Aceclofenac | Aceclofenac tablets coated.pl.ob. 100 mg 20 pcs.

Pharmacological action of

Aceclofenac is a non-steroidal anti-inflammatory drug derived from phenylacetic acid. Aceclofenac has an analgesic, anti-inflammatory, antipyretic effect, which are associated with the inhibition of cyclooxygenase 1 and 2, which regulate the production of prostaglandins. When taken orally, aceclofenac is well absorbed. The maximum concentration is reached after 1.25 - 3 hours. Aceclofenac enters the joint fluid, where its content reaches 57% of plasma concentrations, and the maximum concentration is time which are associated with inhibition of cyclooxygenase 1 and 2, which regulate the production of prostaglandins. When taken orally, aceclofenac is well absorbed. The maximum concentration is reached after 1.25 - 3 hours. Aceclofenac enters the joint fluid, where its content reaches 57% of plasma concentrations, and the maximum concentration is time which are associated with inhibition of cyclooxygenase 1 and 2, which regulate the production of prostaglandins. When taken orally, aceclofenac is well absorbed. The maximum concentration is reached after 1.25 - 3 hours. Aceclofenac enters the joint fluid, where its content reaches 57% of plasma concentrations, and the maximum concentration is timeThe dose is reached 2 to 4 hours longer than in plasma. The distribution volume of aceclofenac is 25 liters. Aceclofenac binds to plasma proteins (albumin) by 99%. Aceclofenac circulates mainly unchanged, its main metabolite is 4'-hydroxyaceclofenac. the half-life is 4 hours. Aceclofenac is excreted by the kidneys, more than 60% in the form of hydroxy derivatives.

Indications

The drug is prescribed: as a part of the complex treatment of inflammatory diseases of the musculoskeletal system (osteoarthritis, rheumatoid, psoriatic and juvenile arthritis, gifts, ankylosing spondylitis or spondylitis)

for the relief of pain syndrome toothache, humeroscapular periarthritis.

Aceclofenac is not able to completely cure these diseases, but it quickly reduces inflammation and pain.

Contraindications

The medicine is contraindicated: for allergies to the active substance

to patients with ulcers and erosion in the digestive tract, during exacerbation of

in Crohn’s disease and ulcerative colitis

if there is a suspicion of bleeding from the gastrointestinal tract

in severe liver diseases and liver failure

in pregnant women

in patients with impaired hematopoiesis or blood clotting

during hypercalcea , progressive kidney disease

for children under 18

during the recovery period after coronary artery bypass grafting

with the “aspirin triad”

to individuals suffering from severe heart failure.

Caution should be observed: for kidney disease, of the gastrointestinal tract and liver of moderate and mild severity

if the patient has the helicobacter bacterium in the gastrointestinal tract

for bronchial asthma

for people with low blood pressure

after extensive surgery if the circulating blood volume

is reduced in elderly patients





cerebrovascular disease

in diabetes mellitus

after prolonged treatment of NSAIDs

for alcoholics and smokers

in severe somatic diseases

in patients with hemostatic defects

with stemnoy lupus erythematosus

combined with anticoagulants, serotonin reuptake inhibitors, antiplatelet.

Ointment or cream should not be applied to damaged skin.

Use during pregnancy and lactation

An absolute contraindication to the use of the product is the 3rd trimester of pregnancy.

Special care must be taken in the 1st and 2nd trimesters and during breastfeeding. The medicine can be prescribed by a doctor in case of urgent need.

Special instructions

It is recommended to use minimally effective and active dosages as a precaution during treatment with the drug. Periodic monitoring of the liver and kidneys, a picture of peripheral blood, feces (lack of blood), and the work of the cardiovascular system are also shown.

During treatment, you must not drive or perform potentially hazardous activities.

The risk of allergies or skin reactions is higher in the first months of taking the medicine. If there are injuries of the oral mucosa, skin rashes, other signs of allergy, then therapy should be interrupted.

The process of inhibition of platelets during treatment with the drug is reversible, the composition of the blood normalizes some time after drug withdrawal.

Composition

Active ingredients:

Aceclofenac - 100 mg

Excipients:

Core composition:

Calcium stearate - 3 mg

talc - 9 mg

Silicon colloidal dioxide (aerosil) - 1.5 mg

Microcrystalline cellulose - 85 mg

Croscarmellose sodium (primrose) - 10.5 mg

Lactose monohydrate (91 mg) (

Core mass - 300 mg

Shell composition:

Hypromellose (hydroxypropyl methylcellulose) - 6.4 mg

Macrogol - 4000 (polyethylene oxide-4000) - 2.5 mg

Titanium dioxide (titanium dioxide) - 1.1 mg

Tablet weight - 310 mg

Dosage and Administration

Tablets are prescribed by mouth. Depending on the disease and age of the patient, 100 to 200 mg of the drug per day is prescribed. 100 mg at a time, whole, without separation and without chewing, with a large amount of liquid.

Outwardly. The substance in the composition of the ointment or cream with a thin layer is carefully applied to the area of ​​inflammation 3 times a day. After using the drug, it is recommended to wash your hands thoroughly with soap, to prevent contact with eyes.

Side effects of

During Aceclofenac treatment, dizziness, nausea, abnormalities in the gastrointestinal tract, abdominal pain, indigestion, diarrhea

increase in liver enzyme activity, allergic reactions in the form of skin rashes and itching are often observed.

Less commonly developed: anemia, anaphylactic reactions, decreased visual acuity

increased blood pressure, heart failure, dyspnea

increased concentration of creatinine and urea in the blood

constipation, oral ulcers, increased gas formation, gastritis, gastric vomiting, hematitis, vomiting,

ulcer

dermatitis, itching, Quincke's edema, urticaria.

Very rarely occur: muscle cramps, weakness and a feeling of fatigue, weight gain, hyperkalemia, eczema

renal failure, nephrotic syndrome, purpura

nephritis, Stevens-Johnson syndrome, chicken pox soft tissue infections, toxic epidermal necrolysis of

granulocytopenia, impaired hematopoiesis, thrombocytopenia, hemolytic anemia

depression, vivid dreams and nightmares, nightmares, nightmares , vasculitis

tremor, taste perversion, drowsiness, paresthesia, tinnitus

perforation of the intestines, pancreatitis, ulcerative colitis, vomiting with blood

hyperemia of the skin, hot flashes, tachycardia

bronchospasm, stomatitis, hepatitis.

Drug Interactions

Anticoagulants when combined with tablets increase the risk of bleeding. During treatment, it is recommended to periodically monitor blood coagulation.

Aceclofenac tablets increase the plasma concentration of digoxin, phenytoin, lithium-based drugs.

The substance when combined with antihypertensive drugs and diuretics reduces the effectiveness of the latter.

The combination of the drug with potassium-sparing diuretics increases the likelihood of hyperkalemia.

With caution, the drug should be combined with NSAIDs and glucocorticosteroids, the drug increases the toxicity of methotrexate and cyclosporine.

Aspirin reduces the plasma concentration of aceclofenac.

The combination of drugs with hypoglycemic drugs requires constant monitoring of blood glucose levels.

Overdose

There have been no reported cases of drug overdose in humans.

Overdose symptoms are: headaches, cramps, vomiting, abdominal pain, nausea, dizziness. Enterosorbents are used as therapy, they wash the stomach and produce symptomatic treatment. The drug does not have a specific antidote, hemodialysis and forced diuresis are ineffective.

Storage conditions

Tablets are stored in a cool, dark place, away from children.

Expiration

3 years.

Deystvuyuschee substances

Aceclofenac

Conditions of supply of pharmacies

prescription

Form of Treatment

tablets

Appointment

Adult prescription, For athletes

Possible Product Names

Aceclofenac Tablets. 100 mg 20 pcs.