Ethamsylate + Mefenamic acid Pharmacology

Ethamsylate + Mefenamic acid

About Ethamsylate + Mefenamic acid
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Mechanism of Action of Ethamsylate + Mefenamic acid
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Pharmacokinets of Ethamsylate + Mefenamic acid
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Onset of Action for Ethamsylate + Mefenamic acid
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Duration of Action for Ethamsylate + Mefenamic acid
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Half Life of Ethamsylate + Mefenamic acid
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Side Effects of Ethamsylate + Mefenamic acid
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Contra-indications of Ethamsylate + Mefenamic acid
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Special Precautions while taking Ethamsylate + Mefenamic acid
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Pregnancy Related Information
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Old Age Related Information
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Breast Feeding Related Information
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Children Related Information
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Indications for Ethamsylate + Mefenamic acid
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Interactions for Ethamsylate + Mefenamic acid
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Typical Dosage for Ethamsylate + Mefenamic acid
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Schedule of Ethamsylate + Mefenamic acid
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Storage Requirements for Ethamsylate + Mefenamic acid
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Effects of Missed Dosage of Ethamsylate + Mefenamic acid
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Effects of Overdose of Ethamsylate + Mefenamic acid
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Ethamsylate

About Ethamsylate
Benzenesulfonate derivative, Systemic haemostatic.
Mechanism of Action of Ethamsylate
It exerts haemostatic action by acting on the first step of haemostasis by improving platelet adhesiveness and restoring capillary resistance. It decreases bleeding time and increases platelet aggregation. It reduces capillary bleeding when platelets are adequate. The drug exerts antihyaluronidase action and improves capillary wall stability. It inhibits PGI-2 synthesis and correct abnormal platelet function.
Pharmacokinets of Ethamsylate
Absorption: Well absorbed orally.
Distribution: Distributed in a protein bound form.
Excretion: Excreted through urine as unchanged drug.
Onset of Action for Ethamsylate
N/A
Duration of Action for Ethamsylate
3 days
Half Life of Ethamsylate
8 hours.
Side Effects of Ethamsylate
1. Headache
2. Nausea
3. Rash
4. Fall in BP(only after I.V. administration)

Contra-indications of Ethamsylate
1. Hypersensitivity to the drug
2. Porphyria
3. Haemophilia
4. Thrombocytopenic purpura


Special Precautions while taking Ethamsylate
H
Pregnancy Related Information
Contraindicated
Old Age Related Information
May be used
Breast Feeding Related Information
Contraindicated
Children Related Information
Use with caution
Indications for Ethamsylate
Used for prevention of haemorrhage in various conditions like :-
1. Menorrhagia
2. Metrorrhagia
3. After abortion
4. Post partum haemorrhage
5. Epistaxis
6. Melena
7. Haematuria
8. After tooth extraction
9. Surgical procedures
10. Haematemesis
11. Haemoptysis

Interactions for Ethamsylate
No known interaction.
Typical Dosage for Ethamsylate
Dosage:
Oral:
250 mg twice daily to 500mg thrice daily until bleeding stops.
In menorrhagia and metrorrhagia: 250mg 8th hourly. Increases the dosage to 500mg 8th hourly if required depending up on the condition of the disease.
In persistent menorrhagia take 0.5g 8th hourly starting form 5days before menstruation and continued up to 5 days after menstruation.
Children: Half of adult dose.

Parenteral:
250mg to 500mg I.V. or I.M.
Take 1 hour before the procedure during Preoperative indications, repeat the dosage if required during the surgery and in post operative indications take the same dose and repeat 4 to 6 times daily until bleeding stops. In emergency situations also repeat the dosage 4 to 6 times daily until bleeding stops.
Children: Half of adult dose.
Neonates: 10mg/kg intramuscularly within two hours after birth and repeat at 4 to 6 times daily until bleeding stops.

Schedule of Ethamsylate
H
Storage Requirements for Ethamsylate
Store in a cool dry place and protects from direct heat and light.
Effects of Missed Dosage of Ethamsylate
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose.Do not double the dose.
Effects of Overdose of Ethamsylate
Give supportive measures and symptomatic treatment.

Mefenamic Acid

About Mefenamic Acid
NSAID, Analgesic,antiinflammatory.
Mechanism of Action of Mefenamic Acid
Mefenamic acid has analgesic, anti-inflammatory and antipyretic action. It acts by inhibiting Prostaglandin (PGs) synthesis and their release at the site of injury. Prostaglandins cause tenderness and amplify the action of other analgesics. Mefenamic acid inhibits cyclo-oxygenase enzyme and antagonizes prostaglandin actions.
Pharmacokinets of Mefenamic Acid
Absorption: Mefenamic acid is well absorbed after oral administration. Distribution: It is distributed in the body in protein bound form. Metabolism: It is metabolised in the liver. Excretion: Mefenamic acid and its metabolites are excreted mainly in the urine.
Onset of Action for Mefenamic Acid
1-2 hours.
Duration of Action for Mefenamic Acid
6 hours.
Half Life of Mefenamic Acid
2-4 hours.
Side Effects of Mefenamic Acid
1.Nausea
2.Vomiting
3.Anorexia
4.Diarrhoea
5.Gastrointestinal bleeding
6.Abdominal distress
7.Constipation
8.Peptic ulcer
9.Dyspepsia
10.Headache
11.Flatulence
12.Drowsiness
13.Insomnia
14.Agranulocytosis
15.Aplastic anaemia
16.Thrombocytopenia
17.Dizziness
18.Rash
Contra-indications of Mefenamic Acid
1.Hypersensitivity to Mefenamic acid and other NSAIDs
2.Inflammatory bowel disease
3.Peptic ulcer
Special Precautions while taking Mefenamic Acid
1.Hepatic impairment
2.Renal impairment
3.Hypertension
4.Gastrointestinal diseases
5.Pre existing asthma
6.Patient on anticoagulant therapy
7.Heart failure
8.Myocardial infarction
9.Stroke
Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Below 14 years: contraindicated
NEONATES: used only to close the patent ductus arteriosus as IV form only
Indications for Mefenamic Acid
1.Muscular aches
2.Primary Dysmenorrhoea
3.Headaches
4.Acute gout
5.Dental pain
6.Patent ductus arteriosus
Interactions for Mefenamic Acid
N/A
Typical Dosage for Mefenamic Acid
Adult: initial dose: 500 mg followed by 250 mg every 6 hours. Treatment is continued maximum up to 1 week.
Children above 14 years:
500 mg followed by 250 mg every 6 hours. Treatment is continued maximum up to 1 week.
Children below 14 years: not recommended.


Schedule of Mefenamic Acid
H
Storage Requirements for Mefenamic Acid
Store Mefenamic acid at room temperature in a tightly closed light resistant container.
Effects of Missed Dosage of Mefenamic Acid
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 Mefenamic Acid
Give 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.

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