Cytonac ER Capsule belongs to the class of 'painkillers' primarily used to treat signs and symptoms of osteoarthritis or rheumatoid arthritis in patients at high risk of developing pain killer-induced gastric and duodenal ulcers and their complications. Rheumatoid arthritis is an autoimmune disease in which the body's immune system attacks its own cells and causes joint pain with inflammation. 

Cytonac ER Capsule is a combination of two drugs: Aceclofenac and Misoprostol. Aceclofenac belongs to the class of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and relieves pain. It inhibits cyclo-oxygenase (COX) enzymes and further prevents the formation of chemical messengers, 'prostaglandins' (PGs) that cause pain and swelling at the injured or damaged site. Misoprostol is a prostaglandin analogue that belongs to the class of anti-ulcer agents. It helps prevent ulcers caused by Aceclofenac by protecting the stomach lining and decreasing the acid production in the stomach.

Your doctor will decide the dose and duration based on the severity of your pain. Common side effects of Cytonac ER Capsule include nausea, vomiting, dizziness, indigestion, stomach pain, diarrhoea, constipation, and heartburn. These side effects are not familiar to everyone and vary individually. However, if the side effects are persistent, please reach out to your doctor.

Before starting Cytonac ER Capsule , inform your doctor if you have any liver, heart or kidney diseases, high blood pressure, diabetes, stomach ulcers, asthma, and fluid retention. Cytonac ER Capsule is not recommended during pregnancy and breastfeeding. Cytonac ER Capsule may cause dizziness, so drive only if you are alert and focused. Cytonac ER Capsule should not be given to children as safety has not been established. Avoid consuming alcohol along with Cytonac ER Capsule as it could lead to increased dizziness and risk of stomach bleeding/ulcers. 

Cytonac ER Capsule treats pain, redness, and inflammation (swelling) in patients suffering from osteoarthritis and rheumatoid arthritis. It contains Aceclofenac and Misoprostol. Aceclofenac is a non-steroidal anti-inflammatory drug (NSAID) and relieves pain. It inhibits cyclo-oxygenase (COX) enzymes that further prevent the formation of chemical messengers called 'prostaglandins (PGs). These prostaglandins are produced at injury sites and cause pain and swelling. By blocking the COX enzymes' effect, lesser PGs are made, which reduces mild to moderate pain and inflammation at the injured or damaged site. Misoprostol is a prostaglandin analogue and an anti-ulcer agent. Prostaglandins produced in the stomach and intestine protect the lining. Misoprostol helps prevent ulcers caused by Aceclofenac by protecting the stomach lining and decreasing the acid production in the stomach. 

• Abdominal pain
• Diarrhoea
• Dyspepsia
• Nausea
• Flatulence
• Gastritis
• Vomiting
• Constipation
• Headache
• Dizziness
• Increased liver enzyme

Inform your doctor if you have any liver, heart or kidney diseases, high blood pressure, diabetes, stomach ulcers, asthma, blood disorders like porphyria, and fluid retention before starting Cytonac ER Capsule . Do not take any other NSAID's for pain relief along with Cytonac ER Capsule unless prescribed. Stop taking Cytonac ER Capsule and consult your doctor immediately if you have stomach pain or any signs of bleeding in the intestine or stomach, such as blood in stools. Cytonac ER Capsule is not recommended for pregnant and breastfeeding women. Misoprostol in Cytonac ER Capsule is an abortion drug and can cause congenital disabilities, miscarriage, premature labour, or rupture of the uterus in pregnancy. Cytonac ER Capsule may cause dizziness and drowsiness, so drive only if you are alert and focused. Avoid consuming alcohol, and Cytonac ER Capsule as it could lead to increased dizziness and risk of stomach bleeding/ulcers. Cytonac ER Capsule is not recommended in children as safety and efficacy is not established. 

Drug-Drug Interaction: Cytonac ER Capsule may interact with pain killers (aspirin, ibuprofen, naproxen, celecoxib, ketorolac), blood thinners (warfarin, clopidogrel, dabigatran, enoxaparin), blood pressure medicines (aliskiren, captopril, lisinopril, valsartan, losartan), antivirals (cidofovir), anti-depressants (lithium), anti-cancer drugs (methotrexate), water pills (furosemide), and corticosteroids (dexamethasone, prednisone).

Drug-Food Interaction: Alcohol consumption may cause dizziness and increases the risk of stomach ulcers and bleeding.

Drug-Disease Interaction: Cytonac ER Capsule should be used with caution in cases of stomach ulcers, blood disorders, blood circulation problems to the brain, asthma, porphyria, diabetes, high blood pressure, autoimmune diseases, connective tissue diseases, heart, kidney, and liver problems.

• ASPIRIN
• IBUPROFEN
• NAPROXEN
• CELECOXIB
• KETOROLAC
• WARFARIN
• CLOPIDOGREL
• ENOXAPARIN
• DABIGATRAN
• ALISKIREN
• CAPTOPRIL
• LISINOPRIL
• VALSARTAN
• LOSARTAN
• CIDOFOVIR
• LITHIUM
• METHOTREXATE
• FUROSEMIDE
• DEXAMETHASONE
• PREDNISONE

• Exercising regularly helps in muscle stretching that is less likely to spasm, tear and sprain. Mild exercises such as jogging and walking are helpful for muscle stretching.
• Massages can also be helpful.
• Avoid freezing and hot temperatures.
• Avoid wearing tight-fitting clothes. Instead, wear loose garments.
• Rest well and get plenty of sleep.
• To avoid developing pressure sores, change your position at least every two hours.
• Hot or cold therapy can help treat muscle spasms. Apply an ice pack or hot-pack on the muscle for 15-20minutes.
• Stay hydrated; drink plenty of water.

• Cytonac ER Capsule may cause fluid retention (oedema); hence it is advised to monitor blood pressure and cardiovascular status (ECG) in patients with a heart failure history. 
• The use of pain killers (NSAIDs) is associated with reversible infertility, so it is advisable to stop the intake of Cytonac ER Capsule  in women who have difficulties conceiving. 
• Use of Cytonac ER Capsule in pregnant women can cause abortion, congenital disabilities, premature birth or uterine rupture due to misoprostol.
• There is a high risk of developing gastric or duodenal ulcers associated with using the Cytonac ER Capsule due to pain killers (NSAIDs) like diclofenac, aceclofenac, etc. So in this case of a gastrointestinal ulcer or bleeding stop taking Cytonac ER Capsule and consult a doctor. 

Osteoarthritis: It is a degenerative joint disease in which the two ends of the joints come together due to the breakdown of a protective covering of cartilage. Due to the absence of this protective covering, the joints rub against each other, leading to pain and stiffness. Symptoms of osteoarthritis include pain, stiffness, inflammation, and tenderness. The main reason for osteoarthritis is age. The older you are, the more likely you could get osteoarthritis. Hence, it is known as a degenerative disease since the joints wear out as a person ages. Other reasons include a past injury, such as torn cartilage, dislocated joints, and ligament injuries.

Rheumatoid arthritis: It is an autoimmune disease (the body's immune system attacks its tissue), leading to joint pain and damage. Symptoms of rheumatoid arthritis include pain, swelling, stiffness, deformities, and loss of joint function.