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- Pharmacology For Diclofenac sodium + Codeine
Diclofenac sodium + Codeine Pharmacology
Diclofenac sodium + Codeine
About Diclofenac sodium + CodeineN/AMechanism of Action of Diclofenac sodium + CodeineN/APharmacokinets of Diclofenac sodium + CodeineN/AOnset of Action for Diclofenac sodium + CodeineN/ADuration of Action for Diclofenac sodium + CodeineN/AHalf Life of Diclofenac sodium + CodeineN/ASide Effects of Diclofenac sodium + Codeine1.GI disorders
2.Headache
3.Dizziness
4.Vertigo
5.Rash
6.Elevation of serum transaminases.
Contra-indications of Diclofenac sodium + Codeine1.Gastric or intestinal ulcer
2.Hypersensitivity
Special Precautions while taking Diclofenac sodium + Codeine1.Liver disease
2.Kidney disease
3.Heart failure
4.In rare cases, combaren can cause stevens-johnson syndrome, which can result in serious blistering or peeling of the skin. If this happens,stop taking combaren immediately and contact doctor.
5.Asthma, high blood pressure
6.Blood clotting disorder that requires use of anti-coagulants
7.Connective tissue disease such as lupus
Pregnancy Related InformationContraindicatedOld Age Related InformationUse with cautionBreast Feeding Related InformationContraindicatedChildren Related InformationUse with caution,
CHILDREN below 14: Contraindicated
Indications for Diclofenac sodium + Codeine1.Inflammatory, degenerative & non-articular forms of rheumatism.
2.Acute gout.
3.Painful post-traumatic & post-op inflammation.
4.Dysmenorrhea & adnexitis.
5.Renal & biliary colic.
6.Adjuvant in severe painful inflammatory ENT infections.
7.Migraine attacks .
8.Cancer pain.
9.IV inj Treatment & prevention of post-op pain in the hospital setting.
Interactions for Diclofenac sodium + CodeineN/ATypical Dosage for Diclofenac sodium + CodeineN/ASchedule of Diclofenac sodium + CodeineN/AStorage Requirements for Diclofenac sodium + CodeineN/AEffects of Missed Dosage of Diclofenac sodium + CodeineN/AEffects of Overdose of Diclofenac sodium + Codeine1.Symptoms of overdose may include: Vomiting ,Drowsiness ,Loss of consciousness .
2.Contact immediate medical emergency
Diclofenac Sodium
About Diclofenac SodiumN/AMechanism of Action of Diclofenac SodiumDiclofenac possess analgesic, anti-inflammatory and antipyretic action. It inhibits the enzyme cyclo-oxygenase and there by inhibits the synthesis of Prostaglandins (PGs). It is more potent against cyclo-oxygenase-2 enzyme as compared to other NSAIDs like Indomethacin, Naproxen etc. It reduces intracellular concentrations of free arachidonic acid in leukocyte by altering its release or uptake. .Pharmacokinets of Diclofenac SodiumAbsorption: Diclofenac sodium is rapidly absorbed after oral administration. It undergoes first pass metabolism and its bioavailability is 50 % only. Distribution: It is distributed in highly protein bound form. Metabolism: Diclofenac sodium is metabolised in the liver. Excretion: Drug and metabolites are primarily excreted in urine and some amount in the bile.Onset of Action for Diclofenac Sodium1- 4.5 hoursDuration of Action for Diclofenac SodiumHoursHalf Life of Diclofenac Sodium2 hoursSide Effects of Diclofenac Sodium1.Nausea
2.Vomiting
3.Anorexia
4.Diarrhoea
5.Gastrointestinal bleeding
6.Abdominal distress
7.Constipation
8.Flatulence
9.Ulceration of the stomach or intestine
10.Dyspepsia
11.Headache
12.Dizziness
13. Rash
Contra-indications of Diclofenac Sodium1.Hypersensitivity to Indomethacin and other Non steroidal anti inflammatory drugs(NSAID)
2.Peptic ulcer
3.Asthma
Special Precautions while taking Diclofenac Sodium1.Hepatic impairment
2.Renal impairment
3.Hypertension
4.Blood clotting disorders
5.Gastrointestinal diseases
6.Proctitis
7.Asthma
8.Cautioned against driving, operating or activities requiring concentration
9.Avoid alcohol
10.Heart failure
Pregnancy Related InformationContraindicatedOld Age Related InformationUse with cautionBreast Feeding Related InformationContraindicatedChildren Related InformationUse with caution
CHILDREN below 14: contraindicatedIndications for Diclofenac Sodium1.Ankylosing spondylitis
2.Acute gout
3.Joint disorders e.g. inflammatory disease in joints, crystal deposition in the joints
4.Osteoarthritis
5.For the relief of pain and inflammation in dental minor surgery and orthopedic
6.Dysmenorrhoea
7.Juvenile chronic arthritis
8.Migraine
Interactions for Diclofenac SodiumLithium & Digoxin : Blood levels of lithium and digoxin increased leading to enhanced efficacy and posible toxicity.
Diuretics : Inhibits diuretics but efficacy of potassium sparing diuretics enhanced.
Methotrexate : Toxicity enhanced.
Salicylates : Efficacy of salicylates reduced.
Cyclosporine : Increases nephrotoxicity of both agents.
Hydantoins : Increases serum levels resulting in toxicity.
Typical Dosage for Diclofenac SodiumAdult: 100 - 150 mg / day in 2 - 3 divided doses.
For the relief of pain, Migraine, Dysmenorrhoea: 150 mg / day in 3 divided doses.
Osteoarthritis: 50 mg 2 - 3 times daily
Rheumatoid arthritis: 150 - 200 mg / day in 3 - 4 divided doses.
Ankylosing spondylitis: 25 mg 4 times daily give an extra dose of 25 mg at bed time if necessary.
Children Juvenile rheumatoid arthritis: 0.5 - 2 mg / kg body weight / day in divided doses.
Maximum dose: 3 mg / kg body weight / day in divided doses
Schedule of Diclofenac SodiumHStorage Requirements for Diclofenac SodiumStore Diclofenac sodium at room temperature in a tightly closed light resistant container.Effects of Missed Dosage of Diclofenac SodiumTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.Effects of Overdose of Diclofenac SodiumGive supportive measures and symptomatic treatment. Drug can be removed from the body by gastric lavage or by inducing emesis. Absorption of the drug can be reduced by administration of activated charcoal.Codeine
About CodeineAn opiate, methylmorphine , Narcotic analgesic, antitussive, and antidiarrheal.Mechanism of Action of CodeineCodeine exerts it`s action through opioid receptors and posses antitussive properties. It selectively and directly acts on cough centre and suppresses cough. It also posses analgesic action due to it`s agonistic action on opioid receptors.Pharmacokinets of CodeineAbsorption: Well absorbed after oral and parenteral administration. Distribution: Widely distributed in the body; it crosses placenta and also enters in to the breast milk. Metabolism: Metabolized in the liver by demethylation and glucuronide conjugation, Excretion: Excreted mainly in the urine as nor codeine and free and conjugated morphine.Onset of Action for CodeineOral: 30 to 45 minutes
I.V.: Rapid
I.M.: 10 to 30 minutes
S.C.: 10 to 30 minutes
Duration of Action for CodeineOral: 4 to 6 hours
I.V.: 4 to 6 hours
I.M.: 4 to 6 hours
S.C.: 4 to 6 hours
Half Life of CodeineN/ASide Effects of Codeine1. Constipation
2. Nausea
3. Vomiting
4. Drymouth
5. Respiratory depression
6. Hypotension
7. Bradycardia
8. Dizziness
9. Sedation
10. Euphoria
11. Urine retention
12. Flushing
13. Pruritus
14. Diaphoresis
15. Physical dependence.Contra-indications of Codeine1. Hypersensitivity to the drug
2. Bronchial asthma
3. Increased intracranial pressure
4. Respiratory depression
5. Paralytic ileus
6. Head injury
7. Alcoholism
8. Diverticulitis
9. Following bowel surgery.Special Precautions while taking Codeine1. Renal impairment
2. Hepatic impairment
3. Increased CSF pressure
4. Hypothyroidism
5. Addison`s disease
6. COPD
7. In deliberate individuals
8. Prostatic hypertrophy
9. Epilepsy
Pregnancy Related InformationContraindicatedOld Age Related InformationUse with cautionBreast Feeding Related InformationUse with cautionChildren Related InformationUse with cautionIndications for Codeine1. Nonproductive cough
2. Mild to moderate pain.Interactions for CodeineN/ATypical Dosage for CodeineAdults:
Oral:
Nonproductive cough:10 to 20mg 4 times daily;Maximum dose: 120mg/day
Oral, S.C., I.M.:
Mild to moderate pain:15 to 60mg Orally, S.C., or I.M.;4 to 6 times daily as required by the patient.
Children:
Oral:
Nonproductive cough:
Over 12 years: 10 to 20mg 4 times daily
Age 6 to 12: 5 to 10mg 4 times daily;Maximum dose: 60mg/day
Age 2 to 6: 1mg/kg/day as four equally divided doses and do not exceed 30mg in 24 hours.
Oral, S.C., I.M.:
Mild to moderate pain:0.5mg/kg orally every 4 to 6 hours or 0.5mg/kg S.C. or I.M.
Schedule of CodeineHStorage Requirements for CodeineStore at controlled room temperature at a range of 15 to 30 degree C and protects from light.Effects of Missed Dosage of CodeineTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.Effects of Overdose of CodeineEstablish adequate respiratory exchange via a patent airway and ventilation as needed. Administer opioid antagonist Naloxone to reverse respiratory depression use repeatedly as required. (Naloxone shouldn`t be administered unless patient has clinically significant respiratory or cardiovascular depression.). If patient shows signs and symptoms within 2 hours of ingestion empty the stomach by gastric lavage and induced emesis. Reduce absorption by administration of activated charcoal. Closely monitor vital parameters and correct fluid and electrolyte balance. Provide symptomatic and supportive treatment.Home Delivery for Diclofenac sodium + Codeine in Your City
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Diclofenac sodium + Codeine is a generic medicine name and there are several brands available for it. Some of the brands for diclofenac sodium + codeine might be better known than diclofenac sodium + codeine itself. If the pharmacy that's willing to deliver medicines to your home doesn't have diclofenac sodium + codeine in stock, you can ask for one of the branded alternatives for diclofenac sodium + codeine.
