Diclofenac + Dicyclomine + Paracetamol/acetaminophen

Dosage Forms Available

• Diclofenac + Dicyclomine + Paracetamol/Acetaminophen is available in tablet or capsule form for oral administration.

Age and Dose Restrictions

• This medicine is intended for use by adults and children.

Contraindications

• The medicine is not recommended for individuals with known hypersensitivity to any of its components.

• Patients with active gastrointestinal bleeding or peptic ulcers should avoid this medication.

• Individuals who have experienced asthma, urticaria, or allergic reactions after taking aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) should not use this combination.

• It is also contraindicated in cases of severe renal or hepatic impairment, myasthenia gravis, glaucoma, and obstructive uropathy.

Other Medications to Avoid

• This combination may interact with other NSAIDs (eg., ibuprofen, naproxen), corticosteroids (eg., prednisone), liver enzyme-inducing medications (eg., carbamazepine, rifampin), and other anticholinergic drugs (eg., atropine, scopolamine).

Overdose and Missed Dose

• Overdosing on this medication may result in symptoms such as nausea, vomiting, abdominal pain, drowsiness, dizziness, headache, blurred vision, and in severe cases - coma, convulsions, cardiovascular collapse. If you suspect an overdose, it is important to seek immediate medical attention.

• If you miss a dose of this medicine, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule.

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.

• To manage common side effects such as nausea and abdominal pain, it could be helpful to take the medication with food or milk.

• Dizziness and drowsiness may be managed by adjusting the timing of the medication to bedtime.

• Maintaining good hydration can also help in managing some side effects.

Use in Driving and Operating Machinery

• This medicine may cause drowsiness or dizziness which can affect the ability to drive or operate heavy machinery. It is advised not to engage in such activities until you know how this medicine affects you.

Use in Pregnancy and Lactation

• This medicine is not recommended during pregnancy and breastfeeding unless specifically advised by a healthcare professional due to the lack of specific data. Consult a doctor before taking this medicine during these periods.

Caution in Other Conditions

• Caution should be exercised while using this medicine in elderly patients and those with renal, cardiac or hepatic impairment. It may require dose adjustment under these conditions.

Special Dietary and Lifestyle Recommendations

• Maintaining a balanced diet with adequate fruits, vegetables, lean proteins, and whole grains can help improve overall health.

• Regular physical activity such as walking, swimming, or cycling can help manage pain related to osteoarthritis or rheumatoid arthritis.

• Avoiding caffeine and spicy foods can potentially reduce stomach upset associated with NSAIDs intake.

• Regular intake of water as per individual body requirements can help maintain proper kidney function while using this medication.

• Patients with digestive disorders should avoid lying down immediately after meals to decrease acid reflux symptoms.