Arketal Rompharm
Instructions for use:
- 1. Release form and composition
- 2. Indications for use
- 3. Contraindications
- 4. Method of application and dosage
- 5. Side effects
- 6. Special instructions
- 7. Drug interactions
- 8. Terms and conditions of storage
Prices in online pharmacies:
from 96 rubles.
Buy
Arketal Rompharm is an analgesic, anti-inflammatory and antipyretic drug. Suppresses the activity of cyclooxygenases that regulate the synthesis of prostaglandins.
Release form and composition
Arketal Rompharm is available in the form of a solution for infusion and intramuscular administration: transparent, slightly yellow or colorless (2 ml in dark glass ampoules, 5 ampoules in a blister strip, 1 or 2 packs in a cardboard box).
Composition of 1 ml solution:
- active substance: ketoprofen - 50 mg;
- auxiliary components: benzyl alcohol, 96% ethanol, sodium hydroxide solution 10% or hydrochloric acid (until pH 7.2 ± 0.2), propylene glycol, sodium hydroxide, water for injection.
Indications for use
Arketal Rompharm is used for symptomatic treatment, reducing inflammation and pain at the time of use for the following inflammatory and degenerative diseases of the musculoskeletal system:
- psoriatic arthritis;
- gouty arthritis;
- rheumatoid arthritis;
- ankylosing spondylitis;
- osteoarthritis.
The drug does not affect the progression of the disease.
In addition, Arketal Rompharm is used to relieve pain in diseases and conditions such as:
- arthralgia;
- myalgia;
- radiculitis;
- ossalgia;
- bursitis, tendonitis;
- adnexitis;
- otitis;
- neuralgia;
- pain with cancerous tumors;
- toothache and headache;
- algodismenorrhea, labor pain (as a tocolytic and analgesic agent);
- postoperative and post-traumatic period, accompanied by pain and inflammation.
Contraindications
Absolute:
- active gastrointestinal bleeding;
- inflammatory bowel disease;
- peptic ulcer;
- exacerbation of ulcerative colitis;
- diverticulitis;
- confirmed hyperkalemia;
- exacerbation of gastric ulcer and 12 duodenal ulcer;
- active liver disease or severe liver dysfunction;
- progressive kidney disease and / or severe renal failure (creatinine clearance less than 30 ml / min);
- Crohn's disease;
- blood clotting disorders (hemophilia, etc.);
- postoperative period after CABG (coronary artery bypass grafting);
- a combination of recurrent polyposis of the paranasal sinuses and nose, bronchial asthma and intolerance to acetylsalicylic acid or other NSAIDs (non-steroidal anti-inflammatory drugs) (including a history);
- children and adolescents up to 15 years old;
- hypersensitivity to any of the components of the drug or other NSAIDs.
Relative (Arketal Rompharm is used with caution):
- arterial hypertension;
- cardiac ischemia;
- blood diseases (including leukopenia, anemia, etc.);
- peripheral arterial disease;
- chronic heart failure;
- cerebrovascular diseases;
- swelling;
- bronchial asthma;
- stomatitis;
- hyperbilirubinemia;
- diabetes;
- sepsis;
- dyslipidemia / hyperlipidemia;
- liver failure;
- chronic renal failure;
- dehydration;
- the presence of the bacteria Helicobacter pylori;
- history of ulcerative lesions of the gastrointestinal tract;
- alcoholic cirrhosis of the liver;
- severe somatic diseases;
- smoking, alcoholism;
- elderly age;
- long-term use of NSAIDs;
- co-administration with anticoagulants, selective serotonin reuptake inhibitors, antiplatelet agents and oral glucocorticosteroids.
Method of administration and dosage
Arketal Rompharm is injected deeply intramuscularly slowly or intravenously.
With intramuscular administration, the dose of the drug is 100 mg 1 or 2 times a day, with intravenous drip - 100-200 mg. To prepare an infusion solution, the drug is diluted in 100–500 ml of isotonic sodium chloride solution. Infusion is carried out only in a hospital setting at a rate of no more than 300 mg per 0.5-1 hour.
The maximum daily dose of ketoprofen is 300 mg.
Arketal Rompharm is used for a short time (no more than 2-3 days). If the need for treatment persists, other dosage forms are used.
For the elderly and patients with renal insufficiency, the drug is prescribed in the minimum effective dose. Regular monitoring of the condition is required, since gastrointestinal bleeding may occur during the use of NSAIDs.
Ketoprofen is light sensitive, so cover the solution bottle or infusion bag with aluminum foil or black paper.
Side effects
- digestive system: dyspeptic disorders (decreased appetite, heartburn, vomiting, nausea, diarrhea, flatulence), change in taste, abdominal pain, stomatitis, NSAID gastropathy, liver dysfunction;
- cardiovascular system: tachycardia, increased blood pressure;
- nervous system and sensory organs: eye pain, blurred vision, hearing loss, conjunctivitis, vertigo, ringing or tinnitus, conjunctival hyperemia, dry eye mucosa, nervousness, asthenia, migraine, dizziness, peripheral neuropathy, insomnia, headache, depression, loss or confusion;
- urinary system: urethritis, interstitial nephritis, hematuria, edema syndrome, renal dysfunction, nephrotic syndrome, cystitis;
- hematopoietic organs: leukopenia, anemia, agranulocytosis, thrombocytopenia, hemolytic anemia;
- allergic and local reactions: rhinitis, bronchospasm, skin rash, itching, urticaria, pain and burning at the injection site, exfoliative dermatitis, angioedema, anaphylactic shock;
- other reactions: nosebleeds, shortness of breath, photosensitization, hemoptysis, muscle twitching, thirst, increased sweating, myalgia; with long-term therapy in high doses - vaginal bleeding.
special instructions
During the period of treatment with Arketal Rompharm, it is required to monitor the functional state of the kidneys and liver and the picture of peripheral blood.
Before the procedure for the determination of 17-KS (17-ketosteroids) in the urine 48 hours before the study, ketoprofen should be discontinued.
The drug can mask the symptoms of an infectious disease.
The use of ketoprofen in the minimum effective dose for the shortest possible course helps to reduce the likelihood of adverse reactions from the digestive system.
During treatment, you should drive a car with care and do work that requires a high concentration of attention and a quick reaction.
Drug interactions
Arketal Rompharm enhances the effect of fibrinolytics, antiplatelet agents, ethanol, anticoagulants; reduces the effectiveness of uricosuric, antihypertensive drugs and diuretics; enhances the side reactions of estrogens, mineral and glucocorticoids; increases the hypoglycemic effect of oral hypoglycemic agents and insulin; increases plasma concentrations of nifedipine, verapamil, methotrexate and lithium preparations.
With simultaneous use with ethanol, glucocorticosteroids, corticotropin and other NSAIDs, gastrointestinal bleeding and ulceration may develop, the risk of renal dysfunction increases; with barbiturates, tricyclic antidepressants, phenytoin, ethanol, phenylbutazone and rifampicin - the production of hydroxylated active metabolites increases; with myelotoxic drugs - the hematotoxicity of ketoprofen increases; with valproic acid - platelet aggregation is disturbed; with heparin, cefotetan, thrombolytics, cefamandol, cefoperazone, antiplatelet agents and indirect anticoagulants - the risk of bleeding increases.
Arketal Rompharm is pharmaceutically incompatible with tramadol solution.
Terms and conditions of storage
Store in a dark place, out of the reach of children, at a temperature not exceeding 25 ° C.
The shelf life is 3 years.
Arketal Rompharm: prices in online pharmacies
Drug name Price Pharmacy |
Arketal Rompharm 50 mg / ml solution for infusion and intramuscular administration 2 ml 10 pcs. RUB 96 Buy |
Arketal rompharm solution for inf. and in / m entered. 50mg / ml 2ml 10 pcs. 146 r Buy |
Information about the drug is generalized, provided for informational purposes only and does not replace the official instructions. Self-medication is hazardous to health!