Almiral. 50 mg. 20 tablets
Almiral. 50 mg. 20 tablets
Almiral WHAT IS AND WHAT IT IS USED
Diclofenac is an anti-inflammatory drug used for the relief of pain , inflammation and stiffness . Diclofenac works by reducing substances that cause inflammation and pain in the body. It belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs).
Almiral 50 tablets are used for short-term symptomatic treatment of pain , swelling / edema and inflammation in :
rheumatoid arthritis , osteoarthritis, acute gout , back pain , ankylosing spondylitis ;
medical conditions usually affecting the joints and muscles, sprains and strains , stiff shoulder dislocations and fractures ;
medical conditions generally affecting the tendons, such as tendinitis , tenosynovitis , bursitis .
Almiral 50 gastro-resistant tablets are also used for the treatment of pain and inflammation associated with orthopedic , dental , and other minor surgical procedures .
Your doctor will tell you what your treatment .
2 . BEFORE YOU TAKE Almiral
Almiral not take if:
you are allergic to diclofenac , aspirin, ibuprofen or other NSAIDs , or to any of the excipients of Almira . Symptoms of hypersensitivity include swelling / edema of the face and mouth (angioedema) , breathing problems , runny nose , rash or any other allergic reaction ;
ill or have suffered from gastric or duodenal ulcer or bleeding in the digestive tract ( this may include bleeding vomiting or bowel movement , light or dark blood in stool, tarry stools)
have suffered from bleeding in the stomach or intestines, or perforation after taking other NSAIDs ;
suffer from severe heart failure;
you suffer from asthma , urticaria or acute rhinitis and these conditions are enhanced with the use of aspirin , diclofenac or other NSAIDs ;
now you are pregnant, plan to become pregnant or breast-feeding .
Take special care with Almir
if you take other protivobolkovi means;
if you have severe kidney or liver disease ;
if you have experienced stomach pain / heartburn after taking protivobolkovi medicines;
if you have stomach or intestinal disorder such as Crohn's disease or ulcerative colitis;
if you suffer or have suffered from heart , kidney or liver disease , or are elderly ;
suffer from blood disorders ;
if you have heart problems , if you have had a stroke or think that you are at risk of these conditions (for example if you have high blood pressure, diabetes or high cholesterol or are a smoker) .
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines , including medicines obtained without a prescription , herbal products and supplements including:
other non-steroidal anti-inflammatory drugs (NSAIDs) , including . Selective inhibitors of cyclooxygenase - 2 , aspirin or ibuprofen ;
anticoagulants (eg, warfarin) ;
lithium (used for the treatment of certain mental disorders ) or digoxin ( cardiac glycoside used to treat heart disease ) ;
selective inhibitors of the reuptake of serotonin ( paroxetine , fluoxetine ) used to treat depression ;
antiplatelet agents such as aspirin ;
antidiabetic agents ;
methotrexate (used to treat inflammatory disorders and cancer ) ;
steroids ( anti-inflammatory drugs ) ;
" water pills " ( diuretics) ;
cyclosporin or tacrolimus ( used for the treatment of inflammatory diseases , and after transplantation ) ;
ACE inhibitors and angiotensin II- receptor antagonists , and other drugs for the treatment of hypertension.
If you are underweight , or are elderly , take the lowest dose of Almira for the shortest possible period of time.
Drugs such Almiral may be associated with a slightly increased risk of heart attack ( " MI " ) or stroke. Any risk is more likely with high doses and prolonged treatment. Do not exceed the recommended dose and duration of treatment.
If you have heart disease , previous stroke or think that you might be at risk of the existence of these diseases (eg if you have hypertension, diabetes or high cholesterol or are a smoker) you should discuss treatment with your doctor or pharmacist.
If you are taking any other medicines , including those that use without a prescription should also tell your doctor. He may change the dose of any of these drugs , or to discontinue other , since they can reduce the effect of Almir . Always follow your doctor's instructions .
If you have had stomach problems after taking NSAIDs , or are elderly , you should tell your doctor if you notice any unusual symptoms.
Since anti-inflammatory drug , Almir can reduce the symptoms of headache and fever. If you feel tired and you need to visit your doctor , always inform him if you are taking Almira .
Almir should not be used during pregnancy unless clearly necessary . Should be used at the lowest effective dose.
Almir can make getting pregnant more difficult. You should tell your doctor if you become pregnant or have difficulty getting pregnant.
Application of Almira during lactation is not recommended due to insufficient data .
Pregnancy and lactation
Almir should not be used during pregnancy unless the doctor considers it absolutely necessary. Ask your doctor or pharmacist before taking any medicine , including Almira . The use of diclofenac in the last stage of pregnancy should be avoided .
Driving and using machines
If after taking the tablets you feel dizzy , do not drive or operate machinery until disappearance of the reaction.
Important information about the ingredients of Almira - lactose :
Almira contain lactose as an ingredient . Be especially careful if you are intolerant to lactose and sugar and to discuss with your doctor whether you should take this product or not.
3 . HOW TO TAKE Almiral
Your doctor decides when and how much to take. Always follow the doctor's instructions . Always read the leaflet . If you are unsure , ask your doctor or pharmacist .
Almira tablets should be swallowed whole with water. You can take them with meals .
Adults: The usual dose is 75-150 mg daily, divided into two or three doses .
The total daily dose should not exceed 150 mg.
If you are elderly , your doctor will prescribe the dose that is lower than the usual adult dose . Your doctor will closely monitor whether Almira affects your stomach.
Children ( 1-12 years )
50 mg tablets are not suitable for children under the age of one to 12 years.
If you forget to take Almir
If you forget to take your medicine , you can take it when you remember, and the next dose at the usual time. Do not take two doses at once. If you are unsure about anything, ask your doctor or pharmacist.
If you take more than the amount of Almiral
If you accidentally take too many tablets, immediately ask your doctor or go to the nearest hospital . Always carried with him.
4 . POSSIBLE SIDE EFFECTS
As with all medicines , some people sometimes experience side effects during treatment with Almira . These are called side effects.
If you experience any of the following , stop taking Almira and immediately seek medical attention or call your doctor:
signs of stomach or intestinal bleeding ( black stools , bleeding in vomiting);
stomach pain, indigestion , burning, gas or nausea (feeling of weakness) , or vomiting ;
skin rash , itching or bruising, painful red spots , skin or rash ;
sudden attack of breathlessness or wheezing (bronchospasm ) ;
swelling of face, lips , hands, or fingers ;
yellowing of the skin or whites of the eyes ;
prolonged sore throat or fever (fever) ;
unexpected changes in the type and quantity of urine.
May occur other uncommon events such as :
diarrhea , indigestion, loss of appetite, abdominal cramps ;
headache, dizziness , vertigo ( tinnitus ) ;
rashes or skin lesions ;
increase in enzymes in blood indicative of liver function.
Medicinal product may rarely cause :
bleeding from the gastrointestinal tract , gastritis ;
drowsiness , fatigue , hypotension ( low blood pressure manifest the following symptoms: lightheadedness , dizziness , headache ) ;
fluid retention, which includes symptoms such as swelling of the ankle ;
hepatitis , with or without jaundice .
Very rare medicinal product may cause:
tremor , abnormal sensitivity , drowsiness , nightmares , mood swings , depression , anger, mental disturbances , confusion , hallucinations , anxiety , disorientation , loss of consciousness , psychotic reactions , aseptic meningitis ( with symptoms such as fever , stiff neck , headache, nausea and vomiting);
constipation , inflammation of the tongue, oral ulcers , intestinal disorders (including inflammatory bowel disease ) ;
palpitations (fast or impaired ) , back pain , hypertension ( high blood pressure) , inflammation of the lungs ( pneumonia) or blood vessels ( vasculitis) , severe heart failure ;
blood disorders (including anemia) ;
acute renal failure, blood in the urine , inflammation of kidney tissue ( nephritis ) , liver inflammation ( hepatitis ) ;
visual impairment , hearing loss , impotence ;
bullous reactions ( skin reactions with blisters ), including so -called syndrome of Stevens-Johnson syndrome and Lyell, and other skin rashes that may worsen after sun exposure, hair loss.
Drugs such Almir may be associated with a slightly increased risk of heart attack ( " MI " ) or stroke.
Do not worry by this list of possible reactions . When you can not show any of them .
If there are other effects that you think are caused by Almir tell your doctor or pharmacist.
5 . HOW TO STORE Almiral
Keep out of reach of children. Do not store above 25 ° C. Store in original container.
Be stored in a place protected from light.
Do not use after the expiry date stated on the carton and on each blister .
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required . These measures will help to protect the environment.
6 . OTHER INFORMATION
What does Almiral
The active ingredient is diclofenac (diclofenac) as diclofenac sodium.
Each tablet contains 50 mg of diclofenac such as diclofenac sodium.
Other ingredients are: microcrystalline cellulose , lactose monohydrate , croscarmellose sodium , silica , colloidal anhydrous , magnesium stearate, propylene glycol, talc , simethicone , a methacrylic acid copolymer type C , Opadry Orange OY- 3538 .
Almiral looks like and contents of the pack
Almiral 50 mg gastro-resistant tablets are orange , round, convex tablets a diameter 9,5 mm.
Almiral 50 mg gastro-resistant tablets are supplied in aluminum / PVC blister packs of 10 tablets in blister pack of 2 .