Artrodar

Artrodar Uses, Dosage, Side Effects, Food Interaction and all others data.

Artrodar is a prodrug which is metabolized to rhein. It is currently approved in France for the treatment of osteoarthritis although the use of diacerein is restricted due to the side effects including severe diarrhea . Artrodar is under investigation for the treatment of Insulin Resistance, Diabetes Mellitus (Type 2), and Diabetes-Related Complications.

Decreases inflammation and cartilage destruction and also corrects altered osteoblast acitivity .

Trade Name Artrodar
Generic Diacerein
Diacerein Other Names Diacerein, DiacereĆ­na
Weight 50mg
Type Capsule
Formula C19H12O8
Weight Average: 368.297
Monoisotopic: 368.053217346
Protein binding

99% of rhein is bound to plasma proteins .

Groups Approved, Investigational
Therapeutic Class
Manufacturer Highnoon Laboratories Ltd,, Elder Pharmaceuticals Ltd, Combiphar
Available Country Pakistan, India, Indonesia
Last Updated: September 19, 2023 at 7:00 am
Artrodar
Artrodar

Uses

Artrodar is an slow-onset anthraquinone IL-1 inhibitor used in the treatment of degenerative joint diseases like osteoarthritis.

For the treatment of osteoarthritis affecting the hip or knee .

Artrodar is also used to associated treatment for these conditions: Osteoarthritis in the Hip Joint, Osteoarthritis of the Knee

How Artrodar works

Artrodar's active metabolite rhein Rhein reduces cartilage destruction by decreasing expression of matrix metalloproteinase (MMP)-1 and -3 as well as upregulating tissue inhibitor of matrix metalloproteinases which serve to reduce the activity of several MMPs . The anti-inflammatory action of rhein reduces the level of interleukin-1beta activity which plays a large role in reduction of extracellular matrix production, MMP activity, and continued inflammation . Rhein reduces abnormal osteoblast synthetic activity through an unknown mechanism .

Toxicity

Rhein Rhein has an oral LD50 of >5000mg/kg in mice. This is equivalent to a diacerein dose of >6476mg/kg.

Volume of Distribution

15-60L .

Elimination Route

Bioavailability of 50-60% . Entirely converted to the active metabolite rhein Rhein before reaching systemic circulation.

Half Life

4-10h .

Clearance

Total CL is 1.5L/h and renal CL is 0.1L/h .

Elimination Route

37% excreted in urine and 53% in feces as estimated in rats .

Innovators Monograph

You find simplified version here Artrodar

FAQ

What is Artrodar used for?

Artrodar is a slow-acting medicine of the class anthraquinone used to treat joint diseases such as osteoarthritis.

How safe is Artrodar?

Artrodar is safe, apart from a substantially higher risk of diarrhoea, especially with longer-term use.Artrodar has an acceptable safety profile, particularly in comparison with that of NSAIDs and paracetamol. The ESCEO positions Artrodar as a first-line pharmacological background treatment of osteoarthritis.

How does Artrodar work?

Artrodar works by blocking the actions of interleukin-1 beta, a protein involved in the inflammation and destruction of cartilage that plays a role in the development of symptoms of degenerative joint diseases such as osteoarthritis.

What are the common side effects of Artrodar?

Common side effects of Artrodar are include:

  • Diarrhoea.
  • Stomach discomfort and pain.
  • Nausea.
  • Vomiting.
  • Yellowing of skin and eyes.
  • Urine discoloration.
  • Increase in liver enzyme levels.
  • Allergic skin reaction.

Is Artrodar safe during pregnancy?

Artrodar should not be administered during pregnancy.

Is Artrodar safe during breastfeeding?

Artrodar should not be administered during lactation.

Can I drink alcohol with Artrodar?

Patients should be advised to limit their alcohol intake while on treatment with Artrodar. 

Can I drive after taking Artrodar?

Artrodar may cause dizziness and drowsiness. So if you observe such symptoms, then do not drive.

When should be taken of Artrodar?

The recommended starting dose is 50 mg once daily with evening meal for the first 2 to 4 weeks of treatment, after which the recommended daily dose is 50 mg twice daily. 

Can I take Artrodar on an empty stomach?

The Artrodar should be taken with food, one with breakfast and the other with evening meal.

How often can I take Artrodar?

The recommended dose is 50 mg to be taken twice daily.

How long does Artrodar take to work ?

Artrodar starts showing its action in 2-3 hours. The duration of action of Artrodar is 27 hours

How long can Artrodar be taken?

The duration of action of Artrodar is 27 hours.

Who should not take Artrodar?

Artrodar should not be used in any patient with liver disease or a history of liver disease, and doctors should be monitoring their patients for early signs of liver problems.

Is Artrodar an antibiotic?

Artrodar is a novel antibacterial agent; the antibacterial breakpoint could not be found in the literature or in standards.

What happen If I missed a dose of Artrodar?

If you forget to take a dose of Artrodar, make sure that you remember to take your next dose when it is due. Do not take two doses together to make up for a missed dose.

What happen if I overdose on Artrodar?

Never take more than the prescribed dose. Seek emergency medical treatment or contact the doctor if you suspect that you might have taken an overdose of Artrodar.

Can Artrodar causes diarrhoea?

Artrodar may cause diarrhoea or loose stools in the first few days of treatment. Contact your doctor if the diarrhoea does not stop within 3-4 days.

Who should not take Artrodar?

Avoid taking Artrodar if you are allergic to it. Seek medical attention if you notice any allergic reactions such as skin rash, hives (painful, itchy eruptions that sting), swelling (face, lips, tongue, etc.), breathing difficulty, etc. Artrodar is excreted through the kidneys. 

If you have pre-existing kidney problems, this medicine may accumulate in your kidneys and further worsen your condition. Hence, this medicine is not recommended for use if you have kidney problems.

Can Artrodar affects my heart ?

Artrodar Improves Left Ventricular Remodeling and Cardiac Function by Reducing the Inflammatory Response after Myocardial Infarction.

Does Artrodar cause kidney damage?

Artrodar has shown to be safe and effective in patients with moderate to severe renal impairment, and dose adjustment is not required in these patients.

Can Artrodar affects my liver?

Around 0.5% of patients on Artrodar had some kind of liver reaction, with most cases being mild, reversible increases in serum transaminases.

*** Taking medicines without doctor's advice can cause long-term problems.
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