Rumagesic Uses

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Rumagesic 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 (Rumagesic) 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 (Rumagesic). 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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Allergic States

Control of severe or incapacitating allergic conditions intractable to adequate trials of conventional treatment in asthma, atopic dermatitis, contact dermatitis, drug hypersensitivity reactions, perennial or seasonal allergic rhinitis, serum sickness, transfusion reactions.

Dermatologic Diseases

Bullous dermatitis herpetiformis, exfoliative erythroderma, mycosis fungoides, pemphigus, severe erythema multiforme (Stevens-Johnson syndrome).

Endocrine Disorders

Congenital adrenal hyperplasia, hypercalcemia associated with cancer, nonsuppurative thyroiditis.

Hydrocortisone or cortisone is the drug of choice in primary or secondary adrenocortical insufficiency. Synthetic analogs may be used in conjunction with mineralocorticoids where applicable; in infancy mineralocorticoid supplementation is of particular importance.

Gastrointestinal Diseases

To tide the patient over a critical period of the disease in regional enteritis and ulcerative colitis.

Hematologic Disorders

Acquired (autoimmune) hemolytic anemia, Diamond-Blackfan anemia, pure red cell aplasia, selected cases of secondary thrombocytopenia.

Miscellaneous

Trichinosis with neurologic or myocardial involvement, tuberculous meningitis with subarachnoid block or impending block when used with appropriate antituberculous chemotherapy.

Neoplastic Diseases

For palliative management of leukemias and lymphomas.

Nervous System

Acute exacerbations of multiple sclerosis; cerebral edema associated with primary or metastatic brain tumor or craniotomy.

Ophthalmic Diseases

Sympathetic ophthalmia, temporal arteritis, uveitis and ocular inflammatory conditions unresponsive to topical corticosteroids.

Renal Diseases

To induce diuresis or remission of proteinuria in idiopathic nephrotic syndrome or that due to lupus erythematosus.

Respiratory Diseases

Berylliosis, fulminating or disseminated pulmonary tuberculosis when used concurrently with appropriate antituberculous chemotherapy, idiopathic eosinophilic pneumonias, symptomatic sarcoidosis.

Rheumatic Disorders

As adjunctive therapy for short-term administration (to tide the patient over an acute episode or exacerbation) in acute gouty arthritis; acute rheumatic carditis; ankylosing spondylitis; psoriatic arthritis; rheumatoid arthritis, including juvenile rheumatoid arthritis (selected cases may require low-dose maintenance therapy). For the treatment of dermatomyositis, polymyositis, and systemic lupus erythematosus.

The intra-articular or soft tissue administration of Injectable Suspension is indicated as adjunctive therapy for short-term administration (to tide the patient over an acute episode or exacerbation) in acute gouty arthritis, acute and subacute bursitis, acute nonspecific tenosynovitis, epicondylitis, rheumatoid arthritis, synovitis of osteoarthritis.

The intralesional administration of Injectable Suspension is indicated for alopecia areata; discoid lupus erythematosus; keloids; localized hypertrophic, infiltrated, inflammatory lesions of granuloma annulare, lichen planus, lichen simplex chronicus (neurodermatitis), and psoriatic plaques; necrobiosis lipoidica diabeticorum.

Injectable Suspension may also be useful in cystic tumors of an aponeurosis or tendon (ganglia

Rumagesic description

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Rumagesic: Each tablet contains Ibuprofen (Rumagesic) 300 mg and Paracetamol (Rumagesic) 325 mg.

Rumagesic Kid: Each dispersible tablet contains Ibuprofen (Rumagesic) 100 mg and Paracetamol (Rumagesic) 125 mg. Colour: Tartrazine.

Rumagesic Forte: Each tablet contains Ibuprofen (Rumagesic) 400 mg and Paracetamol (Rumagesic) 500 mg.

Rumagesic dosage

For oral use for adult single dose is 25-50 mg 2-3 times / 24 h. Frequency of admission depends on the dosage form employed, the severity of the disease and is 1-3 times / 24 h, rectally - 1 times / 24 h, for the treatment of acute conditions or the exacerbation of chronic edema use intramuscular in dose of 75 mg.

For children older than 6 years and adolescents daily dose is 2 mg / kg.

Topical applied at a dose of 2-4 g (depending on the size of painful area) on the affected area 3-4 times / 24 h.

When used in ophthalmology frequency and duration of administration are determined individually.

The maximum oral daily dose for adults is 150 mg.

Rumagesic interactions

At simultaneous application with diclofenac antihypertensive drugs may be weakening their actions.

There are few reports on the occurrence of seizures in patients taking both NSAIDs and antibacterial drugs quinolic series.

At simultaneous application with GCS and increased risk of side effects from the digestive system.

With simultaneous use of diuretics may decrease diuretic effect. With the simultaneous use of potassium-sparing diuretics may increase the concentration of potassium in the blood.

With simultaneous use with other NSAIDs may increase the risk of side effects.

There are reports of hypoglycemia or hyperglycemia in patients with diabetes who engaged in diclofenac together with hypoglycemic drugs.

When applied simultaneously with acetylsalicylic acid may decrease the concentration of diclofenac in plasma.

Although clinical studies have not found the influence of diclofenac on the action of anticoagulants, describes the individual cases of bleeding when used with diclofenac and warfarin.

With simultaneous use may increase digoxin, lithium, and phenytoin in blood plasma.

The absorption of diclofenac from the gastrointestinal tract is reduced by simultaneous application with kolestiraminom, to a lesser extent - with colestipol.

With simultaneous use may increase the concentration of methotrexate in plasma and increased its toxicity.

With simultaneous application of diclofenac could not affect the bioavailability of morphine, but the concentration of the active metabolite of morphine may be enhanced in the presence of diclofenac, which increases the risk of side effects metabolites of morphine, including respiratory depression.

When applied simultaneously with pentazocine described a case of great convulsions, and rifampicin - may decrease the concentration of diclofenac in plasma, with ceftriaxone - increases excretion of ceftriaxone in bile; with cyclosporine - may increase cyclosporine nephrotoxicity.

Rumagesic side effects

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Ibuprofen (Rumagesic): Cardiovascular System: Tachycardia, flushing, increase in blood pressure.

Central Nervous System: Confusion, hallucinations, mental depression, peripheral neuropathy, tinnitus, drowsiness, insomnia.

Gastrointestinal System: Epigastric pain or discomfort, gastritis, hematemesis, GI perforation, GI ulceration.

Dermatological: Allergic dermatitis, erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis.

Renal: Hematuria, cystitis, renal impairment or failure, polyuria, fluid retention/oedema, acute renal failure, interstitial nephritis, nephrotic syndrome.

Hematological: Agranulocytosis, anaemia, aplastic anaemia, eosinophilia, hemolytic anaemia, leukopenia, thrombocytopenia.

Hypersensitivity Reactions: Anginitis, angioedema, bronchospastic allergic reactions, allergic rhinitis, serum sickness-like reaction, systemic lupus erythematosus, aseptic meningitis.

Ophthalmic:

Amblyopia, blurred or double vision, conjunctivitis, dry irritated or swollen eyes, scotoma.

Oral:

Aphthous stomatitis, gingival ulcerations.

Ear, Nose and Throat: Decreased hearing or any change in hearing, epistaxis.

Hepatic Effect: Hepatitis.

Pancreatic Effect: Pancreatitis.

Paracetamol (Rumagesic): Gastrointestinal System: Nausea, vomiting, stomach pain or cramps, diarrhoea, loss of appetite, hepatotoxicity, hepatic failure, hepatic encephalopathy, GIT bleeding, pancreatitis.

Central Nervous System: Convulsions, respiratory depression, cerebral oedema, coma.

Haematological: Leucopenia, thrombocytopenia, neutropenia, pancytopenia, agranulocytosis, disseminated intravascular coagulation.

Metabolic: Hypoglycaemia, metabolic acidosis.

Cardiovascular System: Cardiac arrhythmias, cardiovascular collapse.

Renal System: Renal tubular necrosis, renal failure.

Dermatological: Skin rashes and other allergic reactions. The rash is usually erythematous or urticarial but sometimes more serious and may be accompanied by fever and mucosal lesions.

Rumagesic contraindications

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Rumagesic is contraindicated in patients with the following conditions: History of severe allergic reaction eg, anaphylaxis or angioedema induced by aspirin or other NSAIDs. Because of the possibility of cross-sensitivity due to structural relationships which exist among non-steroidal anti-inflammatory medicines, acute allergic reactions are likely to occur in patients who have exhibited allergic reactions to these compounds.

Patients sensitive to any of the ingredients.

Aspirin-induced nasal polyps associated with bronchospasm (high risk of severe allergic reactions because of cross-sensitivity).

Active peptic ulceration.

Severe renal function impairment.

Active ingredient matches for Rumagesic:

Ibuprofen/Paracetamol


Unit description / dosage (Manufacturer)Price, USD
Rumagesic Paracetamol 325mg, Ibuprofen400mg TAB / 20x10$ 3.81
Rumagesic Paracetamol 325mg, Ibuprofen400mg TAB / 20x10$ 3.81
RUMAGESIC 400MG/325MG TABLET 1 strip / 10 tablets each (Numed)$ 0.24
RUMAGESIC PLUS 400 MG/325 MG TABLET 1 strip / 10 tablets each (Numed)$ 0.48
Rumagesic 400mg/325mg Tablet (Numed)$ 0.02
Rumagesic Plus 400 mg/325 mg Tablet (Numed)$ 0.05

List of Rumagesic substitutes (brand and generic names):

Rubigesic P 400 mg/325 mg Tablet (Bevit Pharmaceuticals Ltd)$ 0.06
10's (Medispan)$ 0.10
Rupar Ibuprofen 400 mg, paracetamol325 mg. TAB / 10 (Medispan)$ 0.10
RUPAR 400MG/325MG TABLET 1 strip / 10 tablets each (Medispan)$ 0.16
RUPAR tab 10's (Medispan)$ 0.10
Rupar Ibuprofen 400 mg, paracetamol325 mg. TAB / 10 (Medispan)$ 0.10
Rupar 400 mg/325 mg Tablet (Medispan)$ 0.02
RUPAR 650MG TABLET 1 strip / 10 tablets each (Medispan Ltd)$ 0.32
RUPAR JUNIOR 400MG/325MG SYRUP 1 bottle / 60 ML syrup each (Medispan Ltd)$ 0.51
Rupar Junior 250mg Syrup (Medispan Ltd)$ 0.51
RUPAR KID DROPS 1 packet / 30 ML drop each (Medispan Ltd)$ 0.40
Rupar Kid Drop (Medispan Ltd)$ 0.40
RUTEK P 300 MG/500 MG TABLET 1 strip / 10 tablets each (Zuventus Healthcare Ltd)$ 1.11
Selxan 100's (Prosel)$ 12.78
SIMULTIN P 100MG/162.5MG SUSPENSION 1 bottle / 60 ML suspension each (Dales Pharmaceuticals Ltd)$ 0.22
Simultin P 100 mg/162.5 mg Suspension (Dales Pharmaceuticals Ltd)$ 0.22
Skelan 220 mg x 100's (Amherst Lab)$ 0.20
Skelan 550 mg x 100's (Amherst Lab)$ 0.39
Skelan tab 220 mg 100's (Amherst Lab)$ 18.87
Skelan tab 550 mg 100's (Amherst Lab)$ 36.69
STIFNIL TABLET 1 strip / 10 tablets each (Fytokem Formulations)$ 0.29
TAKFLAM PLUS TABLET 1 strip / 10 tablets each (Pharmtak Ophtalmics India Pvt Ltd)$ 0.32
Tatanol Extra 20 Blister x 4 Tablet
Taurflam Paracetamol 325mg, Ibuprofen400mg, Magnesium Trisilicate150mg TAB / 10 (Taurus Laboratories Pvt. Ltd.)$ 0.21
10's (Taurus Laboratories Pvt. Ltd.)$ 0.20
Taurflam ibuprofen 400 mg, magnesiumtrisilicate 150 mg, paracetamol 325 mg. TAB / 10 (Taurus Laboratories Pvt. Ltd.)$ 0.20
Taurflam 400+325+150 Tablet (Taurus Laboratories Pvt. Ltd.)$ 0.02
Taurflam Paracetamol 325mg, Ibuprofen400mg, Magnesium Trisilicate150mg TAB / 10 (Taurus Laboratories Pvt. Ltd.)$ 0.21
TAURFLAM tab 10's (Taurus Laboratories Pvt. Ltd.)$ 0.20
Taurgesic Paracetamol 325mg, Ibuprofen400mg, Magnesium Trisilicate150mg TAB / 10 (Ecocare)$ 0.21
Taurgesic 400+325+150 Tablet (Ecocare)$ 0.02
Taurgesic Paracetamol 325mg, Ibuprofen400mg, Magnesium Trisilicate150mg TAB / 10 (Ecocare)$ 0.21
Taxanzan 5 Blister x 20 Tablet
Suspension; Oral; Acetaminophen 300 mg; Ibuprofen 300 mg / 10 ml (Megahealth)
Tolfen Ibuprofen 400mg, Paracetamol350mg TAB / 10 (Micro Labs Ltd)$ 0.22
10's (Micro Labs Ltd)$ 0.22
Tolfen Ibuprofen 400 mg, paracetamol350 mg. TAB / 10 (Micro Labs Ltd)$ 0.10
Tolfen Ibuprofen 400 mg, paracetamol500 mg. TAB / 10 (Micro Labs Ltd)$ 0.22
Tolfen 400+500 Tablet (Micro Labs Ltd)$ 0.02
Tolfen 400+350 Tablet (Micro Labs Ltd)$ 0.01

References

  1. DailyMed. "IBUPROFEN: 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. "ibuprofen". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  3. DrugBank. "ibuprofen". http://www.drugbank.ca/drugs/DB01050 (accessed September 17, 2018).

Reviews

The results of a survey conducted on ndrugs.com for Rumagesic 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 Rumagesic. 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.

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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