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Etodolac

Published: July 26, 2026Updated: August 24, 2026

Etodolac is a nonsteroidal anti-inflammatory drug (NSAID) used to manage pain, inflammation, and stiffness caused by conditions such as osteoarthritis and rheumatoid arthritis. It works by reducing hormones that cause inflammation and pain in the body.

Quick summary

Etodolac is an NSAID used to treat pain and inflammation from arthritis and other conditions.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy
BOXED WARNING

This medication carries a boxed (black box) warning — the strongest type of FDA warning. Review the full prescribing information before use.

Key facts at a glance

ATC
M01AB08
RxNorm
24605
Generic
Etodolac
Class
atc-m01
Brands
Lodine
Availability
rx
Lactation
unknown
Routes
oral
Forms
tablet, capsule
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity
Chronic overdose: Prolonged use exceeding recommended doses can lead to cumulative toxicity particularly affecting gastrointestinal tract, kidneys, and liver
Immediate actions
Gastric lavage within 1-2 hours of ingestion, activated charcoal, supportive care including IV fluids and airway management
Antidote
No specific antidote(N/A - treatment is supportive; early decontamination is most effective)
Poison Control: 1-800-222-1222

Special Populations

8 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

second trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use unless absolutely necessary

Monitor

regular fetal monitoring and ultrasound

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

third trimester
contraindicated
FDA Category
D
Dose Adjustment

contraindicated

Key Recommendations

do not use during third trimester

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
N
Dose Adjustment

avoid

Key Recommendations

etodolac passes into breast milk; discontinue breastfeeding or avoid drug

Monitor

monitor infant for adverse effects

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pediatric_age

children under 18
unsafe
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

not approved for use in pediatric patients; safety and efficacy not established

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly 65 years and older
caution
FDA Category
N
Dose Adjustment

start at low end of dosing range

Key Recommendations

use lowest effective dose for shortest duration; monitor for GI bleeding and renal function

Monitor

regular monitoring of renal function and GI symptoms

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

reduce dose and monitor closely

Key Recommendations

use with caution; adjust dose based on creatinine clearance; avoid in severe renal impairment

Monitor

monitor renal function tests regularly

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

use with caution in patients with hepatic impairment; may require dose adjustment

Monitor

monitor liver function tests

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA Approval Year

Value:1991

FDA approval year for Etodolac (Lodine)

drug_classWHO
2023

Drug class

Value:NSAID - Propionic acid derivative

Drug class information

mechanismFDA
2023

Mechanism of action

Value:COX-2 selective inhibitor

Primary mechanism of action

usageMedical guidelines
2023

Common uses

Value:Pain relief, arthritis, inflammation

Common therapeutic uses

Etodolac is primarily used to treat osteoarthritis, rheumatoid arthritis, and mild to moderate pain. It helps reduce joint pain, swelling, stiffness, and improves physical function in patients with inflammatory joint conditions.

Etodolac works by inhibiting cyclooxygenase (COX) enzymes, particularly COX-2, which reduces the production of prostaglandins. Prostaglandins are chemicals in the body that promote inflammation, pain, and fever. By blocking their production, etodolac decreases inflammation and relieves pain.

Like other NSAIDs, etodolac may increase the risk of heart attack, stroke, and stomach ulcers, especially with long-term use. It should be used at the lowest effective dose for the shortest duration possible. Patients with a history of stomach bleeding, kidney problems, or cardiovascular disease should use caution. Alcohol should be avoided as it may increase the risk of stomach irritation.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy