NOTICE: unsafe with : Alcohol
USED FOR:
Fever
Muscle relaxation
Headache
COMPOSITION:
Diclofenac (50mg)
Metaxalone (400mg)
Therapeutic Uses:
ophthal
pain analgesics
Taking diclofenac with alcohol can increase your risk of stomach bleeding.
Flexura D Tablet MR 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.
Flexura D Tablet MR is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.
Flexura D Tablet MR may cause side effects which could affect your ability to drive.
Flexura D Tablet MR should be used with caution in patients with kidney disease. Dose adjustment of Flexura D Tablet MR may be needed. Please consult your doctor.
Flexura D Tablet MR should be used with caution in patients with liver disease. Dose adjustment of Flexura D Tablet MR may be needed. Please consult your doctor.Regular monitoring of liver function tests is recommended in patients with liver disease if this medicine is to be taken for a long time.
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. Flexura D Tablet MR is to be taken empty stomach.
How Flexura D Tablet MR 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 Metaxalone
Metaxalone is used for muscle relaxationIt relieves painful spasms of the skeletal muscles.
How to use Metaxalone
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. Flexura D Tablet MR is to be taken empty stomach.
How Flexura D Tablet MR works
Metaxalone is a muscle relaxant. It works on the centres in the brain and spinal cord to relieve muscle stiffness or spasm without reduction in strength. This improves pain and movement of muscles.
Common Sleepiness, Dry mouth.
Expert advice for Metaxalone
Metaxalone can increase the effects of other CNS depressants (alcohol, barbiturates) medicine. Avoid consuming alcohol when taking the Metaxalone, as it may cause excessive drowsiness and calmness. Inform your doctor if you have ever been diagnosed with kidney or liver problems. Inform your doctor if you are pregnant or planning to conceive or breastfeeding.
Q. Is Metaxalone addictive?
No. Metaxalone is not addictive. Only if taken with CNS depressants, then there are chances of addition due to relief action
Q. Is Metaxalone a narcotic?
No. Metaxalone is not a narcotic drug. It is a muscle relaxant
Q. Is Metaxalone a benzodiazepine/ non-steroidal anti-inflammatory drugs (NSAIDs)/ sulfa drug/ muscle relaxer?
Metaxalone is not a benzodiazepine/ non-steroidal anti-inflammatory drugs (NSAIDs)/sulfa drug. However, Metaxalone is a muscle relaxant
Q. Is Metaxalone safe?
Metaxalone is safe if used at prescribed doses for the prescribed duration as advised by your doctor
Q. Is Metaxalone like Flexeril?
Flexeril is trade name for active drug cyclobenzaprine. Metaxalone and cyclobenzaprine belong to same category of drugs called muscle relaxant
Q. Is Metaxalone gluten free?
Yes. Metaxalone is gluten free. However, please refer to package insert of the prescribed brand before you use
Q. Can I take Metaxalone for a toothache?
Metaxalone is a muscle relaxant. It is used to treat muscle spasm (pain and discomfort caused by strains, sprains, and other muscle injuries). Patients should follow the advice of the doctor regarding its use
Q. Can I take metaxalone with tramadol/ ibuprofen/ hydrocodone/ oxycodone/ aleve/ tylenol 3/ vicodin/ ambien/ flexeril/ Xanax?
Metaxalone interacts with tramadol/ ibuprofen/ hydrocodone/ oxycodone/ aleve/ tylenol 3/ vicodin/ ambien/ flexeril/ Xanax, and may increase side effects such as drowsiness. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required
Q. Does Metaxalone make you sleep?
Yes, Metaxalone may make you sleepy
Q. Does Metaxalone work and what does Metaxalone treat?
Metaxalone is a muscle relaxant. It is used to treat muscle spasm (pain and discomfort caused by strains, sprains, and other muscle injuries)
Q. Does Metaxalone cause tiredness?
Metaxalone may cause unusual tiredness. Inform your doctor immediately in case you experience unusual tiredness
Q. Does Metaxalone cause constipation/ weight gain?
Metaxalone is not known to cause side effects such as constipation or weight gain
Q. Does Metaxalone make you high?
Metaxalone does not have any known effect in getting high
Q. Does Metaxalone contain acetaminophen?
No.Metaxalone does not contain acetaminophen.
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