Bidisamin may be available in the countries listed below.
Ingredient matches for Bidisamin
Glucosamine sulfate (a derivative of Glucosamine) is reported as an ingredient of Bidisamin in the following countries:
- Vietnam
International Drug Name Search
Bidisamin may be available in the countries listed below.
Glucosamine sulfate (a derivative of Glucosamine) is reported as an ingredient of Bidisamin in the following countries:
International Drug Name Search
Generic Name: diclofenac and misoprostol (dye KLOE fen ak and mye so PROST ole)
Brand Names: Arthrotec
Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body.
Misoprostol reduces stomach acid and replaces protective substances in the stomach that are reduced by NSAIDs.
The combination of diclofenac and misoprostol is used to treat osteoarthritis and rheumatoid arthritis in people at high risk for developing stomach or intestinal ulcers.
Diclofenac and misoprostol may also be used for purposes not listed in this medication guide.
Get emergency medical help if you have chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance.
Call your doctor at once if you have symptoms of stomach bleeding such as black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds.
Do not use diclofenac and misoprostol just before or after heart bypass surgery (coronary artery bypass graft, or CABG).
This medicine may also cause serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). These conditions can be fatal and can occur without warning while you are taking diclofenac and misoprostol, especially in older adults.
To make sure you can safely take diclofenac and misoprostol, tell your doctor if you have any of these other conditions:
a history of heart attack, stroke, or blood clot;
heart disease, congestive heart failure, high blood pressure;
a history of stomach ulcers or bleeding;
asthma;
polyps in your nose;
porphyria;
a bleeding or blood clotting disorder;
if you smoke; or
drink more than three alcoholic beverages a day.
Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
If you use this medication long-term, your liver function may need to be checked with frequent blood tests. Visit your doctor regularly.
See also: Diclofenac and misoprostol dosage (in more detail)
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
Overdose symptoms may include drowsiness, confusion, muscle weakness, nausea, vomiting, stomach pain, shallow breathing, feeling light-headed, or fainting.
Avoid using antacids without your doctor's advice. Use only the type of antacid your doctor recommends. Some antacids can make it harder for your body to absorb diclofenac and misoprostol.
chest pain, weakness, shortness of breath, slurred speech, problems with vision or balance;
black, bloody, or tarry stools;
coughing up blood or vomit that looks like coffee grounds;
swelling or rapid weight gain;
urinating less than usual or not at all;
increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure);
nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating;
bruising, severe tingling, numbness, pain, muscle weakness;
neck stiffness, chills, increased sensitivity to light, purple spots on the skin, and/or seizure (convulsions); or
severe skin reaction -- fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Less serious side effects may include:
mild stomach pain, nausea, diarrhea, bloating, gas;
dizziness, drowsiness, headache;
blurred vision, ringing in your ears; or
unusual vaginal bleeding.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Usual Adult Dose for Osteoarthritis:
Diclofenac 50 mg/misoprostol 200 mg: 1 tablet orally 3 or 4 times daily.
For patients who experience intolerance, diclofenac 75 mg/misoprostol 200 mg orally 2 times daily or diclofenac 50 mg/misoprostol 200 mg orally 2 times daily can be used, but are less effective in preventing ulcers.
Usual Adult Dose for Rheumatoid Arthritis:
Diclofenac 50 mg/misoprostol 200 mg: 1 tablet orally 3 times daily.
For patients who experience intolerance, diclofenac 75 mg/misoprostol 200 mg orally 2 times daily or diclofenac 50 mg/misoprostol 200 mg orally 2 times daily can be used, but are less effective in preventing ulcers.
Tell your doctor about all other medicines you use, especially:
a blood thinner such as warfarin (Coumadin, Jantoven);
cyclosporine (Neoral, Gengraf, Sandimmune);
digoxin (Lanoxin);
a diuretic (water pill);
insulin or diabetes medicine you take by mouth;
lithium (Eskalith, Lithobid);
methotrexate (Rheumatrex, Trexall);
phenobarbital (Luminal, Solfoton);
steroids (prednisone and others);
voriconazole (Vfend);
aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Cambia, Cataflam, Voltaren, Flector Patch, Pennsaid, Solareze), indomethacin (Indocin), meloxicam (Mobic), and others; or
an ACE inhibitor such as benazepril (Lotensin), enalapril (Vasotec), lisinopril (Prinivil, Zestril), quinapril (Accupril), ramipril (Altace), and others.
This list is not complete and other drugs may interact with diclofenac and misoprostol. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
See also: diclofenac and misoprostol side effects (in more detail)
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