Almus Aspirin 75MG Gastro Resistant Tablets Almus Aspirin 75MG Gastro Resistant Tablets

Do not take this medicine: • if you are allergic to any of the ingredients of this medicine  • are allergic to other salicylates or nonsteroidal anti-inflammatory drugs (NSAIDs).NSAIDs are often used for arthritis or rheumatism and pain • have had an asthma attack or swelling of some parts of the body e.g. face,lips, throat or tongue (angioedema) after taking salicylates or NSAIDs • if you have, or ever had, an ulcer in your stomach or intestine • if you have, or ever had, a bleed in your stomach or intestines (you may have been sick and it contained blood or dark particles that looked like coffee grounds and/or passed blood in your stools or passed black tarry stools) • if you have had other types of bleeding like a stroke • if you have a blood clotting disorder (e.g. haemophilia or thrombocytopenia) or are taking medicines to thin your blood • if you have gout • if you have severe kidney or liver problems • if you are in your last 3 months of pregnancy; you must not use higher doses than 100mg per day (see section • if you are taking a medicine called methotrexate (e.g. for cancer or rheumatoid arthritis) in doses higher than 15mg per week.

 Warnings and precautions Talk to your doctor or pharmacist before taking this medicine: • if you are asthmatic, have hay fever, nasal polyps or other chronic respiratory diseases; aspirin may induce asthma attack • if you have other kidney, liver or heart problems • if you have high blood pressure (your doctor may want to monitor you closely) • if you are dehydrated • if you have a condition called glucose-6-phosphate dehydrogenase deficiency • if you are elderly (your doctor may want to monitor you closely) • if you have or have ever had problems with your stomach or small intestine • if you have heavy menstrual periods • have ever had gout

 You must immediately seek medical advice, if your symptoms get worse or if you experience severe or unexpected side effects e.g. unusual bleeding symptoms, serious skin reactions or any other sign of serious allergy. Inform your doctor if you are planning to have an operation (even a minor one, such as tooth extraction) since Aspirin is bloodthinning there may be an increased risk of bleeding.

Aspirin may cause Reye’s syndrome when given to children. Reye’s syndrome is a very rare disease which affects the brain and liver and can be life threatening. For this reason, Aspirin tablets should not be given to children aged under 16 years, unless on the advice of a doctor. You should take care not to become dehydrated (you may feel thirsty with a dry mouth) since the use of Aspirin at the same time may result in deterioration of kidney function. This medicinal product is not suitable as a pain killer or fever reducer. If any of the above applies to you, or if you are not sure, speak to your doctor or pharmacist

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, particularly the following: • The effects of treatment may be influenced if aspirin is taken at the same time as other medicines for: • Thinning of the blood/prevention of clots (e.g. warfarin, heparin, phenindione and clopidogrel) • Medicines for depression (selective serotonin re-uptake inhibitors (SSRis) such as sertraline or paroxetine) • Methotrexate (for cancer, skin problems, rheumatic problems, Crohn’s disease) • Ciclosporin or tacrolimus (given after transplant surgery, or psoriasis or rheumatism) • Other non-steroidal anti-inflammatory medicines, like ibuprofen (to relieve pain, reduce swollen joints, muscles and ligaments) • Use as hormone replacement therapy when the adrenal glands or pituitary gland have been destroyed or removed, or to treat inflammation, including rheumatic diseases and inflammation of the intestines (corticosteroids). • Phenytoin and sodium valproate (for epilepsy) • Medicines for diabetes, such as glibenclamide, glipizide (sulphonylureas) or insulin • Medicines used to treat high blood pressure like ACE inhibitors (e.g. ramipril, captopril) • Water tablets (diuretics e.g. spironolactone and acetazolamide) • Probenecid and sulfinpyrazone (for gout) • Lithium (for severe mental problems) • Medicines for heart problems (e.g. digoxin) • Acetazolamide (for glaucoma) • Metamizole (substance to decrease pain and fever) may reduce the effect of acetylsalicylic acid on platelet aggregation (blood cells sticking together and forming a blood clot), when taken concomitantly. Therefore, this combination should be used with caution in patients taking low dose aspirin for cardioprotection.

 Before taking aspirin you should inform a healthcare professional about the medicines you are taking. If you are using aspirin regularly you should seek advice before taking any other medicine (including medicine you may have bought). Taking this medicine with alcohol Do NOT drink

For oral use. Adults, the elderly and children of 16 years and over: The usual dose is one to two tablets once a day. In some cases your doctor may advise you take more tablets. In this case, follow your doctor's instructions. Do not give to children under 16 years of age unless your doctor tells you to. Swallow the tablet whole with a glass of water.

Do not chew, cut or crush. The advice of a doctor should be sought before commencing therapy for the first time.

Each gastro-resistant tablet contains 75mg of aspirin.