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Diclofenac+paracetamol+chlorzoxazone

About Diclofenac+paracetamol+chlorzoxazone

Chlorzoxazone+diclofenac+paracetamol belongs to the class of drugs known as 'non-steroidal anti-inflammatory drug' (NSAID). Chlorzoxazone+diclofenac+paracetamol is used in the reduction of musculoskeletal pain due to tissue injury, resolution of post surgery inflammation and oedema (swollen tissue with fluid). Pain can be temporary (acute) or long term(chronic) in nature. Musculoskeletal pain can be caused due to soft tissues (muscle, tendon, and ligaments) injury. Extreme tissue pain and inflammation caused due to sprains, strains or trauma or post-surgery may require a prolonged amount of time to heal.

Chlorzoxazone+diclofenac+paracetamol is a fixed-dose combination composed of three medicines namely: Diclofenac, Paracetamol and Chlorzoxazone. Diclofenac works by blocking the action of a chemical messenger known as cyclo-oxygenase (COX) which causes pain and swelling at the injured or damaged tissue site. Paracetamol acts as a mild analgesic (mild pain reducer) and antipyretic (fever reducer) which enhances the pain relief action of Diclofenac. Third medicine i.e. Chlorzoxazone is a muscle relaxant, helps by blocking nerve impulses or pain sensations sent by the brain and causes relaxation of muscles.

Chlorzoxazone+diclofenac+paracetamol can be taken with or after the meal. To avoid stomach upset Chlorzoxazone+diclofenac+paracetamol can be taken with food or milk. It should be swallowed whole with a glass of water. Do not take Chlorzoxazone+diclofenac+paracetamol if your pain lasts for more than ten days or fever lasting for more than three days. Do not take a double dose if you missed one dose. Like all medicines, Chlorzoxazone+diclofenac+paracetamol may cause side effects, although not everybody gets them. Most of the side effects of Chlorzoxazone+diclofenac+paracetamol are drowsiness, constipation, diarrhoea, stomach upset, slight discolouration of urine, and ringing or buzzing sounds in the ears. In case of any discomfort, speak with your doctor. 

Do not take Chlorzoxazone+diclofenac+paracetamol if you are allergic to painkillers like aspirin, paracetamol, naproxen or diclofenac. It is not recommended for use in children, people with liver disease, heart disease or gastric ulcers/bleeding problems. Chlorzoxazone+diclofenac+paracetamol may be associated with a small increase in the risk of heart attack (myocardial infarction). Avoid consumption of alcohol as it may damage your liver and cause even more side effects on taking this drug. Consult your doctor if your symptoms of pain, inflammation and fever do not disappear even after ten days.

Uses of Diclofenac+paracetamol+chlorzoxazone

Musculoskeletal pain.

Medicinal Benefits

Chlorzoxazone+diclofenac+paracetamol is composed of three medicines namely: Diclofenac, Paracetamol and Chlorzoxazone. Diclofenac works by blocking the action of a chemical messenger known as cyclo-oxygenase (COX) which causes pain and swelling at the injured or damaged tissue site. Paracetamol acts as a mild analgesic (mild pain reducer) and antipyretic (fever reducer) which enhances the pain relief action of Diclofenac. Third medicine i.e. Chlorzoxazone is a muscle relaxant, helps by blocking nerve impulses or pain sensations sent by the brain and causes relaxation of muscles.

Directions for Use

Take Chlorzoxazone+diclofenac+paracetamol as advised by your doctor. Preferably take it with a light meal. Swallow it as a whole, do not chew or crush it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Diclofenac+paracetamol+chlorzoxazone

  • Drowsiness
  • Constipation
  • Diarrhoea
  • Stomach upset
  • Slight discolouration of urine
  • Ringing or buzzing sounds in the ears

Drug Warnings

Intake of Chlorzoxazone+diclofenac+paracetamol should be avoided in liver disease (like jaundice) and cardiovascular disease (like coronary heart disease). Contact your doctor if you have signs of liver disease like feeling exhausted, dark urine, not feeling hungry, stomach pain or upset, light coloured stools or yellow skin/eyes. After taking if you have possible allergic symptoms like difficulty in breathing, difficulty in swallowing, lips/face/throat swelling, chest tightness, or skin rash, contact the doctor immediately. Ensure your doctor is aware if you are pregnant or planning to get pregnant, breastfeeding, allergic to Chlorzoxazone+diclofenac+paracetamol or any other painkillers like aspirin, the problem of stomach ulcer or gastric bleeding, or taking any other OTC multivitamins, multi-minerals supplements.

Drug Interactions

Drug-Drug Interaction: Chlorzoxazone+diclofenac+paracetamol is shown to interact with various drugs. Some of them include pain killers (naproxen, aspirin, ibuprofen, tramadol, hydrocodone, oxycodone), blood pressure-related drugs (lisinopril, hydrochlorothiazide), blood thinner (rivaroxaban, warfarin), anti-depressant (duloxetine), acidity lowering drug (cimetidine), and steroids (prednisone). These drugs may affect the working of Chlorzoxazone+diclofenac+paracetamol and may alter its efficacy.

Drug-Food Interaction: Excessive intake of caffeine-containing food or drinks like coffee, tea, chocolate and some fizzy drinks should be avoided while taking Chlorzoxazone+diclofenac+paracetamol. Taking together may lead to drowsiness and dizziness and sleepiness.

Drug-Disease Interaction: Chlorzoxazone+diclofenac+paracetamol should not recommend for people having bleeding disorders, like haemophilia, von Willebrand disease or low blood platelets. Besides this, it should not be given in the condition of liver disease like jaundice, alcoholism and PKU phenylketonuria (birth defect with an excess of protein in the body).

Drug-Drug Interactions Checker List:

  • NAPROXEN
  • ASPIRIN
  • IBUPROFEN
  • TRAMADOL
  • HYDROCODONE
  • OXYCODONE
  • LISINOPRIL
  • HYDROCHLOROTHIAZIDE
  • RIVAROXABAN
  • WARFARIN
  • DULOXETINE
  • CIMETIDINE
  • PREDNISONE
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Alcohol should not be consumed with Chlorzoxazone+diclofenac+paracetamol as it leads to excessive drowsiness

    • Safety Warning

      Pregnancy

      caution

      Only consume Chlorzoxazone+diclofenac+paracetamol, if you are prescribed by a doctor

    • Safety Warning

      Breast Feeding

      caution

      Chlorzoxazone+diclofenac+paracetamol does not pass on to the child significantly via breast milk, consult your doctor before using Chlorzoxazone+diclofenac+paracetamol.

    • Safety Warning

      Driving

      caution

      Chlorzoxazone+diclofenac+paracetamol may affect driving ability as it causes dizziness.

    • Safety Warning

      Liver

      caution

      Chlorzoxazone+diclofenac+paracetamol to be taken with caution, especially if you have a history of liver diseases/conditions. Dose may have to be adjusted by your doctor.

    • Safety Warning

      Kidney

      caution

      Chlorzoxazone+diclofenac+paracetamol to be taken with caution, especially if you have a history of Kidney diseases/conditions. Dose may have to be adjusted by your doctor.

    • Safety Warning

      Children

      caution

      Chlorzoxazone+diclofenac+paracetamol is not recommended for children below 12 years of age without doctor's consent. For children above 12 years, dose to be adjusted and recommended by a child specialist only.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Chlorzoxazone+diclofenac+paracetamol is commonly prescribed for relieving pain in both acute and chronic conditions and in cases of fever. Do not take the drug beyond its suggested dose and frequency.
    • Avoid driving while consuming Chlorzoxazone+diclofenac+paracetamol as it can cause dizziness in some individuals and hamper your focus and reflexes.
    • Avoid concomitant consumption of drugs containing the same chemicals as Chlorzoxazone+diclofenac+paracetamol as it can lead to overdosage and unwanted side effects.
    • Immediately consult your doctor in case of persistent side effects like stomach pain on consumption of Chlorzoxazone+diclofenac+paracetamol.
    • Avoid consuming alcohol while you are on Chlorzoxazone+diclofenac+paracetamol.

    Special Advise

    • Chlorzoxazone+diclofenac+paracetamol is prescribed for relief from muscle pain and spasms.
    • It can cause drowsiness and hence activities involving focus and attention like driving must be avoided while on this medication.
    • Concomitant usage of alcohol with this medicine increase the risk of damage to liver and other side effects and hence alcohol consumption should be avoided while consuming this medication
    • Avoid simultaneous consumption of other painkillers or cough and cold medicines with this Chlorzoxazone+diclofenac+paracetamol as it may lead to overdose.

    Patients Concern

    Disease/Condition Glossary

    Musculoskeletal pain is generally caused by disorders of bones, joints, muscles, tendons, ligaments, or a combination. Injuries (mostly sports related injury) are the most common cause of musculoskeletal pain. Muscle pain (myalgia) can be caused due to injury, infection, loss of blood flow to the muscle, infection, or a tumour. Extreme tissue pain and inflammation caused due to sprains, strains, or trauma or post-surgery may require a prolonged amount of time to heal

    FAQs

    No, Chlorzoxazone+diclofenac+paracetamol should not be taken as a long term medication as it may lead to stomach ulcers/bleeding and kidney problems. For best results of Chlorzoxazone+diclofenac+paracetamol, take it in doses and duration mentioned by your doctor.

    No, it is not advisable to take Chlorzoxazone+diclofenac+paracetamol with depression medication. Please inform your doctor if you are taking depression medicine before starting Chlorzoxazone+diclofenac+paracetamol.

    Yes, Chlorzoxazone+diclofenac+paracetamol is a short term medication and if you feel better you can stop taking Chlorzoxazone+diclofenac+paracetamol, but only after consulting your doctor.

    Chlorzoxazone+diclofenac+paracetamol is known to be contra-indicated in patients with allergy to painkillers (NSAIDs) or any of the components or excipients of this medicine. Its use should also be avoided in patients with history of stomach ulcer and kidney/liver disease.

    Yes, Chlorzoxazone+diclofenac+paracetamol is known to cause dizziness. If you feel dizzy, please take rest and also avoid driving while you take Chlorzoxazone+diclofenac+paracetamol as it can be harmful.

    No, Chlorzoxazone+diclofenac+paracetamol is not indicated for stomach pain. Also, If you have stomach pain post ingestion it may be a sign of stomach ulcer or gastric bleeding. Do not take Chlorzoxazone+diclofenac+paracetamol in this condition. It is better to inform your doctor in case of stomach pain post ingestion of this medication.

    It depends on whether your cough and cold pills contains diclofenac, paracetamol and Chlorzoxazone or not. If it contains these three medicines, do not take it. It may lead to overdosage, thereby producing unpleasant side effects. Consult your doctor before taking it in such cases.

    No, do not take Chlorzoxazone+diclofenac+paracetamol until prescribed by your doctor. For example, your shoulder pain may be due to lungs, spleen or gallbladder problem. Your back pain may be due to kidney stone, pancreas swelling, or in women, pelvic disorders. Your arm pain (especially left arm) may be due to heart attack (myocardial infarction).

    Available Medicines for

    Diclofenac+paracetamol+chlorzoxazone

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