FENECOX THROAT*MOUTHWASH 160ML0.25%

FENECOX GOLA 2.5 mg/ml mouthwash
FENECOX GOLA 2.5 mg/ml oral mucosal spray

What it is and what it is used for
FENECOX GOLA contains flurbiprofen, a non-steroidal anti-inflammatory and analgesic (pain-relieving) medicine, which acts against inflammation and pain in the throat, mouth and gums.
FENECOX GOLA is used in adults and adolescents over 12 years of age for the treatment of symptoms of pain and irritation of the gums, mouth and throat (e.g., gingivitis, stomatitis, pharyngitis), including as a result of conservative or extractive dental therapy (e.g., cavity treatment or tooth extraction).
Consult your doctor if you do not feel better or if you feel worse after 3 days of treatment (see paragraph 3).

What you need to know before taking the medicine
Do not take FENECOX GOLA:
- if you are allergic to flurbiprofen or any of the other ingredients of this medicine (listed in paragraph 6);
- if you are allergic to flurbiprofen or any of the other ingredients of this medicine (listed in paragraph 6);
- if you are allergic to acetylsalicylic acid (a medicine for inflammation, pain, fever, and heart conditions) or other non-steroidal anti-inflammatory drugs (NSAIDs) (see paragraph Other medicines and FENECOX GOLA);
- if you have a history of stomach or intestinal bleeding or perforation related to previous treatment with non-steroidal anti-inflammatory drugs (NSAIDs);
- if you suffer from chronic inflammatory bowel diseases (ulcerative colitis and Crohn's disease);
- if you frequently suffer from peptic ulcers (stomach lesions) or stomach or intestinal bleeding (two or more distinct episodes of ulcer or bleeding);
- if you suffer from severe heart failure (reduced heart function), severe liver failure (reduced liver function), and severe kidney failure (reduced kidney function).

Do not take/give FENECOX GOLA in the last 3 months of pregnancy (see paragraph Pregnancy, breastfeeding and fertility).

Do not give FENECOX GOLA Spray and Mouthwash to children under 12 years of age.

Warnings and precautions
Consult your doctor or pharmacist before taking FENECOX GOLA.

In particular, inform your doctor if you:
- have a history of bronchial asthma (a respiratory disease), as the risk of bronchospasm (narrowing of the bronchi causing severe breathing difficulties due to reduced airflow) increases;
- have a history of allergies;
- are taking other Non-Steroidal Anti-inflammatory Drugs (NSAIDs);
- suffer from systemic lupus erythematosus or mixed connective tissue disease;
- suffer from reduced kidney, heart, or liver function (kidney, heart, or liver failure);
- suffer from hypertension (high blood pressure);
- have been taking other analgesics for a long time or without respecting the dosage, as headache may occur;
- have a history of peptic ulcer (stomach lesion) and other stomach and intestinal diseases, as the risk of these diseases recurring increases. This risk increases especially with high doses of flurbiprofen, if you are elderly, or if the peptic ulcer has been complicated by bleeding or perforation of the stomach and intestine (see paragraph 4 Possible side effects);
- if you are elderly (as you are more likely to experience side effects);
- if you have heart or blood vessel problems, as medicines like FENECOX GOLA may be associated with a modest increased risk of heart attack (myocardial infarction) or stroke. The risk of side effects increases with high doses and prolonged treatment; do not exceed the dose of FENECOX GOLA and do not take it for long periods. Inform your doctor if you have heart problems, a history of stroke, or think you may be at risk for these conditions (for example, if you have high blood pressure, diabetes, high cholesterol, or smoke);
- have an infection - refer to the Infections section below.

Infections
Non-steroidal anti-inflammatory drugs (NSAIDs) can mask signs of infection such as fever and pain. This can delay appropriate treatment of the infection, which, in turn, can lead to an increased risk of complications. If you take this medicine during an infection and the infection symptoms persist or worsen, consult your doctor or pharmacist immediately.

Report any unusual abdominal symptoms to your doctor.

The use of this medicine, especially if prolonged, can cause allergic reactions or local irritation (see paragraph 4 Possible side effects); in such cases, stop treatment and consult your doctor who, if necessary, will provide appropriate therapy.
If you experience mouth irritation, stop treatment.

Flurbiprofen, like other NSAIDs, can inhibit platelet aggregation and prolong bleeding time.

Children and adolescents
Do not give FENECOX GOLA Spray and Mouthwash to children under 12 years of age.

Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If you experience the following side effects during treatment with FENECOX GOLA, STOP treatment and contact your doctor immediately:
• allergic phenomena (sensitization phenomena):
- allergic reaction or anaphylactic reactions (severe allergic reactions) or angioedema (sudden swelling of the mouth/throat and mucous membranes);
- local irritation;
- sensations of warmth or tingling in the mouth and throat (this effect may occur with tablets);
- respiratory phenomena: asthma, bronchospasm, shortness of breath or wheezing;
- various skin disorders: skin rashes of different types, itching, redness, swelling, skin peeling, blisters, desquamation or ulceration of the skin and mucous membranes.

If you experience the following side effects at the beginning of treatment with FENECOX GOLA, contact your doctor immediately:
- abdominal pain;
- peptic ulcer (stomach lesion);
- perforation and bleeding of the stomach or intestine.

These side effects can be fatal and you may experience them with or without warning symptoms. These side effects occur especially if you are elderly or have a history of stomach and intestinal diseases.

In addition, you may experience the following side effects:
Common (may affect up to 1 in 10 people)
- dizziness;
- headache;
- paraesthesia (numbness of the limbs or other body parts, including the mouth);
- throat irritation;
- diarrhea;
- lesions inside the mouth;
- nausea;
- pain in the mouth and throat;
- sensation of warmth or burning, tingling in the mouth.

Uncommon (may affect up to 1 in 100 people)
- drowsiness;
- asthma;
- bronchospasm (narrowing of the bronchi causing severe breathing difficulties due to reduced airflow);
- dyspnea (shortness of breath);
- blisters in the mouth or throat;
- numbness of the mouth or throat;
- abdominal distension;
- abdominal pain;
- constipation;
- dry mouth;
- difficulty digesting;
- flatulence (passing gas from the intestine);
- tongue inflammation, including tongue pain and burning;
- altered taste;
- vomiting;
- skin rash;
- itching;
- fever;
- pain;
- insomnia.

Rare (may affect up to 1 in 1,000 people)
- anaphylactic reactions (severe allergic reaction).

Not known (frequency cannot be estimated from the available data)
- anemia (reduction in the number of red blood cells in the blood);
- thrombocytopenia (reduction in the number of platelets in the blood);
- aplastic anemia (reduction in the number of all types of blood cells, red blood cells, white blood cells, platelets);
- agranulocytosis (reduction in the number of granulocytes, a type of white blood cell, in the blood);
- cerebrovascular accidents (diseases caused by lack of blood flow to an area of the brain);
- visual disturbances;
- optic neuritis (severe inflammation of the optic nerve, which can lead to vision reduction up to blindness);
- migraine (chronic disease characterized by recurrent headaches);
- confusion;
- vertigo;
- angioedema (inflammatory skin reaction);
- hypersensitivity - tinnitus (ringing in the ears);
- heart failure;
- edema (swelling);
- hypertension (high blood pressure);
- blood in stools;
- blood in vomit;
- bleeding from the stomach and intestine;
- colitis;
- worsening of inflammatory bowel diseases (Crohn's disease);
- inflammation of the stomach lining (gastritis);
- stomach lesion (peptic ulcer);
- gastric perforation;
- bleeding due to stomach lesion;
- urticaria (skin redness accompanied by itching);
- purpura (appearance of purple skin patches of various sizes);
- bullous dermatoses (severe skin lesions characterized by erythema, bullous lesions with areas of skin detachment), including Stevens-Johnson syndrome, toxic epidermal necrolysis, and erythema multiforme;
- renal toxicity - tubulointerstitial nephritis (kidney inflammation);
- nephrotic syndrome (alteration of renal glomeruli leading to protein loss in urine);
- renal failure (reduced kidney function);
- discomfort;
- fatigue;
- hepatitis;
- depression;
- hallucination.

Reporting of side effects
If you get any side effects, including any not listed in this leaflet, tell your doctor or pharmacist. You can also report side effects directly via the national reporting system at: https://www.aifa.gov.it/content/segnalazionireazioni-avverse.
By reporting side effects you can help provide more information on the safety of this medicine.