WARNING

Taking Relafen (nabumetone) involves certain risks, and it’s important to be aware of potential adverse effects and complications. Some of the risks associated with Relafen include:

• Gastrointestinal Issues: NSAIDs like Relafen can increase the risk of stomach ulcers, bleeding, and other gastrointestinal problems. This risk is higher in individuals with a history of stomach/intestinal issues or those taking the medication for an extended period.
• Cardiovascular Events: There is a potential increased risk of serious cardiovascular events, such as heart attack or stroke, particularly in individuals with existing heart conditions.
• Kidney Function: NSAIDs can impact kidney function and may lead to kidney problems, especially in individuals with pre-existing kidney issues.
• Fluid Retention: Relafen may cause fluid retention, leading to swelling, particularly in patients with conditions like heart failure.
• Allergic Reactions: Some individuals may experience allergic reactions to Relafen, presenting as rash, itching, swelling, severe dizziness, or difficulty breathing.
• Liver Problems: In rare cases, NSAIDs, including Relafen, may cause liver problems. Symptoms may include persistent nausea, yellowing of the eyes or skin (jaundice), dark urine, or abdominal pain.
• Interactions with Other Medications: Relafen may interact with other medications, potentially affecting their efficacy or increasing the risk of side effects.

It’s crucial to use Relafen under the supervision of a healthcare professional who can assess your individual health status, considering factors like medical history, existing conditions, and other medications you may be taking. Regular monitoring and communication with your healthcare provider are essential to manage and mitigate potential risks associated with Relafen. If you experience any unusual symptoms or side effects, promptly inform your doctor. This information is a brief overview, and specific risks may vary based on individual health circumstances.

Why is this medication prescribed?

Relafen, is a nonsteroidal anti-inflammatory drug (NSAID) that is prescribed to relieve the symptoms of rheumatoid arthritis and osteoarthritis. It works by reducing the levels of certain chemicals in the body that cause inflammation and pain. It is important to note that Relafen does not cure these conditions; it helps manage the symptoms.

How should this medicine be used?

Here are some general guidelines for using Relafen:

• Dosage: The dosage will depend on your medical condition and response to treatment. Your healthcare provider will determine the appropriate dose for you.
• Administration: Relafen is usually taken with food or a full glass of water to help minimize the risk of stomach upset. Taking it with food or milk can also help improve absorption.
• Frequency: It is typically taken once or twice daily, as directed by your doctor. It’s important to take it regularly to get the most benefit.
• Swallowing: Swallow the tablets whole; do not crush, chew, or break them, as this can affect the way the medication is released in the body.
• Consistency: Take Relafen at the same time(s) every day to maintain a consistent level of the medication in your system.
• Duration: Use Relafen exactly as prescribed by your healthcare provider. Do not increase or decrease the dosage without consulting your doctor.
• Monitoring: Your doctor may periodically monitor your progress and adjust the dosage if necessary. It’s important to attend follow-up appointments and inform your doctor of any side effects or concerns.
• Precautions: Inform your doctor about any other medications, supplements, or herbal products you are taking, as certain drugs may interact with Relafen. Also, inform your doctor if you have a history of stomach/intestinal bleeding, heart disease, high blood pressure, or kidney disease.

Always follow your healthcare provider’s instructions and read the medication guide provided with the prescription. If you have any questions or concerns about how to use Relafen, consult with your healthcare professional.

Other uses for this medicine

While Relafen (nabumetone) is primarily prescribed to treat symptoms of rheumatoid arthritis and osteoarthritis, it may also be used for other conditions or purposes as determined by your healthcare provider. These additional uses would be based on the judgment of your doctor, considering your specific medical situation.

What special precautions should I follow?

Special precautions should be taken when using Relafen. Here are some important considerations:

• Allergies: Inform your healthcare provider if you are allergic to nabumetone or any other NSAIDs, such as aspirin or ibuprofen.
• Medical History: Before using Relafen, provide your doctor with a detailed medical history, especially if you have a history of stomach/intestinal ulcers, bleeding problems, heart disease, high blood pressure, liver disease, or kidney disease.
• Risk of Stomach Ulcers and Bleeding: NSAIDs, including Relafen, may increase the risk of stomach or intestinal ulcers and bleeding. This risk is higher in elderly patients and those with a history of stomach/intestinal problems. To reduce this risk, your doctor may prescribe the medication with a proton pump inhibitor (PPI) or recommend taking it with food.
• Cardiovascular Risk: NSAIDs, including Relafen, may increase the risk of serious cardiovascular events, such as heart attack or stroke. This risk may be higher in people with heart disease. Avoid using NSAIDs right before or after heart bypass surgery.
• Kidney Function: NSAIDs can affect kidney function, and the risk may be higher in individuals with pre-existing kidney conditions. Your doctor may monitor your kidney function regularly.
• Fluid Retention: NSAIDs may cause fluid retention, leading to edema (swelling), especially in patients with conditions like heart failure. Inform your doctor if you experience sudden or unexplained weight gain.
• Pregnancy and Breastfeeding: Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. NSAIDs, including Relafen, may not be recommended during certain stages of pregnancy.
• Other Medications: Inform your doctor about all prescription and over-the-counter medications, vitamins, and herbal supplements you are taking, as they may interact with Relafen.
• Alcohol and Smoking: Limit alcohol consumption while taking Relafen, as alcohol can increase the risk of stomach bleeding. Smoking may also increase the risk of stomach ulcers when combined with NSAIDs.

Always follow your healthcare provider’s instructions and discuss any concerns or questions you have about the medication. If you experience any side effects or adverse reactions, contact your doctor promptly. This information is not exhaustive, and individual circumstances may warrant additional precautions or considerations.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Relafen. However, taking it with food or a full glass of water can help minimize the risk of stomach upset.

What should I do if I forget a dose?

If you miss a dose of Relafen, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one.

What side effects can this medication cause?

Like any medication, Relafen (nabumetone) may cause side effects. Common side effects are usually mild, but some individuals may experience more severe reactions. It’s important to contact your healthcare provider if you notice any unusual or persistent symptoms. Here are some potential side effects associated with Relafen:

Common side effects may include:

• Upset stomach or indigestion: Taking Relafen with food or a full glass of water can help minimize stomach upset.
• Nausea or vomiting: If you experience persistent nausea or vomiting, inform your doctor.
• Diarrhea or constipation: Maintaining a well-balanced diet with an adequate intake of fluids and fiber can help manage these symptoms.
• Dizziness or headache: Avoid activities that require mental alertness until you know how Relafen affects you.
• Skin rash: If you develop a rash, especially if it’s severe or accompanied by other symptoms, seek medical attention.

Less common but more serious side effects may include:

• Stomach/intestinal bleeding: Contact your doctor immediately if you notice signs of stomach bleeding, such as black/tarry stools or vomit that looks like coffee grounds.
• Liver problems: Seek medical attention if you experience symptoms like persistent nausea, yellowing of the eyes or skin (jaundice), dark urine, or abdominal pain.
• Heart-related issues: Inform your doctor if you experience symptoms such as chest pain, shortness of breath, or slurred speech.
• Kidney problems: If you notice changes in urine color, frequency, or amount, or if you experience swelling in the ankles or feet, contact your healthcare provider.
• Allergic reactions: Seek emergency medical attention if you experience symptoms like severe itching, rash, swelling, severe dizziness, or difficulty breathing.

It’s important to note that this is not an exhaustive list, and individual reactions can vary. Always follow your healthcare provider’s guidance, report any side effects promptly, and do not hesitate to seek medical attention if you have concerns about your health while taking Relafen.

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

Storage and Disposal of Relafen (Nabumetone):

• Storage:
  • Store Relafen at room temperature away from light and moisture.
  • Keep it in the original packaging or container.
  • Do not store in the bathroom.
  • Keep away from children and pets.
• Disposal:
  • Discard any unused or expired medication.
  • Follow local regulations for medication disposal.
  • Do not flush medications down the toilet unless instructed to do so.
  • Consult your pharmacist or local waste disposal company for proper disposal methods.

In case of emergency/overdose

In case of an overdose or emergency, contact your local poison control center at 1-800-222-1222 or seek emergency medical attention immediately. Symptoms of overdose may include nausea, vomiting, severe stomach pain, confusion, weakness, or fainting.

What other information should I know?

• Regular Monitoring: Your doctor may periodically monitor your progress and conduct tests to check for any potential side effects or changes in your health.
• Avoid Alcohol: Limit alcohol consumption while taking Relafen, as it may increase the risk of stomach bleeding.
• Smoking: Smoking may increase the risk of stomach ulcers when combined with NSAIDs like Relafen.
• Regular Check-ups: Attend scheduled follow-up appointments with your healthcare provider to discuss your response to the medication and any potential adjustments needed.
• Interactions: Inform your doctor about all medications, including prescription and over-the-counter drugs, as well as herbal supplements and vitamins, that you are taking. Certain medications may interact with Relafen.
• Allergic Reactions: If you experience signs of an allergic reaction, such as rash, itching, swelling, severe dizziness, or difficulty breathing, seek emergency medical attention.
• Pregnancy and Breastfeeding: Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Your doctor will weigh the potential benefits and risks of using Relafen during pregnancy or while breastfeeding.

Always follow your healthcare provider’s instructions and guidelines. If you have any concerns or questions about your medication, consult your healthcare professional for personalized advice based on your specific health situation.