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Reviewed By Sunny S , MBBS
Non returnable*
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Manufacturer/Marketer :

Zydus Healthcare Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Nucoxia SP Tablet

Nucoxia SP Tablet belongs to the class of drugs known as pain killer/ 'non-steroidal anti-inflammatory drug' (NSAID). Nucoxia SP Tablet is used to provide pain relief in various conditions including post-traumatic pain, low back pain, cervical pain, spondylitis (inflammation in spinal bones), osteoarthritis (joint pain and stiffness), rheumatoid arthritis (joint pain and damage throughout the body), migraine, etc. Pain can be temporary (acute) or prolonged period (chronic) in nature. Acute pain is for a short time caused by damage to the tissues of the muscle, bone or organs. Chronic pain lasts for long time caused due to nerve damage, osteoarthritis, dental pain, etc., due to damage to the tooth nerve, infection, decay, extraction or injury. 

Nucoxia SP Tablet contains two medicines namely etoricoxib and serratiopeptidase. Nucoxia SP Tablet contains ‘etoricoxib’ which works by blocking the release of a chemical messenger called prostaglandin, produced by COX-2, which is responsible for pain, swelling and inflammation. Serratiopeptidase is a proteolytic enzyme which helps in the breakdown of insoluble protein (fibrin) a by-product of blood clot into smaller units. It also causes thinning of the fluids in the body as a result of injury, thereby making fluid drainage smoother in the swollen tissue. Together Nucoxia SP Tablet is effective for relieving pain.

Take Nucoxia SP Tablet as prescribed by your doctor. You are advised to take Nucoxia SP Tablet for as long as your doctor has prescribed it for you depending on your medical conditions. You may experience stomach pain, diarrhea, flatulence, indigestion, feet swelling, swelling of hands and flu-like symptoms. Most of these side effects of Nucoxia SP Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Do not take Nucoxia SP Tablet if you are allergic to Nucoxia SP Tablet , other pain killers or any other ingredients present in it. Nucoxia SP Tablet should not be taken in the conditions like ulcers or bleeding in your stomach, severe liver and/or kidney impairment, colitis (inflammation of the large intestine), uncontrolled blood pressure, heart problems such as chest pain, heart attack or heart failure and stroke. Nucoxia SP Tablet is not recommended for children below 16 years of age. Before taking Nucoxia SP Tablet inform your doctor if you are more than 65 years of age. Inform your doctor immediately if you are pregnant, planning to become pregnant or breastfeeding.

Uses of Nucoxia SP Tablet

Mild to moderate pain, Osteoarthritis, Rheumatoid arthritis (joint pain), Ankylosing spondylitis (inflammation in spinal bones), Gout, Migraine, etc.

Directions for Use

Swallow Nucoxia SP Tablet as a whole with water; do not crush, break or chew it.

Medicinal Benefits

Nucoxia SP Tablet is used to provide pain relief in various conditions including post-traumatic pain, low back pain, cervical pain, spondylitis (inflammation in spinal bones), osteoarthritis (lifelong joint pain and stiffness), rheumatoid arthritis (joint pain and damage throughout the body), migraine, etc. Etoricoxib in Nucoxia SP Tablet plays a vital role in reducing pain and inflammation by blocking the release of chemical messengers that cause pain and inflammation. Serratiopeptidase present in Nucoxia SP Tablet is a proteolytic enzyme that helps in the breakdown of insoluble protein (fibrin) a by-product of blood clots into smaller units. It also causes thinning of the fluids in the body as a result of injury, thereby making fluid drainage smoother in the swollen tissue.

Storage

Keep this medicine out of the sight and reach of children.
Side effects of Nucoxia SP Tablet
  • 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.
  • Reduce salt intake to minimize fluid buildup.
  • Use compression stockings, sleeves, or gloves.
  • Gently massage the affected area towards the heart.
  • Protect the swollen area from injury and keep it clean.
  • Use lotion or cream to keep the skin moisturized.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
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.
Managing Medication-Related Skin Allergies: A Step-by-Step Guide
  • If you experience signs of skin allergies such as redness, itching, or irritation after taking medication, contact your doctor right away.
  • To alleviate skin allergy symptoms, your doctor may change your medication regimen or offer tailored medication management advice.
  • Your doctor may recommend or prescribe drugs to relieve discomfort.
  • Cool compresses or calamine lotion can help relieve redness and itching on the afflicted skin area.
  • Staying hydrated by consuming plenty of water can help relieve discomfort.
  • Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.
  • Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.

Drug Warnings

Before taking Nucoxia SP Tablet , inform your doctor if you have a history of stomach bleeding or ulcer, liver or kidney diseases, dehydration because of prolonged vomiting or diarrhea and swelling due to fluid retention. Inform your doctor if you have high blood pressure that is not treated or controlled as Nucoxia SP Tablet may increase blood pressure in some cases. Do not take Nucoxia SP Tablet if you are treated for infection as Nucoxia SP Tablet can mask fever (a sign of infection). Use of Nucoxia SP Tablet is contraindicated in kidney failure patients or who are undergoing dialysis. Inform your doctor if you are dehydrated (because of vomiting or diarrhea), have edema (swelling due to fluid retention). Patients who have had recently undergone heart bypass surgery should take Nucoxia SP Tablet with caution and only under medical supervision. Do not take Nucoxia SP Tablet if you smoke, have diabetes (high blood sugar) or high cholesterol as Nucoxia SP Tablet increases the risk of heart attack or stroke. Avoid lying down for at least half an hour after using Nucoxia SP Tablet . People who have had any heart attack and stroke in the past should not take Nucoxia SP Tablet . Do not drive or operate heavy machinery as intake of Nucoxia SP Tablet may cause dizziness.

Drug-Drug Interactions

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No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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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.

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Diet & Lifestyle Advise

  • Include more glucosamine, chondroitin sulfate, Vitamin D, calcium-enriched supplements. Besides this, turmeric and fish oils can help in reducing inflammation in the tissue.
  • Please do not go for heavy exercise as it may increase your joint pain in arthritis. Instead, you can do stretching, low impact aerobic exercise like walking on a treadmill, bike riding and swimming. You can also strengthen your muscle strength by lifting light weights.
  • In the chronic condition of arthritis or joint pain, including fish like salmon, trout, tuna and sardines. These fishes are enriched with omega-3 fatty acids that minimum level of chemical called cytokines, which ramp up inflammation.
  • Your sitting posture is important, especially when have pain and inflammation condition. Try to sit little as possible and only for a short time (10-15 min). Use back support like a rolled-up towel at the back of your curve to minimize pain. Keep your knees and hips at a right angle. Besides this, you can use a footrest if required.
  • Do not take spicy, fried and processed foods.
  • Drink plenty of water to stay hydrated. 
  • Quit smoking and limit caffeine and alcohol intake.

Side Effects of Nucoxia SP Tablet

  • Stomach pain
  • Dry mouth
  • Diarrhea
  • Flatulence
  • Indigestion
  • High blood pressure
  • Dizziness
  • Feet swelling
  • Swelling of hands 
  • Flu-like symptoms

Habit Forming

No

Therapeutic Class

ANALGESICS

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 SP Tablet is a combination of two medicines that include etoricoxib and serratiopeptidase. Nucoxia SP Tablet contains ‘etoricoxib’ which works by blocking the release of a chemical messenger called prostaglandin, produced by COX-2, which is responsible for pain, swelling and inflammation. On the other hand, Nucoxia SP Tablet contains serratiopeptidase which reduces swelling and inflammation through the breakdown of proteins.

Nucoxia SP Tablet may increase blood pressure, especially in high doses. It should not be given to patients with uncontrolled blood pressure, heart problems or recent heart surgeries.

Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation and pain of the joints. Here, the body's immune system attacks its own tissue, including joints.

Ankylosing spondylitis is arthritis of the spine that can lead to pain and inflammation in the spine, which may lead to the fusion of the vertebrae causing stiffness and pain.

The most common side effects of Nucoxia SP Tablet are stomach pain, diarrhea, flatulence, indigestion, feet swelling, swelling of hands and flu-like symptoms. Most of these side effects of Nucoxia SP Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

No, do not stop taking Nucoxia SP Tablet if you feel well, take Nucoxia SP Tablet for as long as your doctor has advised it for you, to avoid any unwanted side effects.

Drug-Drug Interactions Checker List

  • WARFARIN
  • ASPIRIN
  • METHOTREXATE
  • ENALAPRIL
  • RAMIPRIL
  • LOSARTAN
  • VALSARTAN
  • MINOXIDIL
  • LITHIUM
  • PRIMAQUINE
  • ETHINYLESTRADIOL
  • HEPARIN
  • CLOPIDOGREL

Special Advise

  • Your doctor may monitor liver and kidney function if Nucoxia SP Tablet is prescribed for the long term. 
  • Inform your doctor before taking Nucoxia SP Tablet , if you had a history of a heart attack or bypass surgery.

Disease/Condition Glossary

Musculoskeletal pain: Different types of musculoskeletal pain are caused due to soft tissues (muscle, tendon, and ligaments) injury. Extreme tissue pain and inflammation caused due to sprains, strains, trauma or post-surgery may require a prolonged amount of time to heal. Different types of musculoskeletal pain are caused due to soft tissues (muscle, tendon, and ligaments) injury. Extreme tissue pain and inflammation are caused due to sprains, strains or trauma or post-surgery. These types of injuries may require a prolonged amount of time to heal. 

Osteoarthritis: Osteoarthritis is the common type of arthritis in which the cartilage that cushions the ends of the bones erodes due to wear and tear over time. Common symptoms are joint pain and stiffness.

Rheumatoid arthritis (RA): Rheumatoid arthritis (RA) is an autoimmune disease in which the immune cells attack the joints and cause bone erosion leading to severe pain and swelling. It may lead to joint deformity if left untreated.

Ankylosing spondylitis: Ankylosing spondylitis is a type of arthritis in which inflammation is seen in the spine and large joints. It leads to pain and stiffness in the back and affected joints.

Gout: Gout is an inflammatory condition in which uric acid deposits and crystallizes in the joints. It is characterized by acute, severe and recurring attacks of pain, especially at night, redness and swelling in the affected joints.

Have a query?

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Alcohol

Unsafe

You are recommended not to consume alcohol along with Nucoxia SP Tablet to avoid unpleasant side-effects.

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Pregnancy

Unsafe

Nucoxia SP Tablet shows toxic effects on the fetus when given to pregnant women. Nucoxia SP Tablet may impair female fertility and is not recommended in pregnant women or those planning for pregnancy. Consult your doctor for further advice.

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Breast Feeding

Unsafe

Nucoxia SP Tablet passes into the breast milk, so it is not recommended for nursing mothers. Consult your doctor for further advice.

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Driving

Unsafe

Nucoxia SP Tablet may affect driving as it causes dizziness. So do not drive a motor vehicle or operate heavy machinery after taking Nucoxia SP Tablet .

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Liver

Caution

Nucoxia SP Tablet may alter liver function. So, dose adjustments are necessary for patients with liver diseases.

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Kidney

Caution

Nucoxia SP Tablet should be used with caution in patients with kidney diseases. Dosage adjustments are necessary for patients with severe renal impairment.

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Children

Unsafe

Nucoxia SP Tablet is not recommended for children under 16 years of age, unless prescribed by a child specialist.

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