Nonsteroidal Antiinflammatory Drugs – Antipyretic-Analgesics


Aspirin

Antiinflammatory dose 3–5 g/day (75–100 mg/kg/day);
analgesic-antipyretic dose 0.3–0.6 g 6–8 hourly;
antiplatelet dose 75–150 mg/day.

ASPIRIN 350 mg tab,
COLSPRIN 100, 325 mg tabs,
ECOSPRIN 75, 150, 325 mg tabs,
DISPRIN 325 mg (with calcium carbonate 105 mg + citric acid 35 mg) tab,
LOPRIN 75, 162.5 mg tabs.
BIOSPIRIN Lysine acetylsalicylate 900 mg + glycine 100 mg/vial for dissolving in 5 ml water and i.v. injection.


Indomethacin

25–50 mg BD–QID. Those not tolerating the drug orally may be given nightly suppository.

IDICIN, INDOCAP 25 mg cap, 75 mg SR cap,
ARTICID 25, 50 mg cap,
INDOFLAM 25, 75 mg caps, 1% eye drop.
RECTICIN 50 mg suppository.


Ibuprofen

400–800 mg TDS;

BRUFEN, EMFLAM, IBUSYNTH 200, 400, 600 mg tab,
IBUGESIC also 100 mg/5 ml susp.


Naproxen

250 mg BD–TDS;

NAPROSYN, NAXID, ARTAGEN, XENOBID 250 mg tab,
NAPROSYN also 500 mg tab.


Ketoprofen

50–100 mg BD–TDS;

KETOFEN 50, 100 mg tab;
OSTOFEN 50 mg cap.
RHOFENID 100 mg tab, 200 mg SR tab; 100 mg/2 ml amp.


Flurbiprofen

50 mg BD–QID;

ARFLUR 50, 100 mg tab, 200 mg SR tab,
FLUROFEN 100 mg tab,
OCUFLUR 0.03% eye drops.


Mephenamic acid

250–500 mg TDS;

MEDOL 250, 500 mg cap;
MEFTAL 250, 500 mg tab, 100 mg/5 ml susp.
PONSTAN 125, 250, 500 mg tab, 50 mg/ml syrup.


Diclofenac

50 mg TDS, then BD oral, 75 mg deep i.m.;

VOVERAN, DICLONAC, MOVONAC 50 mg enteric coated tab, 100 mg S.R. tab, 25 mg/ml in 3 ml amp. for i.m. inj.
DICLOMAX 25, 50 mg tab, 75 mg/3 ml inj. Diclofenac potassium
VOLTAFLAM 25, 50 mg tab, ULTRA-K 50 mg tab;
VOVERAN 1% topical gel.


Aceclofenac

100 mg BD; ACECLO, DOLOKIND 100 mg tab, 200 mg SR tab.


Piroxicam

20 mg BD for two days followed by 20 mg OD;

DOLONEX, PIROX 10, 20 mg cap, 20 mg dispersible tab, 20 mg/ml inj in 1 and 2 ml amps;
PIRICAM 10, 20 mg cap.


Tenoxicam

20 mg OD; TOBITIL 20 mg tab.


Ketorolac

10–20 mg oral 6 hourly, 15–30 mg i.m./i.v. 6 hourly (max 90 mg/day);

KETOROL, ZOROVON, KETANOV, TOROLAC 10 mg tab, 30 mg in 1 ml amp.,
KETLUR, ACULAR 0.5% eye drops.


Nimesulide

100 mg BD;

NIMULID, NIMEGESIC, NIMODOL 100 mg tab, 50 mg/5 ml susp.


Meloxicam

7.5–15 mg OD;

MELFLAM, MEL–OD, MUVIK, M–CAM 7.5 mg, 15 mg tabs.


Nabumetone

500 mg OD;

NABUFLAM 500 mg tab.


Etodolac

200-400 mg BD-TDS;

ETOVA 200, 300, 400 mg tabs.


Celecoxib

100–200 mg BD;

CELACT, CELCOX, COLCIBRA, COBIX 100, 200 mg tabs.


Etoricoxib

60–120 mg OD;

TOROCOXIA, ETOXIB, ETOSHINE, NUCOXIA 60, 90, 120 mg tabs.


Parecoxib

40 mg oral/i.m./i.v. repeated after 6–12 hours (max. 80 mg/day);

PAROXIB 40 mg tab, REVALDO,
VALTO-P 40 mg/vial inj.


Paracetamol

325–650 mg (children 10–15 mg/kg) 3-5 times a day (max. 2600 mg/day); also 80–250 mg as suppository in infants and children; CROCIN 0.5 g tab, 125 mg/5 ml and 250 mg/5 ml syr, 100 mg/ml pediatric drops,

CROCIN PAIN RELIEF 650 mg with caffeine 50 mg tab;
METACIN, PARACIN 500 mg tab, 125 mg/5 ml syrup, 150 mg/ml ped. drops,
ULTRAGIN, PYRIGESIC, CALPOL 500 mg tab, 125 mg/5 ml syrup,
NEOMOL, FEVASTIN, FEBRINIL 300 mg/2 ml inj.
JUNIMOL-RDS 80, 170, 250 mg suppository, PARACETAMOL RECTAL SUPPOSITORY 80, 170 mg.


Metamizol

0.5–1.5 g oral/i.m./i.v.;

ANALGIN 0.5 g tab;
NOVALGIN, BARALGAN 0.5 g tab, 0.5 g/ml in 2 ml and 5 ml amps;
ULTRAGIN 0.5 g/ml inj in 2 ml amp and 30 ml vial.


Propiphenazone

300–600 mg TDS; marketed only in combi nation in several ‘over the counter’ preparations–in

SARIDON, ANAFEBRIN propiphenazone 150 mg + paracetamol 250 mg tab,
DART propiphenazone 150 mg + paracetamol 300 mg + caffeine 50 mg tab.


Nefopam

30–60 mg TDS oral, 20 mg i.m. 6 hourly; NEFOMAX 30 mg tab, 20 mg in 1 ml amp.


Topical NSAIDs

Diclofenac 1% gel

VOLINI GEL, RELAXYL GEL, DICLONAC GEL


Ibuprofen 10% gel

RIBUFEN GEL


Naproxen 10% gel

NAPROSYN GEL


Ketoprofen 2.5% gel

RHOFENID GEL


Flurbiprofen 5% gel

FROBEN GEL


Nimesulide 1% gel

NIMULID TRANS GEL, ZOLANDIN GEL, NIMEGESIC-T-GEL


Piroxicam 0.5% gel

DOLONEX GEL, MOVON GEL, PIROX GEL, MINICAM GEL


A. Nonselective COX inhibitors (conventional NSAIDs)

  1. Salicylates: Aspirin.
  2. Propionic acid derivatives: Ibuprofen, Naproxen,
    Ketoprofen, Flurbiprofen.
  3. Anthranilic acid derivative: Mephenamic acid.
  4. Aryl-acetic acid derivatives: Diclofenac, Aceclofenac.
  5. Oxicam derivatives: Piroxicam, Tenoxicam.
  6. Pyrrolo-pyrrole derivative: Ketorolac.
  7. Indole derivative: Indomethacin.
  8. Pyrazolone derivatives: Phenylbutazone, Oxyphenbutazone.

B. Preferential COX-2 inhibitors
Nimesulide, Meloxicam, Nabumetone, Etodolac.

C. Selective COX-2 inhibitors
Celecoxib, Etoricoxib, Parecoxib.

D. Analgesic-antipyretics with poor antiinflammatory
action

  1. Paraaminophenol derivative: Paracetamol (Aceta-
    minophen).
  2. Pyrazolone derivatives: Metamizol (Dipyrone),
    Propiphenazone.
  3. Benzoxazocine derivative: Nefopam