FASTUM 25 mg/g GEL

2. What you need to know before using Fastum

Do not use Fastum

• If you have a history of skin allergy to ketoprofen, dexketoprofen, tiaprofenic acid, fenofibrate, UV blockers, perfumes, or any other component of this medicine (listed in section 6).
• If you have experienced allergic reactions to acetylsalicylic acid or any other non-steroidal anti-inflammatory drug (symptoms are difficulty breathing, inflammation of the nasal mucosa, or hives).
• On open wounds, skin infections, eczema, acne, mucous membranes, genital area, eyes, or around the eyes.
• If you are in the last 3 months of pregnancy.
• Stop using Fastum immediately if you experience any skin reaction, including skin reactions after simultaneous application of products containing octocrylene (octocrylene is an excipient in various cosmetic and hygiene products such as shampoo, aftershave lotion, bath and shower gel, skin creams, lip balms, anti-aging creams, makeup removers, hair lacquers, used to delay photodegradation).
• Do not expose treated areas to the sun, even on cloudy days, or to ultraviolet lamps (solar lamps, sunbeds...) during treatment and for 2 weeks after stopping treatment.

Warnings and precautions

Talk to your doctor or pharmacist before starting to use Fastum

• If you have heart, liver, or kidney problems, as isolated cases of systemic adverse reactions affecting the kidneys have been observed when using topical medications from the same group as Fastum.
• Once the gel is applied, do not use tight clothing or occlusive dressings.
• Treatment should be stopped immediately if any skin reaction occurs after applying Fastum.
• The gel should not come into contact with mucous membranes and eyes.
• Exposure to the sun (even on cloudy days) or ultraviolet lamps (UVA) of areas that have been in contact with Fastum can cause skin reactions (photosensitization) that can be potentially severe. Therefore, it is necessary:

• to cover treated areas with clothing to protect them during treatment and for 2 weeks after stopping treatment to avoid any risk of photosensitization.
• wash your hands thoroughly after each application of Fastum.

• Prolonged or excessive use of the product can cause systemic effects such as hypersensitivity and asthma.
• Treatment should be stopped in case of eruption.
• Do not exceed the recommended treatment duration, as the risk of developing contact dermatitis and photosensitivity reactions increases over time.
• Patients with asthma combined with chronic rhinitis, chronic sinusitis, and/or nasal polyps have a higher risk of being allergic to acetylsalicylic acid and/or other non-steroidal anti-inflammatory drugs than the rest of the population.

Children and adolescents

The safety and efficacy of ketoprofen in children have not been established.

Other medicines and Fastum

Tell your doctor or pharmacist if you are using, have recently used, or might use any other medicines, including those obtained without a prescription.

Tell your doctor if you are taking oral anticoagulants (medicines to prevent blood clot formation).

It is unlikely to interact with other medicines due to its direct application to the skin.

Do not apply other topical preparations to the same area of skin where you are using this medicine.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Do not use ketoprofen if you are in the last 3 months of pregnancy. Do not use ketoprofen during the first 6 months of pregnancy unless clearly necessary and as directed by your doctor. If you need treatment during this period, you should use the minimum dose for the shortest possible time.

Oral formulations (e.g., tablets) may cause adverse effects on the fetus. It is unknown if the same risk applies to ketoprofen via topical route.

There is not enough data on the excretion of ketoprofen in breast milk, so its use is not recommended during breastfeeding.

Driving and using machines

No effects on the ability to drive and use machines have been described.

Fastum contains methylparaben, propylparaben, alcohol (ethanol), and lavender essence.

This medicine may cause allergic reactions (possibly delayed) because it contains methylparaben and propylparaben.

This medicine contains 400 mg of alcohol (ethanol) per gram of gel. It may cause a burning sensation on damaged skin.

This medicine contains lavender essence with benzyl alcohol, amylcinnamaldehyde, citral, eugenol, hydroxycitronellal, coumarin, geraniol, farnesol, linalool, benzyl benzoate, citronellol, and d-limonene, which may cause allergic reactions.

3. How to use Fastum

Topical use.

Follow exactly the administration instructions of this medicine as indicated by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

Fastum is used topically. Apply the gel once or more times a day (3-5 cm or more depending on the extent of the affected area), giving a gentle massage to facilitate absorption.

The total daily dose should not exceed 15 g per day, which is equivalent to 28 cm of skin.

Close the tube of Fastum after each use. Wash your hands after each application.

Your doctor will indicate the duration of your treatment with Fastum.

The duration of continuous treatment with topical ketoprofen should be limited to a maximum of 7 days.

If you think the effect of Fastum is too strong or too weak, tell your doctor or pharmacist.

If you use more Fastum than you should

Due to the topical administration of the medicine, overdose is very unlikely.

In case of accidental ingestion of Fastum, contact your doctor or the emergency department of the nearest hospital immediately.

In case of overdose or accidental ingestion, consult the Toxicology Information Service. Phone 91 562 04 20, indicating the medicine and the amount ingested.

If you forget to use Fastum

If you forget to apply a dose, apply the usual dose as soon as possible, but do not apply a double dose to make up for the forgotten dose.

4. Possible side effects

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

The most common ones are localized cutaneous side effects, which can spread around the application site and are rarely severe and/or generalized.

Side effects can occur with the following frequency:

Uncommon (may affect up to 1 in 100 people):

• Skin allergic reactions such as redness (erythema), itching (pruritus), or skin inflammation (eczema), burning sensation.

Rare (may affect up to 1 in 1,000 people):

• Skin reaction when exposing the application site to the sun (photosensitivity), redness, or skin bumps. Appearance of white or reddish bumps on the skin with itching (urticaria). More severe reactions, such as blister-like lesions (bullous or flictenular eczema) that can spread or generalize.

Very rare (may affect up to 1 in 10,000 people):

• Stomach or intestine wall injury (ulcer), gastrointestinal bleeding, diarrhea.
• Skin allergic reaction (contact dermatitis).
• Kidney malfunction or worsening of existing kidney malfunction (renal insufficiency).

Frequency not known (cannot be estimated from the available data):

• Generalized urticaria accompanied by swelling of feet, hands, throat, lips, and respiratory tract (angioedema), severe allergic reaction (anaphylactic reaction including anaphylactic shock, hypersensitivity reactions), and bullous dermatitis.

Elderly patients are more susceptible to the adverse effects of non-steroidal anti-inflammatory drugs, the group to which ketoprofen, the active ingredient of Fastum, belongs.

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are not listed in this package leaflet. You can also report them directly through the Spanish Medicines and Healthcare Products Agency (AEMPS) website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Fastum

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

No special storage conditions are required.

Do not use this medicine after the expiry date stated on the packaging. The expiry date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicine in the pharmacy's SIGRE collection point. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Package contents and further information

Composition of Fastum

• The active ingredient is ketoprofen. Each gram of gel contains 25 mg of ketoprofen.
• The other ingredients are methylparaben (E-218), propylparaben (E-216), carbomer, ethanol 96%, trometamol, lavender essence (which contains: benzyl alcohol, amylcinnamaldehyde, citral, eugenol, hydroxycitronellal, coumarin, geraniol, farnesol, linalool, benzyl benzoate, citronellol, and d-limonene), and purified water.

Appearance of the product and package contents

Fastum is a transparent gel. Each package contains 60 grams of gel.

Marketing authorization holder and manufacturer

Laboratorios Menarini, S.A.

Alfons XII, 587

08918 Badalona (Barcelona)

Spain

You can request more information about this medicine by contacting the local representative of the marketing authorization holder

Guidotti Farma, S.L.

Alfons XII, 587

08918 Badalona (Barcelona)

Spain

Date of last revision of this package leaflet:January 2023.

Detailed information about this medicine is available on the website of the Spanish Agency for Medicines and Healthcare Products (AEMPS) (http://www.aemps.gob.es/)