NALGESIN FORTE 550 mg. 20 tablets
Nalgesin forte medicine with analgesic, anti-inflammatory and high temperature operation.
It acts by inhibiting the synthesis of prostaglandins. The tablets are well soluble and therefore the product starts to act very quickly, about 15 minutes.
It is used for short-term symptomatic treatment of pain.
Doctors prescribe Nalgesin forte:
After injuries, sprains and strains;
After surgery and tooth extraction;
Gynecological pain (pain in menstruation, after inserting the intrauterine spiral and other types of pain);
Headache and toothache;
For the prophylaxis and treatment of migraine;
Pain of the spine;
With pain in muscles, bones and joints;
In infectious diseases, such as, in addition to the specific treatment to reduce pain, inflammation, and fever;
In rheumatic diseases (rheumatoid arthritis, juvenile chronic arthritis, osteoarthritis, ankylosing spondylitis and gout), by the expression inflammatory and analgesic effects.
Nalgesin forte is only available with a prescription.
2. BEFORE YOU TAKE NALGECIN FORTE
Tell your doctor if you have any chronic disease, disorder of metabolism, if you have hypersensitivity to naproxen, or if you are taking other medicines.
Do not take Nalgesin forte:
You should not take the drug:
If you have hypersensitivity to naproxen, to any of the excipients, or to aspirin or other NSAIDs;
If you have an ulcer or other diseases of the gastrointestinal tract;
If you are taking while other painkillers (aspirin or other NSAIDs);
If you have severe liver or kidney problems;
If you suffer from severe heart failure;
During the last trimester of pregnancy.
Nalgesin forte is not recommended for use in children and adolescents under 16 years of age.
Take special care with Nalgesin forte
The frequency of side effects can be reduced by controlling the symptoms used the lowest effective dose for the shortest possible period of time.
If you suffer from a disease of the gastrointestinal tract or have had such if you have liver disease or kidney or heart failure and taking naproxen, you should be closely monitored by a doctor.
Consult your doctor if you are being treated for epilepsy, because very rare, but can disrupt the metabolism of blood pigment (porphyria).
Tell your doctor if you have impaired blood clotting or if you are taking medicines to prevent blood clotting (anticoagulants) or drugs that dissolve existing blood clots (fibrinolytic).
Drugs such as Nalgesin may be associated with a small increased risk of heart attack ("myocardial infarction") 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 problems, experienced stroke or think that you might be at risk of these conditions (for example if you have high blood pressure, diabetes, high cholesterol or are a smoker) you should discuss your treatment with your doctor or pharmacist.
Avoid the use of naproxen in severe injuries and fresh at least 48 hours before the time for major surgery.
Older patients should take the lowest effective dose Nalgesin forte.
One tablet Nalgesin forte contains approximately 50 mg sodium. You should keep this in mind if you need to take a limited amount of salt.
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.
Nalgesin forte and certain other medicines can interact with the effect of one or the other drug can be strengthened or weakened. Tell your doctor or pharmacist if you are taking:
Other analgesics (painkillers), aspirin or other NSAIDs;
Medicines containing the same active substance, naproxen;
Medicines to prevent blood clotting (anticoagulants) or medicines that dissolve existing clots (fibrinolytic);
Derivatives of hydantoin and sulphonylurea;
Medicines to treat high blood pressure;
Drugs that increase urine output (furosemide);
Medicines to treat mental disorders (lithium);
Immunosuppressants (drugs suppress the immune system (cyclosporine));
Drugs for the treatment of malignant diseases (methotrexate);
Naproxen is reacted with beta blockers;
May also affect the results of laboratory tests - suppresses reduction of platelet aggregation and a related prolongation of bleeding.
Taking Nalgesin forte with food and drink
Swallow the tablets whole with some liquid. You can take them before, during or after meals.
If taken with alcoholic beverages Nalgesin forte may increase the risk of stomach bleeding.
Pregnancy and lactation
Ask your doctor or pharmacist before taking any medicine.
Naproxen is not recommended during pregnancy. The doctor will decide if the potential benefit outweighs the risk to pregnant the fetus. So we need to take medication during pregnancy only after consultation with a doctor.
You should not take the drug in the last trimester of pregnancy.
Breastfeeding is not recommended during treatment with Nalgesin forte.
Driving and using machines
Naproxen may affect the ability to drive and use machines in dizziness, drowsiness, disturbances in vision, depression and others.
3. HOW TO TAKE NALGECIN FORTE?
Always take Nalgesin forte exactly as prescribed by your doctor. If you are not sure, ask your doctor or pharmacist.
Strictly follow the prescription. Should not change the dose or stop treatment without consulting a doctor.
The usual daily dose for the treatment of pain is 550 mg (1 tablet) to 1100 mg (2 tablets). The starting dose is 550 mg, followed by 275 mg (1/2 tablet) every 6 to 8 hours. In patients who tolerate lower doses well and did not have a gastrointestinal disorder, the daily dose may be increased up to 1650 mg (3 tablets) in the case of very severe pain, but not longer than two weeks.
The initial dose for antipyretic (lowering the temperature) treatment is 550 mg, followed by 275 mg every 6 to 8 hours.
For the prevention of migraine headaches are recommended twice daily 550 mg. In cases where the frequency, severity and duration of migraine attacks do not reduce from 4 to 6 weeks, medication should be discontinued. For migraine treatment take 825 mg (1 and 1/2 tablet) at the first sign of migraine and if necessary 275 mg to 550 mg after 30 minutes.
To relieve menstrual pain and cramps after the insertion of an intrauterine spiral or other gynecological pain, the recommended starting dose is 550 mg, followed by 275 mg every 6 to 8 hours.
When a flare of gout, the starting dose is 825 mg, followed by 550 mg after 8 hours and 275 mg every 8 hours until the termination of the attack.
In rheumatoid arthritis, osteoarthritis and ankylosing spondylitis The usual starting dose is 550 mg to 1100 mg, divided into morning and evening reception. A starting dose of 825 mg to 1650 mg is recommended for patients with severe night pain or severe morning stiffness in patients who had received high doses of other anti-inflammatory medications and pass naproxen in patients with osteoarthritis pain is a major symptom . Continue treatment with daily doses of 550 mg to 1100 mg, most preferably in two doses. The morning and evening doses need not be equal. You can adapt them according to the prevailing symptoms i. E. Nocturnal pain or morning stiffness. In some patients, a single dose a day, morning or evening is sufficient.
Nalgesin forte is not recommended for use in children and adolescents under 16 years of age.
If you have the impression that the effect of the drug is too strong or too weak, consult your doctor or pharmacist.
If you take more dose Nalgesin forte
If you take more Nalgesin forte than you should consult with your doctor or pharmacist immediately.
Overdosage most commonly observed side effects in the gastrointestinal tract, kidneys and liver. In these cases, the doctor will lower the dose, but in severe cases, you should stop taking it immediately and consult your doctor.
In case of deliberate ingestion of a large number of tablets the doctor will take appropriate measures.
If you forget to take Nalgesin forte
Do not take a double dose to make up.
If you forget to take your medicine at the right time do it as soon as you remember. Do not double doses.
If you stop taking Nalgesin forte
If you take naproxen for short-term relief of pain, you can stop taking it as soon as you no longer need it. If your doctor has prescribed for long-term treatment, you should consult with him before are stopping treatment.
4. POSSIBLE SIDE EFFECTS
Like all medicines Nalgesin forte can cause side effects, although not everybody gets them.
At the recommended dose, naproxen was well tolerated in both short-term treatment, and when used for a longer period. May occur: stomach pain, nausea, vomiting, dizziness, dizziness, photophobia, headache, or ringing in the ears (tinnitus). All these adverse reactions were mild and did not require discontinuation of treatment.
Very rarely can be observed violations by the gastrointestinal tract, such as bleeding, hypersensitivity (allergy), raising the level of enzymes indicative of liver function, changes in blood chemistry, blood in urine, worsening of renal function or even kidney failure especially in cases where there is already kidney damage. These are serious side effects that require immediate medical attention.
Drugs such as Nalgesin forte may be associated with a small increased risk of heart attack ("myocardial infarction") or stroke.
If any of the side effects gets serious, or if you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.
5. HOW TO STORE NALGECIN FORTE?
Do not use Nalgesin forte after the expiry date stated on the pack.
Do not store above 25 ° C.
Keep out of reach of children.
6. FURTHER INFORMATION
What Nalgesin Forte?
The active substance is naproxen sodium (naproxen sodium).
The other ingredients are povidone, microcrystalline cellulose, talc, magnesium stearate, hydroxypropyl methylcellulose, titanium dioxide (E171), macrogol 8000, indigotine (E 132).
One tablet contains 550 mg naproxen sodium.