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Clenil Forte is a medicine that contains beclometasone dipropionate, an active substance belonging to the cortisone group, that reduces swelling and inflammation in the airways.Clenil Forte is used to prevent breathing difficulties due to narrowing of the bronchi (bronchostenosis) and asthma, but does not act immediately and is not used to stop an asthma attack that has already started. In this case, it necessary to use a fast-acting bronchodilator, your “reliever inhaler”, which you must carry with you at all times. Be careful not to confuse the two medicines. How to use The recommended dose is 2 inhalations twice a day. This dosage can be divided into 1 inhalation 4 times daily. The maximum dose is 2 inhalations 3 to 4 times daily. Use in children This medicine is not suitable for paediatric use. Method of administration Take Clenil Forte by inhaling it through your mouth; breathe in deeply to make sure the medicine gets into your lungs. To use this medicine correctly, consult the “How to use your inhaler” section at the end of this leaflet. Straight after using Clenil Forte, rinse your mouth thoroughly with water; this will reduce the risk of infections caused by fungi. Do not swallow the rinsing liquid. Warnings and precautions Do not take Clenil Forte if: If you are allergic (hypersensitive) to beclometasone dipropionate or any of the other ingredients of this medicine (listed in section 6) or to any other medicines containing cortisone;are having an asthma attack. Take special care with Clenil Forte and tell your doctor: Clenil Forte: If you are being treated with cortisone medicines; If you have lung disease such as those caused by dust inhalation and irreversible dilation of the bronchi, because in these cases fungal (mycotic) infections are facilitated. If you have lung disease. Treatment with cortisone medicines can mask some symptoms of pulmonary tuberculosis and other conditions of the respiratory tract due to bacteria, viruses or fungi. Pulmonary tuberculosis can also be reactivated following (re)introduction of inhaled cortisone medicines If during therapy with Clenil Forte your asthma does not improve or gets worse or you have more difficulty breathing. For example, if you need to use your “reliever inhaler” more frequently orthis does not improve your symptoms; If you are changing from treatment with cortisone medicines by systemic therapy (for example, tablets) to inhalation therapy. Initially, your doctor will tell you to take both therapies and, after a week, he will start to gradually reduce the systemic cortisone medicine; If you are going through periods of stress (because of lung infections, serious diseases, surgery, traumas, etc.) or if a serious asthma attack arises, because additional treatment with a systemic cortisone medicine may be necessary; this is particularly important if you have stopped treatment with oral cortisone medicines or if you have a change in adrenal gland function; Side Effects Like all medicines, Clenil Forte can cause side effects, although not everybody gets them. The risk of side effects can be reduced by following the instructions in this leaflet. Stop taking Clenil Forte and consult your doctor immediately ifthe following symptoms appear associated with serious allergic reactions: swelling of your face, eyes, lips or throat with difficulty breathing. These side effects occur very rarely. As with other inhaled medicines, breathlessness, cough, shortness of breath and gasping (paradoxical bronchospasm)can appear immediately after taking a dose. This side effect is very rare, but if it happens: Stop taking Clenil Forte immediately; Use your fast-acting “reliever inhaler” promptly; Contact your doctor. Other side effects If you use Clenil Forte especially at high doses and/or over extended periods of time, you may have other side effects. Possible side effect are listed below: Very common (affecting more than 1 in 10 people) Fungal infections (candida) in the oral cavity (mouth and throat). If this happens, your doctor will prescribe a therapy against fungi (with antimycotics). Common (affecting up to 1 in 10 people) Loss of voice (hoarseness) that disappears after stopping the treatment and/or resting the voice; irritation of the throat. Storage Information Do not store above 30°C Drug Interactions Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. This is particularly important if you are using systemic (for example, tablets) or nasal medicines that contain cortisone, because thiscould increase the risk of a change in adrenal gland function (adrenal suppression). Since Clenil Forte contains a small amount of alcohol, it is particularly important that you tell your doctor if you are taking: Disulfiram (used in alcoholism); metronidazole (used in infections). Ingredients The active substance is beclometasone-17,21-dipropionate. The other ingredients are HFA 134a (norflurane), ethanol, glycerol.
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