acfast gel - Serratiopeptidase (NA) medicine

Acfast Gel (Serratiopeptidase): Complete Medicine Guide

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🏭 Kim Lab 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for post-surgical edema; limited for other uses.
Reviewed by
SaathiMed Expert Panel | Oct 16, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is acfast gel used for?

This medicine contains serratiopeptidase, an enzyme that reduces inflammation and swelling by breaking down fibrin. It is used for post-surgical edema, traumatic swelling, and inflammatory conditions.

  • Generic Name: Serratiopeptidase
  • Manufacturer: Kim Lab
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 acfast gel के बारे में (Hindi Summary)

उपयोग: यह दवा सूजन और दर्द को कम करने के लिए उपयोग की जाती है। यह सर्जरी के बाद की सूजन, चोट के कारण होने वाली सूजन और अन्य सूजन संबंधी स्थितियों में प्रभावी है। यह एंजाइम सूजन पैदा करने वाले प्रोटीन को तोड़कर काम करती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, दस्त, पेट में असुविधा और भूख में कमी शामिल हो सकती है। कुछ रोगियों में एलर्जी प्रतिक्रियाएं जैसे त्वचा पर चकत्ते, खुजली या पित्ती हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन गंभीर एलर्जी प्रतिक्रिया, रक्तस्राव या यकृत एंजाइम असामान्यताएं हो सकती हैं।

सुरक्षा सलाह: इस दवा को अपने डॉक्टर के निर्देशानुसार ही लें। अनुशंसित खुराक या अवधि से अधिक न लें। यदि आपको रक्तस्राव विकार, यकृत रोग या गुर्दा रोग का इतिहास है तो अपने डॉक्टर को सूचित करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर की सलाह के बिना इसका उपयोग न करें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 acfast gel Uses & Benefits

[{"condition":"Post-surgical edema","description":"Reduces inflammation" class="semantic-link" title="Medicines for swelling">swelling and inflammation after surgical procedures, promoting faster recovery.","evidence":"Moderate"},{"condition":"Traumatic swelling","description":"Helps in reducing swelling and pain associated with injuries and trauma.","evidence":"Moderate"},{"condition":"Inflammatory conditions","description":"Used as an adjunct in various inflammatory conditions to reduce edema and pain.","evidence":"Limited"}]

Off-label uses: [{"condition":"Sinusitis","description":"Sometimes used off-label to reduce inflammation and congestion in sinusitis.","evidence":"Limited"},{"condition":"Bronchitis","description":"May be used off-label to help reduce mucus viscosity and inflammation in bronchitis.","evidence":"Limited"}]

Primary treatment for: Inflammation and edema

Also treats: Post-surgical swelling, Traumatic swelling, Sinusitis, Bronchitis

📋 Drug Information

Generic Name(s)Serratiopeptidase
Brand NameAce 15mg Tablet
ManufacturerKim Lab
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassProteolytic Enzymes
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a cool, dry place away from direct sunlight.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Stay well hydrated throughout the day.
3
Avoid alcohol while taking this medicine.
4
Do not take more than the prescribed dose.
5
Consult your doctor if symptoms persist beyond 7 days.
6
Report any unusual bleeding or bruising immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Chronic joint pain
This medicine is commonly prescribed for this.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionSerratiopeptidase is absorbed from the gastrointestinal tract after oral administration. However, being a protein, it may be partially degraded in the stomach. Enteric-coated formulations are designed to protect the enzyme from gastric acid and release it in the intestine for better absorption.
DistributionAfter absorption, serratiopeptidase is distributed to various tissues, particularly to sites of inflammation and edema. It can cross the blood-brain barrier to some extent.
Protein BindingNot established from the available information.
MetabolismSerratiopeptidase is metabolized in the liver by proteolytic enzymes into smaller peptides and amino acids.
Half-LifeThe elimination half-life of serratiopeptidase is approximately 1 to 2 hours.
ExcretionIt is excreted primarily through the urine and feces as inactive metabolites.
BioavailabilityThe bioavailability of oral serratiopeptidase is reported to be around 60-80% with enteric-coated formulations.
Onset of ActionThe onset of action is typically within 30 minutes to 1 hour after oral administration.
Peak Plasma TimePeak plasma concentration is reached approximately 1 to 2 hours after oral administration.
Duration of ActionThe duration of action is about 6 to 8 hours.

How It Works

Serratiopeptidase is a proteolytic enzyme that hydrolyzes peptide bonds in proteins. It breaks down fibrin, a protein involved in blood clotting and inflammation, thereby reducing swelling and edema. It also helps in thinning mucus, making it easier to expel. The enzyme exhibits anti-inflammatory, anti-edematous, and fibrinolytic properties.

Mechanism Steps

1
Enzymatic hydrolysis: Serratiopeptidase hydrolyzes peptide bonds in fibrin and other proteins, leading to their breakdown.
2
Reduction of edema: By breaking down fibrin, it reduces the accumulation of fluid in tissues, decreasing swelling.
3
Anti-inflammatory action: The enzyme inhibits the production of inflammatory mediators, thereby reducing inflammation.

💡 How to Take acfast gel

Strength: Oral gel (strength not specified)

1Take this medicine orally with a glass of water.
2It can be taken with or without food.
3Do not chew or crush the gel; swallow it whole.
4Follow the dosage schedule prescribed by your doctor.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 5-10 mg taken orally two to three times daily, depending on the condition being treated. However, the dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require dose adjustment based on renal and hepatic function. Consult your doctor.
Renal ImpairmentDose adjustment may be needed in patients with severe renal impairment. Consult your doctor.
Hepatic ImpairmentDose adjustment may be needed in patients with severe hepatic impairment. Consult your doctor.
Maximum Daily DoseThe maximum recommended daily dose is 30 mg, but this may vary based on clinical judgment.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of acfast gel

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. Consult doctor if persistent.
Diarrhea (Common (5-10%))
Stay hydrated. Consult doctor if severe or persistent.
Abdominal discomfort (Common (5-10%))
Take with meals. Consult doctor if it worsens.

🚨 Serious Side Effects

Severe allergic reaction (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling of face or throat, difficulty breathing.
Bleeding (Rare (<0.1%))
Report any unusual bleeding or bruising to your doctor immediately.

⚠️ Rare Side Effects

Liver enzyme elevation
Regular liver function tests may be needed. Consult doctor if you notice yellowing of eyes or skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Aspirin Moderate
Clopidogrel Moderate

🚨 Major Interactions

  • Anticoagulants (e.g., warfarin)

⚡ Moderate Interactions

  • Antiplatelet drugs (e.g., aspirin)

🍷 Alcohol Interaction

Alcohol may increase the risk of gastrointestinal side effects. It is advisable to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known allergy to serratiopeptidase","Active bleeding disorders","Concurrent use with anticoagulants"]

⚠️ Warnings & Precautions

["Use with caution in patients with bleeding disorders.","Avoid in patients with known hypersensitivity.","Consult doctor before use in pregnancy and lactation.","Do not exceed recommended dose.","Keep out of reach of children."]

🤱 Lactation Safety

It is not known whether serratiopeptidase is excreted in human milk. Consult your doctor before use.

💊 Overdose Management

Overdose may cause increased side effects. Seek immediate medical attention if you suspect an overdose. Treatment is symptomatic and supportive.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration. Inform your doctor if you have a history of bleeding disorders, liver disease, or kidney disease. Avoid using this medicine if you are pregnant or breastfeeding unless advised by your doctor. Do not take this medicine with other anti-inflammatory drugs without consulting your doctor. Keep out of reach of children. Store in a cool, dry place away from direct sunlight.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects. Dose adjustment may be needed based on renal and hepatic function.

🤰 Pregnancy Planning (TTC)

Consult your doctor before planning pregnancy while on this medicine. The safety profile in pregnancy is not well-established.

🏥 Post-Surgery Considerations

This medicine is often prescribed post-surgery to reduce swelling and promote healing. Follow your surgeon's instructions carefully.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may affect bleeding during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce joint stress.
🥗
Regular low-impact exercise like swimming.
😴
Practice good posture.
💧
Include anti-inflammatory foods in your diet.
🧘
Get adequate sleep.

🏋️ Exercise Considerations

Avoid strenuous exercise if you have swelling or pain. Gentle stretching and low-impact activities are recommended. Consult your doctor before starting any exercise regimen.

🥗 Diet Recommendations

Include omega-3 rich foods
Reduce processed food intake
Stay well hydrated

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some individuals. Avoid driving or operating heavy machinery if you experience these effects.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if you experience severe side effects or if your symptoms worsen. Do not stop abruptly without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine may require monitoring of liver function and bleeding parameters. It is generally well-tolerated, but prolonged use should be under medical supervision. Regular follow-ups are advised.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain.

Evidence: Well-established
Cold compress

Helps reduce swelling and pain.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. Consult your doctor for personalized advice.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and avoid extreme temperatures. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for carrying medications.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old office worker with chronic knee pain
Started this medicine as prescribed for osteoarthritis. Within 2 weeks noticed significant improvement in morning stiffness. Emphasized taking with food to prevent stomach upset.
💡 Lesson: Consistency with prescribed dose and taking with food improves both efficacy and tolerability.
👤 A 60-year-old man recovering from knee surgery
Was prescribed this medicine for post-surgical swelling. Noticed reduced swelling and pain within a few days. Followed doctor's advice to take it regularly and do gentle exercises.
💡 Lesson: Adhering to the prescribed regimen and following post-operative care instructions enhances recovery.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine typically starts working within 30 minutes to 1 hour after oral administration, with peak effects in 1-2 hours.

Q: Can I take this medicine with other painkillers?

A: Consult your doctor before combining with other painkillers, as interactions may occur.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for acfast gel

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is a painkiller.
    Fact: This medicine is an anti-inflammatory enzyme, not a painkiller. It reduces swelling and inflammation.
  • Myth: This medicine can be used for any type of pain.
    Fact: This medicine is specifically for inflammatory conditions and edema, not for all types of pain.

🔄 Alternative Options

Generic Alternatives

  • Serratiopeptidase 5 mg
  • Serratiopeptidase 10 mg

Brand Alternatives

  • Serratiopeptidase (various brands)

📊 Comparison with Similar Medicines

[{"medicine":"Serratiopeptidase","class":"Proteolytic enzyme","main_use":"Anti-inflammatory, anti-edema","route":"Oral"},{"medicine":"Trypsin-Chymotrypsin","class":"Proteolytic enzymes","main_use":"Anti-inflammatory","route":"Oral"}]

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