Aceclofenac – Use Dose Side-effect Mechanism

Aceclofenac

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Class of drug: (Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

Nonsteroidal Anti-inflammatory Drugs are those which reduce pain in fever inflammation and blood clotting.

Aceclofenac is a potent inhibitor of cyclo-oxygenase which is involveing in the production of prostaglandins. Side effects of the drug are diarrhea, vomiting, rash, and others also. For adults, 100mg can be taken twice a day.

Take this medicine only as per a doctor’s prescription or pharmacist’s advice.

Mechanism of action aceclofenac:

Aceclofenac is a potent inhibitor of cyclo-oxygenase which is involved in the production of prostaglandins. 

Absorption: Well, absorbed from the GI tract (oral); peak plasma concentrations after 1-3 hr.

Distribution: Protein-binding: 99%.

Excretion: Urine (as hydroxy metabolites); 4 hr (elimination half-life).

Indication & dosage of aceclofenac:

Drugs are using in this condition if you have Ankylosing spondylitis, Rheumatoid arthritis, or Osteoarthritis.

Aceclofenac dose in adults: 100 mg bid ( Two time in a day)

If you have a problem like Hepatic impairment: Reduce the initial dose to 100 mg daily.

Hou to take the aceclofenac:

This drug is taken with food and you can also take it immediately after food.

Adverse drug reactions of aceclofenac:

  • Diarrhea
  • Nausea
  • Dyspepsia
  • Abdominal pain
  • Dizziness
  • Rashes
  • Increased LFTs.

If a person has such a problem, then medicine cannot be given because it can increase the chances of death like.

  • Severe GI bleeding
  • Nephrotoxicity
  • Blood dyscrasias.

If you have these signs and symptoms after taking medicine, then contact your doctor immediately. and stop taking this medicine

Contraindications:

If you ever have this kind of disease, then you cannot take this medicine.

  • Hypersensitivity to aspirin or NSAIDs
  • Moderate to severe renal impairment
  • Pregnancy (3rd trimester)
  • History of peptic ulceration or GI bleed
  • Patients with infections.

Overdosage:

If an overdose occurs due to drug taking in a person, then it can be manage in this way

  • Gastric lavage and treatment with activated charcoal.
  • Treatment is supportive and symptomatic.
  • Dialysis,
  • Hemoperfusion is unlikely to be useful.

Special Precautions:

There are some special conditions in which this medicine cannot be taken. If the medicine is taken in this condition, then it can be life threatening.

  • Cautiously administer to patients with GI disease
  • Ulcerative colitis
  • Crohn’s disease
  • Hematological abnormalities
  • Hepatic porphyria
  • History of bronchial asthma
  • History of heart failure or hypertension
  • Mild renal impairment
  • Hepatic impairment
  • Cardiac impairment
  • May impair the ability to drive or operate machinery.

Drug Interactions:

  • It May increase plasma concentrations of lithium and digoxin.
  • Increased nephrotoxicity when used with diuretics or ciclosporin.
  • Monitor serum potassium when used with potassium-sparing diuretics and ACE inhibitors.
  • May enhance the activity of anticoagulants.
  • May increase the risk of methotrexate toxicity when administered within 24 hr of methotrexate admin.
  • Increased risk of GI bleeds with other NSAIDs.
  • Increased risk of convulsion with quinolones.

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