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Drug Guide    S   Sulindac

  Prescription drug information   Post your opinion about this drug  

   Sulindac

Sulindac
Oral


Sulindac is used to reduce pain, swelling, and joint stiffness from arthritis. It is also used to treat arthritis of the spine, gouty arthritis, and shoulder bursitis/tendonitis. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID).Sulindac may also be used to decrease the number of growths found in the intestines (colon polyps) in persons with a family history of this condition.

 
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 Sulindac images:

OverviewPhotosHow To UseSide EffectsPrecautionsMissed DoseDrug Interactions
Sulindac

Uses
Sulindac is used to reduce pain, swelling, and joint stiffness from arthritis. It is also used to treat arthritis of the spine, gouty arthritis, and shoulder bursitis/tendonitis. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID).Sulindac may also be used to decrease the number of growths found in the intestines (colon polyps) in persons with a family history of this condition.
Notes
  • Do not share this medication with others.Laboratory and/or medical tests (e.g., complete blood count, kidney and liver function tests) may be performed periodically to monitor your progress or check for side effects.
  • Consult your doctor for more details.Non-drug treatment for arthritis as approved by your doctor (e.g., weight loss if needed, strengthening and conditioning exercises) may help improve your flexibility, range of motion, and joint function.
  • Consult your doctor for specific instructions.

Storage
  • Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture.
  • Do not store in the bathroom.
  • Keep all medicines away from children and pets.

Overdose
  • Symptoms of overdose may include: severe stomach pain, vomit that looks like coffee grounds, extreme drowsiness, loss of consciousness, slowed or shallow breathing.

How To Use
  • Read the Medication Guide provided by your pharmacist before you start using sulindac and each time you get a refill.
  • If you have any questions regarding the information, consult your doctor or pharmacist.Take this medication by mouth usually twice daily with a full glass of water (8 ounces or 240 milliliters), unless your doctor directs you otherwise.
  • Do not lie down for at least 30 minutes after taking this drug.
  • Take this medication with food to decrease stomach upset.Dosage is based on your medical condition and response to therapy.
  • Do not increase your dose or take it more frequently than recommended because this may increase your risk of stomach bleeding.
  • Also, the manufacturer recommends that you do not take more than 400 milligrams per day because this may increase your risk of liver problems.In certain conditions (e.g., arthritis), it may take 1-2 weeks before the full benefits take effect when this drug is taken regularly.If you are taking this drug on an "as needed" basis (not on a regular schedule), remember that pain medications work best if they are used as the first signs of pain occur.
  • If you wait until the pain has significantly worsened, the medicine may not work as well.Inform your doctor if your condition persists or worsens.

Side Effects
  • Upset stomach, nausea, vomiting, gas, diarrhea, constipation, dizziness, fatigue, or headache may occur.
  • If any of these effects persist or worsen, notify your doctor or pharmacist promptly.Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects.
  • Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: stomach pain, swelling of the hands or feet, sudden or unexplained weight gain, vision changes, hearing changes (e.g., ringing in the ears), mental/mood changes, fast/pounding heartbeat, persistent/severe headache, fainting, difficult/painful swallowing.Tell your doctor immediately if any of these rare but very serious side effects occur: change in the amount of urine, easy bruising/bleeding, signs of infection (e.g., fever, persistent sore throat), unexplained stiff neck, seizures.This drug may rarely cause serious (possibly fatal) liver disease.
  • If you notice any of the following highly unlikely but very serious side effects, stop taking sulindac and consult your doctor or pharmacist immediately: yellowing eyes or skin, dark urine, unusual/extreme tiredness, severe stomach/abdominal pain, persistent nausea/vomiting.A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs.
  • Symptoms of a serious allergic reaction may include: rash, itching, swelling, severe dizziness, trouble breathing.If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
  • Before taking sulindac, tell your doctor or pharmacist if you are allergic to it; or to aspirin or other NSAIDs (e.g., ibuprofen, naproxen, celecoxib); or if you have any other allergies.This medication should not be used if you have certain medical conditions.
  • Before using this medicine, consult your doctor or pharmacist if you have: aspirin-sensitive asthma (a history of worsening breathing with runny/stuffy nose after taking aspirin or other NSAIDs), recent heart bypass surgery (CABG).Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney disease, liver disease, poorly controlled diabetes, stomach/intestine/esophagus problems (e.g., bleeding, ulcers, recurring heartburn), heart disease (e.g., congestive heart failure, history of heart attack), high blood pressure, stroke, swelling (edema, fluid retention), dehydration, blood disorders (e.g., anemia), bleeding or clotting problems, asthma, growths in the nose (nasal polyps), kidney stones.Before having surgery, tell your doctor or dentist that you are taking this medication.This drug may make you dizzy; use caution engaging in activities requiring alertness such as driving or using machinery.This medicine may cause stomach bleeding.
  • Daily use of alcohol and tobacco, especially when combined with this medicine, may increase your risk for stomach bleeding.
  • Limit alcohol and stop smoking.
  • Consult your doctor or pharmacist for more information.This medication may make you more sensitive to the sun.
  • Avoid prolonged sun exposure, tanning booths or sunlamps.
  • Use a sunscreen and wear protective clothing when outdoors.Caution is advised when using this drug in the elderly because they may be more sensitive to its side effects, especially stomach bleeding and kidney effects.This medication should be used only when clearly needed during the first 6 months of pregnancy.
  • It is not recommended for use during the last 3 months of pregnancy due to possible harm to an unborn baby and interference with normal labor/delivery.
  • Discuss the risks and benefits with your doctor.It is not known if this drug passes into breast milk.
  • Breast-feeding while using this medication is not recommended.
  • Consult your doctor before breast-feeding.

Missed Dose
  • If you are prescribed this drug on a regular schedule (not just "as needed") and you miss a dose, use it as soon as you remember.
  • If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.
  • Do not double the dose to catch up.

Drug Interactions
  • Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it.
  • Do not start, stop, or change the dosage of any medicine before checking with them first.This drug should not be used with the following medications because very serious interactions may occur: cidofovir, dimethyl sulfoxide (DMSO), ketorolac.If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting sulindac.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: anti-platelet drugs (e.g., cilostazol, clopidogrel), oral bisphosphonates (e.g., alendronate), "blood thinners" (e.g., enoxaparin, heparin, warfarin), corticosteroids (e.g., prednisone), cyclosporine, high blood pressure drugs (including ACE inhibitors such as captopril, angiotensin II receptor antagonists such as losartan, and beta-blockers such as metoprolol), lithium, methotrexate, pemetrexed, probenecid, SSRI antidepressants (e.g., fluoxetine, sertraline), "water pills" (diuretics such as furosemide, hydrochlorothiazide, triamterene).Check all prescription and nonprescription medicine labels carefully for other pain/fever drugs (NSAIDs such as aspirin, celecoxib, ibuprofen).
  • These drugs are similar to this medication, so taking one of these drugs while also taking this medication may increase your risk of side effects.
  • However, if your doctor has prescribed low doses of aspirin to prevent heart attack or stroke (usually at dosages of 81-325 milligrams a day), you should continue to take the aspirin.
  • Daily use of NSAIDs (e.g., ibuprofen) may decrease aspirin's ability to prevent heart attack/stroke.
  • Consult your doctor or pharmacist for more details and to discuss other possible treatments (e.g., acetaminophen) for your pain/fever.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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