A-Fenac 12.5 mg (Suppository)

Unit Price: ৳ 9.00 (2 x 5: ৳ 90.00)

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
  • Soft tissue injuries
  • Surgical interventions
  • Primary dysmenorrhoea
  • Episiotomy
  • Adnexitis
  • Endometritis
  • Parametritis
  • Salpingitis
  • Mastitis
  • As pre-operative medication for the prevention of pain, inflammation, and swelling
  • Post-operative and post-traumatic pain
  • 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)
  • Pronounced anti-rheumatic properties
  • Anti-inflammatory
  • Analgesic
  • Antipyretic
  • Uricosuric effect
  • Inhibition of prostaglandin biosynthesis
  • Rapid and complete absorption from the gastro-intestinal tract
  • Metabolized in the liver

Dosage & Administration

  • Adults: 75-150 mg daily in 2 to 3 divided doses, preferably after food
  • Dose should be reduced in long term use
  • Children: 1-3 mg of diclofenac/kg body wt. daily in divided doses
  • Elderly patients: Lowest effective dosage recommended
  • Maximum daily dose: 150 mg
  • Dosage depends on the form of the tablet/capsule/gel/suppository/injection

Interaction

  • May interact with lithium and digoxin
  • Risk of haemorrhage with anticoagulant therapy
  • Can be given together with oral antidiabetic agents
  • Cases of nephrotoxicity with cyclosporin
  • Serious toxicity when used with methotrexate
  • Potential convulsions with quinolone antimicrobials
  • Increased frequency of unwanted effects with other NSAIDs and steroids

Contraindications

  • Hypersensitivity to any ingredient
  • Peptic ulcer
  • Hypersensitivity to Diclofenac or other non-steroid anti-inflammatory agents
  • Contra-indicated in asthmatic patients with triggered attacks

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 and reddening of the skin
  • Skin rash

Pregnancy & Lactation

  • Should be used 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 in rare instances of peptic ulceration or gastrointestinal bleeding
  • Close observation for advanced age patients
  • Avoid contact with eyes or mucus membranes
  • Proper hand washing after application
  • Not to be taken 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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