Acepanac-P Tablet

Pain relief

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Acepanac-P Tablet is a combination of two medicines: Aceclofenac and Paracetamol. These medicines work by blocking the action of chemical messengers responsible for pain, fever and inflammation (redness and swelling).

If you miss a dose of Acepanac-P Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

You have been prescribed this combination medicine for relieving pain and inflammation.

Take it with food to avoid getting an upset stomach.

It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how it affects you.

Avoid consuming alcohol when taking Acepanac-P Tablet as it may cause excessive drowsiness and increase the risk of liver damage.

Do not take it with any other medicine containing acetaminophen (drugs for pain/fever or cough-and-cold) without asking your doctor first. 

Q. What is Acepanac-P Tablet?

Acepanac-P Tablet is a combination of two medicines: Aceclofenac and Paracetamol. This medication helps in relieving pain and inflammation. It works by lowering the levels of chemical substances in the body that cause pain and inflammation.

Q. Is it safe to use Acepanac-P Tablet?

Acepanac-P Tablet is safe for most of the patients. However, in some patients it may cause some unwanted common side effects like nausea, vomiting, stomach pain, heartburn, diarrhea and other uncommon and rare side effects.

Q. Can I stop taking Acepanac-P Tablet when my pain is relieved?

If you are using the medication for a condition associated with long-term pain then Acepanac-P Tablet should be continued for as long as advised by your physician. It can be discontinued if you are using it for short-term pain relief.

Q. Can the use of Acepanac-P Tablet cause nausea and vomiting?

Yes, the use of Acepanac-P Tablet can cause nausea and vomiting. Taking it with milk, food or with antacids can prevent nausea. Avoid taking fatty or fried foods along with this medication. In case of vomiting drink plenty of water or other fluids by taking small frequent sips. Talk to your doctor if vomiting persists and you notice signs of dehydration, like dark colored and strong-smelling urine and a low frequency of urination. Do not take any other medicine without speaking to your doctor.

Q. Can the use of Acepanac-P Tablet cause dizziness?

Yes, the use of Acepanac-P Tablet can cause dizziness (feeling faint, weak, unsteady or lightheaded) in some patients. If you feel dizzy or lightheaded, it is better to rest for sometime and resume once you feel better.

Q. Are there any specific contraindications associated with the use of Acepanac-P Tablet?

The use of Acepanac-P Tablet is considered to be harmful for patients with known allergy to any of the components or excipients of this medicine or in patients with known allergy to other painkillers (NSAIDs). It should preferably be avoided in patients with a history of stomach ulcers or in patients with active, recurrent stomach ulcer/bleeding. It should also be avoided in patients with a history of heart failure, high blood pressure, and liver or kidney disease.

Q. Can Acepanac-P Tablet be taken with vitamin B-complex?

Yes, Acepanac-P Tablet can be taken with vitamin B-complex preparations. While Acepanac-P Tablet helps to relieve pain, vitamin B-complex can help to correct the vitamin deficiency that might be causing the underlying painful condition.

Q. Is Acepanac-P Tablet helpful in relieving stomach pain?

No, Acepanac-P Tablet preferably should not be taken for stomach pain without consulting a physician. This drug can increase stomach acid secretion which may aggravate an unknown underlying condition.

Q. Can the use of Acepanac-P Tablet cause damage to kidneys?

Yes, the long-term use of Acepanac-P Tablet can cause damage to the kidneys. Normal kidneys produce a chemical messenger called prostaglandins that protects them from damage. Use of painkillers lowers the levels of prostaglandins in the body which leads to kidney damage on long-term use. Use of painkillers is not recommended to patients with underlying kidney disease.

Q. Is it safe to take a higher dose of Acepanac-P Tablet than recommended?

No, taking higher than the recommended dose of Acepanac-P Tablet can lead to increased chances of side effects like nausea, vomiting, heartburn, indigestion, diarrhea and can also damage your kidneys on long-term use. If you are experiencing increased severity of pain or if the pain is not relieved by the recommended doses of this medicine, please consult your doctor for re-evaluation.

Q. What are the instructions for storage and disposal of Acepanac-P Tablet?

Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.

In Pain relief

Acepanac-P Tablet is used for short-term relief of pain, inflammation, and swelling in conditions that affect joints and muscles. Some of the conditions in which Acepanac-P Tablet is used are rheumatoid arthritis, osteoarthritis, muscle pain, back pain, toothache, or pain in the ear and throat. Take it as it is prescribed to get the most benefit. Do not take more or longer than needed as that can be dangerous. In general, you should take the lowest dose that works, for the shortest possible time. This will help you to go about your daily activities more easily and have a better, more active, quality of life.

Acepanac-P Tablet does not pose serious side effects and is well-tolerated by children. In case the side effects do occur, they’re likely to subside once the body adapts to the medicine. Consult your child’s doctor if these side effects persist or bother your child. The most common side effects include-

Diarrhea

Heartburn

Loss of appetite

Stomach pain/epigastric pain

Vomiting

Nausea

Kidney:CAUTION

Acepanac-P Tablet should be used with caution in patients with kidney disease. Dose adjustment of Acepanac-P Tablet may be needed. Please consult your doctor.Use of Acepanac-P Tablet is not recommended in patients with severe kidney disease.

Liver:CAUTION

Acepanac-P Tablet should be used with caution in patients with liver disease. Dose adjustment of Acepanac-P Tablet may be needed. Please consult your doctor.However, the use of Acepanac-P Tablet is not recommended in patients with severe liver disease and active liver disease.

Furst DE, Ulrich RW, Prakash S, et al. Nonsteroidal Anti-Inflammatory Drugs, Disease-ModifyingAntirheumatic Drugs, Nonopioid Analgesics, & Drugs Used in Gout. In: Katzung BG, Masters SB, Trevor AJ . Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 621-642.

Grosser T, Smyth EM, FitzGerald GA. Pharmacotherapy of Inflammation, Fever, Pain, and Gout. In: Brunton LL, Hilal-Dandan R, Knollmann BC . Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 13th ed. New York, NY: McGraw-Hill Education; 2018. pp. 685-709.