NAC PLUS TABLET belongs to a class of medications known as a non-steroidal anti-inflammatory drug (NSAID) or pain killer. NAC PLUS TABLET is primarily indicated for relieving pain associated with bones and muscles like osteoarthritis (joints pain), sprains and strains of muscles, rheumatoid arthritis (pain, swelling, and stiffness of joints) and ankylosing spondylitis (inflammation of the spine). This medicine also provides relief in pain associated with back pain, toothache,  rheumatoid arthritis, painful menses, mild migraine, etc. Pain is an uncomfortable feeling in the body that can range from annoying to severe.

NAC PLUS TABLET contains Diclofenac (analgesic) and Acetaminophen (fever reducer/mild analgesic) effective against painful musculoskeletal pain, joint pain, and skeletal muscle spasms. 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. On the other hand, Acetaminophen acts as a mild analgesic (mild pain reducer) and antipyretic (fever reducer), which enhances the pain relief action of Diclofenac. Both medicines in combination work well to provide relief pain in different conditions.

Take NAC PLUS TABLET as prescribed by your doctor. You are advised to take NAC PLUS TABLET for as long as your doctor has prescribed it for you depending on your medical condition. Like all medicines, NAC PLUS TABLET may cause common side effects like stomach upset, dizziness, light-headedness, malaise, nausea, vomiting and liver dysfunction (hepatitis), pruritis (itchy skin), rash, although not everybody gets them. Stop taking this medicine if you experience symptoms like the tightness of the chest, breathing difficulties, fever, skin rashes, increased heart rate and or in case of any signs of hypersensitivity.

Do not take NAC PLUS TABLET if you are allergic to painkillers like aspirin, acetaminophen, naproxen or diclofenac. It is not recommended for use in children less than 14 years of age, people with liver disease, heart disease or gastric ulcers/bleeding problems. NAC PLUS TABLET may be associated with a small increase in the risk of heart attack (myocardial infarction). Pregnant women should not take this medicine during their last trimester of pregnancy. NAC PLUS TABLET is excreted in the breast milk so the nursing mother should contact the doctor before its usage. Avoid consumption of alcohol as it may damage your liver and cause even more side effects from taking this drug.

NAC PLUS TABLET is a combination medicine used to relieve pain and inflammation associated with osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, muscle pain, tooth pain, bone and joint pain, headache, swelling, period pain, ear pain, migraine, fever,  sore throat, nose pain, etc.  By reducing the pain, NAC PLUS TABLET helps you to do normal daily activities of the day. Diclofenac present in NAC PLUS TABLET works by reducing the chemical messenger that is responsible for pain and inflammation in the body. While Acetaminophen works by blocking chemical messenger that sends pain signals to the brain. This medicine also reduces fever by regulating body temperature. Both medicines in combination increase the pain threshold and blood flow across the skin and provide relief in various painful conditions.

• Nausea
• Vomiting
• Stomach pain
• Diarrhoea
• Indigestion
• Headache

Do not take NAC PLUS TABLET if you have/had severe heart problems, stomach ulcer or perforation, bleeding problems such as bleeding from the stomach, intestine or brain, have undergone any heart bypass surgery, have had any heart attack, blood circulation problems or inflammation of intestines.  Patients with asthma, prolonged bleeding time, wheezing (whistling sound during breath) and blocked airways (bronchospasm) should avoid using NAC PLUS TABLET. Consult your doctor if your symptoms of pain, inflammation and fever do not disappear even after ten days. If you are using topical form NAC PLUS TABLET you should avoid direct exposure to the sunlight as sunburn or photosensitivity might occur. Keep your doctor informed about your health condition and medicines to rule out any side-effects. Avoid simultaneous consumption of other painkillers or cough and cold medicines with this NAC PLUS TABLET as it may lead to overdose.  Stop taking NAC PLUS TABLET 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. Do not take any other NSAID's for pain relief along with NAC PLUS TABLET unless prescribed. 

Drug-Drug Interactions: NAC PLUS TABLET may have interaction with pain killers (aspirin, ibuprofen), immunosuppressant (cyclosporine, tacrolimus), anti-psychotic (lithium), cardiac glycoside (digoxin), blood thinner (warfarin), anti-rheumatoid (methotrexate), antacid (magnesium hydroxide), anti-fungal (ketoconazole, miconazole, fluconazole, voriconazole), anti-arrhythmic (amiodarone), anti-gout (sulphinpyrazole), anti-emetic (metoclopramide, domperidone), bile acid sequestrant (cholestyramine), anti-cancer (imatinib), antibiotic (chloramphenicol), anti-progestational steroid (mifepristone), anti-diabetics, diuretics, anti-hypertensives medicines.

Drug-Food Interactions: Avoid consumption of alcohol while taking NAC PLUS TABLET as it might cause increased dizziness and risk of stomach bleeding.

Drug-Disease Interactions: NAC PLUS TABLET may worsen the symptoms in people with stomach ulcer or perforation, bleeding problems, bypass surgery, heart attack, blood circulation problems, inflammation of intestines, anemia, heart, kidney and liver problems.
 

• TACROLIMUS
• CYCLOSPORINE
• CHLORAMPHENICOL
• MIFEPRESTONE
• CHOLESTYRAMINE
• DOMPERIDONE
• IMATINIB
• MAGNESIUM HYDROXIDE
• KETOCONAZOLE
• VORICONAZOLE
• METOCLOPRAMIDE
• SULFINPYRAZONE
• AMIDODARONE
• FLUCONAZOLE
• MICONAZOLE
• METHOTREXATE
• WARFARIN
• DIGOXIN
• IBUPROFEN
• LITHIUM
• ASPIRIN

• Exercising regularly helps in muscle stretching so that they are 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, 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 15-20 minutes.
• Stay hydrated, drink plenty of water.

• Prolonged use of NAC PLUS TABLET may increase the risk of heart diseases. So if you have any heart problems or have undergone any planned heart bypass surgery, please do not take NAC PLUS TABLET and consult a doctor. 
• If you have had a gastrointestinal ulcer or bleeding problem, do not take NAC PLUS TABLET. 
• NAC PLUS TABLET should not be given to the children less than 10 years of age. 
• Close monitoring of infections as NAC PLUS TABLET may mask the signs and symptoms of infection.

Pain: Pain is a symptom triggered by the nervous system, causing uncomfortable sensations in the body. Pain may be dull or sharp, it might be constant or may come and go. The tolerance level of pain might vary from person to person. Pain can be generalized (overall body aches) or localized (affecting a specific area of the body). Pain can be considered a good thing as it helps us know that something is wrong in the body and thereby helps diagnose the condition. The common causes of pain include headache, muscle strain, cramps, cuts, bone fractures, and arthritis.

Osteoarthritis: It is a 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 include pain, stiffness, inflammation, and tenderness.

Rheumatoid arthritis: It is an auto-immune 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. 

Ankylosing spondylitis: It causes pain and stiffness in the spine. The pain generally starts in the lower back and can spread to the neck, damaged joints, or other body parts. Ankylosing spondylitis includes decreased flexibility which usually leads to hunched-forward posture, pain, and back, and joints.

Migraine: A headache of varying intensity, often accompanied by nausea and sensitivity to light and sound.