{"product_id":"ketesse-25-mg-powder-oral-solution-10-sachets","title":"Ketesse 25 mg powder oral solution 10 sachets","description":"\u003cul\u003e\u003c\/ul\u003e\n\u003cp\u003e\u003cspan\u003eThis medicine is a pain-relieving medicine from the group of so-called non-steroidal anti-inflammatory drugs (NSAIDs, painkillers and anti-inflammatory drugs).\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eThis medicine is used for the short-term symptomatic treatment of mild to moderate acute pain, e.g. B. acute pain of the musculoskeletal system, period pain (dysmenorrhea), toothache. This medicine is intended for use in adults.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eIf you don't feel better after 3-4 days or even feel worse, contact your doctor.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cspan\u003eContraindications\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eKetsesse must not be taken\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eif you are allergic to dexketoprofen or any of the other ingredients of this medicine listed in section 6,\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eif you are allergic to acetylsalicylic acid or other non-steroidal anti-inflammatory drugs,\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eif you suffer from asthma or asthma attacks after taking acetylsalicylic acid or other NSAIDs, acute allergic rhinitis (a short-term inflammation of the nasal mucosa), nasal polyps (allergy-related ulcers in the nose), hives (skin rash), angioedema (swelling of the face, eyes , on the lips or on the tongue or have suffered from shortness of breath) or wheezing,\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eif you have ever suffered from photoallergic or phototoxic reactions (a certain form of redness\/blistering of areas of skin exposed to sunlight) during treatment with ketoprofen (an NSAID) or fibrates (medicines used to lower blood fat levels),\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eif you have a stomach\/duodenal ulcer or gastrointestinal bleeding or if you have suffered from a gastrointestinal bleeding, a gastrointestinal ulcer or a gastrointestinal breakthrough (perforation) in the past,\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eif you suffer from chronic digestive disorders (e.g. upset stomach, heartburn),\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eif you have ever suffered from gastrointestinal bleeding or a gastrointestinal perforation due to previous use of non-steroidal pain and anti-inflammatory drugs (non-steroidal anti-inflammatory drugs, NSAIDs),\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eif you suffer from certain chronic inflammatory bowel diseases (Crohn's disease, ulcerative colitis),\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eif you suffer from severe heart failure, moderate to severe kidney dysfunction or severe liver dysfunction,\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eif you suffer from bleeding problems or a blood clotting disorder,\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eif you are severely dehydrated (significant loss of fluid from the body), e.g. B. due to vomiting, diarrhea or insufficient fluid intake,\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eif you are in the last three months of pregnancy or are breastfeeding.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cspan\u003eInteractions\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eTaking Ketesse with other medicines\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eTell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, even if they are taken without a prescription. There are some medicines that should not be taken together or whose dosage may need to be adjusted if taken together.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eAlways tell your doctor, dentist or pharmacist if you are taking any of the following medicines in addition to this medicine:\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eCombinations that are not recommended:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eAcetylsalicylic acid, corticosteroids or other anti-inflammatory drugs\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eWarfarin, heparin or other anticoagulant medicines\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eLithium: used to treat certain types of depression\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eMethotrexate (anticancer medicine or immunosuppressant), used in high doses above 15 mg\/week\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eHydantoin and phenytoin: used for epilepsy\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eSulfamethoxazole: used for bacterial infections\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cspan\u003eCombinations requiring careful use:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eACE inhibitors, diuretics and angiotensin II receptor antagonists (used to lower blood pressure and for heart problems)\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003ePentoxifylline and Oxpentifylline: are used for chronic venous ulcers\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eZidovudine: used to treat viral infections\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eAminoglycoside antibiotics: used for bacterial infections\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eSulfonylureas (e.g. chlorpropamide and glibenclamide), used to treat diabetes\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eMethotrexate, used in low doses of less than 15 mg\/week\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cspan\u003eCombinations that need to be carefully checked:\u003c\/span\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\u003cspan\u003eQuinolone antibiotics (e.g. ciprofloxacin, levofloxacin): are used for bacterial infections\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eCiclosporin and tacrolimus: are used to treat immune diseases and in organ transplants\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eStreptokinase and other thrombolytic or fibrinolytic medicines: are used against thrombosis (blood clots).\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eprobenecid: used for gout\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eDigoxin: used to treat chronic heart failure\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eMifepristone: used as an abortifacient\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eAntidepressants of the SSRI type (selective serotonin reuptake inhibitors)\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003ePlatelet aggregation inhibitors: are used to prevent thrombosis (blood clots).\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003e\u003cspan\u003eBeta blockers, used to treat high blood pressure and heart problems\u003c\/span\u003e\u003c\/li\u003e\n\u003cli\u003eTenofovir, Deferasirox, Pemetrexed\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cspan\u003eIf you have any doubts about taking other medicines with Ketesse, ask your doctor or pharmacist.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eTaking Ketesse with food, drink and alcohol\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eIt is recommended that Ketesse be taken with food to reduce the possibility of causing stomach upset (see section 3 “Method of administration”)\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eYou must not drink alcohol while using this medicine . Some side effects, particularly those affecting the gastrointestinal tract or central nervous system, may occur more frequently when alcohol is taken at the same time.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003ePregnancy, breast-feeding and fertility\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eIf you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eThis medicine must not be taken in the last three months of pregnancy or while breastfeeding.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eIt can cause kidney and heart problems in your unborn baby. It can affect you and your baby's bleeding tendency and may cause labor to start later or take longer than expected.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eYou should not take Ketesse during the first 6 months of pregnancy unless absolutely necessary and recommended by your doctor. If you need treatment during this period or while you are trying to become pregnant, the dosage should be as low as possible and for as short a period of time as possible.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eIf you take Ketesse for more than a few days from the 20th week of your pregnancy, it may cause kidney problems in your unborn baby, which may lead to a reduced amount of amniotic fluid surrounding your baby (oligohydramnios) or it may cause a blood vessel to narrow (Ductus arteriosus) in your child's heart. If you need treatment for more than a few days, your doctor may recommend additional monitoring.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eThe use of this medicine is not recommended when trying to become pregnant or during infertility studies.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eRegarding the possible effects on female fertility, see also Section 2. “Warnings and Precautions”.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eAbility to drive and use machines\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eCaution: This medicine can impair your ability to react and drive.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eThis medicine may have a slight influence on the ability to drive and use machines, as dizziness, drowsiness and visual disturbances may occur after taking it. If you experience these side effects, do not drive or use machines until the symptoms have subsided. Ask your doctor for advice.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cspan\u003eApplication\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eAlways take this medicine exactly as described in this leaflet or exactly as your doctor or pharmacist tells you. Check with your doctor or pharmacist if you are unsure.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eThe lowest effective dose should be taken for the shortest duration necessary to relieve symptoms. If you have an infection, consult a doctor immediately if symptoms (e.g. fever and pain) persist or worsen (see section 2).\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eAdults over 18 years of age\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eThe generally recommended dose is 1 sachet (25 mg dexketoprofen) every 8 hours, up to a maximum of 3 sachets daily (75 mg dexketoprofen).\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eIf there is no improvement after 3-4 days or your condition worsens, contact your doctor. Your doctor will tell you how many sachets you need to take each day and for how long. The dose you need depends on the type, severity and duration of your pain.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eIf you are elderly or have kidney or liver problems, start treatment with a total daily dose of 2 sachets (50 mg of dexketoprofen).\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eIn elderly patients, if dexketoprofen is well tolerated, this initial dose may later be increased to the generally recommended dose (75 mg).\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eUse in children and adolescents\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eThis medicine is not recommended for children and adolescents under 18 years of age.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eMethod of administration\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eThe oral solution can be taken directly from the sachet or after stirring the entire contents of the sachet into a glass of water. After opening the sachet, the entire contents must be taken immediately. Take the contents of the sachet with food as this helps to reduce the risk of gastrointestinal side effects (see also section 2 of this leaflet). If your pain is severe and you need quicker relief, take the sachet contents on an empty stomach, at least 15 minutes before eating, as the medicine will then work slightly faster.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cspan\u003eSide effects\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eLike all medicines, this medicine can cause side effects, although not everyone gets them.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003ePossible side effects are listed according to the likelihood of them occurring. Since the peak plasma levels of dexketoprofen for the oral solution are higher than those reported for the tablets, a potential increased risk of adverse (gastrointestinal) effects cannot be excluded.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eCommon side effects (may affect up to 1 in 10 people)\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003enausea and\/or vomiting, abdominal pain predominantly in the upper quadrants, diarrhea and indigestion (dyspepsia).\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eUncommon side effects (may affect up to 1 in 100 people):\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003evertigo, dizziness\/lightheadedness, sleepiness, difficulty sleeping, nervousness, headache, palpitations, flushing, inflammation of the stomach lining (gastritis), constipation, dry mouth, flatulence, rash, fatigue, Pain, chills and feeling feverish, general malaise.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eRare side effects (may affect up to 1 in 1,000 people)\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003epeptic ulcer, bleeding or perforation in the gastrointestinal area (recognizable as vomiting blood or tarry stools), fainting, high blood pressure, slow breathing, fluid retention in the tissues and peripheral swelling (e.g . swollen ankles), swelling of the larynx, loss of appetite (anorexia), abnormal sensations, hives (itchy rash), acne, increased sweating, back pain, increased urination, menstrual disorders, prostate problems, abnormal values ​​in liver function tests (blood tests), liver cell damage (hepatitis), acute kidney failure .\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eVery rare side effects (may affect up to 1 in 10,000 people)\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eAnaphylactic reaction (hypersensitivity reaction that can lead to collapse), open sores on the skin, mouth, eyes and intimate areas (Stevens-Johnson and Lyell syndromes). ), facial swelling or swelling of the lips and throat (angioedema), shortness of breath due to narrowed airways (bronchospasm), shortness of breath, fast heartbeat, low blood pressure, inflammation of the pancreas, blurred vision, ringing in the ears (tinnitus), sensitive skin, hypersensitivity to light, itching, kidney problems, reduced number of white blood cells (neutropenia), reduced number of blood platelets (thrombocytopenia).\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eTell your doctor immediately if you notice any gastrointestinal side effects (e.g. stomach pain, heartburn or bleeding) at the start of treatment or if you have previously suffered from any of these side effects as a result of long-term treatment with anti-inflammatory drugs, especially if you are older.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eStop taking this medicine immediately if you notice a rash or sores in the mouth or genital area, or other signs of allergy.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eFluid retention and swelling (especially of the ankles and legs), increased high blood pressure and heart failure have been reported during treatment with NSAIDs.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eThe use of medicines such as Ketesse may be associated with a slightly increased risk of having a heart attack or stroke.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eIn patients with certain immune disorders that affect connective tissue (systemic lupus erythematosus or mixed connective tissue disease), anti-inflammatory drugs may rarely cause fever, headache, or stiff neck.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eThe most frequently observed side effects involve the digestive tract. Stomach or duodenal ulcers (peptic ulcers), perforation (perforations) or bleeding, sometimes fatal, may occur, especially in older patients. Nausea, vomiting, diarrhea, flatulence, constipation, indigestion, abdominal pain, tarry stools, hematemesis, ulcer-like inflammation of the oral mucosa, worsening of colon inflammation or Crohn's disease have been reported after use. Inflammation of the stomach lining (gastritis) has been observed less frequently.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eAs with other NSAIDs, aseptic meningitis (which can occur particularly in patients with systemic lupus erythematosus or mixed connective tissue disease), hematological reactions (small patches of bleeding in the skin, subcutaneous tissue or mucous membranes, anemia due to the reduction of the blood-forming bone marrow or the breakdown of red blood cells [aplastic or hemolytic anemia] and rarely severe reduction in white blood cells [agranulocytosis] or reduction in bone marrow [medullary hypoplasia]).\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cspan\u003ecomposition\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eThe active ingredient is dexketoprofen (as dexketoprofen trometamol).\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eEach oral solution sachet contains 25 mg of dexketoprofen (as dexketoprofen-trometamol).\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cspan\u003eThe other ingredients are ammonium glycyrrhizinate, neohesperidine dihydrochalcone, methyl 4-hydroxybenzoate (E 218), saccharin sodium, sucrose, macrogol 400, lemon flavor, povidone K-90, disodium hydrogen phosphate, sodium dihydrogen phosphate dihydrate, purified water (see section 2. “Ketesse contains Sucrose\").\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eUsually ships out within 3-4 business days\u003c\/strong\u003e\u003c\/p\u003e","brand":"Dr. Gepo","offers":[{"title":"Default Title","offer_id":54934940385623,"sku":null,"price":43.77,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1046\/0918\/6135\/files\/18440.png?v=1788804791","url":"https:\/\/drgepo.com\/products\/ketesse-25-mg-powder-oral-solution-10-sachets","provider":"Dr. Gepo","version":"1.0","type":"link"}