A-Fenac 75 mg/3 ml (IM Injection)

3 ml ampoule: ৳ 14.10 (2 x 5: ৳ 141.00)

Medicine Details

Indications

  • Inflammatory and degenerative forms of rheumatism
  • Chronic involutive, polyarthritis, ankylosing spondylarthritis
  • Osteoarthritis, spondylarthroses, acute gout, peri-articular rheumatic disorders
  • Sprain, bruises, dislocations, fractures, softtissue injuries, surgical interventions
  • Primary dysmenorrhoea, episiotomy, adnexitis, endometritis, parametritis, salpingitis, and mastitis
  • Pre-operative medication for the prevention of pain, inflammation, and swelling
  • Post-operative and post-traumatic pain, inflammation, and swelling
  • Prevention of pain and treatment of inflammation and swelling of patients operated in the urogenital tract, renal and biliary colic

Pharmacology

  • Potent non-steroidal anti-inflammatory drug (NSAID)
  • Anti-rheumatic, anti-inflammatory, analgesic, and antipyretic properties
  • Uricosuric effect
  • Inhibition of prostaglandin biosynthesis
  • Rapid and complete absorption from the gastro-intestinal tract
  • Metabolized in the liver and undergoes first pass metabolism

Dosage & Administration

  • Adult dosage range: 75-150 mg daily
  • 2 to 3 divided doses, preferably after food
  • Dosage reduction recommended for long term use
  • Dosage for children: 1-3 mg of diclofenac/kg body weight daily in divided doses
  • Maximum daily dose for adults: 150 mg
  • Supplementation with conventional tablets for increased daily dose
  • Recommended daily dosage for diclofenac dispersible tablet: 2-3 tablets
  • Maximum daily dosage for diclofenac dispersible tablet: 150 mg
  • Maximum daily dose for diclofenac suppository: 150 mg
  • External application of 2-4 g of diclofenac gel to the affected area 3-4 times daily

Interaction

  • Potential interactions with lithium, digoxin, anticoagulants, antidiabetic agents, cyclosporin, methotrexate, quinolone antimicrobials, other NSAIDs, and steroids
  • Caution advised for combined therapy with quinolones

Contraindications

  • Hypersensitivity to any ingredient of the products
  • Peptic ulcer
  • Hypersensitivity to Diclofenac or other non-steroidal anti-inflammatory agents
  • Contra-indicated in asthmatic patients

Side Effects

  • Mild, rare, and transient adverse effects
  • Epigastric pain, eructation, nausea, diarrhea, dizziness, headache
  • Peripheral edema, skin reactions such as rash and eczema
  • Local irritation, reddening of the skin, skin rash

Pregnancy & Lactation

  • Should be employed only for compelling reasons during pregnancy
  • Lowest effective dose should be used
  • Not recommended during the first trimester of pregnancy
  • Not recommended during lactation

Precautions & Warnings

  • Close observation for peptic ulceration or gastrointestinal bleeding
  • Special caution for patients with advanced age
  • Avoid contact with eyes or mucous membranes
  • Do not take by mouth

Therapeutic Class

  • Drugs for Osteoarthritis
  • Drugs used for Rheumatoid Arthritis
  • Non-steroidal Anti-inflammatory Drugs (NSAIDs)

Storage Conditions

  • Store in a cool and dry place
  • Protected from light
  • Store below 30°C
  • Keep out of the reach of children

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