Peinlos

Peinlos

ibuprofen

Manufacturer:

Fahrenheit
Concise Prescribing Info
Contents
Ibuprofen
Indications/Uses
Management of acute moderate to severe pain as an adjunct to IV opioid analgesics where an IV route is considered clinically necessary.
Dosage/Direction for Use
IV 400-800 mg 6 hrly for at least 30 min. Highest recommended dose: 2,400 mg/day. Do not exceed 3,200 mg.
Contraindications
Hypersensitivity. Patients who have experienced asthma, urticaria or allergic-type reaction after taking aspirin or other NSAIDs. Treatment of peri-op pain in the setting of CABG surgery. Last trimester of pregnancy.
Special Precautions
May increase risk of serious CV thrombotic events, MI, stroke; serious GI adverse events including bleeding, ulceration & perforation of the stomach or intestines. Concurrent use w/ aspirin, oral corticosteroids, anticoagulants, ACE inhibitors, thiazides or loop diuretics. Smoking or alcohol use. Poor general health status. Prior history of ulcer disease or GI bleeding. Evaluate for evidence of development of severe hepatic reaction in patients w/ symptoms &/or signs suggesting liver dysfunction or w/ abnormal liver test values. Discontinue if clinical signs & symptoms consistent w/ liver disease develop; at 1st appearance of skin rashor any other sign of hypersensitivity. HTN. Monitor BP closely during initiation & throughout the therapy. Fluid retention or heart failure. Considerable dehydration. Masking inflammation & fever. Check Hb or hematocrit if patient exhibit any signs or symptoms of anemia or blood loss. Coagulation disorders. Patients w/ pre-existing asthma. Blurred or diminished vision, scotomata & changes in color vision. Aseptic meningitis. Periodically check CBC & chemistry profiles. Impaired renal or hepatic function. Avoid during pregnancy. Lactation. Childn <18 yr. Elderly.
Adverse Reactions
CV thrombotic events, GI, renal & hepatic effects, HTN, CHF, edema, anaphylactoid & serious skin reactions. Nausea, flatulence, vomiting, headache; pruritus.
Drug Interactions
Potential for increased adverse effects w/ aspirin. Synergistic effect w/ warfarin. May diminish antihypertensive effect of ACE inhibitors & β-blockers. Attenuate the natriuretic effects of thiazide diuretics & furosemide. Diuretics can increase the risk of nephrotoxicity. Elevation of plasma lithium level & reduction in renal lithium clearance. May enhance the toxicity of methotrexate. May decrease excretion of aminoglycosides. May exacerbate cardiac failure, reduce GFR & increase plasma cardiac glycoside levels. Increased risk of GI bleeding w/ corticosteroids, SSRIs. Increased risk of nephrotoxicity w/ cyclosporin or tacrolimus. Can reduce effects of mifepristone. Increased risk of convulsions associated w/ quinolone antibiotics. Increased risk of haematological toxicity w/ zidovudine.
MIMS Class
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
ATC Classification
M01AE01 - ibuprofen ; Belongs to the class of propionic acid derivatives of non-steroidal antiinflammatory and antirheumatic products.
Presentation/Packing
Form
Peinlos inj 100 mg/mL
Packing/Price
4 mL x 5 × 1's;8 mL x 5 × 1's
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