Diclofenac+paracetamol+chlorzoxazone
About
Diclofenac+paracetamol+chlorzoxazone belongs to the class of drugs known as 'non-steroidal anti-inflammatory drug' (NSAID). Diclofenac+paracetamol+chlorzoxazone is used in the reduction of musculoskeletal pain due to tissue injury, resolution of post surgery inflammation and oedema (swollen tissue with fluid). Pain can be temporary (acute) or long term(chronic) in nature. Musculoskeletal pain can be caused due to soft tissues (muscle, tendon, and ligaments) injury. Extreme tissue pain and inflammation caused due to sprains, strains or trauma or post-surgery may require a prolonged amount of time to heal.
Diclofenac+paracetamol+chlorzoxazone is a fixed-dose combination composed of three medicines namely: Diclofenac, Paracetamol and Chlorzoxazone. 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. Paracetamol acts as a mild analgesic (mild pain reducer) and antipyretic (fever reducer) which enhances the pain relief action of Diclofenac. Third medicine i.e. Chlorzoxazone is a muscle relaxant, helps by blocking nerve impulses or pain sensations sent by the brain and causes relaxation of muscles.
Diclofenac+paracetamol+chlorzoxazone can be taken with or after the meal. To avoid stomach upset Diclofenac+paracetamol+chlorzoxazone can be taken with food or milk. It should be swallowed whole with a glass of water. Do not take Diclofenac+paracetamol+chlorzoxazone if your pain lasts for more than ten days or fever lasting for more than three days. Do not take a double dose if you missed one dose. Like all medicines, Diclofenac+paracetamol+chlorzoxazone may cause side effects, although not everybody gets them. Most of the side effects of Diclofenac+paracetamol+chlorzoxazone are drowsiness, constipation, diarrhoea, stomach upset, slight discolouration of urine, and ringing or buzzing sounds in the ears. In case of any discomfort, speak with your doctor.
Do not take Diclofenac+paracetamol+chlorzoxazone if you are allergic to painkillers like aspirin, paracetamol, naproxen or diclofenac. It is not recommended for use in children, people with liver disease, heart disease or gastric ulcers/bleeding problems. Diclofenac+paracetamol+chlorzoxazone may be associated with a small increase in the risk of heart attack (myocardial infarction). Avoid consumption of alcohol as it may damage your liver and cause even more side effects on taking this drug. Consult your doctor if your symptoms of pain, inflammation and fever do not disappear even after ten days.
Uses of Diclofenac+paracetamol+chlorzoxazone
Medicinal Benefits
Diclofenac+paracetamol+chlorzoxazone is composed of three medicines namely: Diclofenac, Paracetamol and Chlorzoxazone. 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. Paracetamol acts as a mild analgesic (mild pain reducer) and antipyretic (fever reducer) which enhances the pain relief action of Diclofenac. Third medicine i.e. Chlorzoxazone is a muscle relaxant, helps by blocking nerve impulses or pain sensations sent by the brain and causes relaxation of muscles.
Directions for Use
Storage
Side Effects of Diclofenac+paracetamol+chlorzoxazone
- Drowsiness
- Constipation
- Diarrhoea
- Stomach upset
- Slight discolouration of urine
- Ringing or buzzing sounds in the ears
In-Depth Precautions and Warning
Drug Warnings
Intake of Diclofenac+paracetamol+chlorzoxazone should be avoided in liver disease (like jaundice) and cardiovascular disease (like coronary heart disease). Contact your doctor if you have signs of liver disease like feeling exhausted, dark urine, not feeling hungry, stomach pain or upset, light coloured stools or yellow skin/eyes. After taking if you have possible allergic symptoms like difficulty in breathing, difficulty in swallowing, lips/face/throat swelling, chest tightness, or skin rash, contact the doctor immediately. Ensure your doctor is aware if you are pregnant or planning to get pregnant, breastfeeding, allergic to Diclofenac+paracetamol+chlorzoxazone or any other painkillers like aspirin, the problem of stomach ulcer or gastric bleeding, or taking any other OTC multivitamins, multi-minerals supplements.
Drug Interactions
Drug-Drug Interaction: Diclofenac+paracetamol+chlorzoxazone is shown to interact with various drugs. Some of them include pain killers (naproxen, aspirin, ibuprofen, tramadol, hydrocodone, oxycodone), blood pressure-related drugs (lisinopril, hydrochlorothiazide), blood thinner (rivaroxaban, warfarin), anti-depressant (duloxetine), acidity lowering drug (cimetidine), and steroids (prednisone). These drugs may affect the working of Diclofenac+paracetamol+chlorzoxazone and may alter its efficacy.
Drug-Food Interaction: Excessive intake of caffeine-containing food or drinks like coffee, tea, chocolate and some fizzy drinks should be avoided while taking Diclofenac+paracetamol+chlorzoxazone. Taking together may lead to drowsiness and dizziness and sleepiness.
Drug-Disease Interaction: Diclofenac+paracetamol+chlorzoxazone should not recommend for people having bleeding disorders, like haemophilia, von Willebrand disease or low blood platelets. Besides this, it should not be given in the condition of liver disease like jaundice, alcoholism and PKU phenylketonuria (birth defect with an excess of protein in the body).
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionAlcohol should not be consumed with Diclofenac+paracetamol+chlorzoxazone as it leads to excessive drowsiness
Pregnancy
cautionOnly consume Diclofenac+paracetamol+chlorzoxazone, if you are prescribed by a doctor
Breast Feeding
cautionDiclofenac+paracetamol+chlorzoxazone does not pass on to the child significantly via breast milk, consult your doctor before using Diclofenac+paracetamol+chlorzoxazone.
Driving
cautionDiclofenac+paracetamol+chlorzoxazone may affect driving ability as it causes dizziness.
Liver
cautionDiclofenac+paracetamol+chlorzoxazone to be taken with caution, especially if you have a history of liver diseases/conditions. Dose may have to be adjusted by your doctor.
Kidney
cautionDiclofenac+paracetamol+chlorzoxazone to be taken with caution, especially if you have a history of Kidney diseases/conditions. Dose may have to be adjusted by your doctor.
Children
cautionDiclofenac+paracetamol+chlorzoxazone is not recommended for children below 12 years of age without doctor's consent. For children above 12 years, dose to be adjusted and recommended by a child specialist only.
Habit Forming
Diet & Lifestyle Advise
- Diclofenac+paracetamol+chlorzoxazone is commonly prescribed for relieving pain in both acute and chronic conditions and in cases of fever. Do not take the drug beyond its suggested dose and frequency.
- Avoid driving while consuming Diclofenac+paracetamol+chlorzoxazone as it can cause dizziness in some individuals and hamper your focus and reflexes.
- Avoid concomitant consumption of drugs containing the same chemicals as Diclofenac+paracetamol+chlorzoxazone as it can lead to overdosage and unwanted side effects.
- Immediately consult your doctor in case of persistent side effects like stomach pain on consumption of Diclofenac+paracetamol+chlorzoxazone.
- Avoid consuming alcohol while you are on Diclofenac+paracetamol+chlorzoxazone.
Special Advise
- Diclofenac+paracetamol+chlorzoxazone is prescribed for relief from muscle pain and spasms.
- It can cause drowsiness and hence activities involving focus and attention like driving must be avoided while on this medication.
- Concomitant usage of alcohol with this medicine increase the risk of damage to liver and other side effects and hence alcohol consumption should be avoided while consuming this medication
- Avoid simultaneous consumption of other painkillers or cough and cold medicines with this Diclofenac+paracetamol+chlorzoxazone as it may lead to overdose.
Patients Concern
Disease/Condition Glossary
Musculoskeletal pain is generally caused by disorders of bones, joints, muscles, tendons, ligaments, or a combination. Injuries (mostly sports related injury) are the most common cause of musculoskeletal pain. Muscle pain (myalgia) can be caused due to injury, infection, loss of blood flow to the muscle, infection, or a tumour. Extreme tissue pain and inflammation caused due to sprains, strains, or trauma or post-surgery may require a prolonged amount of time to heal
FAQs
No, Diclofenac+paracetamol+chlorzoxazone should not be taken as a long term medication as it may lead to stomach ulcers/bleeding and kidney problems. For best results of Diclofenac+paracetamol+chlorzoxazone, take it in doses and duration mentioned by your doctor.
No, it is not advisable to take Diclofenac+paracetamol+chlorzoxazone with depression medication. Please inform your doctor if you are taking depression medicine before starting Diclofenac+paracetamol+chlorzoxazone.
Yes, Diclofenac+paracetamol+chlorzoxazone is a short term medication and if you feel better you can stop taking Diclofenac+paracetamol+chlorzoxazone, but only after consulting your doctor.
Diclofenac+paracetamol+chlorzoxazone is known to be contra-indicated in patients with allergy to painkillers (NSAIDs) or any of the components or excipients of this medicine. Its use should also be avoided in patients with history of stomach ulcer and kidney/liver disease.
Yes, Diclofenac+paracetamol+chlorzoxazone is known to cause dizziness. If you feel dizzy, please take rest and also avoid driving while you take Diclofenac+paracetamol+chlorzoxazone as it can be harmful.
No, Diclofenac+paracetamol+chlorzoxazone 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 Diclofenac+paracetamol+chlorzoxazone in this condition. It is better to inform your doctor in case of stomach pain post ingestion of this medication.
It depends on whether your cough and cold pills contains diclofenac, paracetamol and Chlorzoxazone or not. If it contains these three medicines, do not take it. It may lead to overdosage, thereby producing unpleasant side effects. Consult your doctor before taking it in such cases.
No, do not take Diclofenac+paracetamol+chlorzoxazone until prescribed by your doctor. For example, your shoulder pain may be due to lungs, spleen or gallbladder problem. Your back pain may be due to kidney stone, pancreas swelling, or in women, pelvic disorders. Your arm pain (especially left arm) may be due to heart attack (myocardial infarction).
