AIRTAL TABLETTES B-10
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Aiguilles a ponction lombaire - Noir 22G1 40mm 7-10
Pharmacy | |
Description | treatment of inflammatory rheumatic diseases, such as arthrosis , rheumatoid arthritis , ankylosing spondylitis and extra articular rheumatism such as periarthritis , bursitis , tendinitis , enthesitis . treatment of acute pain states of different aetiology such as sciatica , lumbago , myalgia , primary dysmenorrhea , pain resulting from various types of trauma , odontalgia. |
Usage | If you are allergic to aceclofenac or non-steroidal anti-inflammatory drugs , including acetylsalicylic acid or any of the other ingredients of this medicine. Like other non-steroidal anti-inflammatory drugs , Airtal is contraindicated in patients who have experienced it, after taking acetylsalicylic acid or other NSAIDs , asthma attacks or other allergic reactions ( urticaria , rhinitis , edema , rash, bronchospasm ). If you have a heart and / or cerebrovascular disease, for example if you have had a heart attack , a stroke , a mini stroke (TIA) or obstructions to the blood vessels of the heart or brain or an operation to eliminate these obstructions or a bypass . If you have or have had blood circulation problems ( peripheral arterial disease ). Airtal is contraindicated in the presence of an ongoing gastroduodenal ulcer or bleeding in the gastrointestinal tract and in subjects with active bleeding and bleeding disorders. Airtal is contraindicated in patients with a history of gastrointestinal bleeding or perforation related to previous treatments or with a history of recurrent peptic hemorrhage / ulcer (two or more distinct episodes of demonstrated ulceration or bleeding ). Airtal is contraindicated in patients with severe hepatic impairment or renal impairment. The drug should not be used in children. Airtal is also contraindicated in pregnancy , particularly in the third trimester, and during breastfeeding unless there are valid reasons to take it. In this case the minimum effective dosage must be used (see "Warnings and precautions"). Precautions for use What you need to know before taking Airtal Talk to your doctor or pharmacist or nurse before using Airta The use of Airtal should be avoided together with other NSAIDs including selective COX-2 inhibitors. Tell your doctor before you are prescribed aceclofenac if you smoke if you have diabetes if it has a ' angina , clots of blood , blood pressure , cholesterol high or triglycerides high Side effects can be minimized by using the lowest effective dose for the shortest possible duration of treatment needed to control symptoms (see section 3 "How to use Airtal"). Elderly patients have an increased frequency of adverse reactions to NSAIDs, especially gastrointestinal bleeding and perforation, which can be fatal (see section 3 "How to use Airtal"). Gastro-intestinal system . Gastrointestinal haemorrhage, ulceration and perforation: gastrointestinal haemorrhage, ulceration and perforation, which can be fatal, have been reported during treatment with all NSAIDs at any time, with or without warning symptoms or history of severe gastrointestinal events. In the elderly and in patients with a history of ulcer, especially if complicated by bleeding or perforation (see "Do not use Airtal"), the risk of gastrointestinal bleeding, ulceration or perforation is higher with increased doses of NSAIDs. These patients should start treatment with the lowest available dose. Concomitant use of gastroprotective agents ( misoprostol or proton pump inhibitors ) should be considered for these patients and also for patients requiring a low concomitant dose of aspirin or other drugs that may increase the risk of gastrointestinal events (see "Other medicines and Airtal "). Patients with a history of gastrointestinal toxicity, particularly the elderly, must report any unusual gastrointestinal symptoms (especially gastrointestinal haemorrhage), particularly in the early stages of treatment. Caution should be given to patients taking concomitant medications that could increase the risk of ulceration or bleeding, such as oral corticosteroids , anticoagulants such as warfarin , selective serotonin reuptake inhibitors or anti- aggregating agents such as aspirin (see "Other medicines and Airtal") . When bleeding or gastrointestinal ulceration occurs in patients taking Airtal the treatment should be discontinued. NSAIDs should be administered with caution in patients with symptoms suggestive of gastrointestinal disease related to upper or lower gastrointestinal tract, history of gastrointestinal ulcer, bleeding or perforation, ulcerative colitis , Crohn's disease or haematological changes since these conditions may be exacerbated (see "Possible side effects"). Cardiovascular and cerebrovascular system : adequate monitoring and appropriate instructions are necessary in patients with a history ofmild to moderate congestive heart failureand / or congestive heart failure because, in association with NSAID therapy, fluid retention and edemahave been reported. Medicines such as Airtal may be associated with an increased risk of heart attack ( myocardial infarction ). Side effects can be minimized by using the lowest effective dose for the shortest period necessary. Do not exceed the recommended dose or the treatment period. Aceclofenac should be administered with caution and under strict medical supervision in patients with a history of cerebrovascular bleeding. Hypersensitivity reactions and skin reactions . As with other NSAIDs, allergic reactions are possible, including anaphylactic and anaphylactoid reactions , even in the absence of previous exposure to the medicine. Serious skin reactions some of them fatal, including dermatitis exfoliative syndrome Stevens-Johnson necrolysis toxic epidermal , are very rarely been reported in association with the use of NSAIDs (see "Possible side effects"). In the early stages of therapy, patients appear to be at higher risk: the onset of the reaction occurs in most cases within the first month of treatment. Airtal should be stopped at the first appearance of a skin rash , mucosal lesions or any other sign of hypersensitivity. Exceptionally, chickenpox can cause serious skin and soft tissue infectious complications. To date, the role of NSAIDs in the aggravation of these infections cannot be excluded. It is therefore advisable to avoid the use of aceclofenac in case of chickenpox. Renal function . Subjects with mild to moderate renal impairment should be monitored as the use of NSAIDs may result in deterioration of renal function. The minimum effective dose should be used in these subjects and renal function should be regularly monitored. The administration of an NSAID may cause a dose-dependent reduction in the formation of prostaglandins and aggravate the ' kidney failure . The importance of prostaglandins in the regulation of renal blood flow must always be taken into consideration in those with impaired cardiac or renal function, hepatic dysfunction, those treated with diuretics and those who have undergone major surgery and in the elderly. Effects on renal function are generally reversible with suspension of aceclofenac. Liver function . Aceclofenac should be discontinued in the event of abnormalities or worsening of liver function tests or if there aretypical signs or symptoms of liver disease or in the presence of other manifestations ( eosinophilia , rash). L ' hepatitis can occur without signs warning. The use of aceclofenac in subjects withhepatic porphyria may lead to an attack. Close medical supervision is required for patients with mild to moderate impairment of liver function. Hematologic. Aceclofenac can reversibly inhibit platelet aggregation (see "-Other medicines and Airtal"). Respiratory disorders. Caution is required when administering to affected patients or those who have suffered from bronchial asthma as NSAIDs may aggravate bronchospasm. Long-term treatments . As a preventive measure, subjects undergoing long-term NSAID treatment should be monitored for blood cell counts and kidney and liver function parameters. |