| MERVAN
Aceclofenac

Description:
Aceclofenac, a
phenylacetic acid derivative, is a non-steroid substance, which
belongs to anti-rheumatic anti-inflammatory drugs with analgesic
& antipyretic properties. Aceclofenac is generally well
tolerated and is indicated for the treatment of rheumatic diseases
of either inflammatory or degenerative origin. It is also recommended
for the treatment of painful conditions not associated with
rheumatic disease. The film coating of Mervan tablets is resistant
to gastric acid and therefore the active substance of Aceclofenac
is released in the small intestine.
Composition:
Each film-coated
tablet contains 100 mg Aceclofenac BP.
Indications:
Rheumatology:
Osteoarthritis, Rheumatoid arthritis, Ankylosing spondylitis,
low back pain & other acute musculosketal disorders such
as periarthritis, tendinitis, tenosynovitis,
Surgery &
Traumatology: Bursitis, Sprains, strains, and dislocation,
control pain and inflammation in orthopedic, dental and other
minor surgery & postoperative pain.
Obstetrics &
Gynaecology: Primary dysmenorrhoea, episiotomy, adnexitis,
endometritis, parametritis, salpingitis, and mastitis.
Other indications:
For the treatment of pain and inflammation and swelling of patients
operated in the urogenital tract, renal & billiary colic.
Feverish conditions and as an adjuvent to chemotherapy of infections
diseases and painful conditions not associated with rheumatic
disease.
Dosage &
administration:
Adults:
1 tablet (100 mg) twice daily - 1 tablet in morning & 1
tablet in the evening. Reduce the dosage to 100 mg once daily
initially in patient with hepatic dysfunction.
Children:
Not recommended.
Contraindication:
Aceclofenac is
contraindicated in patients with peptic ulceration and in pregnancy
& lactation. It is also contraindicated in patients with
a history of hypersensitivity to any ingredient of the product,
gastro-intestinal bleeding, moderate to severe renal impairment,
aspirin anti-inflammatory induced allergy.
Drug Interaction:
Anticoagulants,
lithium, methorexate, antacids, probenecid, frusemide, digoxin,
corticosteroids, antidiabetics & quinolone antibiotics.
Adverse effects:
Aceclofenac is
generally well tolerated. In the initial stage of therapy, gastrointestinal
disorders, headace, or nausea may appear. These effects are
usually mild and disappear with the continuation of the treatment.
In the very rare cases in which treatment with Aceclofenac is
associated with peptic ulceration or gastrointestinal bleeding,
patients usually had history of such disorders or they were
taking other medications responsible for the appearance of such
disorders.
Precautions:
Various tests and
clinical research on diclofenac result to the belief that Aceclofenac
has on the hematopoietic system. Patients with a history of
gastrointestinal disorders or peptic ulceration, as well as
those with severe liver or renal impairment should be under
close medical supervision.
Use in pregnancy:
Use of Aceclofenac
should be avoided during the first trimester of pregnancy, unless
there is an absolute necessity.
Use in children:
Not recommended.
Storage:
§
Store in a cool and dry place, protected from
light.
§
Keep out of the reach of the children.
Packing:
Box containing
5 X 10's tablets in blister packs.
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