Side Effects:

Common Increased calcium level in blood, Decreased calcium level in blood.

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

Expert advice for Alfakit Tablet

Always take alpha ketoanalogue along with meals to allow proper absorption and metabolism.
Ensure that you main adequate calorie intake during alpha ketoanalogue therapy.
You will be regularly monitored for serum calcium levels while taking alpha ketoanalogue.
Inform your doctor if you are suffering from phenylketonuria (inborn error of metabolism involving impaired metabolism of the amino acid phenylalanine).
Tell your doctor if you are pregnant or planning to become pregnant or are breastfeeding.
Do not take if allergic to alpha ketoanalouge or any of its ingredients.
Do not take if suffering with hypercalcemia (high calcium levels in blood), disturbed amino acid metabolism.
Do not take if suffering from hereditary phenylketonuria.

Expert advice for Muscare S Tablet
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. Muscare s 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 Muscare s be used along with warfarin?
No. Using Muscare s 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 Muscare s a painkiller?
Yes. Muscare s 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 Muscare s a narcotic?
No, Muscare s is not a narcotic. Narcotics are drugs with sleep inducing properties, usual derivatives of Opium like Heroin and Morphine.

Q. Can I use Muscare s along with vitamins?
Yes, Muscare s can be taken with vitamins. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Can Muscare s be used for the treatment of hepatitis?
No, Muscare s is not approved for the treatment of hepatitis. Hepatitis is a condition where the liver is inflamed. Muscare s can, in fact, cause harm to the liver as a side effect.

Q. Can Muscare s be used after C-section?
Yes, Muscare s 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. Muscare s can be used to treat the pain that may occur after the operation.

Q. Can I take Muscare s along with misoprostol?
Yes. It can be taken together. Misoprostol protects the stomach from irritating gastric effects of Muscare s. 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 Muscare s while I am on thyroxine?
Yes, Muscare s can be taken with thyroxine. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Why Muscare s should be stopped before surgery?
Since Muscare s 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 Muscare s?
Muscare s 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 Muscare s affect the chance of conceiving?
Yes. Muscare s can sometime cause reversible infertility. Muscare s 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 Muscare s cause an ulcer?
Muscare s 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 Muscare s 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 Muscare s good for back pain?
Yes, Muscare s has been found to be effective to reduce back pain. Muscare s 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 Muscare s during my fever treatment?
Yes, Muscare s 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 Muscare s to treat a sore throat?
Sore throat is mostly caused by bacteria so antibiotics are given to treat a sore throat whereas Muscare s 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 Muscare s to treat urinary tract infections (UTI)?
Muscare s 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 Muscare s cause sedation?
Muscare s is not known to cause sedation. There have been rare, an isolated case report of sedation with the drug.

Q. Can I take Muscare s for kidney stones?
Yes,Muscare s can be used to relieve the pain due to kidney stones. However, there is also a risk of kidney damage with Muscare s as its side effect. It is advised not to take Muscare s for a prolonged time for this condition without adequate monitoring.

Q. Can I use Muscare s for the treatment of arthritis?
Yes, Muscare s 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 Muscare s with diuretics?
No, Muscare s should not be used with diuretics. Muscare s 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 Muscare s with mifepristone?
These drugs should not be used together as the effect of mifepristone may be lowered by Muscare s. Mifepristone is used for medical abortion.

Q. Can I use Muscare s with lithium?
No.These drugs should not be used together as Muscare s increases the blood levels of lithium which may further increase the side effects.