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Dolmen 25 mg granules for short term symptomatic treatment of mild to moderate acute pain

Last updated on February 23, 2022

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Dolmen is a pain killer from the group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). It is used for short term symptomatic treatment of mild to moderate acute pain, such as acute muscular pain or joint pain, painful periods (dysmenorrhoea), toothache.

Uses and active ingredients

The active substance is dexketoprofen (as dexketoprofen trometamol). Each sachet contains 25 mg of
dexketoprofen. The other ingredients are ammonium glycyrrhizinate, neohesperidin-dihydrochalcone,
quinoline yellow (E104), lemon aroma, sucrose (see section 2, Dolmen contains sucrose).

How to take Dolmen

Adults over age 18
The recommended dose is 1 sachet (25 mg) every 8 hours, with no more than 3 sachets daily (75 mg).
Consult your doctor in case after 3-4 days have passed and you are not feeling better or feeling worse. Your
doctor will tell you how many sachets you must take daily, and for how long. The dose of Dolmen that you
need depends on the type, severity and duration of your pain.

If you are elderly, or if you suffer from kidney or liver problems, you should start treatment with a total daily
dose of no more than 2 sachets (50 mg). In elderly patients this initial dose can later be increased to that generally recommended (75 mg of dexketoprofen) if Dolmen has been well tolerated.
If your pain is intense and you need quicker relief, take the sachets on an empty stomach (at least 15 minutes
before food) because they will be more easily absorbed .

Storage. Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.

Contents of the pack. Sachets containing lemon yellow coloured granules.

Side-effects, precautions and interactions

Do not take Dolmen
– If you are allergic to dexketoprofen or any of the other ingredients of this medicine (listed in section 6);
– If you are allergic to the acetylsalicylic acid or to other non-steroidal anti-inflammatory medicines;
– If you have asthma or have suffered attacks of asthma, acute allergic rhinitis (a short period of inflamed
lining of the nose), nasal polyps (lumps within the nose due to allergy), urticaria (skin rash), angioedema
(swollen face, eyes, lips, or tongue, or respiratory distress) or wheezing in the chest after taking
acetylsalicylic acid or other non-steroidal anti-inflammatory medicines;
– If you have suffered from photoallergic or phototoxic reactions (a particular form of reddening and/or
blistering of the skin exposed to sunlight) while taking ketoprofen (a non-steroidal anti-inflammatory
drug) or fibrates (drugs used to lower the level of fats in the blood);
– If you have a peptic ulcer/ stomach or bowel bleeding or if you have suffered in the past from stomach or
bowel bleeding, ulceration or perforation;
– If you have chronic digestive problems (e.g. indigestion, heartburn);
– If you have suffered in the past from stomach or bowel bleeding or perforation, due to previous use of
non-steroidal anti-inflammatory drugs (NSAIDs) used for pain;
– If you have bowel disease with chronic inflammation (Crohn’s disease or ulcerative colitis);
– If you have serious heart failure, moderate or serious kidney problems or serious liver problems;
– If you have a bleeding disorder or a blood clotting disorder;
– If you are severely dehydrated (have lost a lot of body fluids) due to vomiting, diarrhoea or insufficient
intake of fluids;
– If you are in the third trimester of pregnancy or breast feeding;

Warnings and precautions
Talk to your doctor or pharmacist before taking Dolmen:
– If you suffer from allergy, or if you have had allergy problems in the past;
– If you have kidney, liver or heart problems (hypertension and/or heart failure) as well as fluid retention,
or have suffered from any of these problems in the past;
– If you are taking diuretics or you suffer from very poor hydration and reduced blood volume due to an
excessive loss of fluids (e.g. from excessive urination, diarrhoea or vomiting);
– If you have heart problems, previous stroke or think that you might be at risk of these conditions (for
example if you have high blood pressure, diabetes or high cholesterol or are a smoker) you should
discuss your treatment with your doctor or pharmacist. Medicines such as Dolmen may be associated
with a small increased risk of heart attack (“myocardial infarction”) or cerebrovascular accident (stroke).
Any risk is more likely with high doses and prolonged treatment. Do not exceed the recommended dose
or duration of treatment.
– If you are elderly: you may be more likely to suffer from side effects (see section 4). If any of these
occur, consult your doctor immediately;
– If you are a woman with fertility problems (Dolmen may impair your fertility, therefore you should not
take it if you are planning to become pregnant or you are doing fertility tests);
– If you suffer from a disorder in the formation of blood and blood cells;
– If you have systemic lupus erythematosus or mixed connective tissue disease (immune system disorders
that affect connective tissue);
– If you have suffered in the past from a chronic inflammatory disease of the bowel (ulcerative colitis,
– disease);
– If you have or have suffered in the past from other stomach or bowel problems;
– If you have varicella (chickenpox), since exceptionally NSAIDs could worsen the infection;
– If you are taking other medicines that increase the risk of peptic ulcer or bleeding, e.g. oral steroids,
some antidepressants (those of the SSRI type, i.e. Selective Serotonin Reuptake Inhibitors), agents that
prevent blood clots such as acetylsalicylic acid or anticoagulants such as warfarin. In such cases, consult
your doctor before taking Dolmen: he/she may want you to take an additional medicine to protect your
stomach (e.g. misoprostol or medicines that block the production of stomach acid).
– If you suffer from asthma combined with chronic rhinitis, chronic sinusitis, and/or nasal polyposis as
you have a higher risk of allergy to acetylsalicylic acid and/or NSAIDs than the rest of the population.
Administration of this medicine can cause asthma attacks or bronchospasm, particularly in patients
allergic to acetylsalicylic acid or NSAIDs.

Full information leaflet can be downloaded HERE > Dolmen Sachets Patient Information

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