ITAMI*5CER MEDIC 140MG

Itami 140 mg Medicated Plaster
Diclofenac sodium
Equivalent medicinal product

What it is and what it is used for
Itami contains the active ingredient diclofenac and belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs).

Itami is indicated for the local treatment of pain and inflammation of rheumatic origin or resulting from trauma to joints, muscles, tendons, and ligaments.

Consult your doctor if you do not feel better or if you feel worse after 14 days.

What you need to know before taking the medicine
Do not use Itami if:
- you are allergic to diclofenac or any of the other ingredients of this medicine listed in section 6;
- you are allergic to acetylsalicylic acid or other non-steroidal anti-inflammatory drugs;
- following the use of aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs), you have experienced allergic reactions such as difficulty breathing (asthma attacks), inflammation of the nasal lining (rhinitis), or sudden onset of an itchy skin rash (urticaria);
- you have damaged skin due to: skin inflammation with blister formation (exudative dermatitis), eczema, infected lesion, burns, or wounds;
- you are in the third trimester of pregnancy (see section Pregnancy and breastfeeding);
- you have stomach or intestinal lesions (active peptic ulcer).

Itami should not be used in children and adolescents under 16 years of age.

Warnings and precautions
Talk to your doctor or pharmacist before using Itami.

Stop treatment with Itami immediately and consult your doctor if:
- you develop a skin rash after applying the plaster.

Pay particular attention:
- if you are taking other NSAIDs or other diclofenac-based medicines, including topical medicines;
- if you have kidney, heart, or liver problems, have had a peptic ulcer, inflammatory bowel disease, or have a predisposition to bleeding;
- if you are elderly, as you are subject to an increased frequency of side effects;
- if you have had an allergic reaction after taking NSAIDs or analgesic medicines in the past, as asthmatic patients with chronic obstructive bronchitis, inflammation of the nasal lining (allergic rhinitis), nasal polyps develop asthma attacks, local skin or mucous membrane inflammation (Quincke's edema) or urticaria more often than other patients;
- if you intend to become pregnant, have fertility problems, or need to undergo fertility investigations; treatment with Itami should be discontinued;
- if you use Itami on large skin surfaces or for a prolonged period, as you could develop systemic side effects;
- the plasters must not come into contact with the eyes, mucous membranes, and must not be ingested;
- if you are exposed to direct sunlight or sun lamps; wait at least one day after removing the plaster to reduce the risk of photosensitivity.

The side effects of NSAIDs can be minimized by using the lowest effective dose and for the shortest possible duration of treatment to control symptoms.

Children and adolescents
Itami should not be used in children and adolescents under 16 years of age.

Possible side effects
Like all medicines, this medicine can cause side effects, although not everyone experiences them.

The use of Itami together with other diclofenac-based medicines can lead to severe skin diseases with blister formation, redness, and peeling (Steven-Johnson syndrome) or diseases that lead to skin necrosis (Lyell's syndrome).

Common side effects (may affect up to 1 in 10 people)
- skin rash, eczema, erythema, dermatitis (including allergic dermatitis and contact dermatitis), itching, reactions at the application site of the plaster.

Rare side effects (may affect up to 1 in 1,000 people)
- bullous dermatitis;
- dry skin.

Very rare side effects (may affect up to 1 in 10,000 people)
- allergic reaction (hypersensitivity) including urticaria, anaphylactoid reaction, swelling of the face, hands and feet, lips, tongue, throat and/or larynx (angioedema);
- skin rash with the appearance of blisters;
- asthma;
- photosensitivity.

Unknown side effects
- burning sensation at the application site

Reporting 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.