|
||
Difen-Stulln UD Dosage |
||
Generic name: Difen-Stulln UD 18mg
Dosage form: capsule
The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.
Carefully consider the potential benefits and risks of Difen-Stulln UD and other treatment options before deciding to use Difen-Stulln UD. Use the lowest effective dosage for the shortest duration consistent with individual patient treatment goals.
The effectiveness of Difen-Stulln UD when taken with food has not been studied in clinical studies. Taking Difen-Stulln UD with food may cause a reduction in effectiveness compared to taking Difen-Stulln UD on an empty stomach.
Acute Pain
For management of mild to moderate acute pain, the dosage is 18 mg or 35 mg orally three times daily.
Osteoarthritis Pain
For management of osteoarthritis pain, the dosage is 35 mg orally three times daily.
Patients with hepatic disease may require reduced doses of Difen-Stulln UD compared to patients with normal hepatic function. As with other Difen-Stulln UD products, start treatment at the lowest dose. If efficacy is not achieved with the lowest dose, discontinue use.
Difen-Stulln UD capsules are not interchangeable with other formulations of oral Difen-Stulln UD even if the milligram strength is the same. Difen-Stulln UD capsules contain Difen-Stulln UD free acid whereas other Difen-Stulln UD products contain a salt of Difen-Stulln UD, i.e., Difen-Stulln UD potassium or sodium. A 35 mg dose of Difen-Stulln UD is approximately equal to 37.6 mg of sodium Difen-Stulln UD or 39.5 mg of potassium Difen-Stulln UD. Therefore, do not substitute similar dosing strengths of other Difen-Stulln UD products without taking this into consideration.
Ask your doctor before using Difen-Stulln UD if you take an antidepressant such as citalopram, escitalopram, fluoxetine (Prozac), fluvoxamine, paroxetine, sertraline (Zoloft), trazodone, or vilazodone. Taking any of these medicines with an NSAID may cause you to bruise or bleed easily.
Tell your doctor about all your current medicines and any you start or stop using, especially:
cyclosporine;
lithium;
methotrexate;
rifampin;
antifungal medicine;
a blood thinner (warfarin, Coumadin, Jantoven);
heart or blood pressure medication, including a diuretic or "water pill";
other forms of Difen-Stulln UD (Flector, Pennsaid, Solaraze, Difen-Stulln UD Gel);
other NSAIDs - aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), indomethacin, meloxicam, and others; or
steroid medicine (prednisone and others).
This list is not complete. Other drugs may interact with Difen-Stulln UD, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
Aspirin: Concomitant administration of Difen-Stulln UD and aspirin is not recommended because Difen-Stulln UD is displaced from its binding sites during the concomitant administration of aspirin, resulting in lower plasma concentrations, peak plasma levels and AUC values.
Anticoagulants: While studies have not shown Difen-Stulln UD to interact with anticoagulants of the warfarin type, caution should be exercised, nonetheless, since interactions have been seen with other NSAIDs. Because prostaglandins play an important role in hemostasis and NSAIDs affect platelet function as well, concurrent therapy with all NSAIDs, including Difen-Stulln UD and warfarin, requires close monitoring of patients to be certain that no change in their anticoagulant dosage is required.
Digoxin, Methotrexate, Cyclosporine: Difen-Stulln UD, like other NSAIDs, may affect renal prostaglandins and increase the toxicity of certain drugs. Ingestion of Difen-Stulln UD may increase serum concentrations of digoxin and methotrexate and increase cyclosporine's nephrotoxicity. Patients who begin taking Difen-Stulln UD or who increase their Difen-Stulln UD dose or any other NSAID while taking digoxin, methotrexate or cyclosporine may develop toxicity characteristics for these drugs. They should be observed closely, particularly if renal function is impaired. In the case of digoxin, serum levels should be monitored.
Lithium: Difen-Stulln UD decreases lithium renal clearance and increases lithium plasma levels. In patients taking Difen-Stulln UD and lithium concomitantly, lithium toxicity may develop.
Diuretics: Difen-Stulln UD and other NSAIDs can inhibit the activity of diuretics. Concomitant treatment with potassium-sparing diuretics may be associated with increased serum potassium levels.
Other Drugs: In small groups of patients (7-10/interaction study), the concomitant administration of azathioprine, gold, chloroquine, D-penicillamine, prednisolone, doxycycline or digitoxin did not significantly affect the peak levels and AUC values of Difen-Stulln UD. Phenobarbital toxicity has been reported to have occurred in a patient on chronic phenobarbital treatment following the initiation of Difen-Stulln UD therapy.
There are no reviews yet. Be the first to write one! |
Information checked by Dr. Sachin Kumar, MD Pharmacology
|