Sedase D Uses

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What is Sedase D?

Sedase D 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, Sedase D does not cure osteoarthritis and will help you only as long as you continue to use it.

Sedase D 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 Sedase D helps this condition is unknown.

Sedase D topical solution is used to treat pain and swelling caused by osteoarthritis of the knees.

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

Sedase D is available only with your doctor's prescription.

Sedase D 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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Carefully consider the potential benefits and risks of Sedase D delayed-release tablets and other treatment options before deciding to use Sedase D delayed-release tablets. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals.

Sedase D delayed-release tablets are indicated:

For relief of the signs and symptoms of osteoarthritis
For relief of the signs and symptoms of rheumatoid arthritis
For acute or long-term use in the relief of signs and symptoms of ankylosing spondylitis

How should I use Sedase D?

Use Sedase D 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 Sedase D.

Uses of Sedase D 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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Use: Labeled Indications

Ankylosing spondylitis (delayed-release tablets only): Acute or long-term use in the relief of signs and symptoms of ankylosing spondylitis.

Dysmenorrhea (immediate-release tablets only): Treatment of primary dysmenorrhea.

Migraine (powder for oral solution only): Acute treatment of migraine attacks with or without aura in adults.

Osteoarthritis (immediate-release, extended-release, and delayed-release tablets; capsules [Zorvolex]; and suppositories [Canadian product] only): Relief of signs and symptoms of osteoarthritis.

Pain

Capsules/immediate-release tablets only: Relief of mild to moderate acute pain.

Injection only: Management of mild to moderate pain and moderate to severe pain (alone or in combination with opioid analgesics) in adults.

Rheumatoid arthritis (immediate-release, extended-release, and delayed-release tablets; and suppositories [Canadian product] only): Relief of signs and symptoms of rheumatoid arthritis.

Off Label Uses

Gout, treatment (acute flares)

Data from a limited number of trials support the efficacy of Sedase D in the treatment of acute gout flares.

Based on the 2012 American College of Rheumatology guidelines for management of gout, nonsteroidal anti-inflammatory drugs are effective and recommended agents in the treatment of acute gout flares.

Sedase D description

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A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt.

Sedase D dosage

Carefully consider the potential benefits and risks of Sedase D extended-release tablets, and other treatment options before deciding to use Sedase D extended-release tablets. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals.

After observing the response to initial therapy with Sedase D extended-release tablets the dose and frequency should be adjusted to suit an individual patient’s needs.

For the relief of osteoarthritis, the recommended dosage is 100 mg daily.

For the relief of rheumatoid arthritis, the recommended dosage is 100 mg daily. In the rare patient where Sedase D extended-release tablets 100 mg/day is unsatisfactory, the dose may be increased to 100 mg twice a day if the benefits outweigh the clinical risks of increased side effects.

Different formulations of Sedase D (Sedase D enteric-coated tablets; Sedase D extended-release tablets; Sedase D potassium immediate-release tablets) are not necessarily bioequivalent even if the milligram strength is the same.

Sedase D interactions

See also:
What other drugs will affect Sedase D?

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

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

Oral Hypoglycemics:

Sedase D 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 Sedase D 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 Sedase D may alter a diabetic patientís response to insulin or oral hypoglycemic agents.

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

Protein Binding

In vitro, Sedase D interferes minimally or not at all with the protein binding of salicylic acid (20% decrease in binding), tolbutamide, prednisolone (10% decrease in binding), or warfarin. Benzylpenicillin, ampicillin, oxacillin, chlortetracycline, doxycycline, cephalothin, erythromycin, and sulfamethoxazole have no influence in vitro on the protein binding of Sedase D in human serum.

Drug/Laboratory Test Interactions

Effect on Blood Coagulation: Sedase D increases platelet aggregation time but does not affect bleeding time, plasma thrombin clotting time, plasma fibrinogen, or factors V and VII to XII. Statistically significant changes in prothrombin and partial thromboplastin times have been reported in normal volunteers. The mean changes were observed to be less than 1 second in both instances, however, and are unlikely to be clinically important. Sedase D is a prostaglandin synthetase inhibitor, however, and all drugs that inhibit prostaglandin synthesis interfere with platelet function to some degree; therefore, patients who may be adversely affected by such an action should be carefully observed.

Sedase D side effects

See also:
What are the possible side effects of Sedase D?

Ocular

Transient burning and stinging were reported in approximately 15% of patients across studies with the use of Sedase D ophthalmic solution, 0.1%. In cataract surgery studies, keratitis was reported in up to 28% of patients using Sedase D ophthalmic solution, 0.1%, although in many of these cases keratitis was initially noted prior to the initiation of treatment. Elevated intraocular pressure following cataract surgery was reported in approximately 15% of patients undergoing cataract surgery. Lacrimation complaints were reported in approximately 30% of case studies undergoing incisional refractive surgery. The following adverse reactions were reported in approximately 10% or less of the patients: abnormal vision, acute elevated IOP, blurred vision, conjunctivitis, corneal deposits, corneal edema, corneal opacity, corneal lesions, discharge, eyelid swelling, eye pain, injection (redness), iritis, irritation, itching, lacrimation disorder, and ocular allergy.

Systemic

The following adverse reactions were reported in 3% or less of the patients: abdominal pain, asthenia, chills, dizziness, facial edema, fever, headache, insomnia, nausea, pain, rhinitis, viral infection and vomiting.

Clinical Practice

The following reactions have been identified during postmarketing use of topical Sedase D ophthalmic solution, 0.1% in clinical practice. Because they are reported voluntarily from a population of unknown size, estimates of frequency cannot be made. The reactions, which have been chosen for inclusion due to either their seriousness, frequency of reporting, possible causal connection to topical Sedase D ophthalmic solution, 0.1%, or a combination of these factors, include corneal erosion, corneal infiltrates, corneal perforation, corneal thinning, corneal ulceration and epithelilal breakdown.

TO REPORT SUSPECTED ADVERSE REACTIONS, contact Altaire Pharmaceuticals, Inc., at 1-800-258-2471 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Sedase D contraindications

See also:
What is the most important information I should know about Sedase D?

Sedase D in all formulations, Cataflam, Voltaren, and Voltaren-XR, is contraindicated in patients with known hypersensitivity to Sedase D and Sedase D-containing products. Sedase D should not be given to patients who have experienced asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs. Severe, rarely fatal, anaphylactic-like reactions to Sedase D have been reported in such patients.

Active ingredient matches for Sedase D:

Diclofenac Sodium


Unit description / dosage (Manufacturer)Price, USD
Sedase D 50+10 Tablet$ 0.08
Sedase D 50+10 Pharma Plus Tablet$ 0.07

List of Sedase D substitutes (brand and generic names):

Satio D 10+50 Tablet (Brooks Pharmaceuticals)$ 0.07
Sefenac 75 mg Injection (SPM Drugs Pvt. Ltd.)$ 0.02
Selclo Pep 50+10 Tablet (Waksman Selman Pharmaceuticals Pvt. Ltd.)$ 0.06
Sendic 50+10 Tablet (Hamax Pharmaceuticals)$ 0.06
Sep K 10+50 Tablet (Rut Pharma)$ 0.08
SEP K TABLET 1 strip / 10 tablets each (Rut Pharma)$ 0.55
Sep K Tablet (Rut Pharma)$ 0.06
Sepdase D 50+10 Tablet (Elixir Formulations)$ 0.05
Sepdase D 50+10 Jocund India Tablet (Elixir Formulations)$ 0.06
SEPDASE D 50MG/10MG TABLET 1 strip / 10 tablets each (Elixir Formulations)$ 0.75
Sepdase D 50 mg/10 mg Tablet (Elixir Formulations)$ 0.08
Septa D 50+10 Tablet (Rekvina Pharmaceuticals)$ 0.07
SEPTA D 50 MG/10 MG TABLET 1 strip / 10 tablets each (Rekvina Pharmaceuticals)$ 0.70
Septa D 50 mg/10 mg Tablet (Rekvina Pharmaceuticals)$ 0.07
Serador D 50+10 Tablet (Adore Healthcare)$ 0.06
Seraflam D 50+10 Tablet (Osho Pharma Pvt.Ltd.)$ 0.04
Seration DF 50+10 Tablet (Harson Lab Pvt. Ltd.)$ 0.07
SERATION DF 50MG/10MG TABLET 1 strip / 10 tablets each (Harson Lab Pvt. Ltd.)$ 0.83
Seration DF 50 mg/10 mg Tablet (Harson Lab Pvt. Ltd.)$ 0.08
Seratodase D 50+15 Tablet (Marc Laboratories Pvt. Ltd.)$ 0.08
Serb D 50+10 Tablet (Ester Formulations)$ 0.06
SERENGY inj 25 mg x 1 mL x 1ml (Unikind)
Seridol Plus 50+10 Tablet (Cataliq Laboratories Pvt. Ltd.)$ 0.07
Serlik 10+50 Tablet (Teblik Drugs Ltd.)$ 0.06
Sernase D 50+10 Tablet (Allied Chemicals & Pharmaceuticals Pvt.Ltd.)$ 0.06
Sero D 10+50 Tablet (Aan Pharma Pvt Ltd)$ 0.06
Serodal 50+10 Tablet (Dallas Pharmaceuticals)$ 0.06
Seroz D 50+10 Tablet (Medoz Pharmaceuticals)$ 0.08
SEROZ D 50MG/10MG TABLET 1 strip / 10 tablets each (Medoz Pharmaceuticals)$ 0.77
SERROZ D 50MG/10MG TABLET 1 strip / 10 tablets each (Medoz Pharmaceuticals)$ 0.66
Seroz D 50 mg/10 mg Tablet (Medoz Pharmaceuticals)$ 0.08
Serpet D 50+10 Tablet (Suzikem Drugs Pvt. Ltd.)$ 0.05
Serraden Plus 50+10 Tablet (Eden Healthcare)$ 0.07
Serrodase D 50+10 Tablet (Sienna Formulations Pvt Ltd.)$ 0.06
SERRODASE D 50MG/10MG TABLET 1 strip / 10 tablets each (Sienna Formulations Pvt Ltd.)$ 0.67
Serrodase D 50 mg/10 mg Tablet (Sienna Formulations Pvt Ltd.)$ 0.07
Sidaze D 50+10 Tablet (Symet Drugs Ltd.)$ 0.06
Sildec Plus Gel 30 gm Gel (Silicon Pharma (Rhombus Pharma Pvt Ltd))$ 0.54
Siodase D 50+10 Tablet (Savoy Biotech)$ 0.08
Siodic MR 250+50 Tablet (Siochem Pharma Pvt Ltd)$ 0.08
Slanac 50 mg Tablet (Slaney Healthcare Pvt. Ltd.)$ 0.03
Slanac Inj Injection (Slaney Healthcare Pvt. Ltd.)$ 0.18

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 Sedase D 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 Sedase D. 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 Sedase D 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


1 consumer reported age

Users%
30-451
100.0%


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Information checked by Dr. Sachin Kumar, MD Pharmacology

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