Indomethacin For Injection

  • CHF and arrhythmias

Indomethacin For Injection Generic Name & Formulations

General Description

Indomethacin 1mg/vial; lyophilized pwd for IV infusion after reconstitution.

Pharmacological Class

NSAID (indole deriv.).

How Supplied

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Indomethacin For Injection Indications


Closure of hemodynamically significant patent ductus arteriosus in premature infants weighing 500‒1750g when after 48 hours of usual medical management is ineffective.

Indomethacin For Injection Dosage and Administration


Not applicable.


Give by IV infusion over 20‒30mins at 12‒24hr intervals for a total of 3 doses; monitor urinary output. Age <48hrs: initially 0.2mg/kg, then 0.1mg/kg for doses 2 and 3; 2‒7days old: 0.2mg/kg for all three doses; >7days old: initially 0.2mg/kg, then 0.25mg/kg for doses 2 and 3. If anuria or oliguria (urinary output <0.6mL/kg/hr) is evident at time of 2nd or 3rd dose, suspend therapy until renal function is normal. May give a second course of 1‒3 doses if ductus arteriosus re-opens. If unresponsive after 2 courses, surgery may be needed.

Indomethacin For Injection Contraindications


Untreated infection. Active intracranial hemorrhage or GI bleeding. Thrombocytopenia. Coagulations disorders. Necrotizing enterocolitis. Significant renal impairment. Congenital heart disease in which ductus arteriosus patency is necessary for satisfactory pulmonary or systemic blood flow.

Indomethacin For Injection Boxed Warnings

Not Applicable

Indomethacin For Injection Warnings/Precautions


Volume depletion. CHF. Sepsis. May mask signs of infection. Hepatic or renal impairment. Monitor serum electrolytes, hepatic, and renal function during therapy. Discontinue if liver dysfunction occurs. Monitor for signs of bleeding. Avoid extravasation.

Indomethacin For Injection Pharmacokinetics

See Literature

Indomethacin For Injection Interactions


Caution with other nephrotoxic agents, anticoagulants (monitor). Concomitant ACE inhibitors or angiotensin II antagonists may worsen renal dysfunction. Potentiates aminoglycosides, digoxin (monitor for toxicity). Antagonizes furosemide.

Indomethacin For Injection Adverse Reactions

Adverse Reactions

Renal failure, electrolyte disturbances, GI bleeding, transient oliguria, elevated serum creatinine, decreased platelet aggregation, hyponatremia, elevated serum potassium.

Indomethacin For Injection Clinical Trials

See Literature

Indomethacin For Injection Note

Not Applicable

Indomethacin For Injection Patient Counseling

See Literature