Indications
Kynol TR Tablet is used for:
Rheumatic disorders, Pain and inflammation, Musculoskeletal and joint disorders,
Adult Dose
Oral
Rheumatic disorders
Adult: 100-200 mg/day in 2-4 divided doses. Max: 300 mg/day in divided doses. As modified-release formulation: Administer dose once daily.
Pain and inflammation
Adult: 25-50 mg every 6-8 hr. Max: 300 mg/day in divided doses.
Elderly: >75 yr Reduce initial dose.
Hepatic impairment: W/ serum albumin <3.5 g/dL: Max: 100 mg/day.
Intramuscular
Pain and inflammation associated with musculoskeletal and joint disorders ; Pain following orthopaedic surgery
Adult: 50-100 mg by deep inj into the gluteal muscle every 4 hr. Max: 200 mg in 24 hr for up to 3 days.
Rectal as suppository
Rheumatic disorders
Adult: 100 mg at night or bid. Recommended total dose (combined oral and rectal): Not to exceed 200 mg/day.
Child Dose
Safety and efficacy not established
Renal Dose
Renal impairment: Mild: Max: 150 mg/day. Severe: Max: 100 mg/day.
Administration
Should be taken with food. Preferably taken w/ or after meals.
Contra Indications
For all routes: Hypersensitivity to aspirin or other NSAIDs or those suffering from asthma, angioedema, urticaria or rhinitis. Active GI disease (e.g. bleeding or ulcer). Severe heart failure, and renal insufficiency. Treatment of perioperative pain in the setting CABG surgery. Rectal: Patients w/ history of proctitis or haemorrhoids.
Precautions
History of GI disease (e.g. bleeding or ulcer). Hypertensive patients; renal or hepatic impairment. Pregnancy, lactation, elderly. Monitoring Parameters Close monitoring of BP during initiation and throughout the therapy. Complete blood cell count, chemistry profile, liver and renal function test performed periodically for patients receiving long-term ketoprofen therapy.
Pregnancy-Lactation
Pregnancy Category: B; D in late pregnancy because of inhibition of ductus arteriosus closure
Lactation: unknown whether excreted in breast milk, not recommended
Interactions
Increases plasma concentrations of lithium and methotrexate. Reduces effects of antihypertensives (e.g. ACE inhibitors, angiotensin II receptor antagonists). Increased risk of GI bleeding w/ warfarin. Decreased protein binding of ketoprofen and increased risk for serious GI events w/ aspirin and other NSAIDs. Increased risk of developing renal failure w/ diuretics. Increased risk of GI bleeding and ulceration w/ corticosteroids. Increased plasma levels w/ probenecid. Salicylate reduces conjugation and renal elimination of ketoprofen.
Side Effects
Side effects of Ketoprofen :
>10%
Increased liver function test (up to 15%), Dyspepsia (12%)
1-10%
Dizziness (3-9%), Headache (3-9%), Impaired renal function disorder (3-9%), Upper GI ulcers, 3-6 mth treatment; 2-4%, 1 yo treatment), Nausea (>3%), Diarrhea (>3%), Abdominal pain (>3%), Constipation (>3%), Flatulence (>3%), Rash (1-3%), Stomatitis (1-3%), Insomnia (1-3%), Malaise (1-3%), Depression (1-3%), Ketoprofen-induced peptic ulcer, GI bleeding (>2% in long-term studies);, Peripheral edema (2%), Bronchospasm (<2%), Myocardial infarction (<2%)
<1%
Congestive heart failure (<1%), Hypertension (<1%), Scaling eczema, Stevens-Johnson syndrome (<0.1%), Gastrointestinal hemorrhage (<1%), Gastrointestinal perforation (<1%), Melena (<1%), Agranulocytosis (<1%), Anemia (<1%), Thrombocytopenia (<1%), Hepatitis (<1%), Anaphylactoid reaction (<1%), Immune hypersensitivity reaction, Cerebrovascular accident, Interstitial nephritis (<1%), Renal failure (<1%)
Potentially Fatal: Anaphylaxis, exfoliative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis.
Mode of Action
Ketoprofen exhibits anti-inflammatory, analgesic and antipyretic properties. It potently inhibits the enzyme cyclooxygenase resulting in prostaglandin synthesis inhibition.
Note
Kynol TR 100mg Tablet generic name is Ketoprofen. Kynol TR 100mg Tablet is manufactured by Eskayef Pharmaceuticals Ltd.Kynol TR is availble in all over Bangladesh.
Mes BD drug index information on Kynol TR Tablet is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.