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Flurbiprofen 50 mg Tablets Flurbiprofen 100 mg Tablets

IMPORTANT INFORMATION

Read all this leaflet carefully before you start taking this medicine

Keep this leaflet as you may need to read it again This leaflet provides a summary of the information currently available about Flurbiprofen Coated Tablets For further information or advice ask your doctor or pharmacist

This medicine is for you only and should never be given to anyone else, even if they appear to have the same symptoms as you Tell your doctor or pharmacist if you experience any serious side effects or any side effects that are not listed in this leaflet.

Leaflet contents:

1.    What are Flurbiprofen Coated Tablets and what are they used for?

2.    What should you know before taking Flurbiprofen Coated Tablets?

3.    How should you take Flurbiprofen Coated Tablets?

4.    Possible side effects of Flurbiprofen Coated Tablets.

5.    How to store Flurbiprofen Coated Tablets.

6.    Further information about Flurbiprofen Coated Tablets.

1. What are Flurbiprofen Coated Tablets and what are they used for?

Flurbiprofen Coated Tablets belong to a group of medicines called non-steroidal antiinflammatory drugs (NSAIDs). They can be used to relieve pain and inflammation (redness, heat and swelling) in conditions such as:

•    osteoarthritis (a bone disorder, which is seen mostly in older persons, in which the joints become painful and stiff)

•    rheumatoid disease (inflammation of the joints and sometimes surroundings tissues)

•    ankylosing spondylitis (arthritis of the spine)

•    swollen joints, frozen shoulder, bursitis (inflammation of the bursa), tendinitis (inflammation of tendons), tenosynovitis (inflammation of the covering layer of a tendon)

•    low back pain, sprains and strains. Flurbiprofen Coated Tablets can also be used to treat other painful conditions such as toothache, pain after operations, period pain and migraine.

The active substance in Flurbiprofen Coated Tablets is flurbiprofen "EP". Flurbiprofen 50 mg Coated Tablets contains 50 mg of flurbiprofen "EP" and Flurbiprofen 100 mg Coated Tablets contains 100 mg of flurbiprofen "EP".

2. What should you know before taking Flurbiprofen Coated Tablets?


Do not take this medicine if:

• You are sensitive (allergic) to any of the ingredients in the tablets? These are listed in Section 6. Ingredients known to cause allergic reactions are also listed at the end of this section. You currently have a peptic ulcer (ulcer in your stomach or duodenum), ulcerative 1

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colitis, Crohn’s disease or bleeding in your stomach, or have had two or more episodes of peptic ulcers, stomach bleeding or perforation in the past.

•    You suffer from asthma or you have ever had an allergic reaction or suffered from wheezing after taking flurbiprofen, ibuprofen, aspirin or other anti-inflammatory pain killers.

•    You are in the last trimester (last 3 months) of pregnancy.

•    You have been told by your doctor that you have severe heart failure, liver failure or kidney failure.

Tell your doctor before you take this

medicine if the answer to any of the

following questions is ‘YES’:

•    Are you pregnant or planning to become pregnant, or are you breastfeeding? Flurbiprofen Coated Tablets may make

it more difficult to become pregnant.

You should inform your doctor if you are planning to become pregnant or if you have problems becoming pregnant.

•    Do you have systemic lupus erythematosus (SLE, sometimes known as lupus) or a connective tissue disease (autoimmune diseases affecting connective tissue)?

•    Do you suffer from liver or kidney disease or have you ever been told you have liver or kidney disease?

•    Do you suffer from heart problems or have you ever been told you have heart problems?

Medicines such as Flurbiprofen Coated Tablets may be associated with a small increased risk of heart attack (myocardial infarction) or stroke. Any risk is more likely with high doses and prolonged treatment. Do not exceed the recommended dose or duration of treatment. If you have heart problems, previous stroke or think that you might be at risk of these conditions (e.g. if you have high blood pressure, diabetes, high cholesterol or are a smoker) you should discuss your treatment with your doctor or pharmacist.

•    Have you been diagnosed as having a condition that affects the time it takes your blood to clot?

•    Have you been told by your doctor that you have an intolerance to some sugars? Please see “Important information on some of the ingredients of Flurbiprofen Coated Tablets” at the end of this section.

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• Are you taking any of the following medicines:

•    diuretics (known as water tablets e.g. furosemide, spironolactone)

•    cardiac glycosides (medicines used for heart conditions, such as digoxin)

•    ACE inhibitors (eg captopril) or Angiotensin II antagonists (e.g. losartan). These medicines are used to treat high blood pressure

•    anti-coagulants (to prevent blood clots e.g. warfarin)

•    lithium

•    zidovudine (an anti-viral drug)

•    methotrexate (used to treat certain cancers)

•    ciclosporin and tacrolimus (immunosuppressants used to dampen down your immune response)

•    medicines known as corticosteroids (used in the treatment of inflammatory diseases e.g. prednisone, dexamethasone, hydrocortisone)

•    anti-depressant medication known as selective serotonin reuptake inhibitors (SSRIs) (e.g. fluoxetine and paroxetine)

•    antibiotics called quinolones (such as ciprofloxacin)

•    aminoglycosides (a type of antibiotic e.g. streptomycin and gentamicin)

•    mifepristone (now or in the last 12 days)

•    any other anti-inflammatory pain killers, including aspirin and the group of drugs known as COX-2 inhibitors e.g. celecoxib, lumiracoxib.

Pregnancy and breast-feeding:

The use of Flurbiprofen Coated Tablets whilst pregnant or breast-feeding should be avoided. Flurbiprofen Coated Tablets should not be used in late (the last three months) of pregnancy. If you are pregnant, thinking of becoming pregnant or are breastfeeding you must tell your doctor before taking Flurbiprofen Coated Tablets.

Driving and Using Machines:

Flurbiprofen Coated Tablets may make you feel dizzy or drowsy. If the tablets affect you in this way do not drive, operate machinery or do anything that requires you to be alert.

Other information about Flurbiprofen Coated Tablets:

Your doctor may give you another medicine to be taken with Flurbiprofen Coated Tablets to help protect your stomach, if they think you are at risk of getting a stomach ulcer or bleeding in your stomach.


Important information on some of the ingredients of Flurbiprofen Coated Tablets:

Flurbiprofen Coated Tablets contain glucose, sucrose and lactose. If you have been told by your doctor that you have an intolerance to some sugars you should check with your doctor before taking Flurbiprofen Coated Tablets.

3. How should you take Flurbiprofen Coated Tablets?

Always take Flurbiprofen Coated Tablets exactly as your doctor has told you. If you are not sure refer to the label on the carton or check with your doctor or pharmacist.

Take your Flurbiprofen Coated Tablets with or after food with a glass of water.

Dosage:

Adult -The usual daily dose is 150 to 200 mg, spread throughout the day. If you are taking Flurbiprofen 50 mg Coated Tablets this will be three or four times a day. If you are taking Flurbiprofen 100 mg Coated Tablets this will be one or two tablets a day. Sometimes a mixture of the two strengths of tablet will be prescribed. The dose may be increased by your doctor to a maximum of 300 mg a day. Period Pain - At the start of the symptoms, 100 mg (either two Flurbiprofen 50 mg Coated Tablets or one Flurbiprofen 100 mg Coated Tablet), followed by 50 mg or 100 mg every 4 to 6 hours. The maximum dose is 300 mg a day.

Elderly -Some elderly patients may be more prone to side effects. Your doctor will take this into account when deciding the dose you will need and may monitor you for side effects.

Children - Flurbiprofen Coated Tablets are not recommended for children.

If you forget to take your Flurbiprofen Coated Tablets take them as soon as you remember, unless it is almost time for your next dose. If it is, do not take the missed dose at all. Never double up on a dose to make up for the one you have missed.

If you take more Flurbiprofen Coated Tablets than you should (an overdose) you

should contact a doctor or go to the nearest hospital casualty department immediately and take your tablets with you.

4. Possible side effects of Flurbiprofen Coated Tablets

As with all medicines, Flurbiprofen Coated Tablets may cause side effects, although they are usually mild and not everyone will suffer from them. If any side effects become serious or if you notice any side effects that are not listed in this leaflet, please tell your doctor or pharmacist.

If you suffer from any of the following at any time during your treatment stop taking Flurbiprofen Coated Tablets and seek immediate medical help:

•    Severe headache, high temperature, stiffness of the neck or intolerance to bright light

•    Pass blood in your faeces (stools/motions)

•    Pass black tarry stools

•    Vomit any blood or dark particles that look like coffee grounds.

Tell your doctor immediately and stop taking the tablets if you experience:

•    Unexplained stomach pain or other abnormal stomach symptoms, indigestion, heartburn, feeling sick and/or vomiting.

•    Swelling of the face, lips or tongue, unexplained wheezing, shortness of breath or skin rash.

•    Increased bruising or bleeding, fever, sore throat, mouth ulcers, tiredness and a tendency to get infections (symptoms of blood disorders that may occur rarely with Flurbiprofen Coated Tablets).

•    Severe skin reactions such as blistering of the skin, mouth, eyes and genitals (symptoms of some severe skin conditions that may occur rarely with Flurbiprofen Coated Tablets).

•    Yellowing of the eyes and/or skin. This is a sign that your liver may not be working properly. You may also experience symptoms such as tiredness, flu-like symptoms, poor appetite/ loss of appetite and pain in your abdomen (just under your ribs).

•    Tiredness, swelling or puffiness in the face, abdomen, thighs or ankles, passing less urine or problems urinating and back pain (symptoms of kidney problems that may occur rarely with Flurbiprofen Coated Tablets).

•    Severe headache and/or blurred or

disturbed vision (which may be due to an increase in your blood pressure) or seeing/ hearing strange things.    3

Marketing Authorisation Holder:

BGP Products Ltd., Abbott House, Vanwall Business Park, Vanwall Road, Maidenhead, Berkshire, SL6 4XE, UK.

Manufacturer:

Famar L’ Aigle

Z.I. No.1 Route de Crulai

61303 L’Aigle Cedex

France

Distributor: Mylan, Potters Bar, Hertfordshire, EN6 1TL, United Kingdom.


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Flurbiprofen Coated Tablets has sometimes been associated with heart failure. This is when your heart does not function as well as it should. Symptoms can include tiredness and a lack of energy, breathlessness and swelling of the legs due to a build up of fluid.

Medicines such as Flurbiprofen Coated Tablets may be associated with a small increased risk of heart attack (myocardial infarction) or stroke.

Very rarely Flurbiprofen Coated Tablets may cause aseptic meningitis (inflammation of the protective membrane surrounding the brain).

Other unusual effects may include:

•    headache

•    dizziness

•    tingling of hands and feet

•    ringing in the ears

•    diarrhoea, constipation, wind

•    unexpected sensitivity of the skin to the sun

•    tiredness, malaise (a general feeling of being unwell)

•    mood swings, depression

•    hallucinations, confusion.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard By reporting side effects you can help provide more information on the safety of this medicine.

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6. Further information about Flurbiprofen Coated Tablets

The active substance in Flurbiprofen 50 mg and 100 mg Coated Tablets is flurbiprofen "EP". The tablets are white and come in two strengths: Flurbiprofen 50mg tablets contain 50mg of flurbiprofen EP and Flurbiprofen 100mg tablets contain 100mg of flurbiprofen EP. Each pack contains 100 tablets.

Other ingredients of Flurbiprofen Coated Tablets:

sucrose, lactose, talc, maize starch, titanium dioxide (E171), povidone, liquid glucose, magnesium stearate, stearic acid, colloidal silica, sandarac gum and carnauba wax.

This leaflet was last revised in February 2015.

5. How should you store Flurbiprofen Coated Tablets?

Your tablets should be stored in a safe place out of the sight and reach of children, your medicine could harm them. They should be kept in their original packaging, do not take Flurbiprofen Coated Tablets after the ‘use by’ date shown on the carton.

Do not store above 25°C.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment. Only keep the tablets if your doctor tells you to.

This information is confidential