Dextropropoxyphene + Dicyclomine + Paracetamol/acetaminophen

Dosage Forms Available

• Dextropropoxyphene + Dicyclomine + Paracetamol/Acetaminophen is available for use as oral tablets.

• This combination medicine is intended for oral administration.

Age and Dose Restrictions

• This medicine is intended for adults and children above 12 years of age.

Contraindications

• Dextropropoxyphene + Dicyclomine + Paracetamol/Acetaminophen is contraindicated in patients with known allergies to any of its components.

• It is also contraindicated in patients with paralytic ileus, severe respiratory depression, acute asthma attacks, and severe liver impairment.

Other Medications to Avoid

• Dextropropoxyphene + Dicyclomine + Paracetamol/Acetaminophen may interact with other opioids (such as morphine, methadone), sedatives (such as diazepam), antipsychotics (like olanzapine, risperidone), antidepressants (such as fluoxetine, duloxetine), antihistamines (like diphenhydramine, cetirizine), muscle relaxants (like baclofen, tizanidine), medicines for Parkinson's disease (such as levodopa, carbidopa), medicines for seizures (like gabapentin, lamotrigine), and medicines for irregular heart rhythm (like amiodarone, sotalol).

Overdose and Missed Dose

• Symptoms of overdose may include pinpoint pupils, slow or stopped breathing, extreme drowsiness progressing to coma, cold and clammy skin, slow heart rate, and severe liver damage. Immediate emergency medical attention is required in case of overdose.

• If you miss a dose of this medication, take it as soon as you remember. Do not double the dose to catch up if it is almost time for your next scheduled dose.

Management of Side Effects

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

• Drinking plenty of water may help manage side effects such as dry mouth and constipation.

• Resting and avoiding overexertion can help manage side effects like drowsiness and weakness.

Use in Driving and Operating Machinery

• Dextropropoxyphene + Dicyclomine + Paracetamol/Acetaminophen may cause drowsiness and blurred vision. It's not recommended to drive or operate heavy machinery while taking this medication.

Use in Pregnancy and Lactation

• This medication is not recommended for use during pregnancy or breastfeeding unless deemed necessary by a doctor.

• Always consult your doctor before using this medicine if you are pregnant or breastfeeding.

Caution in Other Conditions

• This medicine should be used with caution in elderly patients and those with breathing problems, liver disease, kidney disease, enlarged prostate, glaucoma, and a history of medicine abuse.

• It may worsen breathing problems and cause drowsiness.

Special Dietary and Lifestyle Recommendations

• Regular intake of probiotic-rich foods like yoghurt can help manage symptoms of Irritable Bowel Syndrome (IBS).

• Avoid foods that trigger IBS symptoms such as dairy products, alcohol, caffeine, artificial sweeteners and fatty foods.

• Regular physical activity can help reduce stress and maintain bowel regularity which can improve IBS symptoms.

• Adequate hydration is essential, especially in cases of diarrhoea.

• A balanced diet with enough fibre can help regulate bowel movements and reduce IBS symptoms.