"Flamax forte": instructions for use, analogues and reviews

The drug "Flamax Forte" many specialists position as a remarkable remedy that instantly removes unpleasant pain, prevents the development of the inflammatory process and lowers the body temperature. Specialists often recommend it to patients who suffer from diseases of the musculoskeletal system. More information about this medicine read on.

Brief description of the preparation "Flamax Forte"

What helps the above remedy, knows, probably, not everyone. It turns out that this medicine is characterized by antipyretic and anti-inflammatory abilities.

The preparation "Flamax Forte" ("Ketoprofen" - another international name) has three forms of release:

• solution;
• Blue-tinted pills with a biconvex form that are covered with a film sheath;
• Capsules with a white powder of a uniform consistency inside.

The capsule contains 50 mg of ketoprofen (the main active ingredient), lactose monohydrate, silicon dioxide, sodium lauryl sulfate, povidone, sodium croscamellose.

One tablet of the above medication contains 100 mg of ketoprofen, macrogol 6000, talc, titanium dioxide, hypromellose, rice starch, croscamellose sodium, lactose monohydrate, sodium lauryl sulfate, povidone.

The ampule of this preparation (2 ml) contains 100 mg of ketoprofen, propylene glycol, ethanol, benzyl alcohol, water for injection, sodium hydroxide.

Only with a special prescription you can buy the drug "Flamax Forte." Tablets, reviews of which are mostly positive, cost 141 rubles. For 20 pcs. The cost of packing ampoules is 210 rubles. The price of the capsules of the above drug is 125 rubles.

Keep this medicine away from children and preferably in a place where there is no direct exposure to sunlight, at normal room temperature.

pharmachologic effect

The drug "Flamax Forte", a photo of which is provided below, produces the following effects on the patient's body:

• antipyretic;
• Antiaggregational;
• Anti-inflammatory;
• Analgesic.

Ketoprofen with blood proteins binds 99% with albumin in the patient's body. It should be noted that after taking the drug, the concentration of the main substance in the plasma is reached quite quickly.

Ketoprofen has the ability to enter the synovial fluid and connective tissue. After a single injection of the drug intramuscularly after a quarter of an hour in the synovial fluid, a sufficiently high concentration is noted. It lasts more than a day (about 30 hours). During this time, it is quite possible to reduce the stiffness in the joints and the pain in them.

Basically, the liver metabolizes ketoprofen. There is also a process of glucuronization which results in the formation of glucuronic acid and esters. Further, these substances are successfully excreted by the kidneys.

Indications for use

The "Flamax Forte" medication is recommended for use with the following symptoms:

• rheumatoid arthritis;
• Osteoarthritis;
• Gouty arthritis;
• Myalgia;
• Psoriatic arthritis;
• radiculitis;
• Ossalgia;
• otitis;
• bursitis;
• arthralgia;
• Tendonitis;
• neuralgia;
• radiculitis;
• toothache;
• Oncological diseases;
• headache;
• Algodismenorea.

It should be noted that the "Flamax Forte" preparation instruction is also recommended for use in the complex therapy of postoperative and post-traumatic pain syndrome. In addition, the above drug is used in childbirth as a tocolytic and analgesic agent.

Contraindications

The experts and the instruction are not advised to use the Flamax Forte tablets if the patient suffers from such diseases as:

• Hypersensitivity to individual ingredients of the drug;
• Kidney diseases that are in a progressive state;
• Hyperkalemia;
• Gastroduodenitis during exacerbation;
• Violation of hematopoiesis;
• Ulcer in the period of exacerbation;
• Violation of hemostasis;
• Erosion of the digestive tract in the period of exacerbation;
• Hepatic failure in severe form.

Instruction "Flamax Forte" also does not advise to apply in the third trimester of pregnancy and during breastfeeding. It is forbidden to use the above medicine to patients after aortocoronary shunting and when a combination of recurrent polyposis of the nose and asthma is bronchial with intolerance to NSAIDs.

It should be remembered that for the treatment of children under 15 years of age, the use of the preparation "Flamax Forte", a photo of which is provided below, is not recommended.

With great care this drug should be used to treat patients who suffer from hypertension, bronchial asthma, edema, severe stomatitis, diabetes mellitus, renal insufficiency, sepsis, chronic heart failure.

Mode of application

Injections "Flamax Forte" are administered intramuscularly, as well as intravenously. The latter is carried out exclusively in a hospital. On average, the infusion of the substance (infusion) lasts about an hour and a half. The maximum time of drug administration is 48 hours.

In this case, the dose of the above-mentioned agent should not exceed 300 mg. If the infusion is short, 100-200 mg of the drug should be diluted in 0.9% sodium chloride solution in an amount of 100 ml. Such an infusion of the drug is not more than one hour.

The next infusion of this drug is allowed only after 8 hours. If the infusion of the remedy is prolonged, then it is important to dilute it in a half liter of a special solution.

Intramuscularly, the above drug is administered at a maximum of 2 times a day in an amount of 100 mg.

Capsules of the drug "Flamax Forte" patients are allowed to use only in the process of food intake in the maximum amount of 2 pcs. At one time. Depending on the course of the disease, the doctor determines the appropriate dosage for a particular patient. The maximum medication per day is about 300 mg.

Tablets "Flamax Forte" should also be taken with food. At a time, the patient's instructions allow you to consume a maximum of 3 times a day for one pill.

Specialists note that an overdose of the above medicine is not too dangerous. It is accompanied by the following symptoms:

• Shortness of breath;
• Dizziness;
• Abdominal pain;
• Bleeding;
• Headache;
• Vomiting.

Treatment in this case is symptomatic. That is, the patient should first make gastric lavage and prescribe sorbents.

special instructions

Patients should remember and strictly follow certain precautions:

• Simultaneous therapy with the above-mentioned drug and "Warfarin" means requires strict doctor's supervision;
• This medicine perfectly masks the symptoms of many infectious diseases;
• During treatment, it is important for the patient to monitor peripheral blood levels;
• It is necessary to closely monitor the work of the kidneys and the liver, when therapy with the drug "Flamax Forte" is carried out;
• Expert reviews and instructions recommend not to practice long-term treatment with the above-mentioned agent and apply it in minimal amounts to reduce the risk of side effects from the digestive system;
• If it is necessary to determine 17-ketosteroids, the patient should cancel this medication in two days (that is, 48 hours);
• In some cases during the therapy with the drug "Flamax Forte", the patient's attention may deteriorate (this should be remembered when driving vehicles).

Side effects

Specialists note that in some cases, some patients experienced serious side effects when using the above medication. Scientists admit that their appearance may be associated with the action of ketoprofen.

So, this medicine can cause the following side effects:

• Dyspepsia, gastritis, belching, abdominal pain, diarrhea, nausea, constipation, stomatitis, vomiting, anorexia, increased appetite, rectal bleeding, dry mouth, perforation of the gastrointestinal tract, liver dysfunction, melena, excessive thirst, hematemesis, peptic ulcer, latent bleeding, Ulceration of the intestine, cholestatic hepatitis, drooling;
• Nervousness, dizziness, visual impairment, vertigo, hearing loss, taste disorder, retinal hemorrhage, conjunctivitis, malaise, amnesia, pigmentation change, CNS depression, confusion, eye pain, unusual dreams, insomnia;
• Peripheral vascular disease, arterial pressure increase, anemia, agranulocytosis, increased heartbeat, hypocoagulation, thrombocytopenia, worsening of heart failure, hemolysis, tachycardia;
• Dyspnea, rhinitis, epistaxis, hemoptysis, laryngeal edema, pharyngitis, bronchospasm;
• Increased urea nitrogen in the blood, disruption of normal liver function, edema, gematurgia, menometrorrhagia, interstitial nephritis, renal failure, nephrotic syndrome;
• Alopecia (lining) rash on the skin, prurit, eczema, purpura, anaphylaxis, increased sweating, myalgia, weight gain, allergic reactions.

Experts warn that when observing the symptoms of the above diseases, the patient should always visit a doctor and tell him about the health problem. You should stop taking this medication.

Interaction with other drugs

If during the therapy with the above drug the patient takes other medications, he needs to inform the doctor about it.

It should be remembered that the above remedy enhances the nephrotoxic effect of loop diuretics. In addition, the effectiveness of uricosuric medicines is significantly reduced with their simultaneous use with "Flamax Forte" tablets.

The experts' comments also point out that the above drug intensifies the effects of ethanol, anticoagulants, antiaggregants, fibrinolytics.

With simultaneous combination of "Flamax Forte" with corticotropin, GCS, ethanol, NSAIDs, the patient may suddenly have bleeding in the gastrointestinal tract, ulcers appear, kidney function is impaired.

The drug "Flamax Forte" reduces the effectiveness of the influence of diuretics and antihypertensive drugs.

Bleeding can also occur if the above medication is used concomitantly with the following:

• Heparin.
• Thrombolytics.
• "Cefotetan".
• "Cefoperazone."
• Antiaggregants.
• Cefamandol.

When treating this drug, it is very important for the doctor to recalculate the doses of hypoglycemic agents, including insulin, because their effect is significantly increased.

In addition, the above drug increases the hematotoxicity of myelotoxicity agents. Also, this drug increases the concentration in the blood of verapamil, nifedipine, methotrexate, lithium preparations.

Absorption of "Flamax Forte" decreases, if it is included in therapy with antacids and colestyramines.

If you mix the above-mentioned drug with tramadol in one flacon, a small precipitate is formed.

The preparation "Flamax Forte": analogues

Sometimes there are situations where the patient simply needs to know the analogs of the above medication. This may be due to the fact that the necessary drug is temporarily absent in the pharmacy, or, for example, does not suit the value of the "Flamax Forte". Indications for use, which are listed above, can also be to the following drugs:

• "Fastum gel";
• "Arketal";
• Profenid;
• "Artrum";
• "Bystrumgel";
• Ketonal;
• "Ketosphere";
• "Ketonal uno";
• "Artrozilen";
• "Ketonal duo" ;
• "Orewvel";
• "Fleksen."

It should be noted that they produce the same therapeutic effect on the patient's body as the "Flamax Forte" preparation. But before using a substitute for this medication, you need to consult a doctor who is treating you.

Reviews about the drug

About the above preparation, satisfied patients leave quite a lot of positive responses. People claim that this medicine is just an excellent analgesic. For example, a woman writes about the appointment to her of this drug after surgery to relieve pain. The injection acted instantly, she almost immediately got to her feet and began to move normally. The woman did not feel any painful sensations, there was no discomfort.

Some men write that after grabbing their backs at the dacha they could not straighten up. Tried many different means, but nothing helped. My back ached terribly. Only the preparation "Flamax Forte" was able to relieve the pain. Their testimonials state that after the first injection the pain subsided within 20 minutes and did not disturb all night. Therefore, this category of patients claims that injections are an excellent remedy that lasts for a long time.

There are also reactions of people who used the above drug during the therapy. People write that this medicine instantly relieves pain in attacks of hondosis. But some patients complain that the drug "Flamax Forte", although it perfectly removes pain, but still in some cases causes side effects. For example, after these injections, there is weakness in the body and a person wants to lie down for a while. Therefore, if the patient is injected with this remedy, he must at least an hour or two refrain from managing the transport.

The drug "Flamax Forte" is highly effective, besides it is completely safe for the patient. He perfectly removes the expressed painful syndrome, even if he is in an acute period. In addition, the preparation perfectly normalizes body temperature and prevents the development of the inflammatory process.