Nectar-D 500 Tablet belongs to the group of medications called 'analgesics'. It is primarily used in the treatment of migraine headaches. It can also treat pain associated with rheumatoid arthritis, arthritis, gout, dysmenorrhea (menstrual pain), and muscle and bone disorders, such as back pain, sprains, and strains. Migraine is a condition characterized by intense headaches. Pain is a symptom that occurs due to various underlying conditions.

Nectar-D 500 Tablet is a combination of two drugs: Naproxen Sodium and Domperidone. Naproxen Sodium is a painkiller that works by blocking the effect of a chemical messenger known as cyclo-oxygenase (COX) and prostaglandins (PG) responsible for pain and inflammation. Domperidone, on the other hand, is an anti-sickness medication. It inhibits communication between your digestive system and your brain, as well as between areas of your brain known as the chemoreceptor trigger zone (CTZ) and the vomiting centre. As a result, it assists you in stopping the feeling of being unwell (nausea or vomiting).

Take Nectar-D 500 Tablet exactly as directed by your doctor. The dose and duration of Nectar-D 500 Tablet may differ depending on the reason why you're taking it and your responses to treatment. The most common side effects of Nectar-D 500 Tablet are dry mouth, confusion, headache, ringing in the ears, changes in vision, tiredness, dizziness, drowsiness, and rashes. These side effects are usually mild and go away by themselves. However, reach out to your doctor if the side effects are persistent or worsen.

Before taking this medicine, inform your doctor if you have any known allergy to Naproxen Sodium, Domperidone, other NSAIDs or other medications. Also, inform the doctor if you have a history of heart rhythm problems or ulcers due to painkillers. Patients with age above 65 years, pre-existing cardiac diseases such as heart failure, hypertension or stroke, gastrointestinal bleeding (due to pain killers), gastric ulcers, respiratory diseases such as asthma, liver diseases, kidney diseases or bleeding disorders should use Nectar-D 500 Tablet only when prescribed by a doctor. Nectar-D 500 Tablet may cause Feeling sleepy or tired. Feeling dizzy. So, it is advised not to drive or operate heavy machinery when taking Nectar-D 500 Tablet . Nectar-D 500 Tablet should be used in children below 12 years of age only when prescribed by a child specialist.

Nectar-D 500 Tablet is a combination of Naproxen sodium and Domperidone. Naproxen sodium is an anti-inflammatory (reduces inflammation) and analgesic (reduces pain) agent. It inhibits the synthesis of prostaglandins, which are inflammatory mediators, thereby reducing pain and inflammation. Domperidone acts by enhancing gastric peristalsis (movements) on an empty stomach. Easy movement of food through the stomach helps in relieving nausea and vomiting. It also blocks the dopamine receptors at the chemoreceptor trigger zone (responsible for regulating nausea and vomiting). Altogether Nectar-D 500 Tablet eases the pain in various conditions.

• Dry mouth
• Headache
• Confusion
• Feeling sleepy or tired
• Feeling dizzy
• Ringing in the ears
• Changes in vision
• Rashes

Before using this Nectar-D 500 Tablet , inform your doctor if you have any known allergies to Naproxen Sodium, Domperidone, other NSAIDs, or other drugs. Also, let the doctor know if you have a history of heart rhythm problems or ulcers caused by pain relievers. Patients over the age of 65, those with pre-existing cardiac diseases such as heart failure, myocardial infarction, ischemic heart disease, hypertension, or stroke, gastrointestinal bleeding (due to pain relievers), gastric ulcers, respiratory diseases such as asthma, liver diseases, kidney diseases, or bleeding disorders should only take Nectar-D 500 Tablet if a doctor has prescribed it.

Drug-drug interactions: Nectar-D 500 Tablet may interact with other NSAIDs (e.g. Ibuprofen, Aspirin), anticoagulants (e.g. warfarin), corticosteroids (e.g. prednisolone), diuretics (e.g. furosemide), antihypertensive medications (ramipril and amlodipine), antidepressants (e.g. citalopram), and medicines used to treat rheumatoid arthritis (e.g. methotrexate).

Drug-food interactions: Limit or quit the consumption of Alcoholic beverages.

Drug-disease interactions: Nectar-D 500 Tablet may interact with disease conditions, including asthma, fluid retention (Congestive Heart Failure, Hypertension), GI toxicity (Gastrointestinal Haemorrhage, Gastrointestinal Perforation, Gastritis), rash, renal toxicities (Renal Dysfunction), and thrombosis (a condition in which a blood clot blocks a vein).

• IBUPROFEN
• ASPIRIN
• WARFARIN
• PREDNISOLONE
• FUROSEMIDE
• RAMIPRIL
• AMLODIPINE
• CITALOPRAM
• METHOTREXATE

• Drink plenty of fluids to avoid gastrointestinal problems.
• Avoid triggers that can increase your migraine headache.
• Take enough rest.
• Acupuncture, massage and physical therapy may also be helpful.
• De-stress yourself by meditating, reading books, taking a warm bubble bath or listening to soothing music.
• Avoid smoking and alcohol consumption.
• Performing yoga may also help in improving joint flexibility and pain management.
• Get adequate sleep, as resting the muscles can help reduce inflammation and swelling.

• Your doctor may monitor liver and kidney function if you take Nectar-D 500 Tablet for the long-term.
• Taking meals at the same time every day and getting sufficient sleep might help in avoiding migraine attacks. You are recommended to avoid loud music, noisy places, extreme temperatures and bright light. Also, avoid consuming chocolates, cheese, processed food, smoking and alcohol.

Migraine: Migraine is a condition characterized by intense headaches. It also causes nausea, vomiting, sensitivity to light and sound and difficulty speaking. Bright lights, strong smells, certain foods, loud sounds, stress and hormonal changes act as triggers for migraine. These triggers lead to acute attacks. Acute migraine attacks result in throbbing headaches and pain in the eyes, face or neck.

Pain: Pain is a widely used term to describe unpleasant feelings or discomfort. It ranges from mild to severe. The severity of the pain depends on the underlying condition.

Rheumatoid arthritis: Rheumatoid arthritis 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.

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

Dysmenorrhea: Menstrual cramps, also known as dysmenorrhea, is characterized by cramps and pain during menstruation due to heavy flow. Pain, cramps and discomfort during periods are normal. However, excessive pain during periods is not normal and requires medication. Symptoms of dysmenorrhea include intense throbbing pain in the lower abdomen, dull, continuous ache, pain in the lower back and thighs, nausea, headache, and dizziness. The pain usually starts 1-3days before the period, peaks one day before the period starts and subsides 2-3days after the onset of the period.