ACENAC N TABLET is a combination medicine used for the management of neuropathic pain. Neuropathic pain is a chronic progressive nerve disease that causes nerve pain due to nerve damage or a malfunctioning nervous system. The pain could be intermittent or continuous, which is felt as a prickling, stabbing, tingling, or burning sensation.

ACENAC N TABLET is a combination of two drugs: Pregabalin (anti-convulsant), and Aceclofenac (NSAID). Pregabalin works by changing how nerves send messages to your brain. Aceclofenac works by blocking the effect of a chemical messenger known as cyclo-oxygenase (COX) enzyme that makes 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. This reduces mild to moderate pain and inflammation at the injured or damaged site decreasing stiffness in joints. Together, ACENAC N TABLET helps to treat neuropathic pain (pain due to nerve damage).

Take ACENAC N TABLET as prescribed. You are advised to take ACENAC N TABLET for as long as your doctor has prescribed it for you depending on your medical condition. In some cases, you may experience certain common side effects such as nausea, vomiting, stomach pain, diarrhoea, loss of appetite, heartburn, dryness in the mouth, dizziness, sleepiness, and uncoordinated body movements. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Please do not stop taking ACENAC N TABLET without consulting your doctor as it could cause withdrawal symptoms. Do not take ACENAC N TABLET if you are pregnant or breastfeeding unless prescribed by the doctor. Women of childbearing potential should use effective contraception. ACENAC N TABLET causes drowsiness and dizziness, so drive only if you are alert. ACENAC N TABLET should not be given to children as safety and effectiveness have not been established. Avoid consuming alcohol along with ACENAC N TABLET as it could lead to increased dizziness and sleepiness. Keep your doctor informed about your health condition and medicines to rule out any side effects. Before taking this medicine inform your doctor have a history of heart disease, severe kidney disease, disorders of the stomach or gut/bowel, and diabetes.

ACENAC N TABLET is a combination of two drugs: Pregabalin (anti-convulsant), and Aceclofenac (NSAID's). Pregabalin belongs to a group of medications called 'anticonvulsants' used to prevent neuropathic pain (pain due to damaged nerves), fibromyalgia (musculoskeletal pain), and epilepsy (fits). It works by calming the damaged or overactive nerves in your body that may cause pain or seizures, thereby decreasing the number of pain signals sent out by damaged nerves in the body. Overall it reduces the pain which has been damaged or irritated due to conditions like chronic conditions, diabetes, trauma, or epilepsy. Aceclofenac belongs to a group of medicines called Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) used to reduce and relieve pain, redness, and inflammation (swelling) in patients suffering from osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis. ACENAC N TABLET works by blocking the effect of a chemical messenger known as cyclo-oxygenase (COX) enzyme that makes another chemical 'prostaglandins' (PG). These prostaglandins are produced at injury sites and cause pain and swelling. By blocking the effect of COX enzymes, lesser PGs are produced. This helps in reducing mild to moderate pain and inflammation at the injured or damaged site. Together, ACENAC N TABLET helps to treat neuropathic pain (pain due to nerve damage).

• Nausea
• Vomiting
• Stomach pain
• Diarrhoea
• Heartburn
• Dryness in mouth
• Dizziness
• Blurred vision
• Weight gain
• Sleepiness
• Tiredness
• Uncoordinated body movements

Inform your doctor before taking ACENAC N TABLET if you have heart problems, bipolar syndrome, severe liver disease or porphyria, diabetes, and asthma. Please do not stop taking ACENAC N TABLET without consulting your doctor as it could cause withdrawal symptoms. Do not take ACENAC N TABLET if you are pregnant or breastfeeding unless prescribed by the doctor. ACENAC N TABLET causes drowsiness and dizziness, so drive only if you are alert. ACENAC N TABLET should not be given to children as safety and effectiveness have not been established. Avoid consuming alcohol along with ACENAC N TABLET as it could lead to increased drowsiness and sleepiness. Consult your doctor immediately if you experience suicidal tendencies such as killing or harming yourself. ACENAC N TABLET contains Pregabalin, which can decrease sperm count and may affect fertility in men. Do not exceed the prescribed dose or duration of treatment.

Drug-Drug Interactions: ACENAC N TABLET may have interaction with oral diabetes medicine (pioglitazone, rosiglitazone) and medication used primarily to treat high blood pressure and heart failure (benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril).

Drug-Food Interactions: Avoid alcohol consumption while taking ACENAC N TABLET as it might cause increased dizziness and sleepiness.

Drug-Disease Interactions: ACENAC N TABLET may have interactions with disease conditions such as severe kidney disease, diabetes, drug or alcohol addiction, heart problems, a mood disorder, depression, or suicidal thoughts.

• PIOGLITAZONE
• ROSIGLITAZONE
• BENAZEPRIL
• CAPTOPRIL
• ENALAPRIL
• FOSINOPRIL
• LISINOPRIL
• MOEXIPRIL
• PERINDOPRIL
• QUINAPRIL
• RAMIPRIL

• Include food rich in vitamins B and D in your diet.
• Include cayenne pepper in your diet as it can help in lowering neuropathic pain.
• Exercising regularly helps in improving overall health and combating pain.
• Rest well, and get plenty of sleep.
• Try taking a warm bath as it can be soothing.
• Avoid smoking and alcohol consumption.
• Meditation and yoga can help lower stress, decrease pain sensitivity, and improves coping skills.
• Acupuncture can be helpful by stimulating pressure points.
• Using essential oils for massages can help increase circulation.

• ACENAC N TABLET can make you feel dizzy or drowsy, try to get up slowly while rising from a sitting or lying position.
• ACENAC N TABLET can cause dry mouth, so in that case, you can drink water or fluids, suck hard candy or ice, chew (sugarless) gum, or use a saliva substitute.

Neuropathic pain: Neuropathic pain is caused due to damage to sensory nerves. It is caused by chronic progressive nerve disease, or due to infection or injury. The pain could be intermittent or continuous, which is felt as a prickling, stabbing, tingling, or burning sensation. A feeling of numbness and loss of sensations is also common with neuropathic pain. Usually, the body sends the pain signals when there is an injury, but with neuropathic pain, the pain is not triggered by an injury, the body unpromptedly sends the pain signals. Symptoms include spontaneous, untriggered pain, unpleasant feeling, shooting, burning or stabbing pain, difficulty resting or sleeping, and evoked pain (pain caused by events usually not painful).