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Aceclofenac+diacerein

About

Aceclofenac+diacerein belongs to a group of medicines called Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) used to reduce and relieve pain, redness and inflammation (swelling) in patients suffering from osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis. Osteoarthritis is a disease characterized by the degeneration of cartilage and its underlying bone within a joint, as well as bony overgrowth. Ankylosing spondylitis is a rare type of arthritis that causes pain and stiffness in your spine. Rheumatoid arthritis is an autoimmune disease in which the immune system of the body attacks its own cells and causes damage, thereby causing joint pain with inflammation.

Aceclofenac+diacerein is composed of two medicines: Aceclofenac and Diacerine. Aceclofenac is a non-steroidal anti-inflammatory drug (NSAID) that works by blocking the release of certain chemical messengers that cause pain and inflammation (redness and swelling). Diacerine works by blocking the actions of a certain specific protein that causes swelling, pain, and degradation of cartilage at bone joints. So this Aceclofenac+diacerein both in combination reduces pain and inflammation.

Take Aceclofenac+diacerein as prescribed by the doctor. You can take Aceclofenac+diacerein with or after food. You are advised to take Aceclofenac+diacerein 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 nausea, vomiting, indigestion, heartburn, stomach pain, diarrhea, loss of appetite, and intense yellow urine. 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.

Do not take Aceclofenac+diacerein if you are allergic to it. Tell your doctor if you are using any other medicines other than the Aceclofenac+diacerein. Inform your doctor if you are pregnant/planning to get pregnant/breastfeeding women. Aceclofenac+diacerein should be used with caution in bleeding disorders, kidney diseases, liver diseases, asthma, people who are in antibiotic therapy, and heart-surgery patients.

Uses of Aceclofenac+diacerein

Osteoarthritis, Rheumatoid arthritis and ankylosing spondylitis

Medicinal Benefits

Aceclofenac+diacerein is composed of two medicines: Aceclofenac and Diacerine belong to a group of medicines called Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) or pain killers used to reduce and relieve pain, redness, and inflammation (swelling) in patients suffering from osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. Aceclofenac is a non-steroidal anti-inflammatory drug (NSAID) that works by blocking the release of certain chemical messengers that cause pain and inflammation (redness and swelling). Diacerine works by blocking the actions of a certain specific protein that causes swelling, and pain, and reduces friction in the joints by the building of cartilage (the soft connective tissue in the bones near the joints).

Directions for Use

Take Aceclofenac+diacerein in the dose and for the duration advised by your doctor. Swallow it as a whole with a glass of water. Do not chew, crush or break it. Aceclofenac+diacerein is to be taken with food, which helps to prevent any potential gastric irritation the drug might cause when taken empty stomach.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Aceclofenac+diacerein

  • Nausea
  • Vomiting
  • Indigestion
  • Heartburn
  • Stomach pain
  • Diarrhea
  • Loss of appetite
  • Intense yellow urine

In-Depth Precautions and Warning

Drug Warnings

Do not take Aceclofenac+diacerein if you are allergic to it. Tell your doctor if you are using any other medicines other than the Aceclofenac+diacerein. Inform your doctor if you are pregnant/planning to get pregnant/breastfeeding women. Aceclofenac+diacerein should be used with caution in bleeding disorders, kidney diseases, liver diseases, asthma, and heart-surgery patients. Aceclofenac+diacerein should be used with caution in patients having irritable bowel or other associated conditions of the gastrointestinal tract due to an increase in the risk of adverse effects. Avoid consuming alcohol while taking Aceclofenac+diacerein as it can increase your risk of stomach problems. Your doctor may regularly monitor your kidney function, liver function, blood sugar level, and levels of blood components if you are taking this Aceclofenac+diacerein for long-term treatment. Aceclofenac+diacerein should not be taken with antibiotics since the risk of gastric irritation and persistent diarrhea is significantly more.

Drug Interactions

Drug-Drug Interaction: Aceclofenac+diacerein interact with antidepressants (lithium), cardiac glycoside (digoxin), antibiotic (amoxicillin), antacids (aluminium hydroxide), corticosteroids (prednisone), anti-hypertensives (enalapril, lisinopril, losartan, candesartan, hydralazine), blood-thinners (warfarin).

Drug-Food Interaction: Drugs may interact with foods rich in fibres (beans, lentils)  and phytates (grains, nuts, legumes)

Drug-Disease Interaction: Patients with liver disease, bleeding disorder, kidney disease, asthma, irritable bowel disorder, heart disease and alcoholism should not take Aceclofenac+diacerein as it has a risk of causing derangement in liver functions.

Drug-Drug Interactions Checker List:

  • LITHIUM
  • DIGOXIN
  • AMOXICILLIN
  • ALUMINIUM HYDROXIDE
  • PREDNISONE
  • ENALAPRIL
  • LISINOPRIL
  • CANDESARTAN
  • HYDRALAZINE
  • WARFARIN
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Consumption of alcohol with Aceclofenac+diacerein is not recommended during treatment with Aceclofenac+diacerein due to the increased risk of serious side effects such as severe gastrointestinal bleeding, dizziness, fatigue, weakness, rashes, nausea, joint pain, and fever. So please consult your doctor before taking Aceclofenac+diacerein, if you have a habit of drinking alcohol.

    • Safety Warning

      Pregnancy

      caution

      Aceclofenac+diacerein use during pregnancy is not recommended unless your doctor believes it is necessary. (It must not be used during the final three months of pregnancy.) Please consult your doctor before using this medicine if you are pregnant or planning a pregnancy.

    • Safety Warning

      Breast Feeding

      caution

      Aceclofenac+diacerein is not recommended for use in breastfeeding as it is not known whether this medicine passes into breast milk. Your doctor may prescribe a safer alternative medicine based on the clinical condition.

    • Safety Warning

      Driving

      caution

      Aceclofenac+diacerein may decrease alertness, affect your vision or make you sleepy and dizzy. Do not drive if these symptoms occur after taking Aceclofenac+diacerein.

    • Safety Warning

      Liver

      caution

      Aceclofenac+diacerein should be used with caution in patients with liver disease due to the increased risk of serious side effects. Close monitoring of liver function, appropriate dose adjustments or replacement with alternative medicine may be required based on your clinical condition.

    • Safety Warning

      Kidney

      caution

      Aceclofenac+diacerein should be used with caution in patients with kidney diseases due to the increased risk of serious side effects. Close monitoring of kidney function, appropriate dose adjustments or replacement with alternative medicine may be required based on your clinical condition.

    • Safety Warning

      Children

      caution

      The safety and efficacy of Aceclofenac+diacerein in children have not been established. Aceclofenac+diacerein is not recommended for use in children.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Physical activity helps strengthen 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 reduce inflammation and swelling.

    • Follow heat or cold therapy, and 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.

    Special Advise

    • The components of Aceclofenac+diacerein have the tendency to cause stomach upset. Thus, it is recommended to consume Aceclofenac+diacerein with meals to minimize gastric side effects. If you have a diagnosis of peptic ulcer, Aceclofenac+diacerein is best avoided unless prescribed by your doctor.

    • Avoid consuming alcohol while Aceclofenac+diacerein as it can increase your risk of stomach problems.

    Patients Concern

    Disease/Condition Glossary

    Osteoarthritis: It is a degenerative joint disease in which the breakdown of a cartilage protective covering causes the two ends of the joints to come together. The lack of this protective covering causes the joints to rub against one another, causing discomfort and stiffness. Osteoarthritis signs and symptoms include pain, stiffness, swelling, and tenderness. Age is the primary cause of osteoarthritis. Osteoarthritis, also referred to as a degenerative disease because it causes the joints to wear out as a person ages, is more likely to develop as you get older. Past injuries like torn ligaments, dislocated joints, and torn cartilage are additional causes.
    Rheumatoid arthritis: Joint pain and damage are caused by an auto-immune disease in which the immune system of the body attacks its own tissue. Rheumatoid arthritis symptoms include joint pain, stiffness, swelling, deformities, and loss of joint function.

    Ankylosing spondylitis: The spine becomes painful and stiff as a result. The lower back is where the pain typically first appears, but it can also affect the neck, damaged joints, or other areas of the body. Reduced flexibility, which typically causes a hunched-forward posture, and pain in the back and joints are all signs of ankylosing spondylitis.

    FAQs

    Aceclofenac+diacerein is composed of two medicines: Aceclofenac and Diacerine. Aceclofenac is a non-steroidal anti-inflammatory drug (NSAID) that works by blocking the release of certain chemical messengers that cause pain and inflammation (redness and swelling). Diacerine works by blocking the actions of a certain specific protein that causes swelling, and pain and reduces friction in the joints by the building of cartilage (the soft connective tissue in the bones near the joints) in the joints.

    Aceclofenac+diacerein may cause common side effects like nausea, vomiting, indigestion, heartburn, stomach pain, diarrhea, loss of appetite, and intense yellow urine. 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.

    No, Aceclofenac+diacerein does not cure Rheumatoid arthritis, but instead, it helps in reducing the pain and inflammation caused by it as it is a pain killer.

    No, do not stop taking Aceclofenac+diacerein suddenly. If you want to stop taking this medicine, consult your doctor so that he/she might gradually reduce the dose to avoid an unwanted increase in pain or inflammation.

    No, Aceclofenac+diacerein should ideally not be taken for stomach pain without consulting a physician. This medication can increase the secretion of stomach acid, which may worsen gastritis or an unknown underlying stomach ulcer.

    Available Medicines for

    Aceclofenac+diacerein

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