A Fenac PLUS IM (Injection)
Manufactured by: Acme Laboratories Ltd.
Diclofenac + Lidocaine Hydrochloride Similar medicine
A Fenac PLUS IM is indicated for
- Artritis reumatoide
- Osteoartritis
- Espondilitis anquilosante
- Dolor
- Gota aguda
- Inflamación
- Tendinitis
- Queratosis actínica
- Bursitis
Precautions and warnings
Las personas con antecedentes de úlceras estomacales, vómitos con sangre, heces negras, colitis ulcerosa, asma o asma pasada, enfermedad de Crohn, problemas hemorrágicos o trastornos sanguíneos deben tener cuidado. Se debe vigilar de cerca a quienes tienen problemas graves de hígado, corazón o riñón, son ancianos o tienen presión arterial alta actual o pasada. Cualquier persona que tome AINE (como diclofenaco sódico) durante un período prolongado debe realizarse controles periódicos, incluidas pruebas de función renal, hepática y sanguínea. Si las pruebas hepáticas siguen siendo anormales, empeoran o aparecen síntomas de enfermedad hepática, se debe suspender el diclofenaco sódico.
Side-effects
- Los efectos secundarios del diclofenaco suelen ser leves y transitorios. En general es bien tolerado. Sin embargo
- al inicio del tratamiento
- los pacientes a veces pueden quejarse de malestar gastrointestinal
- dolor epigastrio
- eructos
- náuseas y diarrea
- dolor de cabeza y
- en ocasiones
- sangrado. Ocasionalmente se han informado erupción cutánea
- edema periférico y anomalías de las transaminasas séricas. Los efectos secundarios muy raramente informados incluyen activación de úlcera péptica
- hematemesis o melena
- discrasia sanguínea (uso extensivo). Ha habido informes aislados de reacciones anafilactoides. Los efectos adversos debidos a la lidocaína afectan principalmente al SNC
- suelen ser de corta duración y están relacionados con la dosis. La reacción del SNC puede manifestarse por somnolencia
- mareos
- desorientación
- confusión
- aturdimiento
- etc. En el caso de las gotas para los ojos
- puede producirse sensación de ardor ocular o reacción alérgica en un 5-10% de los pacientes.
Drug Interactions
El diclofenaco puede elevar los niveles sanguíneos de metotrexato. Tomarlo junto con otros AINE o anticoagulantes (como warfarina) aumenta el riesgo de hemorragia estomacal e intestinal. El riesgo de problemas renales es mayor si se usa con ciclosporina o triamtereno. En pacientes con inflamación corneal grave, el uso de gotas para los ojos de diclofenaco con gotas para los ojos con esteroides puede aumentar la posibilidad de daño a la córnea. La colestiramina y el colestipol reducen la cantidad de diclofenaco que absorbe el cuerpo. Tomar diclofenaco después de sucralfato disminuye su nivel en la sangre. Las gotas para los ojos de diclofenaco pueden hacer que las gotas para los ojos de acetilcolina y carbacol sean menos efectivas. El diclofenaco también podría aumentar los niveles sanguíneos de litio y digoxina.
Los niveles sanguíneos de diclofenaco pueden aumentar si se toma con cimetidina o propranolol. Existe una mayor probabilidad de sufrir problemas cardíacos si se toman con betabloqueantes u otros medicamentos para los latidos cardíacos irregulares. El diclofenaco administrado con fenitoína intravenosa puede aumentar los efectos cardíacos no deseados. Los niveles bajos de potasio debidos a medicamentos como la acetazolamida, los diuréticos de asa o las tiazidas pueden reducir la eficacia de la lidocaína. Si usa fenitoína u otros medicamentos inductores de enzimas durante un período prolongado, es posible que necesite dosis más altas.
Contraindications
Este medicamento no debe usarse en pacientes que tengan una úlcera péptica activa o sospechada, hemorragia gastrointestinal o antecedentes de asma, urticaria o alergias nasales graves provocadas por la aspirina u otros AINE.
No se debe administrar lidocaína a pacientes que se sabe que son alérgicos a los anestésicos locales de tipo amida.
Mode of actions
El diclofenaco es un AINE (medicamento antiinflamatorio no esteroideo) común que pertenece al grupo del ácido fenilacético. Ayuda a reducir la inflamación, el dolor y la fiebre. Actúa bloqueando la enzima ciclooxigenasa, que reduce la producción de sustancias (prostaglandinas) que causan inflamación.
La lidocaína es un anestésico local del tipo amida. Funciona estabilizando las membranas de las células nerviosas y bloqueando los iones de sodio, que son necesarios para que viajen las señales nerviosas. En el corazón, la lidocaína disminuye la actividad eléctrica anormal y las señales automáticas en los ventrículos y el sistema de conducción (sistema His-Purkinje) y acorta el tiempo durante el cual se activan las células del corazón.
Dosage & Administration
Adultos: La dosis es generalmente de una ampolla de 75 mg al día. En casos graves (por ejemplo, cólicos), excepcionalmente se puede aumentar la dosis diaria a dos ampollas de 75 mg, separadas por un intervalo de algunas horas.
Niños: En artritis crónica juvenil, 1-3 mg de diclofenaco sódico/kg de peso corporal al día en dosis divididas.
Pacientes de edad avanzada: Se recomienda la dosis efectiva más baja, acorde a la edad y estado físico o según prescripción médica.
Pregnancy & Lactation
Este medicamento no está permitido durante el embarazo. No lo utilice si está embarazada. Puede absorberse a través de la piel y los pulmones y puede dañar los órganos del feto y causar discapacidades congénitas. Control de la natalidad estricto y eficaz durante el tratamiento y durante seis meses después de suspender este medicamento. Si queda embarazada, deje de tomar este medicamento y hable con su médico de inmediato.
No existe información específica sobre si este medicamento pasa a la leche materna o no. Teniendo en cuenta los posibles riesgos para los niños, no se recomienda amamantar mientras se utiliza este medicamento y al menos dos semanas después de la última dosis. Consulte a su médico antes de amamantar.
Pack Size & Price
10's pack Price : ৳140.6
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