Apain Plus (75 mg+20 mg)/2 ml (IM Injection)

2 ml ampoule: ৳ 15.05 (10's pack: ৳ 150.50)

Medicine Details

Indications

  • Relief of pain
  • Relief of inflammation
  • Arthritic conditions
  • Acute musculoskeletal disorders
  • Periarthritis
  • Tendinitis
  • Bursitis
  • Trauma-related pain
  • Orthopaedic surgeries
  • Dental surgeries
  • Renal colic
  • Local anaesthetic effect
  • Minimization of injection site pain

Pharmacology

  • Potent nonsteroidal antiinflammatory drug
  • Analgesic properties
  • Antipyretic properties
  • Uricosuric effects
  • Inhibition of prostaglandin synthesis
  • Peak plasma concentration
  • Rapid action of Lidocaine
  • Stability of Lidocaine
  • Surface anaesthetic effect
  • Impairment of nerve impulses

Dosage & Administration

  • Adult dosage
  • Renal colic dosage
  • Children dosage
  • Elderly patients dosage

Interaction

  • Interaction with Lithium and Digoxin
  • Interaction with anticoagulants
  • Interaction with antidiabetic agents
  • Interaction with Cyclosporin
  • Interaction with Methotrexate
  • Interaction with quinolone antimicrobials
  • Interaction with other NSAIDs and steroids
  • Interaction with diuretics

Contraindications

  • Hypersensitivity to Diclofenac
  • Peptic ulcer or gastrointestinal bleeding
  • Asthma, urticaria or acute rhinitis induced by Aspirin or NSAIDs
  • Hypersensitivity to Lidocaine
  • Adams-Stokes syndrome
  • SA, AV, or intraventricular heart block
  • Hypersensitivity to excipients

Side Effects

  • Gastrointestinal discomfort
  • Nausea
  • Diarrhea
  • Bleeding
  • Injection site disorder
  • Abscesses
  • Local necrosis
  • CNS adverse effects
  • Drowsiness
  • Dizziness
  • Disorientation

Pregnancy & Lactation Precautions

  • Avoidance during pregnancy
  • Lowest effective dosage usage
  • Avoidance during last trimester of pregnancy
  • Detection in breast milk
  • No adverse effects on infant

Precautions & Warnings

  • Close observation for severe hepatic, cardiac, or renal insufficiency
  • Renal function monitoring
  • Lowest effective dosage usage for elderly
  • Hepatic function monitoring
  • Long term treatment monitoring
  • Eosinophilia
  • Rash manifestation

Therapeutic Class

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

Storage Conditions

  • Temperature not exceeding 30°C
  • Dry place storage
  • Protected from light

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