterized by the following properties:
1.      Anti-inflammatory and antiviral action of mercurials
2.       Improvement of the vasotonia (Aconitum, Arnica), rendering the vessels
         impervious (action of calcium)
         Elimination of venous stasis and antithrombotic effect (Hamamelis) as
         well as haemostasis (Millefolium), together, with normalization of the
         prothrombin level
3.       Support and improvement of the cellular respiration and oxidation process by means of calcium sulphide and polysulphide (hepar sulfuris)
4.       Stimulation of the main defence system
5.       Stimulation of wound healing and shock control by means of phytotherapeutic agents (Arnica, Calendula, Echinacea, Symphytum); formation of "pus bonum et laudabile" (good and commendable pus)
6.       Analgesic (Aconitum, Arnica, Chamomilla, Hamamelis, Hypericum)
7.       Haemostasis (Aconitum, Arnica, Hamamelis (venous), Hypericum, Millefolium (arterial), calcium sulphide and calcium polysulphide (rendering vessels impervious)
The principal effects of Traumeel S
1.      Regenerative
      Arthrosis, fractures, epicondylitis (tennis elbow), styloiditis radii, tendovaginitis
2.       Anti-exudative
      Swelling of the soft tissues, traumatic, post-operative, commotio cerebri,
      arthrosis (with and without irritating discharge), effusions into a joint 
      spontaneous, traumatic, post-operative; haematomas in the joints (traumatic haemarthrosis), haematomas in the soft tissues, tendovaginitis, bursitis praepatellaris, otitis media
3.       Anti-inflammatory
      Bursitis praepatellaris, epicondylitis (tennis elbow), styloiditis radii, tendovaginitis, otitis media
The dosage is adjusted according to the disease, the clinical picture and the stage of the illness.
Drops: 10 drops directly on the tongue 3 times daily; for swelling of the soft tissues, 30 drops 3 times daily.
Tablets: 1 tablet dissolved on the tongue 3 times daily; at the start of the therapy, possibly 1 tablet every 1/2 hour for 1-2 days.
Ointment: To be rubbed in several times daily (as sport or massage ointment) or spread on.
Ampoules: At first daily, later 1 ampoule 1-3 times weekly i.m., s.c., i.v., i.d. (possibly formation of a wheal), or pericapsularly or periarticularly/infiltratively.