Carefully consider the potential benefits and risks of CLINORIL (sulindac) and other treatment options before deciding to use CLINORIL (sulindac) . Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals (see WARNINGS).

CLINORIL (sulindac) is indicated for acute or long-term use in the relief of signs and symptoms of the following:

1. Osteoarthritis
2. Rheumatoid arthritis**
3. Ankylosing spondylitis
4. Acute painful shoulder (Acute subacromial bursitis/supraspinatus tendinitis)
5. Acute gouty arthritis

Carefully consider the potential benefits and risks of CLINORIL (sulindac) and other treatment options before deciding to use CLINORIL (sulindac) . Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals (see WARNINGS).

After observing the response to initial therapy with CLINORIL (sulindac) , the dose and frequency should be adjusted to suit an individual patient's needs.

CLINORIL (sulindac) should be administered orally twice a day with food. The maximum dosage is 400 mg per day. Dosages above 400 mg per day are not recommended.

In osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis, the recommended starting dosage is 150 mg twice a day. The dosage may be lowered or raised depending on the response.

A prompt response (within one week) can be expected in about one-half of patients with osteoarthritis, ankylosing spondylitis, and rheumatoid arthritis. Others may require longer to respond.

In acute painful shoulder (acute subacromial bursitis/supraspinatus tendinitis) and acute gouty arthritis, the recommended dosage is 200 mg twice a day. After a satisfactory response has been achieved, the dosage may be reduced according to the response. In acute painful shoulder, therapy for 714 days is usually adequate. In acute gouty arthritis, therapy for 7 days is usually adequate.

No. 3353X - Tablets CLINORIL (sulindac) 200 mg are bright yellow, hexagon-shaped, compressed tablets, one side full scored, the other side half scored and debossed MSD 942. They are supplied as follows:

NDC 0006-0942-68 in bottles of 100. Storage

Store in a well-closed container at room temperature 15-30°C (59-86°F).

**The safety and effectiveness of CLINORIL (sulindac) have not been established in rheumatoid arthritis patients who are designated in the American Rheumatism Association classification as Functional Class IV (incapacitated, largely or wholly bedridden, or confined to wheelchair; little or no self-care).

Manufactured for: By: Merck Sharp & Dohme Pty., Ltd. South Granville, NSW, Australia 2142.

Last reviewed on RxList: 7/1/2010
This monograph has been modified to include the generic and brand name in many instances.