Indometacin, supozitoare

Prospect

Compozitie
O capsula contine 0,025 g, iar un supozitor 0,050 g de indometacin.

Actiune terapeutica
Indometacin este un preparat nesteroidic cu o energica actiune antiinflamatoare, antipiretica si analgezica. Actiunea sa antiinflamatoare nu se exercita printr-un mecanism hipofizo-suprarenal,ceea ce permite utilizarea preparatului atat in cure scurte, cat si in tratamente de mai lunga durata.

Indicatii
Poliartrita cronica evolutiva, spondilartrita ankilopoietica; artroze (in special coxartroza); guta (in asociere cu uricozuricele); afectiuni abarticulare ca: tendinite, sinovite, bursite, epicondilite, periartrite scapulo-humerale, lombosciatica. Supozitoarele sunt indicate in formele moderat evolutive ale proceselor reumatismale inflamatorii, de asemenea, in artroze, in procesele abarticulare si in guta.

Mod de administrare
In poliartrita cronica evolutiva sispondilartrita ankilopoietica, coxartroza sau alte artroze si in afectiunile abarticulare, tratamentul se incepe cu 0,025 g (1 capsula) de 2-3 ori pe zi. Daca raspunsul nu este adecvat, doza zilnica se mareste cu 0,025 g la intervale de o saptamana, pana se obtine efectul dorit sau se atinge doza de 0,150-0,200 g/zi. Daca nu se constata un raspuns pozitiv la doza zilnica de 0,200 g (8 capsule) este prea putin probabil ca cresterea dozei sa fie eficace. Daca dupa cresterea saptamanala a dozei apar reactii adverse se scade doza pana la valori tolerate, mentinandu-se astfel timp de 3-4 saptamani, iar apoi, in absenta unei reactii pozitive, se mareste din nou doza dupa cum s-a aratat mai sus. In puseele acute ale poliartritei cronice doza initiala poate fi marita zilnic cu 0,025 g (1 capsula) pana la doza zilnica de 0,150-0,200 g. La aparitia reactiilor adverse se reduce posologia pana  la doza tolerata, mentinandu-se astfel 2-3 zile si reluand apoi cresterea dozei la intervale de timp variabile, in functie de toleranta bolnavului. Dupa lichidarea puseului acut, doza zilnica se poate descreste treptat pana la 0,0750-0,100 g. In criza de guta se administreaza 0,050 g (2 capsule) de trei ori pe zi, pana la amendarea simptomatologiei. Daca se continua tratamentul pentru prevenirea unei noi crize, se scade doza zilnica pana la 0,050 g (2 capsule) pe zi, asociind Indometacinul cu o doza adecvata de uricozuric (de exemplu, Probenecid). In cazul asocierii cu steroizi, doza acestora trebuie scazuta lent, cu prudenta, capsulele trebuie luate in timpul meselor sau in afara lor, cu substante antiacide. Supozitoarele se administreaza cate 2-3 pe zi, fractionat, iar daca se asociaza cu forma orala, una din prizele de capsule poate fi inlocuita cu un supozitor,de preferinta seara.

Contraindicatii

La copii sub 14 ani; la gravide si mame care alapteaza; la pacienti cu leziuni gastrointestinale acute sau in antecedente; la pacientii cu alergii la acid acetilsalicilic sau la indometacin.

Reactii adverse
Fenomene gastrointestinale (greata, varsaturi, anorexie, dureri abdominale, diaree, ulceratii esofagiene, gastrice, intestinale, eventual cu perforatie si sangerare, sangerare fara ulceratii), oculare (depozite corneene si modificari retiniene cu afectarea acuitatii vizuale), hematologice (anemie aplastica, depresiunea maduvei hematogene a oaselor, purpura trombocitopenica, anemie secundara), reactii de sensibilizare (astm bronsic, prurit, urticarie, rasuri cutanate), tulburari auditive (hipoacuzie, vajaituri in urechi), modificari in sfera SNC (episoade psihotice, depersonalizare, stari depresive, confuzie mintala, cefalee), modificari cardiovasculare, renale (edeme, hipertensiune arteriala, hematurie) si altele (caderea parului, eritem nodos).
Dupa utilizarea supozitoarelor se pot constata, uneori: tenesme rectale, rectite, mai rar rectoragii.
eficienta

12 voturi
efecte secundare

8 voturi
pret medicament

148 voturi

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AMVC Error

Smarty error: unable to read resource: "/var/www/html/sfatulmedicului.ro/external/templates/default//adds/box_1.tpl"

File /usr/share/pear/AS/SMARTY/Smarty.class.php at 1092


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