aclosec oral suspension - Aceclofenac (50mg/5ml) + Paracetamol (125mg/5ml) medicine

Acecloflam P Syrup: Complete Guide to Uses, Dosage, and Safety

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🏭 Adison Pharmaceuticals 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 24, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Not established from the available information. NSAIDs are generally avoided in the third trimester due to risk of premature closure of ductus arteriosus. Paracetamol is considered relatively safe in pregnancy when used as directed. Consult your doctor before use. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for the combination in short-term pain management.
Reviewed by
SaathiMed Expert Panel | Sep 24, 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
  • Unusual bruising or bleeding

If experiencing severe symptoms, call emergency services immediately.

What is aclosec oral suspension used for?

This medicine is a combination syrup of aceclofenac and paracetamol used for short-term relief of pain, inflammation, and fever. It is taken orally with food, usually 10 ml two to three times daily as prescribed by a doctor.

  • Generic Name: Aceclofenac (50mg/5ml) + Paracetamol (125mg/5ml)
  • Manufacturer: Adison Pharmaceuticals
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 aclosec oral suspension के बारे में (Hindi Summary)

उपयोग: यह दवा एसिटामिनोफेन और एसिटोक्लोफेनाक का संयोजन है, जिसका उपयोग दर्द, सूजन और बुखार से राहत के लिए किया जाता है। यह मांसपेशियों के दर्द, दांत दर्द, सर्जरी के बाद के दर्द और बुखार में प्रभावी है। इसे भोजन के साथ लेना चाहिए।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, पेट दर्द, अपच, सिरदर्द, चक्कर आना और नींद आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें पेट में रक्तस्राव, एलर्जी, यकृत और गुर्दे की समस्या शामिल हो सकती है।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक से अधिक न लें। इसे भोजन के साथ लें। शराब का सेवन न करें। यदि आपको पेट अल्सर, गुर्दे या यकृत की बीमारी है तो डॉक्टर को बताएं। बिना सलाह के अन्य दर्द निवारक दवाएं न लें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 aclosec oral suspension Uses & Benefits

[{"condition":"Musculoskeletal pain and inflammation","description":"Relieves pain and reduces swelling in conditions such as sprains, strains, and sports injuries.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Used for short-term management of pain after surgical procedures.","evidence":"Well-established"},{"condition":"Dental pain","description":"Provides relief from toothache and pain following dental procedures.","evidence":"Well-established"},{"condition":"Fever","description":"Reduces fever due to the paracetamol component.","evidence":"Well-established"},{"condition":"Osteoarthritis and rheumatoid arthritis","description":"May be used for symptomatic relief of pain and stiffness in these chronic conditions, though syrup form is less common for long-term use.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Migraine","description":"Sometimes used off-label for acute migraine attacks, but not first-line.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May be used off-label for menstrual pain, but other NSAIDs are preferred.","evidence":"Limited"}]

Primary treatment for: Pain and inflammation

Also treats: Fever, Musculoskeletal injuries, Dental pain, Post-operative pain

📋 Drug Information

Generic Name(s)Aceclofenac (50mg/5ml) + Paracetamol (125mg/5ml)
Brand Nameaclosec oral suspension
ManufacturerAdison Pharmaceuticals
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children.
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
Always prescribe this medicine with food to minimize gastrointestinal irritation.
2
Assess renal and hepatic function before starting treatment, especially in elderly patients.
3
Limit the duration of use to the shortest time necessary to control symptoms.
4
Warn patients about the risk of drowsiness and advise caution while driving.
5
Avoid concurrent use with other NSAIDs or paracetamol-containing products.
6
Monitor for signs of gastrointestinal bleeding, especially in patients with a history of ulcers.
7
Consider alternative analgesics in patients with cardiovascular risk factors.

🔍 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 contains paracetamol which reduces fever.
Likely Use
❌
Headache
This medicine is not a primary headache treatment.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAceclofenac is rapidly absorbed after oral administration, with peak plasma concentrations reached within 1.5 to 3 hours. Paracetamol is also rapidly and completely absorbed from the gastrointestinal tract, with peak levels within 0.5 to 2 hours. Food may slightly delay absorption but does not significantly reduce the extent.
DistributionAceclofenac is highly protein-bound and distributes into synovial fluid, which is beneficial for joint pain. Paracetamol distributes widely throughout most body tissues, with a volume of distribution of about 0.9 L/kg.
Protein BindingAceclofenac is approximately 99% bound to plasma proteins. Paracetamol is only about 10-25% bound to plasma proteins.
MetabolismAceclofenac is metabolized in the liver primarily by CYP2C9 to 4'-hydroxyaceclofenac and other metabolites. Paracetamol is metabolized in the liver via glucuronidation and sulfation, with a small fraction metabolized by CYP2E1 to a toxic intermediate, N-acetyl-p-benzoquinone imine (NAPQI), which is detoxified by glutathione.
Half-LifeThe elimination half-life of aceclofenac is approximately 3-4 hours. Paracetamol has a half-life of about 2-3 hours in normal adults.
ExcretionAceclofenac and its metabolites are excreted mainly in urine and bile. Paracetamol metabolites are excreted primarily in urine.
BioavailabilityThe oral bioavailability of aceclofenac is approximately 80-100%. Paracetamol has a high oral bioavailability of about 80-90%.
Onset of ActionPain relief typically begins within 30 to 60 minutes after oral administration.
Peak Plasma TimeAceclofenac peak plasma concentration occurs at about 1.5-3 hours; paracetamol peaks at 0.5-2 hours.
Duration of ActionThe analgesic effect lasts approximately 4 to 6 hours, and antipyretic effect lasts 4 to 6 hours.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Aceclofenac, an NSAID, inhibits the cyclooxygenase (COX) enzymes, particularly COX-2, leading to decreased synthesis of prostaglandins, which are mediators of pain, inflammation, and fever. Paracetamol acts primarily in the central nervous system, where it inhibits prostaglandin synthesis and may also modulate pain perception through other pathways. Together, they provide both peripheral anti-inflammatory and central analgesic/antipyretic effects.

Mechanism Steps

1
Aceclofenac inhibits COX enzymes: Aceclofenac reversibly inhibits cyclooxygenase enzymes, reducing the conversion of arachidonic acid to prostaglandin H2.
2
Reduced prostaglandin synthesis: This leads to decreased production of prostaglandins, which are key mediators of pain, inflammation, and fever.
3
Paracetamol acts centrally: Paracetamol inhibits prostaglandin synthesis in the central nervous system and may activate descending inhibitory pathways.
4
Combined analgesic and antipyretic effect: The two mechanisms together provide enhanced relief from pain and fever compared to either agent alone.

💡 How to Take aclosec oral suspension

Strength: Each 5 ml contains Aceclofenac 50 mg and Paracetamol 125 mg.

1Shake the bottle well before use.
2Use a measuring cup or spoon to measure the exact dose.
3Take the medicine with food or milk to reduce stomach upset.
4Swallow the syrup directly; do not mix with other liquids unless advised.
5Wash the measuring cup after each use.
6Close the bottle tightly after use.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 10 ml (2 teaspoons) two to three times daily, or as prescribed by your doctor. The dose may vary based on the indication, severity of pain, and individual response. Do not exceed the recommended dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine, especially gastrointestinal and renal side effects. Use the lowest effective dose for the shortest duration. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with renal impairment. Dose reduction may be necessary. Consult your doctor for appropriate dosing. Not recommended in severe renal impairment.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose reduction may be necessary. Avoid in severe hepatic impairment. Consult your doctor for appropriate dosing.
Maximum Daily DoseThe maximum daily dose should not exceed 30 ml (6 teaspoons) in 24 hours, or as prescribed by your doctor. Do not exceed the recommended dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases risk of liver damage and gastrointestinal bleeding.
Caffeine
Limit
May increase stomach irritation.

⏰ 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 aclosec oral suspension

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food or milk to reduce nausea. If persistent, consult your doctor.
Vomiting (Common (5-10%))
Stay hydrated with small sips of water. Consult doctor if severe or persistent.
Stomach pain (Common (5-10%))
Take with food. Avoid alcohol. If pain is severe, seek medical advice.
Indigestion (Common (5-10%))
Take with meals. Avoid spicy foods. Consult doctor if it continues.
Headache (Common (5-10%))
Rest and stay hydrated. If headache is severe or unusual, consult doctor.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.
Drowsiness (Common (5-10%))
Avoid driving. Rest if needed. Consult doctor if it interferes with daily activities.

🚨 Serious Side Effects

Gastrointestinal bleeding (Rare (<0.1%))
Seek immediate medical attention if you notice black or tarry stools, vomiting blood, or severe abdominal pain.
Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Call emergency services if you experience swelling of face, lips, or throat, difficulty breathing, or severe rash.
Liver damage (Rare (<0.1%))
Seek medical help if you notice yellowing of skin or eyes, dark urine, or severe fatigue.
Kidney problems (Rare (<0.1%))
Consult doctor if you experience decreased urine output, swelling in legs, or blood in urine.
Severe skin reactions (Stevens-Johnson syndrome) (Very rare (<0.01%))
Stop medicine and seek immediate medical attention if you develop a painful rash with blisters or peeling skin.

⚠️ Rare Side Effects

Blood disorders (e.g., thrombocytopenia, leukopenia)
Report unusual bruising or bleeding to your doctor.
Pancreatitis
Seek medical attention for severe abdominal pain radiating to the back.
Aseptic meningitis
Consult doctor if you experience severe headache, stiff neck, and fever.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Other NSAIDs Major
Methotrexate Major
ACE inhibitors Major
Diuretics Major
Corticosteroids Moderate
SSRIs Moderate
Lithium Moderate
Antacids Minor
Cholestyramine Minor

🚨 Major Interactions

  • Warfarin
  • Other NSAIDs (e.g., ibuprofen, aspirin)
  • Methotrexate
  • ACE inhibitors and ARBs
  • Diuretics

⚡ Moderate Interactions

  • Corticosteroids
  • SSRIs
  • Lithium
  • Antihypertensives (beta-blockers, etc.)

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of gastrointestinal bleeding and liver damage, especially due to the paracetamol component. It can also enhance the sedative effects of the medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to aceclofenac, paracetamol, or other NSAIDs","Active peptic ulcer or history of recurrent peptic ulcer","Gastrointestinal bleeding or perforation","Severe heart failure","Severe hepatic impairment","Severe renal impairment","Third trimester of pregnancy","Children under 12 years (unless specifically prescribed by a pediatrician)"]

⚠️ Warnings & Precautions

["Take with food to reduce stomach upset.","Avoid alcohol while taking this medicine.","Do not exceed the recommended dose or duration.","Use with caution in elderly patients due to increased risk of side effects.","Inform your doctor if you have a history of asthma, especially aspirin-sensitive asthma.","Do not use concurrently with other NSAIDs or paracetamol-containing products.","May cause dizziness or drowsiness; avoid driving or operating machinery until you know how it affects you.","Consult your doctor if symptoms persist beyond 7 days."]

🤱 Lactation Safety

Aceclofenac and paracetamol are excreted in breast milk in small amounts. Paracetamol is generally considered safe during breastfeeding. Aceclofenac should be used with caution. Consult your doctor before use.

💊 Overdose Management

Overdose of this medicine can cause severe liver damage due to paracetamol and gastrointestinal bleeding due to aceclofenac. Symptoms of overdose may include nausea, vomiting, abdominal pain, and confusion. Seek immediate medical attention. Treatment includes activated charcoal, N-acetylcysteine for paracetamol toxicity, and supportive care. Do not induce vomiting unless instructed by a healthcare professional.

⏰ 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 to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Take it with food or milk to reduce stomach upset. Avoid alcohol while taking this medicine as it can increase the risk of liver damage and gastrointestinal bleeding. Do not use this medicine for more than a few days without consulting a doctor. If you have a history of stomach ulcers, kidney or liver disease, heart problems, or asthma, inform your doctor before taking this medicine. Do not take other medicines containing paracetamol or NSAIDs while on this medicine without medical advice. Keep out of reach of children. Store at room temperature away from direct sunlight and moisture.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events. Use the lowest effective dose for the shortest duration. Monitor renal and hepatic function regularly. Avoid concurrent use with other NSAIDs.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy or are pregnant, consult your doctor before taking this medicine. NSAIDs like aceclofenac are generally avoided in the third trimester. Paracetamol is considered relatively safe when used as directed. Discuss alternative pain relief options with your doctor.

🏥 Post-Surgery Considerations

This medicine may be used for post-operative pain relief as prescribed by your surgeon. Inform your surgeon about all medicines you are taking. It may increase bleeding risk, so use with caution after surgery. Follow your surgeon's instructions regarding dosing and duration.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. It may increase bleeding risk during dental surgery. Your dentist may advise you to stop it temporarily or adjust the dose. Do not stop without consulting your doctor.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on joints.
🥗
Engage in regular low-impact exercises like walking or swimming.
😴
Practice good posture to prevent musculoskeletal pain.
💧
Include anti-inflammatory foods like fruits, vegetables, and omega-3 fatty acids in your diet.
🧘
Get adequate sleep to aid recovery.
🌞
Stay hydrated throughout the day.

🏋️ Exercise Considerations

Avoid strenuous exercise or heavy lifting while taking this medicine, especially if you have musculoskeletal pain. Gentle stretching and low-impact activities are generally safe. Consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Include omega-3 rich foods like fish, flaxseeds, and walnuts.
Reduce intake of processed and fried foods.
Eat plenty of fruits and vegetables.
Stay well hydrated with water.
Avoid alcohol and excessive caffeine.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It may also cause stomach upset, so take it with food. Generally, it does not significantly interfere with daily activities if taken as prescribed.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within 7 days, if you experience severe side effects, or if you develop signs of gastrointestinal bleeding, liver problems, or allergic reactions. Do not stop abruptly if you have been on long-term therapy without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine may increase the risk of gastrointestinal bleeding, kidney impairment, liver damage, and cardiovascular events. Regular monitoring of liver and kidney function is recommended. Use the lowest effective dose for the shortest duration. Consult your doctor if you need to use it for more than 7 days.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain and improve mobility.

Evidence: Well-established
Hot and cold compresses

May help reduce localized pain and inflammation.

Evidence: Limited
Acupuncture

Some evidence for pain relief in certain conditions.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you have a fever, consult your doctor before vaccination. There is no need to postpone vaccination solely due to this medicine unless advised by your doctor.

📦 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 protect from direct sunlight. If traveling across time zones, adjust dosing times gradually. Check customs regulations for carrying prescription medicines. Keep it in your carry-on luggage if flying.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with acute lower back pain after lifting heavy objects.
He was prescribed this medicine syrup for 5 days. He took it with food as directed and experienced significant pain relief within 2 days. He was advised to avoid alcohol and heavy lifting. He recovered fully without side effects.
💡 Lesson: Taking the medicine with food and following doctor's advice leads to safe and effective relief.
👤 A 60-year-old woman with knee osteoarthritis and mild renal impairment.
She was started on this medicine for short-term pain relief. Her doctor monitored her kidney function and advised her to take it with food. She experienced good pain relief but was advised not to use it for more than 7 days due to kidney concerns.
💡 Lesson: Elderly patients with kidney issues need careful monitoring and short-term use only.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts relieving pain within 30 to 60 minutes after taking it.

Q: Can I take it on an empty stomach?

A: It is best taken with food or milk to reduce the risk of stomach upset.

Q: Is it safe for children?

A: Pediatric dosing is not established. Consult a pediatrician for appropriate use in children.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember, but if it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

🤔 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 aclosec oral suspension

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be taken on an empty stomach.
    Fact: It should be taken with food to reduce stomach upset.
  • Myth: It is safe to take more than the recommended dose for faster relief.
    Fact: Exceeding the dose can cause serious liver and stomach problems.
  • Myth: This medicine can be used for long-term pain management without doctor supervision.
    Fact: Long-term use requires medical supervision due to risks of kidney, liver, and heart problems.

🔄 Alternative Options

Generic Alternatives

  • Aceclofenac + Paracetamol syrup

Brand Alternatives

  • Acecloflam P Syrup

📊 Comparison with Similar Medicines

[{"medicine":"Aceclofenac + Paracetamol","composition":"Aceclofenac 50mg/5ml + Paracetamol 125mg/5ml","onset":"30-60 minutes","duration":"4-6 hours"},{"medicine":"Ibuprofen + Paracetamol","composition":"Ibuprofen 100mg/5ml + Paracetamol 125mg/5ml","onset":"30-60 minutes","duration":"4-6 hours"}]

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