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Nimesil 100mg Sachets for oral suspension 2g N30

Berlin-Chemie

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Note. This product is not distributed or sold, and information is provided for information purposes only.
For more detailed information, contact your nearest pharmacy, pharmacist or your family doctor.

Nimesil 100mg Sachets for oral suspension 2g N30

Nimesil is Non-steroidal anti-inflammatory drug (NSAID), characterized by pain reduce properties.

It is used for the treatment of acute pain, the symptomatic treatment of painful osteoarthritis, menstrual painful ailments.

Nimesil 100 mg granules for oral suspension

nimesulide

Read all of this leaflet carefully before you start taking this medicine.

- Keep this leaflet You may need to read it.

- If you have any further questions, ask your doctor or pharmacist.

- This medicine is prescribed for you, so others can not give. It may harm them,

(Even if their symptoms are the same as yours).

- If you experience any serious side effects or if you notice any side effects not listed, please tell your doctor or pharmacist.

leaflet

  1. What is Nimesil is and what it is used for
  2. Before you Nimesil
  3. How Nimesil
  4. Possible side effects
  5. How to store Nimesil
  6. Further information

  1. WHAT IS NIMESIL AND WHAT IT IS USED FOR

Nimesil, which contains the active ingredient nimesulide, a non-steroidal anti-inflammatory drug (NSAID), characterized by pain reduced properties. It is used for the treatment of acute pain and menstrual pain caused by the treatment.

Before you Nimesil use, your doctor will assess the benefit to you and the potential risk of side effects.

  1. BEFORE YOU NIMESIL

Nimesil Do not

- If you are allergic (hypersensitive) nimesulide or any of the other ingredients Nimesil (see Section 6);

- If you have had an allergic reaction (eg., Wheezing, difficulty breathing, runny and / or stuffy nose due to nasal polyps, urticaria) due to aspirin or other NSAIDs;

- If you have had a reaction to nimesulide, during which liver failure;

- If you are taking other medicines that can harm the liver, for example., Paracetamol and other pain-relieving drugs, or NSAIDs;

- If you take drugs, or have become dependent on drugs or other substances;

- If you regularly drink a large quantity of alcoholic beverages (alcohol);

- If you have bleeding from the stomach or intestines or the stomach or intestinal perforation, related to previous NSAID;

- If you have liver disease or increased liver enzymes in the blood;

- If you have or have had a peptic ulcer, bleeding from the stomach or intestines (two or more separate prove ulceration or bleeding episodes), if there are gastrointestinal disorders (eg., Indigestible food, suffer from heartburn);

- If you have had a blood spill in the brain (stroke) or bleeding in other organs;

- If you have bleeding disorders or are impaired blood clotting;

- If you have heart disease (heart failure), renal (poor kidney function) or liver;

- If you have a fever or flu (hurts the whole body, feeling unwell, chills or shaking starts, or elevated temperature);

- If you are pregnant, the last three months of pregnancy;

- When breast-feeding.

Children under 12 years of age is contraindicated Nimesil

Take special care with:

- Nimesil stop taking and immediately tell your doctor if you take Nimesil there are indications that may be suggestive of liver dysfunction, eg., Loss of appetite, nausea, vomiting, abdominal pain, constant fatigue, dark-colored urine;

- If you have a history of peptic ulcer, bleeding in the stomach and / or intestines, have a history of ulcerative colitis or Crohn's disease before taking Nimesil, tell your doctor;

- If you take Nimesil you develop a fever and / or flu-like symptoms (sore

the whole body, feeling unwell, chills or shaking starts), discontinue use of the product, and

Tell your doctor;

- If you have heart or kidney disease, high blood pressure before taking Nimesil doctor; taking Nimesil renal function may be impaired;

- If you are elderly, your doctor will regularly assess your state of health and įsistikins that Nimesil does not cause any stomach, kidney, heart or liver problems;

- If you have an intolerance to some sugars, talk to your doctor before you start taking Nimesil.

If you take Nimesil you develop any stomach or intestinal disorders, for example., Stomach or abdominal area, bleeding from the stomach or faeces become black, Nimesil discontinue use and tell your doctor immediately.

If severe allergic reactions at the first appearance of skin rash, soft tissues (mucous membranes) for signs of damage or any other signs of allergy, discontinue Nimesil use and consult a physician.

If you are taking medicine for your condition does not improve, talk to your doctor.

If you are planning a pregnancy, talk to your doctor because Nimesil can impair fertility.

Medicines such as Nimesil may be associated with a small risk of heart attack (myocardial infarction) or stroke increased risk. Any risk is more likely for a long time at high doses. Do not exceed the recommended dose or duration of treatment.

If you have heart problems, previous stroke or think you might be at risk of this condition (for example, your blood pressure is high, you have diabetes, you have high cholesterol or are a smoker) you should discuss your treatment with your doctor or pharmacist.

Taking other medicines

If you are taking or have recently taken any other medicines, tell your doctor or pharmacist. Some medicines should not be used together, while other drugs, if they are used in combination, the dosage may need to be adjusted.

Always tell your doctor or pharmacist if you are together with Nimesil you are taking any of the medicines listed below:

These drugs may have interaction with Nimesil:

- Corticosteroids, eg., Cortisone (anti-inflammatory drug);

- Blood clotting lowering drugs, for example., Warfarin, or those which inhibit platelet aggregation drugs, such as aspirin (a drug that reduces clot formation);

- Selective serotonin reuptake inhibitors (used to treat depression);

- Urinary excretion promoting medicines (diuretics);

- Lower blood pressure (antihypertensives);

- ACE inhibitors and angiotensin II inhibitors (medicines used to treat heart failure and high blood pressure);

- Lithium, used to treat mood disorders

- Methotrexate (used to treat rheumatism and cancer)

- Cyclosporin, a medicine used in transplant or immune system diseases.

Taking Nimesil prohibits the abuse of alcohol.

In clinical trials, significant interactions with these drugs does not: glibenclamide (for diabetes), theophylline (respiratory disease), warfarin (blood clot formation prevention), digoxin (heart disease), cimetidine and stomach acid reducing agents (eg., Aluminum magnesium hydroxide combination).

Nimesil interact with certain liver enzymes (CYP2C9); Nimesil together with the use of medicinal products that interact with these enzymes can increase their impact.

Consult your doctor if you are taking other medications.

Pregnancy and breast-feeding

Before using Nimesil or any other medicine, be sure to check with your doctor or pharmacist.

  • Nimesil not be used in the last three months of pregnancy. It can disrupt the condition of the fetus or cause problems during childbirth.
  • If the first and second trimester of pregnancy, your doctor has prescribed this medicine, do not exceed the dose and duration of use.

Nimesil not be used if you are breast-feeding.

Driving and using machines

If you use Nimesil occurs apkvaitimas or dizziness, do not drive or operate machinery.

Important information about some of the ingredients Nimesil materials

Nimesil granules for oral solution contains sucrose (sugar). If your doctor has told you that you have intolerance to some sugars, contact your doctor before taking this medicine.

  1. HOW TO USE NIMESIL

Nimesil always exactly as directed by your doctor. If in doubt, ask your doctor or pharmacist.

The usual dose for adults, including the elderly and adolescents over 12 years of age is one 100 mg sachet of oral suspension granules. Take one Nimesil bag twice a day after meals.

Children (younger than 12 years) Nimesil prohibited.

Pour the contents of the packet into a glass of still water. Mix a spoon until a white or pale yellowish orange smell Suspension, take it as soon as possible.

Nimesil take the shortest possible time, not to exceed 15 days per course of treatment.

If you take a large dose Nimesil

If you take or if you think you have taken too much Nimesil dose, talk to your doctor or pharmacist immediately, or contact your nearest hospital emergency department. Do not forget to take with this medicine pack or this leaflet.

Taking too large a dose you have experienced the following symptoms: drowsiness, nausea, stomach flu, stomach ulcers, or shortness of breath.

If you forget to Nimesil

Do not take a double dose to make up for a missed dose.

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

  1. POSSIBLE SIDE EFFECTS

Nimesil, like all medicines, can cause side effects, although not everybody gets them.

The following are possible side effects are by their frequency. The following table indicates the treatment of side effects of frequency.

Common

affects more than 1 in 100 but less than 1 in 10 patients

Uncommon

It affects more than 1 in 1,000 but less than 1 in 100

rare

affects more than 1 in 10,000 but less than 1 in 1000 patients

Very rare

affects less than 1 in 10 000 patients, including isolated reports

If you experience the symptoms listed below, stop Nimesil use and tell your doctor immediately as this may be a side effect, which requires immediate medical attention:

- Stomach pain, loss of appetite, nausea, vomiting, bleeding from the stomach or intestines, which manifests itself with vomiting blood or black stools;

- Skin reaction - rash or redness;

- Wheezing or shortness of breath;

- Eye apples and yellow skin (jaundice);

- Unexpected amount of urine or discoloration;

- Face, legs, or feet;

- Constant fatigue.

Medicines such as Nimesil may be associated with a heart attack (myocardial infarction) or stroke risk a small increase.

Taking Nimesil there may be side effects occur:

- Common: diarrhea, nausea, vomiting, liver function associated with a small increase in the amount of enzymes.

- Uncommon: shortness of breath, dizziness, high blood pressure, constipation, bloating, burning sensation in the stomach (gastritis), bleeding from the stomach or intestine, duodenal or gastric ulcers and leaks, sores, itching, skin rash, excessive sweating, swelling (edema ).

- Rare: anemia, low white blood cell count, high white blood cell count eozonofilų number, hypersensitivity, changes in blood pressure, bleeding, painful urination or urinary retention, blood in the urine, blood potassium increase, anxiety, nervousness, nightmares, blurred vision, frequent heart rate, hot flushes, skin redness, inflammation of the skin (dermatitis), malaise, fatigue.

- Very rare: severe skin reactions (erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, during which justifies skin rash and severe illness, kidney failure or kidney inflammation (nephritis), headache, drowsiness, brain disease (encephalopathy) dizziness, decreased platelet count (which is a blood spill under the skin and in other parts of the body), complete blood cell loss, black stools due to bleeding in the stomach or intestines, sometimes very severe inflammation of the liver (hepatitis), causing jaundice and disrupts the bile flow, allergic reactions (including severe condition exerted collapse, difficulty breathing, asthma, reduction of body temperature, dizziness, headache, insomnia, stomach pain), abdominal pain, indigestion, burning sensation in the mouth (stomatitis), urticaria, facial and surrounding tissues swelling, blurred vision, asthma, bronchospasm, reduction of body temperature.

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

  1. HOW TO STORE NIMESIL

Keep out of the reach and sight of children.

This medicinal product does not require any special storage conditions.

On the carton and sachet after EXP / EXP after the expiry date, Nimesil not be used. The expiry date refers to the last day of the month.

Medicines should not be disposed of via wastewater or household waste. How to dispose of medicines no longer required, ask your pharmacist. These measures will help to protect the environment

  1. FURTHER INFORMATION

Nimesil composition

- The active substance is nimesulide. Each sachet contains 100 mg of nimesulide.

- The other ingredients are: sucrose, orange flavor, citric acid, maltodextrin, macrogol cetostearyl ether.

Nimesil appearance and contents of the pack

Yellowish orange odor granules for oral suspension packaged in sachets.

The carton is 9, 15 or 30 sachets.

It may not be available in all packs.

MAH

Laboratori Guidotti SpA

Via LIVORNESE, 897

56010 Pisa - La Vettola

Italy

Manufacturers

Laboratorios Menarini SA

C / Alfonso XII, 587

E-08918 Badalona

Barcelona

Spain

FINE FOODS NTMSPA

Via Berlin, 39

ZingoniaVerdellino (Bergamo)

Italy