Indocin (Indomethacin Intravenous)

Generic name: Indomethacin
Drug class: Nonsteroidal anti-inflammatory drugs

Usage of Indocin (Indomethacin Intravenous)

Indomethacin injection is used to treat patent ductus arteriosus (PDA) in premature infants (babies born too early) who weigh between 500 and 1750 grams. PDA is a heart problem where a blood vessel, the ductus arteriosus, fails to close normally after birth. This blood vessel is only used before birth, and is no longer needed after the baby is born. Indomethacin injection works by causing the PDA to constrict, and this closes the blood vessel. This medicine is used when other medical treatment for PDA fails after 48 hours.

This medicine is available only with your doctor's prescription.

Indocin (Indomethacin Intravenous) side effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

More common

Abdominal or stomach pain

ammonia-like breath odor

bloody or black, tarry stools

coma

confusion

constipation

convulsions

decreased urine output

difficult breathing

dizziness

fast or irregular heartbeat

headache, sudden, severe

increased thirst

irregular heartbeat

loss of appetite

muscle pain or cramps

nausea and vomiting

nervousness

numbness or tingling in the hands, feet, or lips

severe stomach pain

shortness of breath

swelling of the face, ankles, or hands

unusual tiredness or weakness

vomiting of blood or material that looks like coffee grounds

weakness or heaviness of the legs

weight loss

Less common

Anxiety

blurred vision

chills

cold sweats

cool, pale skin

depression

full or bloated feeling

heartburn

increased hunger

indigestion

nightmares

noisy, rattling breathing

pressure in the stomach

seizures

severe abdominal or stomach pain, cramping, or burning

severe constipation

severe vomiting

shakiness

slurred speech

swelling of the abdominal or stomach area

swelling of the fingers, hands, feet, or lower legs

troubled breathing at rest

unusual bruising or bleeding

vomiting of material that looks like coffee grounds, severe and continuing

weight gain

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Before taking Indocin (Indomethacin Intravenous)

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of indomethacin injection in premature babies.

Geriatric

No information is available on the relationship of age to the effects of indomethacin injection in geriatric patients.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

Ketorolac

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Abciximab

Acenocoumarol

Amiloride

Amineptine

Amitriptyline

Amitriptylinoxide

Amoxapine

Anagrelide

Apixaban

Ardeparin

Argatroban

Aspirin

Bemetizide

Bemiparin

Bendroflumethiazide

Benzthiazide

Betamethasone

Betrixaban

Bivalirudin

Budesonide

Bumetanide

Cangrelor

Certoparin

Chlorothiazide

Chlorthalidone

Cilostazol

Citalopram

Clomipramine

Clopamide

Clopidogrel

Cortisone

Cyclopenthiazide

Cyclosporine

Cyclothiazide

Dabigatran Etexilate

Dalteparin

Danaparoid

Deflazacort

Desipramine

Desirudin

Desmopressin

Desvenlafaxine

Dexamethasone

Diazoxide

Dibenzepin

Diflunisal

Digoxin

Dipyridamole

Dothiepin

Doxepin

Duloxetine

Edoxaban

Emtricitabine

Enoxaparin

Eplerenone

Epoprostenol

Eptifibatide

Escitalopram

Ethacrynic Acid

Feverfew

Fluocortolone

Fluoxetine

Fluvoxamine

Fondaparinux

Furosemide

Ginkgo

Glucagon

Gossypol

Heparin

Hydrochlorothiazide

Hydrocortisone

Hydroflumethiazide

Ibuprofen

Iloprost

Imipramine

Indapamide

Inotersen

Ketoprofen

Lepirudin

Levoketoconazole

Levomilnacipran

Lithium

Lofepramine

Lornoxicam

Loxoprofen

Lumiracoxib

Macimorelin

Magnesium Salicylate

Meadowsweet

Meclofenamate

Mefenamic acid

Melitracen

Meloxicam

Melphalan

Mesalamine

Methotrexate

Methyclothiazide

Methylprednisolone

Metolazone

Milnacipran

Morniflumate

Nabumetone

Nadroparin

Naproxen

Nefazodone

Nepafenac

Niflumic Acid

Nimesulide

Nimesulide Beta Cyclodextrin

Nortriptyline

Olsalazine

Opipramol

Oxaprozin

Oxyphenbutazone

Paramethasone

Parecoxib

Parnaparin

Paroxetine

Pemetrexed

Pentosan Polysulfate Sodium

Pentoxifylline

Phenindione

Phenprocoumon

Phenylbutazone

Phenyl Salicylate

Piketoprofen

Piroxicam

Polythiazide

Potassium

Potassium Citrate

Prasugrel

Prednisolone

Prednisone

Probenecid

Proglumetacin

Propyphenazone

Proquazone

Protein C

Protriptyline

Quinethazone

Reviparin

Rivaroxaban

Rofecoxib

Salicylamide

Salicylic Acid

Salsalate

Selexipag

Sertraline

Sibutramine

Sodium Salicylate

Spironolactone

Sulfasalazine

Sulfinpyrazone

Sulindac

Sulodexide

Tacrolimus

Tenofovir Alafenamide

Tenofovir Disoproxil Fumarate

Tenoxicam

Tianeptine

Tiaprofenic Acid

Ticagrelor

Ticlopidine

Tinzaparin

Tirofiban

Tolfenamic Acid

Tolmetin

Torsemide

Trazodone

Treprostinil

Triamterene

Trichlormethiazide

Trimipramine

Trolamine Salicylate

Valdecoxib

Vasopressin

Venlafaxine

Vilazodone

Vorapaxar

Vortioxetine

Warfarin

Xipamide

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Acebutolol

Atenolol

Azilsartan

Azilsartan Medoxomil

Benazepril

Betaxolol

Bisoprolol

Candesartan

Captopril

Carteolol

Carvedilol

Celiprolol

Enalapril

Enalaprilat

Eprosartan

Esmolol

Fosinopril

Gentamicin

Irbesartan

Labetalol

Levobunolol

Lisinopril

Losartan

Metipranolol

Metoprolol

Moexipril

Nadolol

Nebivolol

Olmesartan

Oxprenolol

Penbutolol

Perindopril

Pindolol

Propranolol

Quinapril

Ramipril

Sotalol

Spirapril

Telmisartan

Timolol

Trandolapril

Valsartan

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Relate drugs

How to use Indocin (Indomethacin Intravenous)

A nurse or other trained health professional will give this medicine to your baby. This medicine is given through a needle placed in one of your baby's veins.

Warnings

Indomethacin injection may change how the body reacts during an infection. Your baby's doctor will monitor your baby for any signs of infection (e.g., fever, chills, or other unusual behavior).

This medicine may affect the action of platelets, which are necessary for clotting the blood. This may increase the chance of bleeding for your baby. Your baby's doctor will monitor your baby for any unusual bleeding or bruising, any dark-colored urine or stools, or other signs of bleeding in your baby.

This medicine may decrease your baby's urine volume. This may increase your baby's chance of having kidney problems or low sodium in the blood (hyponatremia). Blood and urine tests will be needed to check for any signs of these risks.

Liver problems may occur while your baby is receiving this medicine. Stop using this medicine and check with your baby's doctor right away if your baby is having more than one of these symptoms: abdominal pain or tenderness; clay-colored stools; dark urine; decreased appetite; fever; headache; itching; loss of appetite; nausea and vomiting; skin rash; swelling of the feet or lower legs; unusual tiredness or weakness; or yellow eyes or skin.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

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