Dexalgin Sachet granules for oral solution are indicated for the short-term symptomatic treatment of acute pain of mild to moderate severity, for example, musculoskeletal pain, painful menstruation (dysmenorrhea), toothache.
Composition
Active ingredient: dexketoprofen trometamol;
1 single-dose package contains dexketoprofen trometamol 36.90 mg, equivalent to dexketoprofen 25 mg;
Excipients: ammonium glycyrrhizate, neohesperidin dihydrochalcone, quinoline yellow (E 104), lemon flavoring, sucrose.
Contraindication
- hypersensitivity to dexketoprofen, any other NSAID (NSAID) or to the excipients of the drug;
- if substances with a similar effect, such as acetylsalicylic acid or other NSAIDs, provoke the development of asthma attacks, bronchospasm, acute rhinitis or cause the development of nasal polyps, the appearance of urticaria or angioedema;
- if photoallergic and phototoxic reactions were known during treatment with ketoprofen or fibrates;
- history of gastrointestinal bleeding or perforation related to previous NSAID therapy;
- active phase of peptic ulcer/gastrointestinal bleeding or history of gastrointestinal bleeding, ulcer, perforation;
- chronic dyspepsia;
- other bleeding in the active phase or increased bleeding;
- Crohn’s disease or ulcerative colitis;
- severe heart failure;
- moderate or severe renal impairment (creatinine clearance ≤ 59 ml/min);
- severe liver dysfunction (10-15 points on the Child-Pugh scale);
- with hemorrhagic diathesis and other blood clotting disorders;
- with severe dehydration caused by vomiting, diarrhea or insufficient fluid intake;
- III trimester of pregnancy and breastfeeding.
Method of application
The recommended dose for adults is 25 mg every 8 hours. The maximum daily dose should not exceed 75 mg. Side effects can be reduced by using the lowest effective dose for the shortest time necessary to improve the condition.
Before use, dissolve the entire contents of 1 sachet in 1 glass of water and mix well for better dissolution. The resulting solution should be taken immediately after preparation.
The drug Dexalgin is intended only for short-term use, necessary to eliminate symptoms.
Taking it with food slows down absorption, so for acute pain, it is recommended to take the drug at least 15 minutes before a meal.
Application features
Pregnant women
Contraindicated.
Children
Should not be used.
Drivers
With caution.
Overdose
Symptoms of overdose are unknown. Similar drugs cause disorders of the digestive tract (vomiting, anorexia, abdominal pain) and the nervous system (drowsiness, dizziness, disorientation, headache).
In case of accidental overdose, symptomatic treatment should be initiated immediately according to the patient’s condition. Dexketoprofen trometamol is removed from the body by dialysis.
Side effects
Gastrointestinal tract: nausea, vomiting, abdominal pain, dyspepsia, diarrhea, constipation, vomiting with blood, dry mouth.
Interaction
Other NSAIDs, including selective cyclooxygenase-2 inhibitors and high doses of salicylates (≥3 g/day). The simultaneous use of several NSAIDs increases the risk of gastrointestinal ulcers and bleeding due to their mutual potentiation of their effects.
Anticoagulants NSAIDs enhance the effect of anticoagulants, such as warfarin, due to the high degree of binding of dexketoprofen to blood plasma proteins, as well as inhibition of platelet function and damage to the gastric and duodenal mucosa. If simultaneous use is necessary, it should be carried out under the supervision of a physician and monitoring of relevant laboratory parameters.
Heparin increases the risk of bleeding (due to inhibition of platelet function and damage to the gastric and duodenal mucosa). If concomitant use is necessary, it should be carried out under the supervision of a physician with monitoring of relevant laboratory parameters.
Storage conditions
No special storage conditions are required.
Shelf life – 3 years.











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