Riferon

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Riferon

Property Description
Active Ingredient Ketoprofen
Pharmacological Class Nonsteroidal Anti-inflammatory Drug (NSAID)
Origin Synthetic compound (Propionic acid derivative)
Common Forms Solution, Suppository, Gel
General Purpose Relief of pain, inflammation, and fever

Riferon: Definition and Pharmacological Classification

Riferon is a synthetic pharmaceutical product distinguished by the single active ingredient Ketoprofen. This drug is classified as a Nonsteroidal Anti-inflammatory Drug (NSAID), placing it within the group of medicines that target pain and inflammation mechanisms throughout the body. The chemical structure of Ketoprofen identifies it as a propionic acid derivative, an origin that signifies its synthesis as a modern chemical compound rather than a natural extract. Ketoprofen acts by reducing the production of pain and inflammation-causing chemicals in the body. This mechanism interrupts the biochemical process associated with physical discomfort.

Composition, Forms, and General Therapeutic Purpose

The therapeutic action of Riferon is dependent on Ketoprofen, which provides comprehensive symptomatic relief. Riferon is presented in various specialized delivery methods, including sterile solution preparations for parenteral administration (injection), suppositories for rectal use, or gels for localized topical application. This range of dosage forms allows for use in scenarios where oral intake is not feasible or where local action is prioritized. The general therapeutic purpose of Riferon, consistent with its NSAID classification, is to provide relief by mitigating the perception of pain (analgesia), reducing the swelling and warmth characteristic of inflammation (anti-inflammation), and assisting in the normalization of elevated body temperature or fever (antipyresis). This combined mode of action provides broad support for the management of these general symptoms.

Regulatory References

  1. FDA Labeling

What side effects are possible with Riferon?

Possible Side Effects and Safety Information

Riferon (Interferon alfa) is associated with several serious risks, and regulatory warnings emphasize that it may cause or worsen fatal or life-threatening neuropsychiatric, autoimmune, ischemic, and infectious disorders. Patients must be closely monitored for signs of these conditions, and therapy may be discontinued if they persist or worsen.


Key Adverse Reaction Categories

Adverse reactions commonly involve several system-organ classes, with high incidence of Influenza-like symptoms (e.g., fever, chills, fatigue, myalgia, headache) shortly after injection. Other frequent observations include gastrointestinal issues (e.g., nausea, diarrhea, vomiting), weight loss, and hair thinning.

System-Organ Class Serious Adverse Reactions (Regulatory Warnings)
Neuropsychiatric Depression (including suicidal ideation/behavior), confusion, psychoses, aggressive behavior, and relapse of drug addiction.
Cardiovascular Myocardial infarction, cardiomyopathy, arrhythmias, and ischemic/hemorrhagic cerebrovascular events (stroke).
Hepatobiliary Hepatic failure or decompensation (particularly in patients with pre-existing poorly compensated liver disease).
Hematologic Bone marrow suppression leading to cytopenias (e.g., anemia, neutropenia, thrombocytopenia).
Immunologic Development or exacerbation of autoimmune disorders (e.g., thyroiditis, systemic lupus erythematosus, psoriasis).

Safety Restrictions and Monitoring

Riferon is generally contraindicated in patients with a known hypersensitivity to the product, autoimmune hepatitis, or decompensated liver disease. Caution is advised for those with a history of cardiac disease, depression, or seizure disorders.

Close monitoring is required, including periodic clinical evaluations, blood cell counts, liver function tests, and neuropsychiatric assessments. Due to the potential for fetal harm, Reproductive Toxicity warnings apply, and patients (male and female) are advised to use effective contraception.

Overdose and Emergency Response

The official regulatory profile for Riferon overdose documents a range of potential manifestations and severe outcomes. Overdose presentations commonly include gastrointestinal effects such as nausea, stomach pain, and vomiting, which may be accompanied by Central Nervous System effects like drowsiness, dizziness, headache, or confusion.

A large overdose is classified as having the potential for severe, life-threatening systemic toxicity. Documented serious manifestations include gastrointestinal bleeding, ulceration, or perforation; acute renal failure; seizures; and coma. Elderly patients are specifically noted in regulatory warnings to be at a greater risk for fatal gastrointestinal adverse events.

Because no specific antidote is known for this toxicity, the management is strictly defined as symptomatic and supportive treatment. In the event of suspected overdose, official guidance mandates that individuals contact emergency services immediately or call a poison control center. Immediate medical attention is required for severe symptoms, including passing out, trouble breathing, or signs of severe internal bleeding. Treatment protocols may involve administration of activated charcoal, gastric lavage, IV fluids, and hospital monitoring of vital signs and organ function.

Therapeutic Uses of Riferon

Main Therapeutic Uses

Riferon is a medication primarily used in the management of specific chronic viral infections and certain types of oncological conditions. It belongs to a class of drugs known as interferons, which are proteins naturally produced by the body's immune system to help fight infections and control cell growth.

Chronic Viral Hepatitis

The most common application of Riferon is in the treatment of chronic viral hepatitis, particularly strains that affect the liver over a long period. In these cases, the medication works by mimicking the body's natural immune response to help reduce the viral load in the bloodstream. By suppressing the replication of the virus, it aims to prevent further damage to liver tissue and reduce the risk of long-term complications such as cirrhosis.

Oncology and Hematology

Riferon is also utilized in the treatment of several types of cancers, specifically those affecting the blood and lymphatic system. Its primary role in oncology is to inhibit the rapid division of abnormal cells. Common conditions where this therapeutic approach is applied include:

  • Hairy Cell Leukemia: A rare type of blood cancer where the medication helps manage the production of abnormal white blood cells.
  • Chronic Myeloid Leukemia (CML): Used to control the overproduction of myeloid cells.
  • Follicular Lymphoma: Employed as part of a broader strategy to manage this slow-growing type of non-Hodgkin lymphoma.
  • Malignant Melanoma: Sometimes used as an adjuvant therapy following surgery to reduce the likelihood of recurrence in patients with high-risk skin cancer.

Benefits and Mechanisms of Action

The primary benefit of Riferon lies in its ability to modulate the immune system's activity. Unlike medications that target pathogens directly, Riferon enhances the body's own defense mechanisms.

Immunomodulation

By binding to specific receptors on the surface of cells, Riferon triggers a sequence of intracellular events. This process helps healthy cells become more resistant to viral entry and signals the immune system to identify and destroy infected or malignant cells more efficiently.

Antiproliferative Effects

In the context of cancer treatment, Riferon provides a benefit by slowing down the rate at which cancer cells multiply. This antiproliferative effect can lead to a stabilization of the disease or a reduction in tumor size, helping to manage the progression of the illness over time.

Regulatory References

  1. NIH MedlinePlus overview on Ketoprofen

Eligibility and Restrictions for Use

Official Population Eligibility for Riferon (Ketoprofen)

Official regulatory documents define Riferon's population eligibility based on absolute contraindications, age limitations, and specific medical conditions.

Absolute Contraindications

Use is strictly contraindicated for several high-risk groups. This includes individuals with a known hypersensitivity to aspirin or other Nonsteroidal Anti-inflammatory Drugs (NSAIDs), a history of recurrent gastrointestinal bleeding, or active peptic ulcer disease. Riferon is also prohibited in the setting of Coronary Artery Bypass Graft (CABG) surgery and for patients with severe, uncontrolled heart failure, or severe renal or hepatic impairment.

Age and Physiological Restrictions

Adults are the primary eligible population. The safety and effectiveness of the prescription formulation are not established in the overall pediatric population, and use is often contraindicated in children under 14 years of age. Use is contraindicated in the third trimester of pregnancy (from the 20th week of gestation onward) and is generally not recommended during lactation.

Conditional Use

Specific caution and monitoring are required for elderly patients (ge 65 years old) and those with moderate renal or hepatic impairment, who are eligible but designated as having a heightened risk profile.

What should I know about interactions with other medicines?

Riferon’s official interaction profile is defined by both pharmacokinetic and pharmacodynamic constraints documented in regulatory sources. Co-administration with Oral Anticoagulants, Parenteral Heparins, Oral Corticosteroids, SSRIs, or Alcohol is restricted due to a significant, officially documented increased risk of serious gastrointestinal hemorrhage and ulceration.

The product is contraindicated for the treatment of pain associated with Coronary Artery Bypass Graft (CABG) surgery. A severe timing-based rule applies to high-dose Methotrexate: the NSAID must be administered at least 12 hours after completion of the Methotrexate infusion to mitigate the risk of severely elevated drug exposure.

Several medicines face exposure-modifying or counteracting effects. Riferon formally reduces the renal clearance of Lithium, leading to potential elevation of plasma levels. Probenecid reduces Ketoprofen's plasma clearance, resulting in a substantial increase in Riferon’s systemic exposure. Furthermore, the efficacy of Diuretics and ACE Inhibitors may be diminished due to Riferon’s effect on renal prostaglandin synthesis. Elderly patients are also documented to have a higher risk for serious gastrointestinal adverse events.

Mechanism of Action

Riferon's pharmacological action is strictly determined by its single active ingredient, Ketoprofen, which functions primarily as an inhibitor within the eicosanoid synthesis pathway. The drug's mechanism is fundamentally about suppressing the synthesis of chemical signals responsible for nociception, pyresis, and the local inflammatory response.

Modulation of Eicosanoid Synthesis Pathways

This domain covers the drug's principal interaction with the Cyclooxygenase ( COX-1 and COX-2) enzymes and, to a secondary extent, Lipoxygenase ( LOX). By blocking these enzymes, the drug halts the production of prostaglandins and leukotrienes, which are the main mediators of the local inflammatory response and peripheral nociceptor activity. This mechanism results in the physiological consequence of modulation of the inflammatory cascade and decreased chemical sensitization of peripheral nerve endings.

Action Across Central and Peripheral Pathways

This domain addresses the locations where the drug's mechanism is active: peripherally at the site of tissue changes and centrally in the brain. Peripherally, the reduced mediators modulate vascular permeability and nociceptive signaling. Centrally, the inhibition of prostaglandin E2 ( PGE2) synthesis in the hypothalamus prevents the chemical elevation of the body's temperature set point. This dual activity results in the simultaneous modulation of both peripheral nociceptive signaling and central thermoregulatory mechanisms.

Dosage and Administration Information

How to Use Riferon

This section outlines the general principles and administration patterns for Riferon (Ketoprofen). Use of this medication is dictated by the specific formulation and the nature of the condition being managed.


Administration Routes and Standard Frequency

Riferon is administered through several routes, including oral (capsules or films), topical (gel), and rectal (suppositories), establishing its use for both systemic and local application. The dosing frequency depends on the formulation:

Formulation Type Standard Frequency Pattern
Immediate-Release (IR) Oral Administered in divided doses three to four times daily (e.g., every 6 to 8 hours) for continuous management, or as needed for acute pain.
Extended-Release (ER) Oral Administered once daily (qDay).

Dosing Ranges and Administration Context

For chronic conditions such as osteoarthritis, immediate-release dosing typically begins at 50 mg to 75 mg per dose. The maximum daily dose for prescription IR formulations must not exceed 300 mg, while the ER maximum daily dose is 200 mg. For short-term, acute pain relief, the dosage is generally 25 mg to 50 mg taken as needed.

Oral formulations may be administered with food, milk, or antacids to help mitigate potential gastric upset, though this does not significantly affect the total absorption. Extended-release capsules must be swallowed whole and should not be crushed, split, or chewed, as this compromises the intended controlled-release properties.

Population-Specific Use

Usage involves a lower initial dose and close monitoring for older adults. For patients with documented severe renal or hepatic impairment, the maximum daily dose is typically restricted to 100 mg. If a dose is missed, the standard approach is to skip the missed dose and resume the regular schedule, not taking a double dose. The use of OTC formulations for acute pain is restricted to a maximum of 10 days.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Riferon (Ketoprofen)

The clinical evaluation of Riferon is based on studies of its use in conditions characterized by pain and inflammation. The available evidence primarily comes from controlled scientific investigations, including randomized controlled trials (RCTs) and systematic reviews that have explored how symptoms change over defined study periods.


Evidence for Use in Chronic Symptom Management (Rheumatoid and Osteoarthritis)

Research exploring Riferon in these areas used study designs intended to monitor outcomes related to physical discomfort and daily functioning. Studies examined reports from adult patients with confirmed diagnoses of Rheumatoid Arthritis (RA) or Osteoarthritis (OA). Findings describe patterns observed in the studies related to the measurement of pain intensity and functional measures assessed over the short-to-intermediate term. For OA, studies have explored both oral and topical formulations, noting differences in absorption and localized effects.

Evidence for Use in Acute Pain and Short-Term Inflammation

This area summarizes the research on Riferon's use for rapid symptom relief, covering short-term RCTs that have examined post-operative pain, musculoskeletal injuries, and the symptom complex of Primary Dysmenorrhea. Studies examined outcomes related to episodic changes, including reduction in pain intensity over short intervals and the time to the start of reported relief, typically ranging from a few hours up to seven days for acute studies.


Long-Term Studies and Follow-up Durations

Most randomized controlled trials have follow-up durations ranging from several days to four or six months. Research explores short-term symptom changes over these defined time intervals. However, there is limited information for long-term outcomes and the durability of effects beyond the intermediate term remains an area where data are still emerging.

Research Evidence in Special Populations

Scientific literature indicates that research is ongoing, but there is limited information on outcomes for children and adolescents. Regulatory warnings often note that effectiveness and safety are not fully established in pediatric populations. Controlled data for pregnant or nursing populations are also limited, and research status indicates that data in these groups are restricted.

Key Limitations and Areas of Research Uncertainty

One significant limitation is that many studies focusing on acute conditions have limited follow-up durations, meaning research provides context but not individual predictions for chronic or recurring issues. Furthermore, for localized topical forms, reports document a high placebo response in this setting. The research provides insight into short-term changes but does not determine whether an individual will respond similarly over the long term.

Key Studies & References

  1. Topical nonsteroidal anti-inflammatory drugs for chronic musculoskeletal pain in adults (Cochrane Review summary)
  2. Ketoprofen - LiverTox: Clinical and Research Information on Drug-Induced Liver Injury (NIH)

Frequently Asked Questions (FAQ)

Common questions about Riferon (FAQ)


Q: Is Riferon the same type of medicine as [similar drug name]?

A: The active ingredient in Riferon, Ketoprofen, is classified as a Nonsteroidal Anti-inflammatory Drug (NSAID). It is specifically a propionic acid derivative, which is a chemical group shared by other medicines in the NSAID class. Official product information defines its therapeutic purpose for symptoms like pain and inflammation.

Q: Does Riferon cause weight gain or loss?

A: Official regulatory documents for one form of the drug note weight loss as a frequent observation among patients. Less frequently, weight gain has also been reported in contexts related to changes in thyroid function.

Q: How long does it usually take to notice any effect from Riferon?

A: Pharmacokinetic data for the active ingredient, Ketoprofen, indicates that it is rapidly absorbed after oral administration. Studies of acute pain relief measure the onset of effect as the start of reported relief, and peak plasma concentration is often achieved in under two hours.

Q: Is it true that Riferon can affect sleep?

A: Yes. Official product information for one form of the drug lists difficulty sleeping, or insomnia, as a common adverse reaction. Patients experiencing changes in sleep patterns may wish to consult with a healthcare provider.

Q: Are there any common foods or drinks that should be avoided when using Riferon?

A: Regulatory information does not list common foods or beverages that must be strictly avoided with Riferon. However, the Ketoprofen oral formulations may be administered with food, milk, or antacids to help lessen the potential for gastric upset.

Q: Can Riferon be used by people with a history of heart problems?

A: Regulatory documents advise caution and close monitoring for individuals who have a history of cardiac disease. Official guidance notes use of the drug is strictly contraindicated for patients with severe, uncontrolled heart failure.

Q: Why is Riferon used for more than one condition?

A: The active ingredient works primarily by modulating the eicosanoid synthesis pathway, suppressing the chemical signals responsible for pain, inflammation, and fever. This fundamental mechanism allows the drug to address these symptoms across a wide variety of approved conditions.

Q: Is Riferon available as a generic drug?

A: Yes. The active ingredient in Riferon, Ketoprofen, is widely available in the United States and other regions as a generic drug product.

Q: Does Riferon interact with common over-the-counter pain relievers?

A: Official product information states that co-administration of the Ketoprofen form with other NSAIDs (Nonsteroidal Anti-inflammatory Drugs) is not recommended. This is due to an officially documented increased risk of serious gastrointestinal adverse events.

Q: How is Riferon different from other drugs in its class?

A: The drug’s mechanism is fundamentally about inhibiting both Cyclooxygenase (COX-1 and COX-2) enzymes. It is also a propionic acid derivative, which is a distinguishing chemical characteristic within the NSAID class of medicines.

Q: Is Riferon considered a long-term treatment?

A: Research literature notes there is limited information available concerning outcomes for long-term use and the durability of effects beyond the intermediate term. Additionally, official regulatory guidance restricts over-the-counter use to a maximum of 10 days.

Q: Does Riferon lose its effectiveness over time?

A: Official information notes that the Ketoprofen form of the drug provides benefit only as long as you continue to take it. Research studies indicate that the durability of effects in the long term remains an area where data is still emerging.

Q: Is Riferon known to affect mood or cause emotional changes?

A: Yes. Official warnings note that the drug may cause or worsen serious neuropsychiatric disorders. This includes side effects such as depression (including suicidal ideation), confusion, psychoses, and aggressive or emotional changes.

Q: Can Riferon be used during pregnancy, according to official warnings?

A: Official warnings state that the Ketoprofen form of the drug is contraindicated (not to be used) from the 20th week of gestation onward. The Interferon alfa form also carries Reproductive Toxicity warnings, and patients (male and female) are advised to use effective contraception.

Q: What are the most common reasons patients stop using Riferon?

A: Clinical trial summaries indicate that the primary reason for treatment interruption among patients was due to adverse effects.

Q: Is there a certain time of day that Riferon is usually taken?

A: The administration schedule is defined by the formulation used. The extended-release oral formulation is typically administered once daily (qDay). The immediate-release forms are administered in divided doses three to four times daily.

Q: Does Riferon require any special monitoring or regular blood tests?

A: Yes. Close monitoring is required during the course of treatment. This monitoring includes periodic clinical evaluations, blood cell counts, liver function tests, and neuropsychiatric assessments.

Q: What is the risk of dependence or addiction with Riferon?

A: The active ingredient, Ketoprofen, is not classified as a controlled substance under the U.S. Controlled Substances Act, suggesting a low potential for abuse or dependence. However, one form of the drug lists relapse of drug addiction as a serious neuropsychiatric risk.

Q: Are there any known interactions between Riferon and herbal supplements?

A: Regulatory documents advise patients to inform their healthcare provider about all other medicines, nutritional supplements, and herbal products they are using. This information is used to check for any potential interactions that could affect safety or drug action.

Q: Is Riferon the kind of drug you have to stop gradually?

A: Regulatory documents advise against the sudden cessation of certain therapeutic regimens. The decision to stop treatment must be managed and monitored by a healthcare provider.

Q: Do I need a special prescription or form to get Riferon?

A: The regulatory status of Riferon depends on the strength and formulation. In many jurisdictions, some strengths are available only with a doctor's prescription (Rx), while other, lower strengths may be sold over-the-counter (OTC) for acute pain.

Q: Is it normal to feel a bit dizzy after starting Riferon?

A: Yes. Dizziness is listed as a common adverse reaction for one form of the drug in regulatory documents. If this type of effect occurs, consultation with a healthcare provider is advised.

Q: Can Riferon be crushed or mixed with food?

A: The extended-release capsules must be swallowed whole and should not be crushed, split, or chewed, as this compromises the drug's intended action. The immediate-release forms may be administered with food to help mitigate gastric upset.

Q: How long does Riferon stay in your system?

A: The time the drug stays in the body is described by its half-life. The active ingredient, Ketoprofen, has a rapid elimination half-life, typically ranging from 0.9 to 4 hours. The Interferon alfa form has a longer half-life, ranging from 4 to 16 hours.

Q: Is Riferon safe to use if I occasionally drink alcohol?

A: Official product information states that co-administration of the drug with alcohol is restricted. This is due to an officially documented increased risk of serious gastrointestinal hemorrhage and ulceration.

Q: Does Riferon have a 'Black Box Warning' in the official regulatory documents?

A: Regulatory warnings emphasize that the drug may cause or worsen fatal or life-threatening neuropsychiatric, autoimmune, ischemic, and infectious disorders. This serious warning corresponds to the content typically contained in a Boxed Warning required by some regulatory bodies.

Q: Are there specific symptoms that mean Riferon is starting to work?

A: The drug’s purpose is to relieve symptoms such as pain, inflammation, and fever. The official onset of effect in studies for acute conditions is determined by the start of reported relief by patients.

Q: Can Riferon affect a woman's menstrual cycle?

A: Official documentation for one form of the drug lists heavier menstrual periods as a reported adverse effect. Any changes to a patient's cycle while using this medication may warrant consultation with a healthcare provider.

Q: What official warnings exist about stopping Riferon suddenly?

A: Regulatory documents advise against the sudden cessation of certain therapeutic regimens. Official guidance requires that stopping treatment must be managed and monitored by a healthcare provider.

Q: What is the difference between Riferon and a placebo in clinical trials?

A: Clinical trial summaries show that the drug's efficacy was significantly better than that of a placebo (an inactive substance) in relieving moderate-to-severe pain. Studies also indicated improvement in functional status compared to placebo.

Q: Does Riferon interact with caffeine?

A: Scientific studies have indicated that caffeine can potentiate (enhance) the analgesic effect of the active ingredient, likely by altering its absorption. Patients may wish to notify their provider about their caffeine consumption.

Q: Is Riferon used to prevent something or to treat an existing condition?

A: Official regulatory documents state that the drug is approved for the symptomatic treatment of existing conditions. This includes conditions characterized by pain, inflammation, rheumatoid arthritis, and osteoarthritis.

Q: Are there different strengths or formulations of Riferon available?

A: Yes, the drug is available in multiple forms, including immediate-release capsules, extended-release capsules, suppositories, and gels. The available prescription strengths vary significantly by formulation.

Q: Why is Riferon sometimes prescribed for people without the main target condition?

A: The drug's fundamental properties—relieving pain, inflammation, and fever—allow it to address these symptoms across a variety of conditions. This is why it may be used when these underlying issues are present, even if it is not one of the primary labeled indications.

Q: Can Riferon be taken at the same time as my vitamins?

A: Regulatory documents advise patients to inform their healthcare provider about all other medicines, nutritional supplements, and herbal products they are using. This information is used to check for potential interactions that could affect safety or drug action.

Q: Is Riferon a Schedule I, II, III, IV, or V controlled substance?

A: No. The active ingredient, Ketoprofen, is not classified as a Schedule I, II, III, IV, or V controlled substance under the U.S. Controlled Substances Act.

Q: What does the research say about the long-term safety of Riferon?

A: Research indicates there is limited information available on long-term outcomes and the durability of effects. However, official warnings detail serious risks associated with prolonged use, including potential neuropsychiatric, autoimmune, and ischemic disorders.

Q: Is Riferon approved for use in children under 12?

A: Official product information states that the safety and effectiveness of the prescription formulation are not established in the overall pediatric population. Use is often contraindicated (not allowed) in children under 14 years of age.

How should Riferon be stored and disposed of?

How to Store and Dispose of Riferon

Official regulatory information requires Riferon (Ketoprofen) to be stored under controlled conditions to maintain stability.

Storage and Handling Requirements

Condition Regulatory Requirement
Temperature Store at controlled room temperature (below 25 C) and do not freeze the product.
Protection Keep container tightly closed and protect the medication from light and excessive moisture.
Child Safety Must be kept out of the sight and reach of children and pets.

Stability and Disposal

Multi-dose injectable forms must be used within a specified period, such as 28 days after first opening. Any unused or expired Riferon must be properly discarded following local pharmaceutical waste regulations. Regulatory bodies strictly instruct that the product must not be flushed down the toilet or poured into a drain to prevent environmental release.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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