Arthrotec is a combination medication containing Diclofenac (a nonsteroidal anti-inflammatory drug or NSAID) and Misoprostol (a prostaglandin analog). This dual-action formula provides effective pain relief while protecting the stomach from NSAID-induced ulcers and complications.
Uses
Arthrotec treats symptoms of osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis in patients at high risk for developing NSAID-induced gastric or duodenal ulcers. It effectively manages pain, inflammation, and stiffness while reducing the risk of gastrointestinal complications.
Benefits
- Provides effective relief from pain and inflammation
- Reduces joint stiffness and improves mobility
- Protects against NSAID-induced stomach ulcers
- Decreases risk of serious gastrointestinal complications
- Combines two medications in a single tablet
- Reduces need for separate gastroprotective medicine
- Improves treatment compliance
- Maintains quality of life for arthritis patients
- Particularly valuable for high-risk patients
How It Works
Diclofenac reduces pain and inflammation by inhibiting prostaglandin synthesis through blocking cyclooxygenase enzymes. Misoprostol, a synthetic prostaglandin E1 analog, protects the stomach lining by replacing depleted natural prostaglandins, increasing mucus production, and reducing acid secretion in the stomach.
Dosage
Formulation | Standard Dosage | Maximum Daily Dosage |
---|---|---|
Arthrotec 50 | 1 tablet 2-3× daily | 150 mg diclofenac (3 tablets) |
Arthrotec 75 | 1 tablet 2× daily | 150 mg diclofenac (2 tablets) |
Take with food or milk to reduce stomach irritation. Swallow tablets whole with water; do not crush or chew.
Duration of Action
Arthrotec begins providing anti-inflammatory effects within 30-60 minutes after administration. Pain relief typically lasts 8-12 hours, depending on formulation strength. Gastroprotective effects of misoprostol begin within 30 minutes and continue throughout treatment duration with regular dosing.
Side Effects
Common side effects include diarrhea, abdominal pain, nausea, flatulence, and headache. Diarrhea is usually mild and temporary. Serious but less common side effects include allergic reactions, gastrointestinal bleeding, cardiovascular events, liver or kidney problems, and fluid retention.
Warning
Arthrotec can increase risk of serious cardiovascular events, including heart attack and stroke. NSAID component may cause GI bleeding despite protective misoprostol. Absolutely contraindicated during pregnancy due to misoprostol’s abortifacient properties. Not suitable for patients with aspirin-sensitive asthma or severe heart, liver, or kidney disease.
Pregnancy and Breastfeeding
Arthrotec is absolutely contraindicated during pregnancy as misoprostol can cause miscarriage, premature birth, or birth defects. Women of childbearing potential must use effective contraception and have a negative pregnancy test before starting therapy. Use during breastfeeding is not recommended as both components pass into breast milk.
Interaction
- May reduce effectiveness of certain antihypertensive medications
- Increased bleeding risk with anticoagulants or antiplatelets
- Potential increased kidney toxicity with diuretics
- Possible increased lithium or methotrexate toxicity
- May interact with other NSAIDs, increasing side effects
- Could reduce effectiveness of some antidepressants
Precaution
Use with caution in elderly patients and those with history of peptic ulcer, hypertension, heart failure, or impaired renal or hepatic function. Avoid alcohol consumption during treatment. Regular monitoring of blood pressure, kidney function, and signs of gastrointestinal bleeding is recommended, especially in long-term use.
Important Information
Arthrotec should only be used under medical supervision and at the lowest effective dose for the shortest duration needed. Inform all healthcare providers about Arthrotec use before any procedures. Discontinue and seek medical attention if experiencing chest pain, shortness of breath, weakness, slurred speech, black stools, or unusual weight gain.
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Customer questions & answers
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How much is it?
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A
Hello Funmilayo,
Arthrotec 75mg costs ₦39,000 for a pack of 10 sachets.
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