PFEIL toothache tablets forte film-coated tablets, 10 pcs

Instructions for use for PFEIL toothache tablets forte film-coated tablets, 10 pcs

Detailed instructions for PFEIL toothache tablets forte film-coated tablets, 10 pcs

Field of use

• The preparation is an anti -inflammatory and pain relieving drug (non -steroidal anti -inflammatory/anti -inflammatory acume).
• It is used for slight to moderately severe pain.

Active ingredients / ingredients / ingredients

400 mg ibuprofen
Carboxymethylar, sodium salt type a auxiliary substance (+)
Hypromellic auxiliary substance (+)
Macrogol 400 auxiliary material (+)
Macrogol 6000 Hedge Terms (+)
Magnesium stair auxiliary material (+)
Corn starch auxiliary substance (+)

Contradictions

• The medicine must not be taken
  • if you are hypersensitive (allergic) against ibuprofen, or one of the other components
  • 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 or 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 of previous therapy with non-steroidal anti-inflammatory drugs/anti-inflammatory drugs (NSAID)
  • for brain bleeding (cerebrovascular bleeding) or other active bleeding
  • in the case of severe liver or kidney dysfunction
  • in the case of severe heart failure (heart failure)
  • in the last third of the pregnancy
  • of children below 40 kg body weight (under 12 years), since this dose strength is not suitable due to the excessive substance content.

dosage

• Always take the medicine exactly according to instructions. Please ask your doctor or pharmacist if you are not quite sure.
• Do not take the Azrnantei without a medical or dental advice for more than 4 days.
• Unless otherwise prescribed by the doctor, the usual dose is
  • from 40 kg body weight (children and adolescents from the age of 12 and adults)
    • Single dose: 1 tablet (corresponding to 400 mg ibuprofen)
    • max. Daily dose: 3 tablets (corresponding to 1200 mg ibuprofen)
  • If you have taken the maximum single dose, wait at least 6 hours until the next income.
• Dosage in older people
  • No special dose adjustment is required.
• Please speak to your doctor or pharmacist if you have the impression that the effect of too strong or too weak is.

• If you have taken a larger amount than you should
  • Take the medicine according to the doctor's instructions or according to the specified dosage instructions. If you have the feeling that you do not feel sufficient pain relief, then do not increase the dosage independently, but ask your doctor.
  • The following symptoms can occur with an overdose:
    • Central nervous disorders such as headaches, dizziness, daming and unconsciousness (also seizures in children)
    • Stomach pain
    • Nausea
    • Vomit
    • Bleeding in the gastrointestinal tract
    • Functional disorders of liver and kidneys
    • Blood pressure drop
    • reduced breathing (respiratory depression)
    • blauro -red coloring of skin and mucous membranes (cyanosis).
  • There is no specific antidote (antidot).
  • If suspected of overdosing, notify Please immediately a doctor. According to the severity of poisoning, this can decide on the measures necessary.

• If you have forgotten the intake
  • If you have forgotten the intake, the next time you give you the usual recommended amount.

• If you have any further questions about the application of the drug, ask your doctor or pharmacist.

Taking

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

Patient information

• Particular caution is required when taking it
  • Security in the gastrointestinal tract
    • A simultaneous application of the drug with other non-steroidal inflammatory inhibitors, including so-called COX-2 inhibitors (cyclooxygenase-2-inhibitors), should be avoided.
    • Side effects can be reduced by using the lowest effective dose via the shortest period required for symptom control.
    • Older patients
      • In older patients, side effects occur more frequently after using NSAR, in particular bleeding and breakthroughs 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 for gastrointestinal diseases 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 the therapy.
      • Caution is advisable if you get medicines that can increase the risk of ulcers or bleeding, such as: For example, certain corticosteroids, anti-blood clotting drugs such as warfarin, selective serotonin recovery inhibitors, which are used, among other things, for the treatment of depressed moods, or thrombocyte aggregation inhibitors (blood clotting inhibitors) such as acetylsalicylic acid.
      • If you have gastrointestinal bleeding or ulcers during treatment, the treatment is to be stopped.
      • In patients with a gastrointestinal disease, NSAR should be used with caution (Colitis Ulcerosa, Crohn's disease) because their condition can deteriorate.
  • Effects on the cardiovascular system
    • Medicines like this may be associated with a slightly increased risk of heart attacks (heart attack) or strokes. Any risk is more likely with high doses and longer treatment. Do not exceed the recommended dose or duration of treatment (maximum 4 days)!
    • If you have cardiac problems or a previous stroke or think that you could have a risk to these diseases (e.g. if you have high blood pressure, diabetes or high cholesterol or are smokers), you should your hairydiscuss with your doctor or pharmacist.
  • Skin reactions
    • Under NSAR therapy, serious skin reactions with redness and bladder formation, some with a fatal outcome, were reported (exfediative 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, mucosal defects or other signs of a hypersensitivity reaction, the tablets should be stopped and the doctor should be consulted immediately.
    • An application should be avoided during a chickenpox infection (varicella infection).
  • Other information
    • The 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).
    • A particularly careful medical monitoring is required
      • for gastrointestinal complaints or inflammatory bowel diseases (ulcerative colitis, Crohn's disease)
      • for high blood pressure or weakness in the heart (heart failure)
      • with limited kidney or liver function
      • directly after larger surgical interventions
      • in allergies (e.g. skin reactions to other medicines, asthma, hay fever), chronic nasal mucosal swelling (so -called nasal polyps) or chronic, respiratory respiratory diseases.
    • Severe acute hypersensitivity reactions (e.g. anaphylactic shock) are very rarely observed. At the first sign of a hypersensitivity reaction after taking/administration of the drug, the therapy must be canceled. The symptoms corresponding, medically required measures must be initiated by expert persons.
    • Ibuprofen, the active ingredient of the drug, can temporarily inhibit the platelet function (thrombocyte aggregation). Patients with blood clotting disorders should therefore be carefully monitored.
    • Blood coagulation inhibitors (e.g. acetylsalicylic acid, warfarin, ticlopidine), medicines against high blood pressure (ACE inhibitor, e.g. captopril, beta-receptor blocker, angiotensin II antagonists) as well as some other medicinal products can affect treatment with ibuprofen or by such a self be affected. Therefore, you should always obtain medical advice before using ibuprofen at the same time with other medicines.
    • If you are at the same time taking pharmaceuticals to inhibit blood clotting or to reduce blood sugar, the blood clotting or blood sugar levels should take place as a precaution.
    • If the administration is permanently, regular control of the liver values, the kidney function and the blood count is required.
    • When taking the drug before surgical interventions, the doctor or dentist must be questioned or informed.
    • If painkillers are used for a long time, headaches can occur, which may not be treated by increased doses of the drug. Ask your doctor for advice if you often suffer from headache despite taking the drug!
    • 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).
    • The medicine belongs to a group of drugs (non -steroidal anti -inflammatory drugs) that can affect the fertility of women. This effect is reversible after stopping the drug (reversible).
  • Children
    • Please note the information in the "Contraindication" category".

• Wateriness and operating machines
  • Since the use in higher doses of central nervous side effects such as tiredness and dizziness can occur, the reaction capacity can be changed in individual cases and the ability to actively participate in road traffic and to operate machines can be impaired. This applies in reinforced dimensions in interaction 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

• Pregnancy
  • If pregnancy is determined during the application of the drug, the doctor must be notified. You may only apply the medicine in the first and second thirds of pregnancy after consultation with your doctor. In the last third of pregnancy, the medicine must not be used due to an increased risk of complications for mother and child.
• Breastfeeding
  • The active ingredient ibuprofen and its dismantling products 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.

Hints

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.