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Etodolac

ETODOLAC

Manufacturer: Aphena Pharma Solutions - Tennessee, LLC

Score: 144.0

Quick Summary

Etodolac is a nonsteroidal anti-inflammatory drug (NSAID) used for the management of signs and symptoms of osteoarthritis, rheumatoid arthritis, and for the management of acute pain. It has anti-inflammatory, analgesic, and antipyretic activities. However, it is associated with serious cardiovascular and gastrointestinal risks, and its use should be carefully considered in patients with certain medical conditions. The recommended dose is 200-400 mg every 6-8 hours for acute pain, and 300-500 mg twice a day for osteoarthritis and rheumatoid arthritis. Special considerations are needed for use in pregnancy, nursing mothers, pediatric patients, and geriatric patients.

Key Clinical Findings and Indications

  • Osteoarthritis
  • Rheumatoid arthritis
  • Acute pain

Important Safety Information

Warning

Cardiovascular thrombotic events, gastrointestinal bleeding, and renal impairment

Contraindications

  • Known hypersensitivity to etodolac
  • Aspirin triad
  • Coronary artery bypass graft surgery

Adverse Reactions

  • Gastrointestinal experiences
  • Abnormal renal function
  • Anemia
  • Dizziness
  • Edema

Dosing Recommendations

General Guidance

Dose adjustment is generally not required in patients with mild to moderate renal impairment, but caution is advised in patients with severe renal impairment.

Acute pain

Adult Dose

200-400 mg every 6-8 hours

Pediatric Dose

Not established

Osteoarthritis and rheumatoid arthritis

Adult Dose

300-500 mg twice a day

Pediatric Dose

Not established

Special Population Considerations

Pregnancy

  • Use with caution between 20-30 weeks gestation
  • Avoid use at 30 weeks gestation and later

Nursing Mothers

  • Trace amounts of etodolac may be excreted in human milk
  • Caution advised

Pediatric Use

  • Safety and effectiveness not established in pediatric patients below 18 years

Geriatric Use

  • Caution advised due to increased risk of gastrointestinal and renal adverse effects
  • Monitor renal function