Side Effects:

Common Abdominal pain, Constipation, Diarrhoea, Epigastric pain, Flatulence, Nausea, Vomiting, Indigestion.

Common Sleepiness.

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.

Expert advice for Cetirizine

Do not drive or operate machinery after taking cetirizine because you may feel sleepy.
Avoid alcohol intake while taking this drug.
Consult your doctor if you experience any of these side effects: changes in vision, severe dry mouth, trouble urinating, constipation or drowsiness.
Do not start or continue the cetirizine tablets:
If you are allergic (hypersensitive) to cetirizine or any of the other ingredients of cetirizine tablet.
If you have severe kidney problem or severe liver problem.
If you are pregnant or breast feeding.
Doctor’s advice should be considered before taking cetirizine tablets in case of any following disease conditions such as fits, severe kidney impairment, intolerance to sugars.

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.

Q. Is cetirizine/ Alerid/ Alerid syrup an antihistamine/antibiotic/steroid?
Cetirizine is an antihistaminic drug. It is not an antibiotic or steroid

Q. Is cetirizine/ Alerid D banned?
It is available in India and should be taken as advised by doctor

Q. Can you take cetirizine for prickly heat?
Cetirizine can be used for prickly heat to reduce the itching. Patients should follow the advice of the doctor regarding its use

Q. Can I take cetirizine with high blood pressure?
Patients with high blood pressure can take cetirizine. Patients should follow the advice of the doctor regarding its use

Q. Can I take cetirizine with antibiotics/ azithromycin/ citalopram/ sertraline?
Yes, as there are no expected reactions with cetirizine. Always consult your doctor for the change of dose regimen or an alternative drug of choice that may strictly be required

Q. Does cetirizine make you gain weight?
It is rarely seen, but there is a possibility that cetirizine, like other anti-histamines might cause gain in weight

Q. Is cetirizine/ Alerid safe?
Cetirizine/ Alerid is safe at the prescribed dose by the doctor. Patients should follow the advice of the doctor regarding its use

Q. Is cetirizine good for cold/ used for sore throat/ allergic reaction/itching/hives?
Cetirizine is used to treat cold or allergy symptoms such as sneezing, itching, watery eyes, or runny nose. It is also used to treat hives, but not used for sore throat. Patients should follow the advice of the doctor regarding its use

Q. How long can I take cetirizine for?
Patient should take cetirizine as directed by doctor

Q. Can I take cetirizine with paracetamol/ aspirin/ ibuprofen/ DayQuil/ prednisone/ Benadryl?
Cetirizine can be taken along with paracetamol, aspirin, ibuprofen, or prednisone. However, taking Benadryl and Dayquil along with cetirizine can increase the drowsiness. Always consult your doctor for the change of dose regimen or an alternative drug of choice that may strictly be required

Q. Can I take cetirizine with loratadine/ diphenhydramine/ brompheniramine/ fexofenadine?
No. Patient should not take cetirizine with these drugs as they are from same category of antihistamines. Patients should follow the advice of the doctor regarding its use

Q. Does cetirizine make you sleepy or cause drowsiness?
Patient may feel sleepy after taking cetirizine. Always consult your doctor

Q. Does cetirizine contain diphenhydramine/pseudoephedrine/aspirin/acetaminophen (paracetamol)?
No. Cetirizine does not contain diphenhydramine/pseudoephedrine/aspirin. However doctor may prescribe cetirizine in combination with these drugs.

Q. Can I take Cetirizine with Betahistine?
Cetirizine should not be taken with Betahistine as it has antihistamine action and Betahistine has histamine like action and using the two medicines together may lower the efficacy of either of them.