ACECLOFENAC+RABEPRAZOLE
About
ACECLOFENAC+RABEPRAZOLE is used to reduce and relieve pain and inflammation (swelling) associated with osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. ACECLOFENAC+RABEPRAZOLE may also be indicated in the treatment of pain associated with post-traumatic and post-operative cases.
ACECLOFENAC+RABEPRAZOLE combines two drugs: Aceclofenac (painkiller) and Rabeprazole (antacid). Aceclofenac works by blocking the effect of a chemical messenger known as cyclo-oxygenase (COX) enzyme that makes other chemical prostaglandins. By blocking the effect of COX enzymes, fewer prostaglandins are produced. This helps reduce mild to moderate pain and inflammation at the injured or damaged site. Aceclofenac has been reported to cause gastric discomfort and acidity. Hence, it is combined with Rabeprazole, a medicine belonging to a group of proton pump inhibitors that reduce the amount of acid the stomach makes, thus preventing damage to the stomach. Thus, the combination helps alleviate pain with minimal gastric irritation caused by Aceclofenac alone.
Take ACECLOFENAC+RABEPRAZOLE as prescribed by your doctor. You are advised to take ACECLOFENAC+RABEPRAZOLE for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience indigestion, stomach pain, constipation, dizziness, nausea and diarrhoea. Most of these side effects of ACECLOFENAC+RABEPRAZOLE do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.
Before taking the ACECLOFENAC+RABEPRAZOLE, let your doctor know about all your allergic or hypersensitivity reactions to medicines or food. Inform your doctor if you are suffering from kidney, liver, or heart disease. ACECLOFENAC+RABEPRAZOLE may cause dizziness, so avoid driving or operating machinery unless you are alert. ACECLOFENAC+RABEPRAZOLE is not recommended for use during pregnancy, breastfeeding, or in children. Avoid consuming alcohol along with ACECLOFENAC+RABEPRAZOLE as it could lead to increased dizziness. Keep your doctor informed about your health condition and medicines to rule out any side effects.
Uses of ACECLOFENAC+RABEPRAZOLE
Medicinal Benefits
ACECLOFENAC+RABEPRAZOLE is a combination of two drugs: Aceclofenac (painkiller) and Rabeprazole (antacid). Aceclofenac belongs to the class of non-steroidal anti-inflammatory drugs (pain killers) that block the effect of a chemical messenger in your body, known as cyclo-oxygenase (COX) enzymes that make another chemical 'prostaglandins' (PG). Prostaglandins play an important role in controlling pain and inflammation. By blocking the effect of COX enzymes, fewer PGs are produced. Thereby, it helps relieve pain and swelling associated with different types of arthritis, such as osteoarthritis, rheumatoid arthritis and ankylosing spondylitis (pain and stiffness in the backbone). On the other hand, Rabeprazole belongs to proton pump inhibitors (PPIs) that help reduce the excess amount of stomach acid and bile produced. Aceclofenac has been reported to cause gastric discomfort and acidity. Hence, it is combined with Rabeprazole, a medicine that reduces the amount of acid made by the stomach, thus preventing damage to the stomach. Thus, the combination is superior as it helps alleviate pain with minimal gastric irritation caused by Aceclofenac alone. ACECLOFENAC+RABEPRAZOLE is also used to relieve toothache and lower back, ear, and throat pain.
Directions for Use
Storage
Side Effects of ACECLOFENAC+RABEPRAZOLE
Indigestion
Stomach pain
Constipation
Dizziness
Nausea
Diarrhoea
In-Depth Precautions and Warning
Drug Warnings
Do not take ACECLOFENAC+RABEPRAZOLE if you are allergic to ACECLOFENAC+RABEPRAZOLE, have severe heart failure, suffered bleeding problems (such as bleeding from the stomach or bowels while taking any pain killers) or liver or kidney problems, have suffered bleeding problems and clotting problems. Inform your doctor before taking ACECLOFENAC+RABEPRAZOLE if you have or had disorders of the stomach, blood circulation problems to the brain, asthma, porphyria (a disorder in the formation of red blood pigment), diabetes, high blood pressure, systemic lupus erythematosus (an autoimmune condition that causes joint pain, fever and skin rashes), colitis or Crohn’s disease (conditions causing swelling of the bowel, diarrhoea, bowel pain, vomiting and weight loss); if you are recovering from major surgery or if you are elderly. Do not take ACECLOFENAC+RABEPRAZOLE if you are pregnant or breastfeeding unless prescribed. ACECLOFENAC+RABEPRAZOLE contains Aceclofenac which should not be used during the last three months of pregnancy. ACECLOFENAC+RABEPRAZOLE may be excreted in breastmilk. Therefore, avoid breastfeeding and consult a doctor. ACECLOFENAC+RABEPRAZOLE should not be given to children as safety has not been established. ACECLOFENAC+RABEPRAZOLE can cause drowsiness and dizziness, so drive only if you are alert. Avoid consuming alcohol with ACECLOFENAC+RABEPRAZOLE as it could lead to increased drowsiness and increase the risk of stomach bleeding. Do not take other NSAIDs for pain relief or ACECLOFENAC+RABEPRAZOLE unless prescribed. Prolonged intake of PPIs or proton pump inhibitors like Rabeprazole may cause brittle bones so intake of Vitamin D and calcium can be additionally given by your doctor while using ACECLOFENAC+RABEPRAZOLE.
Drug Interactions
Drug-Drug Interactions: ACECLOFENAC+RABEPRAZOLE interact with other painkillers (aspirin, ibuprofen, acetaminophen, oxycodone, tramadol, naproxen, celecoxib, etoricoxib), blood thinners (clopidogrel, heparin, warfarin), medicines used to treat heart diseases (digoxin), diuretics (furosemide, amiloride), antibiotics (ciprofloxacin, norfloxacin, moxifloxacin, ciprofloxacin, ofloxacin, levofloxacin), antihypertensive (enalapril, valsartan, telmisartan, losartan, candesartan, propranolol, enalapril, lisinopril, methyldopa, clonidine, moxonidine), antidiabetics (glibenclamide, gliclazide, tolbutamide), antidepressants (fluvoxamine, paroxetine, citalopram, escitalopram, sertraline, fluoxetine), steroids (hydrocortisone, prednisolone), immunosuppressants (ciclosporin, tacrolimus), anti-HIV (zidovudine).
Drug-Food Interactions: Avoid consumption of alcohol while taking ACECLOFENAC+RABEPRAZOLE as it might cause increased dizziness and risk of stomach bleeding.
Drug-Disease Interactions: ACECLOFENAC+RABEPRAZOLE may have interactions with asthma, heart, liver, and kidney problems, low vitamin B12 (anaemia), high blood pressure, high cholesterol, systemic lupus erythematosus (an autoimmune condition that causes joint pain, fever and skin rashes), porphyria (a disorder in the formation of red blood pigment), colitis or Crohn’s disease (conditions causing swelling of the bowel, diarrhoea, bowel pain, vomiting and weight loss).
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeYou are recommended to avoid alcohol consumption while taking ACECLOFENAC+RABEPRAZOLE. Alcohol intake along ACECLOFENAC+RABEPRAZOLE may cause increased drowsiness and drowsiness. It may also increase the risk of stomach bleeding. Please consult your doctor if you have any concerns regarding this.
Pregnancy
unsafeACECLOFENAC+RABEPRAZOLE is a Category C pregnancy drug and is not recommended for pregnant women, especially in the third trimester as it may cause adverse effects in the baby. However, please consult a doctor if you are pregnant or planning for pregnancy before taking ACECLOFENAC+RABEPRAZOLE.
Breast Feeding
unsafeAvoid breastfeeding while taking ACECLOFENAC+RABEPRAZOLE as it may be excreted in breast milk and cause adverse effects in the baby. Please consult a doctor if you are breastfeeding.
Driving
cautionACECLOFENAC+RABEPRAZOLE may cause drowsiness, dizziness, or abnormal vision. Do not drive or operate heavy machinery if you feel dizzy or drowsy.
Liver
cautionDose adjustment may be needed in patients with severe liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.
Kidney
cautionTake ACECLOFENAC+RABEPRAZOLE with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required. Avoid taking ACECLOFENAC+RABEPRAZOLE if you have severe kidney disease.
Children
unsafeACECLOFENAC+RABEPRAZOLE is not recommended for children below 18 years of age, as the safety and effectiveness were not established.
Habit Forming
Diet & Lifestyle Advise
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.
Foods containing flavonoids such as soy, berries, broccoli, grapes and green tea help in reducing inflammation.
Include high fibre-containing foods, berries, cherries, leafy green veggies, and black peppers in your meal. These foods are full of antioxidants, calcium, and vitamin B12 that can help cope with the long-term effects of the medicine. Fermented dairy products like miso, sauerkraut, and kimchi contain probiotics that help in the prevention of excess stomach acid production.
Avoid intake of acid or heartburn triggering foods or drinks like onions, peppermint, chocolate, caffeinated beverages, citrus fruits or juices, tomatoes, and high-fat and spicy foods.
Avoid smoking and alcohol consumption.
Special Advise
Prolonged use of Aceclofenac in ACECLOFENAC+RABEPRAZOLE may be associated with a small increased risk of heart attack known as myocardial infarction, so if you have any heart-related problems before using ACECLOFENAC+RABEPRAZOLE, let your doctor know about this.
ACECLOFENAC+RABEPRAZOLE contains Aceclofenac which should not be used during the last three months of pregnancy. ACECLOFENAC+RABEPRAZOLE should not be used by anyone less than 18 years of age.
ACECLOFENAC+RABEPRAZOLE contains Rabeprazole which may cause kidney problems in rare cases, so if you are urinating less than usual, or have blood coming in your urine, let your doctor know about this.
Prolonged intake of PPIs or proton pump inhibitors like Rabeprazole may cause diarrhoea, autoimmune disease (lupus) and brittle bones. So tell your doctor if you have these symptoms.
Patients Concern
Disease/Condition Glossary
Osteoarthritis: Osteoarthritis is a degenerative 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 of osteoarthritis include pain, stiffness, inflammation and tenderness. The main reason for osteoarthritis is age; the older you are, the more likely you are to get osteoarthritis, thus known as degenerative disease, meaning that the joints wear out as a person ages. Other reasons include past injuries such as torn cartilage and dislocated joints and ligaments.
Rheumatoid arthritis: Rheumatoid arthritis is an auto-immune disease (the body's immune system attacks its tissue) which leads to joint pain and damage. Symptoms of rheumatoid arthritis include pain, swelling, stiffness, deformities and loss of joint function.
Ankylosing spondylitis: Ankylosing spondylitis causes pain and stiffness in the spine. The pain usually starts in the lower back and can spread to the neck, damaged joints or other parts of the body. Symptoms of ankylosing spondylitis include decreased flexibility, which usually leads to a hunched-forward posture and pain in the back and joints.
FAQs
ACECLOFENAC+RABEPRAZOLE is used to reduce and relieve pain and inflammation (swelling) associated with osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. It may also be indicated in the treatment of pain associated with post-traumatic and post-operative cases.
ACECLOFENAC+RABEPRAZOLE contains Aceclofenac and Rabeprazole. Aceclofenac is a pain killer called NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) which works by blocking the effect of chemical messengers (prostaglandin), thereby helping in reducing pain, and inflammation. Rabeprazole works by blocking the action of an enzyme called a proton pump, which is responsible for the production of stomach acid. Thus, the combination used for pain relief, decrease stiffness in joints and reduces the release of excess stomach acid caused by aceclofenac.
ACECLOFENAC+RABEPRAZOLE is not recommended for asthma patients as it may worsen the condition. Therefore, please inform your doctor if you have asthma or a history of asthma due to the use of aspirin or any other non-steroidal drugs.
You are not recommended to take ACECLOFENAC+RABEPRAZOLE with warfarin as co-administration of these two medicines may increase the risk of bleeding more easily. However, if you notice blood in urine or stools, dizziness, unusual bleeding or bruising, vomiting, weakness or headache, please consult a doctor immediately. If you are supposed to use these medicines together, you are advised to contact your doctor so that the dose may be adjusted appropriately to use safely.
Aceclofenac in ACECLOFENAC+RABEPRAZOLE may increase the risk of heart problems such as heart attack, especially when used in high doses or for prolonged duration and in patients who are smokers, have high blood pressure, diabetes or high cholesterol. It is advised to inform your doctor if you have any of these conditions or have a history of heart problems or stroke before taking ACECLOFENAC+RABEPRAZOLE. However, taking ACECLOFENAC+RABEPRAZOLE in the dose and for the duration, as prescribed by your doctor, is recommended.
ACECLOFENAC+RABEPRAZOLE may impair fertility in females and make it more difficult to conceive. Therefore, if you are pregnant, planning for pregnancy or have difficulties conceiving, please consult your doctor before taking ACECLOFENAC+RABEPRAZOLE.
Do not take ACECLOFENAC+RABEPRAZOLE for longer durations as it might increase the risk of heart problems, stomach bleeding and might increase the risk of fractures of the hip, spine, and wrist. Do not exceed the dose and duration of treatment as prescribed by the doctor.
ACECLOFENAC+RABEPRAZOLE is a combination medicine containing Aceclofenac (painkiller) and Rabeprazole (antacid). It is used to treat osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis.
Do not discontinue ACECLOFENAC+RABEPRAZOLE without consulting your doctor. To treat your condition effectively, keep taking ACECLOFENAC+RABEPRAZOLE for the prescribed duration.
Nausea and vomiting could be side effects of ACECLOFENAC+RABEPRAZOLE. Drink enough fluids by taking frequent sips and eat small, frequent meals. If the condition persists or worsens, consult the doctor.
Store ACECLOFENAC+RABEPRAZOLE at room temperature, in a dry place. Keep it out of sight and reach of children.
ACECLOFENAC+RABEPRAZOLE may cause side effects like indigestion, stomach pain, constipation, dizziness, nausea and diarrhoea. Most of these side effects of ACECLOFENAC+RABEPRAZOLE do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.
ACECLOFENAC+RABEPRAZOLE may cause drowsiness and dizziness, so drive only if you are alert. Avoid consuming alcohol with ACECLOFENAC+RABEPRAZOLE as it could lead to increased drowsiness.
ACECLOFENAC+RABEPRAZOLE can be taken with vitamin B-complex if advised by the doctor. Talk to the doctor if you have any concerns.
