Slo-Indo Uses

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Slo-Indo indications

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Oral

Pain and inflammation associated with musculoskeletal and joint disorders

Adult: Initially, 25 mg bid or tid, increased if necessary by 25-50 mg at wkly intervals to 150-200 mg daily.

Oral

Acute gout

Adult: 150-200 mg daily in divided doses until signs and symptoms subside.

Oral

Dysmenorrhoea

Adult: 75 mg daily.

Intravenous

Closure of patent ductus arteriosus

Child: Given as 3 IV doses at 12-24 hr intervals infused over 20-30 min. <48 hr old 0.2 mg/kg initially followed by 2 further doses of 0.1 mg/kg; 2-7 days old 3 doses of 0.2 mg/kg; >7 days old 0.2 mg/kg initially followed by 2 further doses of 0.25 mg/kg. 2nd course may be repeated if ductus remains open or re-opens 48 hr after the 1st course. Surgery may be required if neonate is unreponsive to 2 courses of treatment.

Reconstitution: Add 1 or 2 mL of sterile water for inj or NaCl 0.9% inj to Slo-Indo 1 mg to provide soln containing approx 1 or 0.5 mg/mL respectively. Further dilution of the reconstituted inj in IV infusions is not recommended.

Incompatibility: Y-site: Amino acid inj, Ca gluconate, cimetidine, dobutamine, dopamine, gentamicin, levofloxacin, pantoprazole, tobramycin.

Ophthalmic

Inhibition of intraoperative miosis

Adult: 4 drops 1 day pre-op and 4 drops 3 hr pre-op.

Ophthalmic

Prophylaxis and reduction of postoperative ocular inflammation

Adult: 1 drop 4-6 times daily.

Ophthalmic

Post-photorefractive keratectomy pain

Adult: 1 drop 4 times daily for a few days post-op.

Rectal

Pain and inflammation associated with musculoskeletal and joint disorders

Adult: As supp: 100 mg to be inserted at night and repeated in the morning if necessary.

Slo-Indo description

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A six carbon compound related to glucose. It is found naturally in citrus fruits and many vegetables. Ascorbic acid is an essential nutrient in human diets, and necessary to maintain connective tissue and bone. Its biologically active form, vitamin C, functions as a reducing agent and coenzyme in several metabolic pathways. Slo-Indo is considered an antioxidant.

Slo-Indo dosage

Oral

Pain and inflammation associated with musculoskeletal and joint disorders

Adult: Initially, 25 mg bid or tid, increased if necessary by 25-50 mg at wkly intervals to 150-200 mg daily.

Oral

Acute gout

Adult: 150-200 mg daily in divided doses until signs and symptoms subside.

Oral

Dysmenorrhoea

Adult: 75 mg daily.

Intravenous

Closure of patent ductus arteriosus

Child: Given as 3 IV doses at 12-24 hr intervals infused over 20-30 min. <48 hr old 0.2 mg/kg initially followed by 2 further doses of 0.1 mg/kg; 2-7 days old 3 doses of 0.2 mg/kg; >7 days old 0.2 mg/kg initially followed by 2 further doses of 0.25 mg/kg. 2nd course may be repeated if ductus remains open or re-opens 48 hr after the 1st course. Surgery may be required if neonate is unreponsive to 2 courses of treatment.

Reconstitution: Add 1 or 2 mL of sterile water for inj or NaCl 0.9% inj to Slo-Indo 1 mg to provide soln containing approx 1 or 0.5 mg/mL respectively. Further dilution of the reconstituted inj in IV infusions is not recommended.

Incompatibility: Y-site: Amino acid inj, Ca gluconate, cimetidine, dobutamine, dopamine, gentamicin, levofloxacin, pantoprazole, tobramycin.

Ophthalmic

Inhibition of intraoperative miosis

Adult: 4 drops 1 day pre-op and 4 drops 3 hr pre-op.

Ophthalmic

Prophylaxis and reduction of postoperative ocular inflammation

Adult: 1 drop 4-6 times daily.

Ophthalmic

Post-photorefractive keratectomy pain

Adult: 1 drop 4 times daily for a few days post-op.

Rectal

Pain and inflammation associated with musculoskeletal and joint disorders

Adult: As supp: 100 mg to be inserted at night and repeated in the morning if necessary.

Slo-Indo interactions

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May increase plasma levels of methotrexate. Increased risk of GI bleeding w/ warfarin. May reduce hypotensive effects of hydralazine, furosemide, β-blockers (e.g. atenolol, propranolol, oxprenolol), or thiazide diuretics. Increased risk of hyperkalaemia w/ K-sparing diuretics, ACE inhibitors, K supplements. May increase nephrotoxic effects of ciclosporin or triamterene. Increase plasma concentration w/ probenecid. May increase plasma levels of aminoglycoside (e.g. amikacin, gentamicin) in premature neonates. May enhance antipsychotic effect (e.g. severe drowsiness and confusion) of haloperidol. Al- or Mg-containing antacids may reduce GI disorders of Slo-Indo.

Potentially Fatal: Diflunisal decreases renal clearance and increases plasma concentrations of Slo-Indo which leads to fatal GI haemorrhage.

Slo-Indo side effects

CHF, tachycardia, chest pain, arrhythmia, palpitations, HTN, pulmonary HTN, oedema; GI disturbances (e.g. nausea, vomiting, dyspepsia, indigestion, heartburn, epigastric pain); headache, frontal throbbing, apparent swelling of the temporal vessels, tinnitus, ataxia, tremor, dizziness, insomnia, vertigo, lightheadedness, confusion, psychiatric disturbances; haemolytic anaemia, bone marrow depression, agranulocytosis, leucopenia, thrombocytopenic purpura; corneal deposits and retinal disturbances, acute interstitial nephritis w/ haematuria, proteinuria, pruritus, urticaria, rash, macular and morbilliform eruptions, apnoea and exacerbation of pulmonary infection.

Potentially Fatal: Anaphylactic reactions, Stevens-Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis, aplastic anaemia, jaundice and fatal fulminant hepatitis, liver necrosis, hepatic failure, fulminant necrotising fasciitis, renal failure, MI, stroke, GI ulceration, perforation and haemorrhage.

Slo-Indo contraindications

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Known hypersensitivity to Slo-Indo, aspirin or other NSAIDs. Neonates w/ congenital heart disease when patency of the ductus arteriosus is needed for adequate pulmonary or systemic blood flow (e.g. neonates w/ pulmonary atresia, severe tetralogy of Fallot or severe coarctation of the aorta). Neonates w/ proven or suspected untreated infection, necrotising enterocolitis, impaired renal function, active bleeding (e.g. intraventricular haemorrhage or GI bleeding), thrombocytopenia or underlying coagulation defect. Patient w/ history of proctitis or recent rectal bleeding. History of asthma, urticaria, allergic-type reactions. Treatment of perioperative pain in the setting of CABG surgery. Concurrent use w/ diflunisal.

Active ingredient matches for Slo-Indo:

Indometacin in United Kingdom.


List of Slo-Indo substitutes (brand and generic names)

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Unit description / dosage (Manufacturer)Price, USD
Suppositories; Rectal; Indometacin 50 mg
Sandoz Indomethacin suppository 50 mg (Sandoz Canada Incorporated (Canada))
Sandoz Indomethacin suppository 100 mg (Sandoz Canada Incorporated (Canada))
Capsule; Oral; Indometacin 25 mg (Servipharm)
Capsules; Oral; Indometacin 25 mg (Servipharm)
Capsule; Oral; Indometacin (Solara)
Capsules; Oral; Indometacin (Solara)
Sulon / L.S. 30 g
Sulon / H.S.C. 7.5 mg/1 mL x 20 mL
Tenton 25 mg x 1000's
Teva-indomethacin capsule 25 mg (Teva Canada Limited (Canada))
Teva-indomethacin capsule 50 mg (Teva Canada Limited (Canada))
Tofoanin 25 mg
TONFONYUANIN 25 mg
Tablet, Film-Coated; Oral; Indometacin 25 mg
Tablets, Film-Coated; Oral; Indometacin 25 mg
VI-Gel 1 % x 1.5 g (Diamond Lab)
VI-Gel 1 % x 15 g (Diamond Lab)$ 3.33
VI-Gel cream 1% 15 g x 1's (Diamond Lab)$ 3.33
Ointment; Topical; Indometacin 5% (Lichtenstein)
Zonema 25 mg x 1000's

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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