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Lodine (Etodolac) - Side Effects and Adverse Reactions

 
 



ADVERSE REACTIONS

In patients taking etodolac or other NSAIDs, the most frequently reported adverse experiences occurring in approximately 1 to 10% of patients are:

Gastrointestinal experiences including: abdominal pain, constipation, diarrhea, dyspepsia, flatulence, gross bleeding/perforation, heartburn, nausea, GI ulcers (gastric/duodenal), vomiting.

Other events including: abnormal renal function, anemia, dizziness, edema, elevated liver enzymes, headaches, increased bleeding time, pruritis, rashes, tinnitus.

Adverse-reaction information for etodolac was derived from 2,629 arthritic patients treated with etodolac capsules and tablets in double-blind and open-label clinical trials of 4 to 320 weeks in duration and worldwide postmarketing surveillance studies. In clinical trials, most adverse reactions were mild and transient. The discontinuation rate in controlled clinical trials, because of adverse events, was up to 10% for patients treated with etodolac.

New patient complaints (with an incidence greater than or equal to 1%) are listed below by body system. The incidences were determined from clinical trials involving 465 patients with osteoarthritis treated with 300 to 500 mg of etodolac b.i.d. (i.e., 600 to 1000 mg/day).

Incidence Greater That or Equal to 1% - Probably Causally Related

Body as a whole - Chills and fever.

Digestive system - Dyspepsia (10%), abdominal pain* 5, diarrhea* 5, flatulence* 5, nausea* 5, constipation, gastritis, melena, vomiting.

Nervous system - Asthenia/malaise* 5, dizziness* 5, depression, nervousness.

Skin and appendages - Pruritus, rash.

Special senses - Blurred vision, tinnitus.

Urogenital system - Dysuria, urinary frequency.

Drug-related patient complaints occurring in fewer than 3%, but more than 1%, are unmarked.

5 *Drug-related patient complaints occurring in 3 to 9% of patients treated with etodolac. Incidence Less Than 1% - Probably Causally Related

(Adverse reactions reported only in worldwide postmarketing experience, not seen in clinical trials, are considered rarer and are italicized)

Body as a whole - Allergic reaction, anaphylactic/anaphylactoid reactions (including shock).

Cardiovascular system - Hypertension, congestive heart failure, flushing, palpitations, syncope, vasculitis (including necrotizing and allergic).

Digestive system - Thirst, dry mouth, ulcerative stomatitis, anorexia, eructation, elevated liver enzymes, cholestatic hepatitis, hepatitis, cholestatic jaundice, duodenitis, jaundice, hepatic failure, liver necrosis, peptic ulcer with or without bleeding and/or perforation, intestinal ulceration, pancreatitis.

Hemic and lymphatic system - Ecchymosis, anemia, thrombocytopenia, bleeding time increased, agranulocytosis, hemolytic anemia, leukopenia, neutropenia, pancytopenia.

Metabolic and nutritional - Edema, serum creatinine increase, hyperglycemia in previously controlled diabetic patients.

Nervous system - Insomnia, somnolence.

Respiratory system – Asthma, pulmonary infiltration with eosinophilia.

Skin and appendages - Angioedema, sweating, urticaria, vesiculobullous rash, cutaneous vasculitis with purpura, Stevens-Johnson Syndrome, toxic epidermal necrolysis, hyperpigmentation, erythema multiforme.

Special senses - Photophobia, transient visual disturbances.

Urogenital system - Elevated BUN, renal failure, renal insufficiency, renal papillary necrosis.

Incidence Less Than 1% - Causal Relationship Unknown

(Medical events occurring under circumstances where causal relationship to etodolac is uncertain. These reactions are listed as alerting information for physicians)

Body as a whole - Infection, headache.

Cardiovascular system - Arrhythmias, myocardial infarction, cerebrovascular accident.

Digestive system - Esophagitis with or without stricture or cardiospasm, colitis.

Metabolic and nutritional - Change in weight.

Nervous system - Paresthesia, confusion.

Respiratory system - Bronchitis, dyspnea, pharyngitis, rhinitis, sinusitis.

Skin and appendages - Alopecia, maculopapular rash, photosensitivity, skin peeling.

Special senses - Conjunctivitis, deafness, taste perversion.

Urogenital system - Cystitis, hematuria, leukorrhea, renal calculus, interstitial nephritis, uterine bleeding irregularities.

Additional Adverse Reactions Reported with NSAIDs

Body as a whole – Sepsis, death.

Cardiovascular system – Tachycardia.

Digestive system – Gastric ulcers, gastritis, gastrointestinal bleeding, glossitis, hematemesis.

Hemic and lymphatic system – Lymphadenopathy.

Nervous system – Anxiety, dream abnormalities, convulsions, coma, hallucinations, meningitis, tremors, vertigo.

Respiratory system – Respiratory depression, pneumonia.

Urogenital system – Oliguria/polyuria, proteinuria.



REPORTS OF SUSPECTED LODINE SIDE EFFECTS / ADVERSE REACTIONS

Below is a sample of reports where side effects / adverse reactions may be related to Lodine. The information is not vetted and should not be considered as verified clinical evidence.

Possible Lodine side effects / adverse reactions in 73 year old female

Reported by a consumer/non-health professional from United States on 2011-11-04

Patient: 73 year old female weighing 77.1 kg (169.6 pounds)

Reactions: Hot Flush, Erythema, Paraesthesia

Suspect drug(s):
Lodine
    Dosage: 1 2xday
    Indication: Joint Effusion
    Start date: 2011-08-26
    End date: 2011-08-29

Lodine
    Dosage: 1 2xday
    Indication: Arthritis
    Start date: 2011-08-26
    End date: 2011-08-29



Possible Lodine side effects / adverse reactions in 75 year old male

Reported by a consumer/non-health professional from United States on 2012-02-29

Patient: 75 year old male weighing 98.9 kg (217.5 pounds)

Reactions: Drug Ineffective, Blood Creatinine Increased, Brain Neoplasm, Blood Pressure Fluctuation

Adverse event resulted in: hospitalization

Suspect drug(s):
Etodolac
    Indication: Arthritis

Lodine
    Indication: Arthritis

Unspecified Blood Pressure Medications (NO Pref. Name)
    Indication: Hypertension

Other drugs received by patient: Unspecified Medications



Possible Lodine side effects / adverse reactions in 75 year old male

Reported by a consumer/non-health professional from United States on 2012-03-26

Patient: 75 year old male weighing 98.9 kg (217.5 pounds)

Reactions: Drug Ineffective, Blood Pressure Fluctuation, Brain Neoplasm, Blood Creatinine Increased

Adverse event resulted in: hospitalization

Suspect drug(s):
Etodolac
    Indication: Arthritis

Lodine
    Indication: Arthritis

Other drugs received by patient: Unspecified Unknown Medications; Unspecified Blood Pressure Medications (NO Pref. Name)



See index of all Lodine side effect reports >>

Drug label data at the top of this Page last updated: 2012-10-12

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