Voltaren amp. 75 mg. 3 ml. 5amp

Voltaren amp. 75 mg. 3 ml. 5amp
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Your medicine is called Voltaren and comes in the form of an ampoule, a solution for injection. Each ampoule contains 75 mg of the active ingredient diclofenac sodium.
Voltaren belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs), which are used to treat pain and inflammation.

Voltaren amp. 75 mg. 3 ml. 5amp
 
Voltaren WHAT IS AND WHAT IT IS USED

Your medicine is called Voltaren and comes in the form of an ampoule , a solution for injection. Each ampoule contains 75 mg of the active ingredient diclofenac sodium.
Voltaren belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs ), which are used to treat pain and inflammation.

For what use Voltaren ?
Intramuscular injections Voltaren used to treat the following conditions:
pain in rheumatic crises and pains ( arthritis) , back pain syndrome, " frozen shoulder ", " tennis elbow " and other forms of rheumatism ;
gout attacks ;
pain gallstones or kidney ;
pain and swelling after surgery and injuries;
severe migraine attacks .
Intravenous infusions of Voltaren used for treating or preventing pain following surgery .

How does Voltaren
Voltaren alleviates the symptoms of inflammation such as pain and swelling , by blocking the synthesis of the molecules ( prostagladnini ) that cause inflammation , pain and fever . He does not act on the causes of inflammation or fever .
If you have questions concerning the operation of Voltaren or why you are prescribed this medication , contact your doctor.

Monitored during treatment with Voltaren
If you have liver , kidney or blood during treatment will be blood tests . This will monitor liver function ( transaminase levels ) , kidney function ( creatinine level ) or the number of your blood cells ( red and white blood cells and platelets) . Based on these blood tests, your doctor will decide whether to discontinue Voltaren or change the dose.

2 . BEFORE YOU USE Voltaren
Follow all instructions of your doctor, even if they differ from the general information in this leaflet.

DO NOT use Voltaren
If you are allergic (hypersensitive) to diclofenac sodium metabisulfite or any of the other ingredients in Voltaren listed at the end of this leaflet ;
if you have ever had an allergic reaction when taking drugs against inflammation and pain (such as acetylsalicylic kiselilna / aspirin , diclofenac or ibuprofen) . Reactions can include asthma, runny nose , skin rash , swelling of the face. If you think you may be allergic , ask your doctor ;
if you have a stomach ulcer or duodenal ulcer ;
if you have gastrointestinal bleeding or perforation, symptoms of which may be blood in the stool or black stools ;
if you have severe kidney or liver disease ;
if you have severe heart disease ;
if you are in the last three months of pregnancy.
If you have any of these conditions , talk to your doctor and do not take Voltaren .
If you think you may be allergic , ask your doctor.

Caution should be exercised with Voltaren :
if you are taking Voltaren together with other anti-inflammatory drugs including aspirin / aspirin , corticosteroids , anticoagulants or selective inhibitors of serotonin reuptake "SSRI * ( see " Taking other medicines ") ;
If you suffer from asthma or hay fever (seasonal allergic rhinitis) ;
if you have or have ever had gastrointestinal problems such as stomach ulcer, bleeding or black stools , or stomach or heartburn after taking NSAIDs ;
if you have inflammatory bowel disease ( ulcerative colitis ) or the small intestine (Crohn's disease ) ;
if you have or have had heart problems or high blood pressure;
if you have kidney or liver disease ;
if you are dehydrated (from sickness , diarrhea, before or after surgery ) ;
if you have swollen feet ;
if you have an increased tendency to bleed or other blood disorders , including rare liver disease called porphyria .
If you have any of the following conditions inform your doctor before taking Voltaren injection.
Voltaren can suppress symptoms of infection (headache , fever ) and this can make it hard to find and difficult to treat it if you do not feel well and you need to consult a doctor , make sure you tell him that you are taking Voltaren .
In very rare cases, Voltaren , like other anti-inflammatory drugs can cause severe allergic skin reactions (eg rash) .

If you experience any of these symptoms , contact your doctor immediately .
Taking other medicines
It is particularly important to tell your doctor if you are taking any of the following medicines:
Lithium or selective inhibitors of serotonin reuptake (SSRIs) - medicines used to treat certain types of depression ;
Digoxin (a medicine used for heart problems);
Diuretics ( drugs that increase the amount of urine ) ;
ACE inhibitors and beta -blockers ( classes of drugs used in the treatment of hypertension and heart failure ) ;
Other anti-inflammatory drugs such as acetylsalicylic acid / aspirin or ibuprofen ;
Corticosteroids (medicines used to provide relief for inflamed areas of the body ) ;
Anticoagulants ( medicines to prevent blood clotting) ;
Medicines for diabetes , excluding insulin;
Methotrexate (a drug used to treat certain types of cancer or arthritis ) ;
Ciclosporin , tacrolimus (medicines used mainly in patients undergoing transplantation ) ;
Trimethoprim ( drug used to prevent or treat urinary tract infections ) ;
Quinolone antibacterial agents ( medicines used to treat infections)
Voriconazole (a medicine used to treat fungal infections) ;
Phenytoin (a medicine used to treat seizures) .
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Elderly
Elderly patients may be more sensitive to the effects of Voltaren than other adults. Therefore, they should be especially careful to follow the doctor's instructions and take the minimum dose for their condition. It is very important for older patients to promptly report to their physician any side effects.

Children and adolescents
Voltaren solution for injection should not be used in children and adolescents (under 18 years).

Pregnancy and lactation
If you are pregnant or think you may be pregnant , contact your doctor.
You should not take Voltaren injection if you are pregnant , unless absolutely necessary.
As with other anti-inflammatory drugs should not take Voltaren injection in the last 3 months of pregnancy because it may harm an unborn baby or cause problems at birth.

You must tell your doctor if you are breast-feeding.
You should not breastfeed while taking Voltaren , as this can harm your child.
Consult your doctor or pharmacist before taking any medicine.
Your doctor will discuss with you the potential risk of taking Voltaren during pregnancy or breastfeeding.

Women of childbearing potential
Voltaren can hinder conception . You should not take Voltaren injection if you are planning to become pregnant or have difficulty conceiving .

Driving and using machines
Is unlikely to affect driving ability, operating machinery , or other activities requiring alertness .

3 . HOW TO USE Voltaren
Always use Voltaren exactly as your doctor tells you . Do not exceed recommended dosage.

Voltaren how to take
Do not exceed recommended dosage. It is very important to take the lowest dose of Voltaren injection relieves your pain and you should not keep taking more than necessary.
Your doctor will tell you how much and what dose of Voltaren injection to accept. Depending on how you affect treatment, your doctor may suggest a higher or lower dose.

adults
Typically, for adult is administered per one ampoule for a period of two days, in some cases, can be applied and two ampoules. In need of continuing treatment with Voltaren , use tablets or suppositories.

How to use Voltaren
intramuscular injections
The solution is withdrawn from the vial into a syringe and injected into the muscles of the deep bottom.

intravenous injections
The solution is diluted with at least 100 ml of physiological saline or glucose and slowly infused into the vein . Do not inject quickly.

How long to take Voltaren
Follow the instructions of your doctor.
If you take Voltaren more than a few weeks , you should go to regular review with your doctor to make sure you 're not noticeable side effects . If you have any further questions on the use of this product, ask your doctor or pharmacist.

If you take more than the amount of Voltaren
If you accidentally take too much Voltaren dose , contact your doctor or pharmacist or go to the nearest emergency room .
You may need medical attention.

If you forget to take Voltaren
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose , skip the missed again and continue your regular dosing schedule . Do not take a double dose to make up for a missed dose.

4 . POSSIBLE SIDE EFFECTS
Like all medicines, Voltaren may cause side effects, although not everybody gets them.

Some rare or very rare side effects can be serious
These side effects affecting less than 1 to 10 in 10 000 patients:
spontaneous bleeding or bruising ( signs of thrombocytopenia) ;
fever, frequent infections , constant sore throat (symptoms of agranulocytosis)
difficulty breathing or swallowing , rash, itching , hives , dizziness ( symptoms of hypersensitivity , anaphylactic or anaphylactoid reactions) ;
swelling of the face and throat ( signs of angioedema) ;
anxious thoughts or feelings (symptoms of mental disorders) ;
memory disorders ;
seizures ;
anxiety ;
neck stiffness , fever, nausea , vomiting , headache ( symptoms of aseptic meningitis ) ;
sudden and severe headache , nausea, dizziness , numbness , difficulty or inability to speak , weakness or paralysis of limbs or face (symptoms of cerebrovascular accident or stroke ) ;
reduced hearing (a symptom of hearing ) ;
shortness of breath, difficulty breathing when lying down, swelling of the feet or legs ( symptoms of heart failure) ;
sudden and pressing chest pain (symptoms of myocardial infarction or heart attack) ;
headache , dizziness (symptoms of high blood pressure, hypertension) ;
rash lilavocherveni spots , fever , itching (symptoms of vasculitis) ;
sudden shortness of breath and a feeling of heaviness in the chest with wheezing or coughing (symptoms of asthma or pneumonia if there is fever) ;
vomiting of blood ( hematemesis symptoms ) and / or dark or bloody stools ( signs of gastrointestinal bleeding ) ;
bloody diarrhea ( haemorrhagic symptoms of diarrhea) ;
black stools ( melena symptoms ) ;
stomach pain, nausea (symptoms of gastrointestinal ulceration ) ;
diarrhea , abdominal pain, fever , nausea, vomiting (symptoms of colitis including hemorrhagic colitis and exacerbation of ulcerative colitis or Crohn's disease) ;
sudden severe abdominal pain (a symptom of pancreatitis) ;
yellowing of the skin or eyes (symptoms of jaundice ), nausea , loss of appetite , dark urine ( signs of hepatitis / hepatic failure) ;
flu-like symptoms , fatigue , muscle pain , elevated liver enzymes in blood tests (symptoms of liver injury, including fluminanten hepatitis, liver necrosis , hepatic failure) ;
blistering ( bullous dermatitis symptom ) ;
red or purple skin (possible signs of inflammation of blood vessels) , skin rash with blisters on the lips , eyes and mouth, skin inflammation with flaking and peeling of the skin (symptoms of erythema multiforme or at - Stevens Jones or toxic epidermal necrolysis ) ;
skin rash with peeling and flaking (symptoms of exfoliative dermatitis) ;
increased skin sensitivity to the sun ( photosensitivity symptom ) ;
purple spots on the skin ( purpura or symptoms of purpura Shonlayn - Henon if caused by an allergy) ;
swelling, feeling of weakness , abnormal urination (symptoms of acute renal failure) ;
excess protein in the urine ( proteinuria symptom ) ;
swelling of the face or abdomen , high blood pressure (symptoms of nephrotic syndrome) ;
increase or decrease the amount of urine , drowsiness, nausea (symptoms of tubulointerstitial nephritis) ;
significantly reduce the amount of urine (a symptom of renal papillary necrosis ) ;
overall swelling ( edema symptom ) .
If you have any of these conditions , contact your doctor immediately .

Some side effects are common.
They occur between 1 and 10 in every 100 patients:
Headache , dizziness, vertigo, nausea , vomiting, diarrhea , indigestion ( dyspepsia symptoms ), abdominal pain , flatulence, loss of appetite ( signs of decreased appetite ) , abnormal results of liver function tests (eg, elevated transaminase levels ) , skin rash, reactions at the injection site , pain and induration at the injection site .

Some side effects are rare
They occur between 1 and 10 in every 10,000 patients:
Drowsiness , stomach pain (a symptom of gastritis) , liver failure, itchy rash ( urticaria symptom ) , gangrene in the application site.

Some side effects are very rare .
Affects less than 1 in 10,000 people :
Reduced number of red blood cells ( anemia) , low white blood cells ( leukopenia ) , disorientation , depression, difficulty sleeping ( insomnia symptoms ) , nightmares , irritability, numbness ( paresthesia symptoms ) , anxiety (a symptom of tremor) , taste disturbance (symptoms of dysgeusia ) , visual disturbance (symptoms of impaired vision , blurred vision, double vision) , tinnitus (a symptom of tinnitus) , constipation, inflammation of the mouth (symptoms of stomatitis ) , swelling, redness and inflammation of the tongue (symptoms of glossitis ) disorders of the esophagus (the symptoms of disturbed esophagus ) , cramps in the upper abdomen , especially after meals (symptoms of bladder -like constrictions of the gut) , heart palpitations , chest pain, red, burning and itchy rash ( signs of eczema) , skin redness ( erythema symptom ) , hair loss ( alopecia symptom ) , itching ( pruritus symptom ) , blood in the urine ( hematuria symptom ) , abscess at the injection site .

Tell your doctor if you experience any of these side effects .
If any of the side effects gets serious , or you notice other effects not listed in this leaflet , please tell your doctor or pharmacist.
If you take Voltaren for more than a few weeks, you should have regular medical check-ups to make sure that these side effects will go unnoticed .

5 . HOW TO STORE Voltaren
Do not store above 30 ° C.
Do not use after the expiry date stated on the packaging.
Store in the original package to protect from light.
Keep out of reach of children.

6 . ADDITIONAL INFORMATION
What does Voltaren
The active substance is sodium diclofenac (diclofenac sodium).
The other ingredients are mannitol, sodium metabisulphite ( E223 ) , benzyl alcohol , propylene glycol, water for injection, sodium hydroxide.

Your medicine is called Voltaren and comes in the form of an ampoule containing injection.
Voltaren solution for injection is supplied in colorless glass vials of 3 ml clear, colorless to slightly yellow solution.
Each ampoule contains 75 mg of active ingredient diclofenac sodium.

Information for health professionals
Be injected or deep intramuscular injection into the upper outer quadrant of gluteusa or intravenously as a slow intravenous infusion after reconstitution with the following instructions. Each vial is for single use only. The solution should be used immediately after opening. Any amount remaining in the vial should be discarded .
Depending on the desired duration of infusion mix 100-500 ml isotonic saline ( 0.9% NaCl ) or a 5 % glucose solution with a solution of sodium bicarbonate for injection (0.5 ml of 8.4% saline or 1 ml of 4.2 % solution or its volume in different concentration) in a buffer such as sodium bicarbonate vials to be opened immediately prior to use , add the contents of one ampoule Voltaren to this solution . We only use pure solutions . If you notice any crystals or precipitates , the infusion solution should be used .
Generally Voltaren injection should not be mixed with other injectable solutions .
When infusions of 0.9% sodium chloride or 5 % glucose without sodium bicarbonate, there is a risk of congestion, that could lead to the formation of crystals or to precipitate . Infusion solutions other than those recommended should not be used .
Intravenous infusion should be started immediately after reconstitution (see instructions above) . The infusion solution can not be stored for long periods .

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