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| Drug class description : | Indoles (prostaglandin synthetase inhibitors, non-steroidal anti- inflammatory drugs, NSAIDs). |
| Generic Name : | Indometacin (indomethacin) |
| Drug description : | Indocid Capsules: 25 mg ivory capsule marked MSD 25; 50 mg ivory capsule marked MSD 50. Indocid-R capsules: ivory opaque, transparent sustained-release capsule marked MSD 693. Indocid Suppositories: polyethylene glycol suppositories. |
| Presentation : | Indocid Capsules: Indometacin 25mg , 50mg . Indocid-R Capsules: Indometacin 75mg . Indocid Suppositories: Indometacin 100mg . |
| Indications : | Indocid Capsules and Indocid Suppositories: Rheumatoid arthritis, osteoarthritis, degenerative joint disease of the hip, ankylosing spondylitis, acute gouty arthritis, lumbago, acute peri-articular disorders, orthopaedic procedures. Dysmenorrhoea. Indocid-R: As above except acute gouty arthritis. |
| Adult Dosage : | Indocid Capsules: 50-200 mg daily in divided doses with food or an antacid. Indocid Suppositories: One at night plus one in the morning if necessary. Indocid-R: One once or twice daily. |
| Contra Indications : | Active peptic ulcer, history of gastro-intestinal lesions. Aspirin/anti-inflammatory induced allergy. Recent proctitis or rectal bleeding (suppositories). Nasal polyps with angioneurotic oedema. Pregnancy, lactation. |
| Special Precautions : | Renal or hepatic impairment; monitor on long term therapy. CNS disorders. Asthma. Predisposition to fluid retention. In chronic RA, examine eyes regularly, discontinue if changes seen. Can mask signs of infection. Coagulation defects; monitor. Diabetes. Elderly. Extracellular volume depletion, sepsis. Monitor blood and GI tract. |
| Interactions : | Salicylates, other NSAIDs, anticoagulants, lithium, corticosteroids, diuretics, antihypertensives, probenecid, aminoglycosides, methotrexate, quinolones, cyclosporin, digoxin, phenylpropanolamine, nephrotoxic drugs, mifepristone. |
| Adverse Reactions : | GI bleeding or persistent headaches (discontinue if occur). Corneal deposits, retinal disturbances (perform periodic eye tests on long-term therapy). GI intolerance, dizziness, CNS effects, blood dyscrasias, dermatological effects, cardiovascular effects, Stevens- Johnson syndrome. |
| Manufacturer : | MSD |
| Drug Availability : | (POM) |
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