Indometacin helps relieve pain and inflammation. It is used to reduce swelling to provide pain relief associated with joint disorder.
This medicine may also be used to treat fever and pain due to menstrual period or surgery.
Indometacin may be used to treat other conditions as decided by your doctor.
Take Indometacin exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
Take this medicine together with food or immediately after a meal. Do not take it on an empty stomach.
To avoid stomach discomfort, your doctor may also prescribe some antacid (medicines to neutralise stomach acid) tablets to be taken with Indometacin. If you have been given an antacid, take it together with Indometacin.
If you have been given the extended-release capsule (usually labelled as “ER”), swallow it whole. Do not divide, chew or crush it.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Do not take Indometacin if you ever had an allergic reaction (rashes, breathlessness, swollen eyes) to similar medicines such as aspirin, mefenamic acid, ibuprofen, ketoprofen, meloxicam, naproxen or piroxicam.
This medicine should not be used to treat pain in the setting of coronary artery bypass graft surgery (procedure to improve and restore the blood flow in the heart).
Inform your doctor if you have the following conditions:
- have or had a history of stomach ulcer or bleeding
- bleeding or blood clot disorder
- heart disease
- high blood pressure
- kidney disease
- liver disease
- epilepsy (fits or seizures)
- mental illnesses
- Parkinson’s disease (disorder that affects movement of a person, causing symptoms such as tremors, muscle stiffness, slowed movement and impaired balance or walking)
Let your doctor know if you are pregnant or breastfeeding.
If you are going for an operation, including minor surgery and dental work, inform your doctor or dentist that you are taking Indometacin.
For as long as you are taking Indometacin, you may need to have regular blood tests, liver and kidney function tests to check your body’s response to the medicine. Your doctor will advise you about how often you need to have these tests. Pain response, inflammation, blood pressure, bleeding or bruising should also be monitored.
Indometacin may cause dizziness, drowsiness or blurred vision. If affected, do not drive or take part in any activity in which you need to be alert or need to see clearly.
Other side effects include any of the following: headache, nausea, vomiting, diarrhoea, constipation, indigestion, stomach pain and tiredness.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- difficulty breathing
- swelling of the face, lips, tongue or throat
- pass blood or black tarry stool
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking any of these medicines:
- blood-thinning medicines e.g. aspirin, warfarin
- medicines for the heart and high blood pressure e.g. digoxin, atenolol, propranolol, losartan
- diuretics or “water pills” e.g. furosemide
- medicines used in organ transplant or certain immune disorders e.g. ciclosporin
- medicines used to treat cancer e.g. methotrexate
- medicines for depression e.g. lithium
- medicines for gout e.g. probenecid
- medicines for pain, inflammation or fever e.g. diflunisal
This list does not include all medicines that may interact with Indometacin.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.