Xevolac is a non steroidal anti inflammatory drug. This medicine works by reducing substances in the body that cause pain, fever, and inflammation. Xevolac nasal (for the nose) is used short-term (5 days or less) to treat moderate to severe pain. Xevolac may also be used for purposes not listed in Xevolac guide.
Xevolac side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Get emergency medical help if you have heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; or signs of a stroke--sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance. Stop using Xevolac nasal and call your doctor at once if you have:
bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;
slow heart rate;
pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating;
little or no urinating;
swelling, rapid weight gain;
liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or
severe skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Common side effects may include:
pain or irritation in your nose;
runny nose;
watery eyes;
throat irritation; or
mild rash.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. See also: Side effects (in more detail)
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Xevolac dosing
Usual Adult Dose for Pain:
The combined duration of use of parenteral, oral, and intranasal Xevolac should not exceed 5 days; the oral formulation is only to be used as continuation to IV or IM therapy. Intranasal: -Weight 50 kg or more: 31.5 mg every 6 to 8 hours -Weight less than 50 kg: 15.75 mg every 6 to 8 hours (1 spray in 1 nostril) -Maximum dose: 4 doses per day Parenteral: Single-Dose Treatment: -Weight 50 kg or more: 60 mg IM or 30 mg IV -Weight less than 50 kg: 30 mg IM or 15 mg IV Multiple-Dose Treatment: -Weight 50 kg or more: 30 mg IM/IV every 6 hours as needed Maximum dose: 120 mg/day -Weight less than 50 kg: 15 mg IM/IV every 6 hours as needed Maximum dose: 60 mg/day Oral, as continuation to parenteral therapy: Weight 50 kg or more: 20 mg orally once followed by 10 mg every 4 to 6 hours as needed Weight less than 50 kg: 10 mg orally once followed by 10 mg every 4 to 6 hours as needed Maximum dose: 40 mg/day Comments: -Do not increase the dose or frequency for breakthrough pain; consider supplementing with low dose opioids as needed, if appropriate. -Use minimum effective dose, and switch to alternative analgesics as soon as possible Use: For the short-term (5 days or less) management of moderately severe acute pain that requires analgesia at the opioid level, usually in a postoperative setting.
Usual Geriatric Dose for Pain:
The combined duration of use of parenteral, oral, and intranasal Xevolac should not exceed 5 days; the oral formulation is only to be used as continuation to IV or IM therapy. Intranasal: -Dose: 15.75 mg every 6 to 8 hours (one spray in 1 nostril) -Maximum dose: 4 doses per day Parenteral: -Single-Dose Treatment: 30 mg IM or 15 mg IV -Multiple-Dose Treatment: 15 mg IM/IV every 6 hours as needed Maximum dose: 60 mg/day Oral, as continuation to parenteral therapy: -Dose: 10 mg orally once followed by 10 mg every 4 to 6 hours as needed Maximum dose: 40 mg/day Comments: -Do not increase the dose or frequency for breakthrough pain; consider supplementing with low dose opioids as needed, if appropriate. -Use minimum effective dose and switch to alternative analgesics as soon as possible Use: For the short-term (5 days or less) management of moderately severe acute pain that requires analgesia at the opioid level, usually in a postoperative setting.
Usual Pediatric Dose for Pain:
The combined duration of use of parenteral, oral, and intranasal Xevolac should not exceed 5 days; the oral formulation is only to be used as continuation therapy to IV or IM. Intranasal: Age: Greater than 17 years: -Weight 50 kg or more: 31.5 mg every 6 to 8 hours -Weight less than 50 kg: 15.75 mg every 6 to 8 hours (1 spray in 1 nostril) -Maximum: 4 doses per day Oral, as continuation to parenteral therapy: Age: 17 years or older: -Weight 50 kg or more: 20 mg orally once followed by 10 mg every 4 to 6 hours as needed -Weight less than 50 kg: 10 mg orally once followed by 10 mg every 4 to 6 hours as needed Maximum dose: 40 mg/day Parenteral: Age: 17 years or older: Single-Dose Treatment: -Weight 50 kg or more: 60 mg IM or 30 mg IV -Weight less than 50 kg: 30 mg IM or 15 mg IV Multiple-Dose Treatment: -Weight 50 kg or more: 30 mg IM/IV every 6 hours as needed Maximum dose: 120 mg/day -Weight less than 50 kg: 15 mg IM/IV every 6 hours as needed Maximum dose: 60 mg/day Age: 2 to 16 years: Single-Dose Treatment: IM: 1 mg/kg up to a maximum of 30 mg IV: 0.5 mg/kg up to a maximum of 15 mg Maximum dose: 1 dose Comments: -Do not increase the dose or frequency for breakthrough pain; consider supplementing with low dose opioids as needed, if appropriate. -Use minimum effective dose and switch to alternative analgesics as soon as possible Use: For the short-term (5 days or less) management of moderately severe acute pain that requires analgesia at the opioid level, usually in a postoperative setting.
Can Xevolac be stopped immediately or do I have to stop the consumption gradually to ween off?
In some cases, it always advisable to stop the intake of some medicines gradually because of the rebound effect of the medicine.
It's wise to get in touch with your doctor as a professional advice is needed in this case regarding your health, medications and further recommendation to give you a stable health condition.
How should I take Xevolac?
Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
This medication comes with patient instructions for safe use, and directions for priming the nasal spray. Ask your doctor or pharmacist if you have any questions.
Xevolac nasal is usually given every 6 to 8 hours. Follow your doctor's instructions.
To use the Xevolac nasal spray:
Gently blow your nose before using the nasal spray.
The first time you use a new bottle, remove the clip and plastic cover and prime the unit by pumping 5 sprays into the air, away from your face, until a fine mist appears.
Tilt your head forward slightly and insert the tip of bottle into your nostril, pointing it away from the center of your nose. Breathe through your mouth while spraying gently into your nostril. Do not inhale or sniff while spraying. If your nose runs, gently sniff to keep the nasal spray from leaking out.
Use only the number of sprays prescribed by your doctor.
Put the plastic cap back on the bottle and store it in a dry place, out of direct sunlight.
Avoid getting this medication in your eyes. If this does happen, rinse with water or saline solution. Call your doctor if you have eye irritation for longer than 1 hour.
Do not use this medication for longer than 5 days unless your doctor has told you to.
Each bottle of this medicine contains 8 sprays for use within a 24-hour period. Throw the bottle away within 24 hours after your first use, even if there is still some medicine left in the bottle.
Store the unopened nasal spray bottles in a refrigerator. Do not freeze.
After opening a bottle, store it at room temperature away from moisture, heat, and light.
What other drugs will affect Xevolac?
Other drugs may interact with Xevolac, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.
Who should not take Xevolac?
Xevolac may increase your risk of heart attack or stroke, especially if you use it long term or have heart disease. Do not use this medicine just before or after any surgery, especially heart bypass surgery.
Xevolac may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using this medicine, especially in older adults.
You should not use this medicine if you are allergic to Xevolac, or if you have:
severe kidney disease;
a bleeding or blood clotting disorder;
asthma, or "aspirin triad syndrome," a severe allergic reaction caused by taking aspirin, or other NSAIDs (Advil, Aleve, Celebrex, Indocin, Naprosyn, Orudis, Voltaren, and others);
a closed head injury or bleeding in your brain;
a stomach ulcer, perforation, or a history of stomach or intestinal bleeding; or
if you are breast-feeding a baby.
Pentoxifylline or probenecid can interact with Xevolac nasal and should not be used at the same time.
Do not use Xevolac nasal if you are already taking aspirin or other NSAIDs, or using other forms of Xevolac (such as injections or pills you take by mouth).
To make sure Xevolac nasal is safe for you, tell your doctor if you have:
a history of heart attack, stroke, or blood clot;
heart disease, congestive heart failure, high blood pressure;
liver or kidney disease,
ulcerative colitis or Crohn's disease;
polyps in your nose;
if you take a blood thinner (warfarin, Coumadin);
if you have recently had surgery; or
if you smoke.
FDA pregnancy category D. Xevolac nasal may be harmful to an unborn baby if the mother uses the medication after 30 weeks of pregnancy. Using Xevolac nasal during labor can increase the risk of bleeding during childbirth. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
Xevolac nasal can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
Do not give this medicine to anyone younger than 18 years old.
Can Xevolac be taken or consumed while pregnant?
Please visit your doctor for a recommendation as such case requires special attention.
Can Xevolac be taken for nursing mothers or during breastfeeding?
Kindly explain your state and condition to your doctor and seek medical advice from an expert.
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Reviews
Following the study conducted by gmedication.com on Xevolac, the result is highlighted below. However, it must be clearly stated that the survey and result is based solely on the perception and impression of visitors and users of the website as well as consumers of Xevolac. We, therefore, urge readers not to base their medical judgment strictly on the result of this study but on test/diagnosis duly conducted by a certified medical practitioners or physician.
Patient reports
Patient reported useful
No survey data has been collected yet
Two patients reported side effects
Does the Xevolac Have Any Side Effects? Based on the survey report from users of gmedication.com, about No side effects number of people suffered some side effect after consumption of Xevolac. All drugs have a portion of undesirable side effects. These effects could be irritations too insignificant for the patient to even notice. However, the side effects of drugs may be determined by several factors like severity of disease and conditions associated with individual patients. However, one of the biggest factors is the dosage consumed. The higher the quantity taken by an individual, the greater the healing effect and the corresponding side effect. All patients have their different intensity of side effects. Ensure you consult your health care provider immediately you notice an unusual side effect affect the consumption of Xevolac.
Patients
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No side effects
1
50.0%
It has side effects
1
50.0%
Patient reported price estimates
No survey data has been collected yet
Patient reported frequency of use
No survey data has been collected yet
Patient reported doses
No survey data has been collected yet
Patient reported time for results
No survey data has been collected yet
One patient reported administration
When is the best condition to take Xevolac: Before or after food? Based on the survey, the users of gmedication.com voted that Xevolac is best taken at Before food. It is however worthy of mention that this popular vote may not be an appropriate description for your particular health condition. See your doctor for professional medical advice as regards the best time to take this medicine. If you wish to see the views of other users on the best time to take the medicine, simply click here.
Patients
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Before food
1
100.0%
Patient reported age
No survey data has been collected yet
Patient reviews
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