What is Flector Dolo Forte Liquid Caps 25 mg and when is it used?

Flector Dolo Forte Liquid Caps 25 mg 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.

Flector Dolo Forte Liquid Caps 25 mg are only suitable for short-term treatment, i. for the maximum 3-day treatment of: headaches, toothaches, menstrual pains, pain in the area of ​​joints and ligaments, back pain, pain from injuries and to reduce fever in the case of influenza.

When not to take Flector Dolo Forte Liquid Caps 25 mg?

• If you are allergic to diclofenac or any of the excipients or after taking acetylsalicylic acid or other painkillers or anti-rheumatic medicines, so-called non-steroidal anti-inflammatory drugs, shortness of breath or allergic-like skin reactions, e.g. swelling of the face, lips, tongue, throat and/or extremities (signs of angioedema);
• if you are pregnant or are breastfeeding (see also the chapter "Can Flector Dolo Forte Liquid Caps 25 mg be taken during pregnancy or while breastfeeding?");
• in the case of active stomach and/or duodenal ulcers or stomach/intestinal bleeding or perforation (this can manifest itself as blackening of the stool, blood in the stool or vomiting of coffee grounds-like material);
• in chronic intestinal inflammation (Crohn's disease or ulcerative colitis);
• in severe impairment of liver or kidney function;
• in severe heart failure;
• for the treatment of pain after coronary bypass surgery on the heart (or use of a heart-lung machine);
• in children and adolescents under the age of 14. Flector Dolo Forte Liquid Caps 25 mg have not been tested for use in children and adolescents under 14 years of age. For this reason, Flector Dolo Forte Liquid Caps 25 mg must not be used in children and adolescents under the age of 14.

When is Flector Dolo Forte Liquid Caps 25 mg Caution required?

During treatment with Flector Dolo Forte Liquid Caps 25 mg, mucosal ulcers in the upper gastrointestinal tract, rarely bleeding or, in isolated cases, perforations (stomach or intestinal perforations) 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.

Elderly patients may be more sensitive to the medicine than younger adults. It is particularly important that elderly patients report any side effects to their doctor immediately.

You may only take Flector Dolo Forte Liquid Caps 25 mg with a prescription and under medical supervision in the following situations:

• if you are currently in are under medical treatment;
• if you have previously suffered from a stomach or duodenal ulcer;
• if you suffer from a heart or blood vessel disease (so-called cardiovascular diseases, including uncontrolled high blood pressure, heart failure, existing ischemic heart disease or peripheral arterial disease), have 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 [cholesterol, triglycerides] in the blood, smoking). Flector Dolo Forte Liquid Caps 25 mg is not usually 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 Flector Dolo Forte Liquid Caps 25 mg.
  It is important that you use the lowest effective dose to relieve your pain and that you use Flector Dolo Forte Liquid Caps 25 mg over the take the shortest time necessary to keep the risk of cardiovascular side effects as low as possible.
•  if you have kidney disease, if you take medicines for high blood pressure (e.g. diuretics, ACE inhibitors) or if you have an elevated blood pressure Loss of fluids, e.g. due to heavy sweating or diarrhea; taking Flector Dolo Forte Liquid Caps 25 mg can affect the way your kidneys work, 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 medicines 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 (medicines for heart problems), diuretics (medicines to increase urine output), medicines (e.g. metformin) to treat diabetes other than 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).
• have recently had or will have an operation on the gastrointestinal tract before taking Flector Dolo Forte Liquid Caps 25 mg, as Flector Dolo Forte Liquid Caps 25 mg can sometimes make wound healing in the intestine worse after surgery.

If you get signs or symptoms while taking Flector Dolo Forte Liquid Caps 25 mg that indicate problems with the heart or blood vessels, such as chest pain, shortness of breath, weakness or slurred speech, contact us immediately your doctor.

In very rare cases, anti-inflammatories (including Flector Dolo Forte) can cause serious skin reactions (e.g. rash). At the first sign of a skin reaction, treatment with Flector Dolo Forte should be discontinued and medical attention sought immediately.

Flector Dolo Forte Liquid Caps 25 mg can reduce the symptoms of an infection (e.g. high fever) and thus make it more difficult to diagnose the infection.

This medicinal product contains 12 mg sorbitol per liquid cap.

If your doctor has told you that you have an intolerance to some sugars, consult your doctor before taking Flector Dolo Forte Liquid Caps 25 mg.

This medicinal product contains less than 1 mg sodium per Liquid Caps, i.e. essentially 'sodium-free'. it is almost «sodium-free».

This medicine may affect your ability to react, drive and use any tools or machines. You should refrain from driving or using machines, especially if you experience dizziness or visual disturbances.

Tell your doctor, pharmacist or druggist if you

• suffer from other illnesses,
• have allergies or
• take other medicines (including those you bought yourself!) or use them externally!

Can Flector Dolo Forte Liquid Caps 25 mg be taken during pregnancy or breastfeeding?

Pregnancy

Should If you are pregnant or planning to become pregnant, you should only take Diclofenac after consulting your doctor. Flector Dolo Forte Liquid Caps 25 mg should not be taken during the last trimester of pregnancy.

Breastfeeding

Flector Dolo Forte Liquid Caps 25 mg should not be taken while breastfeeding unless your doctor has given you permission.

Fertility

Like other anti-inflammatory drugs, Flector Dolo Forte Liquid Caps 25 mg can make it difficult to get pregnant. After stopping the drug, this effect ends. If you are planning to become pregnant or are having trouble conceiving, talk to your doctor.

How to use Flector Dolo Forte Liquid Caps 25 mg?

Do not exceed the recommended dosage.

The lowest effective dose should always be taken for the shortest possible time.

Adults and adolescents from 14 years of age:

Swallow 1 Flector Dolo Forte Liquid Caps 25 mg up to 3 times a day with plenty of water, preferably with or after meals .

A gap of at least 4 to 6 hours should be observed before the next dose.

Maximum daily dose:

Do not take more than 3 Flector Dolo Forte Liquid Caps 25 mg in any 24 hour period, unless prescribed by a doctor.

If you accidentally take more Flector Dolo Forte Liquid Caps 25 mg, contact your doctor immediately.

Do not take Flector Dolo Forte Liquid Caps 25 mg for more than 3 days and only to treat the conditions 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.

Children and adolescents under the age of 14:

Flector Dolo Forte Liquid Caps 25 mg must not be used in children and adolescents under the age of 14. The use and safety of Flector Dolo Forte Liquid Caps 25 mg in children and adolescents under the age of 14 has not yet been tested.

Elderly patients:

Elderly patients may be more sensitive to the medicine than younger adults. It is particularly important that elderly patients report any side effects to their doctor immediately.

Stick to the dosage given 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 Flector Dolo Forte Liquid Caps 25 mg have?

The following side effects may occur after taking Flector Dolo Forte Liquid Caps 25 mg:

Common (affects 1 to 10 users in 100):

• Abdominal pain, stomach pain, diarrhea, nausea, vomiting, flatulence, indigestion, decreased appetite;
• Headache, drowsiness;
• Rash;
• Dizziness;
• Increased liver enzymes.

Uncommon (affects 1 to 10 users 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 (affects 1 to 10 users in 10,000):

• Unusual tiredness;
• Itchy skin rash;
• Ulcers in the gastrointestinal tract, blood in the stools or black stools, vomiting blood, bloody diarrhea ;
• allergic reaction including difficulty breathing or swallowing, swelling of the face, mouth, tongue or throat often with rash, collapse;
• wheezing or shortness of breath, feeling of suffocation ( signs of asthma);
• Swelling of the arms, legs and feet (oedema);
• Yellowing of the skin or eyes (signs of liver inflammation or liver failure).

Very rare (affects less than 1 in 10,000 people):

• Bleeding or unusual bruising;
• low white blood cells (which can lead to high fever or persistent sore throat, frequent infections), low red blood cells;
• Constipation, inflammation of the mouth, inflammation and redness of the tongue, taste disturbances, epigastric cramps;
Itching and reddening of the skin, hair loss;
• Tingling or stiffness of the hands or feet, tremors;
• Blurred vision, ringing in the ears, hearing problems;
• Mood changes, trouble sleeping, confusion;
• Skin rash with blisters, peeling skin, purplish skin, blistering of the eyes and mouth, skin inflammation with flaking;
• Discolored urine (may be caused by blood or proteins in the urine) or changes in the amount of urine;
• Increased skin sensitivity to the sun;
• Fits;
• Sudden and severe headache, difficulty speaking, stiff neck.

If you notice any side effects, talk to your doctor, pharmacist or druggist. This also applies in particular to side effects that are not listed in this leaflet.

*This frequency may occur when taking a high daily dose (150 mg) for a long period of time.

What else needs to be considered?

The medicinal product may only be used up to the date marked «EXP» on the container.

Storage instructions

Store at room temperature (15-25 °C), in the original packaging, protected from light and moisture and out of the reach of children.

Further information

Your doctor, pharmacist or druggist can provide you with further information. These people have the detailed information for specialists.

What does Flector Dolo Forte Liquid Caps 25 mg contain?

Active ingredient

1 Flector Dolo Forte Liquid Caps 25 mg Liquid Cap contains 25 mg diclofenac potassium.

Excipients

Capsule contents: macrogol (polyethylene glycol), water, glycerol.

Capsule Shell: Gelatin, Glycerol, Sorbitol (E420), Hydroxypropylbetadex, Sodium Hydroxide.

Approval number

67855 (Swissmedic).

Where can you get Flector Dolo Forte Liquid Caps 25 mg? What packs are available?

In pharmacies and drugstores, without a doctor's prescription.

Packs of 10 softgels.

Authorization holder

IBSA Institut Biochimique SA, Lugano

This leaflet was last checked by the drug authority (Swissmedic) in April 2021.