VOLTFAST 50 mg.

WHAT VOLTFAST AND WHAT IT IS USED
What is Voltfast:
The active substance of Voltfast is diclofenac potassium.
Voltfast belongs to a group of medicines called "nonsteroidal anti-inflammatory drugs" (NSAIDs), which are used to treat pain and inflammation.

What is Voltfast
Voltfast can be used for short-term treatment in the following conditions:
Sprains, strains or other injuries;
Pain and swelling after surgery;
Painful menstruation;
Migraine attacks;
Back pain syndrome, "frozen shoulder", "tennis elbow" and other forms of soft tissue rheumatism;
Infections of the ear, nose or throat.
In migraine Voltfast relieves headaches and improves the accompanying symptoms such as nausea and vomiting.

How does Voltfast
Voltfast relieves symptoms of inflammation, such as pain and swelling by blocking the synthesis of 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 Voltfast or why you are prescribed this medication, contact your doctor.

Tracking during treatment with Voltfast
If you have liver damage, kidney damage or disease of the blood during the treatment will be blood tests. It will monitor your liver function (level of transaminases), your kidney function (creatinine level) or the number of your blood cells (white and red blood cells and platelets). Based on these blood tests, your doctor will decide whether to discontinue Voltfast or change the dose.

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

Do not take Voltfast
if you are allergic (hypersensitive) to diclofenac or any of the other ingredients of Voltfast listed at the end of this leaflet;
if you have ever had an allergic reaction to medications for pain and inflammation (acetylsalicylic acid / aspirin, diclofenac or ibuprofen). Reactions can include asthma, runny nose, skin rash, facial swelling. If you think you may be allergic, ask your doctor;
if you have a stomach ulcer or intestine;
if you have gastrointestinal bleeding or perforation, symptoms of which may be blood in the stool or black stools;
if you suffer from severe kidney or liver disease;
if you suffer from severe heart disease;
if you are in the last three months of pregnancy.
If you have any of these conditions, tell your doctor and do not take Voltfast.
If you think you may be allergic, ask your doctor.

Caution should be exercised with Voltfast
if you take Voltfast simultaneously with other anti-inflammatory drugs including acetylsalicylic acid / aspirin, corticosteroids, anticoagulants inhibitors or selective serotonin reuptake "SSRIs" (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 ulcers, bleeding or black stools, or stomach discomfort or heartburn after taking non-steroidal anti-inflammatory drugs;
if you have inflammation of the colon (ulcerative colitis) or of the gastro-intestinal tract (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 (due to sickness, diarrhea, before or after surgery);
if you have swelling of the feet;
if you have bleeding or other bleeding disorder, including a rare liver disease called porphyria.
If you have any of these conditions, tell your doctor before you start taking Voltfast.
Voltfast can reduce symptoms of infection (eg. Headache, fever) and this can make it hard to find and difficult treatment. If you do not feel well and you need to consult a doctor, be sure to tell him you are taking Voltfast;
In very rare cases Voltfast, like other NSAIDs, can cause serious skin allergic reactions (eg. Rash).
If you experience any of these symptoms, contact your doctor immediately.

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.

It is particularly important to tell your doctor if you have taken any of the following medications:
Lithium inhibitors or selective serotonin reuptake inhibitors (SSRIs) - medicines used for treating certain types of depression;
Digoxin (a medicine used for heart problems);
Diuretics (medicines to increase the amount of urine);
ACE inhibitors or beta-blockers (classes of drugs used to treat high blood pressure 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, except for insulin;
Methotrexate (a drug used in the treatment of some cancers, or arthritis);
Cyclosporine, tacrolimus (used primarily in patients underwent transplantation);
Trimethoprim (a medicine used to prevent or treat urinary tract infections);
Quinolone antibacterial agents (drugs to treat infections);
Voriconazole (a drug used to treat fungal infections);
Phenytoin (a medicine used to treat seizures).
Taking Voltfast with food and drink
Recommended Voltfast be taken before meals.

Elderly
Elderly patients may be more sensitive to the effects of Voltfast than other adults. Therefore they should especially carefully follow the doctor's instructions and adopt the minimum number of sachets, relieving symptoms. It is very important for older patients to promptly report to their physician any side effects.

Children and adolescents
Voltfast should not be prescribed to children and adolescents under 14 years. In children, may be used other forms of diclofenac.
Voltfast use of migraine has not been studied in children and adolescents.
Pregnancy and lactation
If you are pregnant or think you may be pregnant, contact your doctor. You should not take Voltfast if you are pregnant unless absolutely necessary.
As with other anti-inflammatory drugs should not take Voltfast in the last 3 months of pregnancy because it may harm an unborn baby or cause problems at birth.
You should tell your doctor if you are breastfeeding.
You should not breastfeed while taking Voltfast 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 Voltfast during pregnancy or lactation.

Women of childbearing age
Voltfast can complicate pregnancy. If you are planning to become pregnant or have trouble getting pregnant should not take Voltfast unless necessary.

Driving and using machines
Unlikely Voltfast affect the ability to drive, operate machinery or other activities requiring alertness.

Important information about some of the ingredients of Voltfast
Voltfast contains aspartame, a source of phenylalanine, which may be harmful for people with phenylketonuria.

3. HOW TO TAKE VOLTFAST
Carefully follow your doctor's instructions. Do not exceed recommended dosage.

How Voltfast taking
Do not exceed recommended dosage. It is very important that you take the lowest dose Voltfast easing your pain and to continue taking more than necessary.
Your doctor will tell you exactly how many sachets to take Voltfast. Depending on how you affect treatment, your doctor may suggest a higher or lower dose.

adults
For adults, the initial dose is usually 100 to 150 mg daily (to be taken 2 to 3 doses). For milder cases are usually sufficient 50 to 100 mg daily (to be taken 1 to 2 doses). You should not take more than 150 mg daily.
In painful menstruation start treatment with single doses of 50 to 100 mg as soon as you feel the first symptoms. Continue with 50 mg three times daily for several days as needed. If 150 mg daily does not give significant pain relief over the next 2 to 3 menstrual cycles, your doctor may advise you to take up to 200 mg daily. You should not take more than 200 mg daily.
Migraine take Voltfast at the first sign of an attack. The starting dose is 50 mg. If you do not get relief within 2 hours, take another dose of 50 mg. This can be repeated at intervals of 6 to 8 hours, but it should not take more than 200 mg daily.
adolescents
For adolescents 14 years of age are usually sufficient 50 to 100 mg daily divided into 1 to 2 doses. You should not take more than 150 mg daily.
When to take Voltfast
It is advisable to take Voltfast before eating.

How to take Voltfast
Voltfast contents of the sachet should be dissolved in a glass of carbonated water by stirring. The solution may be a little cloudy, but this does not diminish the effectiveness of the drug. The solution should be taken mainly before meals.

How long to take Voltfast
Follow the instructions of your doctor.

If you have further questions related to how long to take Voltfast, please ask your doctor or pharmacist.

If you take more dose Voltfast
If you accidentally take a larger amount Voltfast than was prescribed, tell your doctor or pharmacist or seek immediate medical attention. You may need medical attention.

If you forget to take Voltfast
Do not take a double dose to make up for a missed dose.

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

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

Some side effects are common
They occur in between 1 and 10 in every 100 patients.
Headache, dizziness, vertigo, nausea, vomiting, diarrhea, indigestion (dyspepsia), abdominal pain, flatulence, loss of appetite (decreased appetite), abnormal liver test results (eg. Elevated transaminase levels), skin rash .
Some side effects are rare
They occur in between 1 and 10 per 10 000 patients.
Drowsiness, stomach pain (sign of gastritis), liver damage, hives (urticaria sign).
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), nightmares, irritation, tingling (paraesthesia), shaking (tremor), taste disturbances (dysgeusia), visual disturbances (impaired vision, blurred vision, double vision), tinnitus (tinnitus), constipation, inflammation of the mouth (stomatitis), swelling, redness and inflammation of the tongue (glossitis), disorders of the esophagus, cramps at the top abdomen, especially after eating (signs of diaphragm-like narrowing of the bowel), palpitations, chest pain, red, burning and itchy rash (signs of eczema), skin redness (erythema), hair loss (alopecia), itching (pruritus), blood in the urine (hematuria).
Tell your doctor if you experience any of these side effects.

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 VOLTFAST
Do not store above 25 ° C.
Do not use after the expiry date stated on the packaging.
Store in the original package in order to protect from moisture.
Keep out of the reach and sight of children.

6. FURTHER INFORMATION
What Voltfast
The active substance in Voltfast powder for oral solution is potassium diclofenac (diclofenac potassium).
The other ingredients are potassium hydrogen carbonate, mannitol, aspartame, saccharin sodium, glyceryl dibehenate, mint flavor, anise flavor.

Voltfast 50 mg powder for oral solution is available in sachets. Each sachet contains a white to slightly yellow homogeneous powder. Each sachet contains 50 mg of diclofenac potassium. Each pack contains 3 sachets.