Rutoheal D Tablet (10 Tab)

RUTOHEAL D TABLET (10 TAB) by MANKIND PHARMA LTD.

RUTOHEAL D Tablet is a combination medication designed to alleviate pain and reduce inflammation. It is manufactured by Mankind Pharma Ltd.

Composition

Each RUTOHEAL D Tablet contains four active ingredients:

• Trypsin: 48 mg - A proteolytic enzyme that aids in breaking down proteins involved in swelling and helps with tissue repair.
• Bromelain: 90 mg - A mixture of enzymes derived from pineapple, it has anti-inflammatory properties and helps inhibit proinflammatory prostaglandins.
• Rutoside (as Rutoside Trihydrate): 100 mg - An antioxidant and anti-inflammatory agent that strengthens blood vessels, supports capillary health, and prevents swelling by neutralizing chemicals that cause cell damage.
• Diclofenac (as Diclofenac Sodium or Potassium): 50 mg - A non-steroidal anti-inflammatory drug (NSAID) that blocks the release of prostaglandins, chemical substances responsible for pain and inflammation.

Uses

RUTOHEAL D Tablet is prescribed for the management of pain and inflammation associated with various conditions:

• Arthritic conditions: Rheumatoid arthritis, osteoarthritis, and ankylosing spondylitis.
• Injuries: Sports injuries, soft tissue injuries, and post-surgical inflammation and pain, promoting wound healing and minimizing scarring.
• General pain relief: Headaches, toothaches, backaches, menstrual pain, ear pain, throat pain, muscle pain, sprains, and strains.

Dosage and Administration

• RUTOHEAL D Tablet should be taken orally as prescribed by a doctor.
• Swallow the tablet whole with a glass of water; do not crush, chew, or break it.
• It is advisable to take the tablet with food or after meals to minimize the risk of stomach upset.
• Follow the recommended dosage and duration of treatment; do not exceed the prescribed dose without consulting your doctor.

Side Effects

Common side effects may include:

• Nausea and vomiting.
• Loss of appetite.
• Headache.
• Diarrhea.
• Flatulence or indigestion.
• Stomach pain or upset.
• Dizziness or blurred vision.
• Skin rash or irritation.

Serious side effects that require immediate medical attention may include severe stomach pain, gastrointestinal bleeding, stomach ulcers, or rectal bleeding.

Precautions

• Pregnancy and Breastfeeding: RUTOHEAL D Tablet is generally not recommended during pregnancy or breastfeeding. Consult a doctor for evaluation.
• Alcohol: Avoid alcohol consumption while taking this medicine, as it can increase the risk of gastric irritation and stomach bleeding.
• Medical Conditions: Inform your doctor if you have liver or kidney disorders, high blood pressure, heart disease, bleeding or clotting disorders, blood in vomit or urine, or a history of stomach ulcers or gastrointestinal bleeding.
• Allergies: Do not take this medicine if you are allergic to any of its ingredients or other painkillers (NSAIDs).
• Children: Not recommended for use in children under 12 or 18 years of age due to lack of safety and efficacy data.
• Driving/Operating Machinery: This medicine may cause dizziness or blurred vision, so exercise caution when driving or operating machinery.
• Drug Interactions: Inform your doctor about all other medicines you are taking, especially other NSAIDs or blood thinners, as interactions may occur.

Storage

Store RUTOHEAL D Tablet in a cool and dry place at room temperature (below 30°C or 20-25°C). Protect the medicine from light and moisture. Keep it out of reach of children and pets to prevent accidental ingestion. Ensure the product is used before its expiry date.

RUTOHEAL D TABLET is a medication manufactured by Mankind Pharma Ltd. It is a combination of four active ingredients: Trypsin, Bromelain, Rutoside, and Diclofenac. This medicine is primarily used to manage pain and inflammation associated with various conditions.

What is Rutoheal D Tablet used for?

Rutoheal D Tablet is commonly prescribed to relieve pain and reduce inflammation in conditions such as rheumatoid arthritis, osteoarthritis, and ankylosing spondylitis. It is also effective for managing pain and swelling after surgeries or injuries, including sports injuries and tooth extractions. Additionally, it aids in wound healing and helps minimize scarring.

How does Rutoheal D Tablet work?

Rutoheal D Tablet works through the combined action of its four active ingredients:

• Diclofenac: A non-steroidal anti-inflammatory drug (NSAID) that inhibits the production of prostaglandins, chemical messengers responsible for pain and inflammation.
• Trypsin and Bromelain: These are enzymes that possess anti-inflammatory and antiseptic properties. They reduce pain and swelling by increasing blood supply to the affected area and promoting tissue repair.
• Rutoside: An antioxidant and anti-inflammatory agent that strengthens blood vessels, reduces capillary permeability, and prevents further swelling by neutralizing free radicals that cause cell damage.

What is the usual dosage for Rutoheal D Tablet?

The dosage of Rutoheal D Tablet should be taken exactly as prescribed by your doctor, as it depends on your specific condition and how your body responds to the treatment. It is important to swallow the tablet whole with water, preferably with food, to minimize the risk of stomach upset. Do not crush, chew, or break the tablet, and do not exceed the recommended dose.

What are the possible side effects of Rutoheal D Tablet?

Common side effects of Rutoheal D Tablet may include nausea, vomiting, heartburn, indigestion, stomach pain or upset, diarrhea, loss of appetite, and headache. If these side effects persist, worsen, or if you experience any severe side effects like rectal bleeding or stomach ulcers, seek immediate medical attention.

Is Rutoheal D Tablet safe during pregnancy or breastfeeding?

Rutoheal D Tablet is generally not recommended during pregnancy, especially during the last three months, as there is definite evidence of risk to the developing baby. It is contraindicated during pregnancy unless specifically prescribed by a doctor who has assessed the benefits and risks. Similarly, it is not recommended for use while breastfeeding, as its components might pass into breast milk and could harm the baby. Always consult your doctor for safer alternatives if you are pregnant or breastfeeding.

Can Rutoheal D Tablet be taken with other medications?

Rutoheal D Tablet can interact with certain medications, potentially affecting its effectiveness or causing adverse effects. It is crucial to inform your doctor about all medicines, herbal preparations, and supplements you are currently taking to avoid potential interactions. Interactions may occur with:

• Anticoagulants (blood thinners): Warfarin, heparin.
• Antiplatelet agents: Aspirin, clopidogrel.
• Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs): Ibuprofen, naproxen.
• Selective Serotonin Reuptake Inhibitors (SSRIs): Fluoxetine, sertraline.
• Diuretics: Furosemide, hydrochlorothiazide.
• Cardiac glycosides: Digoxin.
• Antihypertensives: Ramipril.
• Lithium (used for bipolar disorder).
• Immunosuppressive medicines: Methotrexate, cyclosporine, tacrolimus.
• Certain antimicrobials: Ciprofloxacin, lomefloxacin.
• Cholestyramine (lipid-lowering medicine).

What precautions should be taken when using Rutoheal D Tablet?

• Alcohol: Avoid alcohol consumption while taking Rutoheal D Tablet, as it can increase the risk of gastric irritation and bleeding.
• Medical Conditions: Inform your doctor if you have kidney or liver disorders, high blood pressure, bleeding or clotting disorders, heart disease, stomach or intestinal ulcers, or asthma.
• Driving and Operating Machinery: If you experience dizziness or sleepiness, exercise caution when driving or operating machinery.
• Allergies: Do not take Rutoheal D Tablet if you have a known allergy to any of its ingredients.
• Children: This medicine is not recommended for use in children below 18 years of age.

What happens if a dose of Rutoheal D Tablet is missed?

If you miss a dose of Rutoheal D Tablet, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

How should Rutoheal D Tablet be stored?

Store Rutoheal D Tablet in a cool, dry place at room temperature, protected from light and moisture. Keep it out of reach of children and pets. Ensure to use the product before its expiry date.