Flurbiprofen

Flurbiprofen is NSAID (non-steroidal anti-inflammatory drug). Flurbiprofen is a propionic acid derivative and structurally related to ibuprofen. Flurbiprofen is used to relieve pain and to reduce inflammation or swelling and fever. Flurbiprofen is used in the treatment of pain, swelling and stiffness associated with arthritis and as eye drops to prevent trauma-induced pupil constriction during surgery.


Adult Dose
Dose: 0.03%
Single Dose: 0.03 (0.03)
Frequency: As recommended.
Route: Ophthalmic
Instructions: As Required.To be given as drops.
Neonatal
Dose:
Single Dose:
Frequency:
Route:
Instructions: Not recommended in this age group
Paedriatic
Dose: 3 mg/kg
Single Dose: 3 (3)
Frequency: 24 hourly
Route: Oral
Instructions: -
Characteristics
Flurbiprofen Sodium is the derivative of Flurbiprofen. It is of Synthetic origin and belongs to Propionic Acid. It belongs to Cyclo-oxygenase inhibitor pharmacological group on the basis of mechanism of action and also classified in Opthalmic Products and Propionic Acid pharmacological group.The Molecular Weight of Flurbiprofen is 244.30.
Contraindications
Flurbiprofen is contraindicated in conditions like Peptic ulcer,Ulcerative colitis,Bronchospasm.
Effects
Flurbiprofen produces potentially life-threatening effects which include Hemorrhage, Peptic ulceration, Perforation. which are responsible for the discontinuation of Flurbiprofen therapy.The symptomatic adverse reactions produced by Flurbiprofen are more or less tolerable and if they become severe, they can be treated symptomatically, these include Dizziness, Tinnitus, GI reactions, Blurred vision, Peripheral edema, Deafness, Cutaneous vasculitis, Epidermal necrosis, Exfoliative dermatitis, Lichinoid eruptions.
Indications
Flurbiprofen is primarily indicated in conditions like Adjunct in GI-disorders, Ankylosing spondylitis, Dysmenorrhoea, Gout, Juvenile chronic arthritis, Mild to moderate pain, Musculoskeletal disorders, Nausea and vomiting (palliative care), Non-steroidal anti-inflammatory drugs (NSAID), Osteoarthritis, Pain, Post operative analgesia, Rheumatoid arthritis.
Interactions
Flurbiprofen is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAlcoholAspirinAspirin decreases the plasma concentration of flurbiprofen. Aspirin may displace flurbiprofen from plasma protein binding site results in increased concentration of unbound, or free, drug available for clearence.During concomitant therapy, patient should take medication with food.AtenololAntihypertensive effect of Atenolol may decrease if use with Flurbiprofen sodium.Cyclosporin ARisk of nephrotoxicity increases if given with cyclosporin.Frusemide or FurosemideFlurbiprofen may diminish the diuretic effect of Furosemide.ModerateMonitor for decreased therapeutic effects of Furosemide if a nonsteroidal anti-inflammatory agent (NSAID) is initiated/dose increased, or increased effects if an NSAID is discontinued/dose decreased. Consider using an NSAID that holds a lesser potential for interacting with Furosemide (eg, diflunisal, flurbiprofen, ketoprofen, and ketorolac). Patients with heart failure may be more sensitive to alterations in fluid balance, in which case consideration should be given to avoiding the concomitant use of NSAIDs and Furosemide. Cirrhotic patients with ascites may also be at increased risk.LacosamideMethotrexateFlurbiprofen increases the plasma concentration of methotrexate by interfering with renal elimination results in increased toxicity and pharmacological effects.MajorClosely monitor for signs of bone marrow suppression and nephrotoxicity. Avoid any other over-the-counter NSAID product.Phenylbutazone Phenytoin (Na)TorasemideFlurbiprofen, a strong CYP2C9 inhibitor, may increase the serum concentration of Torasemide, a CYP2C9 substrate, by decreasing Torasemide metabolism and clearance. Consider alternate therapy or monitor for changes in the therapeutic and adverse effects of Torasemide if Flurbiprofen is initiated, discontinued or dose changed.VORICONAZOLEFlurbiprofen may increase the serum concentration of voriconazole by decreasing its metabolism. Monitor for changes in the therapeutic and adverse effects of voriconazole if flurbiprofen is initiated, discontinued or dose changed.Zidovudine These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Interfrence
Abnormal LFTs Complete blood cell count
Risks
Drug should not be given to Pregnant Mothers, and Neonates.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Eye Drops Store Below 40°C. Do not Freeze. Protect from Sunlight and Moisture. Tab Store Below 40°C. Protect from Sunlight and Moisture.
Warnings
Flurbiprofen should be used with caution in patients with history especially of any liver or kidney disease, blood disorders, ulcers, heart disease, alcohol use, high blood pressure, eye disease or allergies, especially drug allergies. It should be used with caution when performing tasks requiring alertness. Limit alcohol intake as it may intensify the drowsiness effect of this medication and make stomach or intestines more likely to bleed. Caution is advised when this drug is used in the elderly. This medication should be used during pregnancy or lactation only if clearly needed. Use of this drug during the last 6 months of pregnancy is not recommended.
Back to List

Any information that appears on this website page is provided for the purpose of general information. This website has been compiled in good faith by HMIS.Online. However, no guarantee is made as to the completeness, validity or accuracy of the information it contains.