Tolmetin (Tolectin, Tolectin DS)

Category:

  • Analgesic

Description:

  • Nonsteroidal anti-inflammatory (NSAID) drug

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

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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Approved for public release; 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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