Diflunisal
Diflunisal is a newer NSAID (non-steroidal anti-inflammatory drug) chemically derived from salicyclic acid. It relieves pain and reduces inflammation. Diflunisal is commonly used to treat pain, swelling and stiffness associated with arthritis.
Primary Characteristics
It is of Synthetic origin and belongs to Salicylic Acid.
It belongs to Cyclo-oxygenase inhibitor pharmacological group on the basis of mechanism of action. It is also classified under Analgesics and Anti-inflammatory Agents .
Molecular Weight: 250.2 · Solubility in Water: insoluble · Solubility in Alcohol: soluble · Non-proprietary name: Diflunisal.

Pharmacokinetics
Absorption: Diflunisal has an oral bioavailability is 94% (±4%).
Distribution: Diflunisal has a volume of distribution is 7.5 litre. plasma protein binding is 99%.
Elimination: it is metabolised via extensive, hepatic, plasma half-life is 10.8 hr (8-12 hr), renal excretion is 80-95%.
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Indications
Diflunisal is primarily indicated in conditions like Dental surgery, Dysmenorrhoea, Mild to moderate pain, Osteoarthritis, Pain, Rheumatoid arthritis, Sprains, Strains.
Contraindications
Diflunisal is contraindicated in conditions like Peptic ulcer, Bronchospasm, Renal diseases.
Dosage
Diflunisal's dosage details are as follows:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 5.357 mg/kg | 5.357 mg/kg | Every 12h | PO | Maintenance, As Required |
| 7.143 mg/kg | 7.143 mg/kg | — | PO | Initially for Once |
| Paediatric Dosage (20kg) | ||||
| No data. | ||||
| Neonatal Dosage (3kg) | ||||
| No data. | ||||
Drug Interactions
Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Side Effects
Diflunisal in overdosage may give rise to further complications which include Stevens johnson syndrome , Jaundice , Gi bleeding , Renal failure , Gastric ulceration , Acute interstitial nephritis .
Diflunisal is known to cause more or less tolerable side effects which are usually transient. These include Dizziness, GI symptoms, Headache, Tinnitus.
Warnings / Precautions
Interference in Pathology
Diflunisal may interfere in the diagnosis of Liver Function Test (LFT) .
Available Brands
Storage Conditions
Drug Classification
- 1.2.1.3 — Non steroidal anti-inflammatory drugs (NSAIDs)
Manufacturers
Manufacturers of Diflunisal in Pakistan: