Ticlofex (Gel)
Manufactured by: Incepta Pharmaceuticals Ltd.
Naproxen 10% Similar medicine
Ticlofex is indicated for
- التهاب المفاصل الروماتويدي، هشاشة العظام، التهاب الفقار اللاصق، المغص الكلوي، آلام خفيفة إلى متوسطة، التهاب الأوتار، الاضطرابات العضلية الهيكلية الحادة، التهاب كيسي
Precautions and warnings
يجب على الأشخاص الذين يعانون من مشاكل صحية معينة توخي الحذر، بما في ذلك أولئك الذين يعانون من مخاطر قلبية أو أمراض مثل احتباس السوائل أو قصور القلب أو ارتفاع ضغط الدم. يجب على أولئك الذين لديهم تاريخ من مشاكل المعدة أو الأمعاء (مثل النزيف أو القرحة) توخي الحذر أيضًا. أنواع أخرى من الربو قد تكون مصدر قلق. إذا كان الشخص يعاني من مشاكل في الكبد أو أي نتائج غير طبيعية لاختبارات الكبد، فيجب مراقبته عن كثب. يجب أيضًا على الأشخاص الذين يعانون من مشاكل في الكلى وكبار السن والمرضعات توخي الحذر.
Side-effects
- وذمة، خفقان، دوخة، نعاس، صداع، دوار خفيف، دوار، حكة، طفح جلدي، كدمة، فرفرية، طفح جلدي، احتباس السوائل، آلام في البطن، إمساك، غثيان، حرقة، إسهال، عسر الهضم، التهاب الفم، انتفاخ البطن، نزيف / ثقب شديد، عسر الهضم، القرحة، القيء، وظيفة الكلى غير الطبيعية، انحلال الدم، فقر الدم، زيادة وقت النزيف، ارتفاع LFTs، واضطرابات بصرية، وطنين، واضطرابات السمع، وضيق التنفس، وتعرق غزير، والعطش. تأثيرات قد تكون قاتلة: تفاعلات تأقية/تأقانية. التهاب الجلد التقشري، متلازمة ستيفنز جونسون (SJS)، انحلال البشرة السمي (TEN).
Drug Interactions
هذا الدواء يمكن أن يزيد من خطر الآثار الجانبية للميثوتريكسيت. ويمكنه أيضًا أن يجعل أدوية ضغط الدم مثل مثبطات الإنزيم المحول للأنجيوتنسين وحاصرات مستقبلات الأنجيوتنسين II أقل فعالية. ويزداد خطر الإصابة بمشاكل خطيرة في المعدة، مثل القرحة، عند تناوله مع الأسبرين. هناك أيضًا فرصة أكبر لحدوث نزيف في المعدة إذا تم استخدامه مع الوارفارين. يمكن أن يجعل حبوب الماء مثل فوروسيميد أو مدرات البول الثيازيدية أقل فعالية. قد يؤدي تناول هذا الدواء إلى رفع مستويات الليثيوم في الدم وتقليل سرعة تصفية الكلى للليثيوم. قد يكون الامتصاص أبطأ إذا تم استخدامه مع مضادات الحموضة أو الكوليستيرامين أو السكرالفات. قد يضعف أيضًا تأثير أدوية ضغط الدم التي تسمى حاصرات بيتا (مثل بروبرانولول) ويسبب ارتفاع مستويات الدم إذا تم تناولها مع البروبينسيد.
Contraindications
لا تستخدمه إذا كان لديك حساسية تجاه الأسبرين أو مضادات الالتهاب غير الستيروئيدية، أو كنت تعاني من الألم بعد جراحة تحويل مسار القلب (CABG)، أو كنت في الثلث الثالث من الحمل.
Mode of actions
نابروكسين هو نوع من مضادات الالتهاب غير الستيروئيدية (عقار مضاد للالتهابات) ينتمي إلى مجموعة حمض البروبيونيك. وهو يعمل عن طريق منع إنزيمات COX-1 وCOX-2 بشكل مؤقت، مما يقلل من إنتاج مواد تسمى البروستاجلاندين. ونتيجة لذلك، يساعد النابروكسين على تقليل الالتهاب والألم والحمى، ويمكنه أيضًا منع الصفائح الدموية من التكتل معًا.
Dosage & Administration
للبالغين: ضع جل نابروكسين 2-6 مرات يوميًا حسب الحاجة.
Pregnancy & Lactation
لا يسمح بهذا الدواء أثناء الحمل. لا تستخدميه إذا كنت حاملا. يمكن امتصاصه من خلال الجلد والرئتين مما قد يؤدي إلى تلف أعضاء طفلك الذي لم يولد بعد ويسبب إعاقات خلقية. تحديد النسل بشكل صارم وفعال أثناء العلاج ولمدة ستة أشهر بعد إيقاف هذا الدواء. إذا أصبحت حاملاً، توقفي عن تناول هذا الدواء وتحدثي مع طبيبك على الفور.
لا توجد معلومات محددة حول ما إذا كان هذا الدواء ينتقل إلى حليب الثدي أم لا. نظرا للمخاطر المحتملة على الأطفال، لا ينصح بالرضاعة الطبيعية أثناء استخدام هذا الدواء وبعد أسبوعين على الأقل من الجرعة الأخيرة. استشر طبيبك قبل الرضاعة الطبيعية.
Pack Size & Price
15gm tube Price : ৳60
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