Traulen Gel 4% Diclofenac Dolori Articolari 25g con erogatore

Gel based on Diclofenac.

Therapeutic indications

Traulen Gel is used in the local treatment of painful and inflammatory conditions of a rheumatic or traumatic nature of the joints, muscles, tendons and ligaments.

Dosage and Posology

The drug should be taken according to the following doses and methods:

• Adults over 18 years:

Three to four applications, depending on the size of the area to be treated, three times a day. After application, wash your hands, otherwise they will also be treated with the gel. Warning: use only for short periods of treatment.

• Teenagers aged 14 to 18:

Three to four applications, depending on the size of the area to be treated, three times a day. After application, wash your hands, otherwise they will also be treated with the gel. If this product is needed for more than 7 days to relieve pain or if symptoms worsen, consult a doctor.

• Children under the age of 14:

Insufficient data are available on efficacy and safety in children and adolescents below 14 years. Therefore, the use of TRAULEN is contraindicated in children under 14 years of age.

• Senior citizens:

The usual adult dosage can be used

Overdose

The low systemic absorption of topical diclofenac makes an overdose very unlikely. However, undesirable effects similar to those seen after an overdose of diclofenac tablets may be expected if topical diclofenac is inadvertently ingested (1 tube of 100 g contains the equivalent of 1000 mg diclofenac sodium). In the event of accidental ingestion resulting in significant systemic side effects, general therapeutic measures normally taken to treat poisoning with non-steroidal anti-inflammatory drugs should be undertaken. Gastric decontamination and the use of activated charcoal must be considered, especially within a short time of ingestion.

Contraindications

• Hypersensitivity to the active substance or to any of the excipient
• Patients who have experienced asthma attacks, urticaria or acute rhinitis after taking acetylsalicylic acid or other non-steroidal anti-inflammatory drugs (NSAIDs).
• Third trimester of pregnancy.
• Children and adolescents: Use in children and adolescents under the age of 14 is contraindicated.

Side effects

TRAULEN is generally well tolerated. Parallel to the use of topical diclofenac it was occasionally found itching, redness and skin burning, rashes such as bullous or papular rash, skin blisters, peeling, tingling, involuntary muscle contractions.

If applied extensively and for a long time, the occurrence of systemic side effects, such as nausea, dyspepsia, heartburn, excitation, taste disturbance, conjunctivitis, cannot be excluded for TRAULEN. In this case, consult your doctor. Adverse reactions (Table 1) are listed by frequency, most frequent first, using the following convention: common (≥ 1/100 to <1/10); uncommon (≥ 1 / 1,000 to <1/100); rare (≥ 1 / 10,000, <1 / 1,000); very rare (<1 / 10,000); Not known: cannot be estimated from the available data.

- Disorders of the immune system

• Very rare: Hypersensitivity (including urticaria), angioneurotic edema.

- Infections and infestations

• Very rare: Rash with pustules

- Respiratory, thoracic and mediastinal disorders

• Very rare: Asthma

- Skin and subcutaneous tissue disorders

• Common: Rash, eczema, erythema, dermatitis (including contact dermatitis), pruritus
• Rare: Bullous dermatitis
• Very rare: Photosensitivity reaction

Pregnancy and breastfeeding

The systemic concentration of diclofenac, compared with oral formulations, is lower after topical administration. Referring to experience with NSAID treatment for systemic administration, the following is recommended: Inhibition of prostaglandin synthesis may adversely affect pregnancy and / or embryo / fetal development. Results of epidemiological studies suggest an increased risk of miscarriage and cardiac malformation and gastroschisis after use of a prostaglandin synthesis inhibitor in early pregnancy. The absolute risk of cardiac malformations increased from less than 1% to approximately 1.5%. The risk was believed to increase with dose and duration of therapy. In animals, administration of prostaglandin synthesis inhibitors has been shown to cause increased pre- and post-implantation loss and embryo-fetal mortality. Furthermore, an increased incidence of various malformations, including cardiovascular, has been reported in animals administered prostaglandin synthesis inhibitors during the organogenetic period. During the first and second trimester of pregnancy, diclofenac should not be administered except in strictly necessary cases. If diclofenac is used by a woman attempting to conceive, or during the first and second trimester of pregnancy, the dose should be kept as low as possible and the duration of treatment as short as possible. During the third trimester of pregnancy, all prostaglandin synthesis inhibitors can exhibit:

- the fetus to:

• cardiopulmonary toxicity (with premature closure of the arterial duct and pulmonary hypertension);
• renal dysfunction, which can progress to renal failure with oligo-hydroamnios;

- the mother and the newborn, at the end of pregnancy, to:

• possible prolongation of bleeding time, and antiplatelet effect which may occur even at very low doses;
• inhibition of uterine contractions resulting in delayed or prolonged labor.

Consequently, diclofenac is contraindicated during the third trimester of pregnancy.

Like other NSAIDs, diclofenac passes into breast milk in small amounts. However, no effects on the suckling child are anticipated at therapeutic doses of TRAULEN. Due to the lack of controlled studies in breastfeeding women, the product should only be used during breastfeeding under the advice of a healthcare professional. In this circumstance, TRAULEN should not be applied to the breasts of nursing mothers, nor elsewhere on large areas of skin or for an extended period of time.

Special warnings

The possibility of systemic adverse events with the application of topical diclofenac cannot be excluded if the preparation is used on large skin areas and for a prolonged period (see summary of product characteristics of systemic forms of diclofenac). Therefore, particularly in patients with previous gastrointestinal diseases, the occurrence of systemic side effects such as nausea, dyspepsia, heartburn, excitation, taste disturbance, conjunctivitis cannot be excluded for TRAULEN.

Topical diclofenac should only be applied to intact, non-diseased skin, and not to skin wounds or open lesions. It should not be allowed to come into contact with eyes or mucous membranes and should not be ingested. Discontinue treatment if skin rash develops after application of the product. Topical diclofenac gel contains propylene glycol which may cause mild localized skin irritation in some people. Topical diclofenac can be used with non-occlusive dressings, but should not be used with an occlusive dressing that does not allow air to pass.

Expiration and retention

Check the expiration date indicated on the package. The expiry date indicated on the package refers to the product in intact packaging, correctly stored. Keep away from heat sources and naked flames.

Warning : do not use the medicine after the expiry date indicated on the package.

Composition

100 gr of Traulen Gel contain:

Active principle

Diclofenac g 4

Excipients

Propylene glycol, Isopropyl alcohol, Ethyl alcohol, Soy lecithin, Sodium phosphate dihydrate, disodium phosphate dodecahydrate, Disodium edetate, Ascorbyl palmitate, Mint essence, Purified water.