Bestogesic Plus Susp

BESTOGESIC PLUS SUSP by BESTOCHEM FORMULATIONS

Bestogesic Plus Suspension is a combination medication manufactured by Bestochem Formulations India Ltd., used for its pain-relieving, anti-inflammatory, and fever-reducing properties.

• Name: Bestogesic Plus Suspension

• Composition: Each 5ml of the suspension contains Nimesulide (50mg) and Paracetamol (125mg).

• Uses: Bestogesic Plus Suspension is primarily prescribed for the short-term relief of pain, fever, and inflammation. It is effective in managing conditions such as headaches, muscle pain, dental pain, joint pain (including rheumatoid arthritis and osteoarthritis), sprains, and strains. It works by blocking chemical messengers in the brain that cause pain, fever, and inflammation.

• Dosage and Administration: This medicine is for oral administration. It should be taken as prescribed by a doctor, preferably after meals, to reduce the likelihood of stomach upset. Shake the bottle well before use. The dosage and duration of treatment should be strictly adhered to, and it should not be used for more than 7 days at a time. If a dose is missed, it should be given as soon as remembered, but skip it if it's close to the next scheduled dose. Do not double the dose.

• Side Effects: Common side effects may include nausea, vomiting, stomach pain, heartburn, diarrhea, dizziness, and increased liver enzymes. More serious side effects can include:

  • Liver damage, especially with high doses or prolonged use.
  • Kidney failure.
  • Severe allergic reactions such as skin rash, swelling (face, lips, throat), or breathing difficulties.
  • Gastrointestinal hemorrhage.
  • Stevens-Johnson syndrome.

• Precautions:

  • Contraindications: Bestogesic Plus Suspension should not be used by individuals allergic to Nimesulide, Paracetamol, or other NSAIDs. It is contraindicated in patients with severe active liver disease, a history of stomach ulcers, heart failure, high blood pressure, or kidney disease.
  • Pediatric Use: While some sources indicate its use for children above 6 months of age for reducing fever, swelling, and pain, it is important to note that, as per the Ministry of Health and Family Welfare, Bestogesic Plus 50mg/125mg Suspension is banned for children under 12 years of age due to its Nimesulide content. Always consult a doctor for appropriate dosing and to ensure suitability for children.
  • Organ Function: Caution is advised in patients with liver or kidney impairment, and regular monitoring of liver and kidney functions may be recommended.
  • Alcohol: Avoid consuming alcohol while taking this medicine, as it may increase the risk of liver damage.
  • Other Medications: Inform your doctor about all other medications being taken to avoid potential drug interactions.

• Storage: Store Bestogesic Plus Suspension below 30°C in its original container, in a dry place, away from direct heat and light. Keep all medicines out of the reach and sight of children.

Bestogesic Plus Suspension, manufactured by Bestochem Formulations, is a medication primarily used for pain relief and fever reduction. It contains a combination of two active ingredients: Nimesulide and Paracetamol (also known as Acetaminophen).

Here are some frequently asked questions about Bestogesic Plus Suspension:

What is Bestogesic Plus Suspension used for?

Bestogesic Plus Suspension is used for the short-term relief of pain, inflammation, and fever in both infants and children. It can help manage various types of pain, including headaches, muscle aches, joint pain, toothaches, menstrual cramps, and pain associated with conditions like rheumatoid arthritis and osteoarthritis.

How does Bestogesic Plus Suspension work?

Bestogesic Plus Suspension works by blocking the action of chemical messengers in the body that are responsible for causing pain, inflammation, and fever. Nimesulide, a nonsteroidal anti-inflammatory drug (NSAID), and Paracetamol (an analgesic and antipyretic) act together to achieve these effects. Paracetamol also directly affects the brain's heat-regulating centers to lower body temperature.

What is the usual dosage for Bestogesic Plus Suspension?

The dosage of Bestogesic Plus Suspension should always be determined by a healthcare professional, as it depends on the child's age, weight, and the severity of the condition being treated. It is crucial not to exceed the recommended dose to prevent serious side effects. It is generally recommended to take the suspension after meals to prevent stomach upset.

What are the possible side effects of Bestogesic Plus Suspension?

Common side effects may include dizziness, nausea, vomiting, constipation, flatulence, diarrhea, and increased liver enzymes. More severe side effects can include allergic reactions (such as swelling of the mouth, face, throat, difficulty breathing, or skin rash), gastrointestinal bleeding, and liver damage, especially with doses higher than recommended. If any side effects persist or worsen, consult your doctor immediately.

Is Bestogesic Plus Suspension safe during pregnancy or breastfeeding?

Bestogesic Plus Suspension containing Nimesulide and Paracetamol should generally be avoided during pregnancy, especially in the third trimester, as NSAIDs can cause complications. For breastfeeding mothers, the use of this medication should also be avoided or used only if considered essential by the treating doctor, as Nimesulide may pass into breast milk. Always consult a doctor before using this medicine if you are pregnant or breastfeeding.

Can Bestogesic Plus Suspension be taken with other medications?

It is important to inform your doctor about all other medications your child is taking to avoid potential drug interactions. Concomitant use with other painkillers or NSAIDs is generally not recommended, as it may increase the risk of side effects like stomach ulcers. Also, caution is advised when taken with anticoagulants (like warfarin) or drugs that may affect the liver.

What precautions should be taken while using Bestogesic Plus Suspension?

Do not take this medicine if you or your child are allergic to Nimesulide, Paracetamol, or other NSAIDs. Individuals with a history of stomach ulcers, bleeding disorders, heart problems, kidney disease, liver disease, or asthma should use this medication with caution and under medical supervision. Alcohol consumption should be avoided as it can increase the risk of liver damage and stomach bleeding.

What happens if a dose is missed?

If a dose of Bestogesic Plus Suspension is missed, it should be taken as soon as remembered. However, if it is almost time for the next scheduled dose, skip the missed dose and continue with the regular dosing schedule. Do not double the dose to make up for a missed one, as this can increase the risk of side effects.

How should Bestogesic Plus Suspension be stored?

Store Bestogesic Plus Suspension in a cool and dry place, protected from heat, direct sunlight, and moisture. Keep the medicine out of reach of children and pets. Ensure it is stored at room temperature, typically between 20 and 25°C (68-77°F).