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2x 10 Dolmen 25 mg film-coated tablets for pain relief 20 Tabs

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2x 10 Dolmen 25 mg film-coated tablets for pain relief
Dexketoprofen trometamol
Read all of this leaflet carefully before you start taking this medicine.
- Do not throw this leaflet away as you may need to read it again.
- If you have more questions, ask your doctor or pharmacist.
- This medicine is intended for you, so it should not be given to other people. The drug can harm them (even those with the same symptoms as yours).
- If you experience severe side effects or notice a side effect not listed in this leaflet, tell your doctor or pharmacist.
Contents of the leaflet
1. What Dolmen is and what it is used for
2. What you need to know before you take Dolmen
3. How to take Dolmen
4. Possible side effects
5. How to store Dolmen
6. Other information
1. WHAT DOLMEN TABLETS ARE AND WHAT THEY ARE USED FOR
Dolmen is a pain reliever that belongs to a group of so-called non-steroidal anti-inflammatory drugs (NSAIDs). Dolmen is used for mild to moderate muscle pain, painful menstruation (dysmenorrhea), toothache.
2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE DOLMEN TABLETS FOR PAIN
Dolmen tablets should not be used:
- if you are allergic (hypersensitive) to dexketoprofen trometamol or any auxiliary substance of Dolmen (see section 6);
- if you are allergic to aspirin or other non-steroidal anti-inflammatory drugs;
- if you have had asthma attacks, acute allergic rhinitis (short-term nasal congestion of inflammatory origin), nasal polyps (growths in the nose caused by allergies), urticaria (skin rash), angioneurotic edema (face, eyes, swelling of the lips or tongue, or difficulty breathing) or wheezing occurs in the chest;
- if you have or have had a peptic ulcer, had bleeding from the gastrointestinal tract, if you have chronic digestive disorders (indigestion, heartburn);
- if you have had bleeding from the gastrointestinal tract or perforation during the previous use of non-steroidal anti-inflammatory drugs for pain relief;
- if you suffer from chronic gastrointestinal diseases (Crohn's disease or ulcerative colitis);
- if you have severe heart failure, moderate or severe kidney function, severe liver dysfunction;
- if you have a tendency to bleed or a blood clotting disorder;
- if you are pregnant or breastfeeding;
- if you are under 18 years old.
Special precautions are required:
- if you have or have had allergic diseases;
- if you have or have had kidney, liver or heart disease (hypertension and/or heart failure), or there are other circumstances that may impair fluid excretion;
- if you are taking drugs that stimulate the release of urine (diuretics) or due to excessive fluid loss (e.g. due to excessive urination, diarrhea or vomiting) there is not enough fluid in the body, decreased blood volume;
- if you have heart problems, have had a stroke or think you may be at risk of these conditions (for example, you have high blood pressure, diabetes, high cholesterol or smoke), you must discuss treatment with your doctor or pharmacist; medicines such as Dolmen may be associated with a small increased risk of heart attack (myocardial infarction) or stroke. The risk increases when the drug is used in high doses or used for a long time. Do not exceed the recommended dose or treatment time;
- if you are elderly you may experience side effects more often (see section 4). If these symptoms occur, consult your doctor immediately;
- if you are a woman and have impaired fertility (Dolmen can impair female fertility, it should not be used by women who want to become pregnant. Dolmen should be discontinued in women who have difficulty conceiving and are being examined for infertility);
- if you have diseases of the hematopoietic system;
- if you suffer from systemic lupus erythematosus or mixed connective tissue diseases (immune system diseases affecting connective tissue);
- if you have suffered from chronic diseases of the gastrointestinal tract (Crohn's disease or ulcerative colitis);
- if you have or have had gastrointestinal diseases;
- if you are taking other medicines that increase the risk of peptic ulcer or bleeding, such as oral steroid medicines, some medicines for depression (selective serotonin reuptake inhibitors), anti-blood-clotting medicines such as aspirin or blood-thinning medicines, eg warfarin. In such cases, consult your doctor before using Dolmen; he/she may give you additional medicines to protect your stomach (such as misoprostol or medicines that suppress the production of stomach juices).
Use of other medicines
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Some medicines should not be used together, and other medicines may need to be reduced if they are used together. Always tell your doctor, dentist or pharmacist if you are taking the medicines listed below with Dolmen.
Combinations with:
- acetylsalicylic acid (aspirin), corticosteroids or other anti-inflammatory drugs are not recommended;
- warfarin, heparin or other drugs used to prevent thrombosis;
- lithium used to treat certain conditions associated with mood disorders;
- methotrexate, used to treat cancer and rheumatic diseases;
- with hydantoins and phenytoin used to treat epilepsy;
- sulfamethoxazole, used to treat infections caused by bacteria.
Can be used with caution with:
- angiotensin-converting enzyme (ACE) inhibitors, diuretics, beta-adrenoblockers, and angiotensin II receptor antagonists used to lower high blood pressure and treat heart disease;
- pentoxifylline and oxpentifylline, used in chronic varicose veins;
- zidovudine, used to treat infections caused by viruses;
- chlorpropamide and glibenclamide, used to treat diabetes.
Drug interactions to watch out for:
- quinolones (antibacterial drugs) such as ciprofloxacin, levofloxacin used to treat bacterial infections;
- ciclosporin or tacrolimus, used in some diseases of the immune system, as well as after organ transplantation;
- streptokinase and other thrombolytics or fibrinolytics, which are drugs used to dissolve blood clots;
- probenecid, a medicine for gout;
- digoxin, used to treat chronic heart failure;
- mifepristone, used to cause an abortion (a medicine to end a pregnancy);
- antidepressants from the group of selective serotonin reuptake inhibitors;
- medicines that reduce platelet aggregation and the formation of blood clots. If you are unsure about taking other medicines together with Dolmen, consult your doctor or pharmacist.
Taking Dolmen with food and drink
Take the tablets with a sufficient amount of water. Take the tablets with a meal, as this reduces the frequency of side effects related to the functioning of the stomach and intestines. However, in case of acute pain, the tablets should be taken for 30 minutes. before meals, because then the medicine starts to work a little faster.
Children and adolescents
Dolmen should not be used if you are under 18 years of age.
Pregnancy and breast-feeding
Dolmen should not be used during pregnancy and breast-feeding.
Before taking any medicine, it is necessary to consult your doctor or pharmacist:
- tell your doctor if you are pregnant or planning to become pregnant, Dolmen may not be suitable for you.
- Dolmen should not be used during breastfeeding. Consult your doctor.
Driving and using machines
Dolmen may cause mild to moderate effects on the ability to drive or use machines, as dizziness or drowsiness may occur. If you notice these effects, do not drive or operate machinery until these symptoms disappear. Consult your doctor.
3. HOW TO USE DOLMEN TABLETS FOR PAIN
Always take Dolmen exactly as your doctor has told you. If in doubt, ask your doctor or pharmacist.
The dose of Dolmen for you depends on the nature, intensity and duration of the pain. Your doctor will tell you how many tablets to take per day and how long to take the medicine. The usual dose of the drug is 1 Dolmen tablet (25 mg) every 8 hours, but no more than 3 Dolmen tablets (75 mg) per day. If you are elderly or suffer from kidney or liver disease, initially start taking no more than 2 tablets (50 mg) per day. Elderly patients, if the use of Dolmen is well tolerated, can later increase the initial dose to the usual daily dose (75 mg). If you feel intense pain and you need to suppress it faster, take the tablets before eating (no later than 30 minutes before), because then the medicine is absorbed more easily and faster (see section 2 "Taking Dolmen with food and drinks").
The picture is for illustration only. The packaging can be changed by the manufacturer. All packs include English informational leaflet.
DISCLAMER!!!! This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Dexketoprofen trometamol
Read all of this leaflet carefully before you start taking this medicine.
- Do not throw this leaflet away as you may need to read it again.
- If you have more questions, ask your doctor or pharmacist.
- This medicine is intended for you, so it should not be given to other people. The drug can harm them (even those with the same symptoms as yours).
- If you experience severe side effects or notice a side effect not listed in this leaflet, tell your doctor or pharmacist.
Contents of the leaflet
1. What Dolmen is and what it is used for
2. What you need to know before you take Dolmen
3. How to take Dolmen
4. Possible side effects
5. How to store Dolmen
6. Other information
1. WHAT DOLMEN TABLETS ARE AND WHAT THEY ARE USED FOR
Dolmen is a pain reliever that belongs to a group of so-called non-steroidal anti-inflammatory drugs (NSAIDs). Dolmen is used for mild to moderate muscle pain, painful menstruation (dysmenorrhea), toothache.
2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE DOLMEN TABLETS FOR PAIN
Dolmen tablets should not be used:
- if you are allergic (hypersensitive) to dexketoprofen trometamol or any auxiliary substance of Dolmen (see section 6);
- if you are allergic to aspirin or other non-steroidal anti-inflammatory drugs;
- if you have had asthma attacks, acute allergic rhinitis (short-term nasal congestion of inflammatory origin), nasal polyps (growths in the nose caused by allergies), urticaria (skin rash), angioneurotic edema (face, eyes, swelling of the lips or tongue, or difficulty breathing) or wheezing occurs in the chest;
- if you have or have had a peptic ulcer, had bleeding from the gastrointestinal tract, if you have chronic digestive disorders (indigestion, heartburn);
- if you have had bleeding from the gastrointestinal tract or perforation during the previous use of non-steroidal anti-inflammatory drugs for pain relief;
- if you suffer from chronic gastrointestinal diseases (Crohn's disease or ulcerative colitis);
- if you have severe heart failure, moderate or severe kidney function, severe liver dysfunction;
- if you have a tendency to bleed or a blood clotting disorder;
- if you are pregnant or breastfeeding;
- if you are under 18 years old.
Special precautions are required:
- if you have or have had allergic diseases;
- if you have or have had kidney, liver or heart disease (hypertension and/or heart failure), or there are other circumstances that may impair fluid excretion;
- if you are taking drugs that stimulate the release of urine (diuretics) or due to excessive fluid loss (e.g. due to excessive urination, diarrhea or vomiting) there is not enough fluid in the body, decreased blood volume;
- if you have heart problems, have had a stroke or think you may be at risk of these conditions (for example, you have high blood pressure, diabetes, high cholesterol or smoke), you must discuss treatment with your doctor or pharmacist; medicines such as Dolmen may be associated with a small increased risk of heart attack (myocardial infarction) or stroke. The risk increases when the drug is used in high doses or used for a long time. Do not exceed the recommended dose or treatment time;
- if you are elderly you may experience side effects more often (see section 4). If these symptoms occur, consult your doctor immediately;
- if you are a woman and have impaired fertility (Dolmen can impair female fertility, it should not be used by women who want to become pregnant. Dolmen should be discontinued in women who have difficulty conceiving and are being examined for infertility);
- if you have diseases of the hematopoietic system;
- if you suffer from systemic lupus erythematosus or mixed connective tissue diseases (immune system diseases affecting connective tissue);
- if you have suffered from chronic diseases of the gastrointestinal tract (Crohn's disease or ulcerative colitis);
- if you have or have had gastrointestinal diseases;
- if you are taking other medicines that increase the risk of peptic ulcer or bleeding, such as oral steroid medicines, some medicines for depression (selective serotonin reuptake inhibitors), anti-blood-clotting medicines such as aspirin or blood-thinning medicines, eg warfarin. In such cases, consult your doctor before using Dolmen; he/she may give you additional medicines to protect your stomach (such as misoprostol or medicines that suppress the production of stomach juices).
Use of other medicines
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Some medicines should not be used together, and other medicines may need to be reduced if they are used together. Always tell your doctor, dentist or pharmacist if you are taking the medicines listed below with Dolmen.
Combinations with:
- acetylsalicylic acid (aspirin), corticosteroids or other anti-inflammatory drugs are not recommended;
- warfarin, heparin or other drugs used to prevent thrombosis;
- lithium used to treat certain conditions associated with mood disorders;
- methotrexate, used to treat cancer and rheumatic diseases;
- with hydantoins and phenytoin used to treat epilepsy;
- sulfamethoxazole, used to treat infections caused by bacteria.
Can be used with caution with:
- angiotensin-converting enzyme (ACE) inhibitors, diuretics, beta-adrenoblockers, and angiotensin II receptor antagonists used to lower high blood pressure and treat heart disease;
- pentoxifylline and oxpentifylline, used in chronic varicose veins;
- zidovudine, used to treat infections caused by viruses;
- chlorpropamide and glibenclamide, used to treat diabetes.
Drug interactions to watch out for:
- quinolones (antibacterial drugs) such as ciprofloxacin, levofloxacin used to treat bacterial infections;
- ciclosporin or tacrolimus, used in some diseases of the immune system, as well as after organ transplantation;
- streptokinase and other thrombolytics or fibrinolytics, which are drugs used to dissolve blood clots;
- probenecid, a medicine for gout;
- digoxin, used to treat chronic heart failure;
- mifepristone, used to cause an abortion (a medicine to end a pregnancy);
- antidepressants from the group of selective serotonin reuptake inhibitors;
- medicines that reduce platelet aggregation and the formation of blood clots. If you are unsure about taking other medicines together with Dolmen, consult your doctor or pharmacist.
Taking Dolmen with food and drink
Take the tablets with a sufficient amount of water. Take the tablets with a meal, as this reduces the frequency of side effects related to the functioning of the stomach and intestines. However, in case of acute pain, the tablets should be taken for 30 minutes. before meals, because then the medicine starts to work a little faster.
Children and adolescents
Dolmen should not be used if you are under 18 years of age.
Pregnancy and breast-feeding
Dolmen should not be used during pregnancy and breast-feeding.
Before taking any medicine, it is necessary to consult your doctor or pharmacist:
- tell your doctor if you are pregnant or planning to become pregnant, Dolmen may not be suitable for you.
- Dolmen should not be used during breastfeeding. Consult your doctor.
Driving and using machines
Dolmen may cause mild to moderate effects on the ability to drive or use machines, as dizziness or drowsiness may occur. If you notice these effects, do not drive or operate machinery until these symptoms disappear. Consult your doctor.
3. HOW TO USE DOLMEN TABLETS FOR PAIN
Always take Dolmen exactly as your doctor has told you. If in doubt, ask your doctor or pharmacist.
The dose of Dolmen for you depends on the nature, intensity and duration of the pain. Your doctor will tell you how many tablets to take per day and how long to take the medicine. The usual dose of the drug is 1 Dolmen tablet (25 mg) every 8 hours, but no more than 3 Dolmen tablets (75 mg) per day. If you are elderly or suffer from kidney or liver disease, initially start taking no more than 2 tablets (50 mg) per day. Elderly patients, if the use of Dolmen is well tolerated, can later increase the initial dose to the usual daily dose (75 mg). If you feel intense pain and you need to suppress it faster, take the tablets before eating (no later than 30 minutes before), because then the medicine is absorbed more easily and faster (see section 2 "Taking Dolmen with food and drinks").
The picture is for illustration only. The packaging can be changed by the manufacturer. All packs include English informational leaflet.
DISCLAMER!!!! This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.