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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 9, 2024 | 12:40 PM IST

TWAGIC TABLET is used to reduce pain and inflammation. It helps in relieving pain from conditions like headaches, mild migraine, muscle pain, dental pain, rheumatoid arthritis, ankylosing spondylitis, and osteoarthritis. It contains Aceclofenac and Paracetamol, which work by blocking the chemical messengers responsible for causing pain, inflammation, and fever. In some cases, it may cause side effects like dizziness, nausea, digestion problems (constipation, flatulence, diarrhoea) and skin reactions (like rashes and hives). Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Prescription drug

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Prescription drug
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Manufacturer/Marketer

Kepler Healthcare Pvt Ltd

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About TWAGIC TABLET

TWAGIC TABLET is used to reduce pain and inflammation. The pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. Inflammation is a localized physical condition in which part of the body becomes reddened, swollen, hot and often painful, especially as a reaction to injury or infection.

TWAGIC TABLET is composed of two medicines: Aceclofenac (pain reducer) and Paracetamol (fever reducer). TWAGIC TABLET helps in relieving pain from conditions like headaches, mild migraine, muscle pain, dental pain, rheumatoid arthritis, ankylosing spondylitis, and osteoarthritis. Aceclofenac and Paracetamol both work by blocking the chemical messengers responsible for causing pain, inflammation, and fever.

TWAGIC TABLET may cause side effects like dizziness, nausea (feeling sick), digestion problems (constipation, flatulence, diarrhoea) and skin reactions (like rashes and hives). Most of the side effects of TWAGIC TABLET do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Taking more than the daily prescribed dose of TWAGIC TABLET may cause liver damage or allergic reactions like swelling of the mouth, face, throat, difficulty in breathing, skin rash, itching, gastrointestinal bleeding and/or ulcer. Use this medicine in the prescribed doses and seek immediate medical help if you experience such symptoms.

Uses of TWAGIC TABLET

Treatment of Pain, Inflammation and fever.

Medicinal Benefits

TWAGIC TABLET helps to reduce pain and inflammation caused by various complications or conditions. It significantly works on providing relief from pain for extended hours. It contains paracetamol, which is less irritant to the stomach than other painkillers. Hence, it is well tolerated by patients who have an allergy to aspirin or a risk of gastrointestinal bleeding or ulcer formation. Besides this, it does not affect bleeding time and also helps in reducing fever due to pain or swelling.

Directions for Use

TWAGIC TABLET should be swallowed whole with liquid, preferably after meals, as food helps to prevent any potential gastric irritation the drug might cause when taken on an empty stomach.

Storage

Store in a cool and dry place away from sunlight

Side Effects of TWAGIC TABLET

  • Dizziness
  • Nausea
  • Digestion problems (like constipation, flatulence, diarrhoea)
  • Increased liver enzymes in the blood (diagnosed through liver function test)

Drug Warnings

Taking more than the daily prescribed dose of TWAGIC TABLET may cause liver damage or allergic reactions like swelling of the mouth, face, throat, difficulty in breathing, skin rash or itching. Most of the cases of liver injury are associated with the use of paracetamol. Gastrointestinal bleeding and ulcer formation are commonly observed with the use of TWAGIC TABLET, so the doctor may prescribe you the lowest dose available. Do not take TWAGIC TABLET if you have asthma or allergies to painkillers, heart, kidney and liver conditions. TWAGIC TABLET should not be taken during pregnancy or by breastfeeding mothers as it may affect the baby.

Drug Interactions

Drug-Drug Interaction: TWAGIC TABLET interact with cholesterol lowering drugs (cholestyramine), charcoal, medicine to stop vomiting (domperidone, metochlopramide), alcohol, anti HIV drug (zidovudine), blood thinner (warfarin), blood pressure lowering medicine, anti cancer or anti arthritis drug (methotrexate) may lead to drug toxicity or affect the working of TWAGIC TABLET. So, contact the doctor before taking these medicines.

Drug-Food Interaction: No interaction found.

Drug-Disease Interaction: Patient affected with liver disease, bleeding disorder and alcoholism should not take TWAGIC TABLET as it has a risk of causing derangement in liver functions.

Drug-Drug Interactions Checker List

  • CHOLESTYRAMINE
  • CHARCOAL
  • DOMPERIDONE
  • METOCLOPRAMIDE
  • ZIDOVUDINE
  • ALCOHOL
  • WARFARIN
  • METHOTREXATE

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 in reducing inflammation in the tissue.
  • Do not go for heavy exercise as it may increase your joint pain and arthritis. Instead, you can do stretching and low-impact aerobic exercises like walking on a treadmill, bike riding, and swimming. You can also strengthen your muscle strength by lifting light weights.
  • In chronic arthritis or joint pain, try to include fish like salmon, trout, tuna, and sardines. These fishes are enriched with omega-3 fatty acids that have a minimum level of chemicals called cytokines, which ramp up inflammation.
  • Your sitting posture is important, especially when you have pain and inflammation conditions. Try to sit as little as possible and only for a short time (10-15 min). Use back support like a rolled-up towel at the back of your curve to minimize pain. Keep your knees and hips at a right angle. Besides this, you can use a footrest if required.

Special Advise

  • The components of TWAGIC TABLET have the tendency to cause stomach upset. Thus, it is recommended to consume TWAGIC TABLET with meals to minimize gastric side effects. If you have a diagnosis of peptic ulcer, TWAGIC TABLET is best avoided unless prescribed by your doctor.
  • Paracetamol is a component of TWAGIC TABLET which can cause liver injury when in taken in large doses. Concomitant use of alcohol is best avoided as it aggravates the liver toxicity.
  • Although it is generally a safe medicine to use, it should be avoided in patients with kidney disease as TWAGIC TABLET may have an adverse effect on renal functions.
  • Use with caution in pregnancy and breastfeeding. Do not self-administer TWAGIC TABLET if you are pregnant or are nursing.
  • Although TWAGIC TABLET provides symptomatic relief in conditions like arthritis and may reduce the inflammation caused by these conditions, to achieve the best results, it is strongly recommended to remain physically active as much as your condition allows. Adopting a healthy lifestyle, coupled with a healthy diet containing high proteins, is the mainstay of the management of arthritic conditions.

Disease/Condition Glossary

Pain: It is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. When you do something that hurts your body, your brain triggers the pain response.

Inflammation: It is a localized physical condition in which part of the body becomes reddened, swollen, hot and often painful, especially as a reaction to injury or infection.

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Alcohol

Unsafe

You are recommended not to consume alcohol along with TWAGIC TABLET as it contains paracetamol which can together damage your liver severely.

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Pregnancy

Caution

The safety of this medicine for use during pregnancy is not known. Hence, it is not recommended for use in pregnancy unless considered essential by your doctor.

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Breast Feeding

Caution

TWAGIC TABLET should not be used without consultation with your doctor if you are breast-feeding. It is not known if this medicine passes into breast milk. It is not recommended for use during breast-feeding unless considered essential by your doctor.

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Driving

Caution

TWAGIC TABLET usually causes dizziness, drowsiness and visual disturbances which may affect their ability to drive or operate machinery. Make sure you are not affected before driving or operating machinery.

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Liver

Caution

TWAGIC 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

TWAGIC 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

Unsafe

The safety and efficacy of TWAGIC TABLET in children have not been established. TWAGIC TABLET is not recommended in children.

Country of origin

India

Manufacturer/Marketer address

\PARAS\, 7-Vidyanagar Society, Part-III, Opp. Vidyanagar School, Usmanpura, Ahmedabad - 380013, Gujarat, India
Other Info - TWA0003

Author Details

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FAQs

TWAGIC TABLET is used to reduce pain and inflammation.
No, TWAGIC TABLET does not cure Rheumatoid arthritis but instead, it helps in reducing the pain and inflammation caused by it as it a pain killer.
Yes, TWAGIC TABLET is may cause nausea or vomiting in some people. In order to avoid the same, you should take TWAGIC TABLET with milk or food. In case you are still experiencing excessive nausea while consuming TWAGIC TABLET, speak with your doctor right away.
No, do not suddenly stop taking TWAGIC TABLET. If you want to stop taking this medicine, consult your doctor and he might gradually reduce the dose to avoid an unwanted increase in pain or inflammation.
No, TWAGIC TABLET should ideally not be taken for stomach pain without consulting a physician. This medication can increase the secretion of stomach acid, which may worsen gastritis or an unknown underlying stomach ulcer.
Patients with mild to moderate renal impairment should be kept under surveillance. The lowest effective dose should be used and renal function monitored regularly. Effects on renal function are usually reversible on withdrawal of TWAGIC TABLET.
Yes, let your doctor know if you are taking any other medicine for pain, arthritis or fever. If you experience dark stools, blood in vomit, or stomach pain, stop taking TWAGIC TABLET and consult your doctor immediately as these could be signs of bleeding in your stomach or intestine. Take TWAGIC TABLET only for the duration as prescribed by your doctor. Do not take more than the prescribed dose, as it may cause overdose.
TWAGIC TABLET already contains Paracetamol and Aceclofenac. So, avoid taking additional paracetamol. If your pain does not subside, consult your doctor so that they may increase the dose or add another medicine depending on your condition.
Yes, TWAGIC TABLET is a painkiller. It contains Aceclofenac and Paracetamol, which helps to relieve pain.
You are recommended to consult your doctor before taking TWAGIC TABLET with antibiotics to avoid drug interactions.
TWAGIC TABLET is safe if used as advised by the doctor. Follow your doctor’s instructions.
Yes, the use of TWAGIC TABLET can cause dizziness (feeling faint, lightheaded, unsteady, or weak) in some patients. If you feel dizzy or lightheaded, take rest for sometime and resume once you feel better.
TWAGIC TABLET is contraindicated in patients with known allergy to any of its ingredients or in patients or other painkillers (NSAIDs). Patients with a history of stomach ulcers or active, recurrent stomach ulcer/bleeding should ideally avoid taking TWAGIC TABLET. Additionally, patients with a history of high blood pressure, heart failure, and kidney or liver disease, should also avoid taking TWAGIC TABLET.
Yes, TWAGIC TABLET be taken with vitamin B-complex as it helps to treat vitamin deficiency that may be the cause of underlying pain. However, please consult your doctor before using TWAGIC TABLET with other medicines or supplements.
No, taking higher dose of TWAGIC TABLET than recommended may cause serious liver damage or allergic reactions such as swelling of the mouth, face and throat; itching; rash or difficulty in breathing. If the pain is not relieved or if you are experience increased severity of pain by the recommended doses, please consult your doctor.
Store TWAGIC TABLET at room temperature in a dry place. Protect from sunlight. Keep it out of reach of children.
TWAGIC TABLET may take about 1.5 to 3 hours after oral administration to show its effect. However, the time may vary with every individual patient to get the desired results.
The dosage of TWAGIC TABLET will be decided by your doctor. Follow doctor’s instructions. Do not take more than the recommended dose.
No, you are not recommended to take TWAGIC TABLET along with other painkiller tablets as it may cause unwanted side effects such as stomach ulcers or pain. Therefore, please consult your doctor before taking TWAGIC TABLET with other medicines.
TWAGIC TABLET is not recommended for children as the safety and efficacy have not been established.
TWAGIC TABLET contains Aceclofenac (pain reducer) and Paracetamol (fever reducer) which work by blocking the chemical messengers responsible for causing pain, inflammation, and fever.
Take TWAGIC TABLET as advised by your doctor. Swallow it as whole with a glass of water. Do not crush, chew or break it.
TWAGIC TABLET may cause side effects such as nausea, dizziness, diarrhoea, flatulence, or constipation. If these side effects persist or worsen, please consult your doctor.
You are preferably advised to take TWAGIC TABLET after meals, as food helps to prevent any potential gastric irritation the drug might cause when taken on an empty stomach. Follow doctor’s instructions.
If you forget to take a dose of TWAGIC TABLET, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next scheduled dose in the prescribed time. Do not double the dose to make up for the missed one as this may increase the risk of side effects.
You are recommended to consult your doctor before taking other medicines with TWAGIC TABLET to avoid drug interactions.

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