Dexibuprofen

Generic name
Dexibuprofen
Brand name
ATC Code
M01AE14

Dexibuprofen

Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Pharmacokinetics in children

Keine Daten verfügbar

dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

Available formulations

No information is present at this moment.

Dosages

Pain, fever and inflammation, JIA
  • Oral
    • 8 years up to 12 years
      • 100 mg/dose, as required 1-3 times daily.
    • 12 years up to 18 years
      • 200 mg/dose, as required 1-3 times daily.

Renal impaiment in children > 3 months

Adjustment in renal impairment as specified:

GFR 50-80 ml/min/1.73 m2
Consider whether the application of NSAIDs is justified. If ibuprofen is still prescribed and the patient belongs to a high-risk group: Check renal function before and within 1 week of starting ibuprofen treatment.
GFR 30-50 ml/min/1.73 m2
Consider whether the application of NSAIDs is justified. If ibuprofen is still prescribed and the patient belongs to a high-risk group: Check renal function before and within 1 week of starting ibuprofen treatment.
GFR 10-30 ml/min/1.73 m2
Consider whether the application of NSAIDs is justified. If ibuprofen is still prescribed and the patient belongs to a high-risk group: Check renal function before and within 1 week of starting ibuprofen treatment.
GFR < 10 ml/min/1.73 m2
General information can not be given.
Clinical consequences

Risk factors include heart failure, liver cirrhosis, nephrotic syndrome, chronic kidney disease, dehydration-promoting factors (eg heat), the use of nephrotoxic drugs such as diuretics or RAAS inhibitors.

NSAIDs (including COX-2 inhibitors) may cause acute renal failure due to decreased renal perfusion (due to hypovolemia). Normally, an excessive decrease in renal perfusion is prevented by increased prostaglandin synthesis in the kidneys. NSAIDs interfere with this compensation mechanism. Reduced renal perfusion results in retention of water and salt, leading to the development or worsening of hypertension and heart failure.

Patients on dialysis

Hemodialysis / continuous veno-venous hemodialysis / hemofiltration:
• Kidney residual function (urine production) present: Do not use to maintain residual kidney function.
• Kidney residual function (urine production) NOT present: Avoidance of the application is not required.

Patients undergoing dialysis have a higher risk of bleeding, probably due to abnormal platelet function. The risk of bleeding can be further increased by the use of a low molecular weight heparin to prevent coagulation in the extracorporeal circulation at the beginning of hemodialysis.

The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects

No information is present at this moment.

The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions in children

Transient episodes of apnea ocurred in infants after taking large amounts of drug [SmPC Seractil].

Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS

This pages provides a list of drugs from the same ATC class for comparison. This does not necessarily mean that these drugs are interchangeable.

Acetic acid derivatives and related substances
M01AB05
M01AB01
Oxicams
M01AC01
Propionic acid derivatives
M01AE01
M01AE02
Fenamates
M01AG01
Coxibs
M01AH01

Reference

  1. Gebro, SmPC Seractil 200 mg Ftbl. (1-20001), 07/2015

Changes

Therapeutic Drug Monitoring


Overdose