INDOMETHACIN

Background and Date of Approval

Indomethacin received U.S. FDA approval in 1965. Indomethacin works by reducing the body's ability to produce inflammation, which causes pain and discomfort.

Uses

Indomethacin is used for rheumatoid (disease mainly of the joints) and osteoarthritis (disease of the joints), ankylosing spondylitis (a form of arthritis which mainly affects the back), post-orthopedic surgery pain and inflammation, musculoskeletal disorders (muscles and bone disorders), period pain, low back pain, hip joint disease, and acute gouty arthritis characterised by joint crystal buildup.

How is it administered?

Indomethacin suppositories should not be taken by mouth, and empty your bowel before administration of the medicine. Indomethacin is available as suppository sheets in 50 mg. Your doctor will provide the appropriate dose and frequency based on your medical condition and other factors.

Side Effects

The common side effects that are experienced while you are on the treatment with indomethacin suppository are Common side effects of the medication may include headache, dizziness, vertigo (a sensation of movement in one's surroundings), tiredness, nausea, loss of appetite, vomiting, constipation, diarrhea, bleeding, inflammation, and various discomforts such as burning pain, itching, or unusual sensations. Report your doctor immediately, if you experience any allergic reaction like itching, rashes, photosensitivity, hair loss, facial and throat swelling, breathing difficulties, and severe dizziness; gastrointestinal issues like passing blood in stools, black stools, and blood vomiting; as well as symptoms like pancreatic inflammation, upper stomach pain, nausea, vomiting, indigestion, and abdominal pain.

Warnings

If you take the medicine for rheumatoid arthritis, your doctor will examine your eye, and it is recommended to consult your doctor if you are facing any vision problems. Consult your doctor if you are in the third trimester of pregnancy, plan to get pregnant, or think you may be pregnant or while you are breastfeeding. The safety and effectiveness of the medicine in pediatric patients have not been established, so it is recommended to consult your doctor.

Precautions

Patients with psychiatric disturbances, epilepsy, and parkinsonism should be cautious while taking medicine and are advised to talk to their doctor about their condition. It is important to talk with your doctor about any drugs you are taking, including inmeth, when undergoing blood tests. This helps to give you a more accurate interpretation of test results and ensure that your treatment is planned according to your specific health needs.

Word of Advice

Inform your healthcare provider if you have a peptic ulcer, proctitis with associated soreness, bleeding, and mucosal or purulent discharge, asthma, gastrointestinal disease, hepatic or renal disease, diabetes, or cardiac failure before commencing this medicine. Indomethacin is contraindicated in patients who have undergone coronary artery bypass grafting. Discuss with your doctor if you are taking probenecid (gout medication), Methotrexate (rheumatoid disease medication), Cyclosporin (immunosuppressant), Lithium (psychiatric medication), diuretics, digoxin (cardiac failure medication), phenylpropanolamine (nasal decongestant), Mifepristone (pregnancy termination agent), or Vancomycin (antibiotic). Also inform your doctor of any known allergy to indomethacin or its components.

References

Aspen Pharma Trading Limited, Electronic Medicines Compendium (EMC), [Revised on Dec 2020] [Accessed on 23rd Sep 2023], https://www.medicines.org.uk/emc/product/2946/pil#gref Iroko Pharmaceuticals, LLC, US, Food and Drug Administration, [Revised on Jul 2019] [Accessed on 21st July 2023], https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/016059s100lbl.pdf Tilo Grosser, Emer M. Smyth, and Garret A. FitzGerald, Pharmacotherapy of Inflammation, Fever, Pain, and Gout, Goodman & Gilman’s: The Pharmacological Basis of Therapeutics, 13th Edition, 2018, 685-709. KD Tripathi, Nonsteroidal Antiinflammatory Drugs and Antipyretic-Analgesics, Essentials of Medical Pharmacology, 8th Edition, 2019, 209-226.

Frequently Asked Questions

Can I go to lab testing while under indomethacin?

Inform your doctor when you're under any medications This helps them to give you a more accurate interpretation of test results and treat you according to the health history.

Can I take indomethacin if I have heart problems?

The drugs may increase the risk of heart attack. So, it is recommended to consult your doctor before taking the medicine.

Can I drive while under indomethacin medication?

It may cause side effects such as headaches, dizziness, drowsiness, and visual disturbances. Individuals are recommended to be cautious and consult their doctor.

What are the instructions I need to follow while taking indomethacin?

It should not be taken by the mouth and empty your stomach before using the medicine. The medicine is to be placed in the rectum (back passage). Consult your doctor before taking the medicine.

What are the foods I need to avoid while taking indomethacin?

Drinking excessive alcohol may cause undesirable side effects. It is recommended to ask your doctor before taking indomethacin.

Available Brands 3

Written By: Muskan Patel, M.Pharm

Reviewed By: Dr. Vishwa Patel, MBBS