৳ 9.54/unit
Pack: ৳ 95.40
৳ 9.54/unit
Pack: ৳ 95.40
At a glance
Sulindac is an NSAID used for rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, acute gouty arthritis, and acute painful shoulder.
Indications
- Rheumatoid arthritis
- Osteoarthritis
- Ankylosing spondylitis
- Periarticular inflammatory disorders
- Acute painful shoulder
- Acute gouty arthritis
- Diabetic neuropathy
- Diabetic retinopathy
Pharmacology
Sulindac is a prodrug that is metabolized in the liver to its active sulfide metabolite. This active metabolite inhibits cyclooxygenase (COX-1 and COX-2), reducing prostaglandin synthesis and decreasing inflammation, pain, and fever.
Dosage
Adult Dose (Oral):
- Osteoarthritis/RA/Ankylosing spondylitis: 150 mg twice daily; max 400 mg/day
- Acute painful shoulder/Acute gouty arthritis: 200 mg twice daily (7-14 days); max 400 mg/day
Side effects
Common Side Effects (1-10%):
- Abdominal pain (10%), constipation (3-9%)
- Diarrhea (3-9%), dizziness (3-9%)
- Dyspepsia (3-9%), headache (3-9%)
- Nausea (3-9%), rash (3-9%)
Serious (<1%):
- Hypersensitivity reactions, thrombocytopenia
- Leukopenia, agranulocytosis
- Hematuria, renal impairment
- Hepatitis, jaundice, liver necrosis
Use in pregnancy
Use in Pregnancy: First two trimesters (Category C): use only if clearly needed; 3rd trimester (Category D): do not use; consult your doctor.
Pregnancy Category: D — always consult a doctor before taking during pregnancy.
Precautions & warnings
- Use at lowest effective dose for the shortest duration possible
- Risk of serious cardiovascular thrombotic events, MI, and stroke
- May cause hypertension, fluid retention, and edema; caution in heart failure
- Serious GI adverse events (ulceration, bleeding, perforation) may occur
- Severe hepatotoxicity (jaundice, fulminant hepatitis) is rare
- May cause renal impairment; higher risk in pre-existing renal disease, heart failure, elderly
Overdose effects
Overdose may cause GI, renal, and CNS toxicity; provide symptomatic and supportive treatment.
Storage conditions
Store below 25°C, away from light and moisture; keep out of reach of children.