Reactin (Enteric coated tablets of Diclofenac sodium) belongs to the class of non-steroidal anti-inflammatory drugs (NSAIDs) which helps in relieving pain and inflammation of rheumatoid arthritis, gout and ankylosing spondylitis.
Rheumatoid arthritis: It is a joint disease that causes redness, pain and swelling of the joints. It is an auto immune disease.
Gout: It is a type of arthritis in which pain and swelling occur of joints such as big toe, foot, ankle and knee toes. It occurs due to increase in uric acid in blood.
Ankylosing spondylitis: It’s a type of arthritis of spine in which vertebrae (spine’s bones) fuse together and become difficult to walk.
MECHANISM OF ACTION
It is an anti-inflammatory drug which carry out the inhibition of both leukocyte migration and the enzyme cylooxygenase (COX-1 and COX-2), which carry out the inhibition of prostaglandin synthesis. As prostaglandins are the chemicals released in our body which cause pain and inflammation. Inhibition of their synthesis is responsible for the pain relieving effects of Reactin.
It is used as a pain reliever in arthritis, gout and ankylosing spondylitis. It also reduces redness, stiffness and inflammation (swelling).
Dosage of Reactin depends on the type and severity of disease. Treatment should be started with lowest possible dose or as prescribed by your doctor.
Osteoarthritis: dosage is 100-150 mg/day in divided doses (50 mg two times a day or three times a day or 75 mg two times a day).
Rheumatoid arthritis: dosage is 150-200 mg/day in divided doses (50 mg three times a day or four times a day, or 75 mg two times a day.).
Ankylosing spondylitis: dosage is 100-125 mg/day (25 mg four times, with an extra 25-mg dose at night if necessary).
HOW TO USE
Take the tablet with a glass of water after meals. Do not break or crush the tablet, swallow it as a whole. Try to take the tablet same time of the day. Follow the instructions given by the doctor. If you forget to take the medicine of the day take it as you remember but do not double the dose on next day. Leave the dose of last day and take your regular dose.
Some common side effects are;
Constipation, Diarrhoea, stomach pain
Tiredness or weakness
Some rare side effects can also occur but these require immediate medical attention. These are:
Allergic reactions like swelling of throat, redness, swelling, and rashes.
Liver disease- yellowing of eyes and skin, dark urine, persistent nausea and vomiting
Weight gain and swelling of hands or feet
Bleeding in stomach
Ringing noise in ears
Some products that may interact with this VOLTERAN include:
ACE Inhibitors (captopril, lisinopril),
Angiotensin II receptor blockers (valsartan, losartan),
diuretics ( furosemide)
anti-platelet drugs (clopidogrel)
“blood thinners” like dabigatran/enoxaparin/warfarin
Other pain relievers/fever reducers (aspirin, NSAIDs like celecoxib, ibuprofen, or ketorolac). They can enhance bleeding in stomach.
This list of drugs is not sufficient. There are so many other drugs that can interact. So, it is wise to inform your doctor about all the medicines you are using including prescription and over the counter drugs.
CONTRAINDICATIONS AND PRECAUTIONS
Allergy to any other pain killer or NSAIDs: ask your doctor in case you are allergic to any other NSAID like ibuprofen, meloxicam, naproxen or if you have4 any other allergies.
Asthma: if you have found difficulty in breathing in past with the use of NSAIDs in past then tell your doctor.
Stomach or intestinal problems: if suffer from ulcers or any other problem then inform your doctor.
Heart disease: chances of heart attack and stroke increase in patients with heart disease.
Pregnancy: NSAIDs are harmful for the unborn baby. Inform doctor if you are pregnant or planning to become pregnant in future.
Breastfeeding: This drug passes through breast milk.
Smoking and drinking alcohol: VOLTERAN may cause bleeding of stomach when combined with alcohol and smoking. So, limit or quit smoking and alcohol.
Do not drive: This drug can make you dizzy so don’t drive or use heavy machinery after taking VOLTERAN.
LIVER disease: consult doctor.
KIDNEY disease: consult doctor.
Children and elderly: Should not be used in children and elderly without the prescriptions of doctor.
Bypass surgery: Should not be used after bypass surgery.
DO not take it without prescription of doctor for long period.
In case of overdose or poisoning, go to Cenforce dosage your emergency room or call for help. Symptoms of overdose are severe stomach pain, vomiting, extreme drowsiness, slow breathing.
Store in cool and dry place away from the reach of children.