Chemical Name: KETOPROFEN (kee-toe-PROE-fen)
This medicine is a nonsteroidal anti-inflammatory drug (NSAID) used to treat
minor aches and pains associated with the common cold, headache, muscle aches,
backache, and arthritis. It may also be used to reduce fever. This medicine
works by blocking the enzyme in your body that makes prostaglandins. Decreasing
prostaglandins helps to reduce pain, swelling, and fever.
WARNING: THE RISK OF SERIOUS AND SOMETIMES FATAL HEART PROBLEMS, HEART ATTACK,
AND STROKE may be increased with the use of this medicine. This risk may be
increased the longer you use this medicine. Risk may also be higher in patients
who have heart problems or who are at risk for heart problems. THIS MEDICINE
SHOULD NOT BE USED to treat pain before or after coronary artery "heart bypass"
(CABG) surgery. THE RISK OF SERIOUS AND SOMETIMES FATAL STOMACH AND BOWEL
PROBLEMS, including bleeding, ulcers, and holes in the stomach and bowel, is
increased while using this medicine. These problems may occur at any time during
therapy, with or without symptoms. Elderly patients are at higher risk for
serious stomach problems. Ask your doctor or pharmacist for more information
about this medicine and its side effects. Some medicines or medical conditions
may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all
prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS
MEDICINE if you are also taking tacrolimus or heparins. ADDITIONAL MONITORING OF
YOUR DOSE OR CONDITION may be needed if you are taking "blood thinners" (such as
warfarin), corticosteroids (such as prednisone), "water pills" (such as
hydrochlorothiazide or furosemide), ACE inhibitors (such as lisinopril),
serotonin reuptake blocker medicines such as fluoxetine or citalopram,
aminoglycoside antibiotics, bisphosphonates (e.g., alendronate, risedronate),
cyclosporine, aspirin, lithium, or methotrexate. DO NOT START OR STOP any
medicine without doctor or pharmacist approval. Inform your doctor of any other
medical conditions including diabetes, SLE (systemic lupus erythematosus), heart
problems (such as heart failure or history of heart attack), swelling of the
hands, feet, or ankles (edema), high blood pressure, history of stroke, blood
clotting problems, stomach or bowel problems (such as bleeding or ulcers),
history of tobacco use or alcohol use, kidney problems, liver problems, blood or
bleeding problems (such as anemia), asthma, growths in the nose (nasal polyps),
any allergies - especially aspirin/NSAID allergy (e.g., ibuprofen, celecoxib),
pregnancy, or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you
have history of severe kidney disease or if you are going to have or have
recently had coronary artery "heart bypass" (CABG) surgery. Contact your doctor
or pharmacist if you have any questions or concerns about taking this medicine.
Follow the directions for using this medicine provided by your doctor. TAKE THIS
MEDICINE with a full glass of water. THIS MEDICINE MAY BE TAKEN WITH FOOD if it
upsets your stomach. Taking it with food may not decrease the risk of stomach or
bowel problems (such as bleeding or ulcers) that may occur while taking this
medicine. Talk with your doctor or pharmacist if you experience persistent
stomach upset. STORE THIS MEDICINE at room temperature, away from heat and
light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it
is almost time for your next dose, skip the missed dose and go back to your
regular dosing schedule. Do not take 2 doses at once.
THIS MEDICINE INCREASES YOUR RISK OF SERIOUS STOMACH OR BOWEL PROBLEMS (such as
ulcers and bleeding). This risk is increased if you are elderly or are in poor
health, if you have a history of smoking or drinking alcohol, if you take
corticosteroid medicines (such as prednisone) or "blood thinners" (such as
warfarin), or if you take this medicine for a long period of time. THIS MEDICINE
MAY ALSO INCREASE YOUR RISK for certain serious heart and blood vessel problems
(such as heart attack and stroke). TAKE THIS MEDICINE EXACTLY AS PRESCRIBED BY
YOUR DOCTOR, at the lowest possible dose for the shortest time needed. Talk with
your doctor or pharmacist for further information. DO NOT TAKE THIS MEDICINE IF
YOU HAVE HAD A SEVERE ALLERGIC REACTION to aspirin or any medicine containing
aspirin or to a nonsteroidal anti-inflammatory drug (such as Feldene, Motrin,
Naprosyn, Daypro). A severe reaction includes a severe rash, hives, breathing
difficulties, or dizziness. If you have a question about whether you are
allergic to this medicine or if a certain medicine is a nonsteroidal
anti-inflammatory drug, contact your doctor or pharmacist. IF YOU EXPERIENCE
difficulty breathing; tightness of chest; swelling of eyelids, face, or lips; or
if you develop a rash or hives, tell your doctor immediately. Do not take any
more of this medicine unless your doctor tells you to do so. Laboratory and/or
medical tests, including blood counts, liver function tests, and kidney function
tests, may be performed to monitor your progress or to check for side effects,
especially if you are taking this medicine for a long period of time. KEEP ALL
DOCTOR AND LABORATORY APPOINTMENTS while you are taking this medicine. DO NOT
DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you
know how you react to this medicine. Using this medicine alone, with other
medicines, or with alcohol may lessen your ability to drive or to perform other
potentially dangerous tasks. ALCOHOL WARNING: If you consume 3 or more alcoholic
drinks every day, ask your doctor whether you should take this medicine or other
pain relievers/fever reducers. This medicine may cause stomach bleeding. BEFORE
YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter,
check with your doctor or pharmacist. This includes any medicine that contains
aspirin or other non-prescription pain relievers. CAUTION IS ADVISED WHEN USING
THIS MEDICINE IN THE ELDERLY because they may be more sensitive to the effects
of this medicine, especially the risk of stomach or bowel effects (such as
bleeding or ulcers), or kidney effects. FOR WOMEN: THIS MEDICINE HAS BEEN SHOWN
TO CAUSE HARM to the human fetus. IF YOU PLAN ON BECOMING PREGNANT, discuss with
your doctor the benefits and risks of using this medicine during pregnancy. IT
IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk. DO NOT BREAST-FEED while
taking this medicine.
SIDE EFFECTS, that may go away during treatment, include nausea, vomiting,
diarrhea, gas, constipation, indigestion, dizziness, lightheadedness,
drowsiness, nervousness, or headache. If they continue or are bothersome, check
with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience
rash, or ringing in ears. CONTACT YOUR DOCTOR IMMEDIATELY if you experience
sharp or crushing chest pain; sudden shortness of breath; sudden leg pain;
sudden severe headache, vomiting, dizziness, or fainting; changes in vision;
numbness of an arm or leg; slurred speech; one-sided weakness; sudden
unexplained weight gain; change in amount of urine produced; severe or
persistent stomach pain; vomit that looks like coffee grounds; black tarry
stools; itching, reddened, swollen, blistered, painful, or peeling skin;
yellowing of the skin or eyes; dark urine; right-sided tenderness; severe or
persistent tiredness; fever, chills, or sore throat; severe or persistent
nausea; swelling of hands, ankles, feet, face, lips, eyes, throat, or tongue;
difficulty swallowing or breathing; or hoarseness. AN ALLERGIC REACTION TO THIS
MEDICINE is unlikely, but seek immediate medical attention if it occurs.
Symptoms of an allergic reaction include rash, itching, swelling, severe
dizziness, or trouble breathing. If you notice other effects not listed above,
contact your doctor, nurse, or pharmacist.
If overdose is suspected, contact your local poison control center or emergency
room immediately. Symptoms of overdose may include nausea, vomiting, stomach
pain, drowsiness, and difficulty breathing.
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT
USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the
reach of children and pets. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF
TIME, obtain refills before your supply runs out.
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