Nucoxia P Tablet

Nucoxia P Tablet is used to relieve pain and inflammation in conditions such as osteoarthritis, rheumatoid arthritis, gouty arthritis, ankylosing spondylitis, muscle pain, back pain, toothache, headache, nerve pain, ear or throat pain, fever, cold, and flu. This medicine is a combination of two drugs: Etoricoxib and Paracetamol. Nucoxia P Tablet can be taken with or without food, as advised by your doctor.

The dose and duration depend on your medical condition and the severity of your pain. Do not take more than the recommended dose, and do not use it for longer than advised, as it may increase the risk of side effects. Your doctor may adjust the dose or dosing schedule according to your response to treatment.

Nucoxia P Tablet may cause some side effects, although not everyone experiences them. Common side effects include diarrhea, indigestion, stomach pain, flatulence, constipation, nausea, swelling of hands and feet, and dizziness. These side effects are usually mild and tend to improve over time; however, if they persist or become bothersome, consult your doctor.

Avoid alcohol while taking this medicine, as it can increase dizziness and raise the risk of stomach bleeding. Before starting this medicine, inform your doctor if you have any of the following conditions: heart problems, liver or kidney disease, high blood pressure, stomach ulcers, or any other ongoing health issues. Nucoxia P Tablet may cause drowsiness and dizziness, so caution is advised when driving or operating machinery.

It should not be given to children, as its safety and effectiveness have not been established. Pregnant and breastfeeding women should only use this medicine on medical advice. Always keep your doctor informed about all the medicines and supplements you are taking to avoid possible interactions.

Etos P tablet , Etowin P tablet , Brutaflam tablet , and Etorica P tablet also have a combination of etoricoxib and paracetamol.

Dosage

Overdose

If you think you have taken too much of the Nucoxia P tablet, contact your doctor immediately or visit the nearest hospital. As this medicine contains paracetamol, taking too much of this can lead to liver problems.

Missed a Dose

If you have missed any dose of this medicine, take it as soon as you remember. 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?

Etoricoxib works by blocking the action of an enzyme called cyclooxygenase (COX), which is responsible for producing chemical messengers called prostaglandins. These prostaglandins cause pain, swelling, and inflammation. By reducing their levels, Etoricoxib helps relieve pain and stiffness. Paracetamol, on the other hand, helps reduce pain and fever by acting on the brain’s pain center. Together, they provide effective relief from mild to moderate pain and inflammation.

Directions for Use

• Nucoxia P tablet is taken orally and can be taken with or without food.
• Take this medicine as a whole with a sufficient amount of water.

Precautions and Warnings

Pregnancy

Can I take the Nucoxia P Tablet during pregnancy?

There is limited information available on the use of this medicine during pregnancy. Also, the components of this medicine are known to be unsafe during pregnancy. Hence, this medicine should be avoided during pregnancy.

Breast Feeding

Can I take the Nucoxia P Tablet while breastfeeding?

There is limited information available on the use of the Nucoxia P Tablet in breastfeeding women. Hence, this medicine should be avoided if you are breastfeeding.

Driving

Can I drive if I have consumed the Nucoxia P Tablet?

If you observe or experience any side effects like dizziness, headache and sleepiness while taking this medicine, it is advised not to drive.

Alcohol

Can I consume alcohol with the Nucoxia P Tablet?

Moderate consumption of alcohol when you are taking the Nucoxia P is usually safe. However, there is a risk of liver damage in chronic alcoholics and people with liver problems due to the presence of paracetamol.

Other General Warnings

Talk to your doctor if

• You have stomach problems like ulcers, bleeding and perforation.
• You have experienced blood in vomit or black-coloured stools, immediately inform your doctor.
• You have liver or kidney disease or any other pre-existing health condition.
• You are taking any other medicines or products that contain paracetamol, taking too much of the same can cause liver damage.
• You are an alcoholic or are suffering from chronic malnutrition.
• You have heart-related problems, high blood pressure or oedema.
• You have diabetes, and you are an active smoker.
• You are pregnant or planning for pregnancy or breastfeeding.

Contraindications

• If you are allergic to etoricoxib, paracetamol, or any ingredient of the Nucoxia P Tablet.
• If you have stomach ulcers or problems with stomach bleeding.
• If you are taking other medications to reduce pain or inflammation, you may experience allergic reactions, such as a runny nose, throat congestion, or skin allergies.
• If you are pregnant or breastfeeding.
• If you have liver or kidney problems.
• This medicine is not intended for use in children and adolescents under 16 years of age.
• If you have a bowel disorder.
• If you have high blood pressure, have been diagnosed with heart failure, or have any heart-related problem.

Side effects

• Stomach pain
• Constipation
• Diarrhoea
• Indigestion
• Nausea
• Vomiting
• Headache
• Dizziness
• Bloating
• Fatigue

Interactions

Interactions with other medicines

• There is limited information available on the interaction of the Nucoxia P Tablet with other drugs. However, as the Nucoxia P Tablet contains Etoricoxib and Paracetamol, any interactions seen with these two components when taken alone may occur with this combination.
• Medicines used to treat nausea or vomiting, like Metoclopramide or Domperidone, and antibiotics like Chloramphenicol should not be used as they can lead to an increase in side effects.
• Medicines used, such as Warfarin, if taken along with others, may lead to an increased risk of bleeding; caution is needed.
• Cholesterol-lowering medicines, such as Cholestyramine, should be taken with a minimum gap of 2 hours.
• Oral contraceptives should be taken with a minimum gap of 12 hours.
• Medicines used to modify immune response, like Cyclosporin or Tacrolimus, if taken along with can lead to kidney toxicity.
• Water pills, blood pressure medicines, and painkillers should be used cautiously.

Interactions with food items

Taking Nucoxia P after meals may help reduce the likelihood of stomach discomfort.

Storage and disposal

• Keep it out of the reach of children.
• Do not keep outdated medicine or medicine no longer needed.
• Medicines should not be disposed of via wastewater or household waste.
• Store the medicine at room temperature, away from heat, moisture and direct light.

Frequently Asked Questions (FAQs)

Can I give the Nucoxia P Tablet to my 5-year-old daughter?

This medicine should not be used in children and adolescents under 16 years of age.

Can I use the Nucoxia P Tablet during stomach pain and gastritis?

This medicine is known to cause abdominal pain, gastritis, heartburn/acid reflux and it can aggravate stomach pain and gastritis. Hence, do not use during these conditions.

How long do I need to use the Nucoxia P tablet?

Use the Nucoxia P as prescribed by your doctor and do not stop taking this on your own. Prolonged use should be avoided unless under medical supervision.

Can I use the Nucoxia P for joint pain?

Yes, it can be used for joint pain and other painful conditions of joints and muscles like arthritis, if prescribed by your doctor.

I have a kidney function problem, can I take the Nucoxia P?

You should not take this medicine if you have kidney function problems as pain-relieving medicines can reduce the blood flow to kidneys, which can be harmful to patients with kidney problems and prolonged use of this medicine can also affect healthy kidneys.

Is it safe to use the Nucoxia P if I have liver function problems?

You should avoid taking this medicine if you have any liver problems as it contains paracetamol, which can worsen liver problems.

Are there any side effects of taking the Nucoxia P tablet?

Yes, most of the medicines along with the desirable effects, sometimes gives a few side effects. In the case of this medicine, the most common side effects are stomach discomfort, vomiting, diarrhoea and dizziness.

Will the Nucoxia P tablets make me sleepy?

Nucoxia P tablet can cause drowsiness and make you feel dizzy and sleepy. It is advisable to take a rest and avoid driving or doing activities that require mental alertness.

I am on blood-thinning medicines, Can I take Nucoxia P?

Nucoxia P should be used cautiously if you are taking blood-thinning medicines as there is an increased chance of bleeding

What is the composition of Nucoxia P tablet?

The composition of Nucoxia P tablet includes etoricoxib and paracetamol as its active components.

Is Nucoxia P tablet a painkiller?

Yes, it consists of two active ingredients, which acts as painkiller and muscle relaxant as well.

Can Nucoxia P be taken on an empty stomach?

Nucoxia P can be taken with or without food on an empty stomach. However, if you have a sensitive stomach, it is advised not to take this medicine on an empty stomach.

How long Tab Nucoxia P can be taken?

The duration of treatment with Tab Nucoxia P depends on the underlying condition and the patient's response to the treatment. Do not take it for more than 5 days, without consulting a doctor. If you do not see any improvement, speak to your doctor. But do not take it endlessly on your own without consulting a doctor.