A Fenac PLUS IM (Injection)
Manufactured by: Acme Laboratories Ltd.
Diclofenac + Lidocaine Hydrochloride Similar medicine
A Fenac PLUS IM is indicated for
- 類風濕性關節炎、骨關節炎、僵直性脊椎炎、疼痛、急性痛風、發炎、肌腱炎、光化性角化症、滑囊炎
Precautions and warnings
有胃潰瘍、吐血、黑便、潰瘍性結腸炎、氣喘或先前氣喘、克隆氏症、出血問題或血液疾病病史的人需要小心。 那些患有嚴重肝臟、心臟或腎臟問題的人、老年人、或當前或過去患有高血壓的人應該受到密切關注。 任何長期服用非類固醇抗發炎藥（如雙氯芬酸鈉）的人都應該定期檢查，包括腎臟、肝臟和血液功能的檢查。 若肝臟檢查持續異常、惡化或出現肝臟疾病症狀，應停用雙氯芬酸鈉。
Side-effects
- 雙氯芬酸的副作用通常是輕微且短暫的。 一般情況下耐受性良好。 然而，在開始治療時，患者有時可能會出現胃腸道不適、上腹疼痛、噯氣、噁心和腹瀉，有時可能會頭痛和出血。 偶爾有皮疹、週邊水腫和血清轉氨酶異常的報告。極少數報告的副作用包括消化性潰瘍、嘔血或黑便、血液惡液質（廣泛使用）。 已有個別過敏樣反應的報告。 利多卡因的不良反應主要涉及中樞神經系統，通常持續時間較短，且與劑量相關。 中樞神經系統反應可表現為嗜睡、頭暈、定向力障礙、精神錯亂、頭暈等。眼藥水後5-10%的患者可能出現眼部灼熱感或過敏反應。
Drug Interactions
雙氯芬酸可能會升高甲胺蝶呤的血液濃度。 與其他非類固醇抗發炎藥或血液稀釋劑（如華法林）一起服用會增加胃和腸道出血的風險。 如果與環孢素或氨苯蝶啶一起使用，出現腎臟問題的風險會更高。 對於患有嚴重角膜發炎的患者，使用雙氯芬酸眼藥水和類固醇眼藥水可能會增加角膜損傷的機會。 考來烯胺和考來替泊會降低身體吸收的雙氯芬酸量。 在服用硫糖鋁後服用雙氯芬酸會降低其在血液中的含量。 雙氯芬酸眼藥水可能會降低乙醯膽鹼和卡巴膽鹼眼藥水的效果。 雙氯芬酸也可能提高鋰和地高辛的血液濃度。
如果與西咪替丁或普萘洛爾一起服用，雙氯芬酸的血液濃度可能會升高。 如果與β受體阻斷劑或其他治療心律不整的藥物一起服用，心臟問題的可能性會更高。 雙氯芬酸與靜脈注射苯妥英鈉一起服用會增加不良的心臟影響。 乙醯唑胺、袢利尿劑或噻嗪類藥物導致的低血鉀會降低利多卡因的療效。 如果您長期使用苯妥英或其他酵素誘導藥物，您可能需要更高的劑量。
Contraindications
此藥物不應用於患有活動性或疑似消化性潰瘍、胃腸道出血、氣喘病史、蕁麻疹或由阿斯匹靈或其他非類固醇抗發炎藥物引發的嚴重鼻過敏的患者。
已知對醯胺類局部麻醉劑過敏的患者不應使用利多卡因。
Mode of actions
雙氯芬酸是一種常見的 NSAID（非類固醇類抗發炎藥），屬於苯乙酸。 它有助於減輕發炎、疼痛和發燒。 它的作用是阻斷環氧合酶，從而降低引起發炎的物質（前列腺素）的產生。
利多卡因是醯胺類局部麻醉劑。 它的作用是穩定神經細胞膜並阻斷神經訊號傳播所需的鈉離子。 在心臟中，利多卡因可減少心室和傳導系統（希氏-浦肯野系統）中的異常電活動和自動訊號，並縮短心臟細胞被活化的時間。
Dosage & Administration
成人：劑量一般為每日一瓶 75 毫克安瓿。 在嚴重的情況下（例如絞痛），每日劑量可以特別增加到兩支 75 毫克的安瓿，間隔幾個小時。
兒童：幼年慢性關節炎，每日每公斤體重1-3毫克雙氯芬酸鈉，分次服用。
老年患者：建議使用最低有效劑量，與年齡和身體狀況相符或遵醫囑。
Pregnancy & Lactation
懷孕期間不允許使用這種藥物。 如果您懷孕了，請勿使用它。 它可以透過皮膚和肺部吸收，從而損害未出生孩子的器官並導致先天性殘疾。 治療期間及停藥後六個月內嚴格有效的節育。 如果您確實懷孕了，請停止服用此藥並立即與您的醫生討論。
沒有關於這種藥物是否會進入母乳的具體資訊。 考慮到兒童可能存在的風險，不建議在使用該藥物時進行母乳喂養，並且至少在最後一次用藥後兩週進行母乳喂養。 哺乳前請先諮詢您的醫生。
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 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
