Description
রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন
Indications:
VOLTALIN D 46.5 is indicated for:
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Rheumatoid arthritis
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Osteoarthritis
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Chronic inflammatory conditions
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Patients requiring long-term NSAID treatment with risk of gastric ulceration
Pharmacology:
This combination contains:
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Diclofenac sodium: A potent NSAID that reduces inflammation and pain by inhibiting prostaglandin synthesis via COX enzyme inhibition.
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Misoprostol: A prostaglandin analog that helps protect the gastric mucosa and prevents NSAID-induced gastric ulcers.
Dosage:
One tablet (46.5 mg) two to three times daily depending on the patient's condition and physician’s advice.
Administration:
Take orally with meals. Swallow whole with water. Do not crush or chew.
Interaction:
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May interact with anticoagulants, antihypertensives, other NSAIDs, corticosteroids, and diuretics.
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Avoid concurrent use with alcohol or drugs that increase GI bleeding risk.
Contraindications:
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Known hypersensitivity to diclofenac or misoprostol
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Pregnancy (misoprostol can cause abortion)
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History of peptic ulcers or GI bleeding
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Severe liver or renal impairment
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Inflammatory bowel disease
Side Effects:
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Common: abdominal pain, diarrhea, nausea, dyspepsia, flatulence
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Serious: GI bleeding, allergic reactions, liver dysfunction, uterine contractions (in pregnancy)
Pregnancy & Lactation:
Contraindicated in pregnancy. Misoprostol can induce labor and miscarriage. Avoid use in women of childbearing age unless effective contraception is used. Use during lactation only if absolutely necessary.
Precautions & Warnings:
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Monitor liver and kidney function in long-term use
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Avoid in patients with cardiovascular disease history
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Should not be used for minor or short-term pain conditions
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Caution in elderly and dehydrated patients
Therapeutic Class:
NSAID with Gastroprotective Agent
Storage Conditions:
Store below 30°C in a dry place, protected from light. Keep out of reach of children.
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