What is Lyman 200'000 forte emgel, gel or ointment and when is it used?

Lyman 200'000 forte Emgel, gel or ointment contains heparin, dexpanthenol and allantoin and is a medicine for external use.

•The heparin contained in the preparation has anticoagulant, anti-inflammatory, analgesic and decongestant effects. In addition, heparin improves blood circulation when used externally.

•The two components dexpanthenol and allantoin accelerate the transport of heparin through the skin.

•Dexpanthenol is converted in the skin into the vitamin pantothenic acid, which ensures the normal function of the tissue.

•Allantoin stimulates the metabolic processes of the layers of connective tissue beneath the skin by stimulating cell growth and the removal of metabolic products.

Lyman 200'000 forte Emgel, gel or ointment is used:

•For symptoms associated with varicose veins such as pain, heaviness and swelling of the legs (stasis edema).

•For blunt sports injuries and accidental injuries such as bruises, contusions, swelling and strains with bruising.

•For muscle and tendon pain.

With a doctor's prescription, Lyman 200'000 forte Emgel, gel or ointment can also be used for (superficial) phlebitis, for the follow-up treatment of sclerotherapy and to support venous thrombosis.

What should be considered?

Follow the advice of your doctor that goes beyond the actual dosage recommendations (e.g. gymnastics or wearing support stockings).

When should Lyman 200'000 forte Emgel, gel or ointment not be used?

In the event of hypersensitivity to one of the active ingredients or one of the excipients, Lyman 200'000 forte should not be used Emgel, gel or ointment are not used. In the case of heparin-induced thrombocytopenia (HIT, lack of blood platelets caused by heparin), Lyman 200'000 forte Emgel, gel or ointment must not be used.

Lyman 200'000 ointment contains peanut oil and should not be used if you are hypersensitive to peanuts or soya.

When should you be careful when using Lyman 200'000 forte Emgel, gel or ointment?

Lyman 200'000 forte Emgel contains 10 mg benzyl alcohol per 1 g Emgel and macrogolglycerol hydroxystearate. Benzyl alcohol may cause allergic and mild local irritation. Macrogolglycerol hydroxystearate may cause skin irritation.

Lyman 200'000 forte Gel contains 10 mg benzyl alcohol per 1 g gel. Benzyl alcohol may cause allergic and mild local irritation.

Lyman 200'000 forte ointment contains peanut oil, 150 mg propylene glycol, cetostearyl alcohol, 1 mg - 5 mg sodium lauryl sulfate, methyl parahydroxybenzoate and propyl parahydroxybenzoate per 1 g of ointment.

The ointment contains peanut oil. It must not be used if you are hypersensitive (allergic) to peanut or soy. Propylene glycol may cause skin irritation. Cetylstearyl alcohol may cause localized skin irritation (e.g. contact dermatitis). Sodium Lauryl Sulfate may cause local skin reactions (like a stinging or burning sensation) or increase skin reactions caused by other products applied to the same skin area. Methyl parahydroxybenzoate and propyl parahydroxybenzoate can cause allergic reactions, including delayed reactions.

Wash your hands after applying or rubbing in Lyman 200'000 forte Emgel, gel or ointment. Avoid contact with eyes. Use only on intact skin, not on mucous membranes and on open wounds. In the case of venous diseases that are due to the presence of a blood clot (a so-called thrombosis), massage should not be used. If the symptoms persist or worsen, a doctor should be consulted.

Due to the heparin contained in Lyman 200'000 forte Emgel, gel or ointment, an interaction with medicines that inhibit blood clotting (these include medicines for blood thinning as well as many painkillers and rheumatism medicines) cannot be completely ruled out. However, a resulting increased risk of bleeding is unlikely, since heparin hardly ever gets into the bloodstream when Lyman 200'000 forte Emgel, gel or ointment is used correctly. You should ask your doctor for advice if you are using Lyman 200'000 forte Emgel, gel or ointment and the medicines mentioned at the same time.

Tell your doctor, pharmacist or druggist if you

•suffer from other diseases,

•have allergies or

•Take other medicines (including those you bought yourself!) or use them externally!

Can Lyman 200'000 forte emgel, gel or ointment be used during pregnancy or breastfeeding?

Based on previous experience, there is no risk of the child known. However, systematic scientific investigations have never been carried out. As a precaution, you should avoid taking medicines during pregnancy and breastfeeding or ask your doctor, pharmacist or druggist for advice.

How do you use Lyman 200'000 forte emgel, gel or ointment?

Adults: Unless otherwise instructed by the doctor prescribed, apply an approx. 5 cm long strand to the areas of intact skin to be treated and to the surrounding areas of skin 2-3 times a day and rub in lightly. Massage direction for the legs: from bottom to top.

In the case of phlebitis, do not rub in the Emgel, gel or ointment, but apply it thickly with a knife and put on a bandage. This type of application is not suitable for children, since an increased absorption of the active ingredient through the skin cannot be ruled out, especially in small children due to the sealing effect of the bandage.

The duration of use is not limited, but if the symptoms persist or worsen, the doctor should be consulted.

Children and adolescents: The use and safety of Lyman 200'000 forte Emgel, gel or ointment in children and adolescents has not yet been tested.

Lyman 200'000 Gel has a cooling effect and is suitable for treating large areas that are sensitive to pain.

When Lyman 200'000 forte ointment is massaged in, a white film initially forms on the skin, which disappears as the massage continues, as the ointment penetrates completely into the skin.

Stick to the dosage given in the package leaflet or as prescribed by your doctor. If you think the medicine is too weak or too strong, talk to your doctor, pharmacist or druggist.

What side effects can Lyman 200'000 forte emgel, gel or ointment have?

Rarely (affects 1 to 10 out of 10'000 users)

An allergy can develop in hypersensitive patients. In such cases, treatment should be discontinued.

If you get any side effects, talk to your doctor, pharmacist or druggist. This also applies in particular to side effects that are not listed in this leaflet.

What else needs to be considered?

The medicinal product may only be used up to the date marked «EXP» on the container.

Keep out of the reach of children, at room temperature (15°C-25°C) and in the original packaging.

Your doctor, pharmacist or druggist can provide you with further information. These people have the detailed information for specialists.

What does Lyman 200'000 forte Emgel, gel or ointment contain?

1 g Lyman 200'000 forte Emgel contains:

Active ingredients: 2,000 IU heparin, 4 mg dexpanthenol, 3 mg allantoin

Excipients: octyldodecanol, isopropyl alcohol, carbomer 980, benzyl alcohol, trometamol, macrogolglycerol hydroxystearate, lavender oil, macrogollauryl ether, purified water

1 g Lyman 200'000 forte gel contains:

Active ingredients: 2,000 IU heparin, 4 mg dexpanthenol, 3 mg allantoin

Excipients: Carbomer 980, isopropyl alcohol, benzyl alcohol, trometamol, macrogollauryl ether, lavender oil, purified water

1 g Lyman 200'000 forte ointment contains:

Active ingredients: 2,000 IU heparin, 4 mg dexpanthenol, 3 mg allantoin

Excipients: hydrogenated peanut oil, propylene glycol (E1520), cetostearyl alcohol, sodium cetylstearyl sulfate, sodium lauril sulfate, potassium monohydrogen phosphatet, disodium phosphate, methyl parahydroxybenzoate (E218), propyl parahydroxybenzoate, lavender oil, purified water

Approval number

52855 (Swissmedic)

45564 (Swissmedic)

43511 (Swissmedic)

Where can you get Lyman 200'000 forte emgel, gel or ointment? What packs are available?

In pharmacies and drugstores, without a doctor's prescription.

Lyman 200'000 forte Emgel: tubes of 60 g and 100 g

Lyman 200'000 forte gel: tubes of 40 g and 100 g

Lyman 200'000 forte ointment: tubes of 40 g and 100 g

Authorization holder

Drossapharm AG, Basel

This package leaflet was last checked by the medicines authority (Swissmedic) in March 2021.