"Diclofenac." Instruction, injections

The drug "Diclofenac" has pronounced anti-inflammatory, analgesic, also moderate antipyretic properties. The preparation is produced in the form of gels (5% and 1% in tubes), ointments (1% in vials), drops (0.1%, in tubes and bottles), solution (25 mg / ml in ampoules), suppository (100 Mg and 25 mg), tablets (100 mg and 50 mg each). The drug refers to anti-inflammatory non-steroid drugs - this tells the drug "Diclofenac" instruction. The injections, like other forms of the drug, are effective and are antirheumatic, antipyretic and analgesic.

The drug in ampoules is intended only for intramuscular injections. It can not be administered intravenously - so warns when using the drug "Diclofenac" instruction. The injections are placed deep into the upper outer square of the buttocks, not more often than 1 time per day and not longer than 2 days. After that, they switch to other forms of the same drug (ointments, gels, tablets or suppositories). As an exception, in severe cases, two injections are made, separated by an interval of several hours, on the same day, while remembering that they inject it intramuscularly into the other buttock. Dosage and administration of the drug for intramuscular use should be carried out according to the instructions, otherwise tissue or nerves at the injection site may be damaged.

Diclofenac in ampoules, intended for such injections, is a liquid without color and visible particles. It can be used as an initial therapy for degenerative rheumatic and inflammatory diseases, as well as for the treatment of disease states, in connection with inflammation without rheumatic origin. Indications for use are acute pains, including renal colic, exacerbation of bone or rheumatoid arthritis. Treatment "Diclofenac" is prescribed for acute pain in the back, acute attacks of gout, acute injuries and fractures, post-operative pain. The dosage of the drug depends on the age, nature and severity of the disease and is prescribed by the doctor.

Side effects and precautions also indicates for the medication "Diclofenac" instruction. Injections, pills, or suppositories may cause nausea and diarrhea, headache, ringing in the ears, or dizziness in patients. There are also peripheral reactions in the form of edema and the appearance of a rash or eczema on the skin. The central nervous system also reacts to "Diclofenac" in the form of side effects, such as fatigue, insomnia, nervousness, depression or irritability. There may be visual impairment and other eye reactions. Depending on the patient's sensitivity to the drug, reactions such as bronchospasm, anaphylactic or anaphylactoid systemic reactions, or an increase in the level of transaminases, jaundice, hepatitis, renal failure, and nephrotic syndrome may occur . There may be leukopenia, thrombocytopenia, aplastic anemia and erythema.

Patients suffering from liver disorders, cardiac or renal function should be carefully checked before and during treatment - this requires a medication "Diclofenac" instruction. Injections, pills, gels and ointments with this active substance should be administered with extreme caution, and dosage may be reduced in the elderly. It is necessary to take into account the ability of the drug to lead to fluid retention in the body, to increase the problems of heart failure. During long-term treatment with Diclofenac injections, a blood test, control of kidney and liver function are shown as precautions.

When taking "Diclofenac" together with drugs containing lithium or digoxin, their concentration in the plasma increases. Parallel use of two or more non-steroidal anti-inflammatory drugs may contribute to the occurrence of side effects. Therefore, in these cases, only in extreme necessity are prescribed "Diclofenac ampoules". The instruction describes the procedure for their application, they can be used intravenously only in a hospital under the supervision of a doctor. Elimination of active substances from the plasma is characterized by a half-life, which is one to two hours. Less than% of the active substance is removed by the kidneys unchanged. 60% of the injected drug will be eliminated by the kidneys in the form of metabolites, the rest is excreted with feces.