Lornoxicam + Paracetamol/acetaminophen

Dosage Forms Available

• Lornoxicam + Paracetamol/Acetaminophen is taken orally in the form of tablets and effervescent sachets.

Age and Dose Restrictions

• This medicine is not recommended for use in children and adolescents below 18 years of age.

Contraindications

• This medicine is contraindicated in patients with known hypersensitivity to Lornoxicam or Paracetamol/acetaminophen. It is also contraindicated for individuals with a history of asthma, urticaria, or allergic reactions triggered by aspirin or other NSAIDs. Patients with active or recurrent peptic ulcer/hemorrhage should not use this medicine. It is contraindicated for those with severe heart failure, hepatic failure, or renal failure.

Other Medications to Avoid

• This combination may interact with anticoagulants (such as dabigatran and warfarin), antiplatelets (like clopidogrel and aspirin), diuretics (including furosemide and hydrochlorothiazide), lithium, methotrexate, antihypertensives (ACE inhibitors like lisinopril, ARBs like losartan, beta-blockers such as propranolol), and corticosteroids (such as betamethasone and prednisone).

Overdose and Missed Dose

• An overdose of Lornoxicam + Paracetamol/Acetaminophen may lead to symptoms such as nausea, vomiting, abdominal pain, drowsiness, dizziness, and in severe cases, hepatic necrosis. Immediate medical intervention is crucial.

• 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. Do not take a double 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.

• If experiencing mild nausea or gastrointestinal discomfort, try taking the medication with food or a glass of milk.

• For headaches or dizziness, ensure adequate hydration by drinking plenty of water.

Use in Driving and Operating Machinery

• Lornoxicam + Paracetamol/Acetaminophen can cause visual disturbances and dizziness affecting your ability to drive or operate machinery. It is advised not to engage in these activities if these symptoms are experienced.

Use in Pregnancy and Lactation

• Lornoxicam + Paracetamol/Acetaminophen is contraindicated during the third trimester of pregnancy. The safety of this medicine during the first two trimesters of pregnancy and during breastfeeding has not been established. Consult your doctor before using this medication if you are pregnant or breastfeeding.

Caution in Other Conditions

• Caution is advised when using this medication in elderly patients due to an increased risk of adverse effects. Patients with known hepatic or renal impairment should use this medication with caution; dose adjustments may be necessary.

Special Dietary and Lifestyle Recommendations

• Maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins to help reduce inflammation.

• Stay hydrated by drinking plenty of water throughout the day.

• Engage in regular physical activity appropriate to your condition to help improve mobility and reduce pain. Gentle exercises such as walking or swimming can be beneficial.

• Ensure adequate rest and sleep, which are essential for the recovery of the body.

• Avoid activities that exacerbate pain; listen to your body's signals and adjust activities accordingly.