Leaflet: information for the user
Diltix 400 mg film-coated tabletsEFG
Ibuprofen
Read this leaflet carefully before you start taking this medicine, as it contains important information for you.
Follow exactly the administration instructions for the medicine contained in this leaflet or those indicated by your doctor or pharmacist.
1. What Diltix is and what it is used for
2. What you need to know before taking Diltix
3. How to take Diltix
4. Possible side effects
5. Storage of Diltix
6. Contents of the pack and additional information
Diltix contains the active ingredient ibuprofen. Ibuprofen is a medication that reduces fever and relieves pain (nonsteroidal anti-inflammatory drug (NSAID)).
In adults and adolescents weighing at least 40 kg (12 years or older), it is used for the short-term symptomatic treatment of mild or moderate pain and/or fever.
Do not take Diltix if
Warnings and precautions
Adverse reactions are minimized by using the lowest effective dose for the shortest duration.
You should consult your treatment with your doctor or pharmacist before taking ibuprofen if:
Effects on the gastrointestinal tract
The combined use of ibuprofen with other anti-inflammatory non-steroidal drugs (NSAIDs), including those called COX-2 inhibitors (COX-2 inhibitors), should be avoided.
Bleeding of the gastrointestinal tract, ulcers, and perforation
Cases of gastrointestinal bleeding, ulcers, and perforation,(which can be fatal) have been reported during treatment with NSAIDs.At any time during the same, with or without previous warning symptoms and with or without previous history of severe gastrointestinal events.
The risk of experiencing gastrointestinal bleeding, ulcers, and perforation is higher with increasing doses of NSAIDs and is higher in patients with a history of ulcers, especially with complications of bleeding or perforation (see section 2 "Do not take Diltix if") and in elderly patients. These patients should start treatment with the lowest available dose.
For these patients, as well as for patients who require additional treatment with low doses of aspirin or other medications that may increase the risk of gastrointestinal problems,your doctor may consider associating a stomach-protecting medication (such as misoprostol or proton pump inhibitors).
If you have a history of adverse reactions affecting the gastrointestinal tract - especially in elderly patients - consult your doctor in case of unusual abdominal symptoms (especially gastrointestinal bleeding), particularly at the start of therapy.
Caution should be exercised if you are also taking other medications that may increase the risk of ulcers or bleeding, e.g., oral corticosteroids, anticoagulants (anticoagulants) such as warfarin, selective serotonin reuptake inhibitors (used to treat psychiatric disorders, including depression) or platelet aggregation inhibitors such as aspirin (see section 2 "Other medications and Diltix").
You should discontinue treatment and consult a doctor if you develop gastrointestinal bleeding or ulcers during treatment with ibuprofen.
Effects on the cardiovascular system
Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen may be associated with a small increase in the risk of suffering a heart attack or stroke, especially when used in high doses. Do not exceed the recommended dose or treatment duration.
You should discuss your treatment with your doctor or pharmacist before taking ibuprofen if:
Cases of an allergic reaction to ibuprofen have been reported, which include problems breathing, swelling of the face and neck region (angioedema), and chest pain. Discontinue treatment with ibuprofen immediately and contact your doctor or seek emergency care if you notice any of these signs.
Skin reactions
Severe skin reactions have been reported, including exfoliative dermatitis, multiforme exanthema, Stevens-Johnson syndrome, toxic epidermal necrolysis, drug reaction with eosinophilia and systemic symptoms (DRESS), generalized acute pustular psoriasis (PEGA) in relation to treatment with ibuprofen. Stop taking ibuprofen and seek medical attention immediately if you notice any of the symptoms related to these severe skin reactions described in section 4.
If you have chickenpox, it is recommended to avoid using ibuprofen.
Infections
Ibuprofen may mask the signs of an infection, such as fever and pain. Therefore, it is possible that ibuprofen may delay the appropriate treatment of the infection, which may increase the risk of complications. This has been observed in pneumonia caused by bacteria and skin infections related to chickenpox. If you take this medication while you have an infection and the symptoms of the infection persist or worsen, consult a doctor without delay.
Other warnings
In rare cases, severe hypersensitivity reactions (e.g., anaphylactic shock) have been observed. If you experience the first signs of a hypersensitivity reaction after taking ibuprofen, discontinue treatment and consult your doctor. The necessary medical measures, in line with the symptoms, should be initiated by specialized personnel.
Ibuprofen may inhibit the aggregation and function of platelets (platelet aggregation) in a reversible manner. Therefore, patients with bleeding disorders should be carefully monitored.
During prolonged use of ibuprofen, regular monitoring of liver function tests, kidney function tests, and blood counts is required.
The prolonged use of any type of analgesic for headache may exacerbate it. If you observe or suspect this situation, consult a doctor and discontinue treatment.
Generally, the habitual use of different types of analgesics may lead to the development of severe kidney problemswith a risk of renal insufficiency (analgesic nephropathy). This risk can be increased in conditions of physical exertion associated with salt loss and dehydration. Therefore, it should be avoided.
The risk of renal insufficiency increases in dehydrated patients, elderly patients, and those taking diuretics and ACE inhibitors.
If you experience vision problems, please consult your doctor.
Elderly patients
Elderly patients have a higher frequency of adverse reactions to NSAIDs, especially gastrointestinal bleeding and perforation that can be fatal(see also the warning about bleeding at the beginning of section 2).
Adolescents
There is a risk of renal insufficiency in dehydrated adolescents.
Other medications and Diltix
Inform your doctor or pharmacist that you are using or have used recently or may need to use any other medication.
Ibuprofen may affect or be affected by other medications. For example:
Other medications may also affect or be affected by treatment with ibuprofen. Therefore, you should always consult your doctor or pharmacist before using ibuprofen with other medications.
Taking Diltix with alcohol
Reactions to ibuprofen may be increased by taking alcohol, especially those affecting the central nervous system and the gastrointestinal tract. Do not drink alcohol while taking ibuprofen.
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 medication.
Pregnancy
Do not take ibuprofen if you are in the last 3 months of pregnancy, as it may harm the fetus or cause problems during delivery. It may cause kidney and heart problems in your fetus. It may affect your tendency and that of your baby to bleed and delay or prolong delivery. Do not take ibuprofen during the first 6 months of pregnancy unless it is clearly necessary and as directed by your doctor. If you need treatment during this period or while trying to become pregnant, you should take the minimum dose for the shortest duration possible. From week 20 of pregnancy, ibuprofen may cause kidney problems in your fetus if taken for more than a few days, which may cause low levels of amniotic fluid surrounding the baby (oligohydramnios), or narrowing of a blood vessel (ductus arteriosus) in the baby's heart. If you need treatment for more than a few days, your doctor may recommend additional monitoring.
Breastfeeding
Small amounts of ibuprofen pass into breast milk. However, as no adverse effects have been reported so far, it is usually not necessary to interrupt breastfeeding during a short period of ibuprofen use at the recommended dose for fever and pain.
Fertility
This product belongs to the group of NSAIDs thatmay affect fertility in women. This effect is reversible when the medication is discontinued. You should consult your doctor if you plan to become pregnant or if you have difficulty becoming pregnant.
Driving and operating machinery
Ibuprofen generally has a negligible or insignificant influenceon the ability to drive and operate machinery. However, at higher doses, adverse effects such as fatigue and dizziness may appear, affecting reaction time when driving and operating machinery. This is especially important when combined with alcohol.
Diltix contains lactose
If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medication.
Diltix contains sodium
This medication contains less than 23 mg of sodium (1 mmol) per tablet; it is essentially "sodium-free".
Follow exactly the administration instructions of this medication indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.
The effective dose should be used for the shortest time necessary to alleviate symptoms. If you have an infection, consult a doctor immediately if symptoms (such as fever and pain) persist or worsen (see section 2).
The recommended dose is:
Adults and adolescents over 40 kg of weight (12 years or older)
A single dose of half a tablet (200 mg) or a whole tablet (400 mg). If necessary, take an additional dose of half or a whole tablet.
The dosing interval should be chosen according to the observed symptoms and the recommended daily maximum dose.The interval between doses should not be less than 6 hours.Do not take more than 3 tablets (1,200 mg) of ibuprofen in a 24-hour period.
Ibuprofen 400 mg is not recommended for use in adolescents weighing less than 40 kg or children under 12 years of age.
Adverse reactions can be minimized by using the effective dose for the shortest time possible to control symptoms.
If you have severe liver or kidney disease or are an elderly patient, your doctor will indicate the correct dose for you, which will be the lowest possible dose.
Administration form
Oral route.
Take the tablet with a glass of water.
Ibuprofen tablets should not be crushed, chewed, or sucked to avoid mouth discomfort or throat irritation. Tablets can be divided into equal doses.
Patients with sensitive stomachs are recommended to take ibuprofen with food.
Ibuprofen is intended for short-term use only.
For adults
If you need this medication for more than 3 days to treat fever or more than 4 days to treat pain, or if symptoms worsen, you should consult a doctor.
For adolescents
If adolescents need this medication for more than 3 days, or if symptoms worsen, you should consult a doctor.
If you take more Diltix than you should
If you have taken more ibuprofen than you should, or if a child has accidentally ingested the medication, consult your doctor or pharmacist immediately or call the Toxicological Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested, or go to the nearest hospital to inform yourself about the risk and ask for advice on the measures to be taken.
The symptoms of overdose may include nausea, stomach pain, vomiting (which may contain blood) and rarely diarrhea. Additionally, it may cause headache, gastrointestinal bleeding, blurred vision, ringing in the ears, confusion, involuntary eye movement, and worsening of asthma in asthmatics. At high doses, symptoms of drowsiness, excitement, disorientation, chest pain, palpitations, loss of consciousness, coma, seizures (mainly in children), dizziness, weakness, and dizziness, blood in the urine, low potassium levels in the blood, low blood pressure, high potassium levels in the blood, prolonged prothrombin time/INR, acute renal failure, liver damage, respiratory depression, cyanosis, decreased body temperature, and respiratory problems.
If you forgot to take Diltix
Do not take a double dose to compensate for the missed doses.
If you have any other questions about the use of this medication, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everyone will experience them.
The most common side effects observed affect the digestive tract. They may occur ulcers in the stomach/duodenum (peptic ulcers), perforation or bleeding, sometimes fatal, especially in elderly patients (see section 2: "Warnings and precautions"). Nausea, vomiting, diarrhea, flatulence, constipation, digestive problems, abdominal pain, blood in stool, vomiting with blood, mouth and throat ulcers (stomatitis ulcerosa),exacerbation of colitis and Crohn's disease(see section 2: "Warnings and precautions") have been reported after use. Less frequently, gastritishas been observed. In particular, the risk of developing gastrointestinal bleeding depends on the level of the dose and the duration of treatment.
Inflammation (edema), high blood pressure (hypertension) and heart failure have been observed in association with NSAID treatments.
More serious side effects
If you experience any of the side effects or if they worsen, stop treatment and seek immediate medical attention.
Other side effects
Frequent (may affect more than 1 in 10 people)
Rare (may affect up to 1 in 100 people)
Stop taking ibuprofen and inform your doctor immediately.
Rare (may affect up to 1 in 1,000 people)
Very rare (may affect up to 1 in 10,000 people)
Unknown frequency (cannot be estimated from available data)
Medicines like ibuprofen may be associated with a small increase in the risk of suffering a heart attack ("myocardial infarction") or stroke.
Reporting of side effects
If you experience any type of side effect, consult your doctor or pharmacist, even if it is possible side effects that do not appear in this prospectus. You can also report them directly through the Spanish System for the Pharmacovigilance of Medicines for Human Use:www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medicine.
Keep this medication out of the sight and reach of children.
Do not use this medication after the expiration date that appears on the box after CAD. The expiration date is the last day of the month indicated.
Do not store at a temperature above 25°C.
Medications should not be disposed of through drains or trash. Dispose of containers and medications you no longer need at the SIGRE collection point at the pharmacy.Ask your pharmacist how to dispose of containers and medications you no longer need.This will help protect the environment.
Diltix Composition
The active ingredient is ibuprofen. Each tablet contains 400 mg of ibuprofen.
The other components are:
Tablet core:hypromellose, sodium croscarmellose, lactose monohydrate, microcrystalline cellulose, pregelatinized cornstarch, anhydrous colloidal silica, sodium lauryl sulfate, magnesium stearate.
Coating:hypromellose, titanium dioxide (E-171), talc, and propylene glycol.
Product appearance and container content
White or off-white film-coated tablets, round, scored, with an approximate diameter of 12 mm.
The tablet can be divided into equal doses.
They are presented in containers with blisters of 10, 12, 20, 24, 30, 50, or 60 film-coated tablets.
Only some container sizes may be commercially marketed.
Marketing authorization holder and responsible manufacturer
Aristo Pharma GmbH
Wallenroder Strasse 8-10,
Berlin - 13435 – Germany
For more information about this medication, please contact the local representative of the marketing authorization holder:
Aristo Pharma Iberia, S.L.
C/ Solana, 26
28850, Torrejón de Ardoz
Madrid. Spain
This medication is authorized in the member states of the European Economic Area with the following names:
Germany:IbuARISTO akut 400 mg
Italy:Ibuprofene Aristo
Poland:Axoprofen Forte
Spain:Diltix 400 mg film-coated tablets EFG
Last review date of this leaflet:09/2024
More detailed information about this medication is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS)http://www.aemps.gob.es/
Have questions about this medication or your symptoms? Connect with a licensed doctor for guidance and personalized care.