Almost every person has experienced pain in bones and joints in their life. This problem is most acute, as a rule, in the elderly, as well as in professional athletes.
However, more and more often young people with joint pain after bruises or sprains turn to the clinic with similar complaints.
One of the most popular drugs recommended by doctors is the medicine "Aertal", which has several analogues on the market.
Composition
Aertal is a non-steroidal anti-inflammatory drug, the main active ingredient of which is acyclofenac, a derivative of acetic acid.
Acyclofenac relieves inflammation, has antipyretic and analgesic properties. These effects are achieved by suppressing some of the receptors in the body responsible for the production of inflammatory mediators, that is, special substances that support this inflammation.
Acyclofenac in the composition of tablets is well absorbed in the stomach and excreted from the body by the kidneys almost unchanged. And the cream is freepenetrates into the blood through the outer skin.
Indications for use
"Aertal" is used in medicine both as an anesthetic and as a remedy. To suppress the pain syndrome, the drug is used for humeroscapular arthritis, rheumatic tissue damage, as well as for acute toothache. As an effective remedy, "Aertal" is used for osteoarthritis, spondylitis and arrheumatoid arthritis.
Contraindications for taking the drug
The strictest ban on the use of Aertal is imposed in case of hypersensitivity, including to a number of other groups of non-steroidal anti-inflammatory drugs, pregnancy, childhood, tissue damage at the site of application of the cream, bronchial asthma and bleeding disorders.
With caution it is necessary to use "Aertal" for lesions of the mucosa of the digestive tract, impaired kidney and liver function, diabetes mellitus, hyperkalemia, acute rhinitis, urticaria.
During lactation, it is better to stop breastfeeding while taking the drug.
Side effects
In the area of the gastrointestinal tract, nausea, vomiting, change in stool, pain in the intestinal area, development or progression of peptic ulcer, intestinal colic, flatulence can be observed.
With regard to the central nervous system, periodic headache and dizziness, sleep disturbances, memory loss, convulsions, irritability are possible.
On rare occasions himselfa drug or a cheap analogue of "Aertal" can cause tinnitus, hearing and vision impairment, loss of orientation. Extremely rare epidermal necrolysis, exudative erythema, anaphylactic shock, bronchial asthma, eczema, nephritis, tachycardia, hematuria.
Urticaria, photosensitivity and slight skin irritation may occur during treatment with the cream.
In case of an overdose, gastric lavage and sorbents should be taken. In any case, treatment should be carried out in a hospital under the supervision of specialists.
Interaction with other substances
It is undesirable to combine the intake of "Aertal" with lithium, digoxin preparations, as this uncontrollably increases the concentration of the active substance. When using diuretics, a decrease in efficiency and the development of hyperkalemia are possible. When using several non-steroidal anti-inflammatory drugs at once, the risk of developing peptic ulcer increases significantly. Acetylsalicylic acid reduces the concentration of "Aertal" and is the cause of bleeding.
With the joint use of "Aertal" and hypoglycemic drugs, the development of hypo- or hyperglycemia is likely. To avoid this, you should regularly take a blood sugar test.
When taking anticoagulants at the same time, the risk of bleeding increases and monitoring of blood clotting indicators is necessary.
Stake oral contraceptives and an analogue of "Aertal" with caution.
Alcohol-containing drinks should be completely avoided while taking the drug.
Use during pregnancy and lactation
In clinical trials "Aertal", analogues and other similar drugs did not participate. But it is known that the systematic use of non-steroidal anti-inflammatory drugs in the last trimester of pregnancy can lead to a decrease in tone and weak contractions of the uterine muscles. In turn, this inhibits the onset of labor and in some cases increases the duration of labor. The newborn may have long-term pulmonary hypertension.
The drug itself and the analogue of "Aertal" have no data on the presence of a teratogenic effect in humans. However, in experimental studies on rabbits, fetal morphological changes were observed in some cases.
Data on the allocation of acyclofenac with milk is also missing. In studies on rats, transmission of radioactive acyclofenac through milk has not been established.
In general, the drug and the cheap analogue of "Aertal" are prohibited during pregnancy and lactation. Only in exceptional cases are they allowed to be taken in the second trimester. The decision to use these funds is made only after a competent assessment of the intended benefit to the mother and the potential threat to the child.
Method of administration and dosage
"Aertal" in tablets is prescribed to adults one piece twice a day, without chewing anddrinking plenty of plain water.
Cream is used only externally and is avoided in the presence of pressure bandages. The product is applied three times a day with light massage movements. Peas "Aertal" is enough for approximately 5-7 square centimeters of the surface of the skin.
Dose adjustment for elderly patients is optional.
Special instructions for admission
If irritation or discomfort occurs when using the cream, its application should be stopped immediately. Avoid contact of the cream with mucous membranes and eyes, apply only to intact skin, then wash hands thoroughly with water.
When taking pills systematically, you should refrain from engaging in potentially hazardous activities that require concentration and reaction time, for example, driving a car, working with mechanisms.
During the period of treatment with the drug, it is necessary to control the blood picture, as well as the functions of the kidneys and liver.
To reduce the risk of developing complications in the gastrointestinal tract, Aertal should be taken in the lowest possible effective dose in a short course.
Form of release and storage conditions
Coated tablets - 100 mg. Cream in an aluminum tube - 60 g.
Store in a dry place below 25 degrees.
Similar drugs in tablets
How to replace "Aertal"? Analogues of this tool are common due to its relatively high price. The most popular are "Asenak",Asefil, Infenak, Zerodol. Their main active ingredient is also acyclofenac, but the price is much lower due to the fact that domestic pharmaceutical companies are engaged in the production of these drugs.
All of the listed funds have a dosage similar to "Aertal", side effects and contraindications. Please note that even if you have taken Aertal before, the instructions for use (analogues) should be carefully studied.
If a person has hypersensitivity to acyclofenac, the analogue of "Aertal", containing this substance in its composition, is categorically not suitable for admission. You can choose a medicine with a different active substance, but with similar indications for use. Such funds include the well-known "Voltaren", "Diclofenac", "Ketanov", "Olfen". All these drugs perfectly stop the pain, alleviate the condition.
Quite popular is such an analogue of "Aertal" as "Movalis", the active ingredient of which is meloxicam. The latter has far fewer side effects and contraindications, but its price is just as high.
"Aertal": analogues, substitutes in the form of ointments and creams
Since the negative and adverse reactions in external agents are much less than in drugs taken orally, creams are very popular. Unlike tablets, they can also be used by patients with medical conditions.stomach and intestines, liver, kidneys, with peptic ulcer, as well as with hypersensitivity of internal organs.
A popular remedy is "Aertal" cream, analogues of which are no less effective. These include Diclofenac, Indomethacin, Veral, Diclogel, Olfen, Revmalin and many others.
They all belong to the group of non-steroidal anti-inflammatory drugs and are indicated for external use only.
Reviews about the drug
About the means "Aertal" (analogues) reviews are mostly positive. However, an important role in this is played by the correct prescription of the drug by the doctor, as well as the patient's compliance with the rules for taking the drug. The reviews and recommendations specify that the most effective drug is in the removal of articular, headaches and toothaches. Moreover, it is better to take "Aertal" (tablets), analogues and substitutes after a meal, so as not to irritate the gastric mucosa once again.
The majority of negative reviews cited side effects such as dizziness, nausea, abdominal pain and upset stool.
Drug prices
331 - 454 rubles for 20 tablets - the cost of the drug "Aertal" fluctuates within such limits. There are cheaper ones too. For example, "Acephen" costs within 350 rubles, "Zerodol" - no more than 200 rubles. A drug with another active ingredient, for example,"Diclofenac" costs 80 rubles for 20 tablets, "Ketanov" - 60 rubles for the same amount.
160 - Aertal cream costs 200 rubles. Analogs are cheaper: "Diclofenac" (ointment) - 30 rubles, "Indomethacin" - 60 rubles.
Summarize
So, drugs from the group of non-steroidal anti-inflammatory drugs should be present in every medicine cabinet. They are relevant for the elderly, and for those who regularly play sports, and for those who do not belong to any of these categories. After all, injuries, bruises and sprains can occur at any time. Whether to buy "Aertal" or its analogues in one form or another, everyone decides for himself. But in any case, you must first consult a doctor.
