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Indications

BEERS REMS

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: HF, MYOCARDIAL INFARCTION, STROKE, edema, palpitations.

Derm: DRUG REACTION WITH EOSINOPHILIA AND SYSTEMIC SYMPTOMS (DRESS), pruritus, rash, sweating.

EENT: blurred vision, hearing loss, tinnitus.

F and E: hyperkalemia.

GI: GI BLEEDING, HEPATITIS, dyspepsia, abdominal pain, constipation, diarrhea, discomfort, nausea, vomiting.

GU: cystitis, dysuria, hematuria, renal failure.

Hemat: prolonged bleeding time.

Neuro: confusion, dizziness, drowsiness, headache, tremor.

Misc: HYPERSENSITIVITY REACTIONS (INCLUDING ANAPHYLAXIS) .

Interactions

Drug-Drug:

Drug-Natural Products:

Availability

(Generic available)

Route/Dosage

Rheumatoid Arthritis/Osteoarthritis

Mild-to-Moderate Pain

US Brand Names

Nalfon

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: antirheumatics, nonopioid analgesics

Pharmacologic Classification: propionic acid derivatives, nonsteroidal anti-inflammatory drugs (NSAIDs)

Pharmacokinetics

Absorption: Well absorbed from the GI tract.

Distribution: Enters breast milk in low concentrations.

Protein Binding: >99%.

Metabolism/Excretion: Mostly metabolized by the liver. 2–5% excreted unchanged by the kidneys.

Half-life: 3 hr.

Time/Action Profile

ROUTEONSETPEAKDURATION
PO (analgesic activity)15–30 min1–2 hr4–6 hr
PO (anti-inflammatory activity)several days2–3 wkunknown

Patient/Family Teaching

Pronunciation

fen-oh-PROE-fen audio

Code

NDC Code*