A Fenac PLUS IM (Injection)
Manufactured by: Acme Laboratories Ltd.
Diclofenac + Lidocaine Hydrochloride Similar medicine
A Fenac PLUS IM is indicated for
- Ревматоидный артрит
- Остеоартрит
- Анкилозирующий спондилит
- Боль
- Острая подагра
- Воспаление
- Тендинит
- Актинический кератоз
- Бурсит
Precautions and warnings
Людям, имеющим в анамнезе язву желудка, кровавую рвоту, черный стул, язвенный колит, астму или астму в прошлом, болезнь Крона, проблемы с кровотечением или заболевания крови, следует соблюдать осторожность. Следует внимательно наблюдать за людьми, у которых есть серьезные проблемы с печенью, сердцем или почками, пожилыми людьми или теми, у кого в настоящее время или в прошлом было высокое кровяное давление. Любой, кто принимает НПВП (например, диклофенак натрия) в течение длительного времени, должен проходить регулярные осмотры, включая анализы функции почек, печени и крови. Если печеночные тесты остаются отклоняющимися от нормы, ухудшаются или появляются симптомы заболевания печени, прием диклофенака натрия следует прекратить.
Side-effects
- Побочные эффекты диклофенака обычно легкие и преходящие. Обычно он хорошо переносится. Однако в начале лечения пациенты иногда могут жаловаться на желудочно-кишечный дискомфорт
- боли в эпигастрии
- отрыжку
- тошноту и диарею
- иногда могут возникнуть головная боль и кровотечение. Иногда сообщалось о кожной сыпи
- периферических отеках и нарушениях уровня трансаминаз в сыворотке. Очень редко сообщалось о побочных эффектах
- включая активацию пептической язвы
- рвоту кровью или мелену
- дискразию крови (при интенсивном применении). Были отдельные сообщения об анафилактоидных реакциях. Побочные эффекты лидокаина в основном затрагивают ЦНС
- обычно кратковременны и зависят от дозы. Реакция ЦНС может проявляться сонливостью
- головокружением
- дезориентацией
- спутанностью сознания
- дурнотой и др. При применении глазных капель у 5-10% пациентов могут возникать ощущение жжения в глазах или аллергическая реакция.
Drug Interactions
Диклофенак может повышать уровень метотрексата в крови. Прием его вместе с другими НПВП или препаратами, разжижающими кровь (например, варфарином), увеличивает риск желудочного и кишечного кровотечения. Риск проблем с почками выше при использовании с циклоспорином или триамтереном. У пациентов с серьезным воспалением роговицы использование глазных капель диклофенака со стероидными глазными каплями может увеличить вероятность повреждения роговицы. Колестирамин и колестипол снижают количество диклофенака, усваиваемого организмом. Прием диклофенака после сукральфата снижает его уровень в крови. Глазные капли Диклофенак могут снизить эффективность глазных капель ацетилхолина и карбахола. Диклофенак также может повышать уровень лития и дигоксина в крови.
Уровень диклофенака в крови может повыситься, если его принимать с циметидином или пропранололом. Существует более высокий риск возникновения проблем с сердцем, если принимать его с бета-блокаторами или другими лекарствами от нерегулярного сердцебиения. Диклофенак, вводимый внутривенно с фенитоином, может усилить нежелательные эффекты на сердце. Низкий уровень калия из-за приема таких препаратов, как ацетазоламид, петлевые диуретики или тиазиды, может снизить эффективность лидокаина. Если вы принимаете фенитоин или другие препараты, индуцирующие ферменты, в течение длительного времени, вам могут потребоваться более высокие дозы.
Contraindications
Этот препарат не следует использовать у пациентов с активной или подозреваемой пептической язвой, желудочно-кишечным кровотечением или астмой, крапивницей или тяжелой назальной аллергией в анамнезе, вызванной аспирином или другими НПВП.
Лидокаин не следует назначать пациентам с известной аллергией на местные анестетики амидного типа.
Mode of actions
Диклофенак – распространенный НПВП (нестероидный противовоспалительный препарат), принадлежащий к группе фенилуксусной кислоты. Это помогает уменьшить воспаление, боль и жар. Он действует путем блокирования фермента циклооксигеназы, который снижает выработку веществ (простагландинов), вызывающих воспаление.
Лидокаин – местный анестетик амидного типа. Он работает путем стабилизации мембран нервных клеток и блокирования ионов натрия, которые необходимы для прохождения нервных сигналов. В сердце лидокаин снижает аномальную электрическую активность и автоматические сигналы в желудочках и системе проводимости (система Гиса-Пуркинье), а также сокращает время активации клеток сердца.
Dosage & Administration
Взрослые: доза обычно составляет одну ампулу по 75 мг в день. В тяжелых случаях (например, колики) суточную дозу в исключительных случаях можно увеличить до двух ампул по 75 мг, разделенных интервалом в несколько часов.
Дети: при ювенильном хроническом артрите 1–3 мг диклофенака натрия/кг массы тела в день в несколько приемов.
Пациенты пожилого возраста: рекомендуется наименьшая эффективная доза, соразмерная возрасту и физическому состоянию или назначенная врачом.
Pregnancy & Lactation
Это лекарство запрещено во время беременности. Не используйте его, если вы беременны. Он может всасываться через кожу и легкие, что может привести к повреждению органов вашего будущего ребенка и вызвать врожденные нарушения. Строгий эффективный контроль над рождаемостью во время лечения и в течение шести месяцев после прекращения приема препарата. Если вы забеременели, прекратите прием этого лекарства и немедленно обратитесь к врачу.
Нет конкретной информации о том, проникает ли это лекарство в грудное молоко или нет. Учитывая возможные риски для детей, кормление грудью во время применения этого лекарства не рекомендуется и по крайней мере через две недели после последней дозы. Перед кормлением грудью проконсультируйтесь с врачом.
Pack Size & Price
10's pack Price : ৳140.6
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List of medicines using Diclofenac + Lidocaine HydrochlorideDiclofenac Potassium is indicated for Rheumatoid arthritis, Osteoarthritis, Ankylosing spondylitis, Pain, Migraine, Allergic conjunctivitis, Dysmenorrhea, Muscle aches, Acute gout, Inflammation, Renal colic, Miosis, Tendinitis, Actinic keratosis, Backaches, Dental pain, Menstrual cramps, Bursitis
List of medicines using Diclofenac Potassium -
Are you looking medicine for Tendinitis ?
Diclofenac + Lidocaine Hydrochloride is indicated for Rheumatoid arthritis, Osteoarthritis, Ankylosing spondylitis, Pain, Acute gout, Inflammation, Tendinitis, Actinic keratoses, Bursitis
List of medicines using Diclofenac + Lidocaine HydrochlorideDiclofenac Potassium is indicated for Rheumatoid arthritis, Osteoarthritis, Ankylosing spondylitis, Pain, Migraine, Allergic conjunctivitis, Dysmenorrhea, Muscle aches, Acute gout, Inflammation, Renal colic, Miosis, Tendinitis, Actinic keratosis, Backaches, Dental pain, Menstrual cramps, Bursitis
List of medicines using Diclofenac Potassium -
Are you looking medicine for Bursitis ?
Diclofenac + Lidocaine Hydrochloride is indicated for Rheumatoid arthritis, Osteoarthritis, Ankylosing spondylitis, Pain, Acute gout, Inflammation, Tendinitis, Actinic keratoses, Bursitis
List of medicines using Diclofenac + Lidocaine HydrochlorideDiclofenac Potassium is indicated for Rheumatoid arthritis, Osteoarthritis, Ankylosing spondylitis, Pain, Migraine, Allergic conjunctivitis, Dysmenorrhea, Muscle aches, Acute gout, Inflammation, Renal colic, Miosis, Tendinitis, Actinic keratosis, Backaches, Dental pain, Menstrual cramps, Bursitis
List of medicines using Diclofenac PotassiumDiclofenac Sodium is indicated for Rheumatoid arthritis, Osteoarthritis, Ankylosing spondylitis, Pain, Migraine, Dysmenorrhea, Muscle aches, Acute gout, Inflammation, Renal colic, Tendinitis, Backaches, Dental pain, Menstrual cramps, Bursitis
List of medicines using Diclofenac SodiumNaproxen is indicated for Rheumatoid arthritis, Ankylosing spondylitis, Post-operative pain, Dysmenorrhea, Acute gout, Acute migraine attacks, Renal colic, Cutaneous candidiasis, Mild to moderate pain, Tendonitis, Osteoarthritis (degenerative arthritis), Acute musculoskeletal disorders, Bursitis
List of medicines using Naproxen
