Product image of Indometacine Zetpil Cf (Indometacin) supplied by GNH India

Indometacine Zetpil Cf

Active Ingredient:
Indometacin
Origin:
EU

Indometacine Zetpil Cf (Indometacin)

Indometacin, the active ingredient in Indometacine Zetpil Cf, is a nonsteroidal anti‑inflammatory drug presented as a rectal suppository for rectal use. It treats inflammatory joint conditions such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, gout flares and acute musculoskeletal pain in adult patients.

GNH India supplies Indometacine Zetpil Cf as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product conforms to EU manufacturing standards and is available for prescription use.

Manufacturer / TM Owner

Centrafarm B.V.

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Indications & Clinical Uses

Indometacin is an NSAID used to manage inflammatory musculoskeletal disorders.

  • Rheumatoid arthritis: reduces joint inflammation and pain, improving mobility.
  • Osteoarthritis: alleviates chronic joint pain and enhances functional ability.
  • Ankylosing spondylitis: decreases spinal inflammation and stiffness.
  • Gout flares: provides rapid relief of acute gouty arthritis pain.
  • Acute musculoskeletal pain: controls pain and swelling associated with injuries.

How It Works

  • Indometacin exerts its anti‑inflammatory effect by non‑selectively inhibiting cyclooxygenase enzymes COX‑1 and COX‑2, which blocks the conversion of arachidonic acid to prostaglandins. The reduction in prostaglandin synthesis diminishes inflammation, pain, and fever associated with musculoskeletal and crystal‑induced arthropathies.

Side Effects

Indometacin may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Gastrointestinal irritation: dyspepsia or abdominal discomfort.
  • Nausea: feeling of sickness often accompanied by loss of appetite.
  • Headache: mild to moderate head pain.
  • Dizziness: sensation of light‑headedness or unsteadiness.

Serious or Rare Side Effects

  • Gastrointestinal ulceration or bleeding: potentially life‑threatening.
  • Renal impairment: reduced kidney function or acute kidney injury.
  • Severe liver enzyme elevation: signs of hepatotoxicity.
  • Anaphylaxis or severe skin reactions such as Stevens‑Johnson syndrome.

Precautions & Warnings

Before prescribing Indometacine Zetpil Cf, clinicians should consider several safety measures.

  • Assess renal function: monitor serum creatinine before and during therapy.
  • Evaluate gastrointestinal risk: avoid in patients with active ulcer disease or a history of GI bleeding.
  • Check cardiovascular status: use cautiously in patients with hypertension or heart disease.
  • Avoid in known hypersensitivity to indometacin or other NSAIDs.
  • Store at room temperature: keep in the original pack, protect from moisture and heat.

Avoid Interactions

Indometacin can interact with several drug classes; awareness helps prevent adverse outcomes.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Other NSAIDs or COX‑2 inhibitors: heightened gastrointestinal toxicity.
  • Lithium therapy: risk of lithium toxicity.
  • Methotrexate: may increase methotrexate toxicity.

Moderate Interactions (Monitor Closely):\n- ACE inhibitors or diuretics: possible reduction in renal function.

  • SSRIs or SNRIs: modest increase in bleeding risk.

Frequently Asked Questions

Indometacine Zetpil Cf is a rectal suppository containing indometacin, an NSAID prescribed for inflammatory joint diseases such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, acute gout flares, and other acute musculoskeletal pains. It helps reduce pain, swelling, and stiffness associated with these conditions.

Indometacin works by non‑selectively inhibiting the cyclooxygenase enzymes COX‑1 and COX‑2. This blocks the conversion of arachidonic acid into prostaglandins, which are mediators of inflammation, pain, and fever. Lower prostaglandin levels lead to reduced inflammatory responses and symptom relief.

The exact dose and frequency of Indometacine Zetpil Cf are determined by the prescribing clinician based on the patient’s condition, severity, and response to therapy. Healthcare professionals tailor the regimen to achieve optimal therapeutic effect while minimizing risk.

The safety of indometacin in pregnancy and lactation has not been definitively established. It is generally avoided unless the potential benefit justifies the potential risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Indometacin is a potent non‑selective NSAID with strong anti‑inflammatory activity, often considered more effective for gout flares than many other NSAIDs. However, its gastrointestinal and renal risk profile can be higher, so clinicians weigh its benefits against potential adverse effects when choosing between indometacin and alternatives such as naproxen or ibuprofen.

Indometacine Zetpil Cf should be stored at room temperature, preferably below 25 °C. Keep the suppositories in their original packaging, protect them from moisture and direct heat, and ensure the container is tightly closed to maintain product integrity.

The product is a rectal suppository (zetpil) intended for insertion into the rectum. The prescriber will advise the appropriate number of suppositories per dose and the timing of administration, typically after bowel movements for optimal absorption.

Serious risks include gastrointestinal ulceration or bleeding, severe renal impairment, hepatotoxicity, and rare but life‑threatening hypersensitivity reactions such as anaphylaxis or Stevens‑Johnson syndrome. Patients should be monitored closely for signs of these events, especially during prolonged therapy.

Indometacine Zetpil Cf is contraindicated in patients with known hypersensitivity to indometacin or other NSAIDs, active gastrointestinal ulcer disease, severe renal or hepatic impairment, and in those who have experienced serious cardiovascular events related to NSAID use. It should also be avoided in late‑stage pregnancy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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