Diclofenac. table. 50mg. 30 tablets
Diclofenac WHAT IS AND WHAT IT IS USED FOR ?
Diclofenac was used for the treatment of rheumatic joint inflammation , osteoarthritis ( wear of the joints) , Alzheimer humeroskapularen periarthritis ( " stiff shoulder " , characterized in painful stiffness of the shoulder due to inflammation , injury or developmental disorders of connective tissue , sometimes concomitant age-related changes joints and calcium deposits ), inflammation and swelling after surgery . The active ingredient diclofenac has anti-inflammatory and analgesic action.
2 . BEFORE YOU TAKE diclofenac
Do not take Diclofenac
• If you are allergic (hypersensitive ) to the active substance or to any of the ingredients of diclofenac .
• If you have asthma or have recently had an asthma attack , hives rash or acute inflammation of the nasal mucosa after administration of acetylsalicylic acid ( more commonly known as " Aspirin " ) or a similar product
• If you have a stomach or intestinal ulcer or have had in the past.
• If you have stomach bleeding
• If you have a brain haemorrhage
It is possible with the use of diclofenac to mask the symptoms of acute inflammation .
Take special care with Diclofenac
- Diclofenac reduces fertility and this should be considered in women of childbearing age.
- If you suffer from one or more of the following conditions , then your doctor will check you regularly while you are taking diclofenac, and will adjust the dose if necessary :
- Gastrointestinal complaints ( medical history as an ulcer, bleeding or perforation ) , Crohn's disease , inflammatory bowel disease (ulcerative colitis ) , coagulation disorders (e.g., patients with a known tendency to bleeding ) , impaired hepatic function , renal , and / or heart disorders (hypertension or cardiac status worsened by fluid retention and edema ), and certain disorders of porphyrin metabolism ( so-called hepatic porphyria ) prior to infection prior asthma , late pregnancy , encephalitis or encephalopathy associated with influenza .
- In elderly patients and patients taking diuretics, it is imperative that medical supervision and often require the appointment of a dose lower than usual . As a representative of the non-steroidal anti-inflammatories , diclofenac is often associated with inflammation of the esophagus and the delayed passage of food therethrough , particularly in elderly patients , who are confined to bed . If you are taking Diclofenac tablets for a long time , your doctor will test your blood counts . Monitoring of liver function no later than 8 weeks after initiation of therapy and periodically during therapy.
- Drugs such as Diclofenac can be associated with a slightly increased risk of heart attack ( " MI " ) 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 or high cholesterol or are a smoker) you should discuss treatment with your doctor or pharmacist .
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.
Diclofenac- Tchaikapharma increases the plasma concentration of lithium (a medicine against manic depression ) and digoxin (a medicine against cardiac decompensation ) in the blood . Concurrent use of Diclofenac , with other anti-inflammatory analgesics ( such as naproxen , piroxicam , indomethacin ) and the potent anti-inflammatory ( such as prednisone and prednisolone ) the risk of side effects ( especially gastric and intestinal complaints ) increases.
If you are taking anticoagulants (medicines to prevent blood clotting such as acenocoumarol or fenprokomon ) appropriate you make some research before you start using diclofenac . Diclofenac- can reduce the effect of diuretics .
With concomitant use of diclofenac so-called potassium-sparing diuretics (such as triamterene , amiloride, spironolactone ) the level of potassium in the blood can be increased , which require regular monitoring of this level.
If the tablets Diclofenac apply less than 24 hours before or after treatment with methotrexate (a medicine to treat severe rheumatism, psoriasis and some forms of cancer) have an increased risk of symptoms of overdose with methotrexate. In extremely rare cases, the dose of concomitantly administered medicines for diabetes that are taken by mouth (such as glibenclamide, tolbutamide, gliclazide ) should be adjusted pending the diclofenac tablets .
Diclofenac amplifies the side effects of cyclosporin ( medicine to prevent graft rejection by the body after transplantation) renal .
Co-administration of diclofenac, and levofloxacin may increase the risk of stimulation of the central nervous system , and convulsive seizures. This risk is further increased in patients predisposed to seizures .
Tell your doctor if you are taking or will take with diclofenac tablets and one or more of the above drugs.
Pregnancy and lactation
Ask your doctor or pharmacist before taking any medicine during pregnancy or breastfeeding.
Diclofenac should not be used during pregnancy unless after consulting your doctor .
If you take these tablets regularly while pregnant , you should tell your doctor immediately to take appropriate measures .
The use of diclofenac during pregnancy should be done only for compelling reasons, even in such cases, the dose should be minimal.
This precaution is especially true for the last 3 months of pregnancy.
The use of these tablets breastfeeding mothers should be made after explicit advice.
Driving and using machines
When dizziness or drowsiness is not recommended to drive or use machines .
3 . HOW TO TAKE diclofenac ?
Always take Diclofenac exactly as your doctor tells you . If you are not sure, ask your doctor or pharmacist. The usual doses are: rheumatoid inflammation in adults;
Initially, one 50 mg tablet three times a day , followed by a maintenance dose of one tablet of 25 mg three times daily with a maximum dose of two times 50 mg per day . In Osteoarthritis :
The initial dose is 100-150 mg per day ( depending on the severity of the pain ) . The maintenance dose is typically 75-100 mg daily. In humeroskapularen periarthritis :
The starting dose is 150 mg daily depending on the severity of pain . Then gradually reduce the dose depending on the nature of the complaints. When pain and swelling after surgery :
The starting dose is 150 mg daily, then usually gradually reduce the dose depending on the nature of the complaints.
The daily dose is normally divided into 2 - 3 doses.
Diclofenac - Chaikapharma tablets 50 mg are not suitable for use in children . The tablet should be swallowed whole with a glass of water without chewing .
If you take more than the amount of Diclofenac
If there are several necessary tablets , contact your doctor immediately or at a nearby hospital . Save the packaging , so the doctor knows what medications you take .
If you forget to take Diclofenac
If you miss a dose, take as soon as possible , unless it is time for the next intake. In that case, skip the missed dose and go back to your prescribed regimen . Do not double doses. If in doubt, consult your doctor or pharmacist.
4 . POSSIBLE SIDE EFFECTS
Like all medicines , diclofenac can cause side effects, although not everybody gets them .
If any of the side effects gets serious , or you notice other effects not listed in this leaflet , please tell your doctor or pharmacist.
The adverse reactions listed occurred most frequently: gastrointestinal complaints such as nausea, stomach pain , vomiting, belching, gas retention in the stomach , diarrhea, lack of appetite and stomach cramps .
Less frequently observed adverse reactions are headache, dizziness and hypersensitivity reactions (such as rash and fluid retention) . If a hypersensitivity reaction , contact your doctor immediately and stop taking the tablets. In rare cases can occur drowsiness , jaundice and nettle rash. In very rare cases can occur following side effects: memory disturbances , disorientation , visual disturbances (blurred vision) , difficulty hearing, insomnia , irritability , depression, anxiety, nightmares , difficulty in taste. Pitch black color stools , accompanied by an unpleasant odor may be a sign that there is blood loss through the stomach or intestines. In this case , stop taking the tablets and immediately consult your doctor. Drugs such as Diclofenac - Chaikapharma may be associated with a slightly increased risk of heart attack ( " MI " ) or stroke.
5 . HOW TO STORE diclofenac ?
Store Diclofenac at temperatures below 25 ° C in a dry place in their original packaging .
Do not use Diclofenac after the expiry date stated on the carton . The expiry date refers to the last day of that month. Keep out of reach of children.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required . These measures will help to protect the environment.
6 . ADDITIONAL INFORMATION
What does Diclofenac ?
The active agent is diclofenac sodium. The tablet is a gastro-resistant , which means that the whole remains in the stomach and dissolve in the intestine only . This limits the damage to the stomach.
The other ingredients are mikrokristapna cellulose, corn starch , sucrose , povidone, magnesium stearate, talc , polysorbate , polyethylene glycol, hypromellose, silicon and iron oxide colorants , titanium dioxide
How izgleneda Diclofenac - Tchaikapharma and contents of the pack ?
Diclofenac- Tchaikapharma is available in cartons containing 30 gastro-resistant tablets.