Maxofen Plus Strip Of 10 Tablets

Maxofen Plus Tablet is a combination of two pain killer medicines - ibuprofen and paracetamol. It belongs to a class of medicines called NSAID's (non-steroidal anti-inflammatory drugs). It is used to treat migraine, headache, backache, menstrual pain, dental pain, rheumatic and muscular pain.

It is also helpful in treating a sore throat and fever. Take this medicine as advised by the doctor. Nausea, stomach pain, diarrhoea are some side effects of Maxofen Plus Tablets.

Most of them are temporary, but if you feel the side effects persist or your condition worsens, then you should contact your doctor immediately.

Dosage

Overdose

• Excess of Maxofen Plus Tablets will lead to liver and kidney diseases.
• Symptoms of overdose are nausea, vomiting, eating disorder, pale skin, stomach pain, headache, dizziness, light-headedness, unconsciousness, bleeding, low blood pressure.
• If you experience any of the symptoms or think you have taken too much of the medicine, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

If you missed any dose of Maxofen Plus Tablet, take it as soon as you remember. However, if it's time for your next dose, then skip the missed dose and continue with your regular dose schedule. Do not take a double dose of medicine to compensate for the missed one.

Mode of Action

How Does It Work?

This medicine acts by inhibiting the synthesis of prostaglandins, responsible for pain.

Directions for Use

Duoflam-P tablets should be taken as directed by your doctor. Swallow it whole with a glass of water, do not cut, break or chew the medicine. It can be taken with food. It would be best if you took it at a fixed time for optimal results and should not consume it more than that prescribed by your doctor.

Precautions and Warnings

Pregnancy

Can I take Maxofen Plus Tablet during pregnancy?

Maxofen Plus Tablet must be avoided during pregnancy, as it may cause serious harm to the unborn baby. However, your doctor may give you this medicine only if it is needed and the advantage over-weighs the risk. Please consult a doctor before starting any medicine during pregnancy.

Breast Feeding

Can I take Maxofen Plus Tablet while breastfeeding?

It is not safe to breastfeed if you are taking Maxofen Plus Tablet. This medicine can pass into breast milk and harm the newborn baby.

Driving

Can I drive if I have consumed Maxofen Plus Tablet?

There is limited information about the effects of Maxofen Plus Tablet on driving, but if you do not feel well or are unable to be alert, then avoid driving.

Alcohol

Can I consume alcohol with Maxofen Plus Tablet?

You should avoid consuming alcohol along with Maxofen Plus Tablet. It can increase the risk of liver disease.

Other General Warnings

Talk to your doctor if

• You have any liver or kidney diseases.
• You are suffering from asthma.
• You are an elderly person (above 60 years).
• You consume alcohol regularly.
• You have a blood enzyme deficiency (glucose-6-phosphate dehydrogenase deficiency).
• You are suffering from Systemic Lupus Erythematosus (a condition when the body's immune system mistakenly attacks good cells of the body).

Contraindications

• If you are allergic to ibuprofen, paracetamol, any other painkillers or any of the ingredients of Maxofen Plus Tablet.
• If you are already taking medicines containing either of the ingredients.
• If you have a history of ulcers or bleeding in the stomach or ulcers.
• If you have any kind of heart, liver or kidney problem.
• If you have any kind of blood disorder.
• If you are pregnant (last trimester).
• If you are less than 18 years old.

Side effects

• Nausea
• Stomach pain
• Diarrhoea
• Heartburn
• Increased liver enzymes (in blood tests)

Interactions

Interactions with other medicines

• You should always tell the doctor if you are taking any other medicines, herbal preparations and supplements to avoid any interaction.
• Medicines used to treat allergies (swelling, redness, itching, etc.) like prednisone, prednisolone.
• Medicines used to treat infections (antibiotics) like chloramphenicol.
• Medicines used to treat vomiting like metoclopramide, domperidone.
• Medicines used to treat heart conditions like digoxin.
• Water pills like chlorthiazide, furosemide.
• Medicines used to suppress the immune system like methotrexate, cyclosporine, tacrolimus.
• Medicines used to treat depression like lithium.
• Medicines used to treat HIV infection like zidovudine.
• Any medicine used to terminate the pregnancy.

Storage and disposal

Store Maxofen Plus Tablets in a cool and dry place, protected from direct sunlight, moisture and heat. Keep it away from children and pets. Do not use expired or damaged medicines. Discard any unused medicine properly, do not flush in the toilet or throw it into the drain.

Frequently Asked Questions (FAQs)

Is Maxofen Plus Tablet addictive?

No, Maxofen Plus Tablet is not addictive, but it is advisable not to give this medicine if anyone else has the same condition as you.

Should Maxofen Plus Tablet be taken with food or without food?

Maxofen Plus Tablet can be taken with food.

What are COX inhibitors? Is Maxofen Plus Tablet a COX inhibitor?

COX or cyclooxygenase inhibitors block the enzyme cyclooxygenase which secretes substances in injury or illness that promote pain and inflammation. There are 2 forms of this enzyme called COX-1 and COX-2. While some medicines selectively inhibit COX-1 (Aspirin, Indomethacin) or COX-2 (Etoricoxib, Valdecoxib), Maxofen Plus Tablet inhibits both the enzymes. Maxofen Plus Tablet may increase the intensity of adverse effects when used in combination with other COX inhibitors and hence caution is advised.

Is there anything else I need to know before taking Maxofen Plus Tablet?

There should be a minimum 6-hour gap between 2 tablets of Maxofen Plus Tablet and you should not take more than 3 tablets in 24 hours. It is not recommended to use this medicine for more than 4 days on self-prescription. If you have used it for a longer period, consult your doctor. This medicine should not be used in children below 12 years of age and who weigh less than 40 kg (if >12 yrs old).

Why do pain killers cause gastrointestinal bleeding?

Pain killers (NSAIDs) irritate or damage the lining of the stomach which results in stomach bleeding. This lead to the formation of ulcers or perforation. However, this does not occur in normal doses and is especially a concern if you are taking pain killers for a prolonged period or use them more than regularly. The risk of gastrointestinal bleeding, ulcers and perforation is higher with higher doses.