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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Nov 23, 2024 | 4:53 PM IST
Nicip Plus Tablet is used to relieve pain in conditions like osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and dysmenorrhea. Besides this, it is also useful for dental pain, muscle pain, back pain, ear pain, and throat pain. It contains Nimesulide and Paracetamol, which works by blocking the effect of prostaglandins, a chemical responsible for inducing pain and inflammation in the body. It also lowers the elevated body temperature by promoting heat loss (through sweating), which helps reset the hypothalamic thermostat. Thus, it helps relieve pain. It may cause common side effects such as loss of appetite (in case of liver condition), nausea, vomiting, abdominal pain, persistent tiredness or dark/discoloured urine.
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Manufacturer/Marketer

Cipla Ltd

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About Nicip Plus Tablet

Nicip Plus Tablet belongs to a class of painkillers called non-steroidal anti-inflammatory drugs (NSAIDs) used to relieve pain in conditions like osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and dysmenorrhea. Besides this, it is also useful for dental pain, muscle pain, back pain, ear pain, and throat pain. 

Nicip Plus Tablet is composed of two medicines: Nimesulide and Paracetamol. Nicip Plus Tablet works by blocking the effect of prostaglandins, a chemical responsible for inducing pain and inflammation in the body. It also lowers the elevated body temperature by promoting heat loss (through sweating), which helps reset the hypothalamic thermostat. Together, Nicip Plus Tablet helps relieve pain.

Take Nicip Plus Tablet exactly as directed by your doctor. The most common side effects of Nicip Plus Tablet are loss of appetite (in case of liver condition), nausea, vomiting, abdominal pain, persistent tiredness or dark/discoloured urine. It is not necessary for everyone to experience the above side effects. In case of any discomfort, speak with your doctor.

Do not take Nicip Plus Tablet if you are allergic to painkillers like aspirin, ibuprofen, naproxen or diclofenac. It is not recommended for use in children, people with liver disease, heart disease or gastric ulcers/bleeding problems. Nicip Plus Tablet may be associated with a small increase in heart attack risk (myocardial infarction). Avoid alcohol consumption as it may damage your liver and cause increased side effects on taking this medicine. Consult your doctor if your pain, inflammation and fever symptoms do not disappear even after ten days.

Uses of Nicip Plus Tablet

Treatment of Pain relief

Medicinal Benefits

Nicip Plus Tablet comprises nimesulide and paracetamol, primarily used to treat mild to moderate pain. Nicip Plus Tablet is prescribed mainly to treat pain and relieve discomfort caused by conditions like tooth pain, arthritis, period pain and other types of short-term pains. It helps treat pain by blocking the chemical messenger in the brain responsible for causing fever, pain and inflammation. Nimesulide works by blocking the effect of a chemical known as prostaglandin, responsible for inducing pain and inflammation in our body. On the other hand, Paracetamol lowers the elevated body temperature and mild pain by inhibiting prostaglandin synthesis by promoting heat loss (through sweating) that helps reset the hypothalamic thermostat. Paracetamol has the advantage of producing less gastric irritation than other painkillers like aspirin.

Directions for Use

Swallow the medicine as a whole with water; do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Nicip Plus Tablet

  • Nausea
  • Vomiting
  • Loss of appetite
  • Abdominal pain
  • Persistent tiredness
  • Dark/discoloured urine

Drug Warnings

Nicip Plus Tablet is contraindicated in patients with a history of hypersensitivity (allergic) reaction to Nicip Plus Tablet , paracetamol, nimesulide, or other pain killers. Please inform your doctor before starting Nicip Plus Tablet if you have an active stomach ulcer, recent gastrointestinal bleeding, asthma, recent by-pass heart surgery or severe kidney/liver impairment. Nimesulide present in Nicip Plus Tablet is known to affect fertility, so if you are planning for pregnancy, contact the doctor. Nicip Plus Tablet should be avoided in both pregnant (especially last trimester of pregnancy) and breastfeeding women, as it may pass the milk affecting the baby. Patients with heart diseases and recent stroke (bleeding in the brain) should not take Nicip Plus Tablet as a substitute for aspirin. It should not be given to children (below 12 years) with symptoms of fever and chills or suffering from influenza (flu) or chickenpox.

Drug Interactions

Drug-Drug Interactions: Nicip Plus Tablet is shown to interact with various drugs. Some of them include lithium, anticancer/antimetabolites (methotrexate), blood thinner or anticoagulant (warfarin, coumadin, aspirin), blood pressure or heart medicine, nausea medicine (metoclopramide, domperidone), diuretic/water pills (thiazides, furosemide), steroid medicine (prednisone), quinolones antibiotics (ciprofloxacin), respiratory medicines (theophyllines, ephedrine), immune system affecting medicine (cyclosporine), cholesterol-reducing medicine (colestyramine) and antidepressants (duloxetine). These drugs may affect the working of Nicip Plus Tablet and may alter its efficacy.

Drug-Food Interactions: Excessive intake of alcoholic beverages, caffeine-containing food or drinks like coffee, tea, chocolate, and some fizzy drinks should be avoided while taking Nicip Plus Tablet . Taking together may lead to drowsiness and dizziness and sleepiness.

Drug-Disease Interactions: Nicip Plus Tablet should not recommend for people having bleeding disorders, like haemophilia, von Willebrand disease, or low blood platelets. Besides this, it should not be given to children suffering from influenza (flu) or chickenpox. It should also be avoided in case of the presence of gastric or duodenal ulcers.

Drug-Drug Interactions Checker List

  • LITHIUM
  • METHOTREXATE
  • WARFARIN
  • COUMADIN
  • ASPIRIN
  • METOCLOPRAMIDE
  • DOMPERIDONE
  • FUROSEMIDE
  • PREDNISONE
  • CIPROFLOXACIN
  • EPHEDRINE
  • THEOPHYLLINE
  • CYCLOSPORINE
  • CHOLESTYRAMINE
  • DULOXETINE

Habit Forming

No

Diet & Lifestyle Advise

  • Include more glucosamine, chondroitin sulphate, vitamin D, and calcium-enriched supplements. Besides this, turmeric and fish oils can help reduce inflammation in the tissue.
  • Please do not go for heavy exercise as it may increase your joint pain in arthritis. Instead, you can do stretching low,, impact aerobic exercises like walking on a treadmill, bike riding and swimming. You can also strengthen your muscles by lifting light weights.
  • In chronic arthritis or joint pain conditions, fish like salmon, trout, tuna and sardines. These fishes are enriched with omega-3 fatty acids that minimize chemical cytokines, which ramp up inflammation.
  • Your sitting posture is important, especially when you have pain and inflammation. Try to sit as little as possible and only for a short time. Long-term immobility is harmful in conditions like arthritis. Use back support like a rolled-up towel to minimise pain at the back of your spine curve. Keep your knees and hips at a right angle. Besides this, you can also use a footrest if required.

Special Advise

Inform your doctor about any bleeding disorders as nimesulide in Nicip Plus Tablet should be taken with care as it may interference in the functioning of platelets.

Disease/Condition Glossary

Pain: Pain can be short-term (acute) or long-term (chronic) in nature. Acute pain is, for a short time, caused by damage to the tissues of the muscle, bone or organs. At the same time, chronic pain lasts for a longer duration; it is caused by pathologies like nerve damage, osteoarthritis and dental pain due to damage to the tooth nerve, infection, decay, extraction or injury. Many women have painful periods known as dysmenorrhea, most often menstrual cramps. On the other hand, osteoarthritis is a degenerative disease that results in chronic pain in joints (especially the knee) and stiffness, making daily tasks difficult.

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Alcohol

Caution

Taking Nicip Plus Tablet with alcohol may cause dizziness or drowsiness. Besides this, it can also damage your liver if taken for a longer duration. So, avoid or limit the intake of alcoholic beverages with Nicip Plus Tablet .

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Pregnancy

Unsafe

Use of Nicip Plus Tablet during pregnancy is not recommended as taking this medicine during the last 3 months of pregnancy may harm the unborn baby. Consult your doctor for further advice.

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Breast Feeding

Unsafe

Use of Nicip Plus Tablet during breastfeeding is not recommended as it may pass through the milk and harm the baby. Consult your doctor for further advice.

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Driving

Caution

After taking Nicip Plus Tablet , you may notice dizziness, sleepiness, drowsiness. So, you should stop taking Nicip Plus Tablet and contact your doctor.

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Liver

Caution

Nicip Plus Tablet to be taken with caution, especially if you have a history of liver diseases/conditions. The dose may have to be adjusted by your doctor.

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Kidney

Caution

Nicip Plus Tablet to be taken with caution, especially if you have a history of Kidney diseases/conditions. The dose may have to be adjusted by your doctor.

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Children

Caution

Nicip Plus Tablet is contraindicated in children below 20 kg body weight or younger than 6 years of age. It may cause kidney problems in children and adolescents who are dehydrated.

Country of origin

India

Manufacturer/Marketer address

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Other Info - NIC0031

Author Details

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FAQs

Nicip Plus Tablet is used to relieve pain in conditions like osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and dysmenorrhea. Besides this, it is also useful for dental pain, muscle pain, back pain, ear pain, and throat pain.
Nicip Plus Tablet works by blocking the effect of prostaglandins, a chemical responsible for inducing pain and inflammation in our bodies.
No, Nicip Plus Tablet is not indicated for stomach pain. If you have stomach pain post-ingestion, it may be a sign of stomach ulcer or gastric bleeding. Do not take Nicip Plus Tablet in this condition. It is better to inform your doctor in case of stomach pain post-ingestion of this medication.
No, Nicip Plus Tablet should not be taken as a long term medication as it may lead to stomach ulcers/bleeding and kidney problems. For best results of Nicip Plus Tablet , take it in doses and duration mentioned by your doctor.
Yes, Nicip Plus Tablet should be preferably be taken with food to avoid an upset stomach. If taken on an empty stomach, it may cause stomach irritation and upset stomach.
You should not take Nicip Plus Tablet if you have history of peptic ulceration, history of gastrointestinal haemorrhage, Crohn's disease or ulcerative colitis.
You should avoid intake of Nicip Plus Tablet if you are allergic to Nicip Plus Tablet , nimesulide or paracetamol, a regular heavy alcohol drinker, liver disease (increased liver enzyme), any type of recent ulcer or bleeding, suffering from flu or fever (with chills), in the last trimester of pregnancy or breastfeeding mother.
No, Nicip Plus Tablet should not be taken if you plan to get pregnant as it contains nimesulide, which may affect your fertility. So, before starting Nicip Plus Tablet , please consult your doctor.
Taking Nicip Plus Tablet for six months is not advised without medical guidance as it may lead to stomach ulcers or bleeding and kidney problems. It’s best to consult with a doctor before using this medication for an extended time.
Though Nicip Plus Tablet may be used for tooth pain, it should not be used in children unless advised by the doctor. Please consult the doctor before using Nicip Plus Tablet in children; the doctor will prescribe appropriate medicine based on the child’s condition.
Nicip Plus Tablet is a combination medication that belongs to the class of painkillers called non-steroidal anti-inflammatory drugs. It is mainly prescribed to treat pain and relieve discomfort caused by tooth pain, arthritis, period pain, and other types of short-term pains.
As Nicip Plus Tablet is indicated for short-term pain relief, it can be discontinued if the pain is relieved. However, it is advised to take Nicip Plus Tablet for the prescribed duration to treat your condition effectively.
Taking Nicip Plus Tablet may cause nausea and vomiting. If you feel sick, talk to your doctor or pharmacist for help. To cope with nausea and vomiting, take your medicine with food or milk, eat small meals, and stay hydrated. Avoid spicy foods and lying down after taking the medicine. Try ginger products like ginger tea or candies. If your symptoms are severe, ask your doctor for help.
Don't take Nicip Plus Tablet if you're allergic to it or other painkillers, have stomach ulcers or bleeding, asthma, recent heart surgery, severe kidney or liver problems. Consult the doctor if you are pregnant or breastfeeding. Always inform your doctor if you have any of these conditions before taking Nicip Plus Tablet .
Nicip Plus Tablet can be taken with vitamin B-complex if prescribed by your doctor. Please consult your doctor if you have any concerns.
No, Nicip Plus Tablet is not intended to treat stomach pain. If you're unsure about the cause of your stomach pain or if it's a persistent issue, it’s best to consult a doctor to determine the cause and get the most appropriate treatment.
Nicip Plus Tablet may cause harm to the liver, especially if used for a longer duration or in higher doses. So, do not take a higher dose than the recommended dose of Nicip Plus Tablet .
Taking more than the recommended dose of Nicip Plus Tablet is dangerous. Overuse of Nicip Plus Tablet can harm your liver and kidney, which can be life-threatening. Always follow the dosage instructions as advised by the doctor.
Nicip Plus Tablet should be stored in a cool and dry place away from the sunlight. Keep away from children and pets.
Though Nicip Plus Tablet may help lower body temperature, it is primarily used in the treatment of pain relief. Consult your doctor before taking Nicip Plus Tablet for fever if you have any concerns.
Follow your doctor's advice and take the right amount of medicine. Inform your doctor about any health problems, allergies, or other drugs you're taking. Be aware of side effects and take care of yourself. If you're pregnant while on treatment, inform your doctor immediately. Don't take other medications unless instructed by the doctor. Alcohol consumption should be avoided. By following these precautions, you'll benefit most from your medicine and stay safe.
The common side effects of Nicip Plus Tablet include loss of appetite, nausea, vomiting, abdominal pain, persistent tiredness, or dark/discoloured urine. Everyone doesn't need to experience the above side effects. In case of any discomfort, speak with your doctor.
You are recommended to consult your doctor before taking other medications while using Nicip Plus Tablet to avoid drug interactions.
If you suspect an overdose of Nicip Plus Tablet , seek medical help immediately. Quick action can help prevent serious harm, so don’t wait to seek medical attention.

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