IBU-RATIOPHARM 400 mg acute painbl.filmtambl., 10 pcs

Instructions for use for IBU-RATIOPHARM 400 mg acute painbl.filmtambl., 10 pcs

Detailed instructions for IBU-RATIOPHARM 400 mg acute painbl.filmtambl., 10 pcs

Field of use

IBU-ratiopharm 400 acute painkillers (pack size: 10 pc) are used to treat light to moderately severe pain such as headache, tooth or regulation pain as well as for fever.

Mode of action

The active ingredient ibuprofen inhibits in ibu-ratiopharm 400 acute painkillers (pack size: 10 pcs) inhibits the formation of prostaglandins in the body, which are significantly involved in the development of pain, fever and inflammation . Thus IBU-ratiopharm 400 acute painkillers (pack size: 10 pc) have a pain-relieving, anti-inflammatory and fever-lowering.

Active ingredients / ingredients / ingredients

400 mg ibuprofen
Crooscarmellosis, sodium salt auxiliary material (+)
Hypromellic auxiliary substance (+)
Macrogol 8000 Hedge Terms (+)
Corn starch, pre -clerked auxiliary substance (+)
Silicium dioxide, high disperser auxiliary substance (+)
Stearic acid auxiliary material (+)
Titan dioxide HILDBOFT (+)

Contradictions

• The medicine must not be taken
  • if you are allergic to ibuprofen or one of the other components of this drug;
  • if you have reacted in the past with asthma attacks, nasal mucus swelling or skin reactions after taking acetylsalicylic acid or other non-steroidal inflammatory inhibitors;
  • in the case of unexplained blood formation disorders;
  • in the event of existing or repeated stomach/duodenum ulcers (peptic ulcers) or bleeding (at least 2 different episodes of proven ulcers or bleeding);
  • in the case of gastrointestinal bleeding or breakthrough (perforation) in the history in connection with previous therapy with non-steroidal anti-rheumatics/anti-inflammatory drugs (NSAID);
  • for brain bleeding (cerebrovascular bleeding) or other active bleeding;
  • in severe liver or kidney dysfunction;
  • with severe heart failure (heart failure);
  • in the last third of the pregnancy;
  • in children under 20 kg (6 years), since this dose strength is usually not suitable due to the active ingredient content.

dosage

Unless otherwise prescribed, adults and adolescents aged 15 and over take ½ - 1 IBU-ratiopharm 400 acute painkillers (pack size: 10 pc) . The maximum daily dose is 3 IBU-ratiopharm 400 acute painkillers (pack size: 10 pc) Children from 10- 14 years or from a body weight of 30 kg ½ Ibu-ratiopharm 400 acute painkillers (pack size: 10 pc) The maximum daily dose is 1 ½ IBU-ratiopharm 400 acute pain pills (pack size: 10 pc)
Take IBU-ratiopharm 400 acute painkillers (pack size: 10 pc) Unzukaut and with plenty of liquid during or after a meal. In patients with a sensitive stomach, taking IBU-ratiopharm 400 acute painkillers (pack size: 10 pc) at meals.

Taking

• Please take the film -coated tablets unscrewed with plenty of liquid (e.g. a glass of water) while or after a meal.
• For patients who have a sensitive stomach, it is advisable to take this medicine during meals.

Patient information

• Warnings and Precautions
  • Please speak to your pharmacist before taking this medicine.
  • Side effects can be minimized by using the lowest effective effective dose required for symptom control over the shortest period.
  • Security in the gastrointestinal tract
    • A simultaneous use of this drug with other non-steroidal inflammatory inhibitors, including so-called COX-2 inhibitors (cyclooxygenase-2 inhibitors), should be avoided.
    • Older patients:
      • In older patients, side effects occur more frequently after using NSAID, especially bio-tongues and fractures in the stomach and intestinal area, which may be life-threatening. Therefore, particularly careful medical monitoring is required in older patients.
    • Bleeding of the gastrointestinal tract, ulcers and breakthroughs (perforations):
      • Bleeding of the gastrointestinal tract, ulcers and perforations, also with a fatal outcome, were reported during treatment with all NSAIDs. They occurred with or without prior warning symptoms or serious events in the gastrointestinal tract in the prehistory at any time of therapy.
      • The risk of the occurrence of gastrointestinal bleeding, ulcers and breakthroughs is higher with increasing NSAR dose, in patients with ulcers in the history, especially with the complications bleeding or breakthrough, and in older patients. These patients should begin treatment with the lowest available dose.
      • For these patients as well as for patients who need accompanying therapy with low-dose acetylsalicylic acid (ASA) or other medicines that can increase the risk of gastrointestinal diseases, a combination therapy with gastric mucosa should protect drugs (e.g. misoprostol or Proton pump inhibitors).
      • If you have a history of side effects on the gastrointestinal tract, especially at older age, you should report any unusual symptoms in the abdomen (especially gastrointestinal bleeding), especially at the beginning of therapy.
      • Caution is advisable if you get medicines that can increase the risk of ulcers or bleeding, such as: B. Oral corticosteroids, anti-blood clotting drugs such as warfarin, selective serotonin reuptake inhibitors that are used, among other things, to treat depressive moods, or thrombocyte aggregation inhibitors such as ASA.
      • If you have gastrointestinal bleeding or ulcers during treatment with the medicine, the treatment is to be stopped.
      • In patients with a gastrointestinal disease in the prehistory (Colitis Ulzerosa, Crohn's disease), caution should be used because their condition can deteriorate.
    • Effects on the cardiovascular system
      • Anti -inflammatory agents/painkillers such as ibuprofen can go hand in hand with a slightly increased risk of heart attack or stroke, especially when using in high doses. Do not exceed the recommended dose or duration of treatment.
      • You should discuss your treatment with your doctor or pharmacist before taking this medicine
        • having heart disease, including heart failure (heart failure) and angina pectoris (chest pain), or a heart attack, a bypass surgery, peripheral arterial disease (circulatory disorders in the legs or feet due to narrowed or closed arteries) or any kind of stroke (including mini -Stroke or transitory ischemic attack, "tia").
        • Heavy prints, diabetes or high cholesterol levels or heart diseases or strokes occur in their family history or when they are smokers.
    • Skin reactions
      • Under NSAR therapy, serious skin reactions with redness and bladder formation, some with a fatal outcome, were very rare (Exfoliative dermatitis, Stevens-Johnson syndrome and toxic epidermal necrolysis/lyell syndrome). The highest risk of such reactions seems to exist at the beginning of therapy, since these reactions occurred in the majority of cases in the first month of treatment. At the first sign of rashes, mucous membrane defects or other signs of a hypersensitivity reaction, Aktren should be discontinued and the doctor should be visited immediately.
      • Use of this medicine should be avoided during a chickenpox infection (varicella infection).
    • Other information
      • This medicine should only be used with the strict weighing of the benefit-risk ratio:
        • for certain innate blood formation disorders (e.g. acute intermittent porphyria);
        • for certain autoimmune diseases (systemic lupus erythematosus and mixed collagenosis), since these patients have an increased risk of aseptic meningitis.
      • A particularly careful medical monitoring is required:
        • with restricted kidney function, since it can continue to deteriorate;
        • for liver dysfunction; Liver dysfunction increase the risk of the occurrence of kidney harmfulness and damage, as well as for severe, possibly fatal liver reactions;
        • directly after larger surgical interventions;
        • in allergies (e.g. skin reactions to other medicinal products, asthma, hay fever), chronic nasal mucosal swelling or chronic respiratory diseases narrowing.
      • Severe acute hypersensitivity reactions (e.g. anaphylactic shock) are very rarely observed. At the first sign of a severe hypersensitivity reaction after taking Aktren Forte, the therapy must be canceled. The symptoms corresponding, medically required measures must be initiated by expert persons.
      • Ibuprofen, the active ingredient of this drug, can temporarily inhibit the platelet function (thrombocyte aggregation). Patients with blood clotting disorders should therefore be carefully monitored.
      • When the use of ibuprofen-containing medicinal products at the same time, the anticoagulant effect of low-dose acetylsalicylic acid (prevention of the development of blood clots) can be impaired. In this case, you should therefore not use ibuprofen-containing medicines without the express instruction of your doctor.
      • If you are taking on medicinal products at the same time to inhibit blood clotting or to reduce the blood sugar, the blood clotting or blood sugar levels should take place as a precaution.
      • If this medicinal product is permanently, regular control of the liver values, the kidney function and the blood count is required.
      • When taking this drug before surgical interventions, the doctor or dentist must be asked or informed.
      • The longer use of all kinds of painkillers against headaches can make them worse. If this is the case or if this is suspected, medical advice should be obtained and the treatment can be canceled. The diagnosis of headache in the use of medication (Medication Overuse Headache, MOH) should be assumed in patients who suffer from frequent or daily headaches, although (or precisely because) they regularly take medicines for headaches.
      • In general, the habitual intake of pain relievers, especially when combining several pain relieving active ingredients, can lead to permanent kidney damage with the risk of kidney failure (analgesic nephropathy).
      • When using NSAIDs, the simultaneous enjoyment of alcohol, active ingredient side effects, in particular those that affect the gastrointestinal tract or the central nervous system, can be reinforced.
• Children and adolescents
  • There is a risk of kidney dysfunction in dehydrated children and adolescents.
  • Please note the information under category "Contraindications".

• Wateriness and ability to operate machines
  • Since when using the drug in higher dosage, central nervous side effects such as tiredness and dizziness can be able to occur in individual cases, the reaction capacity can be changed and the ability to actively participate in road traffic and to operate machines are impaired. This applies even more in combination with alcohol. You can then no longer react quickly and specifically to unexpected and sudden events. Do not drive a car or other vehicles in this case! Do not operate any tools or machines! Do not work without a safe grip!

Pregnancy

• If you are pregnant or breastfeed, or if you suspect that you are pregnant or intend to become pregnant, ask your doctor or pharmacist for advice before taking this drug.
• Pregnancy
  • If pregnancy is determined during an application of this drug, the doctor must be notified. You can only use ibuprofen in the first and second thirds of pregnancy after consultation with your doctor. In the last third of pregnancy, this drug may not be used due to an increased risk of complications for mother and child.
• Breastfeeding
  • The active ingredient ibuprofen and its dismantling products only pass into breast milk in small quantities. Since disadvantageous consequences for the infant have not yet become known, breastfeeding will generally not be necessary for short -term use. If a longer use or intake of higher doses is prescribed, however, an early wing should be considered.
• Reproductive ability
  • This medicine belongs to a group of drugs (non-steroidal anti-rheumatics) that can affect the fertility of women. This effect is reversible after stopping the drug (reversible).

Hints

The consumption of alcohol should be avoided as possible while taking this product.

Miscellaneous

- The drug is not suitable for children and adolescents under the age of 14 due to the excessive substance content. - In the case of longer high-dose, non-determined use of pain relievers, headaches can occur, which may not be treated by increased amounts of the drug.- In general, the habitual intake of painkillers, especially when combined several analgesic active ingredients, can be used for permanent kidney damage with the risk of kidney failure lead. In the event of severe pain in the upper abdomen, in the case of blood in the stool or in the event of vomiting blood, the medicine must be discontinued immediately and a doctor is consulted .- In the case of visual disturbances, a doctor must be informed immediately, and the medicine must no longer be taken. While the use of the medicine, signs of an infection appear or worsen, a doctor should be appealed immediately. - Since side effects such as tiredness and dizziness can occur when using the drug in higher dosage, the ability to drive a motor vehicle or to use machines can be restricted in individual cases. This applies to an increased extent with simultaneous alcohol consumption. Therapy monitoring:- If the use of longer, regular control of the liver values, kidney function and the blood count is required. - Heavy general hypersensitivity reactions can occur. You can manifest yourself as a facial swelling, swelling of the tongue, inner swelling of the larynx with narrowing of the airways, shortness of breath, hunting heart, drop in blood pressure up to the threatening shock. If one of these phenomena appears that can already occur in the event of an initial application, immediate medical help is required.