II. Indications

  1. See NSAID
  2. FDA approved indications
    1. Rheumatoid Arthritis
    2. Osteoarthritis

III. Contraindications

  1. See NSAID
  2. Avoid in Renal Insufficiency

IV. Mechanism

  1. See NSAID
  2. NSAID in the propionic acid class
    1. Other NSAIDS in propionic acid class include Ibuprofen and Naproxen

V. Medications

  1. Fenoprofen capsules or tablets: 200 mg, 400 mg, 600 mg

VI. Dosing

  1. Fenoprofen (Nalfon)
    1. Arthritis (OA/RA): 300 to 600 mg orally three to four times daily (max: 3200 mg/day)
    2. Mild to moderate pain: 200 mg every 4 to 6 hours

VII. Adverse Effects

  1. See NSAID
  2. Decreased gastrointestinal adverse effects
  3. Increased genitourinary adverse effects (e.g. Dysuria, Hematuria, nephropathy)
  4. Nephrotoxicity is more than with other NSAIDs
    1. See NSAID Renal Adverse Effects

VIII. Safety

  1. See NSAID
  2. Avoid in Lactation
  3. Avoid NSAIDs in pregnancy outside the first part of the second trimester (13 to 20 weeks)
    1. Teratogenic in first trimester
    2. Risk of premature ductus arteriosus closure in the fetus in third trimester
    3. Most NSAIDs carry a legacy system Pregnancy Category B or C designation (aside from third trimester)
      1. However, many obstetricians avoid NSAIDs entirely in pregnancy (even in second trimester)

IX. Efficacy

  1. Similar to Aspirin (but more potent)

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Ontology: Fenoprofen (C0015837)

Definition (NCI) A propionic acid derivative with analgesic, non-steroidal antiinflammatory and antirheumatic properties. Fenoprofen inhibits both isozymes of cyclooxygenase; resulting in prostaglandin synthesis inhibition, thereby blocking the conversion of arachidonic acid to prostaglandins. In addition, fenoprofen activates both peroxisome proliferator activated receptors (PPAR)-alpha and -gamma, by which it may down-regulate leukotriene B4 production.
Definition (MSH) An anti-inflammatory analgesic and antipyretic highly bound to plasma proteins. It is pharmacologically similar to ASPIRIN, but causes less gastrointestinal bleeding.
Concepts Pharmacologic Substance (T121) , Organic Chemical (T109)
MSH D005279
SnomedCT 363602002, 322292009, 329638000, 373525006, 71798005
LNC LP16146-0, MTHU016792
English Fenoprofen, Benzeneacetic acid, alpha-methyl-3-phenoxy-, (+-)-, Fenoprofen [analgesic], Fenoprofen [musc skel], Fenoprofen [musculoskeletal use], Fenoprofen [Chemical/Ingredient], Fenoprofen product (substance), Fenoprofen [analgesic] (product), Fenoprofen product, Fenoprofen [musculoskeletal use] (product), FENOPROFEN, fenoprofen, Fenoprofen (product), Fenoprofen (substance), Fenoprofen [analgesic] (substance), Fenoprofen [musculoskeletal use] (substance)
Swedish Fenoprofen
Czech fenoprofen
Finnish Fenoprofeeni
Russian FENOPROFEN, ФЕНОПРОФЕН
Japanese フェノプロフェン
Polish Fenoprofen
Spanish fenoprofeno [analgésico], fenoprofeno, producto, fenoprofeno, producto (sustancia), fenoprofeno [analgésico] (producto), fenoprofeno [uso musculoesquelético] (producto), fenoprofeno [uso musculoesquelético], fenoprofeno (producto), fenoprofeno (sustancia), fenoprofeno, Fenoprofeno
French Fénoprofène
German Fenoprofen
Italian Fenoprofene
Portuguese Fenoprofeno