Ketoflam-P Tablet
Lupin Ltd

prescription required

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In-stock 10 tablets in 1 strip
139.55

NOTICE: unsafe with : Alcohol

USED FOR:
Musculo-skeletal pain Fever Headache

COMPOSITION:
Flupirtine (100mg) Paracetamol (325mg)

Therapeutic Uses:
pain analgesics

Related Warnings
CAUTION
Alcohol
CAUTION

Taking Flupirtine+Paracetamol with alcohol can cause liver damage.

WEIGH RISKS VS BENEFITS
Pregnancy
WEIGH RISKS VS BENEFITS

Ketoflam-P Tablet may be unsafe to use during pregnancy.Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.

Lactation

No information is available on the use of Ketoflam-P Tablet during lactation. Please consult your doctor.

Driving

It is not known whether Ketoflam-P Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.

CAUTION
Kidney
CAUTION

Ketoflam-P Tablet should be used with caution in patients with kidney disease. Dose adjustment of Ketoflam-P Tablet may be needed. Please consult your doctor.

CAUTION
Liver
CAUTION

Ketoflam-P Tablet should be used with caution in patients with liver disease. Dose adjustment of Ketoflam-P Tablet may be needed. Please consult your doctor.However, the use of Ketoflam-P Tablet is not recommended in patients with severe liver disease and active liver disease.


Flupirtine   100mg

Uses of Flupirtine
Flupirtine is used in treatment of musculo-skeletal pain, headache, nerve pain, post operative pain and pain during menstruation.

How to use Flupirtine
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.

How Ketoflam-P Tablet works
Flupirtine decreases the perception of pain by blocking the transmission of pain signals to the brain.

Side Effects:

Common Fatigue, Dizziness, Drowsiness, Nausea, Dryness in mouth, Abdominal bloating, Itching, Tremor.

Expert advice for Flupirtine
Flupirtine is given when pain killers (NSAIDs) cannot be given due to gastric damage caused by them. Inform your doctor before starting Flupirtine if


You have an underlying liver disease
You take alcohol regularly
You are pregnant or planning to get pregnant or breastfeeding

Get your liver function tests done before starting Flupirtine and follow up tests every week while you are taking the medicine. Stop taking Flupirtine and immediately inform your doctor if you get any symptoms of liver disease like nausea, vomiting, stomach pain or yellow colored urine.

Frequently Asked Questions

Q. Is Flupirtine beneficial in the treatment of fibromyalgia?
Yes, Flupirtine is seen to be beneficial in the treatment of fibromyalgia in some clinical studies, however, Flupirtine is yet to get formal regulatory approval for this condition. Fibromyalgia is a disease that is characterized by musculoskeletal pain, fatigue, and depression.

Q. What is the benefit of using Flupirtine with paracetamol?
Both Flupirtine and paracetamol help in relieving pain but they work in entirely different ways. When paracetamol is given with Flupirtine, pain relief is better as compared to single drug use. However, both can cause liver toxicity, so monitoring of liver function is very important when taken together.

Q. Does Flupirtine cause liver toxicity?
Yes, Flupirtine causes liver toxicity. Use of Flupirtine is contraindicated in patients with an underlying liver disease.

Q. Can Flupirtine be used for the treatment of osteoarthritis pain?
Flupirtine can be used for the relief of pain associated with osteorthritis and post orthopedic surgery pain. It is especially useful for patients who cannot take NSAIDs because of the risk of NSAID-induced gastritis.

Q. Does use of Flupirtine cause green discoloration of urine?
There have been case reports that Flupirtine causes green discoloration of urine. However, this is not a very commonly seen effect. Inform your doctor if you experience this symptom.

Q. Is Flupirtine useful in the treatment of epilpesy?
Flupirtine is not approved for the treatment of epilepsy. However, a few animal studies have shown a beneficial effect of Flupirtine for treating epilepsy and this effect is still being explored.

Q. Would I experience any withdrawal symptoms once I stop using Flupirtine?
Yes, you can experience withdrawal symptoms once you stop using Flupirtine like sweating, tremor, and mood alterations with long term use of Flupirtine. Inform your doctor if you have these symptoms.

Paracetamol   325mg

Uses of Paracetamol
Paracetamol is used in fever, headache, muscle pain, pain during menstruation, dental pain and post operative pain.

How to use Paracetamol
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.

How Ketoflam-P Tablet works
Paracetamol is an analgesic (pain reliever) and antipyretic (fever reducer). It works by blocking the production of the chemical messengers (prostaglandins) that transmit pain signals and induce fever.

Side Effects:

Common Allergic reaction.

Expert advice for Paracetamol
Good for pain relief and fever but not effective in joint pain due to poor anti-inflammatory action. Starts working within one hour. Wait for at least 4 hours before taking the next dose. Present in many over-the-counter (OTC) and prescription medicines. Avoid taking more than one paracetamol product at a time to prevent overdose. Doses >4 g/day (2 g in alcoholics) may cause liver, kidney or heart problems. Discontinue Paracetamol and inform your doctor immediately if rash occurs. For children, measure the doses of liquid Paracetamol using the measuring cup instead of a teaspoon to avoid under or over-dosage. Avoid excess alcohol intake (>3 glasses/day) when taking Paracetamol as it may cause liver damage.

Frequently Asked Questions

Q. Can I take Paracetamol with vitamin B complex?
Yes, Paracetamol can be taken with vitamin B-complex preparations. They have been used together in the treatment of acute and painful diseases affecting nerves like trigeminal neuralgias, post-operative pain, etc. Paracetamol helps to relieve pain and vitamin B-complex corrects the deficiency that might be causing your symptoms.

Q. Is Paracetamol use associated with Helicobacter pylori infection?
No, Paracetamol use is not associated with Helicobacter pylori infection. Painkiller drugs can increase the acid secretion in the stomach, aggravate the symptoms of this infection and the risk of stomach and the intestine ulcer. However, this risk is minimum with Paracetamol as compared to other pain killers.

Q. Can I take Paracetamol with fexofenadine?
Yes, Paracetamol can be taken safely with fexofenadine. No drug-drug interactions or any harmful effects have been reported. These are used together to treat the symptoms of cold, cough, flu or a sore-throat and other allergic or viral diseases. Fexofenadine helps to relieve sneezing, runny nose, itchy throat, or eyes and Paracetamol helps to relieve pain or fever.

Q. Can I take Paracetamol with warfarin?
Paracetamol is safe to use occasionally with warfarin as other painkillers like ibuprofen and aspirin can increase the risk of bleeding. However, on a long-term use, Paracetamol can also increase the risk of bleeding. Talk to your doctor before taking them together as you may need to be monitored regularly.

Q. Can I take Paracetamol with tamsulosin?
Paracetamol can be taken with Tamsulosin. No harmful side effects or other interactions have been seen when they are taken together. Tamsulosin is an alpha adrenergic receptor blocker used to treat symptoms of benign prostatic hyperplasia.

Q. Can I take Paracetamol with cetirizine?
Yes, Paracetamol can be taken safely with cetirizine. No drug-drug interactions or any harmful effects have been reported. These are used together to treat the symptoms of cold, cough, flu or a sore throat and other allergic or viral diseases. Cetirizine helps to relieve sneezing, runny nose, itchy throat, or eyes and Paracetamol helps to relieve pain or fever.

Q. Can I take Paracetamol with ibuprofen?
Yes, Paracetamol can be taken with ibuprofen. Both help to relieve pain and fever and ibuprofen also decreases inflammation and swelling. However, both increase the acid secretion in the stomach and can cause acid reflux, heartburn, stomach, and intestinal ulcers and gut bleeding on long-term use.

Q. Does Paracetamol cause weight loss?
Paracetamol is not known to cause weight loss. It is a very safe medicine for short term use and can cause minor and rare side effects like low blood pressure, and allergic reactions.

Q. Can anyone be allergic to Paracetamol?
Yes, there have been reports of hypersensitivity and allergic reaction with the use of Paracetamol. Symptoms of an allergy include swelling of the face, mouth, and throat, shortness of breath, urticaria, red rash, and severe itching. Stop taking Paracetamol if you have such symptoms and immediately consult your doctor.

Q. How beneficial is to use Paracetamol with diclofenac?
Paracetamol and Diclofenac might be given together in case of fever and pain. Paracetamol has an early onset of action and it helps in relieving the symptoms till diclofenac starts working. However, both are pain killers and can affect stomach lining on long-term use leading to acid reflux, heartburn, and stomach ulcers and bleeding.

Q. Can I take Paracetamol for stomach pain?
No, Paracetamol should not be taken for stomach pain. You must consult your physician for this. The stomach pain could be due to some underlying condition, which needs attention.

Q. Can I take Paracetamol with aceclofenac?
Yes, Paracetamol can be given with aceclofenac for fever and pain. Paracetamol has an early onset of action and it helps in relieving the symptoms till Aceclofenac starts working. However, both are pain killers and can affect stomach lining on long-term use leading to acid reflux, heartburn, and stomach ulcers and bleeding.

Q. Does Paracetamol treat sore-throat, flu or cold?
Paracetamol does not treat sore-throat, flu or cold but it can help in relieving fever and body aches associated with these conditions.

Q. Can I take Paracetamol with codeine?
Paracetamol and codeine can be taken together. No drug-drug interactions or any harmful effects have been reported when they are used together. They are commonly given together for the relief of mild to moderate pain due to different reasons.

Q. Does Paracetamol help a cough?
No, Paracetamol does not help in the relief of cough but it can help in relieving associated fever and body aches.

Q. Does Paracetamol contain alcohol?
No, Paracetamol does not contain any alcohol.

Q. Can I take Paracetamol with amoxicillin?
Paracetamol and amoxicillin can be taken together. Amoxicillin is an antibiotic and is used to treat bacterial infections. Paracetamol is given along, for the relief of any associated pain and fever. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Does Paracetamol have side effects?
Paracetamol is quite safe for short term use. It has side effects if taken in more than the dose advised and for a long-term. Immediately consult a doctor if there is nausea, stomach pain, loss of appetite, dark colored urine, clay colored stools or jaundice as it could be due to an overdose of Paracetamol.

Q. Is Paracetamol safe to use?
Paracetamol is safe to use in the dose as advised by the doctor. Use in more than recommended doses can do serious harm.

Q. Is it safe to take Paracetamol with erythromycin?
Paracetamol and Erythromycin can be taken together. Erythromycin is an antibiotic and is used to treat bacterial infections. Paracetamol is given along, for the relief of associated fever. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Is Paracetamol an antibiotic?
Paracetamol is not an antibiotic. It's an analgesic (pain-killer) and antipyretic (for the relief of fever), whereas an antibiotic is useful for the treatment of infections.

Q. Can I take Paracetamol with metronidazole?
Paracetamol and Metronidazole can be taken together. No drug-drug interactions or any harmful effects have been reported when used together.

Q. Can I take Paracetamol with homeopathic medicine?
Ask your doctor before taking Paracetamol with homeopathic medicine as there is no information available on this.

Q. Is it safe to take Paracetamol with Tramadol?
Yes, Paracetamol can be taken with Tramadol. They are used together for moderate to severe pain in various diseases and their use is associated with common side effects like nausea, dizziness, and sleepiness.No drug-drug interactions have been reported when they are used together.

Q. Can I take Paracetamol with Azithromycin?
Paracetamol and Azithromycin can be taken together. Azithromycin is an antibiotic and is used to treat bacterial infections. Paracetamol is given along, for the relief of any associated pain and fever. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Is it safe to take Paracetamol with Naproxen?
Yes, Paracetamol can be taken with Naproxen. Both are painkillers and belong to the group of non-steroidal anti-inflammatory drugs (NSAIDs) and are used to relieve pain and fever. However, long-term use affects the stomach lining and increase acid secretion which can lead to side effects like acid reflux, heartburn, stomach, and intestinal ulcers and bleeding.

Q. Can a patient with high blood pressure take Paracetamol?
Occasional use of Paracetamol is safe in patients with high blood pressure. However, if it is to be taken for a long time, you must talk to your doctor. Paracetamol belongs to the group of painkillers called analgesics and antipyretics and these drugs can decrease the action of medicines taken by the patient for control of high blood pressure.

Q. Does Paracetamol interact with vitamin C?
Vitamin C can be taken with Paracetamol. However, vitamin C increases the blood levels of other drugs similar to Paracetamol, so it is advised to talk to your doctor if you have to take both these medicines for a long-term.

Q. What happens if you take an overdose of Paracetamol?
Overdose of Paracetamol can cause potentially life-threatening liver damage, which is the most serious side effect. Early symptoms may include nausea, vomiting, profuse sweating, and general tiredness. Kidney damage, decreased platelet count and coma may also occur. Immediately consult a doctor or consult an emergency in the case of suspected overdosage.

Q. Can I take Paracetamol with hyoscine?
Yes, Paracetamol and hyoscine can be taken together. Hyoscine is used to relieve pain and cramps of the stomach, gut, urinary bladder and urinary tract while Paracetamol is used to relieve mild to moderate pain of a headache, toothache, muscle pain, joint pain, and fever. Together they can be advised by a doctor for painful conditions of the gut and urinary tract.

Q. Can I take Paracetamol with Betahistine?
Paracetamol can be taken with Betahistine. There are no reported drug-drug interactions or harmful effects when they are used together.

Q. Can I take Paracetamol with rabeprazole?
Paracetamol and Rabeprazole can be taken together. Rabeprazole is used to prevent Paracetamol (painkillers) induced gastritis and stomach ulcers by decreasing the production of acid in the stomach. There are no clinically significant drug-drug interactions or harmful effects seen when they are used together.

Q. How beneficial is to take urofollitropin alpha with Paracetamol?
Urofollitropin alpha is given as a subcutaneous injection with the human chorionic gonadotropin (hCG) hormone to assist in ovulation and fertility. Urofollitropin alpha can cause abdominal or pelvic pain or pain and swelling at the injection site in some patients which can be relieved by taking Paracetamol.

Q. Can vitamin D be taken safely with Paracetamol?
Yes, vitamin D can be taken with Paracetamol. Patients with osteoarthritis who are on vitamin D and calcium may need to take Paracetamol for the relief of any associated pain. No drug-drug interactions or any harmful effects have been reported.

Q. Can I take clindamycin with Paracetamol?
Paracetamol and Clindamycin can be taken together. Clindamycin is an antibiotic and is used to treat bacterial infections. Paracetamol may be given along, for the relief of associated fever. No drug-drug interactions have been reported clinically. However, both are known to cause liver damage. Talk to your doctor if you need them for a long time.

Q. Does Paracetamol affect the liver?
Use of Paracetamol for a long time and above recommended doses can cause liver damage ranging from abnormal liver tests to liver failure. If you are taking Paracetamol from a long time and have nausea, stomach pain, loss of appetite, dark colored urine, clay colored stools or jaundice, inform your doctor as these could be signs of an underlying liver damage.

Q. Can I take Paracetamol if I have hepatitis?
Paracetamol is considered the safest painkiller to take for people with hepatitis for mild to moderate pain and fever. However, Paracetamol is metabolized in the liver, so, consult your doctor before taking Paracetamol if you have hepatitis as it can cause liver damage if taken in higher doses or for a very long time.

Q. What are the serious side effects of taking excess Paracetamol?
Potentially severe life-threatening liver injury is a serious side effect seen with an overdose of Paracetamol. Overdose can also cause kidney injury, coma, and decreased platelet count. Early symptoms of an overdose include nausea, vomiting, and general tiredness. Immediately consult a doctor or reach an emergency in case of suspected overdose.