Etova Injection 2 ml belongs to the group of pain killers known as NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) used to treat mild to moderate pain in osteoarthritis and rheumatoid arthritis. It is also used to treat post-operative pain. Osteoarthritis is a degenerative joint disease in which the two ends of the joints come together due to the breakdown of a protective covering (cartilage). Rheumatoid arthritis is an auto-immune disease (the body's immune system attacks its tissue) which leads to joint pain and damage.

Etova Injection 2 ml contains 'Etodolac' that works by blocking the effect of a chemical messenger in the body, known as cyclo-oxygenase (COX) enzymes that make another chemical prostaglandins. Prostaglandins are produced at injury sites and cause pain and swelling. By blocking the effect of COX enzymes, fewer prostaglandins are produced, which reduces mild to moderate pain and inflammation at the injured or damaged site.

Etova Injection 2 ml will be administered by a healthcare professional; do not self-administer. In some cases, you may experience certain common side effects such as stomach pain, diarrhoea, indigestion, headache, loss of appetite, nausea and vomiting. Most of these side effects do not require medical attention and will resolve gradually over time. However, you should talk to your doctor if you experience these side effects persistently.

Consult your doctor if you are pregnant or breastfeeding; your doctor will prescribe Etova Injection 2 ml only if the benefits outweigh the risks. Etova Injection 2 ml may cause drowsiness and dizziness, so drive with caution. Etova Injection 2 ml is not recommended for children as safety and efficacy have not been established. Avoid consuming alcohol along with Etova Injection 2 ml as it could lead to increased drowsiness and dizziness. It could also increase the risk of stomach bleeding.

Etova Injection 2 ml works by blocking the effect of a chemical messenger in the body, known as cyclo-oxygenase (COX) enzymes that make other chemical prostaglandins that are produced at injury sites and cause pain and swelling. By blocking the effect of COX enzymes, fewer prostaglandins are produced, which reduces mild to moderate pain and inflammation at the injured or damaged site. Thus, Etova Injection 2 ml helps treat post-operative pain and pain associated with osteoarthritis and rheumatoid arthritis.

• Stomach pain
• Diarrhoea
• Indigestion
• Headache
• Loss of appetite
• Nausea
• Vomiting

If you have had any recent heart bypass surgery, do not use Etova Injection 2 ml as it may increase the risk of heart problems. Do not take Etova Injection 2 ml if you are allergic to Etodolac, have severe heart failure or peptic ulcer, have suffered bleeding problems such as bleeding from the stomach or bowels while taking any pain killers. Inform your doctor before taking Etova Injection 2 ml if you suffer from fluid retention (swelling), high blood pressure, heart problems, asthma or breathing difficulties. Consult your doctor if you are pregnant or breastfeeding.

Drug-Drug Interactions: Etova Injection 2 ml may have interaction with pain killers (ibuprofen, naproxen, aspirin and diclofenac),  anti-depressants (duloxetine, escitalopram), beta-blocker (metoprolol), blood thinner (warfarin), cardiac glycosides (digoxin), anti-manic agents (lithium), immunosuppressants (cyclosporine), antiprogestational steroids (mifepristone).

Drug-Food Interactions: Avoid consuming alcohol along with Etova Injection 2 ml as it could lead to increased drowsiness and dizziness. It could also increase the risk of stomach bleeding.

Drug-Disease Interactions: Inform your doctor if you have heart failure, fluid retention (oedema), asthma, gastrointestinal ulcer/bleeding, high blood pressure, hyperkalemia (high levels of potassium), thrombosis (formation of clots), anaemia (low red blood cells), kidney and liver problems.

• IBUPROFEN
• NAPROXEN
• ASPIRIN
• DICLOFENAC
• DULOXETINE
• ESCITALOPRAM
• METOPROLOL
• WARFARIN
• DIGOXIN
• LITHIUM
• CYCLOSPORINE
• MIFEPRESTONE

• Physical activity helps in strengthening muscles and relieves joint stiffness. Gentle activities like 20-30minutes of walking or swimming would be helpful.
• Performing yoga may also help in improving joint flexibility and pain management.
• Maintain a healthy weight by performing regular low-strain exercises and eating healthy food.
• Get adequate sleep as resting the muscles can help in reducing inflammation and swelling.
• Follow heat or cold therapy, apply a cold or hot compress on the joints for 15-20minutes regularly.
• Acupuncture, massage and physical therapy may also be helpful.
• Eat food rich in antioxidants such as berries, spinach, kidney beans, dark chocolate, etc.
• Foods containing flavonoids help in reducing inflammation. These include soy, berries, broccoli, grapes and green tea.

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 called 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, thus known as degenerative disease, meaning that 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 auto-immune disease (the body’s immune system attacks its tissue) that leads to joint pain and damage. Symptoms of rheumatoid arthritis include pain, swelling, stiffness, deformities and loss of joint function.