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