Aldigesic MR Tablet: Comprehensive Guide to Uses, Side Effects, and Safety
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 bleeding or bruising
- Severe skin rash or blistering
If experiencing severe symptoms, call emergency services immediately.
What is astodol mr 100mg/250mg/325mg tablet used for?
This medicine is a combination of Aceclofenac (an NSAID) and Chlorzoxazone (a muscle relaxant) used for short-term relief of painful musculoskeletal conditions such as muscle spasms, low back pain, and post-operative pain. It works by reducing inflammation and relaxing muscles. It should be taken with food and avoided in people with stomach ulcers, severe kidney or liver disease, and during the third trimester of pregnancy.
- Generic Name: Aceclofenac + Chlorzoxazone
- Manufacturer: Dokcare Life Sciences
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 astodol mr 100mg/250mg/325mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एसिफेनाक और क्लोरज़ोक्साज़ोन का संयोजन है, जिसका उपयोग मांसपेशियों में दर्द, ऐंठन और सूजन के इलाज के लिए किया जाता है। यह मांसपेशियों को आराम देकर और सूजन को कम करके दर्द से राहत दिलाती है। इसका उपयोग आमतौर पर कमर दर्द, गर्दन दर्द, मांसपेशियों में खिंचाव और ऑपरेशन के बाद के दर्द में किया जाता है। यह दवा केवल डॉक्टर के पर्चे पर ही लेनी चाहिए और खाने के बाद लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट दर्द, सिरदर्द, चक्कर आना और नींद आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें पेट में रक्तस्राव, अल्सर, गुर्दे या यकृत की समस्या और गंभीर एलर्जी प्रतिक्रिया शामिल हो सकती है। यदि आपको काला मल, खून की उल्टी, त्वचा या आंखों का पीलापन, या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे खाने के बाद लें ताकि पेट में जलन न हो। इस दवा के साथ शराब न लें क्योंकि इससे पेट में रक्तस्राव और लीवर की समस्या का खतरा बढ़ सकता है। यदि आपको नींद या चक्कर आते हैं तो वाहन न चलाएं। यदि आप गर्भवती हैं, गर्भधारण की योजना बना रही हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें। बच्चों को यह दवा न दें।
💊 astodol mr 100mg/250mg/325mg tablet Uses & Benefits
[{"condition":"Musculoskeletal pain and spasm","description":"Relieves pain and muscle spasm associated with conditions like low back pain, neck pain, and myofascial pain syndrome.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Used for short-term management of pain and inflammation after orthopedic surgeries.","evidence":"Well-established"},{"condition":"Traumatic pain","description":"Helps reduce pain and swelling following soft tissue injuries like sprains and strains.","evidence":"Well-established"},{"condition":"Osteoarthritis","description":"Provides symptomatic relief of pain and stiffness in osteoarthritis, though not a disease-modifying agent.","evidence":"Well-established"},{"condition":"Rheumatoid arthritis","description":"Used as an adjunct for pain relief in rheumatoid arthritis, but does not alter disease progression.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Dysmenorrhea","description":"Sometimes prescribed off-label for menstrual pain due to its anti-inflammatory and analgesic properties.","evidence":"Limited"},{"condition":"Dental pain","description":"May be used off-label for short-term relief of dental pain and associated muscle spasm.","evidence":"Limited"}]
Primary treatment for: Musculoskeletal pain and spasm
Also treats: Osteoarthritis, Rheumatoid arthritis, Post-operative pain, Traumatic pain, Low back pain, Neck pain
📋 Drug Information
| Generic Name(s) | Aceclofenac + Chlorzoxazone |
| Brand Name | Aldigesic MR Tablet |
| Manufacturer | Dokcare Life Sciences |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | NSAID + Muscle Relaxant |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container, tightly closed. Do not refrigerate unless specified. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture, or as indicated on the packaging. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ 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 combines two active ingredients with complementary mechanisms. Aceclofenac, an NSAID, inhibits the cyclooxygenase (COX) enzymes, particularly COX-2, thereby reducing the synthesis of prostaglandins, which are mediators of pain, inflammation, and fever. Chlorzoxazone is a centrally acting muscle relaxant that primarily inhibits polysynaptic reflexes in the spinal cord and subcortical areas of the brain, reducing muscle spasm and associated pain. The combination provides both anti-inflammatory and muscle relaxant effects, offering relief in painful musculoskeletal conditions.
Mechanism Steps
💡 How to Take astodol mr 100mg/250mg/325mg tablet
Strength: Aceclofenac 100 mg + Chlorzoxazone 250 mg immediate-release tablet.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally two to three times daily, preferably after meals. The exact dose and duration of treatment depend on the condition being treated, its severity, and the patient's response. The maximum recommended daily dose is typically two to three tablets, but this must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. Use the lowest effective dose for the shortest duration necessary to control symptoms. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients (above 65 years) may be more sensitive to the effects of this medicine, particularly gastrointestinal, renal, and cardiovascular side effects. Use with caution, and the dose may need to be reduced. Close monitoring is advised. Dose must be individualized by a qualified clinician based on renal and hepatic function. |
| Renal Impairment | Use with caution in patients with renal impairment. In patients with severe renal impairment (creatinine clearance <30 mL/min), this medicine is contraindicated. For mild to moderate renal impairment, dose reduction may be necessary. Consult a doctor for individualized dosing. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. In severe hepatic impairment, this medicine is contraindicated. For mild to moderate impairment, dose reduction may be required. Regular monitoring of liver function is advised. Consult a doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is typically three tablets (Aceclofenac 300 mg + Chlorzoxazone 750 mg) per day, but this must be individualized by a qualified clinician. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of astodol mr 100mg/250mg/325mg 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 | |
| Ibuprofen | Major | |
| Corticosteroids | Major | |
| Methotrexate | Major | |
| Lithium | Major | |
| ACE inhibitors | Major | |
| SSRIs | Moderate | |
| Oral hypoglycemics | Moderate | |
| Phenytoin | Moderate | |
| CNS depressants | Moderate |
🚨 Major Interactions
- Warfarin
- Other NSAIDs (e.g., ibuprofen, naproxen)
- Corticosteroids
- Methotrexate
- Lithium
- Antihypertensives (ACE inhibitors, ARBs, diuretics)
⚡ Moderate Interactions
- SSRIs
- Oral hypoglycemics
- Phenytoin
- CNS depressants (e.g., benzodiazepines, opioids)
- Rifampicin
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Concurrent use can increase the risk of gastrointestinal bleeding, ulcers, and liver toxicity. It may also enhance central nervous system depression, leading to increased drowsiness and dizziness.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to Aceclofenac, Chlorzoxazone, or any component of the formulation.","History of asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs.","Active peptic ulcer or history of recurrent peptic ulcer.","Severe heart failure, ischemic heart disease, peripheral arterial disease, and/or cerebrovascular disease.","Severe hepatic impairment.","Severe renal impairment (creatinine clearance
⚠️ Warnings & Precautions
["Take with food or milk to minimize gastrointestinal irritation.","Avoid alcohol consumption as it increases the risk of gastrointestinal bleeding and liver toxicity.","Use with caution in elderly patients due to increased risk of adverse effects.","Do not use for prolonged periods without medical supervision.","May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Inform your doctor if you have a history of gastrointestinal bleeding, ulcers, kidney or liver disease, hypertension, or heart disease.","Do not take other NSAIDs or pain relievers concurrently without consulting your doctor.","Monitor for signs of allergic reactions and seek immediate medical help if they occur."]
🤱 Lactation Safety
It is not known whether Aceclofenac and Chlorzoxazone are excreted in human breast milk. Due to the lack of data, this medicine should be used with caution in breastfeeding women. Consult your doctor to weigh the benefits and risks.
💊 Overdose Management
Overdose of this medicine may cause symptoms such as nausea, vomiting, abdominal pain, drowsiness, dizziness, and in severe cases, gastrointestinal bleeding, liver damage, or kidney failure. If overdose is suspected, seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if ingestion is recent. Monitor vital signs, liver and kidney function, and manage complications accordingly.
⏰ 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 take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration. Take it with food or milk to reduce stomach upset. Avoid alcohol while taking this medicine as it can increase the risk of stomach bleeding and liver problems. Do not drive or operate heavy machinery if you feel drowsy or dizzy. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, high blood pressure, or heart disease. Do not take other pain relievers or NSAIDs without consulting your doctor. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients (above 65 years) are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events with NSAIDs. Use the lowest effective dose for the shortest duration. Monitor renal and hepatic function regularly. Avoid concurrent use with other NSAIDs or anticoagulants.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. NSAIDs like Aceclofenac may interfere with ovulation and are generally avoided during pregnancy, especially in the third trimester. Chlorzoxazone safety in pregnancy is not well established.
🏥 Post-Surgery Considerations
This medicine may be prescribed for short-term pain management after surgery. However, it should be used with caution in post-operative patients due to the risk of bleeding and gastrointestinal side effects. Follow your surgeon's instructions regarding dosing and duration.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure, as it may increase the risk of bleeding. Your dentist may advise you to stop the medicine temporarily before surgery.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you may experience drowsiness or dizziness. Avoid strenuous exercise or activities that require alertness until you know how the medicine affects you. Gentle stretching and low-impact exercises may be beneficial, but consult your doctor or physiotherapist before starting any exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness, dizziness, or blurred vision in some people. Avoid driving, operating heavy machinery, or performing tasks that require mental alertness until you know how it affects you. It is advisable to inform your employer if your job involves such activities. Take frequent breaks if your work involves prolonged sitting or standing.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor immediately if you experience any serious side effects such as black or tarry stools, vomiting blood, severe abdominal pain, yellowing of skin or eyes, decreased urine output, or signs of an allergic reaction. Do not stop taking this medicine abruptly if you have been on long-term therapy without consulting your doctor, as withdrawal symptoms may occur.
📅 Long-Term Use Effects
Long-term use of this medicine can increase the risk of gastrointestinal bleeding, ulcers, kidney impairment, liver toxicity, and cardiovascular events. Regular monitoring of liver and kidney function, blood counts, and blood pressure may be required. It is not recommended for prolonged use without medical supervision. If long-term therapy is needed, the lowest effective dose should be used for the shortest duration.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and improve muscle strength and flexibility.
Evidence: Well-establishedMay help relieve chronic pain and muscle spasm.
Evidence: ModerateCan help reduce muscle spasm and pain.
Evidence: Well-establishedMay help reduce stress and muscle tension.
Evidence: Moderate💉 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 about all medications you are taking.
📦 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
When traveling, carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature, away from direct sunlight and moisture. If crossing time zones, adjust dosing times gradually to maintain consistent intervals. Check local customs regulations regarding prescription medications. Always keep it in your carry-on luggage to avoid loss or temperature extremes.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts relieving pain and muscle spasm within 30 to 60 minutes after taking it. However, the full effect may take a few days of regular use.
A: It is best to take this medicine with food or milk to reduce the risk of stomach upset and ulcers.
A: No, alcohol should be avoided while taking this medicine as it increases the risk of gastrointestinal bleeding and liver toxicity.
A: This medicine should be avoided during the third trimester of pregnancy. Consult your doctor before use if you are pregnant or planning to become pregnant.
A: This medicine is generally prescribed for short-term use. Do not take it for longer than recommended by your doctor without medical supervision.
🤔 Common Patient Concerns
🔄 Substitutes for astodol mr 100mg/250mg/325mg tablet
View AllAlternative brands with exact same active ingredient:
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Stalace MR 100mg/250mg/325mg TabletRhythm Biotech Private Limited ₹59.00 14.5% CHEAPER
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acelonox mr tabletRaynox Healthcare Pvt. Ltd ₹61.88 10.3% CHEAPER
-
afast-mr tabletPex-care Biotech ₹65.00 5.8% CHEAPER
-
acegrot-mr tabletNumera Life Sciences ₹66.56 3.5% CHEAPER
-
acenod-mr tabletAeryn Lifesciences Pvt Ltd ₹69.00 SAME PRICE
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken long-term for chronic pain.
Fact: This medicine is intended for short-term use only. Prolonged use increases the risk of gastrointestinal, renal, and cardiovascular side effects. - Myth: It is safe to take this medicine on an empty stomach.
Fact: Taking it with food is recommended to reduce stomach upset and the risk of ulcers. - Myth: This medicine is safe during pregnancy.
Fact: It should be avoided during the third trimester and used only if clearly needed during other trimesters under medical supervision. - Myth: You can drink alcohol while taking this medicine.
Fact: Alcohol should be avoided as it increases the risk of gastrointestinal bleeding and liver toxicity.
🔄 Alternative Options
Generic Alternatives
- Aceclofenac 100 mg + Chlorzoxazone 250 mg tablet (various manufacturers)
Brand Alternatives
- Aldigesic MR Tablet