Dexketoprofen 25 mg. 20 tablets

Emcure
Dexketoprofen 25 mg. 20 tablets
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What is dexketoprofen Sandoz and what it is used
Dexketoprofen Sandoz is a pain in the group of t. Pomegranate. Nonsteroidal anti-inflammatory drugs (NSAIDs).
Used to treat mild to moderate pain, for example. muscles, painful menstruation (dysmenorrhea), toothache.

2. What you should know before using dexketoprofen Sandoz
Do not use dexketoprofen Sandoz if:
you are allergic to dexketoprofen trometamol or to any of the other ingredients of this medicine (listed in section 6);
you are allergic to aspirin or other NSAIDs;
suffer from asthma or asthma attacks, acute allergic rhinitis (inflammation of the nasal mucosa for a short period), nasal polyps (growths in the nose due to allergy), urticaria (skin rash), angioedema (swelling of the face, eyes, lips or tongue, or respiratory failure) or wheezing in the chest after taking aspirin or other NSAIDs;
you have or previously had peptic ulcer, bleeding in the stomach or intestines, or chronic digestive problems (eg. indigestion, heartburn);
you have bleeding or perforation of the stomach or intestine due to previous use of non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment of pain;
are suffering from intestinal disease with chronic inflammation (Crohn's disease or ulcerative colitis);
you have severe heart failure, moderate or severe renal impairment or severe hepatic impairment;
suffer from a disease associated with impaired blood clotting or bleeding;
you are pregnant or breast-feeding;
if you are under 18 years old.
Warnings and Precautions
Talk to your doctor or pharmacist before taking dexketoprofen Sandoz:
if you have allergies or you have had allergic problems;
if you have kidney, liver or heart problems (hypertension and / or heart failure) such as fluid retention, or have suffered from some of these problems in the past;
if you are taking diuretics or you are dehydrated and reduced blood volume due to fluid loss (eg. frequent urination, diarrhea or vomiting);
if you have heart problems, previous stroke or think that you are at risk of developing these conditions (eg. if you have high blood pressure, diabetes or high cholesterol or are a smoker) you should discuss your treatment with your doctor or pharmacist . Drugs such as dexketoprofen Sandoz may be associated with a small increased risk of heart attack (myocardial infarction) or stroke. Any risk increases with the increase of the dose or duration of administration. Do not exceed the recommended dose and duration of treatment;
if you are elderly, because it is more likely to experience side effects (see. section 4). If these occur, consult a physician;
if you are a woman with fertility problems (dexketoprofen Sandoz can impair fertility and should not be taken if you are trying to get pregnant or you are doing fertility tests);
if you have a disorder associated with the formation of blood and blood cells;
if you suffer from systemic lupus erythematosus or mixed connective tissue disease (immune system disorders that affect connective tissue);
if in the past have had a chronic inflammatory bowel disease (ulcerative colitis, Crohn's disease);
if you have or previously had other problems with your stomach or intestines;
taking other drugs that increase the risk of peptic ulcer or bleeding, eg. oral steroids, some antidepressants (such as selective inhibitors of serotonin reuptake), substances which prevent the formation of blood clots, such as aspirin or anticoagulants such as warfarin. In these cases, inform your doctor before taking dexketoprofen Sandoz, who may advise you to take additional drugs that protect the stomach (eg. Misoprostol or medicines that prevent the formation of gastric acid).
Children and adolescents
Do not take dexketoprofen Sandoz if you are under 18 years old.

Other medicines and dexketoprofen Sandoz
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. There are drugs which must be taken together, but also drugs, their doses have to be changed, if taken together.

Always tell your doctor, dentist or pharmacist if you are using or receiving any of the following medicines in addition to dexketoprofen Sandoz:
Combinations not recommended:
acetylsalicylic acid (aspirin), corticosteroids or other anti-inflammatory drugs;
warfarin, heparin, or other drugs used for the prevention of blood clots;
Lithium, used for treating certain mood disorders;
methotrexate used in rheumatoid arthritis, and cancer;
hydantoin and phenytoin, used for epilepsy;
sulfamethoxazole used for bacterial infections.
Combinations requiring precautions:
ACE inhibitors, diuretics, beta blockers and angiotensin II, used for high blood pressure and heart disease;
pentoxifylline and oxpentifylline used to treat chronic venous ulcers;
zidovudine used to treat viral infections;
aminoglycoside antibiotics used in the treatment of bacterial infections;
chlorpropamide and glibenclamide used in diabetes.
Combinations that require caution:
quinolone antibiotics (eg. ciprofloxacin, levofloxacin) used for bacterial infections;
cyclosporin or tacrolimus, used to treat immune system diseases, and organ transplantation;
Streptokinase and other thrombolytic or fibrinolytic medicines, ie drugs for the destruction of blood clots;
Probenecid, used in gout;
digoxin, used to treat chronic heart failure;
mifepristone, used to induce abortion (for termination of pregnancy);
an antidepressant such as inhibitors of serotonin reuptake;
Anti-platelet agents used to inhibit platelet aggregation and formation of blood clots.
If you have any doubt about taking other medicines with dexketoprofen Sandoz, consult your doctor or pharmacist.

Dexketoprofen Sandoz with food and drink
Take the tablets with a suitable amount of water. Take the tablets with food as this reduces the risk of side effects on the stomach or intestines. However, if you have acute pain, take the tablets on an empty stomach, ie at least 30 minutes before eating, as this drug will start to act a little faster.

Pregnancy, lactation and fertility
If you are pregnant or breast-feeding, think you may be pregnant or planning to become pregnant, ask your doctor or pharmacist before taking this medicine.
Do not take dexketoprofen Sandoz during pregnancy and lactation.
Tell your doctor if you are pregnant or planning a pregnancy, as dexketoprofen Sandoz may not be suitable for you.
You should not take dexketoprofen Sandoz if you are breastfeeding. Ask your doctor.
If you are a woman with problems related to infertility, dexketoprofen Sandoz may worsen your infertility, which is why you should not take this medicine if trying to become pregnant or if you are doing fertility tests.

Driving and using machines
Dexketoprofen Sandoz may slightly affect your ability to drive and use machines due to the possibility of dizziness or drowsiness as side effects of treatment. If you notice such effects, do not drive or use machines until these symptoms. Consult with your doctor.

3. How to take Sandoz dexketoprofen
Always take dexketoprofen Sandoz exactly as your doctor tells you. If you are not sure, ask your doctor.
Dose of dexketoprofen Sandoz, you need depends on the type, intensity and duration of your pain. Your doctor will tell you how many tablets you need to take each day and how long.
Typically, the recommended dose is 1 tablet (25 mg) every 8 hours, no more than 3 tablets per day (75 mg).
If you are elderly or if you have kidney or liver problems should start treatment with a total dose of not more than 2 tablets (50 mg) per day.
In elderly patients this initial dose may then be increased to the usual recommended dose (75 mg), if dexketoprofen Sandoz is well tolerated.
If your pain is strong and if you need quick relief, take the tablets on an empty stomach (at least 30 minutes before a meal), as well they are digested more easily (see. Point 2 "dexketoprofen Sandoz with food and drink").

If you use more than the amount of dexketoprofen Sandoz
If you have used too much of this medicine, tell your doctor immediately or go to the emergency room of the nearest hospital. Please remember that you should take the medicine pack or this leaflet with you.

If you forget to take dexketoprofen Sandoz
Do not take a double dose to make up for a forgotten tablet. Take the next regular dose when it is due (according to section 3 "How to take dexketoprofen Sandoz").

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Possible side effects are listed below according to how likely they are to occur.

Common side effects (may affect up to 1 in 10 people):
Nausea and / or vomiting, stomach pain, diarrhea, indigestion (dyspepsia).
Uncommon side effects (may affect up to 1 in 100 people):
Dizziness (vertigo), dizziness, drowsiness, sleep disturbances, nervousness, headache, palpitations, flushing, upset stomach, constipation, dry mouth, flatulence, skin rash, fatigue, pain, fever and shivering, feeling unwell.
Rare side effects (may affect less than 1 in 1000 people):
Peptic ulcers, bleeding from peptic ulceration or perforation of peptic ulcer, which can manifest as vomiting blood or black stools, fainting, high blood pressure, slow breathing, water retention and peripheral edema (eg. Ankles) laryngeal edema, lack of appetite (anorexia), abnormal sensation, itchy rash, acne, increased sweating, back pain, frequent urination, menstrual irregularities, violation of the prostate, abnormal results of liver function tests (blood tests ), damage to the liver cells (hepatitis), acute renal failure.
Very rare side effects (may affect up to 1 in 10 000):
Anaphylactic reactions (hypersensitivity reactions, which can lead to loss of consciousness), ulceration of the skin, mouth, eyes and around the genitals (Stevens-Johnson syndrome Lyle), facial swelling or swelling of the lips and throat (angioneurotic edema), shortness of breath due to spasm of the muscles around the airways (bronchospasm), pancreatitis, shortness of breath, rapid heartbeat, low blood pressure, inflammation of the pancreas, blurred vision, ringing in the ears (tinnitus), sensitive skin, sensitivity to light, itching, kidney problems; low white blood cells (neutropenia), decreased number of blood platelets (thrombocytopenia).
Tell your doctor immediately if you notice any stomach / bowel side effects at the start of treatment (eg. Stomach pain, heartburn or bleeding), if you have previously had any side effects due to prolonged use of anti-inflammatory drugs, and especially if you are elderly .
Stop using dexketoprofen Sandoz as soon as possible if you notice a skin rash or lesion in the mouth or genitals, or any sign of allergy.
During treatment with non-steroidal anti-inflammatory drugs have been reported fluid retention and swelling (especially in the ankles and legs), increased blood pressure and heart failure.
Drugs such as dexketoprofen Sandoz may be associated with a small increased risk of heart attack (myocardial infarction) or stroke.
In patients with immune system disorders that affect connective tissue (systemic lupus erythematosus or mixed connective tissue disease), anti-inflammatory medicines may rarely cause fever, headache and neck stiffness.

If you get any side effects, tell your doctor or pharmacist. This includes any possible effects not listed in this leaflet.

5. How to store dexketoprofen Sandoz
Keep out of the reach and sight of children.
Do not use this medicine after the expiry date stated on the carton and blister. The expiry date refers to the last day of that month.
Do not store above 30 ° C. The blisters can be stored in the carton to protect from light.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment
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