NAC PLUS TABLET

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Reviewed By Sunny S , MBBS

Prescription drug

MRP ₹30

(Inclusive of all Taxes)

₹4.5 Cashback (15%)

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Prescription drug

Whats That

About NAC PLUS TABLET

NAC PLUS TABLET belongs to a class of medications known as a non-steroidal anti-inflammatory drug (NSAID) or pain killer. NAC PLUS TABLET is primarily indicated for relieving pain associated with bones and muscles like osteoarthritis (joints pain), sprains and strains of muscles, rheumatoid arthritis (pain, swelling, and stiffness of joints) and ankylosing spondylitis (inflammation of the spine). This medicine also provides relief in pain associated with back pain, toothache, rheumatoid arthritis, painful menses, mild migraine, etc. Pain is an uncomfortable feeling in the body that can range from annoying to severe.

NAC PLUS TABLET contains Diclofenac (analgesic) and Acetaminophen (fever reducer/mild analgesic) effective against painful musculoskeletal pain, joint pain, and skeletal muscle spasms. Diclofenac works by blocking the action of a chemical messenger known as cyclo-oxygenase (COX) which causes pain and swelling at the injured or damaged tissue site. On the other hand, Acetaminophen acts as a mild analgesic (mild pain reducer) and antipyretic (fever reducer), which enhances the pain relief action of Diclofenac. Both medicines in combination work well to provide relief pain in different conditions.

Take NAC PLUS TABLET as prescribed by your doctor. You are advised to take NAC PLUS TABLET for as long as your doctor has prescribed it for you depending on your medical condition. Like all medicines, NAC PLUS TABLET may cause common side effects like stomach upset, dizziness, light-headedness, malaise, nausea, vomiting and liver dysfunction (hepatitis), pruritis (itchy skin), rash, although not everybody gets them. Stop taking this medicine if you experience symptoms like the tightness of the chest, breathing difficulties, fever, skin rashes, increased heart rate and or in case of any signs of hypersensitivity.

Do not take NAC PLUS TABLET if you are allergic to painkillers like aspirin, acetaminophen, naproxen or diclofenac. It is not recommended for use in children less than 14 years of age, people with liver disease, heart disease or gastric ulcers/bleeding problems. NAC PLUS TABLET may be associated with a small increase in the risk of heart attack (myocardial infarction). Pregnant women should not take this medicine during their last trimester of pregnancy. NAC PLUS TABLET is excreted in the breast milk so the nursing mother should contact the doctor before its usage. Avoid consumption of alcohol as it may damage your liver and cause even more side effects from taking this drug.

Uses of NAC PLUS TABLET

Musculoskeletal pain, Osteoarthritis, Rheumatoid arthritis, Ankylosing spondylitis, Rheumatoid arthritis, Painful menses, Mild migraine, etc.

Directions for Use

Swallow NAC PLUS TABLET as a whole with water; do not crush, break or chew it.

Medicinal Benefits

NAC PLUS TABLET is a combination medicine used to relieve pain and inflammation associated with osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, muscle pain, tooth pain, bone and joint pain, headache, swelling, period pain, ear pain, migraine, fever, sore throat, nose pain, etc. By reducing the pain, NAC PLUS TABLET helps you to do normal daily activities of the day. Diclofenac present in NAC PLUS TABLET works by reducing the chemical messenger that is responsible for pain and inflammation in the body. While Acetaminophen works by blocking chemical messenger that sends pain signals to the brain. This medicine also reduces fever by regulating body temperature. Both medicines in combination increase the pain threshold and blood flow across the skin and provide relief in various painful conditions.

Storage

Keep NAC PLUS TABLET out of the sight and reach of children.

Side effects of Nac Plus Tablet

Stomach Pain

Drink water or other clear fluids.
To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
Include bland foods like rice, toast, crackers, and rice in your diet.
Avoid lying down immediately after eating as it may cause indigestion or heartburn.
Avoid acidic and spicy food as it may cause indigestion.

Constipation

Here are the steps to cope with constipation as a side effect of medication:

Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.

Loose And Watery Stools

Here are the precise steps to cope with diarrhoea caused by medication usage:

Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.

Indigestion

Here are the step-by-step strategies to manage the side effects of "indigestion" caused by medication usage:

Take medications with food (if recommended): It can help prevent stomach distress and indigestion.
Eat smaller, more frequent meals: Divide daily food intake into smaller, more frequent meals to ease digestion.
Avoid trigger foods: Identify and avoid foods that trigger indigestion, such as spicy, fatty, or acidic foods.
Stay upright after eating: Sit or stand upright for at least 1-2 hours after eating to prevent stomach acid from flowing into the oesophagus.
Avoid carbonated drinks: Avoid drinking carbonated beverages, such as soda or beer, which can worsen indigestion.
Manage stress: To alleviate indigestion, engage in stress-reducing activities like deep breathing exercises or meditation.
Consult a doctor if needed: If indigestion worsens or persists, consult a healthcare professional to adjust the medication regimen or explore alternative treatments.

Gas Or Fart

Here are the steps to manage Gastrointestinal Air and Swelling (GAS) caused by medication:

Tell your doctor about your GAS symptoms. They may change your medication regimen or prescribe additional drugs to help you manage them.
To manage GAS symptoms, eat a balanced diet of fibre, vegetables, and fruits.
Drink enough water throughout the day to avoid constipation and treat GAS symptoms.
Regular exercise like yoga and walking may help stimulate digestion and alleviate GAS symptoms.
Take probiotics only if your doctor advises, as they may help alleviate GAS symptoms by promoting gut health.
Take medication for GAS symptoms only if your doctor advises, as certain medications can interact with your existing prescriptions or worsen symptoms.
If symptoms persist, worsen, or are accompanied by severe abdominal pain, vomiting, or bleeding, seek immediate medical attention.

Heart Burn

Nausea

Overcome Medication-Induced Nausea: A 9-Step Plan

Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
Divide your daily food intake into smaller, more frequent meals to reduce nausea.
Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
Use ginger (tea, ale, or candies) to help relieve nausea.
Get adequate rest and also avoid strenuous activities that can worsen nausea.
Talk to your doctor about taking anti-nausea medication if your nausea is severe.
Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.

Drug Warnings

Do not take NAC PLUS TABLET if you have/had severe heart problems, stomach ulcer or perforation, bleeding problems such as bleeding from the stomach, intestine or brain, have undergone any heart bypass surgery, have had any heart attack, blood circulation problems or inflammation of intestines. Patients with asthma, prolonged bleeding time, wheezing (whistling sound during breath) and blocked airways (bronchospasm) should avoid using NAC PLUS TABLET. Consult your doctor if your symptoms of pain, inflammation and fever do not disappear even after ten days. If you are using topical form NAC PLUS TABLET you should avoid direct exposure to the sunlight as sunburn or photosensitivity might occur. Keep your doctor informed about your health condition and medicines to rule out any side-effects. Avoid simultaneous consumption of other painkillers or cough and cold medicines with this NAC PLUS TABLET as it may lead to overdose. Stop taking NAC PLUS TABLET and consult your doctor immediately if you have stomach pain or any signs of bleeding in the intestine or stomach such as blood in stools. Do not take any other NSAID's for pain relief along with NAC PLUS TABLET unless prescribed.

Drug-Drug Interactions

DiclofenacMeloxicam

Critical

DiclofenacWarfarin

Severe

Drug-Drug Interactions

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DiclofenacMeloxicam

Critical

How does the drug interact with Nac Plus Tablet:
Co-administration of Nac Plus Tablet with Meloxicam can increase the risk or severity of gastrointestinal side effects.

How to manage the interaction:
Taking Meloxicam with Nac Plus Tablet is not recommended as it can possibly result in an interaction, it can be taken if your doctor has advised it. However, consult your doctor immediately if you experience symptoms such as dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness. Do not stop any medication without doctor's advise.

DiclofenacWarfarin

Severe

How does the drug interact with Nac Plus Tablet:
Taking Nac Plus Tablet with warfarin may, increase the risk of bleeding.

How to manage the interaction:
There may be a possible interaction between Nac Plus Tablet and Warfarin, but they can be taken together if a doctor has prescribed them. However, consult your doctor immediately if you experience unusual bleeding or bruising, vomiting, blood in your urine or stools, headache, dizziness, or weakness, contact a doctor. Do not discontinue any medications without consulting a doctor.

DiclofenacApixaban

Severe

How does the drug interact with Nac Plus Tablet:
Co-administration of Nac Plus Tablet and Apixaban may raise the risk of stomach bleeding.

How to manage the interaction:
Although there is a interaction between Nac Plus Tablet and apixaban, but it can be taken if your doctor has advised it. Consult a doctor if you experience symptoms like blood in your urine or stool (or a black stool), severe bruising, prolonged nosebleeds, feeling dizzy or lightheaded, weakness or severe headache, vomiting blood or coughing up blood, heavy menstrual bleeding (in women), difficulty breathing, or chest pain. Do not discontinue any medication without consulting a doctor.

DiclofenacOmacetaxine mepesuccinate

Severe

How does the drug interact with Nac Plus Tablet:
Taking Nac Plus Tablet with Omacetaxine mepesuccinate can increase the risk of bleeding complications.

How to manage the interaction:
There may be a possible interaction between Nac Plus Tablet and Omacetaxine mepesuccinate but they can be taken together if your doctor has prescribed them. However, consult your doctor immediately if you experience any unusual bleeding or have other signs of bleeding like dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headaches. Do not discontinue any medications without consulting your doctor.

DiclofenacIbrutinib

Severe

How does the drug interact with Nac Plus Tablet:
Taking Nac Plus Tablet with Ibrutinib can increase the risk of bleeding tendencies.

How to manage the interaction:
There may be a possible interaction between Nac Plus Tablet and Ibrutinib, but they can be taken together if a doctor has prescribed them. However, consult a doctor immediately if you experience any unusual bleeding, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, or severe headaches. Do not discontinue any medications without consulting a doctor.

DiclofenacLomitapide

Severe

How does the drug interact with Nac Plus Tablet:
Taking Nac Plus Tablet with Lomitapide will have an additive effect and may cause liver problems.

How to manage the interaction:
There may be a possible interaction between Nac Plus Tablet and Lomitapide, but they can be taken together if your doctor has prescribed them. However, consult your doctor immediately if you have fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, abdominal pain, dark colored urine, light colored stools, and/or yellowing of the skin or eyes. Do not stop using any medications without a doctor's advice.

DiclofenacPiroxicam

Severe

How does the drug interact with Nac Plus Tablet:
Taking Nac Plus Tablet and piroxicam can increase the risk of side effects such as ulcers, inflammation (redness, swelling), bleeding.

How to manage the interaction:
Co-administration of Nac Plus Tablet and Piroxicam can lead to an interaction, it can be taken if advised by a doctor. However, if you experience any symptoms like unusual bleeding or bruising, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness, consult a doctor immediately. Do not stop using any medications without a doctor's advice.

DiclofenacAcalabrutinib

Severe

How does the drug interact with Nac Plus Tablet:
Taking acalabrutinib together with Nac Plus Tablet may increase the risk of bleeding.

How to manage the interaction:
Co-administration of Nac Plus Tablet and Acalabrutinib can lead to an interaction; it can be taken if advised by your doctor. However, if you experience any symptoms like unusual bleeding or bruising, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness, consult your doctor immediately. Do not stop using any medications without a doctor's advice.

DiclofenacLeflunomide

Severe

How does the drug interact with Nac Plus Tablet:
Co administration of Nac Plus Tablet with Leflunomide may result in liver problems.

How to manage the interaction:
Co-administration of Nac Plus Tablet and Leflunomide can lead to an interaction; it can be taken if advised by your doctor. However, if you have a fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, abdominal pain, dark-colored urine, light-colored stools, or yellowing of the skin or eyes. Do not stop using any medication without consulting your doctor.

DiclofenacPonatinib

Severe

How does the drug interact with Nac Plus Tablet:
Taking Nac Plus Tablet with Ponatinib can increase the risk of bleeding complications.

How to manage the interaction:
There may be a possible interaction between Nac Plus Tablet and Ponatinib, but they can be taken together if your doctor has prescribed them. However, consult your doctor immediately if you experience any unusual bleeding, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headaches. Do not discontinue any medications without consulting your doctor.

Drug-Food Interactions

No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

Exercising regularly helps in muscle stretching so that they are less likely to spasm, tear and sprain. Mild exercises such as jogging and walking are helpful for muscle stretching.
Massages can also be helpful.
Avoid freezing and hot temperatures.
Avoid wearing tight-fitting clothes, instead, wear loose garments.
Rest well, get plenty of sleep.
To avoid developing pressure sores, change your position at least every two hours.
Hot or cold therapy can help treat muscle spasms. Apply an ice-pack or hot-pack on the muscle for 15-20 minutes.
Stay hydrated, drink plenty of water.

Side Effects of NAC PLUS TABLET

Nausea
Vomiting
Stomach pain
Diarrhoea
Indigestion
Headache

Habit Forming

No

Therapeutic Class

ANALGESICS

Drug-Diseases Interactions

No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Can I take NAC PLUS TABLET as a long term medication?

NAC PLUS TABLET should not be taken as a long term medication as it may lead to stomach ulcers/bleeding and kidney problems. For best results of NAC PLUS TABLET, take it in doses and duration mentioned by your doctor.

Can I take NAC PLUS TABLET for stomach pain?

NAC PLUS TABLET is not indicated for stomach pain. Also, If you have stomach pain post-ingestion it may be a sign of stomach ulcer or gastric bleeding. Do not take NAC PLUS TABLET in this condition. It is better to inform your doctor in case of stomach pain.

Can NAC PLUS TABLET be taken in condition of any pain?

It is advised not to take NAC PLUS TABLET until prescribed by your doctor.

Can I stop taking NAC PLUS TABLET if I feel better?

Yes, NAC PLUS TABLET is a short term medication and if you feel better you can stop taking NAC PLUS TABLET, but only after consulting your doctor.

How does NAC PLUS TABLET work?

NAC PLUS TABLET is a combination of two drugs, namely: Diclofenac, and Acetaminophen. Diclofenac and Acetaminophen work by blocking the effect of a chemical messenger known as cyclo-oxygenase (COX) enzymes that make another chemical prostaglandin (PG). By blocking the COX enzyme's effect, lesser PGs are produced, which reduces mild to moderate pain, fever and inflammation at the injured or damaged site.

Is NAC PLUS TABLET used to relieve arthritic pain?

NAC PLUS TABLET is used to reduce and relieve pain and inflammation associated with osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. Arthritis is the tenderness and swelling in the joints.

Can I take NAC PLUS TABLET for longer durations?

NAC PLUS TABLET should not be taken for longer durations unless prescribed by the doctor. If NAC PLUS TABLET has been prescribed for longer durations, regular monitoring of kidney function, liver function and blood count is advised, particularly in elderly patients.

Does NAC PLUS TABLET cause diarrhoea?

Diarrhea might be a side-effect of NAC PLUS TABLET. Drink enough fluids and eat fiber rich food if you experience diarrhea. If you find blood in stools (tarry stools) or if you experience excess diarrhea consult your doctor. Do not take anti-diarrheal medicine on your own.

Is NAC PLUS TABLET used to treat migraine?

No, NAC PLUS TABLET is not used to treat migraine, it is used to decrease pain caused by mild migraine.

Drug-Drug Interactions Checker List

TACROLIMUS
CYCLOSPORINE
CHLORAMPHENICOL
MIFEPRESTONE
CHOLESTYRAMINE
DOMPERIDONE
IMATINIB
MAGNESIUM HYDROXIDE
KETOCONAZOLE
VORICONAZOLE
METOCLOPRAMIDE
SULFINPYRAZONE
AMIDODARONE
FLUCONAZOLE
MICONAZOLE
METHOTREXATE
WARFARIN
DIGOXIN
IBUPROFEN
LITHIUM
ASPIRIN

Special Advise

Prolonged use of NAC PLUS TABLET may increase the risk of heart diseases. So if you have any heart problems or have undergone any planned heart bypass surgery, please do not take NAC PLUS TABLET and consult a doctor.
If you have had a gastrointestinal ulcer or bleeding problem, do not take NAC PLUS TABLET.
NAC PLUS TABLET should not be given to the children less than 10 years of age.
Close monitoring of infections as NAC PLUS TABLET may mask the signs and symptoms of infection.

Disease/Condition Glossary

Pain: Pain is a symptom triggered by the nervous system, causing uncomfortable sensations in the body. Pain may be dull or sharp, it might be constant or may come and go. The tolerance level of pain might vary from person to person. Pain can be generalized (overall body aches) or localized (affecting a specific area of the body). Pain can be considered a good thing as it helps us know that something is wrong in the body and thereby helps diagnose the condition. The common causes of pain include headache, muscle strain, cramps, cuts, bone fractures, and arthritis.

Osteoarthritis: It is a joint disease in which the two ends of the joints come together due to the breakdown of a protective covering of cartilage. Due to the absence of this protective covering, the joints rub against each other, leading to pain and stiffness. Symptoms include pain, stiffness, inflammation, and tenderness.

Rheumatoid arthritis: It is an auto-immune disease (the body's immune system attacks its tissue), leading to joint pain and damage. Symptoms of rheumatoid arthritis include pain, swelling, stiffness, deformities, and loss of joint function.

Ankylosing spondylitis: It causes pain and stiffness in the spine. The pain generally starts in the lower back and can spread to the neck, damaged joints, or other body parts. Ankylosing spondylitis includes decreased flexibility which usually leads to hunched-forward posture, pain, and back, and joints.

Migraine: A headache of varying intensity, often accompanied by nausea and sensitivity to light and sound.