TROSICAM 7.5 mg. 20 tablets

NOBEL
TROSICAM 7.5 mg. 20 tablets
€ 14.00
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WHAT TROSICAM TABLETS AND WHAT IT IS USED
Trosicam tablets belong to a group of medicines called nonsteroidal anti-inflammatory drugs (NSAIDs), which can be used to relieve inflammation and pain in joints and muscles. (Tablets, orodispersible tablets are liable to be easily dissolved in the mouth).
Trosicam tablets are used for:
short-term treatment of symptoms of acute osteoarthritis;
long-term treatment of the symptoms of:
rheumatoid arthritis;
ankylosing spondylitis (a disease of the spine).
2. BEFORE YOU TAKE TROSICAM TABLETS
Do not take Trosicam tablets if:
you are allergic to meloxicam or any of the other ingredients (see their list in Section 6);
you are pregnant, planning a pregnancy or breast-feeding;
you are allergic to aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs);
you had signs of asthma, nasal polyps with a runny nose, swelling of the skin or hives when you are taking aspirin or other NSAIDs;
You have or have had ulcers in the stomach or intestines;
have bleeding of any nature or have suffered from bleeding in the stomach or intestines; or bleeding within the brain;
have severe liver disease;
have severe kidney disease and you are not on dialysis;
have kidney failure End-stage hemodialysis;
suffer from severe heart failure;
suffer from Crohn's disease;
you have ulcerative colitis;
suffer from pain after coronary bypass surgery.
If you believe that any of the above applies to you, do not start taking Trosikam tablets.
First, talk to your doctor and follow his advice.

Take special care with Trosicam
Tell your doctor or pharmacist before taking this product:
if you have high blood pressure;
if you have heart, liver or kidney disease;
if you have diabetes;
If you are elderly (65 or older);
if you have an inherited disease called phenylketonuria, as this product contains aspartame (E951);
If you have been told that you have an intolerance to some sugars as this medicine contains sorbitol (E420), a type of sugar;
if you have a reduced amount of blood in the body, which can happen when serious blood loss or burns, surgery or insufficient fluid intake;
if found high levels of potassium in your blood.
Tell your doctor if you think any of the above applies to you.

Warning
Trosikam drugs such as tablets may cause a slightly increased risk of heart attack or stroke. The risk increases at higher doses and long-term treatment. Do not exceed the recommended dose or duration of treatment.
Discuss your treatment with your doctor or pharmacist if you have heart problems, suffered a stroke or are at risk of conditions such as high blood pressure, diabetes or high cholesterol or are a smoker.

Using other medicines
When taking Trosikam, do not take other medicines - including those without a prescription - before talking to your doctor or pharmacist.

Tell your doctor or pharmacist if you are taking any of the following medications:
other non-steroidal anti-inflammatory drugs (NSAIDs), including aspirin;
anti blood clotting such as warfarin, heparin;
medications to break up blood clots;
medicines for high blood pressure;
oral corticosteroids;
cyclosporin;
diuretics (Your doctor may monitor your kidney function if you are taking diuretics)
lithium for the treatment of mood disorders;
selective inhibitors of serotonin reuptake, used to treat depression;
methotrexate;
cholestyramine;
using intrauterine contraceptive known as spiral.
Pregnancy and lactation
Trosikam tablets are not recommended for pregnant and nursing mothers.
Tell your doctor if you are pregnant, you may be pregnant or breast-feeding. Ask your doctor or pharmacist before taking any medications.
Children and adolescents (under 16 years)
This medicine should not be given to children under the age of 16.

Driving and using machines
Do not drive or operate machinery until you see how you act tablets Trosikam.
If your tablets cause drowsiness or sleepiness, or blurred vision, do not drive or operate machinery.

Important information about some of the ingredients of tablets Trosikam
These tablets contain a sweetener aspartame (E951), a source of phenylalanine.
Contact your doctor before you take them, if you inherited disease called phenylketonuria.
These tablets contain sorbitol (E420), a type of sugar.
If you have been told that you have an intolerance to some sugars, contact your doctor before you take them.

3. HOW TO TAKE TROSICAM TABLETS
Always take the tablets Trosikam exactly as your doctor has told you.
If you are unsure, check with your doctor or pharmacist. Read the label carefully.

Method of administration
Place the tablet in the mouth on the tongue;
Wait for her to dissolve slowly over five minutes (never do not chew or swallow undissolved);
Drink 240 ml of water;
If the mouth is dry, is first wetted with water in January;
Never take more than the recommended maximum dose of 15 mg (two tablets) per day.
Dosage
The dosage depends on the medical condition being treated. Your doctor will tell you how much to take.

For treatment of acute attacks of osteoarthritis:
The usual dose is 7.5 mg (one tablet) daily. Your doctor may increase the dose of 15 mg (two tablets) per day, if necessary.
For the treatment of rheumatoid arthritis and ankylosing spondylitis:
The usual dose is 15 mg (two tablets) per day. Your doctor may reduce the dose of 7.5 mg (per tablet) per day, if necessary.
If you are aged 65 or older, the recommended dose for long term treatment of rheumatoid arthritis and ankylosing spondylitis is 7.5 mg (one tablet) per day.
If you suffer from any of the conditions listed in point. 2 "Special precautions for use Trosikam tablets", your doctor may reduce the dose of 7.5 mg (one tablet) per day.
If you feel that the effect of Trosikam tablets is too strong or too weak, or if after a few days did not feel any improvement, consult your doctor or pharmacist.

If take more than necessary on drug
Immediately contact your doctor or pharmacist immediately or go to the emergency room of the nearest hospital by wearing this leaflet or tablets.

If you forget to take a tablet
Never take two doses on the same day to make up for a missed dose.
Take your usual dose the next day.

4. POSSIBLE SIDE EFFECTS
As with all medications, tablets Trosicam may cause side effects, even if not at all.
If you have a history of gastrointestinal symptoms during the adoption of anti-inflammatory drugs, your doctor will monitor you during treatment.
Clinical and scientific studies show that use of some NSAIDs (particularly at high doses and in long term treatment) may slightly increase the risk of blood clots in the arteries (which can for example lead to heart attack or stroke).

Immediately contact your doctor or pharmacist immediately or go to the emergency room of the nearest hospital (by wearing this leaflet or tablets) if you get these serious side effects:
severe allergic reactions, which may include loss of consciousness, difficulty breathing, skin reactions and asthma attacks (common side effects affecting less than 1 to 10 100 persons);
bleeding in the stomach or intestines, peptic ulcers, dry or sore mouth, or inflammation of the esophagus (uncommon side effects affecting less than 1 to 10 per 1000 persons);
blistering or peeling of the skin, swelling around the eyes, lips and face, rashes when exposed to sunlight (rare side effects affecting less than 1 to 10 per 10 000 persons).
Contact your doctor if you experience the following side effects:
Common side effects (affecting less than 1 to 10 per 100 persons):
indigestion, nausea, abdominal pain, constipation, bloating, diarrhea, skin rashes or itching;
dizziness, headache;
swelling of the ankles and legs;
anemia.
Uncommon side effects (affecting less than 1 to 10 per 1000 persons):
hypersensitivity;
urticaria or hives;
palpitations, increased blood pressure, hot flushes;
vertigo, tinnitus, drowsiness;
retention of salt and water; excessively high levels of potassium, changes in renal function;
changes in liver function;
variations in the number of blood cells or platelets.
Rare side effects (affecting less than 1 to 10 per 10 000 persons):
perforation of the intestinal wall, inflammation or soreness of the stomach or intestine (ulcer of the stomach or intestines, bleeding and perforation of the stomach or intestine can occur at any time and sometimes, especially in the elderly, may be severe and in very rare cases less than 1 in 10 000 patients to be fatal);
mood changes, tinnitus, insomnia, nightmares;
visual disturbances such as blurred vision;
liver inflammation (hepatitis);
kidney failure.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

5. HOW TO STORE TROSICAM TABLETS
Be kept out of reach of children.
Do not overstate the tablets into another container.
The product does not require special storage conditions, as required by EU countries.
Trosikam 7.5 mg tablets, orodispersible should not be used after the expiry date stated on the package. The product expires at the last day of the month.
Unused medicines returned to the pharmacist for safe disposal.

6. ADDITIONAL INFORMATION
What Trosicam 7.5 mg tablets
The active substance is meloxicam. Each tablet contains 7.5 mg.
The other ingredients are mannitol (E421), aspartame (E951), sorbitol (E420), citric acid anhydrous (E330) flavor of yogurt, flavor of berries, povidone (E1201), talc (E553), sodium lauryl sulfate and magnesium stearate (E572).

How Trosikam tablets look like and contents of the pack
Trosikam 7.5 mg tablets are round, pale yellow in color with AH6 inscription on one side.
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