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IBUTOP CREAM for pain and inflammation of muscles and joints 50 g,

Dolorgiet

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IBUTOP CREAM for pain and inflammation of muscles and joints. Ibutop cream is a painkiller and anti-inflammatory product for application to the skin.

Indications:
For local or maintenance treatment in cases of muscular rheumatism, painful degenerative joint diseases (arthrosis), inflammatory rheumatic diseases of the musculoskeletal system, swelling and inflammation of the surrounding soft tissues (tendons, tendon ligaments and sheaths and joint capsules), stiffness in the shoulders, myalgia, lumbago; in sports injuries and accidents, such as injuries, sprains, sprains.

Do not use IBUTOP CREAM for pain and inflammation of muscles and joints for:

- in case of hypersensitivity to the active substance ibuprofen, to any of the other ingredients of this medicine or to other analgesic or antirheumatic agents;
- on open wounds; inflammation or infections of the skin, as well as on eczema or mucous membranes;
- in the last trimester of pregnancy.

IBUTOP CREAM for pain and inflammation of muscles and joints Warnings and precautions
Talk to your doctor, pharmacist or nurse before using IBUTOP CREAM.
Patients with asthma, hay fever, nasal mucosa or COPD (especially associated with hay fever symptoms) and patients with hypersensitivity to analgesics and antirheumatic products have a higher risk of developing an asthma attack (analgesic intolerance). / analgesic asthma), local swelling of the skin or mucous membranes (Quincke's edema), or urticaria compared to other patients. In these patients Dolgit cream should be used with precautions and under direct medical supervision. This also applies to patients with hypersensitivity to other substances, manifested by skin reactions, itching or urticaria.
Be careful that the treated areas of the skin are not touched by children.
If the complaints persist for more than three days, it is necessary to seek medical attention.

Other medicines and IBUTOP CREAM
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

The following medicines may or may not work with ibuprofen:

anticoagulants (anticoagulants), e.g. acetylsalicylic acid / aspirin, warfarin, ticlopidine;
some antihypertensive drugs (ACE inhibitors, eg captopril, beta-receptor blockers, angiotensin II receptor antagonists).

Always consult a doctor before using ibuprofen with other medicines.

Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Ask your doctor or pharmacist for advice before taking any medicine.

Pregnancy:
Contact your doctor if you become pregnant while taking IBUTOP CREAM. Do not use ibuprofen during the first and second trimesters of pregnancy without consulting your doctor. IBUTOP CREAM should not be used during the last trimester of pregnancy due to the increased risk for mother and child.

Lactation:
Only small amounts of the active substance ibuprofen and its breakdown products pass into breast milk. As no adverse effects on the child are known to date, there is no need to discontinue breast-feeding during short-term therapy. However, the daily dose of 3-4 applications per day of 4-10 cm of cream should not be exceeded and discontinuation of breastfeeding in long-term therapy should be considered.
Breast-feeding women should not use this medicine on their breasts to avoid taking the medicine from the baby.

Driving and using machines
There are no data on the effect on the ability to drive and use machines.

Dolgite contains propylene glycol.
Propylene glycol may cause skin irritation.

How to use IBUTOP CREAM for pain and inflammation of muscles and joints
Always use IBUTOP CREAM as indicated in this leaflet. If you are not sure, ask your doctor or pharmacist.

Unless otherwise prescribed, the usual recommended dose is:
Apply Dolgit cream 3-4 times a day. Depending on the affected area, apply 4-10 cm of cream, corresponding to 2-5 g of cream (100 - 250 mg ibuprofen). The maximum daily dose is up to 20 g of cream, corresponding to 1,000 mg of ibuprofen.

How to use:
For skin application only! Do not swallow!
Apply IBUTOP CREAM on the skin and rub gently. In cases of acute hematoma and sprains IBUTOP CREAM can be applied under an occlusive dressing at the beginning of treatment.
The penetration of the active substance through the skin can be enhanced by iontophoresis (a special form of electrotherapy). IBUTOP CREAM should be applied to the cathode (negative pole). The current should be 0.1 - 0.5 mA for 5 cm2 of the electrode area and the duration of treatment is about 10 minutes.

Duration of use:
The treating physician determines the duration of treatment. In most cases, daily application for 2-3 weeks is sufficient.
There is no evidence of a therapeutic effect for a shorter period.

If you have the impression that the effect of IBUTOP CREAM is too strong or too weak, please contact your doctor or pharmacist.

If you use more IBUTOP CREAM than you should
If the recommended dose is exceeded, the cream should be removed and the treated area washed with water. In case of overdose, the treating physician should be informed. A specific antidote for ibuprofen intoxication is unknown.

Possible side effects
Like all medicines, IBUTOP CREAM can cause side effects, although not everybody gets them.

Adverse drug reactions are classified as follows:

very common (affects 1 or more in every 10 patients);
common (affects 1 or more in every 100 but less than 1 in every 10 patients);
uncommon (affects 1 or more in every 1,000 but less than 1 in every 100 patients);
rare (affects 1 or more in 10,000 but less than 1 in 1,000 patients);
very rare (affects less than 1 in 10,000 patients);
unknown (frequency cannot be determined from the available data).

Common side effects are local skin reactions such as erythema, itching, burning, pustular exanthema and urticaria.
Hypersensitivity reactions such as local allergic reactions (contact dermatitis) are uncommon.
Bronchospastic reactions are very rare.
In cases of application of IBUTOP CREAM for a long time and on large areas of skin, the occurrence of side effects affecting individual organs or the whole body is not excluded, which are generally possible with the systemic administration of drugs containing ibuprofen.

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

Ingredients:
What IBUTOP CREAM contains:
Active substance: Ibuprofen
100 g IBUTOP CREAM contains ibuprofen 5 g in an oil-in-water emulsion.

The other ingredients are:
Methyl 4-hydroxybenzoate sodium, medium chain triglycerides, glycerol monostearate, polyoxyethylene-30-stearate, polyoxyethylene-100-stearate, propylene glycol, xanthan gum, lavender oil, orange oil, purified water.