Difene Dual Release Uses

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What is Difene Dual Release?

Difene Dual Release is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain and other symptoms of arthritis of the joints (eg, osteoarthritis), such as inflammation, swelling, stiffness, and joint pain. However, Difene Dual Release does not cure osteoarthritis and will help you only as long as you continue to use it.

Difene Dual Release topical 3% gel is also used to treat actinic keratosis, a skin problem that may become cancerous if not treated. The exact way that topical Difene Dual Release helps this condition is unknown.

Difene Dual Release topical solution is used to treat pain and swelling caused by osteoarthritis of the knees.

Difene Dual Release topical patch is used to treat acute pain caused by minor strains, sprains, and contusions (bruises).

Difene Dual Release is available only with your doctor's prescription.

Difene Dual Release indications

An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.
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Intramuscular

Renal colic

Adult: As Difene Dual Release Na: 75 mg, may repeat once after 30 min if needed. Max: 150 mg/day. Max period: 2 days.

Intramuscular

Bursitis, Pain and inflammation associated with musculoskeletal and joint disorders, Rheumatoid arthritis, Sprains, Strains, Tendinitis, Acute gout, Dysmenorrhoea

Adult: As Difene Dual Release Na: 75 mg once daily, injected into the gluteal muscle, may increase to 75 mg bid in severe conditions. Max period: 2 days.

Intravenous

Postoperative pain

Adult: As Difene Dual Release Na: 75 mg infusion in glucose 5% or NaCl 0.9% (previously buffered w/ Na bicarbonate) given over 30-120 min or as bolus inj, may repeat after 4-6 hr if necessary. Max period: 2 days.

Intravenous

Prophylaxis of postoperative pain

Adult: As Difene Dual Release Na: Initially, 25-50 mg infusion given after surgery over 15-60 min followed by 5 mg/hr. Alternatively, initial dose may be given as bolus inj over 5-60 sec followed by additional inj, may repeat after 4-6 hr if necessary. Max: 150 mg/day. Max period: 2 days.

Ophthalmic

Postoperative ocular inflammation

Adult: As Difene Dual Release Na (0.1% soln): Instill into the appropriate eye 4 times daily starting 24 hr after surgery for up to 28 days.

Ophthalmic

Inflammation and discomfort after strabismus surgery

Adult: As Difene Dual Release Na (0.1% soln): Instill 1 drop 4 times daily for the 1st wk; then tid in the 2nd wk, bid in the 3rd wk, and as required for the 4th wk.

Ophthalmic

Pain and discomfort after radial keratotomy

Adult: As Difene Dual Release Na (0.1% soln): Instill 1 drop before surgery followed by 1 drop immediately after surgery, and then 1 drop 4 times daily for up to 2 days.

Ophthalmic

Pain after accidental trauma

Adult: As Difene Dual Release Na (0.1% soln): Instill 1 drop 4 times daily for up to 2 days.

Ophthalmic

Control of inflammation after argon laser trabeculoplasty

Adult: As Difene Dual Release Na (0.1% soln): Instill 1 drop 4 times during the 2 hr before procedure followed by 1 drop 4 times daily, up to 7 days after procedure.

Ophthalmic

Prophylaxis of intra-operative miosis

Adult: As Difene Dual Release Na (0.1% soln): Instill into appropriate eye 4 times w/in 2 hr before surgery.

Ophthalmic

Post-photorefractive keratectomy pain

Adult: As Difene Dual Release Na (0.1% soln): Instill into the affected eye twice, an hr before surgery, then 1 drop twice at 5-min intervals immediately after surgery, then every 2-5 hr while awake for up to 24 hr.

Ophthalmic

Seasonal allergic conjunctivitis

Adult: As Difene Dual Release Na (0.1% soln): Instill 1 drop before surgery followed by 1 drop immediately after surgery, and then 1 drop 4 times daily for up to 2 days.

Oral

Bursitis, Pain and inflammation associated with musculoskeletal and joint disorders, Rheumatoid arthritis, Sprains, Strains, Tendinitis, Acute gout, Dysmenorrhoea

Adult: As Difene Dual Release Na: 75-150 mg/day in divided doses. Max: 150 mg/day.

Oral

Migraine

Adult: As Difene Dual Release K: Initially, 50 mg taken at the 1st sign of an attack, an additional dose of 50 mg may be taken after 2 hr if symptoms persist. If needed, further doses of 50 mg may be taken 4-6 hrly. Max: 200 mg/day.

Rectal

Acute gout, Bursitis, Dysmenorrhoea, Pain and inflammation associated with musculoskeletal and joint disorders, Rheumatoid arthritis, Sprains, Strains, Tendinitis

Adult: As Difene Dual Release Na: 100 mg once daily.

Topical/Cutaneous

Actinic keratoses

Adult: As Difene Dual Release Na (3% gel): Apply bid for 60-90 days.

Topical/Cutaneous

Osteoarthritis

Adult: As Difene Dual Release Na (1.6% soln): Apply in small amounts (20 or 40 drops) onto affected area 4 times daily. As Na: (1% gel): Apply to the affected area 4 times daily. Max: 32 g/day over the affected area.

Topical/Cutaneous

Local symptomatic relief of pain and inflammation

Adult: As Difene Dual Release Na (1% gel): Apply onto affected area 3 or 4 times daily.

Transdermal

Acute pain

Adult: Sprains, strains, contusions: 1 patch bid.

How should I use Difene Dual Release?

Use Difene Dual Release solution as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Difene Dual Release solution.

Uses of Difene Dual Release in details

There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.
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Difene Dual Release is used to relieve pain from various conditions. This form of Difene Dual Release is used to treat migraine headaches. Difene Dual Release is a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever.

OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.

This medication may also be used to treat gout attacks.

How to use Difene Dual Release

Read the Medication Guide provided by your pharmacist before you start taking Difene Dual Release and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth as directed by your doctor. Empty the contents of one packet into a cup containing 1 to 2 ounces (30 to 60 milliliters) of water. Mix well and drink all of it right away. Do not mix with any liquid other than water. If stomach upset occurs while taking this medication, take it with food, milk, or an antacid. However, if you take this medication with a meal high in fat, it may not work as well.

There are different brands and forms of this medication available. Because different forms do not have the same effects at equal strengths, do not switch forms of Difene Dual Release unless your doctor tells you to.

To reduce your risk of stomach bleeding and other side effects, take this medication at the lowest effective dose. Do not increase your dose or take it more often than prescribed.

Pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well.

Tell your doctor if your condition persists or worsens.

Difene Dual Release description

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The active substance is sodium-[o[(2,6-dichlorophenyl)-amino]-phenyl]-acetate (= Difene Dual Release sodium).

Each enteric tablet contains 25 mg or 50 mg of Difene Dual Release sodium.

One prolonged-release tablet contains 100 mg of Difene Dual Release sodium.

Excipients/Inactive Ingredients: Gastro-Resistant Tablet: Core for 25 mg and 50 mg: Cellulose microcrystalline; lactose monohydrate; magnesium stearate; maize starch; povidone; silica, colloidal anhydrous; sodium starch glycolate (type A).

Coating for 25 mg and 50 mg: Hypromellose; iron oxide yellow (E172); macrogoglycerol hydroxystearate; methacrylic acid-ethyl acrylate copolymer; macrogol 8000; talc; titanium dioxide (E171); simeticone; alpha-octadecyl-omega-hydroxy-polyglykolether; sorbic acid.

Coating for 50 mg: Iron oxide red (E172).

SR Tablet: Tablet Core: Cetyl alcohol; magnesium stearate; povidone; silica; colloidal anhydrous; sucrose.

Tablet Coating: Hypromellose; iron oxide red (E172); macrogol 8000; polysorbate 80; sucrose; talc; titanium dioxide (E171). Printing Ink: Carbon black, shellac, ammonium hydroxide, simethicone.

Injection: Each ampoule also contains the following excipients: Mannitol, sodium metabisulfite (E223), benzyl alcohol, propylene glycol, water for injection, sodium hydroxide.

Difene Dual Release dosage

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Difene Dual Release Dosage

Generic name: Difene Dual Release 18mg

Dosage form: capsule

The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.

General Dosing Instructions

Carefully consider the potential benefits and risks of Difene Dual Release and other treatment options before deciding to use Difene Dual Release. Use the lowest effective dosage for the shortest duration consistent with individual patient treatment goals.

The effectiveness of Difene Dual Release when taken with food has not been studied in clinical studies. Taking Difene Dual Release with food may cause a reduction in effectiveness compared to taking Difene Dual Release 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.

Dosage Adjustments in Patients with Hepatic Impairment

Patients with hepatic disease may require reduced doses of Difene Dual Release compared to patients with normal hepatic function. As with other Difene Dual Release products, start treatment at the lowest dose. If efficacy is not achieved with the lowest dose, discontinue use.

Non-Interchangeability with Other Formulations of Difene Dual Release

Difene Dual Release capsules are not interchangeable with other formulations of oral Difene Dual Release even if the milligram strength is the same. Difene Dual Release capsules contain Difene Dual Release free acid whereas other Difene Dual Release products contain a salt of Difene Dual Release, i.e., Difene Dual Release potassium or sodium. A 35 mg dose of Difene Dual Release is approximately equal to 37.6 mg of sodium Difene Dual Release or 39.5 mg of potassium Difene Dual Release. Therefore, do not substitute similar dosing strengths of other Difene Dual Release products without taking this into consideration.

More about Difene Dual Release (Difene Dual Release)

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Difene Dual Release interactions

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What other drugs will affect Difene Dual Release?

Aspirin: Concomitant administration of Difene Dual Release and aspirin is not recommended because Difene Dual Release 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 Difene Dual Release 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 Difene Dual Release and warfarin, requires close monitoring of patients to be certain that no change in their anticoagulant dosage is required.

Digoxin, Methotrexate, Cyclosporine: Difene Dual Release, like other NSAIDs, may affect renal prostaglandins and increase the toxicity of certain drugs. Ingestion of Difene Dual Release may increase serum concentrations of digoxin and methotrexate and increase cyclosporine's nephrotoxicity. Patients who begin taking Difene Dual Release or who increase their Difene Dual Release 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: Difene Dual Release decreases lithium renal clearance and increases lithium plasma levels. In patients taking Difene Dual Release and lithium concomitantly, lithium toxicity may develop.

Oral Hypoglycemics:

Difene Dual Release does not alter glucose metabolism in normal subjects nor does it alter the effects of oral hypoglycemic agents. There are rare reports, however, from marketing experiences, of changes in effects of insulin or oral hypoglycemic agents in the presence of Difene Dual Release that necessitated changes in the doses of such agents. Both hypo- and hyperglycemic effects have been reported. A direct causal relationship has not been established, but physicians should consider the possibility that Difene Dual Release may alter a diabetic patient's response to insulin or oral hypoglycemic agents.

Diuretics: Difene Dual Release 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 Difene Dual Release. Phenobarbital toxicity has been reported to have occurred in a patient on chronic phenobarbital treatment following the initiation of Difene Dual Release therapy.

Difene Dual Release side effects

See also:
What are the possible side effects of Difene Dual Release?

Fluid Retention and Edema: Fluid retention and edema have been observed in some patients taking Difene Dual Release. Therefore, as with other NSAIDs, Difene Dual Release should be used with caution in patients with history of cardiac decompensation, hypertension or other conditions predisposing to fluid retention.

Hematological Effects: Anemia is sometimes seen in patients receiving Difene Dual Release or other NSAIDs. This may be due to fluid retention, GI blood loss or an incompletely described effect upon erythropoiesis.

Renal Effects: As a class, NSAIDs have been associated with renal papillary necrosis and other abnormal renal pathology in long-term administration to animals. In patients treated with Difene Dual Release, rare cases of interstitial nephritis and papillary necrosis have been reported. A second form of renal toxicity, generally associated with NSAIDs, is seen in patients with conditions leading to a reduction in renal blood flow or blood volume, where renal prostaglandins have a supported role in the maintenance of renal perfusion. In these patients, administration of an NSAID results in a dose-dependent decrease in prostaglandin synthesis and secondarily, in a reduction of renal blood flow, which may precipitate over the renal failure. Patients at greater risk of this reaction are those with impaired renal function, heart failure, liver dysfunction, those taking diuretics and the elderly.

Porphyria: The use of Difene Dual Release in patients with hepatic porphyria should be avoided.

Aseptic Meningitis: As with other NSAIDs, aseptic meningitis with fever and coma has been observed in rare occasions in patients on Difene Dual Release therapy. Although it is probably more likely to occur in patients with systemic lupus erythematosus and related connective tissue diseases, it has been reported in patients who do not have an underlying chronic disease. If signs or symptoms of meningitis develop in a patient on Difene Dual Release, the possibility of it being related to Difene Dual Release should be considered.

There may be pain and occasionally tissue damage at the site of injection when given IM.

Difene Dual Release contraindications

See also:
What is the most important information I should know about Difene Dual Release?

Hypersensitivity to Difene Dual Release sodium or to any of the excipients of Difene Dual Release.

Active gastric or intestinal ulcer, bleeding or perforation.

Last trimester of pregnancy.

Hepatic, renal and severe cardiac failure.

Patients in whom attacks of asthma, urticaria or acute rhinitis are precipitated by acetylsalicylic acid and/or other drugs with prostaglandin-synthetase inhibitory activity.

Treatment of peri-operative pain in setting of coronary artery bypass graft (CABG) surgery.

The use of high dose Difene Dual Release (150 mg/day) for >4 weeks is contraindicated in patients with established cardiovascular disease (congestive heart failure, established ischemic heart disease, peripheral arterial disease) or uncontrolled hypertension.

Established Cardiovascular Disease or Significant Cardiovascular Risk Factors: The use of high dose Difene Dual Release (150mg/day) for >4 weeks is contraindicated in patients with established cardiovascular disease (congestive heart failure, established ischemic heart disease, peripheral arterial disease) or uncontrolled hypertension. If Difene Dual Release treatment is needed, patients with established cardiovascular disease, uncontrolled hypertension or significant cardiovascular risk factors (eg, hypertension, hyperlipidaemia, diabetes mellitus and smoking) should be treated only after careful consideration and at doses ≤100 mg daily if the treatment is for >4 weeks. As the cardiovascular risks of Difene Dual Release may increase with dose and duration of exposure, Difene Dual Release should always be prescribed at the lowest effective daily dose and for the shortest duration possible.

Renal Impairment: Difene Dual Release is contraindicated in patients with renal failure. No specific studies have been carried out in patients with renal impairment, therefore, no specific dose adjustment recommendations can be made. Caution is advised when administering Difene Dual Release to patients with mild to moderate renal impairment.

Hepatic Impairment: Difene Dual Release is contraindicated in patients with hepatic failure. No specific studies have been carried out in patients with hepatic impairment, therefore, no specific dose adjustment recommendations can be made. Caution is advised when administering Difene Dual Release to patients with mild to moderate hepatic impairment.



Active ingredient matches for Difene Dual Release:

Diclofenac in Ireland.


List of Difene Dual Release substitutes (brand and generic names)

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Unit description / dosage (Manufacturer)Price, USD
Difeno 25 mg x 500's (Milano)
Difeno 75 mg/3 mL x 10's (Milano)
Difensic 25 mg x 500's
Difensic 25 mg x 1, 000's
Difin Plus Gel Diclofenac, Linseed oil, Methyl salicylate, Menthol. GEL / 40g (Positif (Afive))$ 0.76
40g (Positif (Afive))$ 0.76
DIFIN PLUS GEL topical gel 40g (Positif (Afive))$ 0.76
Difin-S Diclofenac sodium 50 mg, Serratiopeptidase 15 mg. TAB / 20 (Positif (Afive))$ 0.89
20's (Positif (Afive))$ 0.89
DIFIN-S tab 10's (Positif (Afive))$ 0.89
DIFLAC GEL 1 tube / 30 GM gel each (Radicura)$ 0.81
DIFLAC topical gel 30g (Radicura)$ 0.94
Diflam 25 mg x 5 x 10's (Elder Pharmaceuticals Pvt Ltd)
Diflam 50 mg x 5 x 10's (Elder Pharmaceuticals Pvt Ltd)
Diflam 20 gm Gel (Elder Pharmaceuticals Pvt Ltd)$ 0.72
Diflapane 50 mg x 100's (Danlex)$ 16.84
Diflosid / amp 25 mg/1 mL x 3mL x 10's (Geofman)
Diflosid inj 75 mg/3 mL 5's (Geofman)
Difnal 25 mg x 1000's (Ranbaxy)
Difnal 50 mg x 1000's (Ranbaxy)
Difnal OD 100 mg x 10 x 10's (Ranbaxy)
Tablets, Enteric Coated; Oral; Diclofenac Sodium 25 mg (Ranbaxy)
Tablets, Enteric Coated; Oral; Diclofenac Sodium 50 mg (Ranbaxy)
Difnal 25 mg x 1000's (Ranbaxy)$ 11.43
Difnal 50 mg x 1000's (Ranbaxy)$ 21.71
Difnal OD 100 mg x 10 x 10's (Ranbaxy)
Diklofen 50mg SUPP / 10 (Stadmed Pvt Ltd)$ 4.76
50 mg x 10's (Stadmed Pvt Ltd)$ 4.76
Diklofen Rectal 50 mg Suppository (Stadmed Pvt Ltd)$ 0.48

References

  1. DailyMed. "DICLOFENAC EPOLAMINE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
  2. PubChem. "diclofenac". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  3. DrugBank. "diclofenac". http://www.drugbank.ca/drugs/DB00586 (accessed September 17, 2018).

Reviews

The results of a survey conducted on ndrugs.com for Difene Dual Release are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Difene Dual Release. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.

User reports

1 consumer reported useful

Was the Difene Dual Release drug useful in terms of decreasing the symptom or the disease?
According to the reports released by ndrugs.com website users, the below mentioned percentages of users say the drug is useful / not useful to them in decreasing their symptoms/disease. The usefulness of the drug depends on many factors, like severity of the disease, perception of symptom, or disease by the patient, brand name used [matters only to a certain extent], other associated conditions of the patient. If the drug is not effective or useful in your case, you need to meet the doctor to get re-evaluated about your symptoms/disease, and he will prescribe an alternative drug.
Users%
Useful1
100.0%


Consumer reported price estimates

No survey data has been collected yet


Consumer reported time for results

No survey data has been collected yet


4 consumers reported age

Users%
46-602
50.0%
30-452
50.0%


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Information checked by Dr. Sachin Kumar, MD Pharmacology

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