Diaflex Rompharm, 50 mg capsules 30 pcs
€34.92 €29.10
Pharmgroup:
NSAIDs.
Pharm action:
Diaflex Rompharm is a drug used in inflammatory and inflammatory-dystrophic diseases of the musculoskeletal system. Diacerein is an anthraquinoline derivative, a diacetylated derivative of Rein. Metabolized to the active metabolite, reine, inhibits the activity of interleukin-1, which plays an important role in the development of inflammation and cartilage degradation in osteoarthritis.
Inhibits the activity of other cytokines (including interleukin-6, tumor necrosis factor-alpha). The action develops in 2-4 weeks.
Diacerein has analgesic and anti-inflammatory activity when taken orally.
Pharmacokinetics: Rapidly absorbed from the gastrointestinal tract, bioavailability increases by 25% when taken with food. Time to reach Cmax – 144 min. Cmax is 3.15 mg/l after a single dose of 50 mg, Cmax is increased after multiple administration due to drug cumulation. It is completely deacetylated to reine. Rein’s binding to proteins (albumin) is almost 100%. Rein penetrates through the placental and blood-brain barrier.
The T1/2 is 255 min. It is excreted by kidneys in unchanged form – 20%, in the form of glucuronide – 60%, in the form of sulfate – 20%.
Indications
Primary and secondary osteoarthritis.
Active ingredient
Composition
1 capsule contains diacerein 50 mg.
How to take, the dosage
Diaflex is taken orally, after a meal, should be swallowed whole, without chewing, with water, 50 mg twice a day (morning and evening).
Continue long-term or courses (at least 4 months).
Diacerein for the first 2 weeks may cause accelerated intestinal transit, so it is recommended to start treatment with one capsule daily in the evening with food for 4 weeks.
Thereafter, the dose is increased to 100 mg/day.
Interaction
Antacids reduce absorption of the drug. When concomitant use with drugs affecting the intestinal microflora (including antibiotics), with substances that change the quality of intestinal contents and the rate of its emptying (fiber), the frequency of intestinal side effects increases.
The drugs containing aluminum hydroxide and/or magnesium hydroxide reduce the bioavailability of diacerein.
Simultaneous use with laxatives is not recommended.
Special Instructions
The duration of treatment may be prolonged. Until therapeutic effect, diacerein may be taken simultaneously with analgesic drugs (including NSAIDs). Periodic monitoring of blood values, liver function tests, urine are necessary. The drug dose should be reduced if kidney function worsens.
In patients with CKD, with CK less than 30 ml/min, the dose of Diacerein should be decreased to 50 mg/day and then titrated according to tolerability and clinical efficacy.
The staining of urine may make it difficult to interpret urinalysis results (e.g., for glucose content).
Contraindications
– age under 18 years;
– lactose intolerance, lactase deficiency, glucose-galactose malabsorption;
– hypersensitivity to diacerein and other components of Diaflex Romfarm (including anthraquinone laxatives.
– Sensitivity to Diacerein and other components of Diaflex Rofarm (including anthraquinone laxative medicinal products).
With caution: severe hepatic or renal insufficiency, intestinal obstruction, inflammatory bowel diseases.
Side effects
Digestive system disorders: diarrhea, nausea, vomiting, abdominal pain, hepatitis.
Allergic reactions: urticaria, fever, bronchospasm, angioedema, anaphylactic shock.
Others: malaise, intense yellow to brown staining of urine (depending on pH) (of no clinical significance).
Overdose
Symptoms: diarrhea, weakness.
Treatment: symptomatic. In severe diarrhea it is necessary to control the electrolyte composition of plasma.
Similarities
Weight | 0.022 kg |
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Shelf life | 3 years |
Conditions of storage | The drug should be stored in the dark place out of the reach of children, at a temperature not exceeding 25 ° C. |
Manufacturer | C.O.Rompharm Company S.R.L., Romania |
Medication form | capsules |
Brand | C.O.Rompharm Company S.R.L. |
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