Dextropropoxyphene + Diclofenac + Paracetamol/acetaminophen

Dosage Forms Available

• Dextropropoxyphene + Diclofenac + Paracetamol/Acetaminophen is available for use via oral route and comes in the form of tablets.

Age and Dose Restrictions

• This combination medication is suitable for adults and children aged 16 years and above.

Contraindications

• The use of this medicine is contraindicated in patients with known allergies to Dextropropoxyphene, Diclofenac, Paracetamol/Acetaminophen or any of its constituents.
• It should not be given to patients suffering from severe respiratory depression, active alcoholism, acute asthma or having a history of medication abuse.

Other Medications to Avoid

• This combination can interact with other opioids (such as morphine), sedatives (like benzodiazepines), tranquilisers, anticoagulants (like warfarin), antiplatelet agents (like clopidogrel) and diuretics (like furosemide).

Overdose and Missed Dose

• Overdose of this medication can cause severe respiratory depression, hepatotoxicity, gastrointestinal bleeding and even coma. Immediate medical attention is required in such cases.
• If a dose is missed, it can be taken as soon as remembered. However, if the time for the next dose is close then the missed dose must be skipped to avoid overdosing.

Management of Side Effects

Most side effects are temporary and generally disappear once the medicine is discontinued. However, if any serious side effects are observed, consulting a doctor immediately is advised.

• For managing constipation caused by this medicine, increasing fluid intake and consuming a diet high in fibre can help.
• For mild nausea or vomiting, taking this medicine with or after meals can reduce these symptoms.

Use in Driving and Operating Machinery

• As this combination can cause drowsiness and dizziness, driving or operating heavy machinery should be avoided after taking this medicine.

Use in Pregnancy and Lactation

• The use of this combination is generally not recommended in pregnancy and lactation. It is essential to consult your doctor before using this medicine during these periods.

Caution in Other Conditions

• Patients with liver or kidney disease should use this medicine with caution. Also, caution is advised in patients with a history of gastrointestinal disorders such as ulcers and bleeding.

Special Dietary and Lifestyle Recommendations

• A balanced diet high in fibre can help manage some of the gastrointestinal side effects of this medication.
• Regular but mild exercise can help in managing pain symptoms, which is the primary indication for this medication.
• Avoid alcohol consumption while on this medication as it can increase the risk of liver damage and other side effects.
• Adequate rest and sleep are crucial as this medication can cause drowsiness.
• It is advisable to avoid driving or operating heavy machinery while on this medication due to its potential dizziness effect.