{"id":3986,"date":"2025-03-31T18:11:54","date_gmt":"2025-03-31T18:11:54","guid":{"rendered":"https:\/\/kidneydiseaseclinic.net\/kdc\/fenoprofen-txt\/"},"modified":"2025-03-31T18:11:54","modified_gmt":"2025-03-31T18:11:54","slug":"fenoprofen-txt","status":"publish","type":"post","link":"https:\/\/kidneydiseaseclinic.net\/kdc\/fenoprofen-txt\/","title":{"rendered":"Fenoprofen.txt"},"content":{"rendered":"<h1>Fenoprofen<\/h1>\n<p><H3>  CLINICAL USE <\/H3><br \/>\nNSAID and analgesic<H3> DOSE IN NORMAL RENAL FUNCTION  <\/H3>300\u2013600 mg 3\u20134 times a day; maximum 3 g daily<H3>  PHARMACOKINETICS    <\/H3><LI> Molecular weight &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :558.6 (as calcium salt)<\/li>\n<li>  %Protein binding  &amp;nbsp &amp;nbsp &amp;nbsp  &amp;nbsp  &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :&gt;99<\/li>\n<li>  %Excreted unchanged in urine &amp;nbsp &amp;nbsp : 2\u20135<\/li>\n<p><LI> Volume of distribution (L\/kg) &amp;nbsp &amp;nbsp &amp;nbsp :0.1<\/li>\n<p><LI>half-life \u2013 normal\/ESRD (hrs)&amp;nbsp &amp;nbsp &amp;nbsp :3\/Unchanged<H3>  DOSE IN RENAL IMPAIRMENT <\/H3> <H4>GFR (mL\/MIN)<\/H4><LI> 20 to 50  &amp;nbsp &amp;nbsp : Start with low dose, but avoid if possible<LI> 10 to 20  &amp;nbsp &amp;nbsp : Start with low dose, but avoid if possible<LI> &lt;10 &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp : Start with low dose, but only use if on dialysis<H3> DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES  <\/H3><LI> CAPD  &amp;nbsp &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp:Unlikely to be dialysed. Start with low doses and increase according to response. <\/p>\n<li> HD &amp;nbsp  &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :Not dialysed. Start with low doses and increase according to response. See \u2018Other Information\u2019<LI>HDF\/high flux  &amp;nbsp :Not dialysed. Start with low doses and increase according to response. See \u2018Other Information\u2019<LI>CAV\/VVHD  &amp;nbsp &amp;nbsp &amp;nbsp:Not dialysed. Dose as in GFR 10 to 20   mL\/min . <H3> IMPORTANT DRUG INTERACTIONS  <\/H3>Potentially hazardous interactions with other drugsACE Inhibitors and angiotensin- II antagonists: increased risk of hyperkalaemia and nephrotoxicity; reduced hypotensive effect\n<li>Analgesics: avoid concomitant use  with other NSAIDs or aspirin; avoid concomitant use with ketorolac (increased side effects and haemorrhage)\n<li>Antibacterials: possibly increased risk of  convulsions with quinolones\n<li>Anticoagulants: effects of coumarins  enhanced; possibly increased risk of bleeding with heparins and coumarins\n<li>Antidepressants: increased risk of bleeding  with SSRIs or venlafaxineAntidiabetic agents: effects of  sulphonylureas enhanced\n<li>Anti-epileptics: possibly enhanced effect  of phenytoin\n<li>Antivirals:  concentration possibly  increased by ritonavir; increased risk of haematological toxicity with zidovudine\n<li>Ciclosporin: may potentiate nephrotoxicity Cytotoxic agents: reduced excretion of  methotrexate; increased risk of bleeding with erlotinib\n<li> Lithium: excretion reduced\n<li>    Diuretics: increased risk of nephrotoxicity;  antagonism of diuretic effect; hyperkalaemia with potassium-sparing diureticsPentoxifylline: increased risk of bleeding\n<li>  Tacrolimus: increased risk of  nephrotoxicity<H3> ADMINISTRATION  <\/H3><H4> Reconstition<\/H4>\u2013<H4>  Route  <\/H4>Oral <H4>  Rate of Administration  <\/H4>\u2013<H4>Comments<\/H4>\u2013.FEnoProFEn 301<H4>  OTHER INFORMATION  <\/H4>\n<li>   Contraindicated  in patients with history of  significantly impaired renal functionInhibition of renal prostaglandin synthesis  by NSAIDs may interfere with renal function, especially in the presence of existing renal disease \u2013 avoid use if possible; if not, check serum creatinine 48\u201372 hours after starting NSAID \u2013 if it has increased, discontinue therapyPossibility of decreased platelet  aggregationCan use normal doses in patients with ERF  on dialysisUse with caution in renal transplant  recipients \u2013 can reduce intrarenal autocoid synthesisAssociated with nephrotic syndrome,  interstitial nephritis, hyperkalaemia, sodium retention<br \/>\n","protected":false},"excerpt":{"rendered":"<p>Fenoprofen CLINICAL USE NSAID and analgesic DOSE IN NORMAL RENAL<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[7],"class_list":["post-3986","post","type-post","status-publish","format-standard","hentry","category-blog","tag-post-by-auto-php"],"_links":{"self":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/posts\/3986","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/comments?post=3986"}],"version-history":[{"count":0,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/posts\/3986\/revisions"}],"wp:attachment":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/media?parent=3986"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/categories?post=3986"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/tags?post=3986"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}