Keiver film-coated tablets 25 mg blister No. 10




Kevere film-coated tablets are indicated for the symptomatic treatment of mild to moderate pain, e.g. musculoskeletal pain, painful menstruation (dysmenorrhea), toothache.
Composition
Active ingredient: dexketoprofen trometamol.
1 tablet contains dexketoprofen trometamol in terms of 100% dry matter 36.9 mg, which is equivalent to dexketoprofen 25 mg;
Excipients: microcrystalline cellulose, pregelatinized starch, corn starch, sodium starch glycolate, glycerol distearate;
Composition of the Aquarius Prime BAP218010 white shell: hypromellose, titanium dioxide (E 171), polyethylene glycol.
Contraindication
hypersensitivity to dexketoprofen, any other NSAID (NSAID) or to the excipients of the drug; if substances with similar action, such as acetylsalicylic acid or other NSAIDs, provoke the development of asthma attacks, bronchospasm, acute rhinitis or cause the development of nasal polyps, urticaria or angioedema; if photoallergic and phototoxic reactions were known during treatment with ketoprofen or fibrates; gastrointestinal bleeding or perforation in history, associated with previous NSAID therapy; active phase of peptic ulcer disease / gastrointestinal bleeding or gastrointestinal bleeding, ulcer disease, perforation in history; chronic dyspepsia; other bleeding in the active phase or increased bleeding; Crohn's disease or ulcerative colitis; severe heart failure; moderate or severe renal impairment (creatinine clearance ≤ 59 ml/min); severe liver dysfunction (10-15 points on the Child-Pugh scale); with hemorrhagic diathesis and other blood clotting disorders; with severe dehydration caused by vomiting, diarrhea or insufficient fluid intake; III trimester of pregnancy and breastfeeding.Method of application
It is recommended to take the tablets whole, with a sufficient amount of liquid (e.g. a glass of water). Simultaneous administration with food slows down the absorption of the drug; therefore, in case of acute pain, it is recommended to take the drug at least 30 minutes before a meal.
Application features
Pregnant women
Contraindicated in the third trimester of pregnancy.
Children
Should not be used.
Drivers
With caution.
Overdose
Symptoms of overdose are unknown. Similar drugs cause disorders of the digestive tract (vomiting, anorexia, abdominal pain) and the nervous system (drowsiness, dizziness, disorientation, headache).
In case of accidental overdose, symptomatic treatment should be initiated immediately according to the patient's condition. Dexketoprofen trometamol is removed from the body by dialysis.
Side effects
The most common adverse reactions are from the digestive tract. Thus, the development of peptic ulcer, perforation or bleeding in the digestive tract is possible, sometimes with a fatal outcome, especially in elderly patients. According to available data, nausea, vomiting, diarrhea, flatulence, constipation, dyspepsia, abdominal pain, melena, vomiting with blood, ulcerative stomatitis, exacerbation of colitis, Crohn's disease may occur against the background of the drug. Gastritis is observed less often. Also, edema, arterial hypertension, heart failure may occur against the background of the use of NSAIDs.
Interaction
Other NSAIDs, including selective cyclooxygenase-2 inhibitors and high doses of salicylates (≥3 g/day). The simultaneous use of several NSAIDs increases the risk of gastrointestinal ulcers and bleeding due to their mutual potentiation of their effects.
Anticoagulants NSAIDs enhance the effect of anticoagulants, such as warfarin, due to the high degree of binding of dexketoprofen to blood plasma proteins, as well as inhibition of platelet function and damage to the gastric and duodenal mucosa. If simultaneous use is necessary, it should be carried out under the supervision of a physician and monitoring of relevant laboratory parameters.
Heparin increases the risk of bleeding (due to inhibition of platelet function and damage to the gastric and duodenal mucosa). If concomitant use is necessary, it should be carried out under the supervision of a physician with monitoring of relevant laboratory parameters.
Storage conditions
Store in the original packaging at a temperature not exceeding 25 °C.
Keep out of reach of children.
Shelf life - 2 years.
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