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Indometacin / Indomethacin

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Molecule Summary

Uses
Pain relief
Therapy
Drugs For Rheumatoid Arthritis, Anti-Inflammatory
Side Effects
Nausea, vomiting, headache, dizziness
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Molecule Description

Indometacin / Indomethacin is used to relieve pain and inflammation associated with various conditions such as arthritis, back pain, and sports injuries. It is a medication that reduces inflammation. While Indometacin / Indomethacin can effectively alleviate pain, swelling, and stiffness, it may cause side effects such as nausea, vomiting, stomach upset, dizziness, and drowsiness. These side effects are usually temporary. Take Indometacin / Indomethacin exactly as prescribed by your doctor, preferably with or after meals to minimize stomach upset. Indometacin / Indomethacin is not suitable for everyone. Avoid it if you have angioneurotic edema (swelling of the face, lips, tongue, or throat), a history of stomach or intestinal ulcers/bleeding, nasal polyps causing nasal obstruction, or severe liver, kidney, or heart problems. Before taking Indometacin / Indomethacin, inform your doctor about any existing medical conditions, including high blood pressure, heart failure, bleeding disorders, mental health issues, epilepsy, Parkinson's disease, severe infections, fluid retention, asthma, gastrointestinal problems, lupus, diabetes, circulation problems, dehydration, or if you are scheduled for surgery. During treatment with Indometacin / Indomethacin, it is important to avoid consuming alcohol. This medication is not recommended for use in pregnant women, especially during the last 3 months of pregnancy, and in breastfeeding women. It should not be used in children below 14 years of age. It should be used with caution in elderly patients.

Uses

  • Rheumatoid arthritis
  • Osteoarthritis
  • Ankylosing spondylitis
  • Degenerative joint disease
  • Gout and lumbago
  • Pain after orthopaedic surgeries

Contraindications

When should one not use Indometacin / Indomethacin

  • If you are allergic to indometacin / indomethacin or any other ingredient of this medicine.
  • If you have experienced asthma, runny nose, swelling and rashes on your skin after using any painkiller.
  • If you have ulcers or a history of frequent ulcers or bleeding in the stomach after using painkillers.
  • If you have serious heart, kidney or liver-related disorder.
  • If you have nasal polyps.
  • If you are in the third trimester of pregnancy.

Side effects

Common side effects of this drug are:

  • Headache
  • Dizziness
  • Nausea
  • Vomiting
  • Stomach pain
  • Diarrhoea
  • Constipation
  • Itching
  • Rashes

Precautions and Warnings

Pregnancy

Pregnancy

Indometacin / Indomethacin should not be used during pregnancy especially during 3rd trimester. You should avoid taking any self-medication during pregnancy. Talk to your doctor before taking any medicine.

Breast Feeding

Breast Feeding

Indometacin / Indomethacin passes into breastmilk. Thus, the use of this medicine is not recommended in breastfeeding mothers unless prescribed by the doctor.

Driving

Driving

Indometacin / Indomethacin tends to cause drowsiness, dizziness and visual disturbances which may affect the ability to drive. Hence, it is not advisable to drive after using this medicine.

Alcohol

Alcohol

No, it is not advisable to consume alcohol with Indometacin / Indomethacin as it increases the risk of liver disorder and other unwanted effects of this medicine.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You are using other painkillers containing paracetamol.
  • You have high blood pressure or related heart disorders.
  • You have kidney and blood-related issues.
  • You have an existing infection or asthma.
  • You are using this medicine for a prolonged period.
  • You have any eye-related disorders or experience eye-related issues.
  • You have Rheumatoid disease characterised by severe pain in the joints
  • You are an elderly patient.
  • You have ulcers in the digestive system.
  • You have systemic lupus erythematosus characterised by severe weakness.

Mode of Action

How Does It Work?

Indometacin / Indomethacin is an anti-inflammatory medicine. It reduces pain by inhibiting the formation of a chemical substance known as prostaglandins which are responsible for pain, swelling and inflammation.

Interactions

Interactions with other medicines

  • Concomitant use of other painkillers, such as aspirin with Indometacin / Indomethacin, can increase the risk of side effects.
  • The effect of Indometacin / Indomethacin can be reduced when used with antacids.
  • If taken along with warfarin, the effect of warfarin and the risk of bleeding may be increased.
  • Medicines used for brain disorders, such as Fluoxetine and Citalopram, can increase the risk of bleeding with Indometacin / Indomethacin.
  • Blood glucose lowering action of anti-diabetics like Glimepiride, and Glyburide is increased if taken along with Indometacin / Indomethacin.
  • Antiplatelet medicines like Aspirin, Clopidogrel if taken along with this medicine can increase the risk of bleeding in the stomach and intestine.
  • Digoxin, a medicine used to treat heart failure, when used together with this medicine can worsen the condition of the heart.
  • Steroidal medicines like corticosteroids such as Betamethasone and Prednisone increase the risk of bleeding and ulcer formation when taken together with this medicine.
  • Medicine used for High blood pressure, like Enalapril, Quinapril, Losartan and Telmisartan, when used together with this medicine, can increase the risk of kidney failure.
  • Mifepristone should not be used with this medicine as the effect of mifepristone may be decreased.
  • Antibiotics like ciprofloxacin, and levofloxacin can increase the risk of fits when used together with Indometacin / Indomethacin.
  • Tacrolimus, a medicine given after transplantation surgeries to prevent organ rejections, when given with this medicine can increase the risk of kidney-related issues.
  • Other medicines, such as certain antibiotics, antivirals, antigout, medicines used for related brain disorders, muscle relaxants, anticancer drugs, and immunomodulators, may interfere with the action of Indometacin / Indomethacin or increase the risk of toxicity or some complications. Discuss with your doctor if you are taking any other medicines.

Interactions with food items

It should be taken with food or milk to prevent stomach upset.

Dosage

Overdose

Overdose of Indometacin / Indomethacin can cause toxicity, which is characterised by severe vomiting, headache, drowsiness, ringing in the ear and stomach pain. If you think you have taken too much of this medicine, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

If you missed any dose of Indometacin / Indomethacin, take it as soon as you remember. If it's time for your next dose, skip the missed dose and continue with your regular dose schedule. Do not take a double dose of medicine to compensate for the missed one.

Frequently Asked Questions (FAQs)

No, Indometacin / Indomethacin should not be given to children as there is very limited data on the safety of this medicine when used by children.

Yes, Indometacin / Indomethacin can be used by elderly patients. However, it should be used only after consulting a doctor and with a lot of precautions as elderly patients are at a higher risk of side effects.

No, you should not use any other pain killer while using Indometacin / Indomethacin as this increases the risk of side effects.

Yes, Indometacin / Indomethacin may cause headaches as a side effect. Talk to your doctor if your headache worsens after taking this medicine.

Talk to your doctor or dentist before using Indometacin / Indomethacin for toothache. Do not self-medicate; use it only for the conditions and duration your doctor has prescribed.

No, it is not a steroid medicine. It is a pain reliever medicine used to provide relief from various painful conditions associated with inflammation.

You should take Indometacin / Indomethacin as long as a doctor has told you. The doctor will prescribe you the medicine daily for a specific duration depending upon the medical condition. Do not take it endlessly on your own without consulting a doctor.

Indometacin / Indomethacin is an anti-inflammatory medicine. It helps in providing relief from pain, swelling and inflammation in bones, joints and muscles.

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