Product image of Indoxen (Indometacin) supplied by GNH India

Indoxen

Active Ingredient:
Indometacin
Origin:
EU

Indoxen (Indometacin)

Indometacin, the active ingredient in Indoxen, is a Nonsteroidal anti-inflammatory drug (NSAID) presented as a rectal suppository for rectal use. It is indicated for rheumatoid arthritis, osteoarthritis, gout flares and other acute pain and inflammatory conditions in adults.

GNH India supplies Indoxen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Alfasigma S.P.A.

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Indications & Clinical Uses

Indometacin acts as a non‑selective COX inhibitor to relieve inflammation and pain in several musculoskeletal disorders.

  • Rheumatoid arthritis: reduces joint pain, swelling and stiffness.
  • Osteoarthritis: alleviates chronic joint discomfort and improves mobility.
  • Gout flares: diminishes acute gouty inflammation and pain.
  • Acute pain and inflammation: provides rapid relief of short‑term inflammatory pain.

How It Works

  • Indometacin non‑selectively inhibits cyclooxygenase‑1 and cyclooxygenase‑2 enzymes, blocking the conversion of arachidonic acid to prostaglandins. The resulting decrease in prostaglandin synthesis lowers inflammation, pain perception, and fever responses at sites of tissue injury.

Side Effects

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

Common Side Effects

  • Abdominal pain or dyspepsia.
  • Nausea or vomiting.
  • Headache.
  • Dizziness.
  • Diarrhea.

Serious or Rare Side Effects

  • Gastrointestinal ulceration or bleeding.
  • Acute renal impairment.
  • Hepatic dysfunction.
  • Severe skin reactions such as Stevens‑Johnson syndrome.
  • Anaphylactic or anaphylactoid reactions.
  • Cardiovascular events including hypertension or thrombotic episodes.

Precautions & Warnings

Before prescribing Indoxen, clinicians should consider several safety measures.

  • Assess gastrointestinal risk: evaluate history of ulcers or bleeding.
  • Monitor renal function: check serum creatinine and electrolytes regularly.
  • Evaluate cardiovascular status: use caution in patients with hypertension or heart disease.
  • Use the lowest effective dose: limit duration to the shortest necessary period.
  • Avoid in known hypersensitivity: discontinue if allergic reactions occur.
  • Store at room temperature: keep in the original pack, protect from moisture and direct sunlight.

Avoid Interactions

Indometacin can interact with other medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased risk of serious bleeding.
  • Lithium: reduced renal clearance leading to toxicity.
  • Methotrexate: enhanced toxicity, especially at high doses.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or ARBs: may impair renal function when combined.
  • Selective serotonin reuptake inhibitors (SSRIs): heightened bleeding tendency.
  • Diuretics: potential for reduced potassium levels and renal effects.

Frequently Asked Questions

Indoxen contains indometacin, an NSAID that is prescribed for inflammatory joint disorders such as rheumatoid arthritis and osteoarthritis, for acute gout flares, and for short‑term relief of severe pain and inflammation where a rectal route is appropriate.

Indometacin blocks both cyclooxygenase‑1 and cyclooxygenase‑2 enzymes, which reduces the production of prostaglandins—key mediators of inflammation, pain, and fever. Lower prostaglandin levels diminish swelling and pain at the affected site.

The exact dose and frequency of Indoxen are determined by the prescribing clinician based on the patient’s condition, severity, and response to therapy. Dosage instructions are provided on the prescription label and should be followed precisely.

The safety of indometacin in pregnancy and lactation has not been fully established. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and this decision must be made by a qualified healthcare professional.

To request Indoxen, 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 and any necessary import documentation.

Indoxen (indometacin) is a potent non‑selective NSAID, often considered more effective for certain acute gout attacks compared with ibuprofen or naproxen. However, its gastrointestinal and renal risk profile may be higher, so clinicians balance efficacy against safety when selecting therapy.

Indoxen suppositories should be stored at room temperature, below 25 °C, in the original packaging to protect them from moisture and light. Do not refrigerate or freeze the product, as temperature extremes can affect the suppository’s integrity.

Indoxen is supplied as a rectal suppository. The patient should insert the suppository gently into the rectum, preferably after a bowel movement, and remain lying down for a few minutes to ensure complete absorption.

Serious risks include gastrointestinal ulceration or bleeding, acute kidney injury, severe liver dysfunction, and rare but life‑threatening skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored closely for any signs of these complications.

Indoxen is contraindicated in individuals with known hypersensitivity to indometacin or other NSAIDs, active gastrointestinal ulcer disease, severe renal or hepatic impairment, and in patients who have experienced serious cardiovascular events related to NSAID use.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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