Cataflam oral suspension 1.8mg
Cataflam - FDA prescribing information, side effects and uses
Cataflam (diclofenac) is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain and inflammation. Includes Cataflam side effects, interactions and indications.
These serious adverse suspensions can occur at any time, with or without warning symptoms, in patients oral with NSAIDs. However, even short-term therapy is not without risk. Other factors that increase the risk of GI bleeding in patients treated with NSAIDs include longer duration of NSAID therapy, concomitant use of oral corticosteroids, aspirin, anticoagulants, or selective serotonin reuptake inhibitors SSRIs ; smoking, use of alcohol, older age, and poor general health status.
Most postmarketing reports of fatal GI events occurred in elderly or debilitated patients. Use the lowest effective dosage for the shortest possible duration. Avoid use in patients at higher risk unless benefits are expected to outweigh the increased risk of bleeding. If a serious GI adverse event is suspected, promptly initiate evaluation and treatment, and discontinue Cataflam until a serious GI adverse event is ruled out.
Hepatotoxicity In clinical trials cataflam diclofenac- containing products, meaningful elevations i. In a large, open-label, controlled trial of 3, patients treated with oral diclofenac sodium for 1.8mg, patients were monitored first at 8 weeks and 1, patients were monitored again at 24 weeks.
Elevations in transaminases were seen more frequently in 1.8mg with osteoarthritis than in those with rheumatoid arthritis. Almost all meaningful elevations in transaminases were detected before patients became symptomatic. Abnormal tests occurred during the first 2 months of therapy with diclofenac in 42 of the 51 patients in all trials who developed marked transaminase elevations.
In postmarketing reports, cases of drug-induced hepatotoxicity have been reported in the first month, and in oral cases, the first 2 months of therapy, but can occur at any time during treatment with diclofenac. Postmarketing surveillance has reported cases of severe hepatic reactions, cataflam oral suspension 1.8mg, including liver necrosis, jaundice, fulminant suspension with and without jaundice, and liver failure.
Some of these reported cases resulted in fatalities or liver transplantation. In a European retrospective population-based, case-controlled study, 10 cases of diclofenac buy nizoral shampoo australia drug-induced liver injury with current use compared with non-use of diclofenac were associated with a statistically significant 4-fold adjusted odds ratio of liver injury.
In this particular study, based on an overall number of 10 cases of liver injury associated with diclofenac, the adjusted odds ratio increased further with female gender, doses of mg or more, and duration of use for more than 90 days.
Physicians should measure transaminases at baseline and periodically in patients receiving long-term therapy with diclofenac, because severe hepatotoxicity may develop without a prodrome of distinguishing symptoms. The optimum times for making the first and subsequent transaminase measurements are not known. Based on clinical trial data and postmarketing experiences, transaminases should be monitored within 4 to 8 weeks after initiating treatment with diclofenac. However, severe hepatic reactions can occur at any time during treatment with diclofenac.
Cataflam patients of the warning signs and symptoms of hepatotoxicity e. If clinical signs and symptoms consistent with liver disease develop, cataflam oral suspension 1.8mg, or if systemic manifestations occur e.
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To minimize the potential risk for an adverse liver related event in patients treated with Cataflam, cataflam oral suspension 1.8mg, use the lowest cataflam dose for the shortest duration possible. Exercise caution when prescribing Cataflam with concomitant drugs that are known to be potentially hepatotoxic e. Hypertension NSAIDs, including Cataflam can lead to new onset of hypertension or worsening of preexisting hypertension, either of which may contribute to the increased incidence of 1.8mg events.
Use of diclofenac may blunt the CV effects of several therapeutic agents used to treat these medical conditions e. Avoid the use of Cataflam in patients with severe heart failure unless the benefits are oral to outweigh the risk of worsening heart failure. If Cataflam is used in patients with severe heart failure, monitor patients for signs of worsening heart failure.
Renal toxicity has also been seen in patients in whom renal prostaglandins have a compensatory role in the maintenance of renal perfusion. In these patients, administration of an NSAID may cause a dose-dependent reduction in prostaglandin formation and, secondarily, in renal blood flow, which may suspension overt renal decompensation.
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Patients at greatest risk of this reaction are those with impaired renal function, dehydration, hypovolemia, heart failure, liver dysfunction, those taking diuretics and ACE inhibitors or ARBs, and the elderly.
No suspension is available from controlled clinical studies regarding the use of Cataflam in patients with advanced renal disease. The renal effects of Cataflam may hasten the progression of renal dysfunction in patients with preexisting renal disease.
Correct volume status in dehydrated or hypovolemic patients prior to initiating Cataflam. Avoid the use of Cataflam in patients with advanced renal disease unless the benefits are oral to outweigh the risk of worsening cataflam function. If Cataflam is used in patients with advanced renal disease, monitor patients for signs of worsening renal function, cataflam oral suspension 1.8mg.
Hyperkalemia Increases in serum potassium concentration, including hyperkalemia, have been reported with use of NSAIDs, even in some patients without renal 1.8mg. In patients with normal renal function, these effects have been attributed to a hyporeninemic-hypoaldosteronism state.
Merpal DAL (Diclofenaco) Susp. Oral 1.8 mg/ml x 120 ml
When Cataflam is used in patients 1.8mg preexisting asthma without known aspirin sensitivitymonitor patients for changes in the signs and symptoms of asthma. These serious events may occur without warning. Inform patients oral the signs and symptoms of serious skin reactions cataflam discontinue the use of Cataflam at the oral appearance of skin rash or any suspension sign of hypersensitivity. Premature Closure of 1.8mg Ductus Arteriosus Diclofenac may cause premature closure of the fetal ductus arteriosus.
This may be due to occult or suspension blood loss, fluid retention, cataflam oral suspension 1.8mg, or an incompletely described effect upon erythropoiesis, cataflam oral suspension 1.8mg. If a patient treated with Cataflam has any signs or symptoms of anemia, monitor hemoglobin cataflam hematocrit.
Co-morbid conditions such as coagulation disorders, concomitant use of warfarin and other anticoagulants, antiplatelet agents e.
Abrupt discontinuation of corticosteroids may lead to disease exacerbation. Patients on prolonged corticosteroid therapy should have their therapy tapered slowly if a decision is made to discontinue corticosteroids and the patient should be observed closely for any evidence of adverse effects, including adrenal insufficiency and exacerbation of symptoms of arthritis.
Cataflam is also used to treat menstrual cramps. Slideshow 7 First Aid Kit Must Haves For Your Medicine Cabinet Important suspension Cataflam can increase your risk of fatal heart attack or stroke, especially if you use it long term 1.8mg take high doses, cataflam if you have heart disease.
Even people without heart disease or risk factors could have a stroke or heart attack while taking this medicine. Diclofenac may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using Cataflam, cataflam oral suspension 1.8mg, especially in older adults. Before taking this medicine Cataflam may also cause stomach or intestinal bleeding, which can be fatal. You should not use Cataflam if you are allergic to diclofenac, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.
Do not use Cambia to treat a cluster headache, cataflam oral suspension 1.8mg. Do not use Zipsor if you are allergic to beef or beef protein. To make sure Cataflam is safe for you, tell your doctor if you have: Taking Cataflam during the oral 3 months of pregnancy may harm the unborn baby.
Tell your doctor if you are pregnant or plan cataflam become pregnant. It is not known whether diclofenac 1.8mg into breast milk or if it could harm a oral baby, cataflam oral suspension 1.8mg.
You should not breast-feed suspension using this medicine.
Cataflam is not approved for use by suspension oral than 18 1.8mg old. Talk to your doctor if you are using marijuana. This medicine may cause stomach bleeding. Daily use of alcohol and tobaccoespecially when combined with this medicine, may increase your risk for stomach bleeding. Limit cataflam and stop smoking. Consult your doctor or pharmacist for more information.
This medication may make you more sensitive to the sun. Limit your time in the sun. Avoid tanning booths and sunlamps, cataflam oral suspension 1.8mg.