TILCOTIL 20 mg. 10 tablets
Tilkotil contains the active substance tenoxicam, which relieves the inflammatory pain (NSAID). Tilkotil used to treat muscle and joint pain, acute attack of gout, pain after surgery and menstrual pain.
Tilcotil be prescribed by doctors in acute and chronic painful inflammatory conditions of the joints, muscles, tendons, ligaments, as well as an acute attack of gout. Used and painful menstruation and relieve pain after operations. Tilkotil a strong and lasting effect on pain, inflammation and / or swelling. The drug does not cure chronic rheumatic disease, but favorably affected accompanying complaints.
2 What you should know before taking Tilcotil
Do not use Tilcotil
- If you are allergic (hypersensitive) to tenoxican or any of the other ingredients of Tilkotil or to another painkiller or anti-rheumatic drugs. Therefore, you should inform your doctor if you know that you have an allergy.
- If you have or have had stomach or bowel disease (eg. Gastric ulcer or duodenal). If you have any doubt, consult with your doctor.
Take special care with Tilcotil
Before starting treatment, make sure your doctor if you have problems with:
- Kidney or liver
- Blood disorders
- Another disease
If you have surgery, you should tell your doctor that you are being treated with Tilkotil to get advice on how to proceed with treatment.
Side effects can be avoided or reduced if taken at the lowest possible therapeutic dose for the shortest possible time.
Drugs such as Tilcotil 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, previous 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 .
When using tenoxicam were observed potential life-threatening skin reactions (Syndrome Stevens-Johnson, toxic epidermal necrolysis), which appear in the body as red spots or circular areas, often with bumps in the middle. Additional signs to look for are ulcers in the mouth, throat, nose, genitals and conjunctivitis (red and swollen eyes).
These potentially life-threatening rashes are often accompanied by flu-like symptoms. Rashes can occur in widespread swelling and flaking of the skin.
The highest risk of serious skin reactions in the first weeks of treatment.
If you develop a syndrome of Stevens-Johnson and toxic epidermal necrolysis in use tenoxican, you should never take again tenoxican. If you get a rash or these skin symptoms, contact your doctor immediately and say that you are taking this medicine.
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. This is particularly important, as taking more than one drug at the same time can strengthen or weaken the effect of any of the medications. For example, drugs used to treat muscle and joint pain (salicylates or other NSAIDs) may increase the incidence of adverse reactions from the gastrointestinal tract (stomach irritation), if administered with Tilkotil. Tilkotil should be used with caution, if performed concomitant treatment with medicines containing the active ingredient methotrexate, as they may develop severe side effects associated with changes in the blood, liver or kidney problems, diarrhea or inflammation and Dam your mouth . Combining Tilkotil and lithium salts can cause the occurrence of other side effects such as tremors, vomiting, skin rashes, and fluid retention. From the group of diuretics (drugs that increase urine output), you should avoid adopting simultaneously Tilkotil so-called potassium-sparing diuretics, as it can damage the kidney function. Tilkotil can suppress the effect of certain drugs to treat high blood pressure (hydrochlorothiazide, alpha adrenergic blockers, and ACE inhibitors).
If you take Tilcotil simultaneously with anticoagulants (drugs preventing blood clotting), antidiabetic agents or corticosteroids (medicines to treat, for example, allergic conditions such as asthma and skin problems), your doctor should take blood for laboratory tests. If you need more information, please discuss this with your doctor.
Pregnancy, lactation and fertility
Ask your doctor or pharmacist before taking any medicine.
Before starting treatment, you should inform your doctor if you are pregnant, think you may be pregnant or intend to become pregnant. Your doctor will decide whether you can make treatment Tilkotil.
Tilkotil passes into breast milk in small quantities. Your doctor will decide if you can make treatment Tilkotil while breastfeeding.
Driving and using machines
Depending on your individual response to Tilkotil may find that affected your ability to drive or operate machinery. Therefore, you should know what is your reaction to Tilkotil before driving or operating machinery.
Important information about some of the ingredients of Tilcotil
Tilkotil tablet contains lactose If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this product.
3. How to take Tilcotil
Always take Tilkotil exactly as your doctor tells you. If you're not sure, ask your doctor or pharmacist. Rheumatic diseases> muscle and joint pain
Generally, administration of 1 tablet (20 mg of Tilkotil) daily is enough. But if your doctor decides may prescribe another treatment.
Acute attack of gout
This condition is most effective The following dosage schedule:
Day 1st and 2nd: 2 tablets once daily (40 mg of Tilkotil). Day 3rd to 7th: 1 tablet once daily (20 mg of Tilkotil).
Pain after surgery
Usually recommended daily dose of 2 tablets, a treatment duration of 5 days.
Depending on the intensity of pain, it is recommended daily dose of 1 tablet. Always take Tilkotil at the same time each day, preferably during or immediately after a meal. Tablets should be taken not chewed along with water or soft drink.
Once-daily dose should not exceed 2 tablets corresponding to 40 mg of Tilkotil. Soon after taking the drug, it began to show its therapeutic effect. In the course of the treatment effect is amplified.
No special dose adjustment in elderly patients.
If you have problems with the liver, kidneys, heart, stomach or blood system, your doctor will decide if you can make treatment Tilkotil in lower doses or no need to conduct such treatment. Please carefully follow the doctor's instructions.
Tilcotil treatment can be accompanied by other measures such as cold and hot baths, exercise or massage.
These additional therapies must be selected and performed in each patient individually after medical advice.
If you take more dose Tilcotil
If you or someone considered very high dose Tilkotil, you must immediately inform your doctor or the nearest hospital.
If you forget to take Tilcotil
If you miss a dose, take it as soon as possible and then continue with your usual regimen.
With prolonged treatment, the doctor may prescribe a lower dose to maintain the effects of treatment.
Do not change its decision on the prescribed dose. If you feel that the effect of therapy is too strong or too weak, talk to your doctor.
If you stop using Tilcotil
Your doctor knows best when to stop treatment with Tilkotil. At the same time you have every right to tell your doctor that you want to stop your treatment with this medicine.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, Tilkotil can cause side effects, although not everybody gets them.
Most patients tolerate treatment with Tilkotil.
The most common side effects are:
- Gastrointestinal irritation, burning and nausea
- Loss of appetite and dry mouth,
- Can sometimes show weakness,
- Sleep disorder
- Dizziness or
These effects are usually temporary and rarely require discontinuation of treatment.
In single cases have been reported:
- Swelling of the ankles,
- Increased sensitivity to light,
- Impaired vision
- Black stools (faeces)
- Vomiting blood,
- Severe stomach pain
- Swelling of the face,
- Flu-like symptoms.
If you notice any of these symptoms, you should immediately notify your doctor. He may advise you to discontinue treatment with Tilkotil.
Drugs such as Tilkotil may be associated with a small increased risk of heart attack ("myocardial infarction *") or stroke.
Very rarely using tenoxican observed potentially life-threatening skin reactions (syndrome Stevens-Johnson, toxic epidermal necrolysis).
If any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.
5. How to store Tilcotil
Keep out of reach of children. Be stored below 30 ° C.
Do not use Tilkotil after the expiry date (EXP :) stated on the carton.
The expiry date refers to the last day of that month.
6. Contents of the pack and further information
The active substance is tenoxicam.
The other ingredients are for the core - lactose, corn starch, talc, magnesium stearate, film-coating - hydroxypropylmethylcellulose, talc, titanium dioxide (E 171), iron oxide yellow (E 172).
Each tablet contains 20 mg of tenoxicam.
Tilkotil looks like and contents of the pack?
Tilkotil tablets of 20 mg are gray-yellow, oblong, scored on one side and "20" on the other. The tablets are available in 10 pieces in one blister; 10 tablets per pack.