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Nonsteroidal anti-inflammatory drug (NSAID)

Indomethacin: uses, side effects & precautions

Also known as Indocin, Indometacin, Indocid.

Deze informatie is uitsluitend bedoeld als algemene richtlijn en vormt geen medisch advies. Raadpleeg altijd een gekwalificeerde zorgprofessional voor persoonlijke medische vragen. Bel in geval van nood uw lokale alarmnummer.

What it is used for

  • Acute gout attacks
  • Pain and inflammation from arthritis, including ankylosing spondylitis
  • Painful joint and tendon inflammation
  • Some types of severe inflammatory pain

How it works

Indomethacin strongly inhibits the COX enzymes that produce prostaglandins, giving powerful relief of inflammation and pain. Its potency makes it useful for conditions like acute gout.

How it is taken

Available as capsules (including modified-release), oral suspension and suppositories. Take it exactly as your doctor or the label directs, usually with or after food. It is a prescription medicine and tends to have more side effects than milder NSAIDs, so it is used under medical supervision.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Indigestion, stomach pain or nausea
  • Headache
  • Dizziness or light-headedness
  • Drowsiness

Serious effects — get help

  • Stomach or gut bleeding or ulcers (black stools, vomiting blood, severe abdominal pain)
  • Heart attack or stroke warning signs
  • Serious allergic reaction or asthma flare
  • Confusion, severe headache or vision changes
  • Signs of kidney or liver problems

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Other NSAIDs and aspirin
  • Blood thinners and antiplatelet drugs
  • Some blood pressure medicines and diuretics
  • Lithium and methotrexate
  • Corticosteroids and SSRIs (bleeding risk)
  • Alcohol

Who should take care

  • Avoided in late pregnancy; use only on clinician advice otherwise
  • More likely than milder NSAIDs to cause headache, dizziness and stomach effects
  • Tell your doctor about ulcers, heart disease, high blood pressure, asthma, epilepsy, or kidney or liver problems
  • Use the lowest effective amount for the shortest time
  • Seek urgent care for gut bleeding, confusion or allergic reaction

Frequently asked questions

Why is indomethacin used for gout?
It is a powerful anti-inflammatory that quickly eases the intense pain and swelling of an acute gout attack. Your doctor decides if it suits you given its side-effect profile.
Does it cause more side effects than other NSAIDs?
It can cause more headache, dizziness and stomach effects than milder NSAIDs, which is why it is usually reserved for specific conditions under supervision.
Can it affect my concentration?
It may cause drowsiness or dizziness in some people. Take care driving or operating machinery until you know how it affects you.
Should I take it with food?
Yes, usually with or after food to reduce stomach irritation. Follow your product's directions.

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