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Two medicines, side by side

Indomethacin vs prednisone

Indomethacin and prednisone are both labeled for osteoarthritis. Drugs@FDA records approvals of indomethacin since 1965 and of prednisone since 1955. Pharmacies paid $0.210 per indomethacin ER 75 mg capsule and $0.0643 per prednisone 20 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, indomethacin is a nonsteroidal anti-inflammatory drug and prednisone a corticosteroid.

Check it at the source: the indomethacin FDA label on DailyMed (effective December 19, 2025); the prednisone FDA label on DailyMed (effective April 22, 2025).

Highlights of the indomethacin record

Indomethacin (Indocin) · label of December 19, 2025

Boxed warning

RISK OF SERIOUS CARDIOVASCULAR AND GASTROINTESTINAL EVENTS WARNING: RISK OF SERIOUS CARDIOVASCULAR AND GASTROINTESTINAL EVENTS See full prescribing information for complete boxed warning.

Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction and stroke, which can be fatal.

Used for

From the label: indications

Indomethacin capsules are indicated for: • Moderate to severe rheumatoid arthritis including acute flares of chronic disease • Moderate to severe ankylosing spondylitis • Moderate to severe osteoarthritis • Acute painful shoulder (bursitis and/or tendinitis) • Acute gouty arthritis Indomethacin capsules are nonsteroidal anti-inflammatory drug indicated for: • Moderate to severe rheumatoid arthritis including acute […]

On the market

Earliest approval on file
June 10, 1965
Generic labelers
31 labelers
Pharmacy cost
$0.210 per capsule

Supply and safety

Shortage
No current entry
Recalls
9

Highlights of the prednisone record

Prednisone (Meticorten) · label of April 22, 2025

Used for

From the label: indications

Prednisone tablets and solutions are indicated in the following conditions: 1. […]

On the market

Earliest approval on file
February 21, 1955
Generic labelers
45 labelers
Pharmacy cost
$0.0643 per tablet

Supply and safety

Shortage
No current entry
Recalls
10

Source: FDA drug labels via openFDA (Indomethacin label of December 19, 2025, Prednisone label of April 22, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do indomethacin and prednisone differ on the record?

In FDA's classes, indomethacin is a nonsteroidal anti-inflammatory drug and prednisone a corticosteroid.

Only the indomethacin label carries a boxed warning.

Generics: indomethacin since 1985; prednisone since 1971 (Drugs@FDA).

IndomethacinPrednisone
Labeled forRheumatoid arthritis, OsteoarthritisOsteoarthritis, Asthma, Allergies, Herpes and shingles, Leukemia, lymphoma and myeloma, Crohn's disease and ulcerative colitis, Multiple sclerosis, Eczema (atopic dermatitis), Anemia, Organ transplant rejection
Pharmacologic classNonsteroidal Anti-inflammatory DrugCorticosteroid
How it works (label)Indomethacin has analgesic, anti-inflammatory, and antipyretic properties. The mechanism of action of indomethacin capsules, like that of other NSAIDs, is not completely understood but involves inhibition of cyclooxygenase (COX-1 and …n/a
Half-life (label)The mean half-life of indomethacin is estimated to be about 4.5 hours.n/a
Earliest approval on file (Drugs@FDA)June 10, 1965February 21, 1955
First generic approvedSeptember 4, 1985December 23, 1971
Generic labelers (NDC)31 labelers45 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.210 per capsule (Indomethacin ER 75 mg capsule)$0.0643 per tablet (Prednisone 20 mg tablet)
12-month price change-1%-15%
Boxed warningYesNo
Shortage nowNo current entryNo current entry
Recalls recorded910
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)13,174499,950
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What do the labels say about using others of their kind?

Indomethacin label, drug interactions

Concomitant use of indomethacin with other NSAIDs or salicylates (e.g., diflunisal, salsalate) increases the risk of GI toxicity, with little or no increase in efficacy [ see Warnings and Precautions ( 5.2 ) ].

Source: FDA drug labels via openFDA

What next?

Alternatives to indomethacin
every medicine labeled for the same conditions