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Order Indomethacin Online - Australian Pharmacy

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Could indomethacin help your arthritis flare or a painful gout attack? Indomethacin is a prescription NSAID that reduces pain and inflammation by blocking prostaglandin production. It comes in capsules, suspensions, or suppositories and is often used for short courses to treat inflammatory conditions. Like other NSAIDs, it can irritate the stomach and affect kidney function, so it is taken with care and under medical guidance.

What Indomethacin is (brief)

Indomethacin is a nonsteroidal anti-inflammatory drug, or NSAID. It lowers inflammation and pain by preventing the body from making certain chemicals called prostaglandins. This action helps reduce swelling, stiffness, and fever in many conditions.

Forms include standard capsules, delayed-release capsules, a liquid suspension, and rectal suppositories. Dosing is tailored to the condition, the severity of pain, and how you respond to treatment. Because of potential side effects, indomethacin is usually used for the shortest possible time and under a clinician’s supervision.

What it is used for (moderate)

Indomethacin relieves pain and inflammation from osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis. It is also used for gout flares, bursitis, and tendinitis. Dental pain, post-procedure discomfort, and some forms of acute pain may respond well to this medicine.

In certain hospital settings, indomethacin may be used to close a patent ductus arteriosus in premature infants, under careful medical supervision. For such use, it is part of a controlled treatment plan and not self-administered. Many patients are prescribed indomethacin for a short period to control a flare or a specific painful condition.

Contraindications and precautions (detailed β€” this is the focus)

Do not take indomethacin if you have had an allergic reaction to indomethacin, other NSAIDs, or aspirin. It should be avoided in people with active or a history of gastrointestinal ulcers or bleeding, severe kidney or liver disease, or recent major surgery with bleeding risk. In pregnancy, indomethacin is generally avoided after 20 weeks, because NSAIDs can affect the fetus and may close the ductus arteriosus.

Older adults and people with high blood pressure, heart failure, or fluid retention should be monitored closely. Tell your clinician about all medicines you take, especially anticoagulants, corticosteroids, other NSAIDs, diuretics, or medicines that affect kidney function. People with asthma or nasal polyps may have a higher risk of a severe reaction to NSAIDs, and should use this drug only under strict medical guidance.

Indomethacin should be used with meals or milk to lessen stomach upset. It may not be suitable right before surgery or in the presence of active bleeding. If you have kidney or liver disease, your doctor may adjust the dose or choose an alternative. Seek immediate care for signs of serious reactions, such as black or bloody stools, vomiting blood, severe stomach pain, shortness of breath, chest pain, severe rash, or new swelling in the ankles or feet.

Side effects by frequency (detailed)

Common side effects include stomach upset, heartburn, indigestion, nausea, and loss of appetite. Some people feel dizziness, headache, or mild stool changes. Taking indomethacin with food can help limit these effects, and staying hydrated may support kidney function in the short term.

Less common effects can include diarrhea, constipation, vomiting, dry mouth, or ringing in the ears at high doses. Some people may notice a change in appetite or mood. If these symptoms persist or trouble worsens, contact a clinician for guidance before continuing treatment.

Serious but rare effects require urgent attention. These include GI ulcers or bleeding, kidney problems (changes in urination, swelling, or weight gain), high blood pressure, liver injury, severe allergic reactions, and serious skin or mucous membrane reactions. If you notice coughing, persistent fever, unusual bruising, or severe skin pain with redness or peeling, seek care promptly.

Interactions with other substances (detailed)

Many medicines interact with indomethacin. Taking it with other NSAIDs or aspirin increases the risk of stomach ulcers and bleeding. In such cases, a clinician may limit use or recommend an alternative for pain relief.

Concomitant use with anticoagulants (like warfarin), certain antidepressants, or corticosteroids can raise bleeding risk or complicate healing. NSAIDs may also interfere with diuretics and ACE inhibitors or ARBs, potentially lowering blood pressure control or increasing the risk of kidney injury. Always tell your doctor about all prescriptions and over-the-counter products you use.

Other noteworthy interactions include lithium and methotrexate, which can have altered levels or increased toxicity when paired with indomethacin. Alcohol can intensify stomach irritation and raise bleeding risk. Some herbal supplements and vitamins may also interact, so it is wise to review all supplements with a clinician before starting indomethacin.

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14–21 days. Free from A$285.95 .

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Liam Parker
Medically reviewed by
Liam Parker
Chief Pharmacist and Head of Pharmacy Department | Registered Pharmacist (AHPRA)