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Tolmetin
Tolmetin
Pronunciation
(TOLE met in)
Brand Names
Tolectin®; Tolectin® DS
Canadian/Mexican Brand Names
Novo-Tolmetin (Canada)
Therapeutic Categories
Analgesic, Nonsteroidal Anti-inflammatory Drug; Anti-inflammatory Agent;
Nonsteroidal Anti-inflammatory Drug (NSAID), Oral
What is this medicine used for?
- This medicine is used for the treatment of pain and inflammation,
rheumatoid arthritis and osteoarthritis; and juvenile forms of arthritis.
How does it work?
- Tolmetin reduces inflammation and pain. It blocks production and release of
chemicals that cause pain and inflammation.
How is it best taken?
- Take with or without food. Take with food if this medicine causes an upset
stomach.
What do I do if I miss a dose?
- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to your
regular schedule.
- Many times this medicine is taken on an as needed basis. There should be an
interval of 8 hours between doses.
What are the precautions when taking this
medicine?
- If you are 65 or older then you may be more sensitive to side effects.
- Avoid alcohol (includes wine, beer, and liquor). Can cause increases in
stomach irritation.
- If you have had a stomach ulcer or bleeding, tell healthcare provider.
- Use caution if you have kidney disease. Talk with healthcare provider.
- Use caution if you have a weakened heart. May cause increased shortness of
breath or weight gain. Talk with healthcare provider.
- Use caution if you have high blood pressure. Your blood pressure may
increase. Talk with healthcare provider.
- You will have a tendency to bleed more easily. Tell dentists, surgeons, and
other healthcare providers about this medicine. You may be instructed to stop
this medication for a while before any procedure. Ask for specific instructions
about the time for stopping and restarting.
- Avoid aspirin, aspirin-containing products, other pain medicines, other
blood thinners (warfarin, ticlopidine, clopidogrel), garlic, ginseng, ginkgo,
and vitamin E while taking this medicine. Talk with healthcare provider.
- Tell healthcare provider if you are allergic to any medicine, especially
aspirin. Make sure to tell about the allergy and how it affected you. This
includes telling about rash; hives; itching; shortness of breath; wheezing;
cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
- Tell healthcare provider if you are pregnant or plan on getting pregnant.
- Do not take in the third trimester of pregnancy.
- Tell healthcare provider if you are breast-feeding.
What are the common side effects of this
medicine?
- Feeling sleepy, dizzy, tired, or unable to think clearly. Avoid driving,
doing other tasks or hobbies that require you to be alert until you see how this
medicine affects you.
- Headache. Mild pain medicine may help.
- Elevated blood pressure, ankle swelling.
- Belly pain, heartburn, cramps, diarrhea, gas.
- Constipation. More liquids, regular exercise, or a fiber-containing diet
may help. Talk to healthcare provider about a stool softener or laxative.
- Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard
candy, or chewing gum may help.
- Stomach bleeding or ulceration. Watch stools for dark, tarry black color.
Talk with healthcare provider.
What should I monitor?
- Follow up with healthcare provider.
Reasons to call healthcare provider
immediately
- Signs of a life-threatening reaction. These include wheezing; tightness in
the chest; fever; itching; bad cough; blue skin color; fits; swelling of face,
lips, tongue, or throat.
- Severe nausea, vomiting, and/or diarrhea.
- Blood in the stool and toilet bowl, vomiting blood, or coughing up blood.
- Unusual bruising or bleeding.
- Any rash.
- No improvement in condition or feeling worse.
How should I store this medicine?
- Store in a tight, light-resistant container at room temperature.
General statements
- Do not share your medicine with others and do not take anyone else's
medicine.
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant)
- Talk with healthcare provider before starting any new medicine, including
over-the-counter or natural products (herbs, vitamins).
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