"Metindol retard": description, instruction, indications

In our time, often enough people are faced with the problem of pain in the joints, back or spine. In connection with sedentary work, many patients have long been diagnosed with osteochondrosis. With pain in the muscles and joints, even small children often encounter during the accelerated growth of the body. Variants are different, but in many cases, doctors prescribe a known anesthetic drug "Metindol-retard."

Description

This drug is a non-steroidal anti-inflammatory drug. Indomethacin is the active substance of this drug. "Metindol" has an analgesic and anti-inflammatory effect. Also, this drug is able to have antiaggregant effect.

Form of issue and composition

This drug is available in the form of tablets. They can be white or yellowish white. The surface of the tablet is flat, the edge is cut. In the blister is 25 tablets, the blister is in a cardboard bundle. The main active ingredient is indomethacin. Also included in the tablet are additional substances, such as potato starch, microcrystalline cellulose, magnesium stearate, talc. In addition, this drug is also available in the form of dragees, gel, capsules, ointments, suppositories and a ready-made solution.

pharmachologic effect

The drug has anti-inflammatory, analgesic, desensitizing and antipyretic effect. Also, the pharmacological actions of this drug include the elimination of pain and swelling of the joints, the elimination of puffiness around the joints and morning stiffness. In addition, "Metindol" fights against erythema and promotes a significant expansion of the amplitude of movements.

Indications for use

The drug has a strong analgesic effect, so most often it is prescribed for pathology of the musculoskeletal system, as well as pain syndrome of various origins. The drug has the property to stop pain syndrome (such conditions as toothache, lumbago, pain after surgery and traumatic injuries, headache, myalgia, sciatica, neuralgia).

"Metindol-retard" is often prescribed in the following diseases: neuralgic amyotrophy, arthritis, Paget's disease, ankylosing spondylitis, rheumatism, gout. Also, the drug is indicated for inflammatory-infectious diseases, such as pharyngitis, otitis media, tonsillitis. Due to the fact that the medicine has a good analgesic effect, it is also prescribed for the treatment of pericarditis, secondary hyperaldosteronism, algodismenorea, adnexitis, inflammation in the small pelvis.

During traumatic injuries of muscles, joints or tendons, "Metindol" is prescribed in the form of an ointment or gel. Also ointment or gel can be prescribed as anti-inflammatory for joints, for example, with radiculitis, myalgia, lumbago, osteochondrosis, arthritis. An exception is the degenerative pathology of the hip and small intervertebral joints.

Contraindications

"Metindol" is contraindicated in congenital heart disease, for example with pulmonary atresia or severe coarctation of the aorta. Also, this drug is not prescribed for ulcerative diseases of the digestive tract, with gastric bleeding, cirrhosis, ulcerative colitis, aspirin triad, as well as in violation of color or visual perception.

Contraindications include arterial hypertension, bronchial asthma, cardiac and hepatic insufficiency, optic nerve pathology , swelling, impaired blood coagulability and hematopoiesis (leukopenia, anemia). Also, the drug is contraindicated in patients with reduced auditory perception and pathology of the vestibular apparatus. Pregnancy and lactation also apply to contraindications.

With hemorrhoids and proctitis, taking the medication in rectal form is contraindicated. A gel or ointment is not prohibited, and they also have a strong analgesic effect. Children and the elderly, as well as patients with thrombocytopenia and epilepsy, the drug is not prohibited, but its use should be very cautious. The drug in the form of a gel or ointment is forbidden to children under 1 year.

By-effect

"Metindol" is a good anesthetic, but during the reception of this drug, side effects such as nausea, vomiting, anorexia, diarrhea or constipation, abdominal pain and even perforation of the gastrointestinal tract can be observed. This is for the digestive system. On the part of the nervous system, headache and dizziness, a feeling of fatigue or depression, mental disorders and sleep disturbances can occur. On the part of the cardiovascular system, there may be swelling, chest pain, tachycardia, arrhythmia, increased blood pressure. Allergic reactions occur less frequently. These include erythema nodosum, urticaria, pruritus, skin rash, dermatitis.

Regarding other body systems, it is rare, but hearing or vision impairment, impaired renal function, increased sweating, vaginal or nasal bleeding, tension or enlargement of the mammary glands may occur. With the rectal application of the drug "Metindol-retard" may occur, irritation on the mucous membrane of the rectum, and chronic colitis may also worsen. With external use of the drug, itching, rash or redness of the skin is possible.

Application

The drug can be used in three ways (externally, orally, rectally). At the first stage of treatment, adults are prescribed 25 mg of indomethacin about 2-3 times a day. The medicine should be consumed after a meal, washed down with milk. If the dosage is not effective at this dosage, the dosage is increased. The medicine should be continued to drink 2-3 times a day, but the daily norm in this case is 150 mg. Please note that the maximum daily dose of the drug is 200 mg. After the desired effect is achieved, the amount of the drug should be gradually reduced. The course of treatment is 30 days. If therapy has a long term, the maximum dose of the drug per day is 75 mg.

Rectally, the drug should be used before bedtime, after complete cleansing of the intestine. Ointment or gel is applied only externally, 2-4 times a day. Apply gel to the affected area of the joints. The adult maximum dose of ointment per day is 15 cm (the length of the strip from the tube), and the child's half is less (7.5 cm) of gel or ointment.

Overdose

Overdosing of the drug "Metindol-retard" is manifested by nausea, vomiting, severe headache or dizziness, memory may be disrupted and disorientation in time may be observed. In a particularly severe case, paresthesia, convulsions, and numbness of the extremities may appear . In the case of an overdose, immediate removal of the drug from the body is required.

special instructions

People of advanced age, as well as

Patients with kidney and liver disease should apply the drug with extreme caution. It is also necessary to carefully use the drug for patients with arterial hypertension and heart failure.

Many experts say that "Metindol-retard" is the best anti-inflammatory drug, but during treatment it is necessary to monitor the function of the kidneys and liver systematically. It is not recommended to use this drug simultaneously with acetylsalicylic acid. Do not apply ointment or gel to the wound skin surface. It is advisable to avoid getting the drug into the eyes. If swallowed, rinse thoroughly with water.

It should be taken into account that the drug negatively affects the management of vehicles and other mechanisms, therefore, during the treatment period, activities that require increased concentration of attention should be avoided.

Interaction with drugs

Simultaneous use of indomethacin can reduce the effect of beta-blockers and saluretics, as well as increase the effect of indirect anticoagulants. Using indomethacin together with diflunizalom, it is possible to provoke a strong gastric bleeding. If you use this drug with probenecid, the concentration of indomethacin in the blood plasma may increase. If you use "Metindol" with digoxin, the probability of an increase in the level of digoxin in the blood plasma appears.

"Metindol-retard." Price of the preparation

The price of the drug depends on the manufacturer, as well as on the form of release. The cost of this drug in tablets ranges from 100 to 150 rubles per blister.

Storage conditions

Keep this medication in a dark place. The temperature should be at least 15 and not above 25 degrees. Shelf life is 60 months.

Analogues

Very often patients in pharmacies ask for analogues of a certain medication. Painkillers can be found in any pharmacy. Considering that "Metindol" is released on prescription, you can ask its counterparts. This drug belongs to a group of medicines that can remove pain in the joints and muscles. This group includes such drugs as "Meloksikam", "Diklonak", "Pfizer". Also, "Metindol" is part of a group of drugs aimed at treating diseases of the spine and joints. This group also includes such drugs: "Geparoid Lechiva", "Ibuprofen", "Ketorol". In addition, "Metindol-retard" refers to a group of non-steroidal anti-inflammatory drugs. In this case, the analogue may be Indomethacin-Acry, Paracetamol.

Reviews

In general, the responses of both patients and doctors about this drug are positive. When patients come to a specialist, they ask to prescribe any means (pills or ointments), but that the medications are painkillers. Price is also important, since many can not afford expensive drugs. "Metindol" is relatively inexpensive and at the same time a potent agent. Therefore, doctors recommend it.

It should be noted that this drug has many side effects, so take it with caution, always consult with a specialist (especially if there are any additional health problems). In addition, it is necessary to conduct treatment under the supervision of a physician, it is not worth it to prescribe this remedy (as, indeed, others).