Strefen Direct Cherry and Mint Flavour 8.75mg Oromucosal Spray 15ml

Description

This medicine is sold under the discretion of a Well Pharmacist.
You will be required to answer a few short questions to ensure this medicine is suitable for you.

Strefen Direct Cherry and Mint Flavour 8.75mg Oromucosal Spray provides fast relief from symptoms of sore throats such as throat soreness, pain, difficulty swallowing and swelling in adults aged 18 and over, starting to work within just 5 minutes and lasting for up to 6 hours.

It targets pain directly at the site of irritation in the throat and contains the active ingredient flurbiprofen, a Non-Steroidal Anti-Inflammatory Drugs(NSAID) that works changing how the body responds to pain, swelling and high temperature.

View the Patient Information Leaflet for Strefen Direct Cherry and Mint Flavour 8.75mg Oromucosal Spray

How to Use

Adults over 18 years:

• Spray at the back of the throat only.
• Do not inhale whilst spraying.
• Do not take more than 5 doses (15 sprays) in 24 hours.

This medicine is for short-term use only. The lowest effective dose should be used for the shortest duration necessary to relieve symptoms. If you have an infection, consult a doctor or pharmacist without delay if symptoms (such as fever and pain) persist or worsen (see section

Do not use this medicine for more than 3 days unless instructed to do so by your doctor. If you do not get better, you get worse, or if new symptoms occur, talk to a doctor or pharmacist.

Warnings

• Avoid alcohol whilst using this medicine, as it may increase the risk of bleeding in the stomach or intestines.
• If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby ask your doctor or pharmacist for advice before taking this medicine. Do not take this medicine if you are in the last 3 months of pregnancy. Avoid the use of this medicine in the first six months of pregnancy, or if you are breastfeeding, unless your doctor advises you otherwise.
• The product belongs to a group of medicines (NSAIDs) which may impair the fertility in women. This effect is reversible on stopping the medicine.
• Non-steroidal anti-inammatory drugs (NSAIDs) may hide signs of infections such as fever and pain. This may delay appropriate treatment of infection, which may lead to an increased risk of complications. If you take this medicine while you have an infection and your symptoms of the infection persist or worsen, consult a doctor or pharmacist without delay.
• Ask your doctor or pharmacist for advice before taking any medicine.
• This medicine should not affect your ability to drive or use machines. However, dizziness and visual disturbances are possible side effects after taking NSAIDs. If affected, do not drive or operate machinery.
• This medicine contains Methyl parahydroxybenzoate (E218) and Propyl parahydroxybenzoate (E216), which may cause allergic reactions (possibly delayed).
• This medicine contains less than 1 mmol sodium (23 mg) per dose, that is to say essentially 'sodium-free'.
• This medicine contains fragrance with Citral, d-Limonene, Eugenol and Linalool which may cause allergic reactions.

Do not use Strefen Direct Cherry and Mint Flavour 8.75mg Oromucosal Spray if you:

• Are allergic to flurbiprofen, other Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), aspirin (acetylsalicylic acid), or to any of the ingredients.
• Have had a previous allergic reaction after taking Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) or aspirin (acetylsalicylic acid); e.g. asthma, wheezing, itching, runny nose, skin rashes, swelling.
• Currently have or have ever had two or more episodes of stomach ulcers or bleeding or intestinal ulcers.
• Have ever had severe colitis (inflammation of the bowel).
• Have ever had blood clotting problems or bleeding problems after taking NSAIDs.
• Are in the last three months of pregnancy.
• Have severe heart failure, severe kidney failure or severe liver failure.
• Are a child or adolescent below the age of 18 years.

Talk to your doctor or pharmacist before using Strefen Direct Cherry and Mint Flavour 8.75mg Oromucosal Spray if you:

• Are already taking any other Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) or aspirin.
• Have tonsillitis (inflamed tonsils) or think you may have a bacterial throat infection (as you may need antibiotics).
• Have an infection
• Are elderly (as you may be more likely to have side effects).
• Have or have ever had asthma or suffer from allergies.
• Suffer from a skin condition called systemic lupus erythematosus or mixed connective tissue disease.
• Have hypertension (high blood pressure).
• Have a history of bowel disease (ulcerative colitis, Crohn's disease).
• Have heart, kidney or liver problems.
• Have had a stroke.
• Are in the first 6 months of pregnancy or breastfeeding.

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including medicines obtained without a prescription. In particular:

• Other Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) including cyclooxygenase-2 selective inhibitors for pain or inflammation, as these may increase the risk of bleeding from the stomach or intestines.
• Warfarin, aspirin (acetylsalicylic acid), direct oral anticoagulants, and other blood thinning or anti-clotting medicines.
• ACE inhibitors, angiotensin-II-antagonists (medicines which lower blood pressure).
• Diuretics (water tablets), including potassium sparing diuretics.
• SSRIs (selective serotonin re-uptake inhibitors) for depression.
• Cardiac glycosides (for heart problems), such as digoxin.
• Cyclosporine (to prevent organ rejection after transplant).
• Corticosteroids (to reduce inflammation).
• Lithium (for mood disorders).
• Methotrexate (for psoriasis, arthritis and cancer).
• Mifepristone (used to terminate pregnancy). NSAIDs should not be used for 8-12 days after taking mifepristone, as they can reduce the effect of mifepristone.
• Oral antidiabetic medicines.
• Phenytoin (for epilepsy).
• Probenecid, sulnpyrazone (for gout and arthritis).
• Quinolone antibiotics (for bacterial infections), such as ciprooxacin, levooxacin.
• Tacrolimus (immunosuppressant used after organ transplant).
• Zidovudine (for HIV).

Ingredients

• Active Ingredient: Flurbiprofen 8.75mg (corresponding to 16.2 mg/ml flurbiprofen) per dose (3 sprays)
• Other Ingredients: Betadex, Disodium phosphate dodecahydrate, Citric acid monohydrate, Methyl parahydroxybenzoate (E218), Propyl parahydroxybenzoate (E216), Sodium hydroxide, Mint and Cherry flavours (containing flavouring substance(s), flavouring preparation(s), Propylene glycol (E1520) and Glycerol triacetate (Triacetin) (E1518), and water) N,2,3-Trimethyl-2-isopropylbutanamide, Saccharin sodium, Hydroxypropylbetadex and Purified water.