Aceclofenac + Paracetamol/acetaminophen + Tramadol

Dosage Forms Available

• Aceclofenac + Paracetamol/Acetaminophen + Tramadol is available as oral tablets.

Age and Dose Restrictions

• This combination medicine is generally prescribed for adults and children above 12 years of age.

Contraindications

• This medicine combination is contraindicated in patients with a hypersensitivity to aceclofenac, paracetamol/acetaminophen or tramadol or to the excipients. It should not be used in patients with severe kidney or liver damage, severe respiratory depression, active peptic ulcer or gastrointestinal bleeding, and convulsive disorders.

Other Medications to Avoid

• This combination may interact with other NSAIDs (e.g., ibuprofen, naproxen), corticosteroids (e.g., prednisone, dexamethasone), anticoagulants (e.g, warfarin, heparin), SSRIs (e.g., fluoxetine, sertraline), CNS depressants including benzodiazepines (e.g., lorazepam, diazepam), and serotonergic agents (e.g., triptans).

Overdose and Missed Dose

• Overdose of this combination can lead to serious issues such as liver damage, renal injury, respiratory depression, seizures, or even coma. Immediate medical attention is required in case of suspected overdose.

• If you miss a dose of this medication, take it as soon as you remember it. However, if it is close to the time for your next dose, skip the missed dose. Never double your dose to make up for the missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• For mild side-effects like nausea or vomiting, try taking the medicine after meals.

• If you experience dry mouth or sweats, increase your water intake to keep yourself hydrated.

Use in Driving and Operating Machinery

• This medication may cause dizziness or drowsiness. If you experience any such side effects, avoid driving or operating heavy machinery.

Use in Pregnancy and Lactation

• This medicine is generally not recommended for use during pregnancy or lactation unless approved by your doctor. Always consult your doctor before using this medicine if you are pregnant or breastfeeding.

Caution in Other Conditions

• Patients with kidney or liver damage should be cautious while taking this medicine as it might require dose adjustments.

• It is also advised to exercise caution for patients with a history of respiratory depression or convulsive disorders.

Special Dietary and Lifestyle Recommendations

• Apart from taking balanced meals, keeping yourself hydrated to manage dizziness, dry mouth, and excessive sweating caused by the medication and regular moderate exercise, there are no special dietary and lifestyle recommendations.