Etoricoxib + Serratiopeptidase Pharmacology

Etoricoxib + Serratiopeptidase

About Etoricoxib + Serratiopeptidase
N/A
Mechanism of Action of Etoricoxib + Serratiopeptidase
N/A
Pharmacokinets of Etoricoxib + Serratiopeptidase
N/A
Onset of Action for Etoricoxib + Serratiopeptidase
N/A
Duration of Action for Etoricoxib + Serratiopeptidase
N/A
Half Life of Etoricoxib + Serratiopeptidase
N/A
Side Effects of Etoricoxib + Serratiopeptidase
N/A
Contra-indications of Etoricoxib + Serratiopeptidase
N/A
Special Precautions while taking Etoricoxib + Serratiopeptidase
N/A
Pregnancy Related Information
Contraindicated
Old Age Related Information
N/A
Breast Feeding Related Information
Contraindicated
Children Related Information
N/A
Indications for Etoricoxib + Serratiopeptidase
1.Osteoarthritis
2.Rheumatoid arthritis
3.Acute gout
Interactions for Etoricoxib + Serratiopeptidase
N/A
Typical Dosage for Etoricoxib + Serratiopeptidase
N/A
Schedule of Etoricoxib + Serratiopeptidase
N/A
Storage Requirements for Etoricoxib + Serratiopeptidase
N/A
Effects of Missed Dosage of Etoricoxib + Serratiopeptidase
N/A
Effects of Overdose of Etoricoxib + Serratiopeptidase
N/A

Etoricoxib

About Etoricoxib
NSAID, selective COX-2 inhibitor, Analgesic,Anti-inflammatory,Antiarthritic.
Mechanism of Action of Etoricoxib
This NSAID is a selective COX2 inhibitor (blocking the action of a substance in the body called cyclo-oxygenase. Cyclo-oxygenase is involved in producing prostaglandins, in response to injury or certain diseases. These prostaglandins cause pain, swelling and inflammation). This inhibition results the analgesics and anti-inflammatory action peripherally
Pharmacokinets of Etoricoxib
Absorption- Well absorbed after administration
Distribution- Widely distributed in the body
Metabolism- Metabolized in the liver to its metabolites
Excretion- Excreted through urine and feces
Onset of Action for Etoricoxib
24 min
Duration of Action for Etoricoxib
24 hrs
Half Life of Etoricoxib
Its plasma half life is 22 hrs
Side Effects of Etoricoxib
1. Dry mouth
2. Taste disturbances
3. Mouth ulcers
4. Flatulence
5. Constipation
6. Appetite and weight changes
7. Chest pain
8. Fatigue
9. Paresthesia
10. Myalgia
11. Rash
12. Blurred vision
13. Insomnia
14. Muscle cramps
15. Ulceration of the stomach or intestine
16. Cold or flu-like symptoms
17. Dizziness
18. Excessive fluid retention in the body tissues, resulting in swelling (oedema)
19. Epistaxis
20. Difficulty in breathing (dyspnoea)
21. Weakness or loss of strength (asthenia)
22. High blood pressure (hypertension)
23. Anxiety
24. Headache
Contra-indications of Etoricoxib
1. Hypersensitivity to the drug
2. Hyper sensitivity to other NSAID
3. Active peptic ulceration
4. Inflammatory bowel disease
5. Severe congestive heart failure
Special Precautions while taking Etoricoxib
1. Allergic disorders
2. Renal impairment
3. Cardiac diseases
4. Hepatic impairment
Pregnancy Related Information
Contraindicated

Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Use with caution
Indications for Etoricoxib
1. Rheumatoid Arthritis
2. Osteoarthritis
3. Acute gouty Arthritis
Interactions for Etoricoxib
Anticoagulants : May prolong prothrombin time. Instruct patients to watch for signs & symptoms of bleeding.
ACE inhibitors : Antihypertensive effects of captopril may be blunted or completely abolished by etoricoxib.
b-Blockers : Antihypertensive effect may be blunted.
Cyclosporine : Nephrotoxicity of both agents may be increased.
Digoxin : Serum digoxin levels may be increased by ibuprofen and etoricoxib.
Hydantoins : Serum hydantoin levels increased resulting in increased pharmacological and toxic effects.
Lithium : Serum lithium levels may be increased.
Loop diuretics : Decreased effects.
Methotrexate : Risk of methotrexate toxicity (bone marrow suppression, nephrotoxicity, stomatitis) may be increased.
Salicylates : displaces NSAIDs from serum binding sites resulting in decreased plasma concentrations of NSAIDs and increased incidence of GI effects.
Sympathomimetics : Rofecoxib coadministration may result in increased blood pressure.
Thiazide diuretics : Naproxen and etoricoxib may cause decreased antihypertensive and diuretic action.
Typical Dosage for Etoricoxib
Oral- Adults-
Osteoarthritis- 60 mg once daily
Rheumatoid Arthritis- 90 mg once daily
Acute gouty Arthritis-120 mg once daily

Schedule of Etoricoxib
N/A
Storage Requirements for Etoricoxib
Store at room temperature away from moisture and heat
Effects of Missed Dosage of Etoricoxib
Take 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 Etoricoxib
Give symptomatic and supportive treatment. Induce gastric emesis and administer activated charcoal to reduce further adsorption of drugs.

Serratiopeptidase

About Serratiopeptidase
A proteolytic enzyme, A powerful anti-inflammatory, anti-edemic.
Mechanism of Action of Serratiopeptidase
This anti-inflammatory proteolytic enzyme bind to the alpha-2-macroglobulin in the blood, which helps to mask its antigenicity.Then it is slowly transferred to the site of inflammation. Serratiopeptidase hydrolyze bradykinin, histamine, serotoxin responsible for oedema.It reduces swelling improves microcirculation and expectoration of sputum. Due to this action Serratiopeptidase has anti-inflammatory, antioedemic and fibrinolytic activity and act rapidly on localized inflammation.
Pharmacokinets of Serratiopeptidase
Orally absorbed. In the case of enteric coated tablet absorption take place in the intestine. After absorption it is directly enter in to the bloodstream. It is excreted via urine and bile.
Onset of Action for Serratiopeptidase
N/A
Duration of Action for Serratiopeptidase
8 to 10 hrs
Half Life of Serratiopeptidase
N/A
Side Effects of Serratiopeptidase
1. Hypersensitivity
2. Anorexia
3. Gastric discomfort
4. Nausea
5. Vomiting
6. Epistaxis
7. Diarrhoea
8. Skin rash
Contra-indications of Serratiopeptidase
1. Hypersensitivity to this drug
2. Blood coagulation disorder
Special Precautions while taking Serratiopeptidase
1. In patients with renal failure or hepatic failure
Pregnancy Related Information
Contraindicated
Old Age Related Information
N/A
Breast Feeding Related Information
Contraindicated
Children Related Information
N/A
Indications for Serratiopeptidase
1. Antiinflammatory
2. Antiswelling
3. Anti- rheumatoid
4. To promote transfer of antibiotics to the site of action
5. To promote lysis and discharge of sputum and pus
6. Bronchitis
7. Fibrocystic breast swelling
8. Sinusitis
9. Cough
10. Laryngitis
11. Fibromyalgia
12. Emphysema
13. Gout
Interactions for Serratiopeptidase
N/A
Typical Dosage for Serratiopeptidase
Oral-
Adults-5 to 10mg tab every 3 times daily.
10- 30 mg tab /day.
Schedule of Serratiopeptidase
N/A
Storage Requirements for Serratiopeptidase
Store below 25 degree Celsius, protect from light and moisture.
Effects of Missed Dosage of Serratiopeptidase
Take 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 Serratiopeptidase
Give supportive measures and symptomatic treatment.

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