THE PREPARATION DESCRIPTION IS NOT INTENDED FOR MEDICATION WITHOUT PARTICIPATION OF THE DOCTOR!

What is it used for?
Naklofen is indicated for:
• A form of arthritis (ankylosing spondylitis)
• Acute gout
• Inflammatory disease of the joints
• Lower back pain
• Musculoskeletal disorders such as tendon inflammation (tendinitis), sprains, strains, dislocations and fractures
• Osteoarthritis
• Pain and inflammation in dental, orthopaedic and other minor surgery
• Severe childhood inflammatory disease of the joints (juvenile chronic arthritis) in children aged 1-12.

Contraindications and cautions: This medicine may cause dizziness and so may affect your ability to drive or operate machinery safely. Do not drive or operate machinery until you know how this medicine affects you and you are sure it won't affect your performance.
• During long-term treatment, routine blood tests are recommended to monitor kidney function, liver function and levels of blood components, particularly in the elderly.
• This medicine may mask the signs and symptoms of infection.
• Close medical supervision is important in people with symptoms of gastrointestinal disorders, particularly in the elderly.
• Close medical supervision is important in people suffering from severe impairment of liver function
Use with caution in
• A type of life long inherited blood disease caused by a defect in the liver (hepatic porphyria)
• Asthma or history of asthma
• Bleeding tendencies
• Blood clotting disorders
• Blood disorders
• Crohn's disease
• Current or previous heart failure
• Current or previous high blood pressure
• Decreased heart function
• Decreased kidney function
• Decreased liver function
• Elderly people
• Inflammation of the bowel and back passage
• People who have recently had major surgery
• People with symptoms of stomach or intestinal disorders
Not to be used in
• Bleeding from the stomach or intestines or a history of this
• Current or previous peptic ulcer
• People in whom aspirin or other medicines in this class (NSAIDs), cause attacks of asthma, itchy rash (urticaria) or nasal inflammation (rhinitis)
• Suspected peptic ulcer
This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy. If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.
Certain medicines should not be used during pregnancy or breastfeeding.

Side effects:
Along with their useful effects, all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor if you develop itching, reddening, smarting, blistering or increased sensitivity of the skin where you have used naklofen or if you experience any eye pain, infection of the eyes, stomach pains, nausea or diarrhoea.
If you experience unexplained skin rash all over the body, swelling of the lips, mouth and throat, pain, blistering of the skin, or breathing problems, stop using naklofen immediately and consult your doctor or accident and emergency department of your local hospital as soon as possible.
If you experience any other worrying side effects which you think may be due to this medicine, discuss them with your doctor or pharmacist.

Interactions:
Some medicines can interact and have influence on drug’s effect. Inform your doctor if you take any of the following medicines:
Cardiac glycosides, quinolone antibiotics, steroids, anti-hypertensives (medicines to treat high blood pressure), mifepristone, lithium, methotrexate, ciclosporin, tacrolimus, diuretics (water tablets), anticoagulants (medicines to thin the blood), hypoglycaemic agents (medicines for diabetes) or other anti-inflammatory agents (NSAIDs), mifepristone (within the last 12 days).