Aceclofenac

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Generic Name: Aceclofenac Brand Name(s): Aceclofenac.

Uses

What is aceclofenac used for?

Aceclofenac is commonly used to relieve pain in the conditions like osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis. Do not take this medicine if you have any bleeding disorder, asthma or have a known allergy.

How should I take aceclofenac?

Always take this medicine exactly as your doctor or pharmacist has told you. You will be prescribed the lowest effective dose over the shortest duration to reduce side effects. Check with your doctor or pharmacist if you are not sure.

Tablets should be swallowed whole with plenty of water and should be taken with or after food. Do not crush or chew the tablets. Do not exceed the stated daily dose.

How do I store aceclofenac?

Aceclofenac is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store aceclofenac in the bathroom or the freezer. There may be different brands of aceclofenac that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush aceclofenac down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using aceclofenac?

Before using this drug, tell your doctor if:

  • You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
  • You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • You have allergy with any of active or inactive ingredients of aceclofenac or other medications.
  • You have any other illnesses, disorders, or medical conditions.
  • You suffer from any other form of kidney or liver disease.
  • You have any of the following disorders, as they may worsen:
  • Gastrointestinal disorders of the upper or lower tract inflammatory bowel disease (ulcerative colitis)
  • Chronic inflammatory bowel disease (Crohn’s disease)
  • Ulceration, bleeding or perforation
  • Blood disorders
  • You have, or have ever had problems with the circulation of the blood to your brain.
  • You suffer from asthma or any other breathing problems.
  • You suffer from porphyria.
  • You have heart problems, previous stroke or think that you might be at risk of these conditions (for example, if you have high blood pressure, diabetes, high cholesterol or are a smoker) you should discuss your treatment with your doctor or pharmacist.
  • Chicken pox occurs, the use of this medicine should be avoided because of rare serious infections of the skin related to this use.
  • You are recovering from major surgery.
  • You are elderly (your doctor will prescribe you the lowest effective dose over the shortest duration).

Hypersensitivity reactions can occur and very rarely, very serious allergic reactions are appearing. The risk is higher in the first month of treatment.

Aceclofenac should be discontinued at the first onset of a skin rash, injuries of mucous membrane or any signs of hypersensitivity.

Medicines such as aceclofenac may be associated with a small increased risk of heart attack or stroke.

Any risk is more likely with high doses and prolonged treatment.

Do not exceed the recommended dose or duration of treatment.

Do not take aceclofenac if:

  • You are allergic to aspirin or any other NSAIDs (such as ibuprofen, naproxen or diclofenac).
  • You have taken aspirin or any other NSAIDs and experienced one of the following: asthma attack, runny nose, itching and/or sneezing (irritation of the nose), raised red circular patchy rash on the skin which may have been itchy, stung or had a burning sensation, severe allergic reaction (anaphylactic shock). Symptoms include difficulty breathing, wheezing, abnormal pain and vomiting.
  • You have a history of, suffer from, or suspect that you have a stomach ulcer or intestinal bleeding.
  • You have severe kidney disease.
  • You have or have ever had a severe heart failure (heart attack).
  • You suffer from, or suspect that you have severe liver failure.
  • You suffer from bleeding or bleeding disorders.

Aceclofenac is not recommended for use in children.

If you are taking aceclofenac and you experience dizziness, drowsiness, vertigo, tiredness or any visual disturbances, you must not drive or use machinery.

Is it safe during pregnancy or breastfeeding?

There isn’t enough information about the safety of using aceclofenac during pregnancy and breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking aceclofenac.

Side effects

What side effects can occur from aceclofenac?

Stop taking the medicine and seek medical advice immediately, if you experience any of the following side effects:

  • Severe allergic reaction (anaphylactic shock). Symptoms may develop quickly and can be life-threatening if not immediately treated and include fever, difficulty breathing, wheezing, abdominal pain, vomiting, swelling of the face and throat.
  • Severe skin rashes such as Stevens-Johnnson syndrome and Toxic Epidermal Necrolysis. These are potentially life-threatening and develop quickly forming large blisters and the skin to peel away.
  • The rash can also appear in the mouth, throat or eyes. Fever, headache and aching of the joints usually occur at the same time.
  • The symptoms include high fever, headache, vomiting, blotchy red rashes, neck stiffness, sensitivity and intolerance to light.
  • Passing blood in your feces (stools/motions)
  • Passing black tarry stools. Vomit any blood or dark particles that look like coffee grounds
  • Kidney failure
  • Indigestion or heartburn
  • Abdominal pain (pains in your stomach) or other abnormal stomach symptoms
  • Blood disorders such as reduced production of blood cells, abnormal breakdown of red blood cells known as hemolytic anemia, low content of iron in the blood, low level of white blood cells, low number of platelet cells, increased blood potassium levels which can irritate the blood vessels causing inflammation known as vasculitis. These disorders can cause you to feel extremely tired, breathless, aching of the joints and be prone to repeated infections and bruising.

Common side effects may include:

  • Dizziness
  • Nausea (feeling sick)
  • Diarrhea
  • Increased liver enzymes in the blood

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with aceclofenac?

Aceclofenac may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Products that may interact with this drug are:

  • Medicines used to treat depression (selective serotonin-reuptake inhibitors) or manic depression (lithium)
  • Medicines used to treat heart failure and irregular heartbeats (cardiac glycosides such as digoxin)
  • Medicines used to treat high blood pressure (antihypertensives)
  • Quinolone antibiotics
  • Drugs used to increase the rate of urine excretion (diuretics)
  • Medicines that stop blood clotting (anticoagulants) such as warfarin, heparin
  • Methotrexate which is used to treat cancer and autoimmune disorders
  • Mifepristone
  • Any steroids (oestrogens, androgens, or glucocorticoids)
  • Medicines used to suppress the immune system (cyclosporin or tacrolimus)
  • Medicines used to treat HIV (zidovudine)
  • Medicines used to lower blood sugar levels (antidiabetics)
  • Any other NSAID drugs (aspirin, ibuprofen, naproxen), including COX-inhibitors

Does food or alcohol interact with aceclofenac?

Aceclofenac may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with aceclofenac?

Aceclofenac may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using aceclofenac.

What is the dose of aceclofenac for an adult?

The recommended dose in adults is 200 mg (two aceclofenac tablets). One 100 mg tablet should be taken in the morning and one in the evening.

What is the dose of aceclofenac for a child?

The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.

How is aceclofenac available?

Aceclofenac is available in the following dosage forms and strengths:

  • Tablet

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of aceclofenac, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Review Date: September 12, 2017 | Last Modified: September 13, 2017

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