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compositionComposition:SERRATIOPEPTIDASE-20MG
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Prescription Medicine
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₹104 with coupons & bank offers*

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Serax 20 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). It contains Serratiopeptidase, which breaks the insoluble protein (fibrin) into smaller units. It also causes thinning of the body's fluids, making fluid drainage smoother in the swollen tissue and relieving inflammation at the affected or injured site. In some cases, it may cause stomach ache, diarrhoea, nausea (feeling sick), and indigestion. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

SERRATIOPEPTIDASE-20MG

Manufacturer/Marketer :

Mars Therapeutics and Chemicals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Serax 20 Tablet

Serax 20 Tablet is an oral enzyme preparation used to reduce swelling, inflammation, and associated pain. It is commonly prescribed to help clear fluid accumulation in tissues after surgeries, physical injuries, or respiratory conditions like sinus congestion. By breaking down abnormal proteins at inflammatory sites, it aids the body's natural healing process.

For best results, take Serax 20 Tablet consistently at the exact intervals prescribed by your doctor. It must be taken on an empty stomach, either 30 minutes before a meal or 2 hours after, to prevent the enzyme from breaking down dietary proteins instead of working on your body's tissues. Staying well-hydrated and resting the affected area can also help speed up your recovery.

While taking Serax 20 Tablet , some individuals may experience mild stomach upset, nausea, or a temporary loss of appetite. If you notice any serious side effects, such as unusual bleeding, skin rashes, or breathing difficulties, you should seek immediate medical attention. Always consult your doctor if any unusual symptoms persist or worsen.

Talk to your doctor before starting Serax 20 Tablet if you have a history of bleeding disorders, liver disease, or kidney problems. Do not take this medicine if you have a known allergy to proteolytic enzymes or are scheduled for an upcoming surgery. It is highly recommended to avoid this medication if you have active bleeding conditions, such as bleeding ulcers.

Avoid taking Serax 20 Tablet with blood thinners, as this combination increases your risk of bruising and bleeding. Smoking and alcohol consumption should be avoided, as they can worsen inflammation and delay your body's recovery. If you are pregnant, breastfeeding, or an older adult, consult your healthcare provider to ensure this medication is safe for your specific situation.

Uses of Serax 20 Tablet

Serax 20 Tablet is used to reduce swelling, inflammation, and associated pain. The detailed uses of Serax 20 Tablet are as follows:

  • Post-operative swelling: Helps reduce fluid buildup, swelling, and inflammation at surgical incision sites for a smoother recovery.
  • Traumatic injuries: Aids in relieving pain and swelling caused by sports injuries, sprains, fractures, or muscle tears.
  • Sinusitis and respiratory congestion: Thins mucus secretions in the sinuses and airways, making it easier to clear congestion and breathe comfortably.
  • Inflammatory joint conditions: Assists in managing swelling and stiffness in conditions affecting the joints and surrounding tissues.
     

Key Benefits

Serax 20 Tablet helps reduce swelling and inflammation, promoting faster recovery from injuries, surgery, or inflammatory conditions. By improving tissue healing and relieving discomfort, it supports better mobility and overall recovery.

  • Helps Reduce Swelling and Pain: By reducing inflammation and the accumulation of excess fluid, Serax 20 Tablet helps relieve swelling, pain, and pressure at the affected area, improving comfort during daily activities.
  • Supports Comfortable Movement: As swelling and inflammation decrease, Serax 20 Tablet helps improve mobility and allows for more comfortable movement during the healing process.
  • Promotes Faster Tissue Recovery: By supporting the clearance of excess fluid and improving circulation at the affected site, Serax 20 Tablet helps promote the body's natural tissue repair process and contributes to a smoother recovery following injury or surgery.
     
Side effects of Serax 20 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.
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.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
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.
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.

Directions for Use

  • Serax 20 Tablet can be taken 2 hours after meals, or as advised by the doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
  • Swallow Serax 20 Tablet as a whole with a glass of water.
  • Do not chew, crush, or break it.

How Serax 20 Tablet Works

Serax 20 Tablet contains serratiopeptidase. It works as a proteolytic enzyme, which means it specialises in breaking down proteins. When there is tissue injury or inflammation, the body produces excess proteins like fibrin and fluids that cause swelling and pain. Serax 20 Tablet targets and breaks down these abnormal proteins at the site of inflammation. This process thins out the inflammatory fluids, making it easier for your lymphatic system to drain them away. By reducing fluid pressure and clearing blockages, it decreases swelling and eases pressure on nearby nerves, relieving pain and discomfort.
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Alcohol

Unsafe

You are recommended not to consume alcohol along with Serax 20 Tablet to avoid unpleasant side-effects.

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Pregnancy

Unsafe

The use of Serax 20 Tablet may impair female fertility and is not recommended in pregnant women or those planning for pregnancy.

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Breast Feeding

Unsafe

Serax 20 Tablet passes into the breast milk so it is not recommended for nursing mothers.

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Driving

Unsafe

Serax 20 Tablet may affect driving as it causes dizziness. So do not drive a motor vehicle or operate heavy machinery after taking Serax 20 Tablet .

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Liver

Caution

Serax 20 Tablet to be taken with caution, especially if you have a history of liver diseases/conditions. Dose may have to be adjusted by your doctor.

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Kidney

Caution

Serax 20 Tablet to be taken with caution, especially if you have a history of kidney diseases/conditions. The dose may have to be adjusted by your doctor

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Children

Unsafe

Serax 20 Tablet is not recommended for children under 10 years of age. For the dose has to be adjusted and recommended by a child specialist only.

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Heart

Unsafe

Serax 20 Tablet is not recommended for use in cardiac patients due to the cardiovascular effects.

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Geriatrics

Caution

Serax 20 Tablet should be used with caution in elderly patients due to the risk of other adverse effects.

What if I have taken an overdose of Serax 20 Tablet

If you suspect an overdose or experience severe symptoms such as heavy bleeding or severe nausea, seek immediate medical attention or contact your local emergency health services.

Diet & Lifestyle Advise

  • Drink plenty of water daily to help thin secretions and aid the lymphatic system in clearing broken-down inflammatory proteins.
  • Incorporate anti-inflammatory foods into your diet, such as leafy greens, berries, and omega-3-rich foods, to support your body's healing process.
  • Keep the injured or swollen limb elevated when resting to help reduce fluid pooling and accelerate swelling reduction.
  • Avoid heavy, greasy foods around the time you take your medication to prevent stomach irritation.
     
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Have a query?

How Soon It Starts Working

The time required for Serax 20 Tablet to start to work: The time required for Serax 20 Tablet to show its action is unknown. The time for which the effects of Serax 20 Tablet last: The effect of Serax 20 Tablet lasts for 8 to 10 hours.

What if you forget to take Serax 20 Tablet

If you miss a dose of Serax 20 Tablet , take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Storage

Store Serax 20 Tablet tablets in their original packaging at room temperature, ideally between 20°C to 25°C (68°F to 77°F).

Drug Warnings

  • Check the tablet blister pack before use; do not take the medication if the packaging is damaged or the tablet is cracked.
  • Stop taking Serax 20 Tablet at least two weeks before any scheduled dental or surgical procedure, as it can increase the risk of bleeding.
  • Do not substitute this medication with other digestive enzyme supplements without consulting your healthcare provider first.
  • Monitor your skin daily for any signs of unexplained bruising or red spots, and report them to your doctor immediately.
  • If your swelling or pain does not improve after a week of consistent use, contact your doctor to re-evaluate your condition.
     

Drug-Drug Interactions

verifiedApollotooltip
  • Blood thinners (e.g., warfarin, heparin), antiplatelet medicines (e.g., clopidogrel), and NSAIDs (e.g., aspirin, ibuprofen): Taking Serax 20 Tablet with medicines that affect blood clotting may increase the risk of bleeding or bruising. Your doctor may recommend closer monitoring if these medicines are used together.
     
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

verifiedApollotooltip
  • Food: Taking Serax 20 Tablet with food may reduce its absorption and effectiveness because the enzyme may act on dietary proteins instead of reaching inflamed tissues. For best results, take the medicine as directed by your healthcare provider, usually on an empty stomach if recommended.
     
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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Habit Forming

No

Therapeutic Class

[ANALGESICS]

FAQs

Serax 20 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).
A person who is allergic to pain-killers should not take this medicine as it can be harmful. It should also be avoided in a person with a history of heart failure, kidney or liver disease, stomach ulcers, and high blood pressure.
Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation and pain in the joints. In this condition, our body attacks its own cells leading to arthritis.
Ankylosing spondylitis is arthritis of the spine that can lead to the fusion of the vertebrae, leading to pain and inflammation in the spine.
Yes, Serax 20 Tablet can cause stomach upset in some cases. So, it should be preferably taken with food to avoid it.
No, Serax 20 Tablet is not a steroid. Serax 20 Tablet belongs to the class of drugs called anti-inflammatory agents used to relieve inflammation and pain.
No, Serax 20 Tablet is not addictive. It does not have habit-forming tendencies.
Yes, Serax 20 Tablet provides relief from toothache by reducing inflammation near affected dental tissue.
Serax 20 Tablet contains an enzyme called serratiopeptidase which works by modifying cell- surface adhesion molecules which are responsible for inflammation. Thereby, Serax 20 Tablet helps to treat inflammation.
Side effects of Serax 20 Tablet include stomach ache, diarrhoea, nausea (feeling sick), and indigestion. Most of these side effects resolve over time and do not require medical intervention. However, consult the doctor if the side effects persist or worsen.
Let the doctor know if you have any surgery scheduled within two weeks or if you are using anticoagulant medications. Consult your doctor before taking Serax 20 Tablet if you are pregnant and breastfeeding.
Store Serax 20 Tablet in a cool and dry place away from sunlight. Keep it out of sight and reach of children.
Serax 20 Tablet contains serratiopeptidase, a proteolytic enzyme that helps treat inflammation associated with various conditions.
No, Serax 20 Tablet should be taken on an empty stomach—either 30 minutes before a meal or 2 hours after. Taking it with food can cause the enzyme to break down your food instead of targeting inflammation in your body. Talk to your doctor if you have questions about how to schedule your doses.
The time it takes to see results varies depending on the severity of your swelling or inflammation. Many patients begin to notice relief within 3 to 5 days of consistent use. Talk to your doctor if your symptoms do not improve after a week.
While it can be taken with some pain medications, you should avoid taking it with certain nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin or ibuprofen without medical advice, as this combination may increase your risk of bleeding. Talk to your doctor to find a safe pain management plan.
Yes, Serax 20 Tablet is sometimes used to help reduce swelling in the airways and thin out thick mucus, making it easier to clear congestion from the sinuses and throat. Talk to your doctor to see if this is the right treatment for your respiratory symptoms.
If you develop a skin rash, hives, or any other signs of an allergic reaction, stop taking the medication immediately and contact your healthcare provider. Talk to your doctor to find an alternative treatment.
There is limited clinical safety data regarding the use of this medicine during pregnancy. It is generally not recommended unless clearly needed and prescribed by your healthcare provider. Talk to your doctor to evaluate the benefits and risks.
You should stop taking Serax 20 Tablet at least two weeks before any scheduled surgery or dental procedure to minimise the risk of excessive bleeding during or after the operation. Talk to your doctor or surgeon for specific instructions on when to stop and restart your medication.

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Reference

  1. Drugs.com Clinical Review Team. Serrapeptase Clinical Drug Monograph. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026]Check here
  2. ScienceDirect Topics. S181808761630160X - Research & Medical Applications Summary. Amsterdam, Netherlands: Elsevier; 2025. [Accessed on 02 Jun. 2026]Check here
  3. PubChem PubChem. [Accessed on 02 Apr. 2019]Check here
  4. Serratiopeptidase: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing - WebMD [Internet]. Webmd.com. 2025 [Accessed on 5 December 2025]Check here
  5. Manju Tiwari. The role of serratiopeptidase in the resolution of inflammation. NIH National Library of Medicine. National Center for Biotechnology Information. PMC PubMed Central. [Revised in May 2017] [Accessed on 25th September 2025]Check here
  6. Ciplamed. MOVEXX SP Tablets [Revised in September 2023] [Accessed on 25th September 2025]Check here
  7. Central Drugs Standard Control Organisation (CDSCO). [Accessed on 02 Apr. 2019]Check here

Country of origin

INDIA

Manufacturer/Marketer address

8-290/1 Gautham Nagar, Ferozguda, Secunderabad 500 011, Telangana, India
Other Info - SER0047

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