MISONAC TABLET belongs to a class of non-steroidal anti-inflammatory drugs used to reduce pain and swelling in the joints associated with conditions such as osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis (pain and stiffness in the backbone). Arthritis is a condition that causes swelling of one or more joints resulting in pain and stiffness of joints that worsen over time. The arthritis symptoms include joint pain, stiffness, redness, tenderness, swelling in and around joints, and reduced movement of joints.

MISONAC TABLET is a combination drug containing diclofenac and misoprostol. Diclofenac works by blocking the chemical effect of an enzyme called cyclo-oxygenase (COX), which produces prostaglandins (mediators of pain and inflammation) that are responsible for the sense of pain and inflammation (redness and swelling). Misoprostol is a prostaglandin that helps to protect the stomach from diclofenac's irritating effects. It works by protecting the stomach lining by reducing the amount of acid in contact with it.

Take MISONAC TABLET as prescribed by your doctor. Depending on your medical conditions, you are advised to take MISONAC TABLET for as long as your doctor has prescribed it for you. You may experience diarrhoea, stomach/abdominal pain, nausea, heartburn, drowsiness, and dizziness. Most of the side effects of MISONAC TABLET do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Before using the MISONAC TABLET, tell your doctor if you have had a heart attack or stroke, stomach or bowel disorder, liver disease, porphyria ( inherited blood disorder), asthma, high blood pressure, diabetes, and stomach or intestinal bleeding. Do not take MISONAC TABLET if you are a pregnant or breastfeeding woman. Consumption of alcohol should be avoided during the treatment with MISONAC TABLET as it may lead to an increased risk of liver damage. MISONAC TABLET is not recommended for use in children. Limit alcoholic beverages while on this medication.

MISONAC TABLET is used to treat aches and pains and musculoskeletal and joint pain problems due to arthritis. MISONAC TABLET contains diclofenac and misoprostol. Diclofenac works by blocking the chemical effect of an enzyme called cyclo-oxygenase (COX), which produces prostaglandins (mediators of pain and inflammation) that are responsible for the sense of pain and inflammation (redness and swelling). Misoprostol is a prostaglandin that helps to protect the stomach from diclofenac's irritating effects. It works by protecting the stomach lining by reducing the amount of acid in contact with it.

• Diarrhea
• Stomach/abdominal pain
• Nausea
• Heartburn
• Difficulty sleeping
• Ulcers in the stomach or intestines
• Drowsiness
• Dizziness
• Indigestion

Consumption of alcohol should be avoided during the treatment with MISONAC TABLET. Patients with stomach ulcers, gastric bleeding, heart failure, and high blood pressure should not take MISONAC TABLET. If pregnant or breastfeeding, do not take MISONAC TABLET without talking with the doctor. MISONAC TABLET is not recommended for children below 18 years old. Seek medical help immediately if you have signs of a heart attack or stroke. Stop using MISONAC TABLET and call your doctor immediately if you notice heart problems, kidney problems, liver problems, or stomach bleeding signs.

• ASPIRIN
• IBUPROFEN
• NAPROXEN
• CELECOXIB
• INDOMETHACIN
• MELOXICAM
• WARFARIN
• HYDROCHLOROTHIAZIDE
• LITHIUM

• Include more glucosamine, chondroitin sulfate, vitamin D, and calcium-enriched supplements. Besides this, turmeric and fish oils can help reduce inflammation in the tissue.
• Do not go for heavy exercise as it may increase your joint pain in arthritis. Instead, you can do stretching and low-impact aerobic exercises like walking on a treadmill, bike riding, and swimming. You can also strengthen your muscle strength by lifting light weights.
• In chronic arthritis or joint pain, try to include fish like salmon, trout, tuna, and sardines. These fishes are enriched with omega-3 fatty acids that minimize the level of cytokines, which ramp up inflammation.
• Your sitting posture is important, especially when you have pain and inflammation. Try to sit as little as possible and only for a short time (10-15 min). Use back support like a rolled-up towel to minimise pain at the back of your curve. Keep your knees and hips at a right angle. Besides this, you can use a footrest if required.