Anafortan N Tablet belongs to the class of medications called ‘analgesics’. It is used to treat abdominal cramps or pain associated with various gastrointestinal conditions such as intestinal colic (blockage in the intestine), biliary colic (gallstones), renal colic (kidney stones), and dysmenorrhea (menstrual cramps), etc.

Anafortan N Tablet contains Nimesulide and Camylofin. Nimesulide is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing prostaglandin's production (chemical substances that cause pain and inflammation) at the affected site and reduce pain. Camylofin is an antispasmodic, which relaxes the muscles in the stomach and gut (intestine) and stops sudden muscle contractions (spasms).

You should take this medicine exactly as prescribed by the doctor. Anafortan N Tablet may cause side-effects such as nausea, vomiting, constipation, dry mouth, diarrhoea, dizziness, headache and palpitations (racing or pounding heartbeat). These side-effects are usually mild and temporary. However, if any of these side-effects persist or get worse, inform your doctor immediately.

It is not recommended to take Anafortan N Tablet if you are allergic to any contents of it. Anafortan N Tablet should not be used in patients with liver failure, severe kidney failure, heart failure, gastric ulcers, bleeding in the stomach or intestine, heart rhythm problems, porphyria (a rare inherited blood disorder), urinary retention, blood clotting disorders, glaucoma (increased pressure in the eye), mechanical bowel obstruction and prostate gland enlargement and alcohol or drug abuse. It is not recommended in children, pregnant women and breastfeeding mothers. It should be used with caution in elderly patients. Avoid consumption of alcohol as it may increase the risk of side-effects. Anafortan N Tablet may cause dizziness, so drive or operate heavy machinery only if you are fully alert.

Anafortan N Tablet is used to provide symptomatic relief or treat abdominal cramps in various conditions such as intestinal colic (blockage in the intestine), biliary colic (gallstones), renal colic (kidney stones) and dysmenorrhea (menstrual cramps), etc. It contains Nimesulide and Camylofin. Nimesulide can reduce pain, swelling and inflammation, whereas camylofin can reduce the spasms or sudden contractions by relaxing the smooth muscles. It is usually well-tolerated when taken at recommended doses.

• Nausea
• Vomiting
• Constipation
• Dry mouth
• Diarrhoea
• Dizziness
• Headache
• Vision problems
• Palpitations (racing or pounding heartbeat)

Before taking Anafortan N Tablet , inform your doctor if you have thyrotoxicosis (excess thyroid hormone secretions), chronic obstructive pulmonary disease (obstruction in the airflow) and scheduled for heart surgery. Anafortan N Tablet may cause liver damage on higher doses or when used for prolonged periods. So, if you notice signs of liver damage such as loss of appetite, nausea, vomiting, unexplained weight loss, dark urine and fatigue or if you have abnormal liver function tests, discontinue the treatment immediately and consult your doctor. Anafortan N Tablet may also cause bleeding in the stomach and intestine when used in higher doses or for prolonged periods. While using Anafortan N Tablet , if you experience fever or flu-like symptoms such as weakness, feeling unwell or chills, stop taking this medicine and inform your doctor immediately. Do not use other analgesics while taking Anafortan N Tablet without consulting your doctor.

Drug-Drug Interactions: Anafortan N Tablet may interact with antidepressants (amitriptyline, imipramine, desipramine, and lithium, etc.), medication used to treat movement disorders (amantadine), medication used to treat heart rhythm problems (quinidine), blood thinners (warfarin and clopidogrel), pain killer (aspirin), water pills, anticancer drug (methotrexate) and medication used to suppress the immune system (cyclosporine).

Drug-Food Interactions: Avoid alcohol consumption as it increases the risk of liver damage and side-effects associated with the stomach and intestine.

Drug-Disease Interactions: Anafortan N Tablet should not be used in patients with liver failure, severe kidney failure, heart failure, gastric ulcers, bleeding in the stomach or intestine, heart rhythm problems, porphyria (a rare inherited blood disorder), urinary retention, blood clotting disorders, glaucoma (increased pressure in the eye), mechanical bowel obstruction and prostate gland enlargement and alcohol or drug abuse.

• AMITRIPTYLINE
• IMIPRAMINE
• DESIPRAMINE
• LITHIUM
• AMANTADINE
• QUINIDINE
• WARFARIN
• CLOPIDOGREL
• ASPIRIN
• METHOTREXATE
• CYCLOSPORINE

• Include more glucosamine, chondroitin sulfate, Vitamin D, calcium-enriched supplements. Besides this, turmeric and fish oils can help in reducing pain and inflammation in the tissue.
• Please do not go for heavy exercise as it may increase your abdominal pain. Instead, you can do stretching, low impact aerobic exercise (like walking on the treadmill, bike riding, and swimming), simple forms of yoga. You can also strengthen your muscle strength by lifting light weights and doing muscle stretching regularly.
• Your sitting posture is important, especially when have pain and inflammation condition. 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 knees and hips at a right angle.
• You can consume caffeine but not too much as high caffeine intake may cause irritability, poor sleep, and menstrual cramps.

• Anafortan N Tablet causes liver damage, so your doctor may monitor liver function at regular intervals if this medicine is prescribed for prolonged periods.
• Your doctor may advice regular eye check up, as Anafortan N Tablet may worsen the symptoms of glaucoma.

Intestinal colic: It is a cramp-like pain that originates in the small or large intestine. It's caused by a blockage that keeps food and liquid from passing through the body.

Biliary colic: It is a dull pain in the middle to the abdomen's upper right area. When a gallstone blocks the bile duct, the tube that normally drains bile from the gallbladder to the small intestine.

Renal colic: It is a sharp, severe, or intense abdominal pain due to blockage of the urinary tract (kidneys, ureters, bladder, and urethra) by urinary stones.

Dysmenorrhea: It refers to abdominal cramps/pain associated with irregular periods. It occurs just before or during menses. Menstrual cramps that cause throbbing pain in the lower belly during periods may vary from mild to severe.