Zenstrin Troche (Menthol and Peppermint flavor, Peppermint flavor, Lemon flavor, Peach flavor) (Flurbiprofen)

Adult dose

Adults: Allow 1 lozenge of this medicine to dissolve slowly in the mouth. If needed, take up to 5 lozenges per day at intervals of 3～6 hours. Use of this medicine is recommended for a maximum of 3 days. Elderly patients: There is limited experience with use to date; therefore, no recommended dose is provided. Roll this medicine around in the mouth while taking it to avoid local irritation.

Child dose

Children and adolescents aged 12 years and older: Allow 1 lozenge of this medicine to dissolve slowly in the mouth. If needed, take up to 5 lozenges per day at intervals of 3～6 hours. Use of this medicine is recommended for a maximum of 3 days. Children under 12 years should not take this medicine.

Individuals who regularly consume more than three drinks a day should consult a doctor or pharmacist before taking this medication. This is important because taking this medication may lead to serious side effects like gastrointestinal bleeding. This medication can also affect the cardiovascular system, increasing the risk of serious thrombotic reactions such as myocardial infarction or stroke. Those with cardiovascular disease or risk factors should be particularly cautious and consult a healthcare provider if symptoms occur. This medication can impact the gastrointestinal tract, potentially causing serious gastrointestinal issues such as bleeding, ulcers, or perforation. These problems may occur without symptoms, so elderly patients or those with a history of gastrointestinal disorders should exercise particular caution. This medication should not be taken by individuals with certain conditions or who have had allergic reactions. For example, individuals with peptic ulcers, hypersensitivity to aspirin or other non-steroidal anti-inflammatory drugs, or severe heart failure should not use this medication. Additionally, taking this medication in combination with other non-steroidal anti-inflammatory drugs or certain medications may increase the risk of side effects, so such combinations should be avoided. It is advisable not to breastfeed while taking this medication, and if dizziness or visual disturbances occur, one should avoid driving or operating machinery. Individuals with bronchial asthma, heart, kidney, or liver diseases should consult a healthcare provider before taking this medication, and those with hypertension or blood disorders should also exercise caution. If any unusual symptoms such as headache, dizziness, nausea, vomiting, abdominal pain, rash, or difficulty breathing occur during use, discontinue use immediately and consult a doctor. This medication helps relieve pain or inflammation but does not treat the underlying cause, so if symptoms persist, consult a healthcare provider. During pregnancy, especially after 20 weeks, this medication may affect fetal kidney function, so it should only be used at the minimum dose necessary. If used for prolonged periods, amniotic fluid status should be checked regularly. Finally, this medication should be kept out of reach of children and stored in its original container to ensure safety.

Gastrointestinal bleeding, cardiovascular thrombotic reactions, myocardial infarction, stroke, gastric or intestinal bleeding, ulcers, perforation, headache, dizziness, insomnia, drowsiness, visual disturbances, dysgeusia, nausea, vomiting, constipation, diarrhea, bloating, peptic ulcer or bleeding, ulcerative stomatitis, dyspepsia, abdominal pain, hematochezia, gastritis, aggravated perforation, glossitis, oral burning sensation and tingling, oral ulcers, xerostomia, jaundice, elevated liver function tests, fulminant hepatitis, liver necrosis, liver failure, liver damage, heart failure, hypertension, arterial thromboembolic disease, vascular edema, tachycardia, hypotension, leukopenia, aplastic anemia, agranulocytosis, thrombocytopenia, prolonged bleeding time, internal laryngeal edema accompanied by airway obstruction, dyspnea, edema, acute renal failure, nephrotic syndrome, interstitial nephritis, fluid retention, alopecia, exfoliative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis, facial edema, urticaria, rash, transient irritation of the buccal mucosa, hypersensitivity reactions accompanied by rash and itching, hypersensitivity reactions accompanied by asthma attacks, anaphylactic shock, nausea, vomiting, abdominal pain, gastrointestinal bleeding, headache, drowsiness, blurred vision, unconsciousness, liver and kidney dysfunction, hypotension, respiratory depression, cyanosis

Drug interactions

This medication may interact with other non-steroidal anti-inflammatory drugs including COX-2 inhibitors, aspirin and other antiplatelet agents, glucocorticoids, potassium-sparing diuretics, angiotensin-converting enzyme inhibitors, angiotensin II antagonists, cyclosporine, methotrexate, digoxin, phenytoin, quinolone antibiotics, furosemide diuretics, oral anticoagulants (e.g., warfarin), antihypertensive agents, lithium preparations, mifepristone, probenecid.

This medication should be stored in a sealed container to prevent air exposure and is best kept at room temperature between 1 and 30 degrees Celsius. This storage method helps maintain the medication's effectiveness and prevents deterioration.

Appearance

Zenstrin Troche (Menthol and Peppermint flavor): White to off-white round troche with menthol and peppermint aroma. Zenstrin Troche (Peppermint flavor): White to off-white round troche with peppermint aroma. Zenstrin

Package unit

12 tablets/PTP