Jofen

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Jofen uses


Pharmacological action

Jofen is a centrally acting muscle relaxant; GABAB-receptor agonist. It depresses mono-and polysynaptic reflexes presumably by reducing the release of excitatory amino acids from the terminals which occurs as a result of stimulation of presynaptic GABA-receptors. This medication does not affect the transmission of impulses in the nerve-muscle synapses; reduces skeletal muscle tone; has a moderate analgesic effect.

Pharmacokinetics

When Jofen administered orally Jofen is rapidly and completely absorbed from the gastrointestinal tract. Cmax plasma levels achieved in 2-3 hours after administration. Plasma protein binding is about 30%. Jofen crosses the placental barrier, excreted in breast milk; metabolized in the liver; excreted in the urine, mainly unchanged.

Why is Jofen prescribed?

skeletal muscle spasticity in multiple sclerosis

spastic conditions of the spinal cord in diseases of infectious, degenerative, traumatic genesis

children cerebral palsy

Dosage and administration

For oral administration of Jofen for adults at the beginning of treatment - 5 mg 3 times / day. For each 4-day treatment dose increased to 5 mg 3 times / day to the development of optimal therapeutic effect. Average daily dose is 30-75 mg, if necessary may increase up to 100-120 mg. The final daily dose is set individually so that together with the weakening of clonus and muscle spasms persisted muscle tone, which is sufficient for the implementation of active movements.

For patients with increased sensitivity to pharmaceutical drugs initial daily dose of Jofen may be 5-10 mg, followed by a slower increase. For patients with renal insufficiency and during hemodialysis daily dose is 5 mg.

For children under 10 years daily dose is 0.75-2 mg / kg, over 10 years - 2.5 mg / kg. Treatment starts with a dose of 2.5 mg 4 times / day. Daily dose as for adults choose individually, increasing it every 3 days, in accordance with the clinical course of disease. Maintenance dose for children aged 1-2 years is 10-20 mg / day; for children aged 2-10 years - 30-60 mg / day.

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Jofen side effects, adverse reactions

CNS and peripheral nervous system: drowsiness, dizziness ; sometimes - apathy, fatigue, sleep disturbances, confusion; rarely - euphoria, depression, paresthesia, myalgia, muscle weakness, ataxia, tremor, nystagmus, accommodation disturbances, hallucinations; may be more frequent seizures and lowering the threshold of their appearance.

Digestive system: nausea, sometimes there are dry mouth, constipation, diarrhea, and in some cases - liver function abnormalities.

Cardiovascular system: sometimes - hypotension, deterioration of the cardiovascular system.

Other: sometimes - respiratory depression, rarely - dysuria, enuresis.

Side effects occur mainly at the beginning of treatment, with the rapid increase in dose, when administered a dose of 60 mg / day, as well as in elderly patients.

Contraindications

During pregnancy (especially in I trimester) Jofen can be used only for health reasons.

Special instructions

Selection of individual daily dose of Jofen recommended in the hospital.

Side effects are often transient, may disappear or decrease at lower doses of Jofen Sanis Health. The need to interrupt therapy is rare. Side effects of Jofen should be distinguished from symptoms of the disease which are treated. A cancellation of Jofen should be conducted gradually, reducing the dose for 1-2 weeks.

With careful use in cerebrovascular disorders, psychotic states, schizophrenia, stomach ulcers and duodenal ulcers, respiratory failure, violations of liver and kidney, as well as in elderly patients. If concomitant treatment of epilepsy should be under strict medical supervision and without interruption of adequate therapy by anticonvulsant drugs. Patients with dysuria after Jofen treatment can be observed hypertonicity of sphincter of the bladder and urine retention.

In patients with liver disease and diabetes should periodically monitor the level of hepatic transaminases, alkaline phosphatase and blood sugar.

During the treatment should refrain from potentially hazardous activities requiring increased attention and rapid psychomotor reactions.

Jofen drug interactions

With the simultaneous application of Jofen increases the effects of antihypertensive drugs, ethanol.

In an application of Jofen with tricyclic antidepressants can significantly decrease muscle tone.

There is a described case of toxic reactions caused by the action of Jofen (disturbance of consciousness, confusion, bradycardia, impaired visual acuity, hypotension, hypothermia) while using with ibuprofen in elderly patients with impaired renal function.

In an application with lithium therapy may be severe manifestations of hyperkinetic symptoms.

Patients suffering from Parkinson's disease while the application of Jofen with levodopa and carbidopa may have hallucinations, confusion, agitation.

Jofen in case of emergency / overdose

Symptoms: vomiting, muscular hypotonia, drowsiness, impaired accommodation of the eye, coma, respiratory depression, convulsions.

Treatment: induction of vomiting or gastric lavage, taking activated charcoal, symptomatic and supportive therapy (mechanical ventilation, maintenance of cardiovascular activity). There is no specific antidote.

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Jofen pharmaceutical active ingredients containing related brand and generic drugs:


Jofen available forms, composition, doses:


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Jofen Anatomical Therapeutic Chemical codes:


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References

  1. Dailymed."BACLOFEN TABLET [LAKE ERIE MEDICAL & SURGICAL SUPPLY DBA QUALITY CARE PRODUCTS LLC]". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
  2. Dailymed."BACLOFEN: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
  3. "baclofen". https://pubchem.ncbi.nlm.nih.gov/co... (accessed August 28, 2018).

Frequently asked Questions

Can i drive or operate heavy machine after consuming Jofen?

Depending on the reaction of the Jofen after taken, if you are feeling dizziness, drowsiness or any weakness as a reaction on your body, Then consider Jofen not safe to drive or operate heavy machine after consumption. Meaning that, do not drive or operate heavy duty machines after taking the capsule if the capsule has a strange reaction on your body like dizziness, drowsiness. As prescribed by a pharmacist, it is dangerous to take alcohol while taking medicines as it exposed patients to drowsiness and health risk. Please take note of such effect most especially when taking Primosa capsule. It's advisable to consult your doctor on time for a proper recommendation and medical consultations.

Is Jofen addictive or habit forming?

Medicines are not designed with the mind of creating an addiction or abuse on the health of the users. Addictive Medicine is categorically called Controlled substances by the government. For instance, Schedule H or X in India and schedule II-V in the US are controlled substances.

Please consult the medicine instruction manual on how to use and ensure it is not a controlled substance.In conclusion, self medication is a killer to your health. Consult your doctor for a proper prescription, recommendation, and guidiance.

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Review

sdrugs.com conducted a study on Jofen, and the result of the survey is set out below. It is noteworthy that the product of the survey is based on the perception and impressions of the visitors of the website as well as the views of Jofen consumers. We, as a result of this, advice that you do not base your therapeutic or medical decisions on this result, but rather consult your certified medical experts for their recommendations.

Visitor reports

Visitor reported useful

No survey data has been collected yet

Visitor reported side effects

No survey data has been collected yet

Visitor reported price estimates

No survey data has been collected yet

Visitor reported frequency of use

No survey data has been collected yet

Two visitors reported doses

What is the dose of Jofen drug you are taking?
According to the survey conducted among sdrugs.com website users, the maximum number of people are using the following dose 51-100mg. Few medications come in only one or two doses. Few are specific for adult dose and child dose. The dose of the medicine given to the patient depends on the severity of the symptom/disease. There can be dose adjustments made by the doctor, based on the progression of the disease. Follow-up is important.
Visitors%
51-100mg2
100.0%

Two visitors reported time for results

What is the time duration Jofen drug must be taken for it to be effective or for it to reduce the symptoms?
Most chronic conditions need at least some time so the dose and the drug action gets adjusted to the body to get the desired effect. The stastistics say sdrugs.com website users needed 2 days to notice the result from using Jofen drug. The time needed to show improvement in health condition after using the medicine Jofen need not be same for all the users. It varies based on other factors.
Visitors%
2 days1
50.0%
1 day1
50.0%

Visitor reported administration

No survey data has been collected yet

Five visitors reported age

Visitors%
1-52
40.0%
6-152
40.0%
< 11
20.0%

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The information was verified by Dr. Rachana Salvi, MD Pharmacology

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