Nabumet
Generic Name
Nabumetone
Manufacturer
Various Pharmaceutical Companies
Country
Global
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| nabumet 750 mg tablet | ৳ 22.00 | ৳ 132.00 |
Description
Overview of the medicine
Nabumetone is a non-steroidal anti-inflammatory drug (NSAID) used for the relief of signs and symptoms of osteoarthritis and rheumatoid arthritis. It helps to reduce pain, inflammation, and stiffness.
Uses & Indications
Dosage
Adults
The usual starting dose is 1000 mg once daily. For some patients, 750 mg or 1500-2000 mg daily may be needed. The maximum recommended daily dose is 2000 mg.
Elderly
Start with lower doses and monitor renal function closely. Dosage adjustment may be necessary based on clinical response and tolerability.
Renal_impairment
Use with caution. Dosage reduction may be required, and renal function should be closely monitored.
How to Take
Nabumetone tablets are for oral administration. They can be taken with or without food. Taking with food may help to reduce gastrointestinal upset.
Mechanism of Action
Nabumetone is a prodrug that is rapidly metabolized in the liver to its active metabolite, 6-methoxy-2-naphthylacetic acid (6-MNA). 6-MNA inhibits cyclooxygenase (COX) enzymes, primarily COX-2, leading to reduced prostaglandin synthesis. Prostaglandins are mediators of inflammation, pain, and fever.
Pharmacokinetics
Onset
Pain relief may be noticed within 2-4 hours, but full therapeutic effect for chronic conditions may take up to a few weeks.
Excretion
Primarily excreted in the urine (about 75%) as metabolites and their conjugates, and to a lesser extent in feces (about 10%).
Half life
The elimination half-life of 6-MNA is approximately 20-24 hours.
Absorption
Well absorbed orally. Food may increase the rate and extent of absorption. Peak plasma concentrations of 6-MNA occur in 3-6 hours.
Metabolism
Nabumetone is extensively metabolized in the liver via cytochrome P450 enzymes to its active metabolite, 6-MNA, and other inactive metabolites.
Side Effects
Contraindications
- •Known hypersensitivity to nabumetone or any component of the formulation, or to other NSAIDs.
- •History of asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs.
- •Peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery.
- •Severe heart failure.
- •Third trimester of pregnancy.
Drug Interactions
Lithium
Increased plasma lithium levels and potential for lithium toxicity.
Cyclosporine
Increased nephrotoxicity.
Methotrexate
Increased methotrexate toxicity.
Other NSAIDs and Aspirin
Increased risk of gastrointestinal adverse effects.
Diuretics and ACE inhibitors
Reduced antihypertensive and diuretic effects, increased risk of renal impairment.
Anticoagulants (e.g., Warfarin)
Increased risk of bleeding.
Storage
Store below 30°C in a dry place, protected from light and moisture. Keep out of reach of children.
Overdose
Symptoms of overdose may include lethargy, drowsiness, nausea, vomiting, epigastric pain, and gastrointestinal bleeding. Management involves symptomatic and supportive care. Gastric lavage and/or activated charcoal may be considered if ingestion is recent.
Pregnancy & Lactation
Pregnancy: Avoid in the third trimester due to risk of premature closure of the fetal ductus arteriosus. Use in early pregnancy only if the potential benefit justifies the potential risk to the fetus. Lactation: Nabumetone's active metabolite is excreted in breast milk in small amounts; use with caution in nursing mothers, or consider alternatives.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
24 to 36 months from the date of manufacture, depending on the manufacturer and specific formulation.
Availability
Pharmacies, hospitals
Approval Status
Approved
Patent Status
Off-patent
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Global Brand Names
International brand names for this medicine
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