Melbek Fort 15 mg. 10 tablets

What Melbek FORT is and what it is used for
The active substance in Melbek FORT is meloxicam, which belongs to the group of non-steroidal anti-inflammatory drugs of the oxicam group (belongs to the enolic acid class).

Melbek FORT is a non-steroidal anti-inflammatory drug (NSAID) that is indicated for the symptomatic treatment of:
rheumatoid arthritis,
painful osteoarthritis (degenerative changes in joint cartilage and bones),
ankylosing spondylitis (Bechterev's disease).
2. What you need to know before you take Melbek FORT
Do not take Melbek FORT:
if you are allergic to meloxicam or any of the other ingredients of this medicine (listed in section 6). An allergic reaction can be recognized by the presence of a rash, itching, reddening of the skin or difficulty breathing,
if you are sensitive to acetylsalicylic acid (aspirin) or other NSAIDs, as a cross-reaction may occur,
Melbek FORT should not be used in patients with asthma attacks, nasal polyps, swelling that may affect the face, limbs, lips, tongue, throat (angioedema) or urticaria (skin rash) to any type of NSAID,
if you have an active peptic ulcer,
if you have severe heart failure,
if you have severe liver failure, - if you have severe kidney failure in the pre-dialysis stage,
if you have bleeding of any type.
Warnings and precautions
Talk to your doctor or pharmacist before taking Melbek FORT if you suffer from:
dehydration
congestive heart failure (heart disease that can lead to fatigue, shortness of breath, swelling of the ankles, etc.),
cirrhosis of the liver,
nephrotic syndrome,
clinically apparent renal failure.
If you have had digestive disorders - esophagitis (inflammation of the oesophagus), gastritis (inflammation of the stomach), stomach or duodenal ulcer or are being treated with anti-clotting preparations (anticoagulants) you should be under special supervision. If bleeding from the gastrointestinal tract occurs, you should stop taking Melbek FORT.
If you suffer from kidney failure, your doctor will assess whether there is a need for a change in dosage.
In rare cases, the use of NSAIDs can lead to the appearance and development of kidney diseases, as well as to an increase in liver parameters.
The use of Melbek FORT and other similar medicines may be associated with a slightly increased risk of a heart attack (myocardial infarction) or stroke. Any risk is more likely with high doses and long-term treatment. Do not exceed the recommended dose and duration of treatment.
If you have heart problems, have had a stroke or think you may be at risk of developing them (eg if you have high blood pressure, diabetes, high cholesterol or are a smoker) you should discuss treatment with your doctor or pharmacist.
Children and adolescents
Melbek FORT should not be taken by children and adolescents under 15 years of age.

Other medicines and Melbek FORT
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

High doses of NSAIDs, including salicylates
The simultaneous administration of two NSAIDs may cause a synergistic effect with the risk of gastrointestinal ulceration and increased bleeding.

Oral anticoagulants, ticlopidine, heparin, thrombolytics
Increased risk of bleeding. When the simultaneous administration of these drugs and Melbek FORT is mandatory, the effect of anticoagulants must be strictly monitored.

Lithium (for mental disorders, depression)
The simultaneous use of Melbek FORT and medicinal products containing lithium can increase the plasma level of lithium. When starting treatment with Melbek FORT and during dose adjustment, as well as when stopping the drug, the plasma concentration of lithium should be monitored.

Methotrexate
Melbek FORT, like other NSAIDs, can increase the hematological toxicity of methotrexate. In these cases, close monitoring of the blood count is recommended.

Contraception
NSAIDs can reduce the effectiveness of intrauterine contraceptives (IUDs).

Diuretics
There is a risk of developing acute renal failure in dehydrated patients if they take NSAIDs. The combined use of Melbek FORT with diuretics requires strict monitoring of kidney function.

Antihypertensive drugs (which lower high blood pressure - beta-blockers, ACE inhibitors, vasodilators, diuretics)
The effectiveness of these medicinal products may be reduced when used simultaneously with meloxicam.

Cholestyramine (for lowering cholesterol) binds the meloxicam molecule in the gastrointestinal tract and thus increases the clearance of meloxicam from the body.

NSAIDs increase the nephrotoxicity of cyclosporine (used after transplantation, in immune diseases). In cases of simultaneous application, it is strictly necessary
Cholestyramine (for lowering cholesterol) binds the meloxicam molecule in the gastrointestinal tract and thus increases the clearance of meloxicam from the body.

NSAIDs increase the nephrotoxicity of cyclosporine (used after transplantation, in immune diseases). In cases of simultaneous administration, indicators of renal function should be strictly monitored.

Concomitant use with peripheral vasodilators (agents affecting the cardiovascular system) such as pentoxifylline may increase the risk of bleeding.

Melbeck FORT with food, drinks and alcohol
Melbek FORT should be taken during meals with water or other liquid (without alcohol).

Pregnancy, lactation and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to become pregnant, ask your doctor or pharmacist for advice before using this medicine.
Do not take Melbek FORT if you are trying to get pregnant because it, like all NSAIDs, can adversely affect fertility.
Melbec should not be used during pregnancy.
The safety of Melbek FORT during breastfeeding has not been studied and its use in breastfeeding women should be avoided.

Driving and using machines
No studies have been conducted on the effects on the ability to drive and use machines.
In case of dizziness or blurred vision, do not drive or use any tools or machines.

Melbek FORT contains lactose.
If your doctor has told you that you have an intolerance to some sugars, consult him before taking Melbek FORT.

3. How to take Melbek FORT
Always take this medicine exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist.

Recommended doses depending on the disease:
Rheumatoid arthritis
The recommended daily dose is 15 mg meloxicam. Your doctor may reduce the daily dose of meloxicam to 7.5 mg, assessing your condition.

Osteoarthritis
The recommended daily dose is 7.5 mg meloxicam. Your doctor will consider increasing the daily dose to 15 mg meloxicam.

Ankylosing spondylitis
The recommended daily dose is 15 mg meloxicam. In patients with a high risk of adverse reactions, treatment should begin with 7.5 mg of meloxicam daily.

If you suffer from kidney failure, the daily dose should not exceed 7.5 mg of meloxicam per day.

In painful conditions, the dose is adjusted only by a doctor.

The maximum daily dose of meloxicam is 15 mg.

If you have taken more than the required dose of Melbek FORT
If you have taken more than the required dose of Melbek FORT, contact your doctor or visit the nearest medical facility, taking the medicine or its packaging with you. Do not exceed the recommended dose and duration of treatment.

If you forget to take Melbek FORT
If you forget to take Melbeck Forte, take the tablet as soon as you remember, unless it is very close to the next dose. If this happens, skip the dose and take the next tablet as prescribed.
Do not take a double dose to make up for a missed tablet.

If you stop taking Melbec Forte
Do not stop treatment before you have completed the full course of treatment, even if you feel better. You may not have fully recovered and some of the symptoms may recur.

If you have any further questions related to the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
The following adverse drug reactions are rarely observed, possibly related to the use of meloxicam:

Hypersensitivity reactions
Rare cases of allergic reactions that cause difficulty breathing or dizziness. Gastrointestinal disorders
Indigestion, flatulence, nausea, vomiting, abdominal pain, constipation, diarrhea,
Liver function disorders,
Esophagitis, gastroduodenal ulcer, occult (hidden) or manifest (overt) bleeding,
Colitis (inflammation of the large intestine causing abdominal pain and diarrhoea/constipation). Disorders of the blood and lymphatic system
Anemia (a decrease in the number of red blood cells, which can cause paleness, weakness or shortness of breath),
Change in blood count, decrease in the number of white blood cells, which increases the chance of infection, decrease in the number of platelets, which increases the risk of bleeding or bruising. Concomitant administration with drugs that damage the bone marrow, in particular methotrexate, is a predisposing factor for the development of a deficiency of one or more types of blood cells.
Disorders of the skin and subcutaneous tissue
Itching, peeling skin,
Inflammation of the mucous membrane of the oral cavity, skin rash,
Photosensitivity - you may become more sensitive to sunlight (avoid sun exposure
Disorders of the skin and subcutaneous tissue
Itching, peeling skin,
Inflammation of the mucous membrane of the oral cavity, skin rash,
Photosensitivity - you may become more sensitive to sunlight (avoid sun exposure during treatment).
Respiratory, thoracic and mediastinal (occurring in the middle part of the chest cavity) disorders
Other NSAIDs, including aspirin and also meloxicam, can trigger an acute asthma attack.

Disorders of the nervous system
Headache,
Dizziness, tinnitus, blurred vision.
Heart and vascular disorders
The use of medicinal products containing meloxicam may increase the risk of a heart attack ("myocardial infarction") or stroke.

There have been reports of edema, hypertension (high blood pressure), and heart failure (a heart condition that can cause fatigue, shortness of breath, swollen ankles, etc.) associated with NSAID use.

Kidney and urinary tract disorders:
Renal function disorders, elevated creatinine and/or urea values.
5. How to store Melbek FORT
Keep out of the reach of children.
To be stored in the original packaging.
Do not use Melbek FORT after the expiry date marked on the carton. The expiration date corresponds to the last day of the specified month.
Do not dispose of medicines down the drain or in the household waste container.
Ask your pharmacist how to dispose of medicines you no longer use. These measures will help protect the environment.

6. Contents of the package and additional information
What Melbeck FORT contains
The active substance is: meloxicam. Each tablet contains 15 mg of meloxicam.
The other ingredients are: crospovidone, povidone, microcrystalline cellulose, sodium citrate, anhydrous lactose, anhydrous colloidal silicon dioxide, magnesium stearate.
What does Melbek FORT look like and what does it contain?
Light yellow, round tablets scored on one side, packed in blisters.
Each blister contains 10 tablets.

Size of packages:
10 tablets (1 blister)
30 tablets (3 blisters)

Other dosage forms that you can find on the market:
Melbek 7.5 mg tablets Melbek 15 mg/1.5 ml solution for injection

 

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