Pain relief
Adult: Up to 1.2 g daily in divided doses.
Elderly: Reduced doses.
                                            Elderly: Reduced doses.
| 
                                         
Indications and Dosage
                                             
                                            
Oral 
                                        Pain relief Adult: Up to 1.2 g daily in divided doses. 
                                            Elderly: Reduced doses.  | 
                                
| 
                                         
Contraindications
                                             
                                            
Porphyria, hypersensitivity, peptic ulceration, moderate/severe renal impairment.
                                             
                                         | 
                                
| 
                                         
Special Precautions
                                             
                                            
Patients with infection; haemorrhagic disorders; hypertension; cardiac function; asthma; diabetes mellitus; haemorrhoids; rectal irritation or bleeding; systemic lupus erythematosus; epilepsy, oedema; mental illness; parkinson's disease; polymyalgia rheumatica; temporal arthritis. Pregnancy and lactation. Monitor blood counts, kidney, liver and eye functions.
                                             
                                         | 
                                
| 
                                         
Adverse Reactions
                                             
                                            
GI disturbances; CNS effects; hypersensitivity reactions; blood disorders; nephrotoxicity; haematuria; oedema; pancreatitis; toxic epidermal necrolysis; alveolitis; Stevens-Johnson syndrome; photosensitivity; pulmonary eosinophilia. 
                                         | 
                                
| 
                                         
Drug Interactions
                                             
                                            
Oral anticoagulants; antivirals; phenytoin; sulfonylurea antidiabetic; methotrexate; cardiac glycosides; ACE inhibitors; diuretics; β-blocker; other NSAIDs; lithium; ciclosporin; tacrolimus; moclobemide. Corticosteroids; antiplatelet drugs, biphosphonates, SSRIs and pentoxifylline increase GI bleeding risk. Avoid alcohol and tobacco. 
                                        Potentially Fatal: Increased risk of convulsions with quinolones.  | 
                                
| 
                                         
Lab Interference
                                             
                                            
Thyroid function tests: Lowers serum thyroid hormone levels.
                                             
                                         | 
                                
| 
                                         
Action
                                             
                                            
Description:  
                                        Mechanism of Action: It is an NSAID, which is an anthranilic acid derivative related to glafenine.  | 
                                
| 
                                         
MIMS Class
                                             
                                            
                                         |