Xefocam: effective pain relief for injuries and diseases

Dosage forms and composition

Xefocam contains one active component - lornoxicam, which affects the production of prostaglandins. The drug is produced:

In tablet form: with a dosage of 4–8 mg. Formative components: silicon dioxide, starch, lactose, magnesium stearate. White oblong pills are packaged in paper cellular blisters of 10 pieces. On the surface they have an engraving Lo and a dose designation - the number 4 or 8. The cardboard packaging of the medicine contains from 10 to 50 tablets.
In the form of a lyophilisate for the preparation of solutions. Yellow dense mass placed in glass bottles - 5 pieces per package. One container contains a medicine in a dose of 8 mg, auxiliary compounds: mannitol, tromethanol.

Types of osteoporosis

There are different types of osteoporosis. Doctors distinguish primary osteoporosis, the varieties of which are:

postmenopausal;
senile – diagnosed in elderly people;
juvenile – diagnosed in adolescents;
idiopathic - it is impossible to establish a reliable cause of development.

The development of secondary osteoporosis is caused by one of the diseases of the endocrine system:

Itsenko-Cushing syndrome, which is accompanied by increased production of hormones by the adrenal cortex;
thyrotoxicosis, in which hyperfunction of the thyroid gland is diagnosed;
hypogonadism or hyperparathyroidism, in which parathyroid hormones are intensively produced;
type 1 diabetes mellitus;
insufficiency of endocrine function.

Other causes of secondary osteoporosis include:

diseases of the rheumatic type - the presence of systemic lupus erythematosus, rheumatoid arthritis, ankylosing spondylitis;
diseases of the digestive system - pathological processes in the liver of a chronic nature, diseases of the pancreas, malabsorption syndrome, previous surgery;
kidney pathologies - renal failure, tubular acidosis;
diseases of the hematopoietic system - leukemia, lymphoma, myeloma, hemophilia, mastocytosis;
genetic disorders;
secondary osteoporosis, which develops as a result of alcohol abuse;
secondary osteoporosis, which develops as a result of taking certain medications.

There is a classification according to the severity of the disease:

pathological fractures are present;
there are no pathological fractures.

Classification by prevalence:

localized – one of the parts of the spine, one limb or group of bones is affected;
diffuse - most often diagnosed, affecting all bone structures of the human skeleton.

Mechanism of action

Lornoxicam belongs to the category of non-opioid analgesics. In the body, it inhibits the activity of the enzyme cyclooxygenase, which is responsible for the synthesis of neurotransmitters of pain and inflammation. It also slows down oxidation reactions. The substance does not affect the thermoregulation center, breathing, the functioning of the cardiovascular system, and does not cause drug dependence.

Xefocam in tablets and solution is quickly absorbed into the blood, binding to its proteins. The analgesic effect is observed after 15–20 minutes, reaching its maximum after 1.5–2 hours. Within 3.5–4 hours, the substance is filtered by liver cells and gradually eliminated from the body through the kidneys and intestines. During its activity and elimination, the drug produces almost no metabolites.

If the instructions are followed, Xefocam does not have a pronounced toxic effect on internal organs. Its components do not accumulate in tissues. The product is approved for use by physical parameters in weakened people, with insufficient liver function and excretory system.

Medicines for fractures

To restore the integrity of the damaged bone and surrounding tissues, not only plaster casting is used, but also special medications that relieve pain and accelerate the regeneration of damaged tissues and bone fusion. What medications are used for fractures?

Features of drug therapy for fractures

For fractures, it is necessary to take a whole range of different medications to speed up the process of restoring the integrity of damaged bones and relieve pain:

painkillers,
vitamin complexes to replenish calcium reserves in the body,
preparations for the restoration of cartilage and bone tissue,
medications to stimulate regeneration processes of damaged bone areas,
vitamin complexes and immunomodulators to maintain immunity.

Painkillers

Any fracture is accompanied by pain. Depending on the intensity of the pain, you can use painkillers for fractures:

Analgin,
Ketanov,
Ketorol,
Nise,
Ibuprofen,
Paracetamol,
Pentalgin,
Sedalgin,
Solpadeine,
Tempalgin.

The intensity of pain from a fracture will depend on the patient's pain threshold and the type and severity of the bone injury.

Diuretics

Fractures are often accompanied by edema and fluid retention in the body, so taking diuretics in this case will help get rid of the swelling. Diuretic medications that can be taken after a fracture:

Veroshpiron,
Diakarb,
Inlapamide,
Mannitol,
Torasemide,
Furasemide.

Preparations containing calcium

Calcium is a building material for bones; in case of fractures, the body needs it for the speedy healing of damaged tissues. For any fractures, doctors prescribe medications containing calcium. It is important that calcium is better absorbed if you take vitamin complexes containing vitamin D in parallel with it. Medicines containing calcium for fractures:

Calcium gluconate,
Calcemin Advance,
Kalcemin Silver,
Calcemin,
Calcium D3 Nycomed,
Feminex Calcium.

Ointments and gels

To relieve pain and speed up recovery from fractures, various ointments and gels are used:

1. Pain relieving ointments:

Anesthetic ointment,
Diclofenac,
Ketonal,
Lidocaine ointment.

2. When a fracture occurs, multiple damage to blood vessels occurs, as a result of which the blood circulation process is disrupted. Swelling appears in the area of the fracture, which deforms the fracture site and also causes pain. In such cases, decongestant ointments help, which stimulate lymph flow and promote the resorption of edema:

Heparin ointment,
Indovazin,
Lazonil.

3. Warming ointments contain components based on mustard and red pepper; they stimulate blood flow to the tissues and improve blood circulation. The result of using such drugs for fractures is the activation of lymph flow and improvement of microcirculation in tissues. Warming ointments are used exclusively for closed fractures during the rehabilitation period:

Kapsikam,
Nicoflux,
Finalgon.

4. Ointments based on bee venom contain various enzymes, proteins, amino acids that accelerate healing. Bee venom increases tissue temperature, stimulates lymph flow, and dilates blood vessels. Popular preparations based on bee venom:

Apizartron,
Viprosal,
Virapin,
Vipratox.

Products with chondroitin

During the process of bone fusion, it is important that the restoration of cartilage tissue proceeds correctly. For these purposes, preparations containing chondroitin are used. An example of such drugs:

Teraflex,
Chondroitin.

Homeopathic medicines

Homeopathic medicines can be used in the complex treatment of fractures to relieve pain, as well as to restore damaged tissue. Homeopathic medicines for bone fractures:

Arnica, Ledum - drugs that reduce bruising, swelling, and have a mild anesthetic effect.
Symphytum is an effective remedy for damage to cartilage tissue and periosteum.
Ruta graveolens is a drug that promotes the restoration of tissue damaged as a result of a fracture.

Hypericum is a homeopathic remedy that is used for fractures in places where there are a large number of nerve endings.

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When is Xefocam indicated: instructions

Among the indications for taking the medication: pain of various origins, subject to the action of non-steroidal analgesics. Including those caused by:

rheumatoid arthritis;
deforming arthrosis;
gout;
ankylosing spondylitis.

The medication effectively reduces pain to moderate and moderate-to-severe intensity. Xefocam does not affect the general course of diseases; it is used only for symptomatic therapy: in short courses.

The drug is used with caution for pathologies of the gastrointestinal tract, smoking, alcoholism, heart failure, and diabetes.

Prevention of fractures in old age

Orthopedists recommend thinking about this problem without waiting for old age. At any age, it is advisable to lead an active lifestyle, choose feasible sports, and eat right. In order to prevent osteoporosis and fractures, you can stick to a diet that resembles diet therapy for arthrosis. It is necessary to add sea fish, dairy products, butter, cottage cheese, cheese, yogurt, all types of cabbage, nuts and spinach to the menu.

A special vitamin and mineral complex for bones will also not be amiss. If you are already worried about joint pain, get diagnosed to know the enemy by sight. Degenerative-dystrophic changes in cartilage tissue contribute to bone fractures, so coxarthrosis or gonarthrosis should not be ignored. Timely courses of intra-articular injections of liquid endoprosthesis will help avoid complications.

To whom is Xefocam contraindicated?

It is necessary to stop using an analgesic:

with bronchial asthma complicated by polyposis;
for erosive and ulcerative lesions of the mucous membranes of the stomach and intestines;
internal bleeding, suspicion of its presence;
decreased blood clotting, impaired hematopoietic functions;
Crohn's disease;
in the period after heart surgery;
in case of severe liver dysfunction: cirrhosis, acute hepatosis, hepatitis;
in case of individual intolerance or allergic reactions to the drug.

Contraindications also include: all stages of pregnancy, children under 18 years of age.

Features of fractures of different bones

Fractures of the radius.

When falling onto an arm outstretched in front of them, older people often injure the distal radius. If the fracture is simple, it is enough to apply a plaster splint or a polymer bandage. When the doctor suspects difficult fusion of fragments or diagnoses their displacement, knitting needles are applied.

After treatment, a special rehabilitation set of exercises is prescribed for approximately 6 weeks to restore muscle strength in the limb. In the presence of arthrosis of the wrist joint, rehabilitation is more difficult, since movements are limited and often cause additional pain.

Fracture of the neck of the humerus.

This injury is also common among the elderly and occurs as a result of a fall from a height of one’s own height onto the elbow or a sharp tug on the arm. If the fracture is not accompanied by displacement, the arm is simply fixed using a special bandage. If the fragments have separated, they are combined under local anesthesia or a skeletal traction procedure is performed. In severe cases, plates are applied. The immobilization period is at least 6 weeks.

Supracondylar fractures.

They happen when you fall on your arm - they are less common than others, but they also cause great discomfort to a person, especially if he has already progressed osteoarthritis of the elbow joint. A plaster cast is applied to the limb, the arm is fixed with a bandage, and in severe cases, skeletal traction of the arm or surgery is performed.

Femoral neck fracture.

This area is very poorly supplied with blood, which explains the long fusion of bones. In old age, such a fracture rarely occurs without surgery - most often osteosynthesis is practiced using a knitting needle, plate or pin. The rehabilitation period consists of long months of exercise therapy, physiotherapy and other measures to restore mobility.

90% of patients who fractured a femur are over 65 years of age

Trochanteric fractures of the femur.

They are also a consequence of osteoporosis - brittle bones. The femur heals very slowly, so treatment is rarely possible without surgery. The recovery period takes at least six months. These patients require assistance with daily routines. Housing needs to be adapted to their needs, taking into account their low mobility.

Fractures of the tibial condyles.

Such knee injuries do not occur as often in old age as the consequences of osteoarthritis of the knee joint. The fracture is accompanied by hemorrhage into the knee cavity. The patient is given a plaster cast or an Ilizarov apparatus is placed. Sometimes it is necessary to install plates or screws. During a long recovery period of at least 6 months, physiotherapy, massages and other activities are carried out.

Ankle fractures.

Occurs as a result of a person falling on a twisted leg or due to inaccurate tucking of the legs. Treatment tactics are the application of a plaster splint with a metal “stirrup” so that the patient can rest on the injured leg without a crutch. If the case is simple, the healing period does not exceed two months.

Fractures of the femur in old age are the most dangerous

Side effects of the drug

Occasionally, while using Xefocam, nausea, dry mouth, decreased appetite, abdominal cramps, and swelling occur. In isolated cases, it is also possible:

physical weakness, drowsiness;
weight loss;
increased irritability;
the appearance of stomatitis;
exacerbation of gastritis.

Overdose increases the risk of internal bleeding and perforation of a stomach ulcer.

How to use Xefocam

The medication in tablets is prescribed to adults at 4–8 mg per day. The maximum dose per day is 16 mg. The pills should be swallowed without chewing, with 50–100 ml of water. It is important to follow the regimen, taking the medicine orally before meals - 30–40 minutes. Food slows down absorption and reduces the activity of the analgesic in severe pain.

Xefocam injections are given intramuscularly or intravenously. A single dose of the drug is 8 mg. Before administration, the lyophilisate from the bottle is diluted with distilled water in a volume of 2 ml. If necessary, the injection of the drug is repeated after 4–6 hours.

Which painkillers are better

It is impossible to clearly choose which tablets are better. Not only the composition and principle of operation decide a lot, but even the quality of raw materials and production technology. The Vyborexperta.ru rating presents 12 current proposals, and several nominees stand out in particular:

Nurofen forte – triple action and pronounced pain relief due to the increased concentration of NSAIDs;
Paracetamol is a popular choice, acceptable for use in childhood, pregnancy and breastfeeding;
Pentalgin is a polycomposition that works to relieve spasms, relieve inflammation, and suppress pain symptoms;
Ibuklin - emergency care for high temperatures, a wide range of pain relief, the presence of a children's form;
Diclofenac retard Obolenskoe - good help for pathologies of the musculoskeletal system, joints, muscles, prolonged work;
Ketonal DUO is a fast and at the same time prolonged action, a multifunctional medicine in the form of capsules, gentle on the stomach.

The pharmaceutical market offers a wide range of modern analgesics. You should not use them frequently or on an ongoing basis without your doctor's approval. They can mask the clinical picture, making timely detection of diseases difficult.

Compatibility of the drug with alcohol and other medications

During the period of use of the medication, alcohol should be avoided, since ethanol greatly enhances its toxic effect. Caution is necessary when using Xefocam simultaneously with Cimetidine, Heparin, Methotrexate, Corticotropin, diuretics, antihypertensive drugs from the group of beta blockers and ACE inhibitors. As a result of their combination, a mutual increase in toxicity is likely.

Xefocam is not recommended to be combined with other non-steroidal analgesics, since all of them are characterized by an anticoagulant effect - a decrease in blood clotting.

During the treatment period, you should also refrain from driving a car or operating complex equipment. Xefocam affects the speed of motor skills and mental reactions, which increases the risk of accidents.

Rating of painkillers

When compiling the top rating, we held a series of consultations with leading Russian doctors on the topic of which tablets anesthetize pain of varying intensity and etiology. Taking into account their practical experience, leaders in efficiency were identified, and criteria for selecting nominees were outlined:

Content;
Principle of operation;
Speed of onset of effect;
Duration of analgesic effect;
Conditions of use;
Age restrictions, contraindications;
Price, manufacturer company.

The result of the comparative analysis was a top list of 12 positions. For convenience, we have divided it into 2 subsections - drugs sold in pharmacies without a prescription, as well as prescription strong painkillers for severe symptoms. Review monitoring showed the pros and cons of the nominees.