ACECLOFENAC+RABEPRAZOLE is a combination medication primarily used to reduce and relieve pain and inflammation (swelling) associated with osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. ACECLOFENAC+RABEPRAZOLE may also be indicated in the treatment of pain associated with post-traumatic and post-operative cases.
ACECLOFENAC+RABEPRAZOLE combines two drugs: Aceclofenac (painkiller) and Rabeprazole (antacid). Aceclofenac works by blocking the effect of a chemical messenger known as cyclo-oxygenase (COX) enzyme that makes other chemical prostaglandins. By blocking the effect of COX enzymes, lesser prostaglandins are produced. This helps reduce mild to moderate pain and inflammation at the injured or damaged site. Aceclofenac has been reported to cause gastric discomfort and acidity. Hence, it is combined with Rabeprazole, a medicine belonging to a group of proton pump inhibitors that reduce the amount of acid the stomach makes, thus preventing damage to the stomach. Thus, the combination helps alleviate pain with minimal gastric irritation caused due to Aceclofenac alone.
Take ACECLOFENAC+RABEPRAZOLE as prescribed by your doctor. You are advised to take ACECLOFENAC+RABEPRAZOLE for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience indigestion, stomach pain, constipation, dizziness, nausea and diarrhoea. Most of these side effects of ACECLOFENAC+RABEPRAZOLE do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.
Before taking the ACECLOFENAC+RABEPRAZOLE, let your doctor know about all your allergic or hypersensitivity reactions to medicines or food. Inform your doctor if you are suffering from kidney, liver, or heart disease. ACECLOFENAC+RABEPRAZOLE may cause dizziness, so avoid driving or operating machinery unless you are alert. ACECLOFENAC+RABEPRAZOLE is not recommended for use during pregnancy, breastfeeding and in children. Avoid consuming alcohol along with ACECLOFENAC+RABEPRAZOLE as it could lead to increased dizziness. Keep your doctor informed about your health condition and medicines to rule out any side effects.
Osteoarthritis, Rheumatoid arthritis, Ankylosing spondylitis
ACECLOFENAC+RABEPRAZOLE is a combination of two drugs: Aceclofenac (painkiller) and Rabeprazole (antacid). Aceclofenac belongs to the class of non-steroidal anti-inflammatory drugs (pain killers) that block the effect of a chemical messenger in your body, known as cyclo-oxygenase (COX) enzymes that make another chemical 'prostaglandins' (PG). Prostaglandins play an important role in controlling pain and inflammation. By blocking the effect of COX enzymes, lesser PGs are produced. Thereby, it helps relieve pain and swelling associated with different types of arthritis, such as osteoarthritis, rheumatoid arthritis and ankylosing spondylitis (pain and stiffness in the backbone). On the other hand, Rabeprazole belongs to proton pump inhibitors (PPIs) that help reduce the excess amount of stomach acid and bile produced. Aceclofenac has been reported to cause gastric discomfort and acidity. Hence, it is combined with Rabeprazole, a medicine that reduces the amount of acid made by the stomach, thus preventing damage to the stomach. Thus, the combination is superior as it helps alleviate pain with minimal gastric irritation caused due to Aceclofenac alone. ACECLOFENAC+RABEPRAZOLE is also used to relieve toothache, lower back, ear, and throat pain.
Do not take ACECLOFENAC+RABEPRAZOLE if you are allergic to ACECLOFENAC+RABEPRAZOLE, have severe heart failure, suffered bleeding problems (such as bleeding from the stomach or bowels while taking any pain killers) or liver or kidney problems, have suffered bleeding problems and clotting problems. Inform your doctor before taking ACECLOFENAC+RABEPRAZOLE if you have or had disorders of the stomach, blood circulation problems to the brain, asthma, porphyria (a disorder in the formation of red blood pigment), diabetes, high blood pressure, systemic lupus erythematosus (an autoimmune condition that causes joint pain, fever and skin rashes), colitis or Crohn’s disease (conditions causing swelling of the bowel, diarrhoea, bowel pain, vomiting and weight loss); if you are recovering from major surgery or if you are elderly. Do not take ACECLOFENAC+RABEPRAZOLE if you are pregnant or breastfeeding unless prescribed. ACECLOFENAC+RABEPRAZOLE contains Aceclofenac which should not be used during the last three months of pregnancy. ACECLOFENAC+RABEPRAZOLE may be excreted in breastmilk. Therefore, avoid breastfeeding and consult a doctor. ACECLOFENAC+RABEPRAZOLE should not be given to children as safety has not been established. ACECLOFENAC+RABEPRAZOLE can cause drowsiness and dizziness, so drive only if you are alert. Avoid consuming alcohol with ACECLOFENAC+RABEPRAZOLE as it could lead to increased drowsiness and increase the risk of stomach bleeding. Do not take other NSAIDs for pain relief or ACECLOFENAC+RABEPRAZOLE unless prescribed. Prolonged intake of PPIs or proton pump inhibitors like Rabeprazole may cause brittle bones so intake of Vitamin D and calcium can be additionally given by your doctor while using ACECLOFENAC+RABEPRAZOLE.
Drug-Drug Interactions: ACECLOFENAC+RABEPRAZOLE interact with other painkillers (aspirin, ibuprofen, acetaminophen, oxycodone, tramadol, naproxen, celecoxib, etoricoxib), blood thinners (clopidogrel, heparin, warfarin), medicines used to treat heart diseases (digoxin), diuretics (furosemide, amiloride), antibiotics (ciprofloxacin, norfloxacin, moxifloxacin, ciprofloxacin, ofloxacin, levofloxacin), antihypertensive (enalapril, valsartan, telmisartan, losartan, candesartan, propranolol, enalapril, lisinopril, methyldopa, clonidine, moxonidine), antidiabetics (glibenclamide, gliclazide, tolbutamide), antidepressants (fluvoxamine, paroxetine, citalopram, escitalopram, sertraline, fluoxetine), steroids (hydrocortisone, prednisolone), immunosuppressants (ciclosporin, tacrolimus), anti-HIV (zidovudine).
Drug-Food Interactions: Avoid consumption of alcohol while taking ACECLOFENAC+RABEPRAZOLE as it might cause increased dizziness and risk of stomach bleeding.
Drug-Disease Interactions: ACECLOFENAC+RABEPRAZOLE may have interactions with asthma, heart, liver, and kidney problems, low vitamin B12 (anaemia), high blood pressure, high cholesterol, systemic lupus erythematosus (an autoimmune condition that causes joint pain, fever and skin rashes), porphyria (a disorder in the formation of red blood pigment), colitis or Crohn’s disease (conditions causing swelling of the bowel, diarrhoea, bowel pain, vomiting and weight loss).
You are recommended to avoid alcohol consumption while taking ACECLOFENAC+RABEPRAZOLE. Alcohol intake along ACECLOFENAC+RABEPRAZOLE may cause increased drowsiness and drowsiness. It may also increase the risk of stomach bleeding. Please consult your doctor if you have any concerns regarding this.
ACECLOFENAC+RABEPRAZOLE is a Category C pregnancy drug and is not recommended for pregnant women, especially in the third trimester as it may cause adverse effects in the baby. However, please consult a doctor if you are pregnant or planning for pregnancy before taking ACECLOFENAC+RABEPRAZOLE.
Avoid breastfeeding while taking ACECLOFENAC+RABEPRAZOLE as it may be excreted in breast milk and cause adverse effects in the baby. Please consult a doctor if you are breastfeeding.
ACECLOFENAC+RABEPRAZOLE may cause drowsiness, dizziness, or abnormal vision. Do not drive or operate heavy machinery if you feel dizzy or drowsy.
Dose adjustment may be needed in patients with severe liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.
Take ACECLOFENAC+RABEPRAZOLE with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required. Avoid taking ACECLOFENAC+RABEPRAZOLE if you have severe kidney disease.
ACECLOFENAC+RABEPRAZOLE is not recommended for children below 18 years of age, as the safety and effectiveness were not established.
Osteoarthritis: Osteoarthritis 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. The main reason for osteoarthritis is age; the older you are, the more likely you could get osteoarthritis, thus known as degenerative disease, meaning that the joints wear out as a person ages. Other reasons include past injuries such as torn cartilage, dislocated joints and ligaments.
Rheumatoid arthritis: Rheumatoid arthritis is an auto-immune disease (the body's immune system attacks its tissue) which leads to joint pain and damage. Symptoms of rheumatoid arthritis include pain, swelling, stiffness, deformities and loss of joint function.
Ankylosing spondylitis: Ankylosing spondylitis causes pain and stiffness in the spine. The pain usually starts in the lower back and can spread to the neck, damaged joints or other parts of the body. Symptoms of ankylosing spondylitis include decreased flexibility which usually leads to hunched-forward posture, pain and back and joints.