Sulindac
Sulindac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain and inflammation. It is used to reduce inflammation and pain associated with rheumatoid arthritis, ankylosing spondylitis, bursitis, and gout. Sulindac may also be used to relieve pain caused by tension headaches and mild to moderate pain following surgical procedures.
Uses For Sulindac
Sulindac is indicated for the relief of the signs and symptoms of rheumatoid arthritis, ankylosing spondylitis, bursitis, and gout. It can also be used to reduce pain still associated with tension headaches and mild to moderate pain following surgical procedures.
Mechanism Of Action
Sulindac works by blocking the action of cyclooxygenase enzymes, which in turn reduces the production of the prostaglandins that cause inflammation and pain. Sulindac is a prodrug which is converted to sulindac sulfide in the liver by phase I metabolic pathways.
How Long Does It Take To Work?
It may take several days or weeks of taking Sulindac for it to reach its maximum effectiveness. Generally, Sulindac starts to work within a few days and its full effects may be seen within two to four weeks.
Absorption
Sulindac is rapidly and nearly completely absorbed from the gastrointestinal tract.
Route Of Elimination
Sulindac is eliminated mainly via the kidneys, with only a small amount being eliminated in the feces.
Dosage
Sulindac should be administered orally twice a day with food. The maximum dosage is 400 mg per day. Dosages above 400 mg per day are not recommended. In osteoarthritis, rheumatoid arthritis & ankylosing spondylitis, the recommended starting dosage is 150 mg. In acute painful shoulder & acute gouty arthritis the recommended dosage is 200 mg twice a day. The dosage may be lowered or raised depending on the response. After a satisfactory response has been achieved, the dosage may be reduced according to the response. Or, as directed by the registered physicians.The recommended adult dosage of Sulindac is 150 mg to 300 mg taken orally twice per day. Dosage should be adjusted as needed depending on the individual's needs. However, the maximum recommended dose is 600 mg per day.
Administration
Sulindac should be taken with food or milk to reduce stomach irritation. It should be taken with a full glass of water and may be taken with or without food. Do not break, crush, or chew the tablet. Do not take more than the recommended dose.
Side Effects
The most common side effects of Sulindac include stomach upset, heartburn, nausea, diarrhea, constipation, headache, mild skin rash, and dizziness.
Toxicity
Sulindac can be toxic when taken in large doses or for a long period of time. Signs of toxicity include dizziness, confusion, nausea, vomiting, abdominal pain, and loss of appetite.
Precaution
Patients with a history of allergies, asthma, kidney, or liver disease should inform their doctor prior to taking Sulindac as it can worsen the symptoms of those conditions. Sulindac should also be avoided in individuals with a history of bleeding disorders as it can increase the risk of bleeding. It is also important to inform your doctor if you are pregnant, breastfeeding, or planning to become pregnant.
Interaction
It is important to inform your doctor and pharmacist of all medications that are being taken in order to avoid potential drug interactions with Sulindac . Sulindac may interact with other NSAIDs, corticosteroids, diuretics, SSRIs, and vasodilators.
Disease Interaction
Sulindac may worsen the symptoms of certain diseases such as asthma, allergies, kidney disease, and liver disease. It is important to inform your doctor of any medical conditions you may have prior to taking Sulindac .
Drug Interaction
Drug interactions may occur when Sulindac is taken with other medications such as anticoagulants, SSRIs, aspirin, and corticosteroids. It is important to inform your doctor and pharmacist of all medications that are being taken in order to avoid potential drug interactions.
Food Interactions
Foods containing high amounts of salicylates such as raisins, apples, wine, and beer should be avoided while taking Sulindac as these foods may increase the risk of stomach irritation.
Pregnancy Use
Sulindac should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. It is important to inform your doctor if you are pregnant or planning to become pregnant.
Lactation Use
Sulindac should not be used while breastfeeding as it may pass through breast milk and cause harm to the infant.
Acute Overdose
If an overdose of Sulindac is suspected, it is important to seek medical attention immediately. Signs of a Sulindac overdose can include dizziness, nausea, vomiting, and abdominal pain.
Contraindication
Sulindac is contraindicated in patients with a history of allergy, asthma, kidney or liver disease, bleeding disorders, or uncontrolled hypertension.
Use Direction
Sulindac should be taken orally, usually twice a day with food or milk. The dosage should be adjusted according to the individual's needs, but the maximum recommended daily dose is 600 mg.
Storage Condition
Sulindac should be stored at room temperature, away from light and moisture. It should also be kept out of reach of children.
Volume of Distribution
The volume of distribution of Sulindac is approximately 5.2 L/kg.
Half Life
The elimination half-life of Sulindac is between 3 and 4 hours.
Clearance
The clearance of Sulindac is approximately 3.2 L/h/kg.
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