Flurbiprofen (oral)

Flurbiprofen (oral)

Oral route (tablet)

NSAIDs cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction and stroke, which can be fatal. This risk may occur early in treatment and may increase with duration of use. Flurbiprofen is contraindicated in CABG surgery. NSAIDs cause an increased risk of serious gastrointestinal side effects, including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Elderly patients and patients with a history of peptic ulcer and/or gastrointestinal bleeding are at higher risk of serious gastrointestinal events.

Possible uses for flurbiprofen

This medicine is only available with a doctor's prescription.

Before using flurbiprofen

When deciding whether to use a medicine, the risks of taking the medicine must be weighed against the benefits it produces. This is a decision that you and your doctor will make. The following should be noted with this medicine:

Allergies

Tell your doctor if you have ever had an unusual or allergic reaction to this medicine or any other medicines. Also tell your doctor if you have other allergies, such as to foods, dyes, preservatives or animals. For over-the-counter products, read the label or package ingredients carefully.

Pediatrics

No appropriate studies have been conducted on the relationship between age and the effects of flurbiprofen in children and adolescents. Safety and effectiveness have not been established.

geriatrics

Studies conducted to date have not shown any geriatric-specific problems that would limit the benefit of flurbiprofen in the elderly. However, older patients are at higher risk of age-related kidney, stomach, or heart problems, which may require caution and dose adjustment in patients receiving flurbiprofen.

Drug interactions

Although certain medicines should not be used together at all, in other cases two different medicines can be used together, although interactions may occur. In these cases, your doctor may want to change the dose or other precautions may be necessary. If you are taking this medicine, it is particularly important that your doctor knows whether you are taking any of the medicines listed below. The following interactions were selected for their potential significance and are not necessarily exhaustive.

The use of this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or to change some of the other medications you are taking.

• Ketorolac

Using this medicine with any of the following medicines is not usually recommended but may be necessary in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Abciximab
• Aceclofenac
• Acemetacin
• Acenocoumarol
• Amilorid
• Amineptin
• Amitriptylin
• Amitriptylinoxid
• Amoxapin
• Amtolmetin Guacil
• Anagrelid
• Apixaban
• Ardeparin
• Argatroban
• Aspirin
• Balsalazid
• Bemetizid
• Bemiparin
• Bendroflumethiazid
• Benzthiazid
• Betamethason
• Betrixaban
• Wismutsubsalicylat
• Bivalirudin
• Bromfenac
• Budesonid
• Bufexamac
• Bumetanid
• Cangrelor
• Celecoxib
• Certoparin
• Chlorthiazid
• Chlorthalidon
• Cholinmagnesiumtrisalicylat
• Cholinsalicylat
• Cilostazol
• Citalopram
• Clomipramin
• Clonixin
• Clopamid
• Clopidogrel
• Kortison
• Cyclopenthiazid
• Cyclosporin
• Cyclothiazid
• Dabigatranetexilat
• Dalteparin
• Danaparoid
• Deflazacort
• Desipramin
• Desirudin
• Desmopressin
• Desvenlafaxin
• Dexamethason
• Dexibuprofen
• Dexketoprofen
• Diazoxid
• Dibenzepin
• Diclofenac
• Diflunisal
• Digoxin
• Dipyridamol
• Dipyron
• Dothiepin
• Doxepin
• Droxicam
• Duloxetin
• Edoxaban
• Emtricitabin
• Enoxaparin
• Eplerenon
• Epoprostenol
• Eptifibatid
• Escitalopram
• Ethacrynsäure
• Etodolac
• Etofenamat
• Etoricoxib
• Etozolin
• Felbinac
• Fenoprofen
• Fepradinol
• Feprazon
• Mutterkraut
• Floctafenin
• Fluconazol
• Flufenaminsäure
• Fluocortolon
• Fluoxetin
• Fluvoxamin
• Fondaparinux
• Furosemid
• Ginkgo
• Gossypol
• Heparin
• Hydrochlorothiazid
• Hydrocortison
• Hydroflumethiazid
• Ibuprofen
• Iloprost
• Imipramin
• Indapamid
• Inotersen
• Ketoprofen
• Lepirudin
• Levomilnacipran
• Lithium
• Lofepramin
• Lornoxicam
• Loxoprofen
• Lumiracoxib
• Magnesiumsalicylat
• Mädesüß
• Meclofenamat
• Mefenaminsäure
• Melitracen
• Meloxicam
• Melphalan
• Mesalamin
• Methotrexat
• Methyclothiazid
• Methylprednisolon
• Metolazon
• Milnacipran
• Morniflumate
• Nabumeton
• Nadroparin
• Naproxen
• Nefazodon
• Nepafenac
• Nifluminsäure
• Nimesulid
• Nimesulid Beta Cyclodextrin
• Nortriptylin
• Olsalazin
• Opipramol
• Oxaprozin
• Oxyphenbutazon
• Paramethason
• Parecoxib
• Parnaparin
• Paroxetin
• Pemetrexed
• Pentosanpolysulfat-Natrium
• Pentoxifyllin
• Phenindion
• Phenprocoumon
• Phenylbutazon
• Phenylsalicylat
• Piketoprofen
• Piretanid
• Piroxicam
• Polythiazid
• Kaliumcitrat
• Prasugrel
• Prednisolon
• Prednison
• Proglumetacin
• Propyphenazon
• Proquazone
• Protein C
• Protriptylin
• Quinethazon
• Reviparin
• Rivaroxaban
• Rofecoxib
• Salicylamid
• Salicylsäure
• Salsalat
• Selexipag
• Sertralin
• Sibutramin
• Natriumsalicylat
• Spironolacton
• Sulfasalazin
• Sulfinpyrazon
• Sulindac
• Sulodexid
• Tacrolimus
• Tenofoviralafenamid
• Tenofovirdisoproxilfumarat
• Tenoxicam
• Tianeptin
• Tiaprofensäure
• Ticagrelor
• Ticlopidin
• Tinzaparin
• Tirofiban
• Tolfenaminsäure
• Tolmetin
• Torsemid
• Trazodon
• Treprostinil
• Triamteren
• Trichlormethiazid
• Trimipramin
• Trolaminsalicylat
• Valdecoxib
• Venlafaxin
• Vilazodon
• Vorapaxar
• Vortioxetin
• Warfarin
• Xipamid

Using this medicine with any of the following medicines may result in an increased risk of certain side effects, but using both medicines may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Acebutolol
• Atenolol
• Azilsartan
• Azilsartan Medoxomil
• Benazepril
• Betaxolol
• Bisoprolol
• Candesartan
• Captopril
• Carteolol
• Carvedilol
• Celiprolol
• Dicumarol
• Enalapril
• Enalaprilat
• Eprosartan
• Esmolol
• Fosinopril
• Irbesartan
• Labetalol
• Levobunolol
• Lisinopril
• Losartan
• Metipranolol
• Metoprolol
• Moexipril
• Nadolol
• Nebivolol
• Olmesartan
• Oxprenolol
• Penbutolol
• Perindopril
• Pindolol
• Propranolol
• Quinapril
• Ramipril
• Sotalol
• Spirapril
• Telmisartan
• Timolol
• Trandolapril
• Valsartan

Interactions with food/tobacco/alcohol

Certain medicines should not be taken during or near food or consumption of certain foods because interactions may occur. Consuming alcohol or tobacco with certain medications can also lead to interactions. Discuss using your medicine with food, alcohol or tobacco with your doctor.

Other medical problems

The presence of other medical problems may affect the use of this medicine. Be sure to tell your doctor if you have any other medical problems, especially:

• Anämie bzw
• Blutungsprobleme bzw
• Herzinsuffizienz oder
• Dehydration bzw
• Ödeme (Flüssigkeitsansammlung oder Körperschwellung) oder
• Herzinfarkt, kürzlich oder
• Hyperkaliämie (hoher Kaliumgehalt im Blut) oder
• Hypertonie (Bluthochdruck) bzw
• Hypovolämie (geringes Blutvolumen) oder
• Nierenerkrankung bzw
• Lebererkrankung (z. B. Hepatitis) oder
• Magengeschwüre oder Blutungen, Vorgeschichte von oder
• Schlaganfall, Vorgeschichte – Mit Vorsicht anwenden. Kann diese Bedingungen verschlimmern.

• Aspirin-empfindliches Asthma oder
• Aspirinempfindlichkeit, Vorgeschichte: Sollte bei Patienten mit diesen Erkrankungen nicht angewendet werden.

• Herzoperation (z. B. Koronararterien-Bypass-Transplantation). [CABG]) – Sollte nicht zur Schmerzlinderung direkt vor oder nach der Operation verwendet werden.

Correct use of flurbiprofen

To use this medicine safely and effectively, do not take more of it, do not use it more often, and do not use it for longer than directed by your doctor. Using too much of this drug may increase the risk of adverse effects, especially in elderly patients.

This medicine comes with a medication guide. Read and follow the instructions carefully. Ask your doctor if you have any questions.

Swallow the tablet whole. Do not cut, break or chew it.

If you are using this medicine for severe or persistent arthritis, you must take it regularly as directed by your doctor so that it can help you. This medicine usually starts working within a week, but in severe cases it may take up to two weeks or even longer to feel better. Additionally, it may take several weeks for you to feel the full effects of this medicine.

dosage

The dose of this medicine is different for different patients. Follow your doctor's instructions or the label directions. The following information includes average doses of this medicine only. If your dose is different, do not change it unless your doctor tells you to.

The amount of medicine you take depends on the strength of the medicine. In addition, the number of doses you take each day, the time between doses, and how long you take the medicine depend on the medical problem for which you are using the medicine.

• Für orale Darreichungsform (Tabletten):
  • Bei Arthrose und rheumatoider Arthritis:
    • Erwachsene – 200 bis 300 Milligramm (mg) pro Tag, aufgeteilt in 2 bis 4 gleiche Dosen. Ihr Arzt kann Ihre Dosis je nach Bedarf anpassen.
    • Kinder – Anwendung und Dosis müssen von Ihrem Arzt festgelegt werden.

Missed dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and return to your regular dosing schedule. Do not double the dose.

storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Protect from freezing.

Keep away from children.

Do not keep medications that are outdated or no longer needed.

Ask your doctor how to throw away medicines you don't use.

Precautions when using flurbiprofen

It is very important that your doctor checks your progress at regular visits to make sure this medicine is working properly and to decide whether you should continue using it. Blood and urine tests may be needed to check for adverse effects.

This medicine may increase your risk of a heart attack or stroke. This is more likely in people who already have heart disease. People who use this medicine for a long time may also be at higher risk. Tell your doctor if you have chest pain that may spread to your arms, jaw, back, or neck, difficulty breathing, nausea, slurred speech, unusual sweating, or fainting.

This medicine may cause bleeding in your stomach or intestines. These problems can occur without any warning signs. This is more likely if you have had a stomach ulcer in the past, smoke or drink alcohol regularly, are over 60 years old, are in poor health, or are taking certain other medicines (e.g. steroids or blood thinners). .

Contact your doctor immediately if you have symptoms of liver disease, including dark-colored urine or pale stools, nausea, vomiting, loss of appetite, upper abdominal pain, or yellow skin or eyes.

Consult your doctor immediately if you experience any of the following symptoms while using this medicine: blood in the urine, change in the frequency or amount of urine, difficulty breathing, sleepiness, increased thirst, loss of appetite, nausea or vomiting, or swelling of the feet or lower legs. These may be symptoms of serious kidney disease.

Serious side effects may occur during treatment with this medicine. Sometimes serious side effects can occur without warning. However, possible warning signs include black, tarry stools and/or vomiting blood or coffee grounds-like material, decreased urination, severe stomach pain, rash, swelling of the face, fingers, feet and/or lower legs, unusual bleeding or bruising, unusual weight gain, or yellow skin or eyes. Signs of serious heart problems may also occur, such as chest pain, fast or irregular heartbeat, slurred speech, chest tightness, unusual redness or warmth of the skin, or weakness. Contact your doctor immediately if you notice any of these warning signs.

This medicine can cause a serious allergic reaction called anaphylaxis. Although rare, it can often occur in patients who are allergic to aspirin or other nonsteroidal anti-inflammatory drugs. Anaphylaxis requires immediate medical attention. The most serious signs of this reaction are very rapid or irregular breathing, shortness of breath, or fainting. Other signs may include changes in skin color on the face, very fast but irregular heartbeat or pulse, hive-like swellings on the skin, and swelling or puffiness of the eyelids or around the eyes. If these effects occur, get emergency help immediately.

Serious skin reactions may occur during treatment with this medicine. Contact your doctor immediately if you experience blistering, peeling or loose skin, red skin lesions, severe acne or rash, sores or ulcers on the skin, or fever or chills while using this medication. A

Using this medicine late in pregnancy may harm your unborn baby. If you think you have become pregnant while using this medicine, tell your doctor immediately.

Contact your doctor immediately if blurred vision, difficulty reading, or other vision problems occur during or after treatment. Your doctor may want you to have your eyes examined by an ophthalmologist.

Do not take any other medicines unless you have discussed this with your doctor. This includes both prescription and nonprescription (over-the-counter [OTC]) medications and herbal or vitamin supplements.

Side effects of flurbiprofen

In addition to the necessary effects, a medicine may also have some undesirable effects. Although not all of these side effects may occur, medical attention may be required if they occur.

Consult your doctor immediately if any of the following side effects occur:

Less common

• Bauch- oder Magenschmerzen
• Blasenschmerzen
• blutiger oder schwarzer, teeriger Stuhl
• blutiger oder trüber Urin
• Verstopfung
• schwieriges, brennendes oder schmerzhaftes Wasserlassen
• häufiger Harndrang
• Schmerzen im unteren Rücken oder an der Seite
• Ausschlag
• starke Magenschmerzen
• Schwellung
• Erbrechen von Blut oder Material, das wie Kaffeesatz aussieht

Rarely

• Rücken- oder Beinschmerzen
• Zahnfleischbluten
• Blasenbildung, Abschälen oder Lockerung der Haut
• blutiger Durchfall
• blutige Nase
• verschwommene Sicht
• brennendes Gefühl in der Brust oder im Magen
• Brennen, Krabbeln, Jucken, Taubheitsgefühl, Kribbeln, Kribbeln oder Kribbeln
• Brustschmerzen
• Schüttelfrost
• lehmfarbener Stuhlgang
• Husten
• Risse in der Haut
• dunkler Urin
• verminderte Urinausscheidung
• Schwierigkeiten beim Atmen
• Schluckbeschwerden
• erweiterte Halsvenen
• Schwindel
• extreme Müdigkeit
• schneller Herzschlag
• Gefühl von Ohnmacht, Schwindel oder Benommenheit
• Gefühl von Wärme oder Hitze
• Fieber mit oder ohne Schüttelfrost
• Rötung oder Rötung der Haut, insbesondere im Gesicht und am Hals
• allgemeines Gefühl von Müdigkeit oder Schwäche
• stark verringerte Häufigkeit des Wasserlassens
• Kopfschmerzen
• hohes Fieber
• Nesselsucht oder Juckreiz
• Heiserkeit
• erhöhter Blutdruck
• erhöhte Empfindlichkeit der Haut gegenüber Sonnenlicht
• Erhöhter Durst
• Verdauungsstörungen
• unregelmäßige Atmung
• Herzrhythmusstörung
• Gelenkschmerzen, Steifheit oder Schwellung
• große, flache, blaue oder violette Flecken auf der Haut
• Große, bienenstockartige Schwellung im Gesicht, an Augenlidern, Lippen, Zunge, Hals, Händen, Beinen, Füßen oder Geschlechtsorganen
• heller Stuhlgang
• Appetitverlust
• Wärmeverlust des Körpers
• Muskelschmerzen
• Brechreiz
• Nervosität
• lautes Atmen
• Nasenbluten
• blasse Haut
• Punktförmige rote oder violette Flecken auf der Haut
• in den Ohren hämmern
• Schwellungen oder Schwellungen der Augenlider oder um die Augen, das Gesicht, die Lippen oder die Zunge
• rote Hautläsionen, oft mit violettem Zentrum
• rote, gereizte Augen
• rote, geschwollene Haut
• Rötungen oder andere Verfärbungen der Haut
• Rötung, Schwellung oder Schmerzen der Zunge
• schuppige Haut
• starke oder anhaltende Magenschmerzen
• schwerer Sonnenbrand
• Zittern und unsicherer Gang
• Hautausschlag, verkrustet, schuppig und nässend
• langsamer oder schneller Herzschlag
• Halsentzündung
• Wunden, Geschwüre oder weiße Flecken auf den Lippen oder im Mund
• Blähungen oder Krämpfe im Magen
• Magenverstimmung
• Schwitzen
• Schwellung von Gesicht, Fingern, Füßen oder Unterschenkeln
• Schwellung oder Entzündung des Mundes
• geschwollene oder schmerzhafte Drüsen
• Druckempfindlichkeit im Magenbereich
• Engegefühl in der Brust
• Atembeschwerden
• unangenehmer Atemgeruch
• Unsicherheit, Zittern oder andere Probleme mit der Muskelkontrolle oder -koordination
• ungewöhnliche Blutungen oder Blutergüsse
• ungewöhnliche Müdigkeit oder Schwäche
• Schmerzen im oberen rechten Bauch oder Magen
• Erbrechen
• Gewichtszunahme
• Gewichtsverlust
• gelbe Augen oder Haut

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptom of an overdose

• Bewusstseinsveränderung
• schnelles oder langsames oder flaches Atmen
• Sodbrennen
• Bewusstlosigkeit
• Schmerzen oder Beschwerden in der Brust, im Oberbauch oder im Hals
• blasse oder blaue Lippen, Fingernägel oder Haut
• ungewöhnliche Schläfrigkeit, Mattheit oder Trägheitsgefühl

Some side effects may occur that usually do not require medical attention. These side effects may disappear during treatment as your body gets used to the medicine. Your doctor may also be able to give you ways to prevent or reduce some of these side effects. If any of the following side effects persist or are bothersome, or if you have any questions, contact your doctor:

Less common

• Saurer oder saurer Magen
• Aufstoßen
• Veränderungen im Sehvermögen
• anhaltendes Klingeln oder Summen oder andere unerklärliche Geräusche im Ohr
• Durchfall
• Entmutigung
• überschüssige Luft oder Gas im Magen oder Darm
• Furcht
• Gefühl der ständigen Bewegung von sich selbst oder der Umgebung
• sich traurig oder leer fühlen
• volles Gefühl
• allgemeines Unwohlsein oder Krankheitsgefühl
• Schwerhörigkeit
• Reizbarkeit
• Appetitlosigkeit
• Mangel oder Verlust der Kraft
• Benommenheit
• Verlust von Interesse oder Vergnügen
• Gedächtnisverlust
• Gas geben
• Probleme mit dem Gedächtnis
• laufende Nase
• Gefühl des Drehens
• Schläfrigkeit
• niesen
• Magenbeschwerden
• verstopfte Nase
• Tremor
• Konzentrationsschwierigkeiten
• Schlafstörungen

Rarely

• Brennende, trockene oder juckende Augen
• Verwirrung
• Ausfluss oder übermäßiges Reißen
• Rötung, Schmerzen, Schwellung des Auges, des Augenlids oder der inneren Augenlidschleimhaut
• Vorübergehender, milder, angenehm aromatischer Geruch
• Zucken

Some patients may also experience other side effects not listed. If you notice other side effects, contact your doctor.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Commonly used brand names

In the USA

• Angesagt

Available dosage forms:

• Tablette

Therapeutic class: Analgesic

Pharmacological class: NSAID

Chemical Class: Propionic Acid (Class)

• Welches Schmerzmittel sollten Sie verwenden?

More information