Clofenac 25 mg (Suppository)

Unit Price: ৳ 16.00 (3 x 5: ৳ 240.00)

Medicine Details

Indications

  • Inflammatory and degenerative forms of rheumatism
  • Chronic involutive
  • Polyarthritis
  • Ankylosing spondylarthritis
  • Osteoarthritis
  • Acute gout
  • Peri-articular rheumatic disorders
  • Sprain
  • Bruises
  • Dislocations
  • Fractures
  • Soft tissue injuries
  • Surgical interventions
  • Primary dysmenorrhoea
  • Episiotomy
  • Adnexitis
  • Endometritis
  • Parametritis
  • Salpingitis
  • Mastitis
  • Pre-operative medication for the prevention of pain, inflammation, and swelling
  • Post-operative and post-traumatic pain, inflammation, and swelling
  • For the 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
  • Anti-inflammatory
  • Analgesic
  • Antipyretic properties
  • Uricosuric effect
  • Inhibits prostaglandin biosynthesis
  • Rapid and complete absorption from the gastro-intestinal tract
  • Metabolized in the liver
  • Undergoes first pass metabolism

Dosage & Administration

  • Diclofenac FC Tablet: Adults: 75-150 mg daily in 2 to 3 divided doses, preferably after food. Dose should be reduced in long term use
  • Diclofenac SR Tablet: Adult: 1 tablet daily, taken whole with liquid, preferably at meal times
  • Diclofenac Dispersible Tablet: Adults: The recommended daily dosage is 2-3 tablets and the maximum daily dose is 150 mg. In milder cases, 2 tablets of Diclofenac DT per day are sufficient
  • Diclofenac TR Capsule: One capsule daily
  • Diclofenac Suppository: For adults: 50 mg suppository 2-3 times daily. Maximum daily dose is 150 mg
  • Diclofenac injection: For adults the usual dose is 1 ampoule daily. In serious cases this dose may be increased up to 2 ampoules daily
  • Diclofenac Gel: For external use only. Depending on the size of area to be treated, 2-4 g of Diclofenac gel should be applied to the skin 3-4 times daily

Interaction

  • Lithium and digoxin: Clofenac may increase plasma concentrations of lithium and digoxin
  • Anticoagulants: Increased risk of haemorrhage
  • Antidiabetic agents: Can be given together with oral antidiabetic agents without influencing their clinical effect
  • Cyclosporin: Cases of nephrotoxicity reported in patients receiving cyclosporin and diclofenac concomitantly
  • Methotrexate: Cases of serious toxicity reported when methotrexate and NSAIDs are given within 24 hours of each other
  • Quinolone antimicrobials: Caution should be exercised when considering concomitant therapy of NSAID and quinolones
  • Other NSAIDs and steroids: Co-administration may increase the frequency of unwanted effects

Contraindications

  • Hypersensitive to any ingredient of the products
  • Peptic ulcer
  • Hypersensitivity to Diclofenac
  • Contra-indicated in asthmatic patient in whom attack with asthma, urticaria or acute rhinitis are precipitated by acetylsalicylic acid or by other drugs with prostaglandin synthetase inhibitor

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 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 due to insufficient clinical data

Precautions & Warnings

  • Close observation in patients with peptic ulceration or gastrointestinal bleeding
  • Avoid contact with eyes or mucus membranes
  • Should not 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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