Mr. Ibrahem/Sulindac
Clinical data
Trade namesClinoril, others
AHFS/Drugs.comMonograph
MedlinePlusa681037
Pregnancy
category
  • AU: C
Routes of
administration
By mouth
Legal status
Legal status
  • AU: S4 (Prescription only)
  • UK: POM (Prescription only)
  • US: ℞-only
Pharmacokinetic data
BioavailabilityApproximately 90% (Oral)
Metabolism?
Onset of action1 hr[1]
Elimination half-life7.8 hours, metabolites up to 16.4 hours
Duration of actionUp to 16 hr[1]
ExcretionKidney (50%) and fecal (25%)
Identifiers
  • {(1Z)-5-fluoro-2-methyl-1-[4-(methylsulfinyl)benzylidene]-1H-indene-3-yl}acetic acid
Chemical and physical data
FormulaC20H17FO3S
Molar mass356.41 g·mol−1
3D model (JSmol)
Melting point182 to 185 °C (360 to 365 °F) (decomp.)
  • O=S(c1ccc(cc1)\C=C3/c2ccc(F)cc2\C(=C3C)CC(=O)O)C
  • InChI=1S/C20H17FO3S/c1-12-17(9-13-3-6-15(7-4-13)25(2)24)16-8-5-14(21)10-19(16)18(12)11-20(22)23/h3-10H,11H2,1-2H3,(H,22,23)/b17-9- checkY
  • Key:MLKXDPUZXIRXEP-MFOYZWKCSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Sulindac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain and inflammation.[3] This includes in conditions like attacks of gout, osteoarthritis, and rheumatoid arthritis.[2] It is taken by mouth.[2] Effects begin in about an hour and last for up to 16 hours.[1]

Common side effects may include nausea, diarrhea, rash, headache, and an upset stomach.[3] Other side effects may include liver problems, pancreatitis, allergic reactions, kidney problems, stomach bleeding, and heart failure.[3] It should not be used in the later half of pregnancy.[3] It works by blocking COX-1 and COX-2.[3]

Sulindac was patented in 1969 and approved for medical use in 1976.[4] It is available as a generic medication.[2] In the United Kingdom 56 tablets of 200 mg costs the NHS about £40.[2] In the United States this amount costs about 15 USD.[5]

References edit

  1. ^ a b c Aschenbrenner, Diane S.; Venable, Samantha J. (2009). Drug Therapy in Nursing. Lippincott Williams & Wilkins. p. 411. ISBN 978-0-7817-6587-9. Archived from the original on 2021-10-15. Retrieved 2021-10-15.
  2. ^ a b c d e f BNF (80 ed.). BMJ Group and the Pharmaceutical Press. September 2020 – March 2021. p. 1213. ISBN 978-0-85711-369-6.{{cite book}}: CS1 maint: date format (link)
  3. ^ a b c d e f "Sulindac Monograph for Professionals". Drugs.com. Archived from the original on 30 September 2020. Retrieved 15 October 2021.
  4. ^ Fischer, Jnos; Ganellin, C. Robin (2006). Analogue-based Drug Discovery. John Wiley & Sons. p. 517. ISBN 9783527607495. Archived from the original on 2021-07-26. Retrieved 2020-10-17.
  5. ^ "Sulindac Prices, Coupons & Savings Tips - GoodRx". GoodRx. Retrieved 15 October 2021.