Duospan 70mg/20mg Tablet
Maneesh Pharmaceuticals Ltd

prescription required

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In-stock 10 tablets in 1 strip
15.38

NOTICE: unsafe with : Alcohol

USED FOR:
Abdominal Pain Pain relief

COMPOSITION:
Dicyclomine (70mg) Diclofenac (20mg)

Therapeutic Uses:
gastro intestinal ophthal

Related Warnings
CAUTION
Alcohol
CAUTION

Taking diclofenac with alcohol can increase your risk of stomach bleeding.

WEIGH RISKS VS BENEFITS
Pregnancy
WEIGH RISKS VS BENEFITS

Duospan 70mg/20mg 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.

CAUTION
Lactation
CAUTION

Duospan 70mg/20mg Tablet is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.

Driving

Do not drive unless you are feeling well.Duospan 70mg/20mg Tablet may cause headaches, blurred vision, dizziness or drowsiness in some patients. This may affect your ability to drive.

CAUTION
Kidney
CAUTION

Duospan 70mg/20mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Duospan 70mg/20mg Tablet may be needed. Please consult your doctor.

CAUTION
Liver
CAUTION

Duospan 70mg/20mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Duospan 70mg/20mg Tablet 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.


Dicyclomine   70mg

Uses of Dicyclomine
Dicyclomine is used in the treatment of abdominal pain.

How to use Dicyclomine
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. Duospan 70mg/20mg Tablet is to be taken with food.This will help to avoid stomach upset.

How Duospan 70mg/20mg Tablet works
Dicyclomine works by relaxing the muscles in your stomach and gut (intestine). It stops sudden muscle contractions (spasms). In doing this, it relieves cramps, pain, bloating, and discomfort.

Side Effects:

Common Nausea, Sleepiness, Dizziness, Blurred vision, Dryness in mouth, Nervousness, Weakness.

Expert advice for Dicyclomine

This medication may impair your thinking or alertness. Be careful if you drive or do anything that requires you to be alert.
Avoid becoming overheated or dehydrated during exercise and in hot weather. Dicyclomine can decrease your sweating, which can lead to heat stroke in a hot environment.
Avoid taking alcohol as it can increase certain side effects of dicyclomine.
Stop using dicyclomine and call your doctor right away if you have serious side effects such as confusion, hallucinations, unusual thoughts or behavior, fast or uneven heart rate, or if you urinate less than usual or not at all.

Frequently Asked Questions

Q. Is Dicyclomine safe?
Dicyclomine is safe if used at prescribed doses for the prescribed duration as advised by your doctor

Q. Is Dicyclomine gluten free?
Dicyclomine active drug does not contain gluten. Read the label instruction of the brands your doctor prescribes you, for gluten content

Q. Is Dicyclomine an over-the-counter medicine?
Dicyclomine is available over-the-counter. However, always consult your doctor before taking dicyclomine for your disease

Q. Does dicyclomine help nausea?
Dicyclomine is not known to relieve nausea. Nausea is a common side effect of dicyclomine.

Q. Does dicyclomine help constipation or trigger constipation?
Dicyclomine may cause constipation

Q. Is dicyclomine an opiate/steroid/antacid/NSAID/benzodiazepine?
Dicyclomine is not an opiate, steroid, or an antacid. It is neither a NSAID not a benzodiazepine

Q. Is dicyclomine a muscle relaxer?
Yes, dicyclomine is a smooth muscle relaxant. It has a direct effect on muscles of the stomach and intestine. It does not relax the skeletal/voluntary muscles

Q. Can I take dicyclomine for diarrhea?
Dicyclomine has no known effects in treating diarrhea

Q. Can I take dicyclomine for menstrual cramps?
Dicyclomine mainly acts on the smooth muscles of the intestine. Hence, it is used to relieve cramps or spasms of the stomach and intestines (gut). It is not known whether it can be used for menstrual cramps

Q. Does dicyclomine cause constipation?
Dicyclomine may cause constipation

Q. Does dicyclomine make you drowsy?
Dicyclomine may cause drowsiness and make you feel sleepy

Q. Does dicyclomine cause hair loss?
Dicyclomine does not have hair loss as a known side-effect

Q. Can I take dicyclomine with Advil (ibuprofen)/ amoxicillin/ Pepto (bismuth subsalicylate)/ tramadol/ Vicodin (acetaminophen and hydrocodone)/ oxycodone/ Tylenol (paracetamol)?
There are no known serious drug interactions between dicyclomine and Advil (ibuprofen)/ amoxicillin/ Pepto (bismuth subsalicylate)/ Tramadol/ Vicodin (acetaminophen and hydrocodone)/ oxycodone/ Tylenol (paracetamol). Dicyclomine is often available in combination with pain killers like paracetamol Consult your doctor about all medications currently taken before starting and while on dicyclomine.

Diclofenac   20mg

Uses of Diclofenac
Diclofenac is used for pain reliefIt relieves pain in conditions like headache, mild migraine, muscle pain, dental pain, rheumatoid arthritis, ankylosing spondylitis, osteoarthritis, or painful menses.

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. Duospan 70mg/20mg Tablet is to be taken with food.This will help to avoid stomach upset.

How Duospan 70mg/20mg 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.

Side Effects:

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.

Frequently Asked Questions

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.

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