Voltaren retard WHAT IS AND WHAT IT IS USED
Your medicine is called Voltaren Retard and comes in the form of prolonged-release tablets . Each extended release tablet formulation contains 100 mg of the active ingredient diclofenac sodium.
Retard Voltaren belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs ), which are used to treat pain and inflammation.
For what use Voltaren
Voltaren Retard is suitable to treat the following conditions :
Rheumatic joint pain ( arthritis) ;
Back pain syndrome, ” frozen shoulder “, ” tennis elbow ” and other forms of rheumatism ;
Sprains , strains or other injuries ;
Pain and swelling after surgery ;
Painful gynecological inflammatory conditions , including painful menstrual cramps .
How does Voltaren Retard
Voltaren Retard relieving the symptoms of inflammation such as pain and swelling , by blocking the synthesis of the molecules ( prostaglandins ) that cause inflammation , pain and fever . It does not work on the causes of inflammation or fever .
If you have questions concerning the operation of Voltaren Retard or why you prescribed this medication , contact your doctor.
Monitored during treatment with Voltaren Retard
If you have liver , kidney or blood during treatment will be blood tests . It will monitor your liver function ( transaminase levels ) , kidney function ( creatinine level ) or the number of your blood cells ( red and white blood cells and platelets) . Based on these blood tests, your doctor will decide whether to discontinue Voltaren Retard or change the dose.
2 . BEFORE YOU TAKE Voltaren Retard
Follow all instructions of your doctor, even if they differ from the general information in this leaflet.
Do not take Voltaren Retard
if you are allergic (hypersensitive) to diclofenac or any other ingredient of Voltaren Retard listed at the end of this leaflet ;
if you have ever had an allergic reaction when taking drugs for inflammation or pain ( such as acetylsalicylic acid / aspirin , diclofenac or ibuprofen) . Reactions can include asthma, runny nose , skin rash , swelling of the face. If you think you may be allergic , ask your doctor ;
if you have a stomach ulcer or duodenum ;
if you have gastrointestinal bleeding or perforation, symptoms of which may be blood in the stool or black stools ;
if you have severe kidney or liver disease ;
if you have severe heart disease ;
If you are in the last three months of pregnancy.
If you have any of these conditions , talk to your doctor and do not take Voltaren Retard .
If you think you may be allergic , ask your doctor.
Caution should be exercised with Voltaren Retard :
if you are taking Voltaren Retard together with other anti-inflammatory drugs including aspirin / aspirin , corticosteroids , anticoagulants inhibitors or selective serotonin reuptake or “SSRIs” ( see “Taking other medicines”) ;
if you suffer from asthma or hay fever (seasonal allergic rhinitis) ;
if you have or have ever had gastrointestinal problems such as stomach ulcer, bleeding or black stools , or stomach or heartburn after taking NSAIDs ;
if you have inflammation of the colon (ulcerative colitis ) or the small intestine (Crohn’s disease ) ;
if you have or have had heart problems or high blood pressure;
if you have kidney or liver disease ;
if you are dehydrated (from sickness , diarrhea, before or after surgery ) ;
If you have swollen feet ;
if you have an increased tendency to bleed or other blood disease , including rare liver disease called porphyria .
If you have any of the following conditions inform your doctor before taking Voltaren Retard .
Voltaren Retard can suppress symptoms of infection (headache , fever ), and this can make it hard to find and difficult to treat it if you do not feel well and you need to consult a doctor , be sure to tell him you are taking Voltaren Retard .
In very rare cases Retard Voltaren , like other anti-inflammatory drugs may cause severe allergic skin reactions (eg rash) .
If you experience any of these symptoms , contact your doctor immediately .
Taking other medicines
It is particularly important to tell your doctor if you are taking any of the following medicines:
Lithium inhibitors or selective serotonin reuptake inhibitors (SSRIs) – medicines used for treating certain types of depression ;
Digoxin (a medicine used for heart problems);
Diuretics ( drugs that increase the amount of urine ) ;
ACE inhibitors and beta -blockers ( classes of drugs used in the treatment of hypertension and heart failure ) ;
Other anti-inflammatory drugs such as acetylsalicylic acid / aspirin or ibuprofen ;
Corticosteroids (medicines used to provide relief for inflamed areas of the body) ;
Anticoagulants ( medicines to prevent blood clotting) ;
Medicines for diabetes , excluding insulin ;
Methotrexate ( a drug used to treat certain types of cancer or arthritis ) ;
Cyclosporine, tacrolimus (medicines used mainly in patients underwent transplantation) ;
Trimethoprim (a medicine used to prevent or treat urinary tract infections ) ;
Quinolone antibacterial agents ( medicines used to treat infections) ;
Voriconazole (a medicine used to treat fungal infections) ;
Phenytoin (a medicine used to treat seizures) .
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Taking Voltaren Retard with food and drink
Voltaren Retard prolonged-release tablets should be swallowed whole with a glass of water or other liquid.
It is recommended that Voltaren Retard prolonged-release tablets be taken during meals .
Elderly patients may be more sensitive to the effects of Voltaren Retard than other adults. Therefore, they should be especially careful to follow the doctor’s instructions , and accept the minimum number of prolonged-release tablets relieving symptoms. It is very important for older patients to promptly report to their physician any side effects.
Children and adolescents
Because of its unit dose Voltaren Retard should not be prescribed to children and adolescents (under 18 years).
Pregnancy and lactation
If you are pregnant or think you may be pregnant , tell your doctor .
You should not take Voltaren Retard prolonged-release tablets if you are pregnant unless absolutely necessary.
As with other anti-inflammatory drugs should not take Voltaren Retard prolonged-release tablets in the last 3 months of pregnancy because it may harm an unborn baby or cause problems at birth.
You must tell your doctor if you are breast-feeding.
You should not breastfeed while taking Voltaren Retard , as this can harm your child.
Consult your doctor or pharmacist before taking any medicine.
Your doctor will discuss with you the potential risk of taking Voltaren Retard during pregnancy or breastfeeding.
Women of childbearing potential
Voltaren can complicate pregnancy . You should not take Voltaren Retard prolonged-release tablets if you are planning to become pregnant or have difficulty conceiving .
Driving and using machines
Voltaren is unlikely to affect the ability to drive , operate machinery , or other activities requiring alertness .
Important information about some of the ingredients of Voltaren Retard
Voltaren Retard contain sucrose . If your doctor has told you that you have an intolerance to some sugars, contact your doctor before you start taking this medicine.
3 . HOW TO TAKE Voltaren Retard
Carefully follow your doctor’s instructions . Do not exceed recommended dosage.
How much of your medicine you take
Do not exceed recommended dosage. It is very important to take the lowest dose of Voltaren Retard relief from your pain and continue taking more than necessary.
Your doctor will tell you how many tablets to take Voltaren Retard . Depending on how you affect the treatment your doctor may suggest a higher or lower dose.
In most cases, treatment is initiated with a dose of 100 to 1 50 mg daily – one tablet Voltaren Retard 100 mg. In less severe cases, and for long-term treatment usually sufficient 100 mg daily. Voltaren Retard tablets 100 mg is taken once daily.
Do not take more than the maximum daily dose of 150 mg.
When to take Voltaren Retard
Voltaren Retard is recommended to be taken with meals .
How to take Voltaren Retard
When symptoms occur at night and in the morning , Voltaren Retard is recommended to be taken in the evening.
Voltaren Retard prolonged-release tablets should be swallowed whole with a glass of water or other liquid. Preferably with meals . Prolonged-release tablets should not be broken or swallow.
How long to take Voltaren Retard
Follow the instructions of your doctor.
If you take Voltaren more than a few weeks, you should go to regular examination by your doctor to make sure that you are not noticeable side effects .
If you have any further questions on the use of this product, ask your doctor or pharmacist.
If you take more than the amount of Voltaren Retard
If you take a large amount of prolonged-release tablets Voltaren Retard than prescribed , tell your doctor or seek medical attention immediately .
You may need medical attention.
If you forget to take Voltaren Retard
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose , skip the missed again and continue your regular dosing schedule . Do not take a double dose to make up for a missed dose.
4 . POSSIBLE SIDE EFFECTS
Like all medicines, Voltaren Retard can cause side effects, although not everybody gets them .
Some rare or very rare side effects can be serious .
These side effects affecting less than 1 to 10 10, 000 patients.
spontaneous bleeding or bruising ( signs of thrombocytopenia) ;
fever, frequent infections , constant sore throat (symptoms of agranulocytosis)
difficulty breathing or swallowing , rash, itching , hives , dizziness ( symptoms of hypersensitivity , anaphylactic or anaphylactoid reactions) ;
swelling of the face and throat ( signs of angioedema) ;
anxious thoughts or feelings ( symptoms of psychiatric disorders) ;
memory disorders ;
neck stiffness , fever, nausea , vomiting , headache ( symptoms of aseptic meningitis ) ;
sudden and severe headache , nausea, dizziness , numbness , difficulty or inability to speak , weakness or paralysis of limbs or face (symptoms of cerebrovascular accidents or heart attack) ;
reduced hearing ( a symptom of hearing impaired ) ;
shortness of breath, difficulty breathing when lying down, swelling of the feet or legs ( symptoms of heart failure) ;
sudden and pressing chest pain (symptoms of myocardial infarction or heart attack) ;
headache , dizziness (symptoms of high blood pressure , hypertension) ;
rash , violet – red spots , fever, itching ( signs of vasculitis) ;
sudden difficulty breathing and a feeling of heaviness in the chest with wheezing or coughing (symptoms of asthma or pneumonia if fever) ;
vomiting blood ( haematemesis symptoms ) and / or dark or bloody stools ( signs of gastrointestinal bleeding ) ;
bloody diarrhea ( haemorrhagic symptoms of diarrhea) ;
black stools ( melena symptoms ) ;
abdominal pain, nausea (symptoms of gastrointestinal ulcer ) ;
diarrhea , abdominal pain, fever , nausea , vomiting (symptoms of colitis including hemorrhagic colitis and exacerbation of ulcerative colitis or Crohn’s disease) ;
sudden severe abdominal pain (symptoms of pancreatitis) ;
yellowing of the skin or eyes ( jaundice symptoms ), nausea , lack of appetite , dark urine ( signs of hepatitis / hepatic failure) ;
flu-like symptoms , fatigue, muscle pain , elevated liver enzymes in blood tests (symptoms of liver injury, including fluminanten hepatitis, hepatic necrosis , hepatic failure) ;
blisters ( bullous dermatitis symptom ) ;
red or purple skin (possible signs of inflammation of blood vessels) , skin rash with blisters on the lips, eyes and mouth , skin inflammation with flaking and peeling of the skin (symptoms of erythema multiforme or at – Stevens -Jones or toxic epidermal necrolysis) ;
skin rash with peeling and flaking (symptoms of exfoliative dermatitis ) ;
increased skin sensitivity to the sun ( photosensitivity symptom ) ;
purple spots on the skin ( purpura or symptoms of purpura Henoch – Schonlein purpura , if caused by an allergy) ;
swelling , feeling of weakness, abnormal urination (symptoms of acute renal failure) ;
excess protein in the urine ( proteinuria symptom ) ;
swelling of the face or abdomen , high blood pressure (symptoms of nephrotic syndrome) ;
increase or decrease the amount of urine , drowsiness, nausea (symptoms of tubulointerstitial nephritis) ;
seriously reduce the amount of urine ( a symptom of renal papillary necrosis) ;
overall swelling ( edema symptom ) .
If you have any of the following conditions inform your doctor immediately.
Some side effects are common
They occur between 1 and 10 in every 100 patients:
Headache, dizziness, vertigo, nausea , vomiting, diarrhea , indigestion ( dyspepsia symptoms ), abdominal pain , flatulence, loss of appetite ( signs of decreased appetite ) , abnormal results of liver function tests (eg, elevated transaminase levels ), skin
Some side effects are rare
They occur between 1 and 10 in every 10,000 patients:
Somnolence ( sleepiness symptom ) , abdominal pain ( a symptom of gastritis) , liver damage, itchy rash ( urticaria symptoms ) .
Some side effects are very rare
Occurring in less than 1 in 10 000 patients:
Decreased number of red blood cells ( anemia) , low white blood cells ( leukopenia ) , disorientation , depression, difficulty sleeping ( insomnia symptoms ) , nightmares , irritability, numbness ( paresthesia symptoms ) , shaking ( symptom tremor ) , taste disturbance (symptoms of dysgeusia ) , visual disturbance (symptoms of impaired vision, blurred vision, double vision) , tinnitus ( a symptom of tinnitus) , constipation, inflammation of the mouth (symptoms of stomatitis ) , swelling, redness and inflammation of the tongue ( glossitis symptoms ) , disorders of the esophagus (the symptoms of impaired esophagus ) , cramps in the upper abdomen , especially after meals (symptoms of a diaphragm -like constrictions of the gut) , heart palpitations , chest pain, red , burning and itchy rash ( signs of eczema) , skin redness ( erythema symptom ) , hair loss ( alopecia symptom ) , itching ( pruritus symptom ) , blood in the urine ( haematuria symptom )
Tell your doctor if you experience any of these side effects .
If any of the side effects gets serious , or you notice other effects not listed in this leaflet , please tell your doctor or pharmacist.
If you take Voltaren Retard for more than a few weeks, you should have regular medical examinations to make sure that these side effects will go unnoticed.
5 . HOW TO STORE Voltaren Retard
Do not store above 30 ° C.
Do not use after the expiry date stated on the packaging.
Store in original container.
Keep out of reach of children.
6 . ADDITIONAL INFORMATION
What does Voltaren Retard
The active ingredient in Voltaren Retard tablets prolonged-release diclofenac sodium (diclofenac sodium).
The other ingredients are sucrose , povidone , magnesium stearate , silica colloidal anhydrous , hypromellose , talc , polysorbate 80 , titanium dioxide , red iron oxide ( E172 ), polyethylene glycol 8000 , shellac , black iron oxide ( E172 ), propylene glycol ( E1520 ), ammonium hydroxide 28 % (E527).
If you have questions about this medicine , please contact your doctor or pharmacist.