If you are allergic to BROMELAIN+RUTOSIDE TRIHYDRATE+TRYPSIN+CHYMOTRYPSIN or any other medicines, please tell your doctor. People allergic to pineapple, carrot, papain, fennel, and pollen should avoid the intake of BROMELAIN+RUTOSIDE TRIHYDRATE+TRYPSIN+CHYMOTRYPSIN. BROMELAIN+RUTOSIDE TRIHYDRATE+TRYPSIN+CHYMOTRYPSIN is not recommended for pregnant women as it contains Bromelain, which may cause miscarriage, so if you are pregnant or planning for pregnancy, let your doctor know about this. If you are about to undergo any surgery, inform your doctor that you are taking BROMELAIN+RUTOSIDE TRIHYDRATE+TRYPSIN+CHYMOTRYPSIN. You are recommended to stop taking BROMELAIN+RUTOSIDE TRIHYDRATE+TRYPSIN+CHYMOTRYPSIN a minimum of 2 weeks before surgery as it may increase the risk of bleeding during and after surgery. If you have blood pressure problems, clotting or bleeding problems, infection, hematuria (blood in urine), hematemesis (vomiting blood), kidney or liver disorders, inform your doctor before taking BROMELAIN+RUTOSIDE TRIHYDRATE+TRYPSIN+CHYMOTRYPSIN.

Drug-Drug Interaction: BROMELAIN+RUTOSIDE TRIHYDRATE+TRYPSIN+CHYMOTRYPSIN may have interaction with pain killers (aspirin, diclofenac, ibuprofen, naproxen), blood thinners (warfarin, clopidogrel, dalteparin, enoxaparin, heparin), antibiotics (amoxicillin, demeclocycline, minocycline, tetracycline), drugs used to dissolve blood clots (alteplase, reteplase, streptokinase), high blood pressure-lowering medicines (captopril, enalapril, fosinopril, lisinopril).

Drug-Food Interaction: BROMELAIN+RUTOSIDE TRIHYDRATE+TRYPSIN+CHYMOTRYPSIN may interact with ginger, garlic, asafoetida, alfalfa, arnica, fenugreek, potato, soybean, liquorice, red clover, celery, angelica, meadowsweet, quassia, willow, chestnut, chamomile, and clover.

Drug-Disease Interaction: If you have blood pressure problems, clotting or bleeding problems, infection, hematuria (blood in urine), hematemesis (vomiting blood), kidney or liver disorders, inform your doctor before taking BROMELAIN+RUTOSIDE TRIHYDRATE+TRYPSIN+CHYMOTRYPSIN.

• Turmeric and fish oils can help in reducing inflammation in the tissue.
• Do not go for heavy exercise as it may increase your joint pain in arthritis. Instead, you can do stretching, low-impact aerobic exercises like walking on a treadmill, bike riding, and swimming. You can also increase your muscle strength by lifting light weights.
• Get adequate sleep as resting the muscles can help in reducing inflammation and swelling.
• 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 minimize the level of chemicals called cytokines, which may increase inflammation.
• Your sitting posture is important, especially when have pain and inflammation conditions. Try to sit as 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 hips and knees at a right angle. Besides this, you can use a footrest if required.

BROMELAIN+RUTOSIDE TRIHYDRATE+TRYPSIN+CHYMOTRYPSIN must not be used by patients with severe inborn bleeding disorders like haemophilia, severe liver damage, and dialysed patients.