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VOLTADVANCE 25 MG POWDER FOR ORAL SOLUTION 20 SACHETS
Descrizione Prodotto
€13,50
-25%
€10,13
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€10,13
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035500040
disponibile
Mon - Fri 9-13 / 14-17
+39 0863 599589
366 2291710
Descrizione
Pagamenti
Spedizioni
Name
Voltadvance 25 mg film-coated tablets
Voltadvance 25 mg powder for oral solution
Diclofenac sodium
What it is and what it is used for
Voltadvance contains the active substance diclofenac sodium, which belongs to the class of medicines known as nonsteroidal anti-inflammatory drugs (NSAIDs). Voltadvance works by reducing pain and inflammation.
Voltadvance is indicated for the treatment of pain of various origins and natures, such as:
• joint pain
• back pain (lumbago)
• muscle pain, including stiff neck
• heachache
• toothache
• menstrual cramps
Talk to your doctor if you do not feel better or if you feel worse after 2-3 days of treatment.
What you need to know before taking the medicine
Do not take Voltadvance
• if you are allergic to diclofenac sodium, acetylsalicylic acid or any other non-steroidal anti-inflammatory drugs (NSAIDs) or any of the other ingredients of this medicine (listed in section 6)
• if you have an ongoing ulcer, bleeding or perforation of the stomach or intestine
• if you have had bleeding (haemorrhage) from the stomach or intestine or perforation after previous treatments with NSAIDs
• if you have had bleeding or ulcers that occur repeatedly (two or more distinct episodes of proven ulceration or bleeding)
• if you have a severe form of liver or kidney failure
• if you suffer from established heart disease and/or cerebrovascular disease, e.g. you have had a heart attack, stroke, mini-stroke (TIA) or blockage of the blood vessels to the heart or brain or an operation to remove or avoid such blockages
• if you suffer or have suffered from blood circulation problems (peripheral arterial disease)
• if you think you may be allergic to diclofenac sodium, acetylsalicylic acid, ibuprofen or any other NSAID or any other ingredients of this medicine. Signs of a hypersensitivity reaction include swelling of the face, lips, tongue and/or throat with difficulty swallowing (angioedema), breathing problems (difficulty breathing, asthma), chest pain, acute rhinitis (runny nose), skin rashes (hives) or any other type of allergic reaction
• if you have an alteration in the production of blood cells
• if you are taking high doses of medicines that increase urine production (diuretics) (see "Other medicines and Voltadvance")
• if your stool is dark or contains blood
• if you are breast-feeding (see section "Pregnancy, breast-feeding and fertility")
• if you are in the last three months of pregnancy (see section "Pregnancy, breast-feeding and fertility")
• if you are under 14 years old
Warnings and precautions
Talk to your doctor or pharmacist before taking Voltadvance.
Before taking Voltadvance make sure your doctor knows :
• if you have asthma
• if you have seasonal colds on an allergic basis (allergic rhinitis), swelling of the nasal mucosa (e.g. nasal polyps)
• if you have chronic obstructive pulmonary disease or chronic respiratory tract infections
• if you have liver or kidney problems, unless you have severe liver or kidney failure because in these cases you should not take Voltadvance (see section 2 "Do not take Voltadvance"). If you are not sure, ask your doctor.
• if you have hepatic porphyria
• if you have ulcerative colitis or Crohn's disease as these conditions may get worse
• if you are using medicines that increase urine production (diuretics) or other medicines that may affect the way your kidneys work
• if you have low body fluid volume (for example before or after major surgery)
• if you are undergoing or have undergone major surgery
• if you have blood clotting defects (haemostasis defects)
• if you have or have had heart problems
• if he smokes
• if you suffer from diabetes
• if you suffer from angina, blood clots, high blood pressure, increased cholesterol or increased triglycerides
• if you experience signs or symptoms of heart or blood vessel problems such as chest pain, shortness of breath, weakness or difficulty speaking, contact your doctor immediately
• if you have stomach or intestinal problems, unless you have one or more conditions why you should not take Voltadvance (see section "Do not take Voltadvance")
• if you are taking medicines that may increase the risk of bleeding, ulceration and perforation such as acetylsalicylic acid (e.g. aspirin) and other NSAIDs, corticosteroids given by mouth, injection or rectally (e.g. cortisone), medicines to thin the blood (anticoagulants and antiplatelet agents), selective serotonin reuptake inhibitors (antidepressants) (see section "Other medicines and Voltadvance")
• Tell your doctor if you have recently had or are about to have surgery on your stomach or intestinal tract before receiving/taking/using Voltadvance, as Voltadvance can sometimes worsen the healing of the wound in your intestine following surgery.
In these cases, your doctor will monitor you closely and periodically reassess the need for treatment with Voltadvance. In addition, your doctor may perform periodic tests (such as monitoring of kidney or liver function) to assess your condition during treatment with Voltadvance.
Stop treatment and tell your doctor if during treatment with Voltadvance you develop : • gastrointestinal bleeding or ulceration
• skin reactions, because serious skin reactions which can even be fatal have been reported very rarely (see section 4.8)
• mucosal lesions or any other signs of allergic reaction
• fluid retention and swelling from fluid accumulation (edema)
• signs and symptoms of liver problems or if liver function parameters are not normal (visible in blood tests)
• unusual stomach and intestinal symptoms
• worsening of headaches because prolonged use of medicines to reduce headaches can in some cases make them worse
• symptoms of an infection (e.g. headache, fever) or if you notice a worsening of an infection as Voltadvance may hide the signs and symptoms of infection.
In these cases, your doctor will evaluate whether to continue or stop treatment with Voltadvance.
Other important information :
• Gastrointestinal bleeding, ulceration or perforation, which may be fatal, may occur during treatment with NSAIDs, including diclofenac. The risk of gastrointestinal bleeding is higher with high doses of NSAIDs and in patients who have had ulcers, particularly if complicated by bleeding or perforation. You should take the lowest effective dose of diclofenac to reduce the risk of gastrointestinal toxicity and your doctor may also prescribe medicines (e.g. misoprostol or proton pump inhibitors) to protect the gastrointestinal mucosa.
• Medicines such as Voltadvance may be associated with a small increased risk of heart attack (myocardial infarction) or stroke. Any risk is more likely with high doses or prolonged treatment.
• Undesirable effects can be minimised by using the lowest effective dose for the shortest duration necessary (see section 3 "How to take Voltadvance")
• Avoid using diclofenac during treatment with other NSAIDs administered by mouth, injection and rectal administration, including selective cyclooxygenase-2 inhibitors, because it increases the possibility of you experiencing side effects.
Children and adolescents
Voltadvance is contraindicated in children and adolescents under 14 years of age.
Elderly patients
Elderly patients are more likely to experience adverse reactions, especially stomach or intestinal bleeding and perforation, which are usually more severe and can be fatal.
If you are elderly you should take the lowest dose of Voltadvance.
As a precaution, your doctor may check your kidney function and prescribe medications that work by protecting the gastrointestinal mucosa, such as misoprostol or proton pump inhibitors.
Tell your doctor about any unusual stomach and intestinal symptoms.
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If any of these effects occur during treatment with Voltadvance, it is advisable to stop taking the medicine and consult your doctor.
Undesirable effects can be minimised by using the lowest effective dose for the shortest duration necessary.
Some side effects can be serious.
Stop taking Voltadvance and tell your doctor immediately if you notice:
• Mild abdominal cramps and tenderness that occur shortly after starting treatment with Voltadvance, followed by rectal bleeding or bloody diarrhoea usually within 24 hours of the onset of abdominal pain (frequency not known, cannot be estimated from the available data).
• Chest pain, which may be a sign of a potentially serious allergic reaction called Kounis syndrome.
Common side effects (may affect up to 1 in 10 people)
• headache, dizziness, vertigo
• nausea, vomiting
• diarrhea, gas emission (flatulence)
• problems with digestion (dyspepsia), abdominal pain
• lack or reduction of appetite (anorexia)
• alterations in tests to evaluate liver function (increased transaminases)
• skin rash
Uncommon side effects (may affect up to 1 in 100 people)
These effects occurred after treatment for a long period and with a high dose (150 mg per day).
• heart attack
• heart problems (heart failure)
• awareness of one's heartbeat (palpitations)
• chest pain
Rare side effects (may affect up to 1 in 1,000 people) • allergic reactions, severe allergic reactions even after first use of the medicine (anaphylactic and anaphylactoid reactions) including hypotension and collapse (shock)
• drowsiness
• asthma, difficulty breathing (dyspnea)
• inflammation of the stomach (gastritis), bleeding from the stomach or intestine, vomiting blood (haematemesis), ulcer of the stomach or intestine with or without bleeding and perforation (with possible inflammation of the peritoneum called peritonitis), narrowing of the gastrointestinal tract (stenosis)
• diarrhea accompanied by bleeding, dark stools with blood (melena)
• dry mouth and mucous membranes
• inflammation of the liver (hepatitis), yellowing of the skin, mucous membranes and eyes (jaundice), liver disorders
• urticaria
• swelling from fluid accumulation (edema).
Very rare side effects (may affect up to 1 in 10,000 people)
• abnormal values in blood tests
- reduction in the number of platelets (thrombocytopenia)
- reduction in the number of white blood cells (leukopenia, agranulocytosis)
- anemia (including haemolytic and aplastic anemia)
• abnormal values in urine tests
- presence of blood in the urine (hematuria)
- presence of proteins in the urine (proteinuria)
• swelling of the skin and mucous membranes (angioedema) including facial edema
• disorientation, depression, insomnia, nightmares, irritability, severe mental changes (psychotic reactions)
• worsening of memory, convulsions, anxiety, tremors
• alteration of sensation in the limbs or other parts of the body (paraesthesia)
• taste alterations
• inflammation of the membranes covering the brain and spinal cord (aseptic meningitis), damage to the blood vessels in the brain (cerebrovascular accidents)
• vision disturbances, blurred vision, double vision (diplopia)
• ringing or buzzing in the ears (tinnitus), worsening hearing
• high blood pressure (hypertension)
• inflammation of the blood vessels (vasculitis)
• pneumonia
• inflammation of the colon (colitis) including colitis with bleeding and worsening of ulcerative colitis or Crohn's disease
• constipation (constipation)
• inflammation of the mucosa of the mouth (stomatitis) including stomatitis with ulcers
• inflammation of the tongue (glossitis)
• problems with the esophagus, narrowing of the intestine (intestinal diaphragm disease)
• inflammation of the pancreas (pancreatitis)
• very severe and sudden form of hepatitis (fulminant hepatitis), liver necrosis, impairment of liver function (liver failure)
• skin reactions ranging from mild to life-threatening (bullous eruptions, eczema, erythema, erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis (Lyell's syndrome), exfoliative dermatitis)
• appearance of red-brown spots on the skin (purpura), Henoch-Schonlein purpura, itching
• hair loss
• appearance of spots or redness on the skin following exposure to sunlight or sunlamps
• impairment of kidney function (acute renal failure), nephrotic syndrome, interstitial nephritis, renal papillary necrosis.
Side effects with unknown frequency (frequency cannot be estimated from the available data):
• sudden, severe chest pain which may be a symptom of a serious allergic reaction (Kounis syndrome) Medicines like Voltadvance may be associated with a small increased risk of heart attack (infarction) or stroke (see "Warnings and precautions" above).
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system at: https://www.aifa.gov.it/content/segnalazionireazioni-avverse .
By reporting side effects you can help provide more information on the safety of this medicine.
Voltadvance 25 mg film-coated tablets
Voltadvance 25 mg powder for oral solution
Diclofenac sodium
What it is and what it is used for
Voltadvance contains the active substance diclofenac sodium, which belongs to the class of medicines known as nonsteroidal anti-inflammatory drugs (NSAIDs). Voltadvance works by reducing pain and inflammation.
Voltadvance is indicated for the treatment of pain of various origins and natures, such as:
• joint pain
• back pain (lumbago)
• muscle pain, including stiff neck
• heachache
• toothache
• menstrual cramps
Talk to your doctor if you do not feel better or if you feel worse after 2-3 days of treatment.
What you need to know before taking the medicine
Do not take Voltadvance
• if you are allergic to diclofenac sodium, acetylsalicylic acid or any other non-steroidal anti-inflammatory drugs (NSAIDs) or any of the other ingredients of this medicine (listed in section 6)
• if you have an ongoing ulcer, bleeding or perforation of the stomach or intestine
• if you have had bleeding (haemorrhage) from the stomach or intestine or perforation after previous treatments with NSAIDs
• if you have had bleeding or ulcers that occur repeatedly (two or more distinct episodes of proven ulceration or bleeding)
• if you have a severe form of liver or kidney failure
• if you suffer from established heart disease and/or cerebrovascular disease, e.g. you have had a heart attack, stroke, mini-stroke (TIA) or blockage of the blood vessels to the heart or brain or an operation to remove or avoid such blockages
• if you suffer or have suffered from blood circulation problems (peripheral arterial disease)
• if you think you may be allergic to diclofenac sodium, acetylsalicylic acid, ibuprofen or any other NSAID or any other ingredients of this medicine. Signs of a hypersensitivity reaction include swelling of the face, lips, tongue and/or throat with difficulty swallowing (angioedema), breathing problems (difficulty breathing, asthma), chest pain, acute rhinitis (runny nose), skin rashes (hives) or any other type of allergic reaction
• if you have an alteration in the production of blood cells
• if you are taking high doses of medicines that increase urine production (diuretics) (see "Other medicines and Voltadvance")
• if your stool is dark or contains blood
• if you are breast-feeding (see section "Pregnancy, breast-feeding and fertility")
• if you are in the last three months of pregnancy (see section "Pregnancy, breast-feeding and fertility")
• if you are under 14 years old
Warnings and precautions
Talk to your doctor or pharmacist before taking Voltadvance.
Before taking Voltadvance make sure your doctor knows :
• if you have asthma
• if you have seasonal colds on an allergic basis (allergic rhinitis), swelling of the nasal mucosa (e.g. nasal polyps)
• if you have chronic obstructive pulmonary disease or chronic respiratory tract infections
• if you have liver or kidney problems, unless you have severe liver or kidney failure because in these cases you should not take Voltadvance (see section 2 "Do not take Voltadvance"). If you are not sure, ask your doctor.
• if you have hepatic porphyria
• if you have ulcerative colitis or Crohn's disease as these conditions may get worse
• if you are using medicines that increase urine production (diuretics) or other medicines that may affect the way your kidneys work
• if you have low body fluid volume (for example before or after major surgery)
• if you are undergoing or have undergone major surgery
• if you have blood clotting defects (haemostasis defects)
• if you have or have had heart problems
• if he smokes
• if you suffer from diabetes
• if you suffer from angina, blood clots, high blood pressure, increased cholesterol or increased triglycerides
• if you experience signs or symptoms of heart or blood vessel problems such as chest pain, shortness of breath, weakness or difficulty speaking, contact your doctor immediately
• if you have stomach or intestinal problems, unless you have one or more conditions why you should not take Voltadvance (see section "Do not take Voltadvance")
• if you are taking medicines that may increase the risk of bleeding, ulceration and perforation such as acetylsalicylic acid (e.g. aspirin) and other NSAIDs, corticosteroids given by mouth, injection or rectally (e.g. cortisone), medicines to thin the blood (anticoagulants and antiplatelet agents), selective serotonin reuptake inhibitors (antidepressants) (see section "Other medicines and Voltadvance")
• Tell your doctor if you have recently had or are about to have surgery on your stomach or intestinal tract before receiving/taking/using Voltadvance, as Voltadvance can sometimes worsen the healing of the wound in your intestine following surgery.
In these cases, your doctor will monitor you closely and periodically reassess the need for treatment with Voltadvance. In addition, your doctor may perform periodic tests (such as monitoring of kidney or liver function) to assess your condition during treatment with Voltadvance.
Stop treatment and tell your doctor if during treatment with Voltadvance you develop : • gastrointestinal bleeding or ulceration
• skin reactions, because serious skin reactions which can even be fatal have been reported very rarely (see section 4.8)
• mucosal lesions or any other signs of allergic reaction
• fluid retention and swelling from fluid accumulation (edema)
• signs and symptoms of liver problems or if liver function parameters are not normal (visible in blood tests)
• unusual stomach and intestinal symptoms
• worsening of headaches because prolonged use of medicines to reduce headaches can in some cases make them worse
• symptoms of an infection (e.g. headache, fever) or if you notice a worsening of an infection as Voltadvance may hide the signs and symptoms of infection.
In these cases, your doctor will evaluate whether to continue or stop treatment with Voltadvance.
Other important information :
• Gastrointestinal bleeding, ulceration or perforation, which may be fatal, may occur during treatment with NSAIDs, including diclofenac. The risk of gastrointestinal bleeding is higher with high doses of NSAIDs and in patients who have had ulcers, particularly if complicated by bleeding or perforation. You should take the lowest effective dose of diclofenac to reduce the risk of gastrointestinal toxicity and your doctor may also prescribe medicines (e.g. misoprostol or proton pump inhibitors) to protect the gastrointestinal mucosa.
• Medicines such as Voltadvance may be associated with a small increased risk of heart attack (myocardial infarction) or stroke. Any risk is more likely with high doses or prolonged treatment.
• Undesirable effects can be minimised by using the lowest effective dose for the shortest duration necessary (see section 3 "How to take Voltadvance")
• Avoid using diclofenac during treatment with other NSAIDs administered by mouth, injection and rectal administration, including selective cyclooxygenase-2 inhibitors, because it increases the possibility of you experiencing side effects.
Children and adolescents
Voltadvance is contraindicated in children and adolescents under 14 years of age.
Elderly patients
Elderly patients are more likely to experience adverse reactions, especially stomach or intestinal bleeding and perforation, which are usually more severe and can be fatal.
If you are elderly you should take the lowest dose of Voltadvance.
As a precaution, your doctor may check your kidney function and prescribe medications that work by protecting the gastrointestinal mucosa, such as misoprostol or proton pump inhibitors.
Tell your doctor about any unusual stomach and intestinal symptoms.
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If any of these effects occur during treatment with Voltadvance, it is advisable to stop taking the medicine and consult your doctor.
Undesirable effects can be minimised by using the lowest effective dose for the shortest duration necessary.
Some side effects can be serious.
Stop taking Voltadvance and tell your doctor immediately if you notice:
• Mild abdominal cramps and tenderness that occur shortly after starting treatment with Voltadvance, followed by rectal bleeding or bloody diarrhoea usually within 24 hours of the onset of abdominal pain (frequency not known, cannot be estimated from the available data).
• Chest pain, which may be a sign of a potentially serious allergic reaction called Kounis syndrome.
Common side effects (may affect up to 1 in 10 people)
• headache, dizziness, vertigo
• nausea, vomiting
• diarrhea, gas emission (flatulence)
• problems with digestion (dyspepsia), abdominal pain
• lack or reduction of appetite (anorexia)
• alterations in tests to evaluate liver function (increased transaminases)
• skin rash
Uncommon side effects (may affect up to 1 in 100 people)
These effects occurred after treatment for a long period and with a high dose (150 mg per day).
• heart attack
• heart problems (heart failure)
• awareness of one's heartbeat (palpitations)
• chest pain
Rare side effects (may affect up to 1 in 1,000 people) • allergic reactions, severe allergic reactions even after first use of the medicine (anaphylactic and anaphylactoid reactions) including hypotension and collapse (shock)
• drowsiness
• asthma, difficulty breathing (dyspnea)
• inflammation of the stomach (gastritis), bleeding from the stomach or intestine, vomiting blood (haematemesis), ulcer of the stomach or intestine with or without bleeding and perforation (with possible inflammation of the peritoneum called peritonitis), narrowing of the gastrointestinal tract (stenosis)
• diarrhea accompanied by bleeding, dark stools with blood (melena)
• dry mouth and mucous membranes
• inflammation of the liver (hepatitis), yellowing of the skin, mucous membranes and eyes (jaundice), liver disorders
• urticaria
• swelling from fluid accumulation (edema).
Very rare side effects (may affect up to 1 in 10,000 people)
• abnormal values in blood tests
- reduction in the number of platelets (thrombocytopenia)
- reduction in the number of white blood cells (leukopenia, agranulocytosis)
- anemia (including haemolytic and aplastic anemia)
• abnormal values in urine tests
- presence of blood in the urine (hematuria)
- presence of proteins in the urine (proteinuria)
• swelling of the skin and mucous membranes (angioedema) including facial edema
• disorientation, depression, insomnia, nightmares, irritability, severe mental changes (psychotic reactions)
• worsening of memory, convulsions, anxiety, tremors
• alteration of sensation in the limbs or other parts of the body (paraesthesia)
• taste alterations
• inflammation of the membranes covering the brain and spinal cord (aseptic meningitis), damage to the blood vessels in the brain (cerebrovascular accidents)
• vision disturbances, blurred vision, double vision (diplopia)
• ringing or buzzing in the ears (tinnitus), worsening hearing
• high blood pressure (hypertension)
• inflammation of the blood vessels (vasculitis)
• pneumonia
• inflammation of the colon (colitis) including colitis with bleeding and worsening of ulcerative colitis or Crohn's disease
• constipation (constipation)
• inflammation of the mucosa of the mouth (stomatitis) including stomatitis with ulcers
• inflammation of the tongue (glossitis)
• problems with the esophagus, narrowing of the intestine (intestinal diaphragm disease)
• inflammation of the pancreas (pancreatitis)
• very severe and sudden form of hepatitis (fulminant hepatitis), liver necrosis, impairment of liver function (liver failure)
• skin reactions ranging from mild to life-threatening (bullous eruptions, eczema, erythema, erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis (Lyell's syndrome), exfoliative dermatitis)
• appearance of red-brown spots on the skin (purpura), Henoch-Schonlein purpura, itching
• hair loss
• appearance of spots or redness on the skin following exposure to sunlight or sunlamps
• impairment of kidney function (acute renal failure), nephrotic syndrome, interstitial nephritis, renal papillary necrosis.
Side effects with unknown frequency (frequency cannot be estimated from the available data):
• sudden, severe chest pain which may be a symptom of a serious allergic reaction (Kounis syndrome) Medicines like Voltadvance may be associated with a small increased risk of heart attack (infarction) or stroke (see "Warnings and precautions" above).
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system at: https://www.aifa.gov.it/content/segnalazionireazioni-avverse .
By reporting side effects you can help provide more information on the safety of this medicine.
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Bank details: BNL BNP PARIBAS BANK - Branch No. 3646 AVEZZANO IN THE NAME OF: STORNELLI FARMACY SNC OF DR. FRANCA STORNELLI & C REASON: ORDER NUMBER IBAN IT87D0100540440000000018373 |
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NOTA BENE: le informazioni presenti nelle schede prodotto che potrete consultare in questo sito non devono essere interpretate come consulenza medica e non intendono, né possono sostituire le prescrizioni mediche. Le immagini, se presenti, sono fornite al solo scopo illustrativo e non costituiscono elemento identificativo.