Almost every person has experienced pain in bones and joints in his life. The problem is most acute for the elderly, as well as professional athletes.
However, young people who have joint pain after bruises or sprains are turning to the clinic more and more often with similar complaints.
One of the most popular drugs recommended by doctors is the Aertal medicine, which has several analogues on the market.
Structure
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. The indicated 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 the tablets is well absorbed in the stomach and is practically unchanged by the kidneys from the body. And the cream penetrates freely into the blood through the outer skin.
Indications for use
Aertal is used in medicine both as an anesthetic and as a healing agent. To suppress pain, the drug is used for shoulder-shoulder arthritis, rheumatic tissue damage, and also for acute toothache. Aertal is used as an effective treatment for osteoarthritis, spondylitis and arrheumatoid arthritis.
Contraindications
The strictest ban on the use of "Aertal" is imposed for 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.
It is necessary to use Aertal with caution in case of lesions of the digestive tract mucosa, impaired renal and hepatic function, diabetes mellitus, hyperkalemia, acute rhinitis, and urticaria.
During lactation, while taking the drug, it is better to abandon breastfeeding.
Side effects
In the gastrointestinal tract, nausea, vomiting, changes in stool, pain in the intestines, development or progression of peptic ulcer, intestinal colic, flatulence can be observed.
As for the central nervous system, periodic headache and dizziness, sleep disturbances, memory loss, convulsions, irritability are possible.
In rare cases, the drug itself or a cheap analogue of Aertal can cause tinnitus, hearing and vision impairment, and loss of orientation. Extremely rare epidermal necrolysis, exudative erythema, anaphylactic shock, bronchial asthma, eczema, nephritis, tachycardia, hematuria.
During the treatment with cream, the appearance of urticaria, photosensitivity and slight skin irritation are possible.
In case of an overdose, gastric lavage and the use of sorbents are necessary. 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 use of "Aertal" with lithium and digoxin preparations, since this increases the concentration of the active substance in an uncontrolled manner. When using diuretics, a decrease in effectiveness and the development of hyperkalemia is possible. With the use of several non-steroidal anti-inflammatory drugs at once, the risk of developing peptic ulcer increases significantly. Acetylsalicylic acid reduces the concentration of Aertal and causes bleeding.
With the combined 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.
With the simultaneous administration of anticoagulants, the risk of bleeding increases and monitoring of blood coagulation indicators is necessary.
Oral contraceptives and the Aertal analogue are taken with caution.
While taking the drug should completely abandon alcohol-containing drinks.
Use during pregnancy and lactation
In Aertal clinical trials, analogues and other similar drugs were not involved. 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. A newborn may have prolonged pulmonary hypertension.
The drug itself and the Aertal analogue have no evidence of the teratogenic effect in humans. However, in experimental studies on rabbits, in some cases, morphological changes in the fetus were manifested.
Data on the allocation of acyclofenac with milk are also absent. In rat studies, the transmission of radioactive acyclofenac through milk has not been established.
In general, the drug and a cheap analogue of Aertal are prohibited for use during pregnancy and lactation. Only in exceptional cases is their admission in the second trimester allowed. The decision on the use of these funds is taken only after a competent assessment of the expected benefits to the mother and the potential threat to the child.
Dosage and administration
Aertal tablets are prescribed to adults one at a time twice a day, without chewing and drinking plenty of plain water.
The cream is used only externally and its application is avoided in the presence of pressure dressings. The product is applied three times a day with light massage movements. Aertal peas are enough for about 5-7 square centimeters of the skin surface.
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. Do not allow the cream to get on the mucous membranes and eyes, apply only to intact skin, then wash your hands thoroughly with water.
With the systematic use of pills, you should abandon classes in potentially dangerous activities that require concentration and quick response, 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 function of the kidneys and liver.
To reduce the risk of complications in the gastrointestinal tract, Aertal should be taken in the shortest possible effective dose.
Release form and storage conditions
Coated tablets - 100 mg each. Cream in an aluminum tube - 60 g.
Store in a dry place at a temperature not exceeding 25 degrees.
Similar 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. Acyclofenac is also their main active ingredient, however, the price is much lower due to the fact that domestic pharmacological companies are involved in the production of these drugs.
All of these funds have a dosage similar to Aertal, side effects and contraindications. Please note that even if you have previously taken Aertal, the instructions for use (analogues) should be carefully studied.
If a person has hypersensitivity to acyclofenac, the Aertal analogue containing this substance in its composition is categorically not suitable for use. You can choose a medicine with another 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, relieve the condition.
Quite popular is such an analogue of Aertal as Movalis, the active substance of which is meloxicam. The latter has much fewer side effects and contraindications, but its price is also high.
Aertal: analogues, substitutes in the form of ointments and creams
Since the negative and adverse reactions with external agents are much less than with drugs taken orally, creams are very popular. Unlike tablets, they can also be used by patients with diseases of the stomach and intestines, liver, kidneys, with peptic ulcer, as well as with hypersensitivity to internal organs.
A popular remedy is Aertal cream, the analogues of which are no less effective. These include Diclofenac, Indomethacin, Veral, Diclogel, Olfen, Revmaline and many others.
All of them belong to the group of non-steroidal anti-inflammatory drugs and are indicated for external use only.
Reviews about the drug
About Aertal (analogues) reviews are mostly positive. However, the correct prescription of the drug by the doctor, as well as patient compliance with the rules for taking the drug, plays an important role in this. The reviews and recommendations specify that the most effective drug is to relieve joint, headache and toothaches. Moreover, taking "Aertal" (tablets), analogues and substitutes is better after eating, so as not to irritate the mucous membrane of the stomach.
In most negative reviews, side effects such as dizziness, nausea, abdominal pain and upset stool are most often indicated.
Drug Prices
331 - 454 rubles per 20 tablets - the price of the Aertal preparation fluctuates within such limits. Analogues are cheaper too. For example, “Acefen” costs within 350 rubles, “Zerodol” - no more than 200 rubles. A medicine with another active substance, for example, Diclofenac, costs 80 rubles for 20 tablets, Ketanov - 60 rubles for the same amount.
Cream Aertal costs 160 - 200 rubles. Analogs are cheaper: "Diclofenac" (ointment) - 30 rubles, "Indomethacin" - 60 rubles.
To 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. Everyone decides whether to buy Aertal or its analogues in one form or another. But in any case, you must first consult a doctor.