Drug Name:
Diclofenac souium suppositories
Ingredients:
Each suppositories contains: Diclofenac souium 100mg
Indications:
For rheumatoid arthritis, post-operative pain and fever caused by various causes.
Posology and method of administration
Undesirable effects may be minimised by using the lowest effective dose for the shortest duration necessary to control symptoms
Posology:
Adults:
One 100mg suppository may be given as a once daily treatment usually at night.
Where necessary therapy may be combined with tablets up to a total maximum dose of 150 mg diclofenac per day.
Special population:
Elderly patients
Although the pharmacokinetics of Econac are not impaired to any clinically relevant extent in elderly patients, non-steroidal anti-inflammatory drugs should be used with particular caution in such patients who, generally, are more prone to adverse reactions. In particular, it is recommended that the lowest effective dosage be used in frail, elderly patients or those with a low body weight and the patient should be monitored for GI bleeding during NSAID therapy.
Renal impairment
Diclofenac is contraindicated in patients with severe renal impairment No specific studies have been carried out in patients with renal impairment, therefore, no specific dose adjustment recommendations can be made. Caution is advised when administering diclofenac to patients with mild to moderate renal impairment 
Hepatic impairment
Diclofenac is contraindicated in patients with severe hepatic impairment. No specific studies have been carried out in patients with hepatic impairment, therefore, no specific dose adjustment recommendations can be made. Caution is advised when administering diclofenac to patients with mild to moderate hepatic impairment 
Paediatric population
Children (aged 1 - 12 years):
Econac 100 mg suppositories are not suitable for children.
Method of administration:
Not to be taken by mouth, as per rectal administration only.
The suppositories should be inserted well into the rectum. It is recommended to insert the suppositories after passing stools.
Contraindications
• Hypersensitivity to the active substance

• Active, gastric or intestinal ulcers, bleeding or perforation

• History of gastrointestinal bleeding or perforation, relating to previous NSAID therapy.

• Active, or history of recurrent peptic ulcer/haemorrhage (two or more distinct episodes of proven ulceration or bleeding).

• Last trimester of pregnancy 

• Severe hepatic, renal or cardiac failure

• Like other non-steroidal anti-inflammatory drugs (NSAIDs), diclofenac is also contraindicated in patients in whom attacks of asthma, angioedema, urticaria or acute rhinitis are precipitated by ibuprofen, acetylsalicylic acid or other nonsteroidal anti-inflammatory drugs.

• Proctitis

• Established congestive heart failure (NYHA II-IV), ischemic heart disease, peripheral arterial disease and/or cerebrovascular disease.
Packing specification:
2Stripsx5Suppositories/box
Usage and dosage:
For external use, as directed by your doctor
Dosage: as directed by the Physician.
Store below 25C
for Export use only