Diacerein

It is an anthrquinone derivative. It inhibits Interiukin-1 (IL-1), an important cytokine implicated in osteoarthritis. Diacerein has beneficial effects on the anabolic processes that occur in the cartilage. It increases the production of transforming growth factor-b (TGF-b) that triggers chondrocyte proliferation and stimulates the production of coilagen, proteoglycans and hyaluronan.

Indications

Osteoarthritis, Symptomatic relief from deep achy pain, morning stiffness & muscle spasm.

Dosage

50 mg daily upto maximum of 100 mg/day.

Contra-Indications

Pregnancy, pediatrics, lactation.

Special Precautions

1.Hepatic impairment 2.Renal impairment

Side Effects

Loose motions that get resolved after first 2 weeks of treatment. Discolouration of urine. Skin allergy, rarely occurs.

Drug Interactions

Concomitant use of prokinetics/laxatives/antacid should be avoided.