Eu-Med 200 mg pain tablets

Dexibuprofen, the active ingredient in Eu-Med, belongs to the group of non-steroidal anti-inflammatory drugs (NSAIDs).

Application

1. What is Eu-Med and what is it used for?

Dexibuprofen, the active substance in Eu-Med, belongs to the group of non-steroidal anti-inflammatory drugs (NSAIDs). It works by reducing the body's production of prostaglandins, which control inflammation and pain.

What is Eu-Med used for?
To treat painful conditions such as musculoskeletal pain, toothache or acute menstrual pain, as well as pain and fever associated with colds and flu.

If you do not feel better or even worse, consult your doctor.

How is it applied?

What is Eu-Med and what is it used for?

Dexibuprofen, the active substance in Eu-Med, belongs to the group of non-steroidal anti-inflammatory drugs (NSAIDs). The effect is based on the body producing fewer prostaglandins, which control inflammation and pain.

What is Eu-Med used for?
For the treatment of pain conditions, such as musculoskeletal pain, toothache or acute menstrual pain, as well as pain and fever caused by colds and flu-like infections.

If you do not feel better or even worse, consult your doctor.

What should you pay attention to before taking it?

What should you be aware of before taking Eu-Med 200 mg Pain Relieving Tablets?

Eu-Med must not be taken
- if you are allergic to dexibuprofen or any of the other ingredients listed in section 6. mentioned in section 6 of this medicine,
- if you are allergic to acetylsalicylic acid or other painkillers. This may include breathing difficulties, asthma, rhinitis, skin rash and swelling of the face,
- if you have had bleeding or a perforation in the gastrointestinal tract caused by therapy with NSAIDs,
.br>- if you have a stomach or duodenal ulcer or if they have occurred repeatedly (if you vomit blood, have black stools or bloody diarrhoea, this could be a sign of stomach ulcer or duodenal ulcer).(if you have vomiting blood, black stools or bloody diarrhoea, this could be a sign of stomach or intestinal bleeding),
- if you have bleeding in the brain (cerebrovascular bleeding) or other active bleeding,
- if you have an acute episode of inflammatory bowel disease (ulcerative colitis).
- if you have severe heart failure or severe liver or kidney disease,
- from the beginning of the sixth month of pregnancy.

Warnings and precautions
Other medical conditions may affect the use of Eu-Med.
Please talk to your doctor or pharmacist before taking Eu-Med,
- if you have ever had a stomach or duodenal ulcer,
- if you have or have had chronic inflammation of the bowel (ulcerative colitis or Crohn's disease),
- if you have liver or kidney disease or are an alcoholic,
- if you have a blood clotting disorder (see "Eu-Med 200 mg - Mercurable").
- if you have liver or kidney disease or are an alcoholic,
- if you have a blood clotting disorder (see "Taking Eu-Med 200 mg - Pain Relieving Tablets with other medicines"),
- if you have oedema,
- if you are taking Eu-Med 200 mg - Pain Relieving Tablets with other medicines.br>- if you suffer from oedema (fluid retention in the body),
- if you have heart disease or high blood pressure,
- if you have asthma, hay fever or other breathing problems,
- if you have systemic lupus erythematosus (autoimmune disease affecting joints, muscles and skin) or mixed connective tissue disease,
- if you have problems getting pregnant (NSAIDs such as Eu-Med can, in rare cases, affect fertility in women. If you stop taking Eu-Med, this effect is reversed).

In elderly patients, the risk of side effects may be increased.
If you have to take Eu-Med in high doses, especially if you are over 60 or have had stomach or duodenal ulcers, there is an increased risk of side effects in the gastrointestinal tract.
This risk may be increased in combination with other medicines you are taking. If you vomit blood, have black stools or bloody diarrhoea, this could be a
sign of stomach or intestinal bleeding. Stop taking Eu-Med and consult a doctor immediately.
Your doctor may consider combination therapy with medicines that protect the gastrointestinal tract.

Anti-inflammatories/painkillers such as dexibuprofen may be associated with a slightly increased risk of heart attack or stroke, especially when used 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 Eu-Med if you
- have heart disease, including heart failure and angina (chest pain), or have had a heart attack, bypass surgery, peripheral arterial disease (blood flow problems in the legs or feet due to narrowed or blocked arteries), or any type of stroke (including mini-stroke or transient stroke).
- Blood flow problems in the legs or feet due to narrowed or blocked arteries) or any type of stroke (including mini-stroke or transient ischaemic attack, "TIA").
- Have high blood pressure, diabetes or high cholesterol, or a family history of heart disease or stroke, or if you are a smoker.
Very rarely, painkillers and anti-inflammatories can cause severe skin reactions. In case of skin rashes or mucous membrane lesions as well as hypersensitivity reactions (signs are facial oedema, swelling, shortness of breath, asthma, heart palpitations and drop in blood pressure), please consult a doctor immediately to find out the cause.

If you have chickenpox, you should not take any painkillers or anti-inflammatories.

Your doctor should check you regularly,
- if you have heart, liver or kidney problems,
- if you are over 60 years old,
- if you take the medicine for a long time.
Your doctor will tell you how often these tests are needed.

Prolonged high-dose, non-intended use of painkillers may cause headaches that must not be treated by increased doses of the medicine.

Taking Eu-Med 200 mg Pain Reliever Tablets with other medicinesMedicines may influence each other in their effect. Tell your doctor or pharmacist if you are taking/using, have recently taken/used or might take/use any other medicines.

Eu-Med may interfere with or be affected by other medicines. For example:
- Medicines that have an anticoagulant effect (i.e. thin the blood/prevent blood clotting, e.g. acetylsalicylic acid, warfarin, ticlopidine).
- Medicines that lower high blood pressure (ACE inhibitors such as captopril, beta blockers such as atenolol-containing medicines, angiotensin II receptor antagonists such as losartan)

Some other medicines may also interfere with treatment. (ACE inhibitors such as captopril, beta-blockers such as atenolol-containing medicines, angiotensin II receptor antagonists such as losartan)

Some other medicines may also interfere with treatment with Eu-Med or be interfered with by Eu-Med itself. You should therefore always seek the advice of your doctor or pharmacist before using Eu-Med with other medicines:

The following medicines must not be taken with Eu-Med (unless you are under medical supervision):
- Non-steroidal anti-inflammatory drugs (NSAIDs). If you take Eu-Med with other NSAIDs or acetylsalicylic acid as a painkiller, there is an increased risk of ulcers and bleeding in the digestive tract.
- Lithium for the treatment of mood swings. Eu-Med can increase the effect. - Methotrexate. Eu-Med can increase the side effects of methotrexate.

As a precaution, you should also inform your doctor if you are taking the following medicines:
- .
- Certain heart medicines called ACE inhibitors or angiotensin II receptor antagonists. In rare cases, they can increase the risk of kidney problems.
- Diuretics (water tablets).
- Corticosteroids. The risk of bleeding and ulcers may be increased.
- Some antidepressants (selective serotonin reuptake inhibitors). The risk of gastrointestinal bleeding may be increased.
- Digoxin (a heart medicine). Side effects may be increased.
- Immunosuppressants such as ciclosporin.
- Medicines that increase potassium in the blood: ACE inhibitors, angiotensin II receptor antagonists, ciclosporin, tacrolimus, and heparin.
- Phenytoin for the treatment of epilepsy. Eu-Med may increase the side effects of phenytoin.
- Phenytoin, phenobarbital and rifampicin. Concomitant administration may reduce the effect of dexibuprofen.
- Oral antidiabetics (sulphonylureas, agents that lower blood sugar levels). Fluctuations in blood sugar may occur.
- Zidovudine (used to treat HIV infection). In haemophilia, the risk of joint effusions and haematomas may be increased.
- Pemetrexed (a cytostatic drug). If you have kidney disease, do not take high doses of Eu-Med 2 days before to 2 days after pemetrexed administration.

Taking Eu-Med 200 mg Pain Reliever Tablets with food, drinks and alcohol
You can take Eu-Med independently of meals. However, especially for long-term treatment, it is recommended to take the medicine with meals to prevent stomach problems.

Excessive alcohol consumption may worsen the gastrointestinal tolerance of Eu-Med.

Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, or if you suspect you may be pregnant or intend to become pregnant, ask your doctor or pharmacist for advice before taking this medicine.

You must not take Eu-Med after the sixth month of pregnancy as it can seriously harm your unborn child, even at low doses.
During the first five months of pregnancy, you should only take Eu-Med after consulting your doctor.

You should not take Eu-Med if you are planning to become pregnant, as this may make it more difficult for a pregnancy to occur.

The active substance passes into breast milk only in small amounts. If you are breast-feeding, do not take Eu-Med for a long time or in high doses.

Driving and ability to operate machinery
! Caution: This medicine may impair your ability to react and drive.
If you experience dizziness, lightheadedness, tiredness or blurred vision while using Eu-Med, do not get behind the wheel of a vehicle or operate machinery (see section 4. What side effects may occur).

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How should the medicine be taken?

How should Eu-Med 200 mg pain relief tablets be taken?

Always take this medicine exactly as described in this leaflet or as agreed with your doctor or pharmacist. Check with your doctor or pharmacist if you are not sure.
Take one pain tablet up to 3 times a day.
You should generally not take more than three Eu-Med pain tablets a day. There should be an interval of 4 to 6 hours between doses.
Take Eu-Med Pain Tablets with liquid. The tablets can be taken with or without a meal.
The breakage groove allows Eu-Med 200 mg pain tablets to be divided into two equal halves. Place the tablet on a hard surface to divide. Press with both thumbs or index fingers to the left and right of the fracture groove.
Use in children and adolescents
Please give Eu-Med to your child only as prescribed by a doctor.
This dosage form is not suitable for children up to 8 years.
Children 8 -12 years: up to 3 times daily 1/2 Eu-Med 200 mg - pain tablet.
Adolescents 12-18: up to 1 Eu-Med 200 mg - pain tablet 3 times daily.
Older patients (65 years and over)
No special dose adjustment is needed if you are over 65 years old. Watch out for gastrointestinal side effects due to the increased susceptibility of elderly patients.

Patients with liver and/or kidney disease
If you have mild to moderate liver or kidney dysfunction you must be careful when taking Eu-Med. Patients with severe liver or kidney dysfunction must not take Eu-Med. Please consult your doctor.

If you have taken a larger amount of Eu-Med 200 mg Pain Relieving Tablets than you should
If you have taken too many tablets, talk to your doctor immediately. He will initiate appropriate measures.

For the doctor: For symptoms and treatment in the event of an overdose, see notes at the
end of this leaflet
If you forget to take Eu-Med 200 mg Pain Reliever Tablets
Do not take twice the amount if you have forgotten to take it before. Continue the application as prescribed.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

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What are the possible side effects?

How to store Eu-Med 200 mg Pain Relieving Tablets?

Do not store above 25 °C.

Keep this medicine out of the reach of children.

Do not use this medicinal product after the expiry date which is stated as "EXP" on the carton or blister strip. The expiry date refers to the last day of the month indicated.

Do not dispose of medicines in waste water or household waste. Ask your pharmacist how to dispose of the medicine when you stop using it. In doing so, they contribute to the protection of the environment.

Special instructions for storage

5 How to store Eu-Med 200 mg Pain Relieving Tablets?

Do not store above 25 °C.

Keep this medicine out of the reach of children.

Do not use this medicine after the expiry date which is stated on the carton or blister strip as 'Use by'. The expiry date refers to the last day of the month indicated.

Do not dispose of medicines in waste water or household waste. Ask your pharmacist how to dispose of the medicine when you stop using it. In this way, they contribute to the protection of the environment.

Special notes on the content

Contents of the pack and other information
What Eu-Med 200 mg Pain Relieving Tablets contain
- The active substance is: dexibuprofen. One film-coated tablet contains 200 mg.
- The other ingredients are:
- Tablet core: hypromellose, microcrystalline cellulose, carmellose calcium, highly dispersed silicon dioxide, talc.
Film coating: hypromellose, titanium dioxide (E-171), glycerol triacetate, talc, macrogol 6000.

What Eu-Med 200 mg Pain Relieving Tablets look like and contents of the pack
Eu-Med 200 mg Pain Relieving Tablets are white, round, with a breaking groove on one side. Eu-Med 200 mg Pain Tablets are available in folded boxes of 10, 20, 30 and 50 tablets.

Not all pack sizes may be marketed.