Indomethacin capsule

Indomethacin capsule

Packaging

100 Pieces

Type of drug

Oral

Dosage

25mg

Indomethacin belongs to a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Indomethacin is used to relieve pain such as arthritis (joint inflammation), muscle or bone sprains, back pain, gout, and menstrual cramps….

Indomethacin

25 mg capsule and 75 mg extended-release coated tablet

This medicine has been prescribed for your current condition. Therefore, do not use it in similar cases or recommend its use to others.

General instructions:

Before taking this medicine, consult your doctor in the following cases:

In case of allergy to this medicine or other medicines or any other substance such as food additives, preservatives, dyes, etc.

Patients with heart disease, high blood pressure, active acute ulcer or chronic inflammation of the upper or lower gastrointestinal tract

In case of history of liver disease, kidney disease, asthma, epilepsy, mental disorders

Use during pregnancy and lactation:

Indomethacin should not be used during pregnancy and lactation except under the advice of a specialist.

Warnings:

While taking the medicine, avoid driving vehicles and using dangerous machinery.
Indomethacin should not be prescribed to patients who have previously shown hypersensitivity reactions to NSAIDs (e.g., asthma, bronchospasm, rhinitis, angioedema, or urticaria).
Indomethacin is contraindicated for the treatment of pain after coronary artery bypass graft surgery.
The safety and efficacy of indomethacin in children and adolescents under 14 years of age have not been established.
Periodic ophthalmological examinations are recommended in patients receiving indomethacin long-term because of corneal deposits and retinal disorders.
Patients should inform their physician prior to surgery and dental procedures because of the increased risk of bleeding.
Indomethacin, like all NSAIDs, may exacerbate hypertension and congestive heart failure and may increase the risk of cardiac thromboembolism, myocardial infarction, and stroke.
The elderly are at increased risk of serious adverse effects. If NSAIDs are considered essential, they should be used at the lowest effective dose for the shortest duration possible. During treatment with NSAIDs, the patient should be regularly monitored for gastrointestinal bleeding.
Concomitant use of indomethacin with drugs such as oral corticosteroids, anticoagulants such as warfarin, selective serotonin reuptake inhibitors, or antiplatelet agents such as aspirin can increase the risk of ulceration or bleeding.
Indomethacin increases the risk of aseptic meningitis in patients with systemic lupus erythematosus and mixed connective tissue disorders.
The use of indomethacin is contraindicated in the third trimester of pregnancy.
Indomethacin interacts with ACE inhibitors, angiotensin II antagonists, beta-blockers, cyclosporine, digoxin, diuretics, lithium, probenecid, NSAIDs, and methotrexate, and concomitant use can cause changes in their plasma levels.

Dosage:

The dosage of the drug is determined by the attending physician for each patient. But the usual dosage of the drug is as follows:

Moderate to severe pain and inflammation, rheumatic pain and other musculoskeletal disorders:

Capsules: Adults 50 to 200 mg per day in divided doses

Extended-release tablets: Adults 75 mg 1 to 2 times a day

Acute gout:

Capsules: Adults 150 to 200 mg per day in divided doses

Extended-release tablets: Adults 75 mg 1 to 2 times a day

How to use the drug:

To reduce the risk of digestive disorders, indomethacin should always be taken with food or antacids, and in chronic conditions, start treatment with a low dose and increase if necessary.

Avoid alcohol while taking indomethacin. Alcohol and smoking irritate the stomach and aggravate complications.

If you take more than the prescribed dose, see a doctor. Severe headache, dizziness, nausea, vomiting, mental confusion, numbness or weakness, and epigastric pain can be signs of drug poisoning.

Side effects:

Every drug, along with its desired therapeutic effects, may also have some unwanted side effects. If any of the following side effects occur, stop taking the drug immediately and inform your doctor.

Sudden allergic reactions such as swelling of the face, tongue, shortness of breath, angioedema, anaphylactic reactions and symptoms such as severe pain or burning in the stomach or abdomen, bloody or tarry stools, blood in the mouth, unusual bleeding or bruising and vomiting blood

General side effects:

Agranulocytosis, alopecia, anxiety, decreased appetite, arrhythmia, asthma, blood disorder, bone marrow disorders, chest pain, confusion, congestive heart failure, constipation, depression, diarrhea and vomiting, dizziness, drowsiness, movement disorder, eye pain, fatigue, hot flashes, gastrointestinal disorders, gynecomastia, hemolytic anemia, bleeding, hallucinations, inflammatory bowel disease, headache, hearing impairment, liver disorders, hypotension, insomnia, leukopenia, hyperhidrosis, muscular weakness, nausea, edema, peripheral neuropathy, speech disorder, palpitations, photosensitivity, pancreatitis, respiratory disorders, hyperglycemia, hyperkalemia, Severe skin reactions, thrombocytopenia, tinnitus, urinary abnormalities, dizziness, visual impairment, renal failure

Specific side effects:

Dysfunction, restlessness, pulmonary edema, perforation of sigmoid lesion

Storage conditions:

Store the product at a temperature below 30 degrees Celsius, away from light and moisture.

Keep the medicine out of the reach of children.

Avoid using expired medicine.

After use, do not throw any medicine in the sewer or non-recyclable waste to protect the environment.

Dosage forms and packaging:

This medicine is produced and supplied in the form of capsules containing 25 mg of indomethacin in boxes of 100 and as sustained-release coated tablets containing 75 mg of indomethacin in boxes of 30 by Afachemi Pharmaceutical Company.

Indomethacin belongs to a group of drugs called nonsteroidal anti-inflammatory drugs, medically known as NSAIDs. Indomethacin is used to relieve pain such as arthritis (joint inflammation), muscle sprains or bruises, back pain, gout, and menstrual cramps.

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) with a wide range of uses. It inhibits the synthesis of prostaglandins produced by cyclooxygenase enzymes, which are important mediators of inflammation, fever, and pain.

Indomethacin is well and rapidly absorbed after oral administration. Taking the drug with food increases the absorption time of the drug. It enters body fluids, including CSF. The drug is extensively metabolized in the liver and is excreted mainly in the bile. The half-life of the drug is on average 4.5 hours. The drug is highly bound to plasma proteins.

General Interaction Profile:
– P-gp inhibitor (weak)
– Nephropathy caused by analgesics
– Exacerbation of antiplatelet effects
– Decreased perfusion or renal function
– Increased risk of bleeding or damage to the gastrointestinal mucosa
– Exacerbation of hyperkalemia
– Exacerbation of hypertensive effects
– Exacerbation of hyponatremia
– Decreased seizure threshold
– Exacerbation of uricosuric effects

Class X interactions (avoidance):
Acemethacin, aminolevulinic acid (systemic), dexibuprofen, dexketoprofen, fluctafenine, ketorolac (systemic and nasal), macimorelin, mifamurtide, morniflumate, nonsteroidal anti-inflammatory drugs (COX2 specific), omastaxine, plobiprofen, phenylbutazone, talniflumate, tenoxicam, urokinase, zaltoprofen

Reduction of drug effects by indomethacin:
Aliskiren, receptor blockers Angiotensin II, angiotensin-converting enzyme inhibitors, beta-blockers, eplerenone, glucagon, hydralazine, loop diuretics, macimorelin, mifamurtide, potassium-sparing diuretics, prostaglandins (ophthalmic), salicylates, selective serotonin reuptake inhibitors, sincalide, thiazide and thiazide-like diuretics

Reduction in the effects of indomethacin by drugs:
Bile complexing agents, bromelanotide, salicylates

Increased effects of drugs by indomethacin:
5-aminosalicylic acid derivatives, antiplatelet agents, aliskiren, aminoglycosides, aminolevulinic acid (topical and systemic), anticoagulants, apixaban, bemiparin, bisphosphonate derivatives, cephalothin, collagenase (systemic), cyclosporine (systemic), Dabigatran etexilate, deferasirox, deoxycholic acid, desmopressin, dexibuprofen, digoxin, drospirenone, edoxaban, enoxaparin, eplerenone, haloperidol, heparin, ibritumumab thioxan, lithium, metformin, methotrexate, nonsteroidal anti-inflammatory drugs (COX2-specific), obinutuzumab, omastaxine, porfimer, potassium-sparing diuretics, pralatrexate, quinolones, rivaroxaban, salicylates, tacrolimus (systemic), tenofovir derivatives, thrombolytic drugs, tilodronate, tolperisone, triamterene, urokinase, vancomycin, verteporfin, vitamin K antagonists

Increased effects of indomethacin by drugs:
Acalabrutinib, acemethacin, alcohol (ethyl), blockers Angiotensin II receptor blockers, angiotensin-converting enzyme inhibitors, corticosteroids (systemic), cyclosporine (systemic), dasatinib, dexketoprofen, diclofenac (systemic), fat emulsion (fish oil-based), flebinac, fluctafenine, glucosamine, herbs (with antiplatelet and anticoagulant properties), ibrutinib, inotresin, ketorolac (systemic and nasal), limaprost, loop diuretics, morniflumate, multivitamins/fluoride (containing vitamins A, D, E), multivitamin/mineral (containing vitamins A, D, E, K and folate and iron), multivitamin/mineral (containing vitamins A and E, without iron), naphazone, omega-3 fatty acids, plobiprofen, pentosan polysulfate sodium, pentoxifylline, phenylbutazone, probenecid, Prostacyclin analogs, selective serotonin reuptake inhibitors, norepinephrine/serotonin reuptake inhibitors, sodium phosphate, talniflumate, tenoxicam, thiazide and thiazide-like diuretics, tipranavir, tolperisone, tricyclic antidepressants (tertiary amines), vitamin E (systemic), zaltoprofen, zanobrutinib

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