Monograph Details

Pain & Pyrexia > Nonnarcotic analgesics
NALFON
Manufacturer
Pedinol Pharmacal, Inc.
Legal Classification
Rx
Pharmacological Class
NSAID (arylacetic acid deriv.).
Generic Name
Fenoprofen calcium 200mg; caps.
Indications
Mild to moderate pain.
Children
<18yrs: not recommended.
Adults
200mg every 4–6hrs as needed.
Contraindications
Aspirin allergy. CABG surgery. Significant renal impairment. 3rd trimester pregnancy.
Precautions
Hypertension. CHF. Edema. History of ulcer disease or GI bleeding. Hearing impaired. Asthma. Monitor blood, hepatic, renal, and ocular function in chronic use. Elderly. Debilitated. Pregnancy (Cat.C). Nursing mothers: not recommended.
Interactions
Avoid aspirin. May potentiate protein-bound drugs (eg, hydantoins, sulfonamides, sulfonylureas). May antagonize ACE-inhibitors, diuretics. May be antagonized by phenobarbital. Increased risk of GI bleed with oral corticosteroids, anticoagulants (monitor), alcohol, smoking. Methotrexate excretion reduced. Increases lithium levels.
Adverse Reactions
GI upset, dyspepsia, constipation, tremor, confusion, increased sweating, pruritus, rash (discontinue if occurs), tinnitus, blurred vision, decreased hearing, palpitations, nervousness, asthenia, peripheral edema, dyspnea; GI ulcer/bleed, elevated liver enzymes (discontinue if hepatotoxicity develops), blood dyscrasias, renal papillary necrosis. See literature re: risk of cardiovascular events.
How Supplied
Caps—100
Additional Resources
Related Prescribing Note