Generic Name: Order inspra
What is Order Inspra?
Two large, controlled clinical trials of a COX-2 selective NSAID for the treatment of pain in the first 10-14 days following CABG surgery found an increased incidence of myocardial infarction and stroke.
Observational studies conducted in the Danish National Registry have demonstrated that patients treated with NSAIDs in the post-MI period were at increased risk of reinfarction, CV-related death, and allcause mortality beginning in the first week of treatment. In this same cohort, the incidence of death in the first year post-MI was 20 per 100 person years in NSAID-treated patients compared to 12 per 100 person years in non-NSAID exposed patients. Although the absolute rate of death declined somewhat after the first year post-MI, the increased relative risk of death in NSAID users persisted over at least the next four years of follow-up.
Avoid the use of INDOCIN in patients with a recent MI unless the benefits are expected to outweigh the risk of recurrent CV thrombotic events. If INDOCIN is used in patients with a recent MI, monitor patients for signs of cardiac ischemia.
NSAIDs, including indomethacin, cause serious gastrointestinal GI adverse events including inflammation, bleeding, ulceration, and perforation of the esophagus, stomach, small intestine, or large intestine, which can be fatal. These serious adverse events can occur at any time, with or without warning symptoms, in patients treated with NSAIDs.
Only one in five patients who develop a serious upper GI adverse event on NSAID therapy is symptomatic.
It may also cause higher blood pressure levels. For people with stomach problems: Indomethacin may increase your risk of swelling or bleeding in your stomach and intestines. It may cause a fatal allergic reaction. For pregnant women: Indomethacin is a category C pregnancy drug. Indomethacin should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
For women who are breastfeeding: Indomethacin may pass through breast milk and cause serious side effects in a breastfeeding child. Also, your kidney function may be decreased. Your kidneys may not remove the drug from your body as well as they should, putting you at risk for serious side effects.
However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. Always to speak with your doctor or pharmacist about dosages that are right for you. Indomethacin oral capsule is a short-term drug treatment.
How should I take Order Inspra?
Mechanism of Action Antiinflammatory effects of Indomethacin are believed to be due to inhibition of cylooxygenase in platelets which leads to the blockage of prostaglandin synthesis. Antipyretic effects may be due to action on the hypothalamus, resulting in an increased peripheral blood flow, vasodilation, and subsequent heat dissipation.
In some patients, combined use of INDOCIN and diflunisal has been associated with fatal gastrointestinal hemorrhage. Therefore, diflunisal and INDOCIN should not be used concomitantly. The concomitant use of INDOCIN with other NSAIDs is not recommended due to the increased possibility of gastrointestinal toxicity, with little or no increase in efficacy. Clinical studies have shown that INDOCIN does not influence the hypoprothrombinemia produced by anticoagulants.
However, when any additional drug, including INDOCIN, is added to the treatment of patients on anticoagulant therapy, the patients should be observed for alterations of the prothrombin time.
In post-marketing experience, bleeding has been reported in patients on concomitant treatment with anticoagulants and INDOCIN.
What should I avoid while taking Order Inspra?
Lactation Risk Summary Based on available published clinical data, indomethacin may be present in human milk. Females And Males Of Reproductive Potential Infertility Females Based on the mechanism of action, the use of prostaglandin-mediated NSAIDs, including INDOCIN, may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women.
Pediatric Use Safety and effectiveness in pediatric patients 14 years of age and younger has not been established. Elimination Metabolism Indomethacin exists in the plasma as the parent drug and its desmethyl, desbenzoyl, anddesmethyldesbenzoyl metabolites, all in the unconjugated form.
Excretion Indomethacin is eliminated via renal excretion, metabolism, and biliary excretion.
Order Inspra side effects
I hate to promote the use of subspecialists, but have you seen a maternal-fetal medicine doctor. If not, I'd suggest it to give you and your doctor peace of mind. If your doctor is a MFM, just ignore this advice. I hope this helps. Adam Wolfberg, MD, Tufts MFM. I take it once a week at the most since it usually calms things down for a while but wondering if the medicine should be stopped at a certain point.
Logged Beans2011 Newbie Posts: 26 My wife was on indocin twice when she was in the hospital, both times it was used to stop contractions which it didbut they would only give it for 48-72 hours.
Common Order Inspra ide effects may include:
Do not freeze the oral liquid.
The serum concentration of Conjugated Equine Estrogens can be increased when it is combined with Indomethacin.
Indomethacin falls into category C.
Indocin FDA WarningBack to TopCardiovascular RiskNSAIDs may cause an increased risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal.
In another study indomethacin levels were measured in breast milk of eight postpartum women using doses of 75 mg daily and the results were used to calculate an estimated infant daily dose. Based on the mechanism of action, the use of prostaglandin-mediated NSAIDs, including INDOCIN, may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women.
Safety and effectiveness in pediatric patients 14 years of age and younger has not been established. INDOCIN should not be prescribed for pediatric patients 14 years of age and younger unless toxicity or lack of efficacy associated with other drugs warrants the risk.
In experience with more than 900 pediatric patients reported in the literature or to the manufacturer who were treated with INDOCIN Capsules, side effects in pediatric patients were comparable to those reported in adults.
Where can I get more information?
Patients should be monitored closely for bleeding.
Entecavir: The manufacturer of entecavir recommends monitoring for adverse effects when coadministered with NSAIDs.