Nac Plus Tablet (Diclofenac 50mg / Paracetamol 325mg)

Nac Plus Tablet

Nac Plus Tablet is a combination of Diclofenac and Paracetamol. It is used to reduce pain due to various conditions such as headache, toothache, backache, menstrual pain, sprains, and strains.

Nac Plus Tablet also provides effective relief from pain, stiffness, and swelling due to ankylosing spondylitis (pain due to fusing of bones in the spine), osteoarthritis (pain on movement due to wearing of the protective covering at the ends of the bones) and rheumatoid arthritis (a type of arthritis where the body’s immunity attacks the small joints and damages it). This medicine blocks the release of a chemical that causes pain and swelling, thus relieving these symptoms.

Nac Plus Tablet causes side effects like nausea, vomiting, heartburn, stomach pain, loss of appetite, and diarrhoea. Avoid this medicine if you are allergic to it. In some patients, this medicine may cause dizziness and drowsiness. Therefore, avoid driving or operating machines if you feel drowsy or dizzy after taking this medicine.

Nac Plus Tablet can be taken with food, milk, or an antacid (that your doctor may prescribe) to avoid stomach irritation. For the ease of remembering, take it at around the same time every day. Dan P Tablet relieves pain and swelling due to arthritic conditions but does not cure it. Do not self-medicate or use it beyond the prescribed duration.

Nac Plus Tablet has to be used with caution if you have a history of stomach or intestinal bleeding, heart problems, asthma, and severe liver and kidney problems. Inform your doctor if you have a history of medical conditions and any medications that you may be taking. This medicine may affect the development of your foetus. Consult your doctor if you are pregnant, planning a pregnancy or are breastfeeding.

Side effects

Major & minor side effects for Nac Plus Tablet
Stomach pain
Constipation
Diarrhoea
Nausea and vomiting
Skin rash
Ringing in ears
Stomach or mouth ulcer
Bloody and cloudy urine
Fatigue
Unusual bleeding or bruising
Heart burn

Uses of Nac Plus Tablet

What is it prescribed for?
Ankylosing Spondylitis
Ankylosing spondylitis (AS) is a type of arthritis that primarily affects the spine and causes some of the small bones in the spine to fuse. AS begins in the lower back spine and can increase up to the neck. Nac Plus Tablet is used to relieve stiffness and pain (especially in the lower back, hip, and pelvis) associated with ankylosing spondylitis.
Rheumatoid Arthritis
Rheumatoid arthritis (RA) is a condition when your body’s immune system attacks the lining of your small joints and also affect other parts of the body. RA is a form of arthritis where the same joints on both sides of the body are affected. Nac Plus Tablet is used to relieve swelling and pain in the joints due to RA.
Osteoarthritis
Osteoarthritis (OA) is the most common form of arthritis. When a joint develops OA, the cartilage (protective tissue at the ends of the bones) breaks down, so the bones begin to rub against one another. This causes pain, stiffness, and difficulty in walking, standing or performing other activities. Nac Plus Tablet is used to relieve pain and stiffness due to OA.
Dysmenorrhoea
Dysmenorrhoea (painful periods) is a throbbing, aching cramp or pain that you get in your lower belly just before and during your periods. Nac Plus Tablet is used for the treatment of cramps and pain during periods.
Mild to Moderate pain
Nac Plus Tablet provides relief from headache, backache, toothache, sprain, and strain.

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When not to use?

Allergy
Avoid taking Nac Plus Tablet if you are allergic to it. Seek immediate medical attention if you notice any symptoms such as skin rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, breathing difficulty, etc.
Kidney failure
Nac Plus Tablet is not recommended for use in people having severe kidney problems associated with the excessive use of painkillers. If you have pre-existing kidney problems, consult your doctor before taking the medicine.
Severe liver impairment
Nac Plus Tablet is absorbed and broken down and absorbed in your liver. This medicine is not recommended if you already have severe liver problems as it may cause further damage to your liver.
Stomach and intestinal bleeding
Nac Plus Tablet is not recommended for use if you have stomach ulcers or stomach and intestinal bleeding as it may worsen your condition.
Coronary Artery Bypass Surgery (CABG)
Coronary Artery Bypass Surgery (CABG) is a surgical procedure to restore normal blood flow to the heart. Do not use Nac Plus Tablet to relieve pain after heart surgery as it may cause serious side effects.

Warnings

Warnings for special population
Pregnancy
Nac Plus Tablet is not recommended during pregnancy due to the risk of harmful effects on your foetus. Inform your doctor if you are pregnant while taking it. Use this medicine in pregnancy only if your doctor prescribes it.
Breast-feeding
Nac Plus Tablet is not recommended for use in breastfeeding women. If required it should only be used upon your doctor’s recommendation.
General warnings
Skin rash
Nac Plus Tablet may cause serious skin allergies without any warnings. Immediately report any signs and symptoms like rashes, hives (painful eruptions that itch and sting), or other allergic symptoms. Discontinue the treatment and seek further guidance from your doctor.
Water retention and oedema
Nac Tablet may cause oedema (accumulation of water and fluids in your body’s tissue) in some people. This medicine has to be taken with caution if you have any medical condition related to your heart and kidney, high blood pressure or if you are taking any other medicines that may affect your kidney. Your blood pressure, electrolyte levels, and heart and kidney function will be closely monitored by your doctor.
Liver disease
Nac Plus Tablet is broken down and absorbed in your liver. If you have pre-existing liver troubles, inform your doctor about them before taking this medicine as it can cause further damage to your liver.
Driving or operating a machine
Nac Tablet may cause sleepiness, blurred vision or dizziness in some people. If you experience such side effects, do not drive vehicles and operate machines after taking this medicine.
Kidney disease
Nac Plus Tablet should be used with caution if you have kidney problems. Inform your doctor about your condition before taking this medicine.

Dosage

Missed Dose
If you have forgotten to take Nac Tablet at a scheduled time, take it as soon as you remember. However, if it is time for your next dose, skip the dose. Do not double the dose.
Overdose
Never take more than the prescribed dose. Contact your doctor in case you suspect an overdose of Nac Plus Tablet.

Interactions

General Instructions
Take Nac Plus Tablet with or after food to avoid stomach upset. Do not break, crush or chew the tablet.

Avoid self-medication and never take more than the prescribed dose. Never take this medicine for more than the prescribed duration.

Take Nac Tablet at around the same time daily.

Avoid alcohol consumption while taking this medicine as it may elevate dizziness or drowsiness and stomach bleeding.

Do not drive or operate machines if you feel dizzy or drowsy.