FROBEN 50 mg TABLETS
FROBEN 100 mg TABLETS
1 .What an Froben Tablets and what are they used for?
Froben Tablets belong to a group of medicines called non-steroidal anti-inflammatory drugs (NS1AID3). 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. Froben can also be used to treat other painful conditions such as toothache, pain after operations, period pain and migraine.
The active substance in Froben Tablets is flurbiprofen BR Froben 50 mg Tablets contain 50 mg of flurbiprofen and Froben 100 mg Tablets contain 100 mg of flurbiprofen.
2.What should you know before taking Froben Tablets?
Do not take this medicine if:
• You are sensitive (allergic) any of the ingredients in the tablets? Ingredients known to cause allergic reactions are also listed at the end of this section.
• You currently have a peptic ulcer (ulcer in you r stomach or duodenum), ulcerative colitis, Crohns 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? Froben 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 disease1?
• Do you suffer from heart problems or have you ever been told you have heart problems?
Medicines such as Froben 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 you r doctor that you have an intolerance to some sugars? Please see “Important information on some of the ingredients of Froben Tablets” at the end of this section.
• 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)
■ AGE 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)
■ 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 (3SRIs) (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, lumiraccwib. Pregnancy and breast-feeding: The use of F roben whil st preg nant or breast-feeding should be avoided. Froben 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 Froben.
Driving and Using Machines:
Fioben may make you feel dizzy or drowsy. If the tablets affect you in this way do not drive, operate machinery or do anythi ng that requi res you to be alert.
Other information about FrobenTablets:
Your doctor may give you another medicine to be taken with Froben 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 Froben Tablets; Froben Tablets contain sunset yellow (E110) and soya lecithin (soya oilj and these may cause allergic reactions. Do not take Froben if you know you are allergic to these ingredients or if you are allergi c to peanut or soya. Froben Tablets also 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 Froben Tablets.
3. How should you taks Froben Tablets!
Always take Froben 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 Froben Tablets with or after food with a glass of water.
Ad u 11 -The usual dail y dose is 150 to 200 mg, spread throughout the day. If you are taking Froben 50 mg this will be three or four times a day. If you are taking Froben 100 mg 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 Froben 50 mg tablets or one Froben 100 mg 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 – Froben Tablets are not recommended for children.
If you forget to take your Froben TabIets 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 Fro ben Tablets than you should (an overdose) you should contact a doctor or go to the nearest hospital casualty department immedi ately and take your tablets with you.
4. Possible side effects of Froben Tablets
As with all medicines, Froben 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 anytime during your treatment stop taking Froben 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 atendency to get infections (symptoms of blood disorders that may occur rarely with Froben).
Severe skin reactions such as blistering of the skin, mouth, eyes and genitals (symptoms of some severe skin conditions that may occur rarely with Froben).
• 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 Froben).
• Severe headache and/or blurred or disturbed vision (which may be due to an increase in your blood pressure) or seeing/hearing strange things.
Froben 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 Froben may be associated with a small increased risk of heart attack (myocardial infarction) or stroke.
Very rarely Froben may cause aseptic meningitis (inflammation of the protective membrane surrounding the brain).
Other unusual effects may include:
• tingling of hand3 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.
If any of these become trouble some or last more than a few days, tell your doctor Tell your doctor if you experience any other side effects that are not listed in this post
5. How should you store Froben Tablets?
Your tab lets should be stored in a safe place out of the reach and sight of children, your medicine could harm them.
They should be kept in their original packaging, do not take Froben Tablets after the ‘use by’ date shown on the carton.
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.
6. Further information about Froben Tablets
The active substance in Froben Tablets is flurbiprofen BP. The tablets are yellow and come in two strengths: Froben 50 mg tablets contains 50 mg of flurbiprofen BP and are marked “F5D” in black. Froben 100 mg tablets contain 100 mg of flurbiprofen BP and are marked “F100″ in black. Each pack contains 100 tablets.
Other ingredients of Froben Tablets: sucrose, lactose, talc (French chalk for tablets), maize starch, titanium dioxide (El 71), povidone, liquid glucose, magnesium stearate, stearic acid, colloidal silicon dioxide, quinolineyellow(E104),sand arac tablet varnish, carnaubawax, shellac, black iron oxide, sunset yellow (E110), black iron oxide (E172) and sodium benzoate. They may also contain small amounts of soya lecithin (E322) and dimethicone.