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Flector TissugelEP 1% Diclofenac 10 Plasters for tendinitis & osteoarthritis
Over-the-counter medication

Flector TissugelEP 1% Diclofenac 10 Plasters for tendinitis & osteoarthritis

Brand : Flector Flector

Flector Tissugel EP 1% Diclofenac 10 Plasters is an over-the-counter anti-inflammatory medication indicated in adults (over 15 years of age) for the symptomatic treatment of pain of tendino-ligamentary origin, and post-traumatic pain: sprains and contusions. Available at the best price in our online pharmacy.

€18.09 EXCL. VAT €19.90 INCL. VAT
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Reference : 3400937822565
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For warnings, precautions and contraindications, please consult the Flector Tissugel EP package insert.

Definition of tendonitis: Inflammation of a tendon due to repeated activity or age. Treatment consists of a rest phase, often combined withanti-inflammatory ointments or tablets (ibuprofen, voltarene, etc.) or injections (mesotherapy, cortisone infiltrations), until the pain disappears.

Description of FLECTOR TISSUGELEP 1% Diclofenac epolamine

Flector Tissugel EP is an over-the-counter anti-inflammatory drug indicated in adults (over 15 years of age) for the symptomatic treatment of pain of tendino-ligamentary origin, and post-traumatic pain such as sprains and contusions.

This drug is indicated in adults for the treatment of painful flare-ups of osteoarthritis of the knee, following initial medical advice. EP.

For mild sprains, Protocol: GREEK = RICE (Rest/ Ice/ Compression/ Immobilization)

  1. Icing the painful area: to limit swelling and relieve pain, use cold packs or ice cubes placed in an airtight bag (ice bladder, plastic bag) with a damp cloth to protect the skin and prevent cold burns. Apply as soon as possible, for 15 to 20 minutes every 2 hours, 6 times a day on the first day, then 4 times a day for 2 to 3 days, then spaced out until swelling has completely disappeared (refrigerated packs, cold gel such as Biofreeze, Structofresh, etc.).
  2. Rest: Rest the joint and/or muscles with an immobilization splint for a few days to relieve pain and avoid painful movements.
  3. 45° elevation of the limb: Elevate the foot or leg when resting and at night (using a pillow, for example) to reduce pain and promote drainage of edema.
  4. Compression: Use a compression bandage for 48 to 72 hours to reduce swelling and inflammation.

Directions for use and advice on flector tissugelep 1% plaster

Always follow the dosage indicated by your doctor. If in doubt, consult your doctor or pharmacist.
Dosage
FLECTORTISSUGELEP is applied topically at the following dosage:

  • Treatment of painful flare-ups ofosteoarthritis of the knee : 7 days, to be continued if necessary, with a maximum of 14 days' treatment.
  • Treatment of tendino-ligamentary pain : 7 days. If pain persists after 7 days, consult your doctor, who will decide whether to continue treatment.
  • Treatment of sprains and contusions : 3 days, up to a maximum of 7 days if necessary. If no improvement after 3 days, consult your doctor.

If there is no improvement within the recommended treatment period, consult your doctor.
Method of administration

  1. Cut the envelope containing FLECTORTISSUGELEP (box of 2, 5, 10 or 14 medicated plasters) where indicated.
  2. Remove one anti-inflammatory FLECTORTISSUGELEP and carefully close the envelope with the slide.
  3. Remove the clear plastic sheet protecting the adhesive surface of FLECTORTISSUGELEP.
  4. Apply the adhesive surface of FLECTORTISSUGELEP to the joint or painful area.

FLECTORTISSUGELEP can be held in place by elastic mesh, if the area to be treated so requires.
In all cases, follow your doctor's or pharmacist's recommendations.

For cutaneous use only.

As a complementary treatment, we recommend the use of Piasclédine, effective in cases of osteoarthritis.

Protecting painful joints

Ankle supports and orthoses enable controlled mobilization of the joint and prevent the mechanism that caused the injury from being reproduced. Depending on their elasticity, rigidity and the presence of reinforcements or straps, they provide the joint with greater or lesser stabilization, analgesia (reduced pain), drainage of edema, reduced joint stiffness, proprioceptive effect and healing.

Alternative treatment for tendonitis or recurrent sprains

Oligosol® fluor Used as a ground modifier, particularly for minor ligament damage in adults. Take one ampoule per day sublingually in the morning on an empty stomach; leave under the tongue for one minute before swallowing.

In case of contracture, it may be useful to combine with a muscle relaxant capsule, for a complementary action.

Composition of flector tissugelep 1% emplatres

Sodium diclofenac 140 mg for 1 medicated plaster 10 cm x 14 cm (as diclofenac epolamine). Notable excipients: propylene glycol, methyl parahydroxybenzoate (E218), propyl parahydroxybenzoate.

Presentation of flector tissugelep 1% anti-inflammatories

Box of 10 medical anti-inflammatory plasters

Drug warnings

Flector Tissugel EP is not a product like others. Read the Flector Tissugel EP package insert carefully before ordering. Keep Flector Tissugel EP out of the reach of children. If symptoms persist, ask your doctor or pharmacist for advice. Be aware of incompatibilities with your current products.

  • Please inform your online pharmacist of your current treatments to identify any incompatibilities. The order validation form contains a personalized message field for this purpose.
  • Click here to find the package leaflet for Flector Tissugel EP on the Agence Nationale de Sécurité du Médicament et des Produits de Santé website.
  • Pharmacovigilance: Report any adverse reaction(s) associated with the use of Flector Tissugel EP.

Our orthopedic pharmacist's advice

Treating traumatic, joint, tendon and arthritic pain

Trauma, joint, tendon and arthritic pain (contusion, blow, shock, stretch, sprain, tendinitis, dislocation, arthritis) is treated in 3 stages:

1/ Cryotherapy 3 times a day with Therm cool cold sprayor Thera-pearl cold pack (apply for 15 to 20 minutes).

2/ Relieve pain and inflammation with Therm-cool pain-relieving gel, applied by massaging lightly without penetrating.

3/ Maintain and immobilize with a splint, orthosis, ankle brace, knee brace, etc.

These pathologies are characterized by pain, edema, swelling, hematoma and inflammation.

Cold therapy, to be applied as soon as possible after trauma, has a vasoconstrictive effect that inhibits pain (analgesic), reduces effusion (anti-inflammatory), decreases swelling (anti-oedematous), and reduces bleeding (anti-hemorrhagic).

Combating muscular pain, osteoarthritis

Treatment of muscular pain, osteoarthritis (back pain, lumbago, osteoarthritis, contractures, muscle soreness) is a 3-step process:

1/ Apply warmth with neuriplege activ. cream or Thera-pearl hot pack (apply for 15 to 20 minutes).

2/ Relieve pain and promote relaxation and recovery with Nociceptol pain-relieving gel, applied by massaging lightly without penetrating.

3/ Support with a lumbar belt, neck brace or cervical collar.

These diseases can be identified by the presence of pain-stiffness and mobility problems.

Heat therapy improves mobility, reduces the pain message (analgesic), promotes muscle relaxation and reduces contractures and aches.

Pharmacovigilance Report an adverse drug reaction(s)

Download PDF leaflet

NOTICE

ANSM - Last updated: 10/07/2017

Name of the medicinal product

FLECTORTISSUGELEP 1%, medicated plaster

Sodium diclofenac

framed

Please read this leaflet carefully before you start using this medicine because it contains important information for you.

You should always use this medication exactly as prescribed in this leaflet or by your doctor or pharmacist.

· Keep this leaflet. You might need to read it again.

· Ask your pharmacist for advice or information.

· If you experience any side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. See section 4.

· You should talk to your doctor if you do not feel better or feel less well.

What is in this leaflet?

1. What is FLECTORTISSUGELEP 1%, medicated plaster and in which cases it is used?

2. What should I know before using FLECTORTISSUGELEP 1%, medicated plaster?

3. How to use FLECTORTISSUGELEP 1%, medicated plaster?

4. What are the possible side effects?

5. How to store FLECTORTISSUGELEP 1%, medicated plaster?

6. Package contents and other information.

1. WHAT FLECTORTISSUGELEP 1%, medicated plaster AND WHAT IT IS USED FOR?

Pharmacotherapeutic group - This drug is a nonsteroidal anti-inflammatory drug (NSAID).

This medication is indicated in adults (over 15 years of age) for symptomatic treatment of tendon-ligament pain and post-traumatic pain: sprains and bruises.

This medication is indicated in adults in the treatment of painful spurts of osteoarthritis of the knee, after an initial medical opinion.

2. BEFORE YOU USE FLECTORTISSUGELEP 1%, medicated plaster?

Never use FLECTORTISSUGELEP 1%, medicated plaster:

· if you are allergic to Diclofenac, aspirin or other NSAIDs or any of the other ingredients of this product (see What contains FLECTORTISSUGELEP 1%, medicated plaster)?

· If you have damaged skin, regardless of the lesion: oozing lesions, eczema, infected lesion, burn or wound.

· In case of an evolutionary digestive ulcer.

· From the 6th month of pregnancy

If in doubt, it is essential to seek the advice of your doctor or pharmacist.

Warnings and Precautions

Take special care with FLECTORTISSUGELEP 1%, medicated plaster

This medication is for adults only (over 15 years).

Do not apply on mucous membranes or eyes. Do not use under occlusive dressing.

The appearance of a rash after application requires immediate cessation of treatment.

To avoid the risk of skin reaction when exposed to sunlight (photosensitization), it is preferable to avoid direct exposure to the sun or UV cabin during treatment.

Never apply a dose higher than recommended (see Dosage).

Observe the frequency and duration of treatment indicated in this leaflet or recommended by your doctor.

Use with caution under medical supervision:

· in case of heart, kidney or liver disease,

· in case of a history of ulceration or digestive bleeding and,

· in the case of inflammatory bowel disease.

· in subjects with a history of asthma, allergic disease or allergy to aspirin or other NSAIDs, the use of this medication may cause respiratory distress or an asthma attack.

By extrapolation with other routes of administration.

children

Not applicable.

Other drugs and FLECTORTISSUGELEP 1%, medicated plaster

If you are taking or have recently taken any other medicines, including medicines obtained without a prescription, talk to your doctor or pharmacist.

FLECTORTISSUGELEP contains an anti-inflammatory: Diclofenac.

You should not take any other medicines, either by the general route or intended for application to the skin, containing Diclofenac or other non-steroidal anti-inflammatory drugs.

Read the leaflet carefully before you start taking any of the other medicines you are taking to make sure that you are not taking Diclofenac and / or nonsteroidal anti-inflammatory drugs.

FLECTORTISSUGELEP 1%, medicated plaster with food and beverages.

Not applicable.

Pregnancy and breast feeding

Pregnancy

During the first and second trimesters of pregnancy, this medication can only be used on the advice of your doctor and in brief intake. Prolonged use of this medication is strongly discouraged.

From the beginning of the 6th month of pregnancy, you should NOT take this medication because its effects on your child can have serious consequences, especially on a cardiopulmonary and renal plan, even with a single dose.

If you have taken this medication while you are pregnant for more than five months, talk to your obstetrician gynecologist for appropriate monitoring.

Ask your doctor or pharmacist for advice before taking any medicine.

feeding

There are no experimental data concerning the excretion of Diclofenac epolamine in human or animal milk, therefore use of FLECTORTISSUGELEP should be avoided in case of breast-feeding.

Ask your doctor or pharmacist for advice before taking any medicine.

Driving and using machines

Although the occurrence of such effects is highly unlikely when using skin preparations such as FLECTORTISSUGELEP, patients who have experienced dizziness or other central nervous system disorders while taking NSAIDs should refrain from drive vehicles or use machines.

FLECTORTISSUGELEP 1%, medicated plaster contains propylene glycol, methyl parahydroxybenzoate (E218), propyl parahydroxybenzoate (E216).

3. HOW TO USE FLECTORTISSUGELEP 1%, medicated plaster?

Always take the dose recommended by your doctor. In case of uncertainty consult your doctor or pharmacist.

Dosage

FLECTORTISSUGELEP is used as a local application at the following dose:

· Treatment of painful relapses of osteoarthritis of the knee: 7 days, to continue, if necessary, but without exceeding 14 days of treatment to the maximum.

· Treatment of tendin-ligament pain: 7 days. If pain persists after 7 days, consult your doctor, who alone will decide the need for further treatment.

· Treatment of sprains and bruises: 3 days up to 7 days maximum if necessary. If there is no improvement after 3 days of treatment, consult your doctor.

Without improvement during the recommended treatment period, a physician should be consulted.

Administration mode

1. Cut the envelope containing FLECTORTISSUGELEP (box of 2, 5, 10 or 14 medicated plasters) to the indicated location.

2. Remove a FLECTORTISSUGELEP and carefully close the envelope by means of the slide.

3. Remove the transparent plastic sheet that protects the FLECTORTISSUGELEP adhesive surface.

4. Apply the adhesive surface of FLECTORTISSUGELEP to the joint or to the painful area.

FLECTORTISSUGELEP can be held in place by the tubular elastic net provided, if the area to be treated requires it.

In all cases, follow the recommendations of your doctor or pharmacist.

If you used more FLECTORTISSUGELEP 1%, medicated plaster than you should have

You should tell your doctor or pharmacist.

If you forget to use FLECTORTISSUGELEP 1%, medicated plaster

Do not take a double dose to make up for a missed dose.

If you stop using FLECTORTISSUGELEP 1%, medicated plaster

Not applicable.

4. WHAT ARE POSSIBLE SIDE EFFECTS?

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

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

· Skin reactions are sometimes reported: itching, redness of the skin, rashes, eczema, skin inflammation.

· Exceptionally, allergic reactions or skin reactions have been observed after exposure to the sun and UV.

· In all these cases, you should stop treatment immediately and notify your doctor.

· Other general effects of non-steroidal anti-inflammatory drugs may also occur, depending on the condition of the surface treated and the duration of the treatment.

· In these cases, you should tell your doctor.

Declaration of side effects

If you experience any side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. You can also report adverse reactions directly via the national reporting system: National Agency for the Safety of Medicines and Health Products (ANSM) and network of Regional Centers of Pharmacovigilance - Website: www.ansm.sante.fr

By reporting adverse reactions, you are helping to provide more information about the safety of the drug.

5. HOW TO STORE FLECTORTISSUGELEP 1%, medicated plaster?

Keep this medicine out of the reach and sight of children.

Do not use FLECTORTISSUGELEP 1%, medicated plaster after the expiry date which is stated on the carton. The expiry date refers to the last day of the month.

Store at a temperature not exceeding + 25 ° C.

After 1 st opening of the sealed envelope: Keep at the most 3 months.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist what to do with unused medications. These measures will help protect the environment.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist what to do with unused medications. These measures will help protect the environment.

6. PACKAGE CONTENTS AND OTHER INFORMATION

What FLECTORTISSUGELEP 1% contains, medicated plaster

· The active substance is:

Sodium diclofenac (1% w / w) ........................................ 140 mg

In the form of diclofenac epolamine

For a medicated plaster of 10 cm x 14 cm.

· The other components are:

Support:

Polyester nonwoven support.

Adhesive layer (active gel):

Gelatin, povidone K90, liquid sorbitol (uncrystallizable), heavy kaolin, titanium dioxide (E 171), propylene glycol, methyl parahydroxybenzoate (E218), propyl parahydroxybenzoate (E 216), tartaric acid , aluminum amino-acetate, sodium carmellose, sodium polyacrylate, 1,3-butylene glycol, polysorbate 80, DALIN PH perfume (propylene glycol, benzyl salicylate, phenylethyl alcohol, alpha amylcinnamic aldehyde, hydroxycitronellal, phenylethyl phenylacetate, cinnamyl acetate, benzyl acetate, terpineol, cinnamic alcohol, cyclamenaldehyde), purified water.

What is FLECTORTISSUGELEP 1%, medicated plaster and contents of the pack

This medication is in the form of a medicated plaster. The plasters are packaged in a sealed envelope containing 2 or 5 plasters.

Each package contains a tubular elastic net.

Not all pack sizes may be marketed.

Marketing Authorization Holder

LABORATOIRES GENEVRIER SA

280, RUE DE GOA

THE THREE MILLS - SOPHIA ANTIPOLIS PARK

06600 ANTIBES

Marketing Authorization Operator

LABORATOIRES GENEVRIER SA

280, RUE DE GOA

THE THREE MILLS - SOPHIA ANTIPOLIS PARK

06600 ANTIBES

Maker

ALTERGON ITALIA SRL

ZONA INDUSTRIALE

83040 MORRA DE SANCTIS AVELLINO

ITALY

Names of the medicinal product in the Member States of the European Economic Area

Not applicable.

The last date on which this leaflet was revised is:

[to be completed later by the holder]

Other

Detailed information on this medicine is available on the ANSM website (France).

Health Education Council

You have just undergone trauma or bruising, or you have osteoarthritis of the knee, you can use FLECTORTISSUGELEP to relieve your pain but:

In case of ankle sprain

· if you absolutely can not put yourself in support on the leg to do 4 steps,

· or if a hematoma (blue) appears within 24 to 48 hours or if there is a significant distortion or edema (swelling) you should consult your doctor who alone will judge the need for x-rays and orthopedic treatment .

In case of tendon-ligament pain :

If the pain is such that you can not use the upper or lower limb that makes you suffer, you should consult your doctor without delay.

In case of osteoarthritis of the knee, your doctor has made the diagnosis and has prescribed you a treatment by FLECTORTISSUGELEP which must allow your pain to diminish or even completely disappear in 15 days. If a new painful surge appears, you will recognize your mechanical pain as you climb up and down stairs or walk, especially in rough terrain. Under these conditions, you can use FLECTORTISSUGELEP. If the pain is different: nocturnal preponderance or accompanied by redness, rash, swelling, fever, malaise or diffuse pain, you should re-consult your doctor immediately.

In all cases :

If there is a complete functional impairment, you should consult your doctor without delay.

VIDAL OF THE FAMILY

FLECTOR TISSUGEL EP

Anti-inflammatory local action

diclofenac

. Presentations . Composition . Indications . Contraindications . Warning . Pregnancy and breastfeeding . Directions for use and dosage . Advice . Undesirable effects . Lexicon

PRESENTATIONS (summary)

FLECTOR TISSUGEL EP 1%: medicated plaster; box of 5.
-

FLECTOR TISSUGEL EP 1%: medicated plaster; box of 10.
-

The

COMPOSITION (summary)
p pllâtre
Diclofenac epolamine expressed as sodium diclofenac 140 mg
parahydroxybenzoates +
Propylene glycol +

INDICATIONS (summary)
It is a gel-impregnated plaster that contains a non- steroidal anti-inflammatory drug ( NSAID ). It locally fights against inflammation and pain.
It is used in the treatment:
CONTRAINDICATIONS (summary)
This medication should not be used in the following cases:
WARNING (Contents)
In case of sprains or bruises, this medication can be used on the advice of your pharmacist. Nevertheless, medical advice is preferable in cases of severe pain, severe edema or limb or joint mobility.
Precautions are necessary if there is a history of stomach ulcer or duodenal ulcer or digestive bleeding, liver failure or renal insufficiency .
If a skin rash occurs after applying the plaster, do not continue the treatment without your doctor's advice.
To reduce the risk of photosensitization , avoid exposing the treated area to UV rays (sun, tanning booth) during the day following the removal of the patch.
PREGNANCY AND BREAST-FEEDING (summary)
Pregnancy :
NSAIDs taken orally may be toxic to the fetus; their use is contraindicated during the last 4 months of pregnancy. NSAIDs for local application may pass through the skin, pass through the blood, and expose the fetus to the same risk, when applied over a large area of ​​skin or under an occlusive dressing. Do not use this medication during pregnancy without medical advice.

Breastfeeding:
Do not use this medication while breastfeeding without medical advice.
DIRECTIONS FOR USE AND DOSAGE (summary)
Clean the skin and apply the adhesive part of the plaster to the joint or the painful area. An elastic net sold in pharmacies can help maintain it.

Usual dosage:

  • Adult :
    • Sprain and bruises: 1 application per day, for 3 to 7 days.
    • Tendonitis: 1 application morning and evening, for 7 days maximum.
    • Arthrosis of the knee: 1 application morning and evening, for 7 to 14 days maximum.
TIPS (summary)
In the absence of improvement, a medical consultation is necessary to determine if the treatment is sufficient.
This medication may be irritating to the eyes or mucous membranes : wash your hands after applying or removing the plaster. In case of accidental contact with eyes, rinse thoroughly with lukewarm water.
These plasters can be stored for up to 3 months after opening the sachet.
POSSIBLE ADVERSE EFFECTS (summary)
Skin reaction: itching, localized redness, rash of the skin, skin allergy.
As with other NSAIDs, allergic reaction ( angioedema , asthma ); photosensitization .


GLOSSARY (summary)


NSAIDs
Abbreviation for non-steroidal anti-inflammatory drug. Family of anti-inflammatory drugs that are not derived from cortisone (steroids), and the best known of which is aspirin.


allergy
Skin reaction (itching, pimples, swelling) or general discomfort occurring after contact with a particular substance, use of a medication, or ingestion of food. The main forms of allergy are eczema, urticaria, asthma, angioedema and allergic shock (anaphylactic shock). Food allergy can also result in digestive disorders.


antecedent
Affection healed or always in evolution. The antecedent may be personal or family. The background is the history of a person's health.


anti-inflammatory
Medicine that fights against inflammation. It can be either derived from cortisone (steroidal anti-inflammatory), or not derived from cortisone (nonsteroidal anti-inflammatory or NSAID).


osteoarthritis
Wear of cartilage, responsible for joint pain and limitation of movement.


asthma
Disease characterized by difficulty breathing, often resulting in wheezing. Asthma, permanent or occurring by crisis, is due to a narrowing and inflammation of the bronchi.


duodenum
A part of the intestine into which food from the stomach penetrates.


eczema
Skin disease manifested by pimples and itching. Eczema may be due to contact with an allergic substance (contact eczema) or be linked to a genetic predisposition (atopic eczema).


skin rash
Appearance of pimples or plaques on the skin. These lesions can be due to a food, a drug, and translate an allergy or a toxic effect. Many viruses can also cause pimple eruptions: rubella, roseola and measles are the most common.


inflammation
Natural reaction of the organism against an element recognized as foreign. It manifests itself locally by redness, heat, pain or swelling.


Hepatic insufficiency
Inability of the liver to perform its function, which is essentially the elimination of some waste, but also the synthesis of many biological substances essential to the body: albumin, cholesterol and coagulation factors (vitamin K, etc.).


renal failure
Inability of the kidneys to eliminate waste or medicinal substances. Advanced renal insufficiency does not necessarily result in a decrease in the amount of urine excreted. Only a blood test and creatinine dosage may reveal this disease.


mucous
Tissue (membrane) that lines the cavities and ducts of the body communicating with the outside (digestive tract, respiratory tract, urinary tract, etc.).


photosensitivity
Abnormal sensitivity of the skin to light or ultraviolet rays due to a drug or a natural or chemical substance.


angioedema
Allergy edema usually affects the face. Quincke edema results in a sometimes spectacular swelling. Eyelids are often the first to be affected. In rare cases where edema affects the throat, respiratory problems may occur and urgent treatment is required.


allergic reaction
Reaction due to hypersensitivity of the organism to a drug. Allergic reactions can take a wide variety of aspects: urticaria, angioedema, eczema, eruption of pimples resembling measles, etc. Anaphylactic shock is a generalized allergic reaction that causes discomfort due to a sudden drop in blood pressure.


tendinitis
Inflammation of the tendons, which causes pain during certain movements. The most common tendinitis affect elbow tendons (tennis elbow) and the Achilles tendon.


ulcer
Injury of skin, mucous membranes or cornea.
  • Leg ulcer: chronic wound due to poor circulation of blood.
  • Gastroduodenal ulcer: a localized wound in the mucosa of the stomach or duodenum due to excess acidity and very often to the presence of a bacterium (Helicobacter pylori). The ulcer is favored by stress, alcohol, smoking and certain medications (aspirin, NSAIDs, etc.).

used for :

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