Etogesic Mr Tab

ETOGESIC MR Tablet

Name:

• Brand Name: ETOGESIC MR TAB
• Manufacturer: ZYDUS HEALTHCARE LIMITED (also referred to as Zydus Cadila)

Composition: ETOGESIC MR Tablet is a combination medicine containing:

• Etodolac (400 mg)
• Thiocolchicoside (4 mg)

Uses: This medicine is primarily used to manage pain, inflammation, and muscle spasms. It is prescribed for various conditions, including:

• Muscle pain and spasms (e.g., back pain, neck pain, sprains, strains)
• Osteoarthritis
• Rheumatoid arthritis
• Ankylosing Spondylitis
• Dental pain
• Postoperative pain
• Sports injuries

Dosage and Administration: ETOGESIC MR Tablet should be taken orally with food to minimize stomach upset. The usual recommended dose is one tablet twice daily, or as directed by a doctor. Tablets should be swallowed whole and not crushed or chewed. The duration of treatment is determined by the doctor based on the patient's condition.

Side Effects: Common side effects may include:

• Nausea, vomiting
• Stomach pain, heartburn, indigestion
• Dizziness, drowsiness, headache
• Loss of appetite
• Diarrhea
• Skin rash
• Fluid retention (edema)

Serious side effects can include stomach bleeding or ulcers, kidney damage with long-term use, and liver impairment.

Precautions:

• Allergies: Do not take if allergic to its components or other NSAIDs.
• Contraindications: Avoid use in patients with a history of stomach ulcers, bleeding problems, severe heart, liver, or kidney problems, inflammatory bowel disease, or severe asthma.
• Pregnancy and Breastfeeding: Not recommended during pregnancy, especially in the third trimester, and caution is advised during breastfeeding; consult a doctor.
• Alcohol: Avoid alcohol consumption as it may increase the risk of stomach bleeding and excessive drowsiness.
• Driving/Operating Machinery: May cause dizziness and drowsiness, so caution is advised.
• Interactions: Inform your doctor about other medications, especially other NSAIDs, anticoagulants (like warfarin), diuretics, ACE inhibitors, and lithium, as interactions can occur.
• Elderly Patients: Use with caution, and regular monitoring of liver and kidney function is recommended.

Storage: Store in a cool and dry place, below 30°C (or at room temperature 20-25°C). Keep it in its original packaging, away from moisture and direct sunlight. Keep out of sight and reach of children.

Here are some frequently asked questions (FAQs) about ETOGESIC MR TAB by ZYDUS HEALTHCARE LIMITED, along with concise answers:

What is ETOGESIC MR TAB used for?

ETOGESIC MR TAB is used to relieve pain, inflammation, and muscle spasms. It is prescribed for conditions such as osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, back pain, neck pain, sprains, strains, dental pain, and pain after surgical procedures.

How does ETOGESIC MR TAB work?

ETOGESIC MR TAB contains two active ingredients: Etodolac and Thiocolchicoside. Etodolac is a non-steroidal anti-inflammatory drug (NSAID) that reduces pain and inflammation by blocking the production of certain chemical messengers called prostaglandins. Thiocolchicoside is a muscle relaxant that works on the brain and spinal cord to relieve muscle stiffness and spasms, thereby improving muscle movement.

What is the usual dosage for ETOGESIC MR TAB?

The usual recommended dose is one tablet, typically taken twice daily with meals. However, the specific dosage and duration of treatment should always be determined by your doctor based on your condition and response to the medicine. Swallow the tablet whole with water; do not crush or chew it.

What are the possible side effects of ETOGESIC MR TAB?

Common side effects include nausea, vomiting, stomach pain, heartburn, indigestion, dizziness, drowsiness, headache, and skin rash. Rarely, more serious side effects can occur, such as stomach bleeding, ulcers, liver problems (e.g., yellowing of skin or eyes), kidney problems, or severe allergic reactions. If you experience any severe or persistent side effects, consult your doctor immediately.

Is ETOGESIC MR TAB safe during pregnancy or breastfeeding?

ETOGESIC MR TAB is generally not recommended for use during pregnancy due to potential risks to the fetus. It is also not recommended while breastfeeding as it may pass into breast milk and could harm the nursing infant. Always consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

Can ETOGESIC MR TAB be taken with other medications?

ETOGESIC MR TAB can interact with other medicines. You should avoid taking it with other NSAIDs. It can increase the risk of bleeding when taken with anticoagulants like warfarin and may affect the effectiveness of diuretics and ACE inhibitors. It can also increase the levels of certain drugs like lithium, methotrexate, tacrolimus, and ciclosporin. Always inform your doctor about all prescription drugs, over-the-counter medications, nutritional supplements, and herbal products you are currently taking.

What precautions should be taken while using ETOGESIC MR TAB?

Take ETOGESIC MR TAB with food to minimize stomach upset. Avoid alcohol consumption as it can increase the risk of stomach bleeding and liver side effects. Use caution if you have pre-existing heart conditions (like heart failure or high blood pressure), kidney or liver problems, asthma, peptic ulcers, or a history of stomach bleeding. This medicine may cause dizziness or drowsiness, so avoid driving or operating heavy machinery until you know how it affects you. Long-term use can potentially damage the kidneys. It is not recommended for children below 16-18 years of age.

What happens if a dose of ETOGESIC MR TAB is missed?

If you miss a dose, 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 a missed one.

How should ETOGESIC MR TAB be stored?

Store ETOGESIC MR TAB in a cool and dry place, away from direct sunlight and moisture. Keep it in its original packaging and out of reach of children and pets.