akser 20mg tablet - Serratiopeptidase (20mg) medicine

Akser 20mg Tablet (Serratiopeptidase): Comprehensive Medicine Guide

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🏭 Aknil Biotech 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Not established from the available information. Consult your doctor before use. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for some uses; limited for others.
Reviewed by
SaathiMed Expert Panel | Oct 21, 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

  • Difficulty breathing or swelling of face, lips, or throat
  • Severe abdominal pain or vomiting blood
  • Black or tarry stools
  • Unusual bleeding or bruising
  • Yellowing of skin or eyes
  • Severe rash or itching

If experiencing severe symptoms, call emergency services immediately.

What is akser 20mg tablet used for?

Serratiopeptidase is an enzyme that reduces inflammation and swelling by breaking down fibrin and other proteins. It is used for post-surgical edema, injuries, and inflammatory conditions.

  • Generic Name: Serratiopeptidase
  • Manufacturer: Aknil Biotech
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 akser 20mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा सूजन और दर्द को कम करने में मदद करती है। यह सर्जरी के बाद की सूजन, चोट, साइनसाइटिस, ब्रोंकाइटिस और गठिया जैसी स्थितियों में उपयोग की जाती है। यह शरीर में फाइब्रिन और अन्य प्रोटीन को तोड़कर सूजन कम करती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, दस्त, पेट में असुविधा और भूख में कमी शामिल हैं। कभी-कभी एलर्जी, त्वचा पर चकत्ते या खुजली हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन यदि कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक से अधिक न लें। गोली को पानी के साथ निगलें, चबाएं नहीं। इसे खाली पेट लेना सबसे अच्छा है, लेकिन यदि पेट में जलन हो तो डॉक्टर की सलाह पर भोजन के साथ ले सकते हैं। शराब का सेवन न करें। यदि आपको रक्तस्राव विकार, गुर्दे या यकृत की बीमारी है या आप रक्त पतला करने वाली दवाएं ले रहे हैं तो डॉक्टर को बताएं।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 akser 20mg tablet 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 injuries","description":"Helps reduce swelling and pain associated with sprains, strains, and contusions.","evidence":"Moderate"},{"condition":"Sinusitis","description":"May help reduce inflammation and mucus viscosity in sinus infections.","evidence":"Limited"},{"condition":"Bronchitis","description":"Used as an adjunct to reduce inflammation and ease breathing in bronchitis.","evidence":"Limited"},{"condition":"Arthritis","description":"May reduce joint inflammation and pain in conditions like osteoarthritis and rheumatoid arthritis.","evidence":"Limited"}]

Off-label uses: [{"condition":"Atherosclerosis","description":"Sometimes used off-label to reduce plaque formation in arteries due to its fibrinolytic properties.","evidence":"Limited"},{"condition":"Carpal tunnel syndrome","description":"May be used off-label to reduce inflammation and swelling in carpal tunnel syndrome.","evidence":"Limited"}]

Primary treatment for: Inflammation and edema

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

📋 Drug Information

Generic Name(s)Serratiopeptidase
Brand NameAce 15mg Tablet
ManufacturerAknil Biotech
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassProteolytic Enzymes
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container.
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 on an empty stomach for maximum absorption.
2
If it causes stomach upset, take it with food after consulting your doctor.
3
Avoid alcohol while taking this medicine to prevent bleeding risk.
4
Do not use this medicine for more than 7-10 days without medical advice.
5
Inform your doctor if you are on blood thinners or have a bleeding disorder.
6
Report any signs of allergic reaction immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Swelling after injury
This medicine is commonly prescribed for this.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
✅
Joint pain
May be used as an adjunct for arthritis.
Likely Use

🔬 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 often used to protect it from gastric acid. The exact bioavailability is not well established.
DistributionNot established from the available information.
Protein BindingNot established from the available information.
MetabolismNot established from the available information.
Half-LifeNot established from the available information.
ExcretionNot established from the available information.
BioavailabilityNot established from the available information.
Onset of ActionThe onset of action may vary depending on the condition and individual. Some patients may notice improvement within a few hours to days.
Peak Plasma TimeNot established from the available information.
Duration of ActionNot established from the available information.

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, and other dead tissue, thereby reducing swelling and promoting tissue repair. It also modulates inflammatory mediators and may enhance the activity of antibiotics by improving their penetration into infected tissues.

Mechanism Steps

1
Enzymatic breakdown of fibrin: Serratiopeptidase hydrolyzes fibrin, a protein that forms a mesh in swollen tissues, leading to reduced swelling.
2
Reduction of inflammatory mediators: The enzyme decreases levels of bradykinin and other inflammatory substances, reducing pain and inflammation.
3
Enhanced tissue repair: By clearing dead tissue and debris, serratiopeptidase promotes faster healing and regeneration.
4
Improved antibiotic penetration: The enzyme helps antibiotics penetrate better into infected areas by reducing tissue viscosity.

💡 How to Take akser 20mg tablet

Strength: Serratiopeptidase 20mg immediate-release tablet

1Take the tablet with a glass of water.
2Swallow it whole; do not crush or chew.
3Take it on an empty stomach, at least 30 minutes before meals, unless your doctor advises otherwise.
4If it causes stomach upset, you may take it with food after consulting your doctor.
5Follow the prescribed schedule consistently.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 10-20 mg once or twice 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. Follow your doctor's prescription exactly.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Dose adjustment may be necessary based on renal and hepatic function. Consult your doctor.
Renal ImpairmentDose adjustment may be needed in patients with renal impairment. Consult your doctor.
Hepatic ImpairmentDose adjustment may be needed in patients with hepatic impairment. Consult your doctor.
Maximum Daily DoseThe maximum recommended daily dose is 60 mg, but this must be confirmed by your doctor.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take on empty stomach
Food may reduce absorption.
Alcohol
Avoid
Increases risk of gastrointestinal bleeding.

⏰ 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 akser 20mg tablet

✅ Common Side Effects

Nausea (Common (1-10%))
Take with food if it persists. Consult doctor if severe.
Diarrhea (Common (1-10%))
Stay hydrated. Consult doctor if it lasts more than 2 days.
Abdominal discomfort (Common (1-10%))
Take with meals. Consult doctor if it worsens.
Loss of appetite (Uncommon (0.1-1%))
Eat small frequent meals. Consult doctor if it continues.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of face, lips, throat, difficulty breathing, or severe rash.
Bleeding (Rare (<0.1%))
Report any unusual bleeding or bruising to your doctor immediately.
Liver enzyme elevation (Rare (<0.1%))
Regular monitoring may be needed. Consult doctor if you notice yellowing of eyes or skin.

⚠️ Rare Side Effects

Pneumonitis
Seek medical attention if you develop cough, fever, or difficulty breathing.
Peripheral edema
Consult doctor if swelling occurs in legs or ankles.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Aspirin Major
Clopidogrel Major
Ibuprofen Moderate
Amoxicillin Moderate

🚨 Major Interactions

  • Anticoagulants (e.g., warfarin)
  • Antiplatelet drugs (e.g., aspirin, clopidogrel)

⚡ Moderate Interactions

  • Antibiotics (e.g., amoxicillin)
  • NSAIDs (e.g., ibuprofen)

🍷 Alcohol Interaction

Alcohol may increase the risk of gastrointestinal bleeding and should be avoided while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known allergy to serratiopeptidase or any component of the formulation","Active bleeding disorders","Active peptic ulcer disease","Severe hepatic impairment","Pregnancy and breastfeeding (unless advised by doctor)"]

⚠️ Warnings & Precautions

["Use with caution in patients with bleeding disorders or on anticoagulants.","Avoid in patients with known hypersensitivity to proteolytic enzymes.","Not recommended for children without medical advice.","Do not use for prolonged periods without medical supervision.","Inform your doctor if you have kidney or liver disease."]

🤱 Lactation Safety

It is not known whether serratiopeptidase passes into breast milk. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose may cause increased side effects such as nausea, vomiting, and diarrhea. 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 the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Swallow the tablet whole with water; do not crush or chew. It is best taken on an empty stomach, but if it causes stomach upset, you may take it with food after consulting your doctor. Avoid alcohol while taking this medicine as it may increase the risk of stomach bleeding. Inform your doctor if you have a history of bleeding disorders, kidney or liver disease, or if you are taking blood-thinning medications. Do not use this medicine for prolonged periods without medical supervision. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more prone to bleeding and should be monitored closely. Dose adjustment may be needed based on kidney and liver function.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. Safety is not established.

🏥 Post-Surgery Considerations

This medicine is often prescribed after surgery to reduce swelling. Follow your surgeon's instructions carefully.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure, as it may increase bleeding risk.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on joints.
🥗
Engage in low-impact exercises like swimming or walking.
😴
Practice good posture to prevent injuries.
💧
Include anti-inflammatory foods like turmeric and omega-3 in your diet.
🧘
Get adequate rest and sleep to promote healing.
🌞
Avoid smoking as it impairs circulation and healing.

🏋️ Exercise Considerations

Avoid strenuous exercise or activities that may cause injury while recovering from inflammation. Consult your doctor before starting any exercise regimen.

🥗 Diet Recommendations

Include omega-3 rich foods like fish and flaxseeds.
Reduce processed and high-sugar foods.
Stay well hydrated.
Eat plenty of fruits and vegetables.

💼 Impact on Daily Work & Life

This medicine may not impair your ability to drive or operate machinery. However, if you experience dizziness or drowsiness, avoid these activities until you know how it affects you.

🛑 When to Stop This Medicine

Stop taking this medicine if you experience severe side effects or allergic reactions. Do not stop abruptly if you are on a prescribed course; consult your doctor first.

📅 Long-Term Use Effects

Long-term use of serratiopeptidase is not well studied. Prolonged use may increase the risk of bleeding or liver enzyme abnormalities. Regular monitoring may be required. Use only under medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain and swelling.

Evidence: Well-established
RICE therapy (Rest, Ice, Compression, Elevation)

Effective for acute injuries to reduce swelling.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, consult your doctor before any vaccination while on this medicine.

📦 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 schedule as advised by your doctor. Keep it in your carry-on luggage. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 50-year-old man recovering from knee surgery
He was prescribed this medicine to reduce post-surgical swelling. Within a few days, the swelling decreased significantly, and he could move his knee more easily. He took it on an empty stomach as advised and avoided alcohol.
💡 Lesson: Taking the medicine as prescribed and following lifestyle advice enhances recovery.
👤 A 35-year-old woman with acute sinusitis
She used this medicine along with antibiotics. Her facial pain and congestion improved faster than expected. She experienced mild nausea initially but it subsided when she took it with a small snack after consulting her doctor.
💡 Lesson: Combining this medicine with antibiotics can improve outcomes, but side effects should be managed with medical guidance.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Some patients may notice improvement within a few hours to days, but it may take longer depending on the condition.

Q: Can I take it with other painkillers?

A: Consult your doctor before combining with NSAIDs or other painkillers due to increased bleeding risk.

Q: Is it safe during pregnancy?

A: Safety is not established. Consult your doctor before use.

🤔 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 akser 20mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Serratiopeptidase is a painkiller.
    Fact: It is not a painkiller; it reduces inflammation and swelling, which may indirectly relieve pain.
  • Myth: It can be taken indefinitely.
    Fact: Prolonged use should be under medical supervision.

🔄 Alternative Options

Generic Alternatives

  • Serratiopeptidase 20mg tablet

Brand Alternatives

  • Akser 20mg tablet

📊 Comparison with Similar Medicines

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

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