DOCPELIN Pain extra film-coated tablets, 20 pcs

Instructions for use for DOCPELIN Pain extra film-coated tablets, 20 pcs

Application instructions

Children aged 6-9 (with 20-29 kg body weight)	1/2 Tablet	1-3 times daily	at intervals of 4-6 hours, regardless of the meal
Children aged 10-12 (with 30-39 kg body weight)	1/2 Tablet	1-4 times daily	at intervals of 4-6 hours, regardless of the meal
Adolescents aged 12 and over and adults (body weight over 40 kg)	1/2-1 Tablet	1-3 times daily	at intervals of 4-6 hours, regardless of the meal

Application areas

Mode of action

How does the ingredient of the medicine work?

The active ingredient belongs to a group of substances that are effective against both pain and inflammation and can reduce fever. All three effects are based primarily on the inhibition of a substance produced by the body, called prostaglandin. This substance must be present as a messenger substance so that pain can be felt, inflammatory reactions can be started or the body temperature can be raised.

Composition

Contraindications

What speaks against an application?

Always:
- Hypersensitivity to the ingredients
- Ulcers in the digestive tract, including a history
- Bleeding in the gastrointestinal tract, including a history

Under certain circumstances - talk to your doctor or pharmacist about this:
- Gastrointestinal complaints
- Inflammatory bowel diseases, including a history, such as:
- Crohn's disease
- Ulcerative colitis
- Blood formation disorders
- High blood pressure
- Severe heart failure
- Severely impaired kidney function
- Severely impaired liver function
- Collagen diseases (changes in the connective tissue area), such as:
- Lupus erythematosus
- Mixed connective tissue disease (inflammatory rheumatic collagen disease)
- Porphyria (metabolic disease)
- Major surgery that took place recently

Which age group should be taken into account?
- Children under 6 years: The medicine should generally not be used in this group. There are preparations that are more suitable in terms of active ingredient strength and/or dosage form.
- Older patients aged 65 and over: The treatment should be well coordinated with your doctor and carefully monitored, e.g. through close checks. The desired effects and undesirable side effects of the drug may be increased or weakened in this group.

What about pregnancy and lactation?
- Pregnancy: Consult your doctor. Various considerations play a role in whether and how the medicine can be used during pregnancy.
- Breast-feeding: Consult your doctor or pharmacist. He will examine your particular situation and advise you accordingly as to whether and how you can continue breastfeeding.

If you have been prescribed this medicine despite a contraindication, talk to your doctor or pharmacist. The therapeutic benefit may be greater than the risk associated with use if there is a contraindication.

Side effects

What adverse effects may occur?

- Gastrointestinal complaints such as:
- Nausea
- Vomiting
- Heartburn
- Flatulence
- Diarrhea
- Constipation
- Stomach pain
- Bleeding in the gastrointestinal area
- Tarry stools, if they occur please see a doctor immediately
- Inflammation of the gastric mucosa
- Ulcers in the digestive tract, which can very rarely break through
- Headache
- Dizziness
- Insomnia
- Fatigue
- Irritability
- Excitement
- Skin hypersensitivity reactions such as:
- Skin rash
- Itching
- Attacks of shortness of breath
- Visual disturbances, if this occurs please see a doctor immediately

If you notice any discomfort or change during treatment, contact your doctor or pharmacist.

The information provided here primarily takes into account side effects that occur in at least one in 1,000 treated patients.

Hints

What should you pay attention to?
- The ability to react can be impaired even when used as intended, especially in higher doses or in combination with alcohol. Pay particular attention when you drive or operate machines (including at home) that could cause you injury.
- If you have pain or fever, do not use it for longer than stated in the package leaflet without medical advice!
- With long-term use of painkillers, headaches can occur that are caused by the painkiller. Talk to your doctor to prevent your headaches from becoming chronic.
- Habitual use of painkillers can cause permanent kidney damage. If several painkillers are combined, or if one painkiller contains several active ingredients, the risk of this increases.
- Caution: Patients with nasal polyps, chronic respiratory infections, asthma or who are prone to allergic reactions such as hay fever: The medicine can trigger an asthma attack or a strong allergic skin reaction. Therefor consult your doctor before usage.
- Be careful if you are allergic to painkillers!
- Be careful if you are allergic to binding agents (e.g. carboxymethyl cellulose with the E number E 466)!
- Be careful if you have intolerance to lactose. If you have to follow a diabetes diet, you should consider the sugar content.
- There may be medicines that interact with. You should therefore generally tell your doctor or pharmacist before starting treatment with a new medicine that you are already using. This also applies to medicines that you buy yourself, only use occasionally or that were used some time ago.
- Alcohol consumption should be avoided if possible during long-term treatment . Occasional alcohol consumption in small amounts is permitted, but not with the medication.

Detailed instructions for DOCPELIN Pain extra film-coated tablets, 20 pcs

Field of use

The medicine is a painkiller, antipyretic and anti-inflammatory medicine (non-steroidal anti-inflammatory drug/analgesic).

Field of use:

The medicine is used for:

- Mild to moderate pain, such as headaches, toothaches or period pains

- Fever

Active ingredients / ingredients / ingredients

400 mg ibuprofen
Crospovidone excipient (+)
Lactose excipient (+)
Macrogol excipient (+)
Magnesium stearate excipient (+)
Corn starch excipient (+)
Polymethacrylate excipient (+)
Talc excipient (+)

Contraindications

The medicine must not be taken:

- if you are hypersensitive (allergic) to ibuprofen or any of the other ingredients of the medicine

- if you have had asthma attacks, nasal swelling or skin reactions in the past after taking acetylsalicylic acid or other non-steroidal anti-inflammatory drugs

- for stomach or intestinal ulcers

- in the last three months of pregnancy

Children:

The medicine must not be taken by children under 6 years of age, as this dosage strength is generally not suitable due to the active ingredient content.

dosage

Always take the medicine exactly as directed. Please ask your doctor or pharmacist if you are not sure.

Unless otherwise prescribed by the doctor, the usual dose is:

Age or. Body weight	Single dose	Total daily mt dose
Children from 6-9 years (approx. 20-29 kg)	1/2 Film-coated tablet (equivalent to 200 mg ibuprofen)	1 1/2 Film-coated tablet (equivalent to 600 mg ibuprofen)
Children from 10-12 years (approx. 30-43kg)	1/2 Film-coated tablet (equivalent to 200 mg ibuprofen)	1 1/2-2 Film-coated tablets (equivalent to 600-800 mg ibuprofen)
Children from 13-14 years (approx. 44-52 kg)	1/2 - 1 Film-coated tablet (equivalent to 200-400 mg ibuprofen)	1 1/2 - 2 1/2 Film-coated tablets (equivalent to 600-1000 mg ibuprofen)
Young people aged 15 and over and adults	1/2 - 1 Film-coated tablet (equivalent to 200-400 mg ibuprofen)	2 - 3 Film-coated tablets (equivalent to 800-1200 mg ibuprofen)

Duration of application:

Do not take this medicine for more than 4 days without medical or dental advice.

Please talk to your doctor or pharmacist if you have the impression that the effect of the medicine is too strong or too weak.

If you forget to take the medicine:

Do not take a double dose if you forget to take the previous dose.

If you stop taking the medicine:

Consult your doctor before stopping treatment with the medicine.

If you have any further questions about using the medicine, ask your doctor or pharmacist.

Intake

Please take the film-coated tablets whole with plenty of liquid (e.g. a glass of water). This promotes the onset of effect.

The film-coated tablets can be taken regardless of meals. For patients who have a sensitive stomach, it is recommended to take the medicine during meals.

Patient information

Particular caution is required when taking the drug:

- if you suffer from allergies (e.g. skin redness to other products, asthma, hay fever), chronic swelling of the mucous membranes or chronic respiratory diseases that narrow the airways; Your risk of a hypersensitivity reaction is then increased

- if you have a congenital blood formation disorder (acute intermittent porphyria)

- for certain diseases of the immune system (systemic lupus erythematosus and mixed connective tissue disease)

- for gastrointestinal complaints and previous gastrointestinal ulcers or chronic inflammatory bowel diseases (ulcerative colitis, Chrohn's disease)

- if you have kidney or liver disease

- if you have high blood pressure or weak heart performance (heart failure)

If you have these pre-existing conditions, please speak to your doctor before taking the medication.

Long-term, high-dose, improper use of painkillers can cause headaches, which should not be treated with increased doses of the drug.

In general, the habitual use of painkillers, especially when several painkilling agents are combined, can lead to permanent kidney damage, with the risk of kidney failure (analgesic nephropathy).

Anticoagulants (e.g. acetylsalicylic acid/aspirin, warfarin, ticlopidine), medicines for high blood pressure (ACE inhibitors, e.g. captopril, beta-receptor blockers, angiotensin II antagonists) and some other medicines can interfere with treatment with ibuprofen or be affected by it itself. Therefore, you should always seek medical advice before using the medicine at the same time as other medicines.

Ability to drive and use machines:

No adverse effects are expected if the doses recommended for the medicine are taken for a short period of time.

Storage:

Store drug out of reach of children.

This medicinal product does not require special storage conditions.

Disposal:

The medicine must not be disposed of in wastewater or household waste. Ask your pharmacist how to dispose of medicines if you no longer need them. This measure helps to protect the environment.

Pregnancy

Pregnancy and breast feeding period:

Before taking any medicines, ask your doctor or pharmacist for advice.

If pregnancy is discovered during prolonged use of the drug, the doctor should be notified. In the first and second trimesters of pregnancy, the medicine should only be used after consulting your doctor.

The medicine must not be used in the last three months due to an increased risk of complications for mother and child during birth.

Breastfeeding:

The active ingredient ibuprofen and its breakdown products pass into breast milk in small quantities. Since adverse effects on infants have not yet been reported, interruption of breastfeeding will not be necessary for short-term use of the recommended dose in the event of mild to moderate pain or fever.

Hints

If you have pain or fever, do not use it for longer than stated in the package leaflet without medical advice!

Miscellaneous

- The medicine is not suitable for children and adolescents under 14 years of age because the active ingredient content is too high. - Long-term, high-dose, improper use of painkillers can cause headaches that cannot be treated with increased amounts of the drug. - In general, the habitual use of painkillers, especially when several painkillers are combined, can lead to permanent kidney damage with the risk of kidney failure - If there is severe pain in the upper abdomen, if there is blood in the stool or if blood is vomited, the medicine must be stopped immediately and a doctor must be consulted. - If there are visual problems, a doctor must be informed immediately and the medicine must no longer be taken. - If If signs of infection appear or worsen while using the medicine, you should see a doctor immediately. - Since side effects such as tiredness and dizziness can occur when using the drug in higher doses, the ability to drive a motor vehicle or operate machines may be restricted in individual cases. This is especially true if you drink alcohol at the same time. Therapy monitoring:- If you take it for a long time, regular monitoring of liver values, kidney function and blood counts is necessary. - Severe general hypersensitivity reactions may occur. They can manifest themselves as facial swelling, tongue swelling, inner larynx swelling with narrowing of the airways, shortness of breath, rapid heartbeat, drop in blood pressure and even threatening shock. If any of these symptoms occur, which can occur even during the first use, immediate medical attention is required.

Manufacturer:  Pelikan-Apotheke, Markt 12