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Anaflam

Anaflam is used in the treatment of pain, including dental pain, headache, neuralgia, dysmenorrhoea. febrile states and rheumatism

• Tablets
• Syrup

Indications
Pain disorders, dental pain, headache, neuralgia, dysmenorrhoea. febrile states, rheumatism (rheumatoid polyarthritis, ankylosing spondylarthritis)

Pharmacological Class
• Ibuprofen : propionic acid derivative.
Paracetamol : Para-aminophenol derivative

Pharmacological Properties
Anti-inflammatory, Antipyretic

Mechanism of Action
Ibuprofen :
Analgesic, antipyretic : inhibition of cyclo-oxygenase and prostaglandin synthesis
Anti-inflammatory : inhibition of prostaglandin synthesis. Paracetamol:
Peripheral analgesic
Centrally acting antipyretic on the hypothalamus thermal control centre by inhibition of prostaglandin synthesis

Side Effects
Ibuprofen : gastro-intestinal effects, nausea, vomiting, stomach pain, dizziness, and headache. Paracetamol : rare (except skin rash allergies)

Contradictions
• Established allergy to ibuprofen, active gastroduodenal ulcer, severe hepato-cellular insufficiency, severe renal insufficiency, pregnancy, (from 6th month), lactation.

Observations
• Food delays the absorption of ibuprofen.
During the 3rd trimester, all the prostaglandin synthesis inhibitors can expose : -The foetus to cardiopulmonary toxicity. -The mother and child at the end of pregnancy to potential prolonged bleeding time


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