Bromelain + Rutoside + Trypsin-chymotrypsin

Dosage Forms Available

• Bromelain + Rutoside + Trypsin-Chymotrypsin is available for oral use as enteric-coated tablets.

Age and Dose Restrictions

• This combination is meant for adults and children above 12 years of age.

Contraindications

• This combination is contraindicated in patients with known allergies to any of its ingredients.

• It should not be used by individuals with bleeding disorders such as haemophilia, kidney or liver disease, or a history of intestinal ulcers.

Other Medications to Avoid

• This combination may interact with blood thinners (such as warfarin, heparin, and clopidogrel), antibiotics (like amoxicillin and tetracycline), sedatives and anti-anxiety medications (such as diazepam and alprazolam), and antidepressants (including SSRIs like fluoxetine and MAOIs like phenelzine).

Overdose and Missed Dose

• An overdose may result in symptoms such as severe gastrointestinal discomfort, dizziness, vomiting, or diarrhoea,. Immediate medical attention is recommended in case of overdose.

• If you miss a dose, take it as soon as you remember. If it is near the time for your next dose, skip the missed dose and resume your usual dosing schedule. Do not double up on doses to make up for a missed one.

Management of Side Effects

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

• To manage nausea or gastrointestinal discomfort, consider taking the combination with a small snack.

• For headaches or dizziness, resting in a quiet, darkened room may help alleviate these symptoms.

Use in Driving and Operating Machinery

• Bromelain + Rutoside + Trypsin-Chymotrypsin may cause dizziness or headaches. It is advised to avoid driving or operating heavy machinery if you experience these side effects.

Use in Pregnancy and Lactation

• The safety of using Bromelain + Rutoside + Trypsin-Chymotrypsin during pregnancy or while breastfeeding has not been firmly established. Therefore, it is generally advised to avoid use during these periods.

Caution in Other Conditions

• Owing to its potential effect on blood clotting, those with low blood pressure or those preparing for surgery should also be careful with the use of this combination.

Special Dietary and Lifestyle Recommendations

• Regular gentle exercise can help enhance mobility and reduce stiffness associated with joint conditions.

• Avoid activities that could exacerbate pain or swelling during recovery periods from injury or surgery.

• Limit consumption of alcohol as it can exacerbate side effects like gastrointestinal distress or liver load when using this combination.