Nalfon

— THERAPEUTIC CATEGORIES —
  • Arthritis/rheumatic disorders
  • Nonnarcotic analgesics

Nalfon Generic Name & Formulations

General Description

Fenoprofen calcium 200mg, 400mg; caps.

Pharmacological Class

NSAID (arylacetic acid deriv.).

How Supplied

Caps 200mg—100; 400mg—90, 500

Manufacturer

Nalfon Indications

Indications

Rheumatoid arthritis. Osteoarthritis.

Nalfon Dosage and Administration

Adult

Use lowest effective dose for shortest duration. 400mg–600mg 3 or 4 times daily. Max: 3.2g/day.

Children

<18yrs: not established.

Nalfon Contraindications

Contraindications

Aspirin allergy. Coronary artery bypass graft surgery.

Nalfon Boxed Warnings

Boxed Warning

Risk of serious cardiovascular and gastrointestinal events.

Nalfon Warnings/Precautions

Warnings/Precautions

Increased risk of serious cardiovascular events (including MI, stroke). Avoid in recent MI, severe heart failure; if necessary, monitor. Increased risk of serious GI adverse events (including inflammation, bleeding, ulceration, perforation). History of ulcer disease and/or GI bleeding. Hypertension; monitor BP closely. Hepatic or renal impairment. Discontinue if signs/symptoms of liver disease develop, or if abnormal LFTs persist or worsen. Dehydration. Hypovolemia. Advanced renal disease: not recommended. Hyperkalemia. Coagulation disorders. Monitor CBCs, blood chemistry, hepatic, renal, and ocular function in long-term therapy. Pre-existing asthma. May mask signs of infection or fever. Discontinue at 1st sign of rash or any other hypersensitivity. Hearing impaired. Elderly. Debilitated. Labor & delivery. Pregnancy (3rd trimester; avoid). Nursing mothers.

Nalfon Pharmacokinetics

See Literature

Nalfon Interactions

Interactions

Avoid concomitant aspirin, salicylates (eg, diflunisal, salsalate) or other NSAIDs. Increased risk of GI bleed with anticoagulants, antiplatelets, oral corticosteroids, SSRIs, SNRIs, smoking, alcohol, or prolonged NSAID therapy; monitor. May antagonize, or increase risk of renal failure with diuretics (eg, loop or thiazides), ACE inhibitors (eg, captopril), ARBs (eg, losartan), or β-blockers; monitor closely. Potentiates digoxin; monitor levels. May potentiate lithium, methotrexate, cyclosporine; monitor for toxicity. Concomitant with pemetrexed may increase risk of pemetrexed-associated myelosuppression, renal, and GI toxicity. May be antagonized by phenobarbital. May potentiate protein-bound drugs (eg, hydantoins, sulfonamides, sulfonylureas).

Nalfon Adverse Reactions

Adverse Reactions

Dyspepsia, headache, somnolence, nausea, dizziness, constipation, nervousness, asthenia, peripheral edema; cardiovascular thrombotic events, GI ulcer/bleed, hepatotoxicity, renal toxicity, hypertension, hypersensitivity reactions, anemia/blood dyscrasias.

Nalfon Clinical Trials

See Literature

Nalfon Note

Not Applicable

Nalfon Patient Counseling

See Literature

Nalfon Generic Name & Formulations

General Description

Fenoprofen calcium 200mg, 400mg; caps.

Pharmacological Class

NSAID (arylacetic acid deriv.).

How Supplied

Caps 200mg—100; 400mg—90, 500

Manufacturer

Nalfon Indications

Indications

Mild to moderate pain.

Nalfon Dosage and Administration

Adult

Use lowest effective dose for shortest duration. 200mg every 4–6hrs as needed.

Children

<18yrs: not established.

Nalfon Contraindications

Contraindications

Aspirin allergy. Coronary artery bypass graft surgery.

Nalfon Boxed Warnings

Boxed Warning

Risk of serious cardiovascular and gastrointestinal events.

Nalfon Warnings/Precautions

Warnings/Precautions

Increased risk of serious cardiovascular events (including MI, stroke). Avoid in recent MI, severe heart failure; if necessary, monitor. Increased risk of serious GI adverse events (including inflammation, bleeding, ulceration, perforation). History of ulcer disease and/or GI bleeding. Hypertension; monitor BP closely. Hepatic or renal impairment. Discontinue if signs/symptoms of liver disease develop, or if abnormal LFTs persist or worsen. Dehydration. Hypovolemia. Advanced renal disease: not recommended. Hyperkalemia. Coagulation disorders. Monitor CBCs, blood chemistry, hepatic, renal, and ocular function in long-term therapy. Pre-existing asthma. May mask signs of infection or fever. Discontinue at 1st sign of rash or any other hypersensitivity. Hearing impaired. Elderly. Debilitated. Labor & delivery. Pregnancy (3rd trimester; avoid). Nursing mothers.

Nalfon Pharmacokinetics

See Literature

Nalfon Interactions

Interactions

Avoid concomitant aspirin, salicylates (eg, diflunisal, salsalate) or other NSAIDs. Increased risk of GI bleed with anticoagulants, antiplatelets, oral corticosteroids, SSRIs, SNRIs, smoking, alcohol, or prolonged NSAID therapy; monitor. May antagonize, or increase risk of renal failure with diuretics (eg, loop or thiazides), ACE inhibitors (eg, captopril), ARBs (eg, losartan), or β-blockers; monitor closely. Potentiates digoxin; monitor levels. May potentiate lithium, methotrexate, cyclosporine; monitor for toxicity. Concomitant with pemetrexed may increase risk of pemetrexed-associated myelosuppression, renal, and GI toxicity. May be antagonized by phenobarbital. May potentiate protein-bound drugs (eg, hydantoins, sulfonamides, sulfonylureas).

Nalfon Adverse Reactions

Adverse Reactions

Dyspepsia, headache, somnolence, nausea, dizziness, constipation, nervousness, asthenia, peripheral edema; cardiovascular thrombotic events, GI ulcer/bleed, hepatotoxicity, renal toxicity, hypertension, hypersensitivity reactions, anemia/blood dyscrasias.

Nalfon Clinical Trials

See Literature

Nalfon Note

Not Applicable

Nalfon Patient Counseling

See Literature