WARNING

Pennsaid is a nonsteroidal anti-inflammatory drug (NSAID) that is used topically to treat pain and inflammation associated with osteoarthritis. While it can be effective for some individuals, like any medication, Pennsaid comes with potential risks and side effects. Here are some key points to be aware of:

• Skin Irritation: Since Pennsaid is applied topically, there may be a risk of skin irritation at the application site. Common side effects include redness, itching, or a rash.
• Gastrointestinal Issues: NSAIDs, including Pennsaid, can increase the risk of gastrointestinal problems such as stomach ulcers and bleeding. This risk is generally lower compared to oral NSAIDs, but it still exists.
• Cardiovascular Risks: NSAIDs have been associated with an increased risk of cardiovascular events, such as heart attack or stroke. This risk may be higher in individuals with pre-existing cardiovascular conditions.
• Kidney Effects: NSAIDs can affect kidney function, leading to fluid retention, elevated blood pressure, and potential kidney impairment. This is more likely in individuals with existing kidney problems.
• Allergic Reactions: Some people may be allergic to the components of Pennsaid, leading to allergic reactions. If you experience swelling, severe itching, or difficulty breathing, seek medical attention immediately.
• Interaction with Other Medications: Pennsaid may interact with other medications you are taking, potentially affecting their effectiveness or increasing the risk of side effects.
• Pregnancy and Breastfeeding: Pregnant or breastfeeding individuals should consult their healthcare provider before using Pennsaid, as it may have potential risks to the fetus or infant.

It’s crucial to use Pennsaid under the supervision of a healthcare professional who can assess your individual health status, consider potential interactions, and monitor for any adverse effects. If you experience any unusual symptoms or side effects while using Pennsaid, it’s important to contact your healthcare provider promptly. Always follow the prescribed dosage and instructions, and do not use it for a longer duration than recommended without consulting your doctor.

Why is this medication prescribed?

Penlac Nail Lacquer (ciclopirox) is an antifungal medication that is prescribed to treat fungal infections of the toenails and fingernails. Fungal nail infections, also known as onychomycosis, are caused by various types of fungi and can lead to changes in the appearance and texture of the nails.

The active ingredient, ciclopirox, works by inhibiting the growth of fungi. Penlac is typically used when the infection is localized and involves only a few nails. It is not typically the first-line treatment for nail fungus, and your healthcare provider may consider other options depending on the severity and extent of the infection.

How should this medicine be used?

Here are general guidelines on how Penlac Nail Lacquer should be used:

• Preparation: Before applying Penlac, you should trim the infected nails as closely as possible and remove any loose nail or cuticle using nail clippers or a file.
• Application: Apply Penlac Nail Lacquer evenly over the entire nail surface and under the edge of the nail using the applicator brush provided. It’s important to cover the entire nail, including the undersurface when applying.
• Frequency: Penlac is typically applied once daily. It is important to apply the lacquer consistently and not skip doses for the treatment to be effective.
• Avoid washing: It’s recommended to avoid washing the treated areas for at least 8 hours after applying the lacquer to allow it to adhere to the nails.
• Removal: After seven days, the layers of Penlac should be removed with rubbing alcohol, and the process should be repeated. This is usually done weekly.
• Duration: The treatment duration varies, but it is often applied until the infected nails are replaced by healthy nails, which can take several months.

It’s crucial to follow the specific instructions provided by your healthcare provider and the instructions on the medication packaging. If you have any questions or concerns about the use of Penlac Nail Lacquer, it’s important to consult with your healthcare professional for guidance. Additionally, inform your healthcare provider of any other medications or medical conditions you have to ensure that Penlac is safe and appropriate for you.

Other uses for this medicine

Pennsaid is primarily indicated for the treatment of osteoarthritis-related pain in certain joints, such as the knee. However, it’s important to note that the use of Pennsaid or any medication should be determined by a healthcare professional based on an individual’s specific medical condition. Off-label use of medications should be avoided without proper medical guidance.

What special precautions should I follow?

Special precautions and considerations for using Pennsaid include:

• Skin Sensitivity and Irritation: Apply Pennsaid only to intact skin and avoid contact with eyes, mucous membranes, and open wounds. Discontinue use if irritation or allergic reactions occur and seek medical attention.
• Cardiovascular Risk: Individuals with a history of cardiovascular disease, hypertension, or heart failure may be at an increased risk of cardiovascular events. Exercise caution and consult with a healthcare provider before using Pennsaid.
• Gastrointestinal Effects: NSAIDs, including Pennsaid, can cause gastrointestinal issues such as ulcers and bleeding. Inform your healthcare provider if you have a history of gastrointestinal problems or if you experience symptoms like abdominal pain, indigestion, or black, tarry stools.
• Renal Function: Pennsaid can affect kidney function. It is important for individuals with pre-existing kidney conditions to be monitored closely while using the medication.
• Pregnancy and Breastfeeding: Pregnant or breastfeeding individuals should consult their healthcare provider before using Pennsaid, as the effects on the fetus or infant are not well-established.
• Drug Interactions: Inform your healthcare provider about all medications, including over-the-counter drugs and supplements, that you are taking. Pennsaid may interact with other medications, and adjustments may be needed.
• Age Considerations: Elderly individuals may be more prone to side effects, such as gastrointestinal bleeding and kidney problems. Adjustments to the dosage or close monitoring may be necessary.
• Concomitant Use with Other Topical Products: Avoid applying other topical products to the same area where Pennsaid is applied unless instructed by your healthcare provider.
• Medical History: Provide a detailed medical history, including any allergies, previous adverse reactions to NSAIDs, and current medical conditions.

Always follow the prescribed dosage and usage instructions provided by your healthcare provider. If you have any concerns or experience unexpected side effects, contact your healthcare professional promptly. Regular follow-up appointments and monitoring may be recommended to assess the ongoing safety and effectiveness of Pennsaid for your specific condition.

What special dietary instructions should I follow?

There are generally no specific dietary instructions associated with Pennsaid. However, it’s crucial to maintain a well-balanced diet and stay hydrated, especially if you have conditions that require careful dietary management (e.g., cardiovascular disease or kidney problems). NSAIDs, in general, can sometimes cause gastrointestinal irritation, so taking Pennsaid with food or a glass of milk may help minimize stomach upset.

What should I do if I forget a dose?

• Apply as Soon as Possible: If you miss a dose, apply it as soon as you remember. If it’s almost time for the next scheduled dose, skip the missed dose and resume your regular dosing schedule.
• Do Not Double Up: Do not apply extra Pennsaid to make up for a missed dose. Applying more than the prescribed amount may increase the risk of side effects.
• Follow Recommendations: Follow any specific instructions provided by your healthcare provider regarding missed doses.
• Contact Healthcare Provider: If you have questions about what to do if you miss a dose or if you experience any concerns, contact your healthcare provider for guidance.

What side effects can this medication cause?

Pennsaid, like any medication, can cause side effects. It’s important to note that not everyone will experience these side effects, and some individuals may tolerate the medication well. If you are prescribed Pennsaid, it’s crucial to be aware of potential side effects and promptly report any unusual symptoms to your healthcare provider. Common side effects of Pennsaid may include:

• Skin Reactions: Itching, redness, rash, or irritation at the application site.
• Gastrointestinal Issues: Upset stomach, indigestion, abdominal pain, diarrhea, or constipation.
• Cardiovascular Effects: Though less common, NSAIDs, including Pennsaid, can be associated with an increased risk of cardiovascular events such as heart attack or stroke.
• Edema (Swelling): Fluid retention and swelling, particularly in the legs or ankles.
• Renal Effects: Changes in kidney function, which may be more pronounced in individuals with pre-existing kidney conditions.
• Headache: Some individuals may experience headaches as a side effect.
• Dizziness or Lightheadedness: This may occur in some cases.
• Elevated Liver Enzymes: In rare instances, Pennsaid may cause an increase in liver enzymes.
• Allergic Reactions: Severe allergic reactions are rare but can include symptoms such as difficulty breathing, swelling of the face or throat, and severe itching.

It’s important to seek immediate medical attention if you experience signs of a severe allergic reaction or if you notice any other serious side effects. Additionally, if you have any pre-existing medical conditions or are taking other medications, it’s crucial to inform your healthcare provider to assess potential interactions or heightened risks.

Long-term use of NSAIDs, including Pennsaid, may increase the risk of serious side effects, particularly in elderly individuals or those with existing health conditions. Regular check-ups and monitoring by a healthcare professional are often recommended during extended use.

This list is not exhaustive, and individual responses to medication can vary. Always follow your healthcare provider’s instructions, report any side effects promptly, and discuss any concerns or questions you may have about the use of Pennsaid.

What should I know about storage and disposal of this medication?

Storage and Disposal of Pennsaid:

• Storage: Store Pennsaid at room temperature, away from excessive heat and moisture. Keep the medication out of reach of children and pets.
• Do Not Freeze: Do not freeze Pennsaid.
• Avoid Sun Exposure: Do not expose the medication to direct sunlight for prolonged periods.
• Protect from Freezing: Protect Pennsaid from freezing.
• Secure Lid Properly: Ensure that the cap is tightly closed when not in use.
• Dispose of Expired Medication: Dispose of any expired or unused Pennsaid according to local guidelines or through a drug take-back program.

In case of emergency/overdose

In case of an emergency or overdose, contact your local poison control center (1-800-222-1222 in the United States) or seek emergency medical attention immediately. Symptoms of overdose may include nausea, vomiting, stomach pain, drowsiness, and, in severe cases, more serious symptoms such as difficulty breathing or loss of consciousness.

What other information should I know?

• Regular Follow-up: Attend regular follow-up appointments with your healthcare provider to monitor the effectiveness and safety of Pennsaid.
• Inform Healthcare Providers: Inform all healthcare providers involved in your care about your use of Pennsaid, including dentists and surgeons, as it may interact with other medications or affect certain medical procedures.
• Lab Tests: Your healthcare provider may order periodic lab tests to monitor kidney function and other parameters, especially with long-term use.
• Avoid Alcohol: Limit or avoid alcohol while using Pennsaid, as it may increase the risk of stomach bleeding.
• Driving and Machinery: Be cautious when driving or operating machinery, as Pennsaid may cause dizziness or drowsiness.
• Allergic Reactions: If you experience signs of an allergic reaction (e.g., difficulty breathing, swelling), seek emergency medical attention.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of Pennsaid with your healthcare provider.
• Medication Review: Periodically review your medications with your healthcare provider to ensure there are no interactions or changes needed.

Always follow the specific instructions provided by your healthcare provider and the medication’s package insert. If you have any questions or concerns about Pennsaid, consult your healthcare professional for personalized guidance based on your health status and medical history.