400 mg/day; administer once daily or bid. May be lowered depending on response. Max: 400 mg/day. Acute gouty arthritis 7 days therapy. Juvenile RAChildn ≥2 yr 4.5 mg/kg/day in 2 divided doses, may be increased to 6 mg/kg/day in 2 divided doses. Max dose: 6 mg/kg/day.
Platelet aggregation. History of GI hemorrhage or ulcers. Discontinue if hypersensitivity occurs. May mask signs/symptoms of infection. Patients w/ existing infection. Unexplained fever & other evidence of liver hypersensitivity, discontinue therapy. Perform ophthalmological evaluations in patients who develop eye complaints. Patients w/ compromised cardiac function, HTN or other conditions predisposed to fluid retention. Closely monitor patients w/ poor liver function, delayed, elevated & prolonged circulatory levels of the sulfide & sulfone metabolites. Hepatitis, jaundice w/ or w/o fever may occur w/in the first 3 mth. Determine liver function if patient develops unexplained fever, rash or other dermatologic reactions or constitutional symptoms. Monitor renal function in patients w/ reduced renal reserve; significantly impaired renal function. Patients w/ history of renal lithiasis should be well hydrated during treatment. Pregnancy (3rd trimester) & lactation. Childn <2 yr.
GI pain, dyspepsia, nausea w/ or w/o vomiting, diarrhea, constipation, flatulence, anorexia, GI cramps; rash, pruritus; dizziness, headache, nervousness; tinnitus; edema.
Reduced plasma levels of active sulfide metabolite & may potentially reduce efficacy w/ dimethyl sulfoxide. May decrease tubular secretion & potentiate the toxicity of methotrexate. Concomitant use w/ cyclosporine may increase cyclosporine-induced toxicity. Increased GI side effects w/ acetylsalicylic acid. Decreased plasma levels w/ acetylsalicylic acid & diflunisal. Increased possibility of GI toxicity w/ other NSAIDs.