Tolmetin (Tolectin, Tolectin DS)
Category:
Description:
Indications:
-
Mild
to moderate pain, osteoarthritis
-
Rheumatoid
arthritis, ankylosing spondylitis
Contraindications:
-
Asthma,
severe renal disease
-
Severe
hepatic disease, ulcer disease
Precautions:
-
Pregnancy
category B (D near term), small amounts excreted in breast milk,
compatible with breast feeding
-
Children,
bleeding disorders
-
GI
disorders, cardiac disorders
-
Hypersensitivity
to other anti-inflammatory agents, peptic ulcer disease
Adverse
Reactions (Side Effects):
-
CNS:
anxiety, confusion, depression, dizziness, drowsiness, fatigue,
insomnia, tremors
-
CV:
dysrhythmias, hypertension, palpitations, peripheral edema,
tachycardia
-
EENT:
blurred vision, hearing loss, tinnitus
-
GI:
anorexia, bleeding, cholestatic hepatitis, constipation, cramps,
diarrhea, jaundice, nausea, peptic ulcer, perforation, ulceration,
vomiting
-
GU:
azotemia, dysuria, hematuria, nephrotoxicity, oliguria,
pseudoproteinuria
-
HEME:
blood dyscrasias
-
SKIN:
pruritus, purpura, rash, sweating
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Dosage:
Administered
orally
-
Adult: PO 400mg 3-4 times daily, not to exceed 2g daily
-
Child
>2 years: PO 15-30 mg/kg/day in 3 or 4 divided doses
Drug
interactions:
-
Methotrexate:
potentially increase methotrexate concentrations and toxicity
-
Potassium
sparing diuretics: potential for acute renal failure (i.e.,
indomethacin and triamterene)
-
Cyclosporine:
Other NSAIDs increase cyclosporine concentrations
-
Angiotensin-converting
enzyme (ACE) inhibitors: inhibits the antihypertensive effects of ACE
inhibitors
-
Beta-blockers:
reduced hypotensive effects of beta-blockers
|
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Distribution is unlimited. The information contained here is an abbreviated summary. For more detailed and complete information, consult the manufacturer's product information sheets or standard textbooks.
Source: Operational Medicine 2001, Health Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C., 20372-5300.
Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300 |
Operational Medicine
Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
January 1, 2001 |
United States Special Operations
Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323 |
*This web version is provided by The Brookside Associates, LLC. It contains
original contents from the official US Navy NAVMED P-5139, but has been
reformatted for web access and includes advertising and links that were not
present in the original version. The medical information presented was reviewed and felt to be accurate in 2001. Medical knowledge and practice methods may have changed since that time. Some links may no longer be active. This web version has not been approved by the
Department of the Navy or the Department of Defense. The presence of any
advertising on these pages does not constitute an endorsement of that product or
service by either the US Department of Defense or the Brookside Associates. The
Brookside Associates is a private organization, not affiliated with the United
States Department of Defense.
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