- March 15, 2022
- Newsletter
- 617-430-5616
Menu
Menu
Menu
Menu
Menu
Menu
Brand Name :
Acemet, Acemetacin intermuti, Flamarion, Tendonil, Pranex, Mocetasin,Rheutrop
Synonyms :
acemetacin
Class :
Non-steroidal anti-inflammatory drug, Analgesic, Non-opioid
Safety and efficacy not established
Refer adult dosing
NSAIDs may increase the serum concentration of Lithium
NSAIDs may diminish the diuretic effect of loop diuretics
NSAIDs may diminish the diuretic effect of loop diuretics
NSAIDs may diminish the diuretic effect of loop diuretics
may increase the risk or severity of adverse effects when combined
may increase the risk or severity of hypertension when combined
may diminish the excretion rate of amantadine
may have an increased hyperkalemia when combined with acemetacin
may enhance the risk of hyperglycemia when combined
may increase the risk of adverse effects when combined
acemetacin may enhance the adverse/toxic effect of Nonsteroidal Anti-Inflammatory Agents
acemetacin may enhance the adverse/toxic effect of Nonsteroidal Anti-Inflammatory Agents
acemetacin may enhance the adverse/toxic effect of Nonsteroidal Anti-Inflammatory Agents
acemetacin may enhance the adverse/toxic effect of Nonsteroidal Anti-Inflammatory Agents
acemetacin may enhance the adverse/toxic effect of Nonsteroidal Anti-Inflammatory Agents
it increases the toxicity of NSAIDs
it increases the toxicity of NSAIDs
it increases the toxicity of NSAIDs
it increases the toxicity of NSAIDs
it increases the toxicity of NSAIDs
When suprofen is taken in conjunction with acemetacin, there is a potential for an enhance in the seriousness of adverse events
it decreases the rate of elimination of pidotimod
Ketorolac may enhance the adverse/toxic effect of Nonsteroidal Anti-Inflammatory Agents
acemetacin may increase the serum concentration of penicillins
acemetacin may increase the serum concentration of penicillins
acemetacin may increase the serum concentration of penicillins
acemetacin may increase the serum concentration of penicillins
acemetacin may increase the serum concentration of penicillins
may reduce the therapeutic effect
may reduce the therapeutic effect
may reduce the therapeutic effect
it may diminish the excretion rate when combined with permethrin, resulting in an enhanced serum level
acemetacin: they may enhance the serum concentration of penicillins
amoxicillin and clavulanate potassium
acemetacin: they may enhance the serum concentration of penicillins
acemetacin: they may enhance the serum concentration of penicillins
acemetacin: they may enhance the serum concentration of penicillins
acemetacin: they may enhance the serum concentration of penicillins
By competing with acidic (anionic) drugs for renal clearance, acemetacin will raise the amount of probenecid
may increase the anticoagulation ginkgo biloba
The combination of antipyrine with acemetacin may elevate the seriousness of adverse events
The seriousness of nephrotoxic effect is enhanced when acecmetacin is used in conjunction with cefotiam
it may diminish the excretion rate when combined with gadofosveset, resulting in an enhanced serum level
When aminophenazone is taken together with acemetacin, there is a potential for an elevated risk or enhanced seriousness of adverse events
acemetacin Might lead to a reduction in the rate of excretion of triethylenetetramine, potentially leading to elevated levels of serum
Combining xamoterol with acemetacin may elevate the risk/seriousness of hypertension
levobetaxolol's antihypertensive properties might be reduced by acemetacin
It may enhance the risk of bleeding when combined with nimesulide
acemetacin has the potential to reduce the rate of excretion of idebenone, leading to an elevation in levels of serum
It may enhance the risk of adverse effects when combined with Glycopeptides
It may enhance the risk of adverse effects when combined with Glycopeptides
When loracarbef is used together with acemetacin, the risk or seriousness of nephrotoxicity is enhanced
When acemetacin is used together with hexoprenaline, the potential for hypertension to occur may be elevated
Therapy monitoring suggested. May increase serum concentrations when interacting with penicillins.
The interaction may increase the serum concentration of cloxacillin and lead to allergic reactions.
Decrease the excretion rate of azlocillin which could result in a higher serum level of the drug.
it enhances the serum potassium levels
it may enhance the serum potassium levels
may increase the risk or severity of hypertension when combined
may enhance the risk or severity of hypertension when combined
may decrease the tiopronin excretion rate
may increase the risk or severity of hypertension when combined
anticoagulation is increased by acemetacin and decreased by mistletoe. The interaction's effect is unclear; exercise caution
may increase the levels of serum concentration
may increase the levels of serum concentration
may increase the levels of serum concentration
may increase the levels of serum concentration
may increase the levels of serum concentration
may increase the anticoagulation effect when combined
Increased serum concentration level by competitive plasma protein binding.
when both drugs are combined, there may be an increased effect of acemetacin by acidic (anionic) drug competition for renal tubular clearance
may enhance the effect of the other by cationic drug competition for renal tubular clearance
Actions and Spectrum:
The mechanism of action of acemetacin is similar to that of other NSAIDs. It works by inhibiting the activity of cyclooxygenase (COX) enzymes, which are responsible for synthesizing prostaglandins, prostacyclin, and thromboxane. Prostaglandins are important mediators of pain, inflammation, and fever, and their inhibition reduces these symptoms.
acemetacin is more selective for COX-2 than COX-1, which means it has a lower risk of causing gastrointestinal side effects than other NSAIDs. However, it can still cause side effects such as stomach ulcers, bleeding, and kidney problems, mainly when used for long periods or at high doses.
acemetacin has a broad spectrum of activity and can treat various conditions, including rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, gout, and menstrual pain. It is also used to reduce fever and relieve pain caused by other conditions, such as headache and dental pain.
Contraindications/caution:
Contraindications:
Caution:
Pregnancy consideration: acemetacin should not be used during pregnancy.
Lactation: Excretion of the drug in human breast milk is unknown
Pregnancy category:
Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester.
Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women.
Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.
Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.
Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.
Category N: There is no data available for the drug under this category
Pharmacology:
acemetacin is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain and inflammation associated with various conditions such as osteoarthritis and rheumatoid arthritis.
acemetacin works by inhibiting the production of prostaglandins, substances in the body that cause pain, inflammation, and fever. Specifically, acemetacin inhibits the activity of cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2), which are involved in the production of prostaglandins.
Pharmacodynamics:
The pharmacodynamics of acemetacin involve its interaction with cyclooxygenase enzymes (COX-1 and COX-2), which are involved in the production of prostaglandins, substances that play a role in inflammation and pain.
acemetacin is a prodrug metabolized in the body into its active form, indomethacin. Indometacin is a non-selective inhibitor of both COX-1 and COX-2 enzymes, which results in the inhibition of prostaglandin synthesis. This leads to the reduction of pain, inflammation, and fever.
Inhibition of COX-1 by acemetacin can lead to gastrointestinal side effects. COX-1 is essential for maintaining the integrity of the gastrointestinal tract, so its inhibition can cause damage to the lining of the intestines and stomach
Inhibition of COX-2 by acemetacin can also lead to side effects such as renal toxicity and cardiovascular events. COX-2 is involved in the synthesis of prostaglandins, which modulate blood flow to the kidneys and preserve renal function. Inhibition of COX-2 can therefore reduce blood flow to the kidneys and impair their function. COX-2 also produces prostaglandins that regulate blood flow to the heart and protect against thrombosis.
Pharmacokinetics:
Absorption
acemetacin is rapidly and almost completely absorbed after oral administration. It is well absorbed from the small intestine, and its bioavailability is approximately 90%.
Distribution
acemetacin is highly protein-bound (more than 99%) to albumin. It has a relatively large distribution volume, indicating that it is widely distributed in the body. acemetacin crosses the blood-brain barrier and the placenta, and it is also present in breast milk.
Metabolism
acemetacin undergoes extensive metabolism in the liver. It is metabolized to its active metabolite, indometacin, also an NSAID. The metabolism of acemetacin is mediated by cytochrome P450 enzymes, mainly CYP2C9 and CYP3A4.
Elimination and Excretion
acemetacin and its metabolites are primarily excreted in the urine. The elimination half-life of acemetacin is approximately 4-5 hours. The renal clearance of acemetacin is approximately 70% of the total clearance.
Administration:
acemetacin is usually administered orally in the form of capsules or tablets.
Taking acemetacin with food or immediately after a meal is recommended to reduce the risk of gastrointestinal side effects.
Patient information leaflet
Generic Name: acemetacin
Why do we use acemetacin?
acemetacin is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain and inflammation caused by a variety of conditions, including:
ADVERTISEMENT
