What is Tonopan forte 25 mg coated tablets and when is it used?
Tonopan forte 25 mg coated tablets contain the active ingredient diclofenac potassium. This belongs to the group of non-steroidal anti-inflammatory drugs (prostaglandin synthesis inhibitors) and has an analgesic, fever-reducing and anti-inflammatory effect. The effect occurs within 30-60 minutes and lasts about 4-6 hours.
Tonopan forte 25 mg coated tablets are suitable for short-term treatment, i.e. for a maximum of 3 days of treatment of: headache, toothache, menstrual pain , pain in the area of joints and ligaments, back pain, pain from injuries and to reduce fever with flu-like illnesses.
When should Tonopan forte 25 mg dragées not be taken?
- If you are allergic to diclofenac or any of the excipients, or have had shortness of breath or allergy-like skin reactions, e.g. swelling of the face, lips, tongue, throat and /or on the extremities (signs of angioedema),
- if you are pregnant or breastfeeding (see also the chapter "Can Tonopan forte 25 mg coated tablets be taken during pregnancy or while breastfeeding?"),
- if you have an active stomach and/or duodenal ulcer or gastrointestinal bleeding or perforation (this may manifest itself as blackening of the stool, blood in the stool or vomiting of coffee grounds-like material),
- for chronic intestinal inflammation (Crohn's disease or ulcerative colitis),
- for severe impairment of liver or kidney function,
- for severe heart failure,
- for the treatment of pain after a coronary bypass operation on the heart (or Use of a heart-lung machine),
- in children and adolescents under the age of 14. Tonopan forte 25 mg coated tablets have not been tested for use in children and adolescents under 14 years of age. For this reason, Tonopan forte 25 mg dragees must not be used in children and adolescents under the age of 14.
When is caution required when taking Tonopan forte 25 mg dragees?
During treatment with Tonopan forte 25 mg coated tablets, ulcers in the mucous membranes of the upper gastrointestinal tract, rarely bleeding or, in isolated cases, perforations (perforations in the stomach or intestines) may occur. These complications can occur at any time during treatment, even without warning symptoms. To reduce this risk, the smallest effective dose should be used over the shortest possible duration of therapy. Contact your doctor if you have stomach pain and suspect it is related to taking the medicine.
Older people may be more sensitive to the medicine than younger adults. It is particularly important that older patients report any side effects to their doctor immediately.
In the following situations, you may only take Tonopan forte 25 mg coated tablets if prescribed by a doctor and under medical supervision:
- if you are currently being treated by a doctor for a serious illness;
- if you have previously suffered from a stomach or duodenal ulcer;
- if you have a heart or blood vessel disease (known as cardiovascular disease, including uncontrolled high blood pressure, heart failure, existing ischemic heart disease or peripheral arterial disease), have ever had a heart attack, stroke or venous thrombosis, or if you have risk factors (such as high blood pressure, Diabetes [diabetes], high levels of fats in the blood [cholesterol, triglycerides], smoking). tonopan forte 25 mg dragées is usually not recommended in these situations. For certain painkillers with a similar effect, the so-called COX-2 inhibitors, an increased risk of heart attack and stroke has been found with high doses and/or long-term treatment. It is not known whether this increased risk also applies to Tonopan forte 25 mg coated tablets. It is important that you use the lowest effective dose to relieve your pain and that you take Tonopan forte 25 mg coated tablets for the shortest time necessary to reduce the risks to keep cardiovascular side effects as low as possible.
- if you have kidney disease, if you are taking medicines for high blood pressure (e.g. diuretics, ACE inhibitors) or in the event of increased fluid loss, e.g. through heavy sweating or during Diarrhea; taking Tonopan forte 25 mg coated tablets can impair the function of your kidneys, which can lead to an increase in blood pressure and/or fluid retention (oedema);
- if you have liver problems;
- if you are being treated with anticoagulants (blood thinners, anticoagulants) or have a blood clotting disorder or any other blood disorder, including the rare disease hepatic porphyria;
- if you have asthma;
- if you are taking anti-rheumatic drugs or other painkillers (e.g. acetylsalicylic acid, aspirin, ibuprofen) or other anti-inflammatory drugs (corticosteroids);
- if you are taking the following medicines: lithium or specific serotonin reuptake inhibitors (SSRI's, medicines to treat depression), digoxin (medicine for heart problems), diuretics (medicines to increase urine output), medicines (e.g. metformin) to treat diabetes/diabetes with the exception of insulin, methotrexate (used to treat arthritis and cancer), ciclosporin or Tacrolimus (for organ transplants), trimethoprim (for urinary tract infections), quinolone antibiotics (to treat infections), voriconazole (to treat fungal infections), phenytoin (to treat epileptic seizures), or sulfinpyrazone (gout medicine).
- If you notice signs or symptoms while taking Tonopan forte 25 mg coated tablets that indicate problems with the heart or blood vessels, such as chest pain, shortness of breath, weakness or slurred speech, contact your doctor immediately.
In very rare cases, anti-inflammatory drugs (including Tonopan forte 25 mg coated tablets) can cause serious skin reactions (e.g. skin rash). At the first sign of a skin reaction, treatment with Tonopan forte 25 mg coated tablets should be discontinued and medical attention sought immediately.
Tonopan forte 25 mg coated tablets can reduce the symptoms of an infection (e.g. high fever) and thus the diagnosis of the Complicate infection.
Information on the excipients
Sucrose:
Tonopan forte 25 mg coated tablets contain sucrose (45,416 mg per coated tablet). Please only take Tonopan forte 25 mg dragées after consulting your doctor if you know that you suffer from sugar intolerance.
This medicine contains less than 1 mmol sodium (23 mg ) per dragee, i.e. it is almost "sodium-free".
This medicine may impair your ability to react, the ability to drive and the ability to use tools or machines. In particular, if you experience dizziness or visual disturbances, you should refrain from driving or using machines.
Inform your doctor, pharmacist or druggist if you
- suffer from other diseases,
- Have allergies or
- use other medicines (including those you bought yourself!)!
Can Tonopan forte 25 mg coated tablets be taken during pregnancy or while breastfeeding?
Pregnancy
If you are pregnant or planning a pregnancy, you should only take Tonopan forte 25 mg coated tablets after consulting your doctor. Tonopan forte 25 mg dragees should not be taken during the last third of pregnancy.
Breastfeeding
Tonopan forte 25 mg dragees should not be taken while breastfeeding, unless your doctor has told you expressly allowed you to do so.
Like other anti-inflammatory drugs, Tonopan forte 25 mg coated tablets can make it more difficult to become pregnant. After stopping the drug, this effect ends. If you are planning to become pregnant or are having difficulties conceiving, talk to your doctor.
How do you use Tonopan forte 25 mg coated tablets?
How many Tonopan forte 25 mg dragées should be taken?
The recommended dosage must not be exceeded.
The lowest effective dose should always be taken for the shortest possible time.
Adults and adolescents from the age of 14:
Swallow 1 dragée Tonopan forte 25 mg up to 3 times a day with plenty of water, preferably with or after eating.
Before the next dose an interval of at least 4 to 6 hours must be observed.
Maximum daily dose:
Do not take more than 3 tablets Tonopan forte 25 mg within 24 hours, unless prescribed by a doctor.
How long should Tonopan forte 25 mg dragees be taken?
Do not take Tonopan forte 25 mg dragees for longer than 3 days and only to treat the symptoms listed above.
If the symptoms persist or worsen, consult your doctor so that the reason can be clarified. A serious illness can be the cause.
If you have taken more Tonopan forte 25 mg coated tablets than you should?
If you have accidentally taken more coated tablets, contact your doctor immediately Doctor, to your doctor.
Children and adolescents under the age of 14:
Tonopan forte 25 mg coated tablets should not be used in children and adolescents under the age of 14. The use and safety of Tonopan forte 25 mg dragées in children and adolescents under the age of 14 has not yet been tested.
Elderly patients:
Elderly patients can react more sensitively to the drug than younger ones Adult. It is particularly important that elderly patients report any side effects to their doctor immediately.
Follow the dosage provided in the package leaflet or as prescribed by your doctor. If you think the medicine is too weak or too strong, talk to your doctor, pharmacist or druggist.
What side effects can Tonopan forte 25 mg coated tablets have?
The following side effects may occur after taking Tonopan forte 25 mg coated tablets:
Common side effects (in 1 to 10 out of 100 patients):
- Abdominal pain, stomach pain, diarrhea, nausea, vomiting, gas, indigestion, decreased appetite;
- Headache, lightheadedness;
- Rash;
- Dizziness;
- Increased liver enzyme levels.
Uncommon side effects (affects 1 to 10 patients in 1000):
- palpitations, sudden and oppressive chest pain (signs of heart attack and heart attack)*;
- shortness of breath, difficulty breathing when lying down, swelling of the feet or legs (signs of heart failure)*.
Rare side effects (affects 1 to 10 patients in 10,000):
- Unusual tiredness;
- Itchy rash;
- Upper gastrointestinal tract, blood in stools or blackening of stools, vomiting blood, bloody diarrhea;
- Allergic reaction including Difficulty breathing or swallowing, swelling of the face, mouth, tongue or throat often with a rash, collapse;
- Wheezing or shortness of breath, feeling choked (signs of asthma);
- Swelling of the arms, legs and feet (oedema);
- Yellow skin or eyes (signs of liver inflammation or liver failure).
Very rare side effects (less than 1 in 10,000 patients):
- Bleeding or unusual bruising;
- Low white blood cells (causing a high fever or persistent sore throat, frequent infections), low red blood cells;
- Constipation, sore mouth, sore and red tongue, taste disturbance, upper abdominal cramps;
- Itching and reddening of the skin, hair loss;
- Tingling or rigidity of the hands or feet, tremors;
- blurred vision, ringing in the ears, hearing problems;
- Mood swings, trouble sleeping, confusion;