Dicka F 50 mg/20 mg Tablet 
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NOTICE: unsafe with : Alcohol
USED FOR:
Fever
Acidity
Headache
COMPOSITION:
Diclofenac (50mg)
Famotidine (20mg)
Therapeutic Uses:
ophthal
gastro intestinal
CAUTION
Taking a large amount of alcohol can increase acidity and cause acid reflux in the food pipe causing heartburn. This would decrease the effect of this drug and can aggravate your underlying condition.
WEIGH RISKS VS BENEFITS
Dicka F 50 mg/20 mg Tablet is unsafe to use during pregnancy.There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
Dicka F 50 mg/20 mg Tablet is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby.
Do not drive unless you are feeling well.Dicka F 50 mg/20 mg Tablet may cause headaches, blurred vision, dizziness or drowsiness in some patients. This may affect your ability to drive.
CAUTION
Dicka F 50 mg/20 mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Dicka F 50 mg/20 mg Tablet may be needed. Please consult your doctor.
Dicka F 50 mg/20 mg Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Dicka F 50 mg/20 mg Tablet may not be needed in these patients. Please consult your doctor.
Uses of Diclofenac
Diclofenac is used in fever, headache, arthralgia, muscle pain, dental pain, post operative pain, pain during menstruation, osteoarthritis, rheumatoid arthritis, ankylosing spondylitis and gout.
How to use Diclofenac
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Dicka F 50 mg/20 mg Tablet is to be taken empty stomach.Take this medicine with a light meal, if you are having acidity and gastritis after taking this medication
How Dicka F 50 mg/20 mg Tablet works
Diclofenac is a non-steroidal anti-inflammatory drug (NSAID). It works by suppressing the production of chemical messengers (prostaglandins) that cause inflammation (redness and swelling), fever and pain.
Common Abdominal pain, Constipation, Diarrhoea, Epigastric pain, Flatulence, Nausea, Vomiting, Indigestion.
Expert advice for Diclofenac
It should be taken with food or milk to avoid getting an upset stomach. It can cause serious complications like stomach bleeding and kidney problems if taken for a long time. Diclofenac can raise a risk of blood clots, heart attack, or a stroke. Inform your doctor if you are pregnant or planning to conceive or breastfeeding. Inform your doctor if you have ever been diagnosed with kidney or liver problems.
Q. Can Diclofenac be used along with warfarin?
No. Using Diclofenac together with warfarin can increase the risk of serious bleeding from the stomach (Higher than users of either drug alone). Inform your doctor before starting these medications.
Q. Is Diclofenac a painkiller?
Yes. Diclofenac is a pain killer. In fact, it belongs to the class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). It is commonly used for the treatment of pain in osteoarthritis, rheumatoid arthritis and spondylitis.
Q. Is Diclofenac a narcotic?
No, Diclofenac is not a narcotic. Narcotics are drugs with sleep inducing properties, usual derivatives of Opium like Heroin and Morphine.
Q. Can I use Diclofenac along with vitamins?
Yes, Diclofenac can be taken with vitamins. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can Diclofenac be used for the treatment of hepatitis?
No, Diclofenac is not approved for the treatment of hepatitis. Hepatitis is a condition where the liver is inflamed. Diclofenac can, in fact, cause harm to the liver as a side effect.
Q. Can Diclofenac be used after C-section?
Yes, Diclofenac is a pain killer. C-section is the short name for Cesarean Section which is an operative procedure to deliver the baby through the mother's abdomen and uterus. Diclofenac can be used to treat the pain that may occur after the operation.
Q. Can I take Diclofenac along with misoprostol?
Yes. It can be taken together. Misoprostol protects the stomach from irritating gastric effects of Diclofenac. The combination of medication is used to treat arthritis in patients at high risk of getting stomach/intestinal ulcers and complications from the ulcers (such as bleeding).
Q. Can I take Diclofenac while I am on thyroxine?
Yes, Diclofenac can be taken with thyroxine. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Why Diclofenac should be stopped before surgery?
Since Diclofenac has been shown to have blood thinning effects, it can increase the risk of bleeding. Therefore, it is stopped before surgery to prevent excessive loss of blood.
Q. What are the contraindications for Diclofenac?
Diclofenac should not be used if there is an allergic reaction (hypersensitivity) to it, or other pain killers, active ulcer in the stomach, bleeding from the stomach, history of severe heart failure, liver failure, kidney failure and or heart attack.
Q. Can Diclofenac affect the chance of conceiving?
Yes. Diclofenac can sometime cause reversible infertility. Diclofenac by its mechanism of action, may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women. Consult your doctor before starting this medication.
Q. Why does Diclofenac cause an ulcer?
Diclofenac can cause damage to the lining cells of the stomach by several mechanisms, including the irritant effect on the cells, breaking of the protective barrier properties of lining cells, suppression of prostaglandin production of the stomach, reduction of stomach mucosal blood flow and interference with the repair of superficial injury of the stomach lining.
Q. Why is Diclofenac contraindicated in asthma?
Some patients with asthma are hypersensitive to non-steroidal anti-inflammatory drugs (NSAID) like aspirin which can lead to acute attacks of asthma. Consult your doctor before starting this medication.
Q. Is Diclofenac good for back pain?
Yes, Diclofenac has been found to be effective to reduce back pain. Diclofenac is a pain killer that belongs to the NSAIDs (Non-Steroidal Anti-Inflammatory) class. Other NSAIDs have also been found to be useful in back pain eg. Ibuprofen and Naproxen.
Q. Can I use Diclofenac during my fever treatment?
Yes, Diclofenac can reduce fever. However, commonly used to reduce the pain, particularly that which is seen with Osteoarthritis, Rheumatoid Arthritis and Ankylosing spondylitis.
Q. Can I use Diclofenac to treat a sore throat?
Sore throat is mostly caused by bacteria so antibiotics are given to treat a sore throat whereas Diclofenac is a pain killer so it can be given in cases of throat pain associated with it but only under the prescription of a doctor.
Q. Can I use Diclofenac to treat urinary tract infections (UTI)?
Diclofenac can be used to treat the pain associated with urinary tract infection (UTI) but for complete treatment, a course of antibiotics will be required.
Q. Can Diclofenac cause sedation?
Diclofenac is not known to cause sedation. There have been rare, an isolated case report of sedation with the drug.
Q. Can I take Diclofenac for kidney stones?
Yes,Diclofenac can be used to relieve the pain due to kidney stones. However, there is also a risk of kidney damage with Diclofenac as its side effect. It is advised not to take Diclofenac for a prolonged time for this condition without adequate monitoring.
Q. Can I use Diclofenac for the treatment of arthritis?
Yes, Diclofenac is commonly used for the treatment of pain in osteoarthritis, rheumatoid arthritis, and spondylitis.It belongs to the class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). .
Q. Can I use Diclofenac with diuretics?
No, Diclofenac should not be used with diuretics. Diclofenac reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.
Q. Can I use Diclofenac with mifepristone?
These drugs should not be used together as the effect of mifepristone may be lowered by Diclofenac. Mifepristone is used for medical abortion.
Q. Can I use Diclofenac with lithium?
No.These drugs should not be used together as Diclofenac increases the blood levels of lithium which may further increase the side effects.
Uses of Famotidine
Famotidine is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.
How to use Famotidine
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Dicka F 50 mg/20 mg Tablet is to be taken empty stomach.Take this medicine with a light meal, if you are having acidity and gastritis after taking this medication
How Dicka F 50 mg/20 mg Tablet works
Famotidine is an H2 blocker. It works by reducing the amount of acid in the stomach which helps in relief of acid-related indigestion and heartburn.
Common Headache, Muscle pain, Fatigue, Diarrhoea, Drowsiness, Constipation.
Expert advice for Famotidine
Famotidine is a well tolerated and safe medicine with a very low incidence of side effects. Take Famotidine before going to bed if you are taking this medicine once a day as it is very effective in controlling stomach acid released in the midnight. If you are also taking an antacid, take it two hours before or after taking Famotidine. Avoid taking soft drinks, citrus fruits like orange and lemon, which can irritate the stomach and increase acid secretion. Inform your doctor if you do not feel better after taking Famotidine for two weeks or 14 days as you may be suffering from some other problems. Inform your doctor if you have ever been diagnosed with kidney or liver disease. Dose of your medicine may need to be adjusted.
Q. How is Famotidine different from omeprazole?
Both Famotidine and omeprazole lower the acid production in your stomach but they belong to the different group of drugs. Studies have shown that omeprazole is more effective than Famotidine in treating heartburn and in rapid healing of duodenal ulcers. However, the effect of these medicines may vary upon individual response.
Q. Is Famotidine an antacid?
Famotidine belongs to the class of H2 receptor blockers which decrease the amount of acid produced in the stomach. While antacids only neutralize the stomach acid by coating the stomach.
Q. What is the difference between Famotidine and pantoprazole?
Famotidine is an H2 histamine receptor blocker whereas pantoprazole is a proton pump inhibitor. Pantoprazole is more potent at inhibiting gastric acid production compared to famotidine and also its effect lasts for a long time.
Q. How is Famotidine different from cimetidine?
Both Famotidine and cimetidine lower gastric acid secretion by blocking the H2 receptor in the stomach. However, Famotidine is longer acting, more efficacious, and has very less side effects when compared to cimetidine.
Q. Is Famotidine safe to use?
Famotidine is safe if used for a prescribed duration in doses as prescribed by your physician. However, there are some common side effects that you can experience with the dose advised, like a headache, muscle pain, fatigue, diarrhea, drowsiness, and constipation.
Q. Can I take Famotidine with ibuprofen?
Famotidine can be taken with ibuprofen. Ibuprofen is a pain killer and belongs to the group of NSAIDs (non-steroidal anti-inflammatory agents) which can cause stomach acidity, heartburn, and stomach ulcers. Drugs like Famotidine are used to prevent and treat gastric problems caused by ibuprofen.
Q. Would there be a change in the dose of Famotidine in patients undergoing dialysis?
Yes, there could be a change in the dose of Famotidine in patients undergoing dialysis. In patients with severe renal failure, a lower dose of Famotidine is recommended. However, patients who undergo dialysis do not need to add a dose even if there is a considerable variation in the clearance of the drug from the body in these patients.
Q. Can I take Famotidine with aspirin?
Aspirin can be taken with Famotidine. Aspirin is a pain killer and belongs to the group of NSAIDs (non-steroidal anti-inflammatory agents) which can increase the gastric acid secretion and worsen stomach acidity, heartburn, and stomach ulcers. On the other hand, drugs like Famotidine are used to prevent and treat gastric problems caused by painkillers.
Q. Why does Famotidine cause dizziness?
Dizziness is a commonly reported side effect with the use of Famotidine. The exact mechanism of this is not known. However, it is suggested to block H2 receptor located in some brain areas (cerebral cortex and corpus striatum) which can lead to dizziness. Do not drive or use any machinery in case you feel dizzy while taking Famotidine.
Q. What is the role of Famotidine before surgery?
Famotidine is given as a part of pre-anesthetic medication before surgery to decrease the stomach acid secretion so that stomach acid is not aspirated into the lungs during surgery.
Q. Can I take Famotidine with ranitidine?
Both Famotidine and ranitidine lower gastric acid secretion by blocking the H2 receptor in the stomach. They are not used together as they have a similar action and use and when used together, there could be an increased risk of side effects.
Q. What is the role of Famotidine in critically ill patients?
Famotidine may be used in critically ill patients to decrease stomach acid secretion and lower the risk of acid aspiration into the lungs. It also helps in decreasing stomach ulcers and gastrointestinal bleeding in these patients.
Q. What is the difference between Famotidine and esomeprazole?
Famotidine is an H2 histamine receptor blocker whereas esomeprazole is a proton pump inhibitor. Esomeprazole is more potent at inhibiting gastric acid production compared to Famotidine and also its effect lasts for a long time.
Q. Is Famotidine an over the counter product?
Famotidine is not available as an over the counter (OTC) product. It is a prescription medicine and is available when prescribed by a doctor.
Q. Are there any withdrawal symptoms associated with the use of Famotidine?
Famotidine is not seen to be associated with any withdrawal symptoms. In treatment-withdrawal studies of Famotidine, no significant withdrawal symptoms were observed after discontinuing the medication.
Q. Why is Famotidine added to total parenteral nutrition?
Patients on total parenteral nutrition are prone to increased secretion of stomach acid in the absence of food. H2 receptor blockers like Famotidine is given in these patients to decrease acid secretion and prevent gastric ulcers.
Q. What are the side effects of Famotidine seen in infants?
Irritability, lethargy, diarrhea, dry mouth, vomiting, constipation, abdominal discomfort, fatigue, and urticaria are some of the side effects reported with the use of Famotidine in infants (children less than 1 year of age).
Q. Why is Famotidine used in cancer patients?
Famotidine may be used for multiple reasons in cancer patients. It can lower stomach acid volume in patients undergoing chemotherapy to prevent aspiration and lower the risk of stomach ulceration and bleeding. According to some studies, Famotidine can potentiate white blood cell against cancer cells and can be helpful in the treatment of cancer.
Q. When does Famotidine expire?
Yes, Famotidine does expire. Please check the expiry date written on the pack and it refers to the last day of that month. Do not use Famotidine after the expiry date.
Q. Is there any benefit of taking Famotidine with Lansoprazole?
Both Famotidine and pantoprazole lower gastric acid secretion, however, they work by different mechanisms. If you have been advised to take pantoprazole, you can take Famotidine initially for rapid relief of heartburn and acid reflux as pantoprazole may take a few days to show its effect and help in relieving symptoms.
Q. What is the benefit of taking Famotidine with Pantoprazole?
Both Famotidine and pantoprazole lower gastric acid secretion, however, they work by different mechanisms. If you have been advised to take pantoprazole, you can also take Famotidine initially for rapid relief of heartburn and acid reflux as omeprazole may take a few days to show its effect and provide relief.
Q. Does Famotidine use cause hair loss?
No, use of Famotidine is not seen to cause hair loss. Some common side effects associated with its use includes a headache, muscle pain, fatigue, diarrhea, drowsiness, and constipation.
Q. What are the side effects of Famotidine in elderly?
No specific studies have been done to study the use of Famotidine in elderly. Headache, dizziness, dry mouth, nausea, vomiting, constipation, abdominal discomfort, fatigue, and urticaria are some of the side effects reported with its use. Elderly patients are more prone to have kidney related problems and so a dose adjustment may be needed.
Q. Is it safe to take Famotidine with Tramadol?
Yes Famotidine can be taken with Tramadol. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can I take Famotidine with Ciprofloxacin?
Famotidine and Ciprofloxacin can be taken together. Ciprofloxacin is an antibiotic and is used to treat bacterial infections. Famotidine is sometimes given along with for the relief of associated stomach acidity or acid reflux. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Is it safe to take Famotidine with Azithromycin?
Famotidine and Azithromycin can be taken together. Azithromycin is an antibiotic and is used to treat bacterial infections. Famotidine is sometimes given along with for the relief of associated stomach acidity or acid reflux. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can I take Famotidine with Doxycyclin?
Famotidine and Doxycyclin can be taken together. Doxycyclin is an antibiotic and is used to treat bacterial infections. Famotidine is sometimes given along with for the relief of associated stomach acidity or acid reflux. No drug-drug interactions or any harmful effects have been reported when they are used together.
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