Thiocolchicoside + Aceclofenac Pharmacology

Thiocolchicoside + Aceclofenac

About Thiocolchicoside + Aceclofenac
N/A
Mechanism of Action of Thiocolchicoside + Aceclofenac
N/A
Pharmacokinets of Thiocolchicoside + Aceclofenac
N/A
Onset of Action for Thiocolchicoside + Aceclofenac
N/A
Duration of Action for Thiocolchicoside + Aceclofenac
N/A
Half Life of Thiocolchicoside + Aceclofenac
N/A
Side Effects of Thiocolchicoside + Aceclofenac
N/A
Contra-indications of Thiocolchicoside + Aceclofenac
1.Hypersensitivity to Thiocolchicoside, Aceclofenac
2.In patients in whom substances with a similar action (e.g. Aspirin, or other nsaids), precipitate attacks of asthma, bronchospasm, acute rhinitis or urticaria or patients are hypersensitive to these drugs.
3.Severe heart failure or severely
4.Impaired hepatic or renal organ function
Special Precautions while taking Thiocolchicoside + Aceclofenac
N/A
Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Use with caution
Indications for Thiocolchicoside + Aceclofenac
1.Painful spasm of Musculoskelatal & Neuromuscular
2.Acute Low back pain, Post-operative, Sciatica and Neck & Shoulder Pain

Interactions for Thiocolchicoside + Aceclofenac
N/A
Typical Dosage for Thiocolchicoside + Aceclofenac
N/A
Schedule of Thiocolchicoside + Aceclofenac
N/A
Storage Requirements for Thiocolchicoside + Aceclofenac
N/A
Effects of Missed Dosage of Thiocolchicoside + Aceclofenac
N/A
Effects of Overdose of Thiocolchicoside + Aceclofenac
N/A

Thiocolchicoside

About Thiocolchicoside
A GABA-A antagonist,semi-synthetic colchicoside(natural compound) derivative, A centrally acting muscle relaxant.
Mechanism of Action of Thiocolchicoside
Thiocolchicide is a GABA-A receptor antagonist, which binds to GABA-A and strychnine sensitive glycine receptors. This results the reduction of spasticity. It also has myorelaxant effects at the supraspinal level, via complex regulatory mechanisms.
Pharmacokinets of Thiocolchicoside
N/A
Onset of Action for Thiocolchicoside
N/A
Duration of Action for Thiocolchicoside
N/A
Half Life of Thiocolchicoside
N/A
Side Effects of Thiocolchicoside
1. Diarrhoea
2. Gastralgia
3. Nausea
4. Vomiting
5. Drowsiness
6. Anaphylactic reaction
Contra-indications of Thiocolchicoside
1. Contraindicated in patients with hypersensitivity to the drug
Special Precautions while taking Thiocolchicoside
1. Use with caution in patients with diarrhea
Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Use with caution
Indications for Thiocolchicoside
Painful muscle spasm associated with
1. Degenerative vertebral disorders
2. Torticollis
3. Dorsal pain
4. Low back pain
5. Traumatological disorders
6. Neurological disorders
Interactions for Thiocolchicoside
No known interactions with other drugs.
Typical Dosage for Thiocolchicoside
Adult-
Oral- 4mg twice a day for 5 to 7 days.
Intramuscular-
4mg twice a day for 3 to 5 days.
Schedule of Thiocolchicoside
N/A
Storage Requirements for Thiocolchicoside
N/A
Effects of Missed Dosage of Thiocolchicoside
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Thiocolchicoside
Give symptomatic and supportive treatment.

Aceclofenac

About Aceclofenac
NSAID, Analgesic, Antiinflammatory, Anti arthritic.
Mechanism of Action of Aceclofenac
This drug has several mechanism of action.
1. It inhibits cyclooxygenase (COX) activity and to suppress the PGE2 production by inflammatory cells, by inhibiting IL-Beta & TNF in the inflammatory cells (Intracellular Action).
2. It blocks degeneration and stimulates synthesis of extra cellular matrix of cartilages by inhibiting the action of different cytokines.
3. Drug and its metabolites inhibit IL-6 production by human chondrocytes. This leads to inhibition of increase of inflammatory cells in synovial tissue, inhibition of IL-1 amplification, inhibition of increased MMP synthesis and thus ensuring proteoglycan production.
4. It inhibits IL-1 and TNF production by human chondrocytes, inflammatory cells and synovial cells and therefore blocks suppression of GAG and collagen synthesis and stimulates growth factors mediated synthesis of GAG and collagen.
5. 4`-hydroxyaceclofenac a metabolite of aceclofenac inhibits pro MMP1 and pro MMP3 produced by synovial cells (Rheumatoid Synovial Cells) in serum and in synovial fluid and thus inhibits progressive joint destruction by MMPs.
6. Aceclofenac inhibits Neutrophil Adhesion & Accumulation at the inflammatory site in the early phase and thus blocks the pro-inflammatory actions of Neutrophils.
7. Aceclofenac is also an NSAID with greater COX-2 specificity
Pharmacokinets of Aceclofenac
Absorption- It is rapidly and completely absorbed after oral administration
Distribution- Widely distributed in the body as protein-bound form. It is highly protein-bound (>99.7%). Aceclofenac penetrates into the synovial fluid, where the concentrations reach approximately 60% of those in plasma.
Metabolism- Metabolized into metabolites in the liver. Main metabolite is 4-hydroxyaceclofenac
Excretion- It is excreted through urine mainly as conjugated hydroxymetabolites
Onset of Action for Aceclofenac
N/A
Duration of Action for Aceclofenac
N/A
Half Life of Aceclofenac
The mean plasma elimination half-life is 4 - 4.3 hours
Side Effects of Aceclofenac
1. Dyspepsia
2. Abdominal pain
3. Dizziness
4. Vertigo
5. Pruritis
6. Rash
7. Dermatitis
8. Nausea
9. Diarrhoea
10. Flatulence
11. Gastritis
12. Constipation
13. Vomiting
14. Ulcerative stomatitis
15. Elevation of circulating levels of hepatic enzymes.
Contra-indications of Aceclofenac
1. Hypersensitivity to the drug
2. Bleeding from the stomach or intestines
3. Moderate to severely decreased kidney function
4. Hypersensitivity to other NSAIDs
5. Active peptic ulcer
Special Precautions while taking Aceclofenac
1. Hepatic porphyria
2. Bleeding tendencies
3. Blood disorders
4. Crohn`s disease
5. Decreased heart function
6. History of peptic ulcers
7. Inflammation of the bowel and back passage
8. Mildly decreased kidney function
9. Recent major surgery
10. Stomach disorders
11. Decreased liver function
12. Intestinal disorders
Pregnancy Related Information
Contraindicated.
Old Age Related Information
Use with caution.
Breast Feeding Related Information
Contraindicated.
Children Related Information
Use with caution
Indications for Aceclofenac
1. Ankylosing spondylitis
2. Osteoarthritis
3. Symptomatic treatment of pain and inflammation in Post-Traumatic pain
4. Cervical pain
5. Low back pain
6. Acute gout
Interactions for Aceclofenac
Lithium, digoxin and methotrexate: Aceclofenac may increase plasma concentrations of lithium, digoxin and methotrexate.
Anticoagulants: Activity of anticoagulants may be increased.
Diuretics : Aceclofenac inhibits the activity of diuretics. When concomitantly administrated with potassium sparing diuretics, serum potassium should be monitored.
Cyclosporin: Aceclofenac may enhance cyclosporin nephrotoxicity.
Quinolones : Aceclofenac may precipitate convulsions when coadministered with quinolone antibiotics.
Typical Dosage for Aceclofenac
Oral-
Adult (general dose)-
100mg twice daily
Schedule of Aceclofenac
H
Storage Requirements for Aceclofenac
Store below 25?C
Effects of Missed Dosage of Aceclofenac
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Aceclofenac
Give symptomatic and supportive treatment. Induce gastric lavage and administer charcoal in repeated doses. Treated with antacid if necessary.

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