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Feldene Gel

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Document: leaflet MAH BRAND_PLPI 18799-2198 change

Package leaflet: Information for the patient

Feldene® Gel

(piroxicam)

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

•    Keep this leaflet. You may need to read it again.

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

•    This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.

•    If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

See section 4.

The name of your medicine is Feldene Gel but will be referred to as Feldene throughout this leaflet.

W hat is in this leaflet

1.

What Feldene is and what it is used for

2.

What you need to know before you use Feldene

3.

How to use Feldene

4.

Possible side effects

5.

How to store Feldene

6.

Contents of the pack and other information

1. What Feldene is and what it is used for

Feldene is one of a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). This means it will help to relieve pain and reduce swelling affecting joints and muscles when rubbed into the skin over the affected area.

Feldene is for the treatment of rheumatism, sprains, strains and mild osteoarthritis of joints (knees, wrists, ankles etc).

2. What you need to know before you use Feldene

Do not use Feldene

•    If you are allergic to piroxicam or any of the other ingredients of this medicine (listed in section 6), any other form of piroxicam, aspirin or any other medicines used to treat painful joints and muscles. This may have been itching, reddening of the skin or difficulty in breathing.

Warnings and precautions

Talk to your doctor or pharmacist before taking Feldene. Medicines are not always suitable for everyone. Your doctor needs to know before you use Feldene if you suffer from or have suffered in the past from any of the following conditions:

•    liver disease.

•    kidney disease.

Potentially life-threatening skin rashes (Stevens-Johnson syndrome, toxic epidermal necrolysis) have been reported with the use of piroxicam, appearing initially as reddish target-like spots or circular patches often with central blisters on the trunk.

Additional signs to look for include ulcers in the mouth, throat, nose, genitals and conjunctivitis (red and swollen eyes).

These potentially life-threatening skin rashes are often accompanied by flu-like symptoms. The rash may progress to widespread blistering or peeling of the skin.

The highest risk for occurrence of serious skin reactions is within the first weeks of treatment.

If you have developed Stevens-Johnson syndrome or toxic epidermal necrolysis with the use of piroxicam, you must not be re-started on piroxicam at any time.

If you develop a rash or these skin symptoms, seek immediate advice from a doctor and tell them that you are taking this medicine.

NSAIDs, including Feldene, may cause kidney damage or kidney failure.

Children and adolescents

Feldene is not recommended for use in children under 12 years of age.

Other medicines and Feldene

Feldene is not known to interact with any other medicines. Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Pregnancy, breast-feeding and fertility

If you are trying to become pregnant or being investigated for infertility, withdrawal of Feldene should be considered. Feldene may increase the risk of miscarriage in early pregnancy.

If 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.

Driving and using machines

Feldene is not expected to affect your ability to drive or use machines.

Feldene contains propylene glycol

Feldene contains propylene glycol which may cause skin irritation.

3. How to use Feldene

Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

Feldene is for external use on the skin only.

Pierce the tube by reversing the cap and screwing down to break the seal on the tube.

Apply 3cm (1 %” approximately) of the Gel on the affected area. Use the scale below as a guide. Rub the Gel into the skin until the Gel disappears. Do this three or four times a day. If there is no improvement in your symptoms, tell your doctor. If the gel is not rubbed in completely, mild but temporary staining of the skin and staining of clothing may occur.

^_ 3cm _^

SCALE:    i l i l

Do not use Feldene for more than four weeks without telling your pharmacist or doctor.

Do not rub your medication into damaged skin, for example wounds, scratches, infections or dermatitis. Do not apply near eyes, nose, mouth, genital or anal (bottom) areas. If the Gel does come into contact with these areas, rinse away with water.

Do not cover the area where Feldene has been rubbed in with dressings or bandages.

After using Feldene

1.    Always replace the cap

2.    Wash your hands

If you use too much or accidentally swallow Feldene

If you accidentally use too much Feldene this is unlikely to cause any side effects.

If a large amount of your medication is swallowed accidentally, tell your doctor immediately, or contact your nearest hospital casualty department.

If you forget to use Feldene If you forget to use Feldene, use it as soon as you remember unless it is time for your next application. Do not use double the amount to make up for a missed application.

If you stop using Feldene

Your pain may return if you stop using Feldene.

If you have any further questions on how to take this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Tell your doctor immediately and stop using Feldene if you experience any of the following symptoms after applying this medicine. Although they are very rare, these symptoms can be serious:

• sudden wheeziness, difficulty in breathing, fever, swelling of eyelids, face or lips, rash or itching affecting the whole body

•    potentially life-threatening skin rashes (Stevens-Johnson syndrome, toxic epidermal necrolysis) have been reported very rarely (see section 2).

Other side effects that Feldene may cause are:

•    Redness, rash and/or itching of the skin where Feldene was rubbed in (for example eczema, contact dermatitis)

•    Reaction of the skin to sunlight Uncommon side effects are:

•    Nausea (feeling sick)

•    Indigestion

•    Stomach discomfort

These effects should disappear if you stop using Feldene. If the discomfort continues tell your doctor or pharmacist.

Reporting of side effects

If you get any side effects talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at:

www.mhra.gov.uk/yellowcard.

By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store Feldene

Keep out of the sight and reach of children.

Do not store above 30°C.

Do not use the gel after the expiry date which is stated on the carton and tube label after 'Exp' The expiry date refers to the last day of that month.

If the gel becomes discoloured or show any signs of deterioration, seek the advice of your pharmacist.

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.

6. Contents of pack and other information_

What Feldene contains

The active ingredient in Feldene is piroxicam.

Each grams of gel contains 5mg piroxicam.

The other ingredients are benzyl alcohol, carbopol 980, di-isopropanolamine, ethyl alcohol, hydroxy-ethyl cellulose, propylene glycol and purified water.

What Feldene looks like and contents of the pack

Feldene Gel is clear, pale yellow and smells of alcohol.

It is available in pack size of 60g.

Manufactured by: Farmasierra manufacturing S.L., Ctra. N-I, km.26, 200-28700, San Sebastian de los Reyes, Madrid, Spain.

Procured from within the EU and repackaged by the Product Licence holder: B&S Healthcare, Unit 4,

Bradfield Road, Ruislip, Middlesex,

HA4 0NU, UK.

Feldene® Gel PL 18799/2198

Leaflet date: 15.06.2016 POM

Feldene is a registered trademark of Pfizer.

Package leaflet: Information for the patient

Piroxicam

0. 5. w/w Gel

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

•    Keep this leaflet. You may need to read it again.

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

•    This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.

•    If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

See section 4.

The name of your medicine is Piroxicam 0.5% w/w Gel but will be referred to as Piroxicam throughout this leaflet.

What is in this leaflet

1.    What Piroxicam is and what it is used for

2.    What you need to know before you use Piroxicam

3.    How to use Piroxicam

4.    Possible side effects

5.    How to store Piroxicam

6.    Contents of the pack and other information

1. What Piroxicam is and what it is used for

Pfoxicam is one of a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). This means it will help to relieve pain and reduce swelling affecting joints and muscles when rubbed into the skin over the affected area.

Piroxicam is for the treatment of rheumatism, sprains, strains and mild osteoarthritis of joints (knees, wrists, ankles etc).

2. What you need to know before you use Piroxicam

Do not use Piroxicam

•    If you are allergic to piroxicam or any of the other ingredients of this medicine (listed in section 6), any other form of piroxicam, aspirin or any other medicines used to treat painful joints and muscles. This may have been itching, reddening of the skin or difficulty in breathing.

Warnings and precautions

Talk to your doctor or pharmacist before taking Piroxicam. Medicines are not always suitable for everyone. Your doctor needs to know before you use Piroxicam if you suffer from or have suffered in the past from any of the following conditions:

•    liver disease.

•    kidney disease.

Potentially life-threatening skin rashes (Stevens-Johnson syndrome, toxic epidermal necrolysis) have been reported with the use of piroxicam, appearing initially as reddish target-like spots or circular patches often with central blisters on the trunk.

Additional signs to look for include ulcers in the mouth, throat, nose, genitals and conjunctivitis (red and swollen eyes).

These potentially life-threatening skin rashes are often accompanied by flu-like symptoms. The rash may progress to widespread blistering or peeling of the skin.

The highest risk for occurrence of serious skin reactions is within the first weeks of treatment.

If you have developed Stevens-Johnson syndrome or toxic epidermal necrolysis with the use of piroxicam, you must not be re-started on piroxicam at any time.

If you develop a rash or these skin symptoms, seek immediate advice from a doctor and tell them that you are taking this medicine.

NSAIDs, including Piroxicam, may cause kidney damage or kidney failure.

Children and adolescents

Piroxicam is not recommended for use in children under 12 years of age.

Other medicines and Piroxicam

Piroxicam is not known to interact with any other medicines. Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Pregnancy, breast-feeding and fertility

If you are trying to become pregnant or being investigated for infertility, withdrawal of Piroxicam should be considered. Piroxicam may increase the risk of miscarriage in early pregnancy.

If 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.

Driving and using machines

Piroxicam is not expected to affect your ability to drive or use machines.

Piroxicam contains propylene glycol

Piroxicam contains propylene glycol which may cause skin irritation.

3. How to use Piroxicam

Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

Piroxicam is for external use on the skin only.

Pierce the tube by reversing the cap and screwing down to break the seal on the tube.

Apply 3cm (1 %’ approximately) of the Gel on the affected area. Use the scale below as a guide. Rub the Gel into the skin until the Gel disappears. Do this three or four times a day. If there is no improvement in your symptoms, tell your doctor. If the gel is not rubbed in completely, mild but temporary staining of the skin and staining of clothing may occur.

^_ 3cm _^

SCALE:    i l i l

Do not use Piroxicam for more than four weeks without telling your pharmacist or doctor.

Do not rub your medication into damaged skin, for example wounds, scratches, infections or dermatitis. Do not apply near eyes, nose, mouth, genital or anal (bottom) areas. If the Gel does come into contact with these areas, rinse away with water.

Do not cover the area where Piroxicam has been rubbed in with dressings or bandages.

After using Piroxicam

1.    Always replace the cap

2.    Wash your hands

If you use too much or accidentally swallow Piroxicam

If you accidentally use too much Piroxicam this is unlikely to cause any side effects.

If a large amount of your medication is swallowed accidentally, tell your doctor immediately, or contact your nearest hospital casualty department.

If you forget to use Piroxicam

If you forget to use Piroxicam, use it as soon as you remember unless it is time for your next application. Do not use double the amount to make up for a missed application.

If you stop using Piroxicam

Your pain may return if you stop using Piroxicam.

If you have any further questions on how to take this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Tell your doctor immediately and stop using Piroxicam if you experience any of the following symptoms after applying this medicine. Although they are very rare, these symptoms can be serious:

• sudden wheeziness, difficulty in breathing, fever, swelling of eyelids, face or lips, rash or itching affecting the whole body

•    potentially life-threatening skin rashes (Stevens-Johnson syndrome, toxic epidermal necrolysis) have been reported very rarely (see section 2).

Other side effects that Piroxicam may cause are:

•    Redness, rash and/or itching of the skin where Piroxicam was rubbed in (for example eczema, contact dermatitis)

•    Reaction of the skin to sunlight Uncommon side effects are:

•    Nausea (feeling sick)

•    Indigestion

•    Stomach discomfort

These effects should disappear if you stop using Piroxicam. If the discomfort continues tell your doctor or pharmacist.

Reporting of side effects

If you get any side effects talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme

at:www.mhra.gov.uk/yellowcard.

By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store Piroxicam

Keep out of the sight and reach of children.

Do not store above 30°C.

Do not use the gel after the expiry date which is stated on the carton and tube label after 'exp'. The expiry date refers to the last day of that month.

If the gel becomes discoloured or show any signs of deterioration, seek the advice of your pharmacist.

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.

6. Contents of pack and other information_

What Piroxicam contains

The active ingredient in Piroxicam is piroxicam.

Each grams of gel contains 5mg piroxicam.

The other ingredients are benzyl alcohol, carbopol 980, di-isopropanolamine, ethyl alcohol, hydroxy-ethyl cellulose, propylene glycol and purified water.

What Piroxicam looks like and contents of the pack

Piroxicam Gel is clear, pale yellow and smells of alcohol.

It is available in pack size of 60g.

Manufactured by: Farmasierra manufacturing S.L., Ctra. N-I, km.26, 200-28700, San Sebastian de los Reyes, Madrid, Spain.

Procured from within the EU and repackaged by the Product Licence holder: B&S Healthcare, Unit 4,

Bradfield Road, Ruislip, Middlesex,

HA4 0NU, UK.

Piroxicam 0.5% w/w Gel |POM PL 18799/2198

Leaflet date: 15.06.2016