SmPC - changes are extensive as they include the Referral text - refer to SmPC for full details
Section 1 - update to name to include strength and pharmaceutical form
Section 3 - administrative update
Section 4.1 - acute indications deleted, no longer a first line treatment option
Section 4.2 - includes deletion of posology relating to acute indications, maximum recommended daily dose restricted to 20 mg, prescription only to be initiated by physician's with experience
Section 4.3 - expansion of active and current GI contraindications, hypersensitivity to include skin reactions, addition of concomitant use with NSAIDs, aspirin at analgesic doses, anticoagulants, last trimester of pregnancy
Section 4.4 - extensive updates to sections on GI and skin reactions, addition of warning that Feldene may impair female fertility
Section 4.5 - addition of tacrolimus, antiplatelet agents, SSRIs, cardiac glycosides, revised text for anticoagulants, aspirin and other NSAIDs
Section 4.6 - explanation of the contraindication in last trimester of pregnancy, not recommended during pregnancy unless benefit outweighs risk
Section 4.7 - updated with NSAIDs class text - undesirable effects are possible, if affected don't drive or operate machinery
Section 6.3 administrative update
6.5: updated with description of replacement pack size - blister strip PVC/PVdC and paper foil laminate containing 10 units. Each pack contains 30 units (3 x strips of 10 tablets).
Section 9 - update to date last renewed
Section 10 - update to date last updated