Etodolac 400 mg Tablet: Complete Medicine Guide
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 black, tarry stools
- Vomiting blood or material that looks like coffee grounds
- Severe abdominal pain that does not go away
- Chest pain, shortness of breath, or difficulty breathing
- Sudden weakness or numbness on one side of the body, slurred speech, or vision changes
- Swelling of the face, lips, tongue, or throat
- Yellowing of the skin or eyes, dark urine, or severe fatigue
- Decreased urine output or swelling in the legs and feet
- Severe headache with stiff neck, fever, and sensitivity to light
- Unusual bruising or bleeding from the gums or nose
If experiencing severe symptoms, call emergency services immediately.
What is arthadol 400mg tablet used for?
Etodolac 400 mg is an NSAID used to relieve pain, swelling, and stiffness in conditions like osteoarthritis and rheumatoid arthritis. It works by blocking COX-2 enzymes to reduce inflammation. Take it with food, avoid alcohol, and use the lowest effective dose for the shortest duration.
- Generic Name: Etodolac
- Manufacturer: Semiotic Pharmaceutical Private Limited
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 arthadol 400mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एटोडोलैक 400 मिलीग्राम की एक टैबलेट है जिसका उपयोग मुख्य रूप से गठिया (ऑस्टियोआर्थराइटिस और रूमेटॉइड आर्थराइटिस) में जोड़ों के दर्द, सूजन और अकड़न को कम करने के लिए किया जाता है। यह एक नॉन-स्टेरॉयडल एंटी-इंफ्लेमेटरी ड्रग (NSAID) है जो शरीर में सूजन पैदा करने वाले प्रोस्टाग्लैंडिन नामक रसायनों को कम करके काम करती है। इससे दर्द और सूजन में आराम मिलता है और जोड़ों की गतिशीलता बेहतर होती है। यह दवा दर्द को पूरी तरह खत्म नहीं करती बल्कि लक्षणों को नियंत्रित करने में मदद करती है। इसे डॉक्टर की सलाह के अनुसार ही लेना चाहिए। जिन लोगों को एटोडोलैक, एस्पिरिन या अन्य NSAIDs से एलर्जी है, या जिन्हें पेट के अल्सर, गंभीर गुर्दे या लीवर की बीमारी, या दिल की विफलता है, उन्हें यह दवा नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा को लेने पर आमतौर पर पेट से जुड़ी समस्याएं हो सकती हैं जैसे अपच, जलन, मतली, पेट दर्द, दस्त या कब्ज। कुछ लोगों को सिरदर्द, चक्कर आना, नींद आना या कान में घंटी बजना महसूस हो सकता है। ये दुष्प्रभाव आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। लेकिन कभी-कभी गंभीर समस्याएं भी हो सकती हैं जैसे पेट या आंतों में रक्तस्राव, अल्सर, गुर्दे की समस्या, लीवर की क्षति, दिल का दौरा या स्ट्रोक। अगर आपको काला या तार जैसा मल, खून की उल्टी, तेज पेट दर्द, सीने में दर्द, सांस लेने में तकलीफ, चेहरे या गले में सूजन, या आंखों या त्वचा का पीलापन दिखे तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के बताए अनुसार ही लें। कम से कम प्रभावी खुराक का उपयोग करें और जितनी जल्दी हो सके बंद कर दें। टैबलेट को पानी के साथ निगलें और पेट की जलन से बचने के लिए इसे भोजन या दूध के साथ लें। इस दवा के साथ शराब न पिएं क्योंकि इससे पेट में रक्तस्राव का खतरा बढ़ जाता है। अन्य दर्द निवारक दवाएं जैसे इबुप्रोफेन, नेप्रोक्सेन या एस्पिरिन बिना डॉक्टर की सलाह के न लें। अगर आपको दिल की बीमारी, उच्च रक्तचाप, गुर्दे या लीवर की बीमारी, दमा या पेट के अल्सर की समस्या है तो डॉक्टर को बताएं। बिना डॉक्टर की सलाह के 10 दिन से ज्यादा इस दवा का इस्तेमाल न करें। नियमित जांच के लिए डॉक्टर के पास जाते रहें।
💊 arthadol 400mg tablet Uses & Benefits
[{"condition":"Osteoarthritis","description":"Relieves joint pain, inflammation" class="semantic-link" title="Medicines for swelling">swelling, and stiffness in the knees, hips, hands, and spine, improving mobility and daily function.","evidence":"Well-established"},{"condition":"Rheumatoid arthritis","description":"Reduces joint inflammation, pain, and morning stiffness in adults with active rheumatoid arthritis.","evidence":"Well-established"},{"condition":"Juvenile idiopathic arthritis","description":"Used in some older children and adolescents to reduce joint inflammation and pain under specialist supervision.","evidence":"Moderate"},{"condition":"Acute pain","description":"Short-term relief of mild to moderate acute pain, such as musculoskeletal strain or post-procedural pain, when other options are unsuitable.","evidence":"Moderate"},{"condition":"Ankylosing spondylitis","description":"May reduce pain and stiffness in inflammatory spine disease as part of a broader treatment plan.","evidence":"Limited"}]
Off-label uses: [{"condition":"Migraine headache","description":"Sometimes used off-label for acute migraine pain, but it is not a first-line treatment and should only be used if prescribed.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May be used off-label for menstrual cramps when other NSAIDs are not effective or not tolerated.","evidence":"Limited"},{"condition":"Soft tissue injuries","description":"Occasionally prescribed off-label for short-term relief of sprains, strains, and tendinitis.","evidence":"Limited"}]
Primary treatment for: Osteoarthritis
Also treats: Rheumatoid arthritis, Juvenile idiopathic arthritis, Ankylosing spondylitis, Acute musculoskeletal pain
📋 Drug Information
| Generic Name(s) | Etodolac |
| Brand Name | Arthadol 400mg Tablet |
| Manufacturer | Semiotic Pharmaceutical Private Limited |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | NSAID's- Non-Selective COX 1&2 Inhibitors (acetic acid) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep the tablets in their original container, tightly closed, away from moisture, heat, and direct light. Do not store in the bathroom. Keep out of reach of children and pets. |
| Shelf Life | The shelf life is typically 24 to 36 months from the date of manufacture, depending on the manufacturer and packaging. Always check the expiry date printed on the pack and do not use the medicine after that date. |
| WHO Guideline | Not established from the available information. WHO does not provide specific recommendations for Etodolac in its essential medicines list. |
| ICMR Guideline | Not established from the available information. ICMR guidelines may recommend NSAIDs for arthritis pain, but specific recommendations for Etodolac are not established. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by selectively inhibiting the cyclooxygenase-2 (COX-2) enzyme more than the cyclooxygenase-1 (COX-1) enzyme. COX-2 is induced at sites of inflammation and produces prostaglandins that cause pain, swelling, and fever. By blocking COX-2, this medicine reduces prostaglandin production and thereby lowers inflammation and pain. Because it has less effect on COX-1, which protects the stomach lining and supports platelet function, it may cause fewer stomach ulcers than non-selective NSAIDs, although the risk is not zero. The pain-relieving and anti-inflammatory effects are the result of this enzyme inhibition in joints, muscles, and other inflamed tissues.
Mechanism Steps
💡 How to Take arthadol 400mg tablet
Strength: Etodolac 400 mg immediate-release tablet for oral administration.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine for arthritis is 400 mg taken orally every 6 to 8 hours as needed for pain and inflammation, not to exceed 1000 mg per day in divided doses. Some clinicians may prescribe 400 mg twice daily or 300 mg three to four times daily. The exact dose and frequency depend on the condition being treated, your response, your age, and your kidney and liver function. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not adjust your dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information for this specific 400 mg immediate-release tablet. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Older adults, especially those above 65 years, are at higher risk of gastrointestinal bleeding, kidney problems, and cardiovascular events. The lowest effective dose should be used for the shortest possible duration. Kidney and liver function should be monitored, and the dose may need to be reduced based on individual response and tolerability. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with kidney impairment. In mild to moderate kidney impairment, no specific dose adjustment is usually required, but kidney function should be monitored. In severe kidney impairment, this medicine is generally not recommended. Dose must be individualized by a qualified clinician based on renal function. |
| Hepatic Impairment | Use with caution in patients with liver impairment. In mild to moderate liver impairment, dose reduction may be considered based on clinical response and liver function tests. In severe liver impairment, this medicine is not recommended. Dose must be individualized by a qualified clinician based on hepatic function. |
| Maximum Daily Dose | The maximum recommended daily dose is 1000 mg per day in divided doses for adults. Do not exceed this dose without medical advice. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of arthadol 400mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Aspirin | Major | |
| Ibuprofen | Major | |
| Naproxen | Major | |
| Corticosteroids | Major | |
| ACE inhibitors | Moderate | |
| Diuretics | Moderate | |
| Lithium | Major | |
| Methotrexate | Major | |
| SSRIs | Moderate |
🚨 Major Interactions
- Warfarin and other anticoagulants
- Aspirin and other NSAIDs
- Corticosteroids
- ACE inhibitors and angiotensin receptor blockers
- Lithium
- Methotrexate
⚡ Moderate Interactions
- Diuretics such as furosemide and hydrochlorothiazide
- Cyclosporine
- Digoxin
- SSRIs and SNRIs
- Antihypertensives
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Combining alcohol with Etodolac increases the risk of stomach irritation, ulcers, and gastrointestinal bleeding. It also adds to the workload on the liver. If you drink alcohol regularly, discuss this with your doctor before starting this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy or hypersensitivity to Etodolac or any component of this medicine","History of asthma, urticaria, or allergic-type reaction after taking aspirin or other NSAIDs","Active or recent gastrointestinal bleeding, ulcer, or perforation","Severe heart failure or recent coronary artery bypass graft surgery","Severe kidney disease or severe liver disease","Third trimester of pregnancy","Breastfeeding without medical advice"]
⚠️ Warnings & Precautions
["Take the lowest effective dose for the shortest duration that controls symptoms.","Avoid alcohol and other NSAIDs while taking this medicine.","Tell your doctor if you have heart disease, high blood pressure, kidney disease, liver disease, asthma, or a history of stomach ulcers.","This medicine may increase the risk of heart attack or stroke, especially with long-term use.","It can cause stomach bleeding without warning symptoms; report black stools or vomiting blood immediately.","Use with caution in older adults, who are at higher risk of side effects.","Do not use during the third trimester of pregnancy.","Inform your doctor if you are planning pregnancy or breastfeeding.","Do not drive or operate machinery if you feel dizzy or drowsy.","Keep all follow-up appointments for monitoring."]
🤱 Lactation Safety
Etodolac is excreted in small amounts in breast milk. Because of the potential for serious side effects in a nursing infant, this medicine is generally not recommended during breastfeeding unless your doctor has determined it is essential. If you must take it, monitor your baby for irritability, feeding problems, or unusual sleepiness and consult your pediatrician.
💊 Overdose Management
Overdose with this medicine can cause severe stomach pain, nausea, vomiting, drowsiness, headache, ringing in the ears, gastrointestinal bleeding, and in severe cases, kidney or liver damage, seizures, and coma. If you suspect an overdose, seek emergency medical care immediately. Do not try to induce vomiting unless instructed by a healthcare professional. Treatment is supportive and may include activated charcoal, stomach lavage if seen early, and monitoring of vital signs, kidney function, liver function, and blood counts. There is no specific antidote.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, provided it is not almost time for your next dose. If it is nearly time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose. If you are unsure what to do, contact your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your clinician, using the lowest effective dose for the shortest duration that controls your symptoms. Swallow the tablet whole with a full glass of water and take it with food or milk to reduce stomach irritation. Do not crush, chew, or break the tablet unless your pharmacist or doctor has told you it is safe to do so. Avoid alcohol while taking this medicine because it increases the risk of stomach bleeding and liver strain. Do not take other NSAIDs, including over-the-counter pain relievers such as ibuprofen, naproxen, or aspirin, without checking with your clinician first. Tell your doctor about all other medicines you take, especially blood thinners, blood pressure medicines, antidepressants, corticosteroids, and diuretics. If you have heart disease, high blood pressure, kidney disease, liver disease, asthma, or a history of stomach ulcers, discuss whether this medicine is appropriate for you. Do not use this medicine for more than 10 days for pain unless your clinician has specifically instructed you to do so. Keep all follow-up appointments so your doctor can monitor your blood pressure, kidney function, liver function, and blood counts if needed. Store this medicine at room temperature, away from moisture, heat, and direct light, and keep it out of reach of children and pets.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults, especially those above 65 years, are at higher risk of gastrointestinal bleeding, kidney problems, and cardiovascular events when taking this medicine. The lowest effective dose should be used for the shortest possible duration. Kidney and liver function should be monitored regularly. Older adults may also be more sensitive to dizziness and drowsiness, so caution is advised with driving and fall prevention.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss this medicine with your doctor before conception. This medicine is not recommended during the third trimester and should be used with caution in the first and second trimesters. It may also affect ovulation and fertility in some women, although this effect is usually reversible after stopping the medicine. Your doctor may recommend alternative treatments if you are trying to conceive.
🏥 Post-Surgery Considerations
This medicine may be used for post-surgical pain, but it should be used with caution because it can increase the risk of bleeding and interfere with bone healing. Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. Do not take it after coronary artery bypass graft surgery. Follow your surgeon's instructions regarding when to resume or stop this medicine.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure, especially if you are scheduled for tooth extraction or gum surgery. This medicine may increase the risk of bleeding. Your dentist may recommend stopping it temporarily or taking precautions to control bleeding. Do not stop the medicine without consulting your prescribing doctor.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you may feel less pain and be tempted to overexert yourself. Gradually increase your activity level and avoid high-impact exercises that strain your joints. If you experience dizziness or drowsiness, avoid activities that require alertness, such as driving or operating machinery. Consult your doctor or physiotherapist before starting a new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, drowsiness, or blurred vision in some people. Avoid driving or operating heavy machinery until you know how it affects you. If your work involves physical labor, take care not to overexert yourself, as pain relief may mask the warning signs of injury. Discuss any workplace accommodations with your employer if needed. Most people can continue their usual activities while taking this medicine, but listen to your body and rest when necessary.
🛑 When to Stop This Medicine
Stop taking this medicine and contact your doctor immediately if you experience any serious side effects, such as black stools, vomiting blood, severe abdominal pain, chest pain, difficulty breathing, swelling of the face or throat, yellowing of the skin or eyes, or decreased urination. Do not stop taking this medicine abruptly if you have been on it for a long time without consulting your doctor, as your symptoms may flare up. Your doctor will advise you on how to taper or stop the medicine safely.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of gastrointestinal bleeding, ulcers, kidney problems, liver injury, and cardiovascular events such as heart attack and stroke. Regular monitoring of blood pressure, kidney function, liver function, and blood counts may be necessary. Your doctor may recommend periodic reviews to assess whether continued use is appropriate and whether the dose can be reduced or the medicine stopped. Long-term use should be avoided unless clearly necessary and supervised by a clinician.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain by strengthening muscles and improving joint mobility.
Evidence: Well-establishedLosing excess weight reduces stress on weight-bearing joints and can improve arthritis symptoms.
Evidence: Well-establishedMay provide localized pain relief with fewer systemic side effects for some patients.
Evidence: ModerateSome patients find relief from chronic pain with acupuncture, though evidence is mixed.
Evidence: LimitedApplying heat or cold packs can help reduce pain and stiffness temporarily.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled to receive a live vaccine, inform your doctor that you are taking this medicine. This medicine does not suppress the immune system significantly, so it is generally safe to receive vaccines while taking it.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not refrigerate unless specified.
✅ DO
Keep in the original container, tightly closed.
❌ DON'T
Do not transfer to unmarked containers.
✅ DO
Keep away from direct sunlight and moisture.
❌ DON'T
Do not store in the bathroom cabinet.
✅ DO
Keep out of reach of children and pets.
❌ DON'T
Do not use after the expiry date.
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label clearly visible. Bring a copy of your prescription or a letter from your doctor, especially if you are crossing international borders. Keep the medicine in your carry-on luggage rather than checked baggage to avoid loss or temperature extremes. Store it at room temperature, away from direct sunlight and moisture. If you are crossing time zones, continue taking your doses at the same intervals as prescribed, but adjust the timing gradually to your new local schedule. Do not stop or change your dose without consulting your doctor. If you are traveling for an extended period, ensure you have enough supply and a refill plan.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Pain relief may begin within 30 to 60 minutes after taking a dose, but the full anti-inflammatory effect for arthritis usually develops over several days to two weeks of regular use.
A: It is best to take this medicine with food or milk to reduce the risk of stomach upset and heartburn.
A: Do not take other NSAIDs, such as ibuprofen, naproxen, or aspirin, without consulting your doctor, as this increases the risk of stomach bleeding and kidney problems.
A: No, alcohol should be avoided because it increases the risk of stomach bleeding and liver strain.
A: If you remember within half the dosing interval, take the missed dose. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: This medicine is not recommended during the third trimester of pregnancy. Consult your doctor if you are pregnant or planning pregnancy.
A: This medicine may increase blood pressure. If you have high blood pressure, your doctor will monitor it closely and may adjust your treatment.
A: Use the lowest effective dose for the shortest duration that controls your symptoms. Do not use it for more than 10 days for pain unless your doctor has instructed you to do so.
🤔 Common Patient Concerns
🔄 Substitutes for arthadol 400mg tablet
View AllAlternative brands with exact same active ingredient:
-
etolife 400mg tabletTorrent Pharmaceuticals Ltd ₹45.94 62% CHEAPER
-
etomax 400mg tabletIpca Laboratories Ltd ₹48.75 59.7% CHEAPER
-
davaindia etodolac 400mg tabletDavaindia Generic Pharmacy ₹55.00 54.5% CHEAPER
-
etoswift 400mg tabletOrchid Chemicals & Pharmaceuticals Ltd ₹56.31 53.5% CHEAPER
-
etosoft 400mg tablet erHauz Pharma Pvt Ltd ₹70.31 41.9% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Etodolac is completely safe for the stomach because it is a COX-2 selective NSAID.
Fact: While Etodolac may cause fewer stomach ulcers than non-selective NSAIDs, it still carries a risk of gastrointestinal bleeding and ulcers, especially with long-term use or in high-risk patients. - Myth: You can take Etodolac on an empty stomach without any problems.
Fact: Taking Etodolac with food or milk reduces the risk of stomach upset and heartburn. - Myth: Etodolac can be taken indefinitely without monitoring.
Fact: Long-term use requires regular monitoring of blood pressure, kidney function, and liver function, and should be reviewed by your doctor periodically. - Myth: Etodolac is safe to take with other pain relievers like ibuprofen.
Fact: Combining NSAIDs increases the risk of stomach bleeding and kidney problems and is generally not recommended.
🔄 Alternative Options
Generic Alternatives
- Etodolac 400 mg tablet
Brand Alternatives
- Arthadol 400 mg tablet