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Generic Name: Nabumetone (nab-UE-me-tone)
Brand Name: Relafen
Nabumetone is a nonsteroidal anti-inflammatory drug (NSAID). It may cause an increased risk of serious and sometimes fatal heart and blood vessel problems (eg, heart attack, stroke). The risk may be greater if you already have heart problems or if you take Nabumetone for a long time. Do not use Nabumetone right before or after bypass heart surgery.
Nabumetone may cause an increased risk of serious and sometimes fatal stomach ulcers and bleeding. Elderly patients may be at greater risk. This may occur without warning signs.
Nabumetone is used for:
Treating rheumatoid arthritis or osteoarthritis. It may also be used for other conditions as determined by your doctor.
Nabumetone is an NSAID. Exactly how it works is not known. It may block certain substances in the body that are linked to
inflammation. NSAIDs treat the symptoms of pain and inflammation. They do not treat the disease that causes those symptoms.
Do NOT use Nabumetone if:
- you are allergic to any ingredient in Nabumetone
- you have had a severe allergic reaction (eg, severe rash, hives, trouble breathing, growths in the nose, dizziness) to aspirin or an NSAID (eg, ibuprofen, celecoxib)
- you have recently had or will be having bypass heart surgery
- you are in the last 3 months of pregnancy
Contact your doctor or health care provider right away if any of these apply to you.
Before using Nabumetone :
Some medical conditions may interact with Nabumetone . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have a history of kidney or liver disease, diabetes, or stomach or bowel problems (eg, bleeding, perforation, ulcers)
- if you have a history of swelling or fluid buildup, asthma, growths in the nose (nasal polyps), or mouth inflammation
- if you have high blood pressure, a blood disorder, bleeding or clotting problems, heart problems (eg, heart failure), or blood vessel disease, or if you are at risk for any of these diseases
- if you have poor health, dehydration or low fluid volume, or low blood sodium levels, you drink alcohol, or you have a history of alcohol abuse
Some MEDICINES MAY INTERACT with Nabumetone . Tell your health care provider if you are taking any other medicines,
especially any of the following:
- Anticoagulants (eg, warfarin), aspirin, corticosteroids (eg, prednisone), heparin, or selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine)
because the risk of stomach bleeding may be increased
- Probenecid because it may increase the risk of Nabumetone "s side effects
- Cyclosporine, lithium, methotrexate, or quinolones (eg, ciprofloxacin)
because the risk of their side effects may be increased by Nabumetone
- Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril) or diuretics
(eg, furosemide, hydrochlorothiazide) because their effectiveness may be decreased by Nabumetone
This may not be a complete list of all interactions that may occur. Ask your health care provider if Nabumetone may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Nabumetone :
Use Nabumetone as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Nabumetone comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Nabumetone refilled.
- Take Nabumetone by mouth. It may be taken with food if it upsets your stomach. This may not lower the risk of stomach or bowel problems (eg, bleeding, ulcers). Talk with your doctor if you have persistent stomach upset.
- Take Nabumetone with a full glass of water (8 oz/240 mL) as directed by your doctor.
- If you miss a dose of Nabumetone and you are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose. Go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Nabumetone .
Important safety information:
- Nabumetone may cause dizziness or drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Nabumetone with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Serious stomach ulcers or bleeding can occur with the use of Nabumetone . Taking it in high doses or for a long time, smoking, or drinking alcohol increases the risk of these side effects. Taking Nabumetone with food will NOT reduce the risk of these effects. Contact your doctor or emergency room at once if you develop severe stomach or back pain; black, tarry stools; vomit that looks like blood or coffee grounds; or unusual weight gain or swelling.
- Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
- Nabumetone is an NSAID. Before you start taking any new medicine, read the ingredients. If
it also has an NSAID (eg, ibuprofen) in it, check with your doctor. If you are not sure, check with your doctor or pharmacist.
- Do not take aspirin while you are using Nabumetone unless your doctor tells you to.
- Nabumetone may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Nabumetone . Use a sunscreen or wear protective clothing if you must be outside for any length of time.
- Lab tests, including kidney function, complete blood cell counts, and blood pressure, may be done to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
- Use Nabumetone with caution in the ELDERLY; they may be more sensitive to its effects, including stomach bleeding and kidney problems.
- Nabumetone should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
PREGNANCY and BREAST-FEEDING: Nabumetone may harm the fetus. Do not use it during the last 3 months of pregnancy. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Nabumetone while you are pregnant. It is not known if Nabumetone is found in breast milk. Do not breast-feed while you are taking Nabumetone .
Possible side effects of Nabumetone :
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Constipation; diarrhea; dizziness; drowsiness; gas; headache; heartburn;
nausea; stomach upset.
Severe allergic reactions (rash; hives; itching; trouble breathing;
tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody or black, tarry stools; change in the amount of urine produced; chest pain;
confusion; dark urine;
depression; fainting; fast or irregular heartbeat;
fever, chills, or persistent sore throat; mental or mood changes; numbness of an arm or leg; one-sided weakness; red, swollen, blistered, or peeling skin; ringing in the ears; seizures; severe headache or dizziness; severe or persistent stomach pain or nausea; severe vomiting; shortness of breath;
sudden or unexplained weight gain; swelling of hands, legs, or feet; unusual bruising or bleeding; unusual joint or muscle pain; unusual tiredness or weakness;
vision or speech changes; vomit that looks like coffee grounds; yellowing of the skin or eyes.
This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088
(1-800-332-1088) or at http://www.fda.gov/medwatch.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include decreased urination; loss of consciousness; seizures; severe dizziness or drowsiness; severe nausea or stomach pain; slow or troubled breathing; unusual bleeding or bruising;
vomit that looks like coffee grounds.
Proper storage of Nabumetone :
Store Nabumetone at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Nabumetone out of the reach of children and away from pets.
- If you have any questions about Nabumetone , please talk with your doctor, pharmacist, or other health care provider.
- Nabumetone is to be used only by the
patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
This information is summary only. It does not contain all information about Nabumetone . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.
Issue Date: November 1, 2006
Database Edition 06.4.1.002
Copyright © 2006 Wolters Kluwer Health, Inc.
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