Dik
Dik Uses, Dosage, Side Effects, Food Interaction and all others data.
Dik 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 . Dik 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 | Dik |
| Generic | Diacerein |
| Diacerein Other Names | Diacerein, Diacereína |
| Weight | 50mg |
| Type | Tablet |
| 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 | Remex Pharmaceuticals Ltd |
| Available Country | India |
| Last Updated: | September 19, 2023 at 7:00 am |
Uses
Dik 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 .
Dik is also used to associated treatment for these conditions: Osteoarthritis in the Hip Joint, Osteoarthritis of the Knee
How Dik works
Dik'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 Dik
FAQ
What is Dik used for?
Dik is a slow-acting medicine of the class anthraquinone used to treat joint diseases such as osteoarthritis.
How safe is Dik?
Dik is safe, apart from a substantially higher risk of diarrhoea, especially with longer-term use.Dik has an acceptable safety profile, particularly in comparison with that of NSAIDs and paracetamol. The ESCEO positions Dik as a first-line pharmacological background treatment of osteoarthritis.
How does Dik work?
Dik 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 Dik?
Common side effects of Dik 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 Dik safe during pregnancy?
Dik should not be administered during pregnancy.
Is Dik safe during breastfeeding?
Dik should not be administered during lactation.
Can I drink alcohol with Dik?
Patients should be advised to limit their alcohol intake while on treatment with Dik.
Can I drive after taking Dik?
Dik may cause dizziness and drowsiness. So if you observe such symptoms, then do not drive.
When should be taken of Dik?
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 Dik on an empty stomach?
The Dik should be taken with food, one with breakfast and the other with evening meal.
How often can I take Dik?
The recommended dose is 50 mg to be taken twice daily.
How long does Dik take to work ?
Dik starts showing its action in 2-3 hours. The duration of action of Dik is 27 hours
How long can Dik be taken?
The duration of action of Dik is 27 hours.
Who should not take Dik?
Dik 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 Dik an antibiotic?
Dik 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 Dik?
If you forget to take a dose of Dik, 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 Dik?
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 Dik.
Can Dik causes diarrhoea?
Dik 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 Dik?
Avoid taking Dik 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. Dik 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 Dik affects my heart ?
Dik Improves Left Ventricular Remodeling and Cardiac Function by Reducing the Inflammatory Response after Myocardial Infarction.
Does Dik cause kidney damage?
Dik 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 Dik affects my liver?
Around 0.5% of patients on Dik had some kind of liver reaction, with most cases being mild, reversible increases in serum transaminases.
