Strepsils Intensive Spray 15ml.

What Strepsils intensive spray and what it is used
The active substance of the product is flurbiprofen. Flurbiprofen belongs to the group of NSAIDs (NSPLP) that act by modifying the body's response to pain, swelling and fever.
Strepsils Intensive Spray apply for short-term relief of symptoms characteristic of sore and painful, sore throat, and throat irritation, pain, difficulty swallowing and swelling.

2. What you should know before using Strepsils Intensive Spray
Do not use Strepsils Intensive Spray if:
you are allergic (hypersensitive) to flurbiprofen, aspirin or other NSAIDs or any of the other ingredients of Strepsils Intensive Spray referred to in item 6;
you have received in the past allergic reactions when taking aspirin or other NSAIDs such as asthma, difficulty breathing, rash, itching, fever, swelling;
have or have had two or more episodes of stomach ulcers or bleeding, or ulcers in the small intestine;
You had severe colitis (inflammation of the colon);
you have had problems with blood clotting or bleeding after taking NSAIDs;
you are in the last trimester of pregnancy;
have severe liver, kidney or heart failure.
Warnings and Precautions
Tell your doctor or pharmacist before taking Strepsils Intensive Spray if:
taking other NSAIDs or aspirin;
if you have tonsillitis (inflamed tonsils) or if you think you have a bacterial infection (you may need antibiotic treatment);
you are elderly (as the possible risk of side effects is higher);
you have asthma or suffer from allergies;
have any autoimmune skin disease such as systemic lupus erythematosus or other mixed connective tissue disease;
You have suffered from a disease of the colon (ulcerative colitis or Crohn's disease);
have kidney, heart or liver problems;
You had a stroke;
You are in the first or second trimester of pregnancy or breast-feeding.
While using Strepsils Intensive Spray:
discontinue use of flurbiprofen spray at the first appearance of skin reactions (rash, peeling and blistering of the skin) or some other symptom of allergy and immediately consult a doctor;
report any unusual gastrointestinal symptoms (especially bleeding) your doctor;
if symptoms worsen or do not improve, or develop new symptoms, contact your doctor;
drugs such as Strepsils Intensive Spray can 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 and duration of treatment (see item 3).
children
This drug should not be used in children and adolescents under 18 years.

Other medicines and Strepsils Intensive Spray
Tell your doctor or pharmacist if you are using or have recently used, or is likely to use other drugs. In particular:
other NSAIDs, including selective cyclooxygenase-2 relieving pain or inflammation, as this may lead to an increased risk of bleeding from the stomach or intestines;
warfarin, aspirin (acetylsalicylic acid) and other drugs that thin the blood or prevent blood clots;
diuretics (to facilitate the separation of liquids), including potassium-sparing diuretics;
ACE inhibitors, angiotensin-II (medicines to treat high blood pressure);
SSRI (selective inhibitors of serotonin reuptake inhibitors) for the treatment of depression;
cardiac glycosides (drugs stimulate the heart) such as digoxin;
cyclosporine (to prevent organ rejection after transplants);
corticosteroids (to reduce infections);
lithium (a medicine for depression);
methotrexate (a drug for psoriasis, arthritis and cancer);
mifepristone (for termination of pregnancy) NSAIDs should not be accepted until 8-12 days after mifepristone administration as NSAIDs can reduce the effect of mifepristone;
oral antidiabetic agents;
phenytoin (for epilepsy);
sulfinpyrazone and probenecid (for gout and arthritis);
quinolone antibiotics (antibacterial drugs) such as ciprofloxacin, levofloxacin;
tacrolimus (drugs suppress the immune system after organ transplants);
Zidovudine (medicine to treat HIV).
Strepsils Intensive Spray with food, drinks and alcohol
Avoid drinking alcohol while using this medication, as this can lead to an increased risk of bleeding from the stomach or intestine.

Pregnancy, lactation and fertility
Do not take this medicine in the last three months of pregnancy.
If you are pregnant in the first six months of pregnancy or nursing, consult your doctor before taking this medicine
This medicine belongs to a group of medicines (NSAIDs) which may impair the ability to get pregnant women. This effect is reversible after discontinuation of the drug. It is unlikely that episodic use of this medicine affect the possibility of pregnancy; however, tell your doctor before taking this medicine if you have problems becoming pregnant.
Ask your doctor or pharmacist before taking any medicine.

Driving and using machines
Generally, this medication does not affect ability to drive and use machines. However, when taking NSAIDs is sometimes possible occurrence of dizziness or blurred vision. If these symptoms occur, do not drive or operate machinery.

Strepsils Intensive Spray contains methyl parahydroxybenzoate (E218) and propyl (E216).
Can cause allergic reactions (sometimes late onset).

3. How to use Strepsils Intensive Spray
Always use this medicine exactly as described in this leaflet or as you have been told your doctor. If you're not sure, ask your doctor or pharmacist.

Recommended dosage
For adults and children over 18 years:
One dose of 3 injections are administered in the back of the throat during 3-6 hours as needed, but no more than 5 doses in 24 hours.
One dose (3 sprays) contains flurbiprofen 8,75 mg.
Do not use this medicine in children and adolescents under 18 years.

For use only on the mouth:
Spray only in the back of the throat;
Do not breathe during the injection;
Do not take more than 5 doses (15 sprays) for 24 hours.
Strepsils intensive spray is only for short-term use
You should take the lowest dose for the shortest time necessary to control symptoms. If irritation in the throat, the administration of flurbiprofen should be discontinued.
Do not take this medicine for more than three days unless prescribed by a doctor.
If your throat does not improve or worsen symptoms, develop new or consult a doctor or pharmacist.

Preparing the pump
When using the pump for the first time (or after storage for a long period of time) you must first activate the pump.
Aim the tip to the side of you and spray least four times until a fine, persistent fog. In this situation, the pump is activated and ready for use. If the drug is not used for a long time, point the top of the party you and spray at least once to make sure it is a fine, persistent fog. Before each dose of the product should always make sure that a fine constant fog.

Using spray
Aim the tip toward the back of the throat.
With fast flowing movements, press pump three times, making sure the pump is pushed through each injection, and remove your finger from the top of the pump between injections.
Do not breathe during injection.

If you take more than the amount of Strepsils Intensive Spray
Tell your doctor or pharmacist or visit the nearest hospital.
Symptoms of overdose may include nausea, vomiting, abdominal pain and rarely diarrhea. Possible emergence of tinnitus, headaches, gastrointestinal bleeding.

If you use more than the amount of Strepsils Intensive Spray
Consult your doctor or go immediately to the nearest hospital. Symptoms of overdose may include: discomfort and nausea, stomach pain, or more rarely diarrhea. Tinnitus, headaches, gastrointestinal bleeding are also possible.

If you have further questions, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, Strepsils intensive spray can cause side effects, although not everybody gets them.

Stop taking this drug and seek immediate medical attention if you experience:
signs of an allergic reaction such as asthma, unexplained wheezing or shortness of breath, itching, fever or skin rashes;
swelling of the face, tongue or throat, leading to difficulty breathing, increased heart rate, low blood pressure leading to shock (this can happen even with the first dose of the drug);
signs of hypersensitivity skin reactions such as redness, swelling, peeling, flaking, blistering or ulceration of the skin and mucous membranes.
Tell your doctor if you experience any of these side effects or if you notice other effects not listed:

Common (affects up to 1 in 10 users):
headache, dizziness;
throat irritation;
mouth ulcers, pain or numbness in the mouth;
throatache;
discomfort (feeling of warmth or burning or tingling) in the mouth;
nausea or diarrhea;
tingling or itchy skin.
Uncommon (affects up to 1 in 100 users):
drowsiness;
blisters in the mouth and throat, tingling in the throat;
bloating, abdominal pain, flatulence, constipation, indigestion, heartburn, nausea, vomiting;
dry mouth;
burning sensation in the mouth, altered taste;
rashes and itchy skin;
fever, pain;
drowsiness or insomnia;
Worsening of asthma, wheezing, shortness of breath;
decreased sensation in the throat.
Rare (affects up to 1 in 1,000 users):
anaphylactic reaction.
Not known (frequency can not be estimated from available data):
anemia, thrombocytopenia (low platelets in the blood which can lead to a tendency to easy bruising or bleeding;
swelling (edema), high blood pressure, heart failure or heart attack;
serious forms of skin reactions such as bullous reactions including Stevens-Johnson and toxic epidermal necrolysis (rare conditions caused by severe side effects from medication or infection in which the skin and mucous membranes react severely);
hepatitis (inflammation of liver).
Adverse event reporting
If you get any side effects, contact your doctor or pharmacist. This includes any possible effects not listed in this leaflet.

By reporting side effects, you can do your bit for getting more information on the safety of this medicine.

5. How to store Strepsils Intensive Spray
Keep out of reach of children.
Do not use Strepsils Intensive Spray after the expiry date stated on the bottle and carton after EXP. The expiry date refers to the last day of that month.
Do not refrigerate or freeze.
Do not use this medicine for more than six months after first opening.