Cip-Zox Tablet

Cip-Zox Tablet 10-S contains a combination of 3 molecules, namely, a muscle relaxant called as Chlorzoxazone and two pain relievers, i.e., Diclofenac and Paracetamol.

Chlorzoxazone acts on the brain and spinal cord areas to reduce muscle stiffness or spasm, allowing muscles to move more freely. Diclofenac and Paracetamol operate by preventing the production of molecules in the brain that produces pain and inflammation (redness and swelling). Cip-Zox Tablets are only available on prescription by a doctor and you should only consume this tablets in the dose and duration recommended by the doctor.

Do not give this tablet in children. Cip-Zox tablets can cause unusual side effects such as headache, dizziness, vertigo, nausea, indigestion, and stomach pain. If these effects persists, seek medica help.

Dosage

Overdose

Overdosing can result in headaches, nausea, vomiting, epigastric discomfort, gastrointestinal bleeding, diarrhoea, dizziness, disorientation, excitement, coma, sleepiness, tinnitus, fainting, or convulsions, among other symptoms. Contact your doctor or reach out to the nearest hospital immediately, in case of overdose.

Missed a Dose

If you forget to take a Cip-Zox Tablet, do so as soon as possible. If your next dose is approaching, skip the missing dose and resume your regular schedule. Do not increase the dose.

Mode of Action

How Does It Work?

Cip-Zox Tablet contains a muscle relaxant called as Chlorzoxazone and two pain relievers, i.e., Diclofenac and Paracetamol. The muscle relaxant acts on the brain and spinal cord areas to reduce muscle stiffness or spasm, allowing muscles to move more freely. Pain relievers operate by preventing the production of molecules in the brain that produces pain and inflammation (redness and swelling).

Directions for Use

• Take this medication at the dose and for the duration prescribed by your doctor
• Take it all at once. It should not be chewed, crushed, or broken.
• Cip-Zox Tablet should be consumed with food.

Precautions and Warnings

Pregnancy

Can I take Cip-Zox tablets during pregnancy?

You should avoid Cip-Zox tablets during pregnancy or if you are trying to get pregnant. This is because Cip-Zox tablets can cause harm to the unborn child.

Breast Feeding

Can I take Cip-Zox tablets while breastfeeding?

Diclofenac from Cip-Zox is known to pass into breast milk. Hence is not advised to take Cip-Zox while breastfeeding.

Driving

Can I drive if I have taken Cip-Zox tablets?

No, because Cip-Zox Tablets causes vision abnormalities, dizziness, vertigo, and somnolence.

Alcohol

Can I consume alcohol with Cip-Zox tablets?

It is unknown whether drinking alcohol while taking Cip-Zox Tablet is safe. Please consult your physician.

Other General Warnings

Talk to your doctor if

• You suffer from liver disorders
• You suffer from kidney disease
• You suffer from ulcerative colitis or peptic ulcers
• You have heart problems
• You are lactose intolerant
• You have porphyria
• You have asthma
• You have heart problems
• You have diabetes
• You have bleeding disorders
• You have Systemic Erythematosus Lupus
• You had or are going to undergo surgery of stomach

Contraindications

• Known allergy to any ingredients of Cip-Zox tablets
• Congestive heart failure
• Kidney or liver problems
• Stomach ulcers or bleeding
• Peptic ulcer

Side effects

• Headache
• Dizziness
• Vertigo
• Nausea
• Indigestion
• Abdominal pain

Interactions

Interactions with other medicines

• Lithium when used with diclofenac may raise lithium blood concentrations
• Digoxin when taken with diclofenac may cause digoxin blood concentrations to rise
• Concomitant treatment with potassium-sparing diuretics, ciclosporin, tacrolimus, or trimethoprim may result in raised serum potassium levels
• Anticoagulants and antiplatelet medicines enhances the risk of bleeding if taken together
• The use of SSRIs together may raise the risk of gastrointestinal bleeding.
• Diclofenac can raise methotrexate levels in the body
• Diclofenac may aggravate ciclosporin toxicity in kidneys
• Concomitant use of tacrolimus raises the risk of toxicity in kidneys
• Concomitant use of quinolone antibiotics can cause seizures
• Concomitant use of phenytoin raises phenytoin levels in blood
• Colestipol and cholestyramine can delay diclofenac absorption
• Concomitant use of cardiac glycosides worsens cardiac failure, lowers GFR, and raises blood glycoside levels
• Concomitant use of mifepristone affects the action of mifepristone
• Concomitant use of warfarin increases bleeding risk
• Alcohol and other central nervous system depressants may increase chlorzoxazone's action on brain
• Isoniazid inhibits chlorzoxazone excretion
• Metoclopramide or domperidone increases the absorption of paracetamol

Storage and disposal

• Keep out of reach from children and pets
• Store below 30°C in the original container
• Cip-Zox tablet should not be used after the expiry date
• If you observe any breakage in the blister, do not take Cip-Zox tablet
• Medicines should never be discarded in wastewater or household garbage

Frequently Asked Questions (FAQs)

Can I stop taking Cip-Zox Tablet once I feel better?

Cip-Zox Tablet should be continued if your doctor has prescribed it for a specified time period.

Can Cip-Zox tablets affect fertility?

Yes, Cip-Zox tablets can impact fertility. Hence, you must not use these tablets if you are planning to get pregnant.

Can Cip-Zox tablets be given to children?

No, do not dive Cip-Zox tablets to children.