TIVORBEX (indomethacin, submicronized)
- Acute pain
20 mg capsule
- 1 capsule (20 mg) by oral route 3 times per day
40 mg capsule
- 1 capsule (40 mg) by oral route 2 times per day
Acute pain
- 1 capsule (20 mg) by oral route 3 times per day
- 1 capsule (40 mg) by oral route 3 times per day
- 1 capsule (40 mg) by oral route 2 times per day
- cidofovir
- diflunisal
- ketorolac
- Sprix
- Vistide
Contraindicated
- Alimta
- apixaban
- Coumadin
- Curad Enema
- Disposable Enema
- Eliquis
- Enema
- Enema Disposable
- Fleet Enema
- Fleet Enema Extra
- Fleet Pediatric
- Folotyn
- Jantoven
- Methotrexate (anti-rheumatic)
- methotrexate sodium
- methotrexate sodium (PF)
- Oral Saline Laxative
- Osmoprep
- pemetrexed
- Phosphate Laxative
- pralatrexate
- Preparation Cleansing
- Ready-to-use Enema
- Rheumatrex
- rivaroxaban
- sod phos mono-sod phos dibasic
- sodium phosphates
- Trexall
- warfarin
- Xarelto
Severe
Moderate
- A-hydrocort
- A-methapred
- abciximab
- Accupril
- Accuretic
- acebutolol
- Aceon
- adefovir
- Adult Low Dose Aspirin
- Aggrenox
- Alka-seltzer
- Alka-seltzer Extra Strength
- Alka-seltzer Original
- Alka-seltzer Pm
- Altace
- amiloride
- amiloride-hydrochlorothiazide
- amlodipine-benazepril
- amlodipine-olmesartan
- amlodipine-valsartan
- amlodipine-valsartan-hcthiazid
- Angeliq
- Antacid & Pain Relief
- Anucort-hc
- Anusol-hc
- Aristospan Intra-articular
- Aristospan Intralesional
- Arixtra
- ASA-acetaminophen-caff-buffers
- Aspir-81
- Aspir-low
- Aspir-trin
- aspirin
- Aspirin Childrens
- Aspirin Low Dose
- Aspirin Low-strength
- aspirin, buffered
- aspirin-calcium carbonate
- aspirin-diphenhydramine
- aspirin-sod bicarb-citric acid
- Astagraf Xl
- Atacand
- Atacand Hct
- atenolol
- atenolol-chlorthalidone
- Atripla
- Avalide
- Avapro
- azilsartan med-chlorthalidone
- azilsartan medoxomil
- Azor
- Bayer Advanced
- Bayer Aspirin
- Bayer Chewable Aspirin
- Bayer Childrens Aspirin
- Bayer Plus Extra Strength
- benazepril
- benazepril-hydrochlorothiazide
- Benicar
- Benicar Hct
- betamethasone acet & sod phos
- Betapace
- Betapace Af
- betaxolol
- Beyaz
- bisoprolol fumarate
- bisoprolol-hydrochlorothiazide
- Brevibloc
- Brevibloc In Nacl (iso-osm)
- Brilinta
- Brintellix
- Brisdelle
- budesonide
- Buffered Aspirin
- Bufferin
- bumetanide
- Bystolic
- candesartan
- candesartan-hydrochlorothiazid
- captopril
- captopril-hydrochlorothiazide
- Celestone Soluspan
- Celexa
- Child Aspirin
- Children's Aspirin
- cilostazol
- citalopram
- clopidogrel
- colchicine-probenecid
- Colocort
- Complera
- Corgard
- Cortef
- Cortenema
- Cortifoam
- cortisone
- Corzide
- Cozaar
- cyclosporine
- cyclosporine modified
- Cymbalta
- dalteparin (porcine)
- Demadex
- Depo-medrol
- desvenlafaxine
- desvenlafaxine fumarate
- desvenlafaxine succinate
- dexamethasone
- Dexamethasone Intensol
- dexamethasone sodium phos (PF)
- dexamethasone sodium phosphate
- Dexpak 10 Day
- Dexpak 13 Day
- Dexpak 6 Day
- Digox
- digoxin
- Diovan Hct
- dipyridamole-aspirin
- drospirenone-e.estradiol-lm.FA
- drospirenone-estradiol
- drospirenone-ethinyl estradiol
- duloxetine
- Dutoprol
- Dyazide
- Dyrenium
- E.c. Prin
- Ecotrin
- Ecotrin Low Strength
- Edarbi
- Edarbyclor
- efavirenz-emtricitabin-tenofov
- Efferves Pain Relief Antacid
- Effervescent Antacid
- Effervescent Pain Relief
- Effervescent Pain Reliever
- Effexor Xr
- Elmiron
- elvitegr-cobicist-emtric-tenof
- emtricitab-rilpivirine-tenofov
- emtricitabine-tenofovir
- enalapril maleate
- enalapril-hydrochlorothiazide
- enalaprilat
- enoxaparin
- Enteric Coated Aspirin
- Entocort Ec
- Epaned
- eprosartan
- eprosartan-hydrochlorothiazide
- eptifibatide
- erlotinib
- escitalopram oxalate
- esmolol
- esmolol in NaCl (iso-osm)
- ethacrynate sodium
- Exforge
- Exforge Hct
- Extra Strength Bayer
- Ez Use Joint-tunnel-trigger
- Fetzima
- First-duke's
- First-mary's Mouthwash
- Flo-pred
- fludrocortisone
- fluoxetine
- fluvoxamine
- fondaparinux
- fosinopril
- fosinopril-hydrochlorothiazide
- Fragmin
- furosemide
- Gengraf
- Gianvi (28)
- Grx Hicort 25
- Hecoria
- Hemril-30
- heparin (porcine)
- heparin (porcine) in D5W
- heparin(porcine) in 0.45% NaCl
- heparin, porcine (PF)
- Hepsera
- hydrocortisone
- hydrocortisone acetate
- hydrocortisone sod succ (PF)
- hydrocortisone sod succinate
- Hyzaar
- Inderal La
- Inderal Xl
- Innopran Xl
- Integrilin
- irbesartan
- irbesartan-hydrochlorothiazide
- Kenalog
- Khedezla
- Lanoxin
- Lanoxin Pediatric
- Lasix
- Levatol
- levomilnacipran
- Lexapro
- lisinopril
- lisinopril-hydrochlorothiazide
- Lite Coat Aspirin
- lithium carbonate
- lithium citrate
- Lithobid
- Lo-dose Aspirin
- Lopressor
- Lopressor Hct
- Loryna (28)
- losartan
- losartan-hydrochlorothiazide
- Lotensin
- Lotrel
- Lovenox
- Luvox Cr
- Mavik
- Maxzide
- Maxzide-25Mg
- Medi-seltzer
- Medrol
- Medrol (pak)
- methylprednisolone
- methylprednisolone acetate
- methylprednisolone sod suc(PF)
- methylprednisolone sodium succ
- methylprednisolone-bupivacaine
- metoprolol su-hydrochlorothiaz
- metoprolol succinate
- metoprolol ta-hydrochlorothiaz
- metoprolol tartrate
- Micardis
- Micardis Hct
- Millipred
- Millipred Dp
- milnacipran
- moexipril
- moexipril-hydrochlorothiazide
- nadolol
- nadolol-bendroflumethiazide
- nebivolol
- Neoral
- nystatin-hydrocortisone-diphen
- nystatin-TCN-HC-diphenhydramin
- Ocella
- olanzapine-fluoxetine
- olmesartan
- olmesartan-amlodipin-hcthiazid
- olmesartan-hydrochlorothiazide
- Orapred
- Orapred Odt
- paroxetine HCl
- paroxetine mesylate
- Paxil
- Paxil Cr
- Pediapred
- penbutolol
- pentosan polysulfate sodium
- perindopril erbumine
- Pexeva
- Physicians Ez Use M-pred
- pindolol
- Plavix
- Pletal
- prednisolone
- prednisolone acetate
- prednisolone sodium phosphate
- prednisone
- Prednisone Intensol
- Prinivil
- Pristiq
- probenecid
- Proctocort
- Prograf
- propranolol
- propranolol-hydrochlorothiazid
- Prozac
- Prozac Weekly
- quinapril
- quinapril-hydrochlorothiazide
- ramipril
- Rapamune
- Rayos
- Rectacort-hc
- Reopro
- Safyral
- Sandimmune
- Sarafem
- Savella
- Sectral
- sertraline
- sirolimus
- Sodium Edecrin
- Solu-cortef
- Solu-cortef (pf)
- Solu-medrol
- Solu-medrol (pf)
- Sorine
- sotalol
- Sotalol Af
- St Joseph Aspirin
- St. Joseph Aspirin
- Stribild
- Syeda
- Symbyax
- tacrolimus
- Tarceva
- Tarka
- telmisartan
- telmisartan-amlodipine
- telmisartan-hydrochlorothiazid
- tenofovir disoproxil fumarate
- Tenoretic 100
- Tenoretic 50
- Tenormin
- Teveten
- Teveten Hct
- ticagrelor
- timolol maleate
- Toprol Xl
- torsemide
- trandolapril
- trandolapril-verapamil
- Tri-buffered Aspirin
- triamcinolone acetonide
- triamcinolone hexacetonide
- triamcinolone-lidocaine
- triamterene
- triamterene-hydrochlorothiazid
- Tribenzor
- Truvada
- Twynsta
- Uceris
- Uniretic
- Univasc
- valsartan-hydrochlorothiazide
- Vanquish
- Vaseretic
- Vasotec
- venlafaxine
- Veripred 20
- Vestura (28)
- Viibryd
- vilazodone
- Viread
- vortioxetine
- Women's Aspirin With Calcium
- Yasmin (28)
- Yaz 28
- Zarah
- Zebeta
- Zestoretic
- Zestril
- Ziac
- Zoloft
- Aspirin exacerbated respiratory disease
- Chronic kidney disease stage 4 (severe) GFR 15-29 ml/min
- Chronic kidney disease stage 5 (failure) GFr<15 ml/min
- History of roux-en-Y gastric bypass
- Post-operative from CABG surgery
- Pregnancy
Contraindicated
- Acute myocardial infarction
- Cerebrovascular accident
- Depression
- Esophageal dysmotility
- Gastrointestinal hemorrhage
- Gastrointestinal perforation
- Gastrointestinal ulcer
- Increased cardiovascular event risk
- Increased risk of bleeding
- Increased risk of bleeding due to coagulation disorder
- Kidney disease with likely reduction in GFR
- Parkinsonism
- Systemic mastocytosis
- Thrombotic disorder
- Tobacco smoker
Severe
Moderate
- Chronic heart failure
- Disease of liver
- Hypertension
- Seizure disorder
- Ulcerative colitis
TIVORBEX (indomethacin, submicronized)
- Acute pain
- Abnormal hepatic function tests
- Body fluid retention
- Edema
- Severe headache disorder
- Dizziness
- Dyspepsia
- Headache disorder
- Nausea
- Upper abdominal pain
More Frequent
Severe
Less Severe
- Gastrointestinal ulcer
- Hemorrhage
- Pruritus of skin
- Skin rash
- Syncope
- Tinnitus
- Anorexia
- Constipation
- Diarrhea
- Drowsy
- Flushing
- Hyperhidrosis
- Stomatitis
- Vomiting
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Abdominal distension
- Abnormal vaginal bleeding
- Acute myocardial infarction
- Agranulocytosis
- Allergic dermatitis
- Anaphylaxis
- Anemia
- Angioedema
- Aplastic anemia
- Bloody vomit
- Blurred vision
- Bone marrow depression
- Bronchospastic pulmonary disease
- Cardiac arrhythmia
- Cerebrovascular accident
- Chest pain
- Chronic heart failure
- Colitis
- Corneal deposits
- Diplopia
- Disseminated intravascular coagulation
- Drug-induced psychosis
- Dysarthria
- Dyspnea
- Ecchymosis
- Eosinophilia
- Epistaxis
- Erythema multiforme
- Esophageal ulcer
- Esophagitis
- Exfoliative dermatitis
- Gastric ulcer
- Gastroenteritis
- Gastrointestinal hemorrhage
- Gastrointestinal perforation
- Hematuria
- Hemolytic anemia
- Hepatitis
- Hyperkalemia
- Hypertension
- Hypotension
- Interstitial nephritis
- Jaundice
- Kidney disease with reduction in GFR
- Leukopenia
- Nephrotic syndrome
- Nephrotoxicity
- Neutropenic disorder
- Pancreatitis
- Peptic ulcer
- Peripheral neuropathy
- Platelet aggregation inhibition
- Proctitis
- Proteinuria
- Pulmonary edema
- Rectal bleeding
- Renal failure
- Renal papillary necrosis
- Seizure disorder
- Stevens-johnson syndrome
- Thrombocytopenic disorder
- Thrombophlebitis
- Toxic epidermal necrolysis
- Urticaria
Less Severe
- Acute confusion
- Alopecia
- Black tarry stools
- Fatigue
- Fever
- Flatulence
- Glycosuria
- Gynecomastia
- Hearing loss
- Hyperglycemia
- Increased urinary frequency
- Insomnia
- Involuntary muscle movement
- Mastalgia
- Muscle weakness
- Nervousness
- Palpitations
- Petechiae
- Purpura
- Symptoms of anxiety
- Tachycardia
- Weight gain
Contraindicated
None
Severe Precaution
Indomethacin (Oral, Rectal)
Safety and efficacy not established age< 14 years. Monitor liver function.
- 1 Day – 14 Years
- Safety and efficacy not established age< 14 years. Monitor liver function.
Management or Monitoring Precaution
None
Indomethacin
- Severity Level:
1
- Additional Notes: Fda c before 30wks;premature closure of ductus arteriosus;early miscarriage risk
Contraindicated
None
General | Excretion Potential | Effect on Infant | Notes |
None |
Precaution Exists
Indomethacin
Insufficient human data available; low levels found in breastmilk
General | Excretion Potential | Effect on Infant | Notes |
Evaluate use carefully | Excreted | Not known; no or inclusive data | Insufficient human data available; low levels found in breastmilk |
No Known Risk
None
General | Excretion Potential | Effect on Infant | Notes |
None |
Contraindicated
Indomethacin
Gastrointestinal-Risk for ulceration or serious GI bleed; highest with history of PUD or GI bleed. Renal-Risk of AKI and exacerbation of CKD. Avoid with CrCl <30 mL/min. Cardiovascular-May exacerbate pre-existing hypertension or CHF. Risk of MI and stroke. This risk may occur early in treatment and increases with duration of use. Risk for reinfarction with minimal NSAID use post-MI. Contraindicated with CABG. Hepatic-Elevated hepatic transaminases may occur with chronic use.
Organ / System | HEP | REN | CARD | ENDO | NEURO / PSYCH | PULM |
Increased Risk / Adverse Effects | Y | Y | Y | Y | N | N |
BEERS: Y HEDIS: Y STOPP: Y
Precaution Exists
None
No Known Risk
None
- Nonsteroidal anti-inflammatory drugs (including indomethacin) may rarely increase the risk for a heart attack or stroke. This effect can happen at any time while taking this drug but is more likely if you take it for a long time. The risk may be greater if you have heart disease or increased risk for heart disease (for example, due to smoking, family history of heart disease, or conditions such as high blood pressure or diabetes).<br /><br /> Do not take this drug right before or after heart bypass surgery (CABG). Also, this drug may rarely cause serious (rarely fatal) bleeding from the stomach or intestines. This effect can occur without warning symptoms at any time while taking this drug.<br /><br /> Older adults may be at higher risk for this effect. (See also Precautions and Drug Interactions sections.) Stop taking indomethacin and get medical help right away if you notice any of the following rare but serious side effects: bloody or black/tarry stools, persistent stomach/abdominal pain, vomit that looks like coffee grounds, chest/jaw/left arm pain, shortness of breath, unusual sweating, weakness on one side of the body, sudden vision changes, slurred speech. Talk with your doctor or pharmacist about the risks and benefits of treatment with this medication.
Acute pain | |
G89.1 | Acute pain, not elsewhere classified |
G89.11 | Acute pain due to trauma |
G89.18 | Other acute postprocedural pain |
0-9 | A-Z |
---|---|
G89.1 | Acute pain, not elsewhere classified |
G89.11 | Acute pain due to trauma |
G89.18 | Other acute postprocedural pain |