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About ETORICOXIB+SERRATIOPEPTIDASE

ETORICOXIB+SERRATIOPEPTIDASE belongs to the class of drugs known as pain killer/ 'non-steroidal anti-inflammatory drug' (NSAID). ETORICOXIB+SERRATIOPEPTIDASE is used to provide pain relief in various conditions including post-traumatic pain, low back pain, cervical pain, spondylitis (inflammation in spinal bones), osteoarthritis (joint pain and stiffness), rheumatoid arthritis (joint pain and damage throughout the body), migraine, etc. Pain can be temporary (acute) or prolonged period (chronic) in nature. Acute pain is for a short time caused by damage to the tissues of the muscle, bone or organs. Chronic pain lasts for long time caused due to nerve damage, osteoarthritis, dental pain, etc., due to damage to the tooth nerve, infection, decay, extraction or injury. 

ETORICOXIB+SERRATIOPEPTIDASE contains two medicines namely etoricoxib and serratiopeptidase. ETORICOXIB+SERRATIOPEPTIDASE contains ‘etoricoxib’ which works by blocking the release of a chemical messenger called prostaglandin, produced by COX-2, which is responsible for pain, swelling and inflammation. Serratiopeptidase is a proteolytic enzyme which helps in the breakdown of insoluble protein (fibrin) a by-product of blood clot into smaller units. It also causes thinning of the fluids in the body as a result of injury, thereby making fluid drainage smoother in the swollen tissue. Together ETORICOXIB+SERRATIOPEPTIDASE is effective for relieving pain.

Take ETORICOXIB+SERRATIOPEPTIDASE as prescribed by your doctor. You are advised to take ETORICOXIB+SERRATIOPEPTIDASE for as long as your doctor has prescribed it for you depending on your medical conditions. You may experience stomach pain, diarrhea, flatulence, indigestion, feet swelling, swelling of hands and flu-like symptoms. Most of these side effects of ETORICOXIB+SERRATIOPEPTIDASE do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Do not take ETORICOXIB+SERRATIOPEPTIDASE if you are allergic to ETORICOXIB+SERRATIOPEPTIDASE, other pain killers or any other ingredients present in it. ETORICOXIB+SERRATIOPEPTIDASE should not be taken in the conditions like ulcers or bleeding in your stomach, severe liver and/or kidney impairment, colitis (inflammation of the large intestine), uncontrolled blood pressure, heart problems such as chest pain, heart attack or heart failure and stroke. ETORICOXIB+SERRATIOPEPTIDASE is not recommended for children below 16 years of age. Before taking ETORICOXIB+SERRATIOPEPTIDASE inform your doctor if you are more than 65 years of age. Inform your doctor immediately if you are pregnant, planning to become pregnant or breastfeeding.

Uses of ETORICOXIB+SERRATIOPEPTIDASE

Mild to moderate pain, Osteoarthritis, Rheumatoid arthritis (joint pain), Ankylosing spondylitis (inflammation in spinal bones), Gout, Migraine, etc.

Medicinal Benefits

ETORICOXIB+SERRATIOPEPTIDASE 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), migraine, etc. Etoricoxib in ETORICOXIB+SERRATIOPEPTIDASE plays a vital role in reducing pain and inflammation by blocking the release of chemical messengers that cause pain and inflammation. Serratiopeptidase present in ETORICOXIB+SERRATIOPEPTIDASE is a proteolytic enzyme that helps in the breakdown of insoluble protein (fibrin) a by-product of blood clots into smaller units. It also causes thinning of the fluids in the body as a result of injury, thereby making fluid drainage smoother in the swollen tissue.

Directions for Use

Swallow ETORICOXIB+SERRATIOPEPTIDASE as a whole with water; do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of ETORICOXIB+SERRATIOPEPTIDASE

  • Stomach pain
  • Dry mouth
  • Diarrhea
  • Flatulence
  • Indigestion
  • High blood pressure
  • Dizziness
  • Feet swelling
  • Swelling of hands 
  • Flu-like symptoms

In-Depth Precautions and Warning

Drug Warnings

Before taking ETORICOXIB+SERRATIOPEPTIDASE, inform your doctor if you have a history of stomach bleeding or ulcer, liver or kidney diseases, dehydration because of prolonged vomiting or diarrhea and swelling due to fluid retention. Inform your doctor if you have high blood pressure that is not treated or controlled as ETORICOXIB+SERRATIOPEPTIDASE may increase blood pressure in some cases. Do not take ETORICOXIB+SERRATIOPEPTIDASE if you are treated for infection as ETORICOXIB+SERRATIOPEPTIDASE can mask fever (a sign of infection). Use of ETORICOXIB+SERRATIOPEPTIDASE is contraindicated in kidney failure patients or who are undergoing dialysis. Inform your doctor if you are dehydrated (because of vomiting or diarrhea), have edema (swelling due to fluid retention). Patients who have had recently undergone heart bypass surgery should take ETORICOXIB+SERRATIOPEPTIDASE with caution and only under medical supervision. Do not take ETORICOXIB+SERRATIOPEPTIDASE if you smoke, have diabetes (high blood sugar) or high cholesterol as ETORICOXIB+SERRATIOPEPTIDASE increases the risk of heart attack or stroke. Avoid lying down for at least half an hour after using ETORICOXIB+SERRATIOPEPTIDASE. People who have had any heart attack and stroke in the past should not take ETORICOXIB+SERRATIOPEPTIDASE. Do not drive or operate heavy machinery as intake of ETORICOXIB+SERRATIOPEPTIDASE may cause dizziness.

Drug Interactions

Drug-Drug Interactions: ETORICOXIB+SERRATIOPEPTIDASE may interact with anticoagulant (warfarin, heparin, aspirin, clopidogrel), immunosuppressant (methotrexate), antihypertensives (enalapril, ramipril, losartan, valsartan, and minoxidil), medicines used for mood swings (lithium), antimalarial (primaquine), a medicine used to prevent pregnancy (ethinyl estradiol).

Drug-Food Interactions: Drinking alcohol should be avoided while taking ETORICOXIB+SERRATIOPEPTIDASE as it can cause unpleasant effects.

Drug-Disease Interactions: ETORICOXIB+SERRATIOPEPTIDASE should be used with caution in patients with stomach ulcers or bleeding, severe kidney disease, liver diseases, colitis (inflammation of the large intestine), uncontrolled blood pressure, heart failure, stroke and other heart problems.

Drug-Drug Interactions Checker List:

  • WARFARIN
  • ASPIRIN
  • METHOTREXATE
  • ENALAPRIL
  • RAMIPRIL
  • LOSARTAN
  • VALSARTAN
  • MINOXIDIL
  • LITHIUM
  • PRIMAQUINE
  • ETHINYLESTRADIOL
  • HEPARIN
  • CLOPIDOGREL
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      You are recommended not to consume alcohol along with ETORICOXIB+SERRATIOPEPTIDASE to avoid unpleasant side-effects.

    • Safety Warning

      Pregnancy

      unsafe

      ETORICOXIB+SERRATIOPEPTIDASE shows toxic effects on the fetus when given to pregnant women. ETORICOXIB+SERRATIOPEPTIDASE may impair female fertility and is not recommended in pregnant women or those planning for pregnancy. Consult your doctor for further advice.

    • Safety Warning

      Breast Feeding

      unsafe

      ETORICOXIB+SERRATIOPEPTIDASE passes into the breast milk, so it is not recommended for nursing mothers. Consult your doctor for further advice.

    • Safety Warning

      Driving

      unsafe

      ETORICOXIB+SERRATIOPEPTIDASE may affect driving as it causes dizziness. So do not drive a motor vehicle or operate heavy machinery after taking ETORICOXIB+SERRATIOPEPTIDASE.

    • Safety Warning

      Liver

      caution

      ETORICOXIB+SERRATIOPEPTIDASE may alter liver function. So, dose adjustments are necessary for patients with liver diseases.

    • Safety Warning

      Kidney

      caution

      ETORICOXIB+SERRATIOPEPTIDASE should be used with caution in patients with kidney diseases. Dosage adjustments are necessary for patients with severe renal impairment.

    • Safety Warning

      Children

      unsafe

      ETORICOXIB+SERRATIOPEPTIDASE is not recommended for children under 16 years of age, unless prescribed by a child specialist.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Include more glucosamine, chondroitin sulfate, Vitamin D, calcium-enriched supplements. Besides this, turmeric and fish oils can help in reducing inflammation in the tissue.
    • Please do not go for heavy exercise as it may increase your joint pain in arthritis. Instead, you can do stretching, low impact aerobic exercise like walking on a treadmill, bike riding and swimming. You can also strengthen your muscle strength by lifting light weights.
    • 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 minimum level of chemical called cytokines, which ramp up inflammation.
    • Your sitting posture is important, especially when have pain and inflammation condition. Try to sit 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 knees and hips at a right angle. Besides this, you can use a footrest if required.
    • Do not take spicy, fried and processed foods.
    • Drink plenty of water to stay hydrated. 
    • Quit smoking and limit caffeine and alcohol intake.

    Special Advise

    • Your doctor may monitor liver and kidney function if ETORICOXIB+SERRATIOPEPTIDASE is prescribed for the long term. 
    • Inform your doctor before taking ETORICOXIB+SERRATIOPEPTIDASE, if you had a history of a heart attack or bypass surgery.

    Patients Concern

    Disease/Condition Glossary

    Musculoskeletal pain: Different types of musculoskeletal pain are caused due to soft tissues (muscle, tendon, and ligaments) injury. Extreme tissue pain and inflammation caused due to sprains, strains, trauma or post-surgery may require a prolonged amount of time to heal. Different types of musculoskeletal pain are caused due to soft tissues (muscle, tendon, and ligaments) injury. Extreme tissue pain and inflammation are caused due to sprains, strains or trauma or post-surgery. These types of injuries may require a prolonged amount of time to heal. 

    Osteoarthritis: Osteoarthritis is the common type of arthritis in which the cartilage that cushions the ends of the bones erodes due to wear and tear over time. Common symptoms are joint pain and stiffness.

    Rheumatoid arthritis (RA): Rheumatoid arthritis (RA) is an autoimmune disease in which the immune cells attack the joints and cause bone erosion leading to severe pain and swelling. It may lead to joint deformity if left untreated.

    Ankylosing spondylitis: Ankylosing spondylitis is a type of arthritis in which inflammation is seen in the spine and large joints. It leads to pain and stiffness in the back and affected joints.

    Gout: Gout is an inflammatory condition in which uric acid deposits and crystallizes in the joints. It is characterized by acute, severe and recurring attacks of pain, especially at night, redness and swelling in the affected joints.

    FAQs

    How does ETORICOXIB+SERRATIOPEPTIDASE work?

    ETORICOXIB+SERRATIOPEPTIDASE is a combination of two medicines that include etoricoxib and serratiopeptidase. ETORICOXIB+SERRATIOPEPTIDASE contains ‘etoricoxib’ which works by blocking the release of a chemical messenger called prostaglandin, produced by COX-2, which is responsible for pain, swelling and inflammation. On the other hand, ETORICOXIB+SERRATIOPEPTIDASE contains serratiopeptidase which reduces swelling and inflammation through the breakdown of proteins.

    Does ETORICOXIB+SERRATIOPEPTIDASE increase blood pressure?

    ETORICOXIB+SERRATIOPEPTIDASE may increase blood pressure, especially in high doses. It should not be given to patients with uncontrolled blood pressure, heart problems or recent heart surgeries.

    What is rheumatoid arthritis?

    Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation and pain of the joints. Here, the body's immune system attacks its own tissue, including joints.

    What is ankylosing spondylitis?

    Ankylosing spondylitis is arthritis of the spine that can lead to pain and inflammation in the spine, which may lead to the fusion of the vertebrae causing stiffness and pain.

    What are the common side effects of ETORICOXIB+SERRATIOPEPTIDASE?

    The most common side effects of ETORICOXIB+SERRATIOPEPTIDASE are stomach pain, diarrhea, flatulence, indigestion, feet swelling, swelling of hands and flu-like symptoms. Most of these side effects of ETORICOXIB+SERRATIOPEPTIDASE do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

    Can I stop taking ETORICOXIB+SERRATIOPEPTIDASE on my own?

    No, do not stop taking ETORICOXIB+SERRATIOPEPTIDASE if you feel well, take ETORICOXIB+SERRATIOPEPTIDASE for as long as your doctor has advised it for you, to avoid any unwanted side effects.

    Available Medicines for

    ETORICOXIB+SERRATIOPEPTIDASE