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Manufacturer/Marketer :

Zydus Healthcare Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Nucoxia P Tablet

Nucoxia P Tablet belongs to a group of medicines called Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) used to relieve pain and inflammation in the conditions such as osteoarthritis, rheumatoid arthritis, gouty arthritis, ankylosing spondylitis, tooth pain, headache, nerve pain, muscular pain, back pain, fever, cold, and flu. Pain is a symptom triggered by the nervous system, causing uncomfortable sensations in the body.

Nucoxia P Tablet is a combination of two drugs, namely: Etoricoxib and Paracetamol. Nucoxia P Tablet works by blocking the effect of a chemical messenger known as cyclo-oxygenase (COX) enzyme that makes another chemical prostaglandin which causes pain and inflammation. By blocking the effect of COX enzymes, lesser prostaglandins are produced. This helps in reducing mild to moderate pain and inflammation at the injured or damaged site.

You are advised to take Nucoxia P Tablet for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side-effects such as flatulence, constipation, nausea, diarrhoea, and swelling of hands and feet. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.
 
Consult your doctor if you are pregnant or breastfeeding. Nucoxia P Tablet may cause sleepiness and dizziness, so drive with caution. Nucoxia P Tablet should not be given to children as safety and efficacy have not been established. Avoid consuming alcohol as it could lead to increased dizziness; it might also increase stomach bleeding risk. Keep your doctor informed about your health condition and medicines to rule out any side-effects.

Uses of Nucoxia P Tablet

Pain relief, Osteoarthritis, Rheumatoid arthritis, Gouty arthritis, Ankylosing spondylitis

Directions for Use

Take Nucoxia P Tablet with or after food. Swallow Nucoxia P Tablet as a whole with a glass of water; do not chew or break it.

Medicinal Benefits

Nucoxia P Tablet is a combination of two Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), namely: Etoricoxib and Paracetamol. Nucoxia P Tablet is used to relieve pain in osteoarthritis, rheumatoid arthritis, gouty arthritis and ankylosing spondylitis, tooth pain, headache, nerve pain, muscular pain, back pain, fever, cold, and flu. Nucoxia P Tablet works by blocking the effect of a chemical messenger known as cyclo-oxygenase (COX) enzyme that makes another chemical prostaglandin. These prostaglandins are produced at injury sites and cause pain and swelling. By blocking the effect of COX enzymes, lesser prostaglandins are produced. This helps in reducing mild to moderate pain and inflammation at the injured or damaged site.

Storage

Keep Nucoxia P Tablet out of reach and sight of children.
Side effects of Nucoxia P Tablet
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.
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.
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.
  • 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.

Drug Warnings

Do not take Nucoxia P Tablet if you are allergic to Nucoxia P Tablet or other NSAIDs. Inform your doctor if you have stomach ulcers, or have suffered bleeding problems, clotting problems, inflammatory bowel disease, heart failure, high blood pressure, diabetes, high cholesterol, severe heart, liver or kidney problems. If you have had any recent heart surgery, do not take Nucoxia P Tablet unless prescribed by the doctor, as Nucoxia P Tablet may increase the risk of heart attack or stroke. Consult your doctor if you are pregnant or breastfeeding. Nucoxia P Tablet may cause sleepiness and dizziness, so drive only if you are alert. Nucoxia P Tablet should not be given to children as safety has not been established. Avoid consuming alcohol along with Nucoxia P Tablet as it could lead to increased drowsiness and can increase the risk of stomach bleeding. Stop taking Nucoxia P 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 NSAIDs for pain relief along with Nucoxia P Tablet unless prescribed. 

Drug-Drug Interactions

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ParacetamolValdecoxib
Severe

Drug-Drug Interactions

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How does the drug interact with Nucoxia P Tablet:
Co-administration of Nucoxia P Tablet may decrease the excretion rate of Oxazepam which could result in a higher serum level.

How to manage the interaction:
Although there is a possible interaction between Oxazepam and Nucoxia P Tablet, you can take these medicines together if prescribed by a doctor. Do not stop using any medications without a doctor's advice.
ParacetamolValdecoxib
Severe
How does the drug interact with Nucoxia P Tablet:
Co-administration of Nucoxia P Tablet and Valdecoxib may increase the risk or severity of adverse effects.

How to manage the interaction:
Although there is a possible interaction between Nucoxia P Tablet and Valdecoxib, you can take these medicines together if prescribed by a doctor. However, if the side effects worsen, please consult a doctor.
ParacetamolLomitapide
Severe
How does the drug interact with Nucoxia P Tablet:
Co-administration of Lomitapide and Nucoxia P Tablet may increase the risk of severity of liver injury.

How to manage the interaction:
Although there is a possible interaction between Nucoxia P Tablet and Lomitapide, you can take these medicines together if prescribed by a doctor. Do not stop using any medications without a doctor's advice.
How does the drug interact with Nucoxia P Tablet:
Co-administration of ketamine and Nucoxia P Tablet may decrease the effectiveness of Ketamine which could result in a higher blood level.

How to manage the interaction:
Although taking Ketamine and Nucoxia P Tablet together can evidently cause an interaction, it can be taken if a doctor has suggested it. If you're feeling very sleepy or having trouble breathing, it's important to contact your doctor right away. Do not stop using any medications without a doctor's advice.
How does the drug interact with Nucoxia P Tablet:
Co-administration of Teriflunomide with Nucoxia P Tablet may increase the risk or severity of Liver problems.

How to manage the interaction:
Taking Nucoxia P Tablet with Teriflunomide together can possibly result in an interaction, but it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Nucoxia P Tablet:
Co-administration of Nucoxia P Tablet and Leflunomide may increase the risk of liver problems.

How to manage the interaction:
Although there is a possible interaction between Nucoxia P Tablet and Leflunomide, they can be taken together if prescribed by a doctor. However, if you experience fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, less desire to eat, fatigue, nausea, vomiting, abdominal pain, or yellowing of the skin or eyes, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Nucoxia P Tablet:
Co-administration of Nucoxia P Tablet and Ketoconazole may increase the risk of liver injury.

How to manage the interaction:
Although there is a possible interaction between Nucoxia P Tablet and Ketoconazole, you can take these medicines together if prescribed by a doctor. However, if you have joint pain or swelling, fever, chills, unusual bleeding or bruising, skin rash, itching, over-tiredness, nausea, vomiting, loss of appetite, stomach pain, dark-colored urine, light-colored stools, and/or yellowing of the skin or eyes, contact a doctor immediately as these may be signs and symptoms of liver damage. Do not discontinue the medication without consulting a doctor.
ParacetamolMipomersen
Severe
How does the drug interact with Nucoxia P Tablet:
Co-administration of Mipomersen with Nucoxia P Tablet may increase the risk or severity of liver injury.

How to manage the interaction:
There may be a possibility of interaction between Nucoxia P Tablet and Mipomersen, but it can be taken if prescribed by a doctor. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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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

  • Physical activity helps in strengthening muscles and relieves joint stiffness. Gentle activities like 20-30minutes of walking or swimming would be helpful.
  • Performing yoga may also help in improving joint flexibility and pain management.
  • Maintain a healthy weight by performing regular low-strain exercises and eating healthy food.
  • Get adequate sleep, as resting the muscles can help in reducing inflammation and swelling.
  • Follow heat or cold therapy; apply a cold or hot compress on the joints for 15-20minutes regularly.
  • De-stress yourself by meditating, reading books, taking a warm bubble bath or listening to soothing music.
  • Acupuncture, massage and physical therapy may also be helpful.
  • Eat food rich in antioxidants such as berries, spinach, kidney beans, dark chocolate, etc.
  • Foods containing flavonoids help in reducing inflammation. These include soy, berries, broccoli, grapes and green tea.
  • Avoid smoking and alcohol consumption.

Side Effects of Nucoxia P Tablet

  • Flatulence
  • Constipation
  • Nausea
  • Diarrhoea
  • Swelling of hands and feet (oedema)
  • Skin rash

Habit Forming

No

Therapeutic Class

ANTI- INFLAMMATORY AGENTS

Author Details

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Drug-Diseases Interactions

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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

Nucoxia P Tablet works by blocking the effect of chemical messengers that cause pain and inflammation.

Nucoxia P Tablet is used to reduce and relieve pain and inflammation associated with osteoarthritis, rheumatoid arthritis, gouty arthritis and ankylosing spondylitis. Arthritis is the tenderness and swelling of the joints.

Avoid taking Nucoxia P Tablet if you have stomach ulcers, bleeding problems, or heart problems. Talk to your doctor regarding your concerns; he/she may prescribe alternate medicine.

Diarrhoea might be a side-effect of Nucoxia P Tablet . Drink enough fluids and eat non-spicy food if you experience diarrhoea. If you find blood in stools (tarry stools) or if you experience severe diarrhoea, consult your doctor. Do not take anti-diarrheal medicine on your own.

Nucoxia P Tablet might cause swelling of feet and hands due to fluid retention (oedema). While lying down, raise your legs above by putting a pillow below them. Follow a low-salt diet as it might help in reducing fluid build-up.

Nucoxia P Tablet along with birth control pills might increase the risk of side effects. Please consult your doctor, he/she may suggest an alternate method of contraception.

Drug-Drug Interactions Checker List

  • ASPIRIN
  • WARFARIN
  • SALBUTAMOL
  • LITHIUM
  • ENALAPRIL
  • RAMIPRIL
  • LOSARTAN
  • VALSARTAN
  • MINOXIDIL
  • DIGOXIN
  • RIFAMPICIN
  • RANITIDINE
  • CYCLOSPORINE
  • TACROLIMUS
  • METOCLOPRAMIDE
  • DOMPERIDONE
  • CHOLESTYRAMINE

Special Advise

  • Nucoxia P Tablet might cause changes in blood tests. Inform the person doing the tests that you are taking Nucoxia P Tablet .

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). The common causes of pain include headache, muscle strain, cramps, cuts, bone fractures, and arthritis.

Osteoarthritis: It is a degenerative 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 of osteoarthritis 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. 

Gouty arthritis: It is caused due to deposits of excess uric acid crystals in the joints, which leads to pain and inflammation in the joints. Symptoms include pain, swelling, and redness in the joints, mostly the big toe.

Have a query?

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Alcohol

Unsafe

Avoid consumption of alcohol while taking Nucoxia P Tablet as it may cause increased drowsiness. It can also increase the risk of stomach bleeding.

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Pregnancy

Caution

Please consult your doctor if you have any concerns regarding this; your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Caution

Please consult your doctor before taking Nucoxia P Tablet ; your doctor will decide whether Nucoxia P Tablet can be taken by breastfeeding mothers or not.

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Driving

Caution

Nucoxia P Tablet may cause dizziness and sleepiness. Do not drive or operate machinery unless you are alert.

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Liver

Caution

Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Unsafe

Nucoxia P Tablet should not be given to children as the safety and effectiveness were not established.

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