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

Aldigesic P 50mg/125mg Oral Suspension: Complete Medicine Guide

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🏭 Ozenius Pharmaceuticals 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for short-term pain and fever.
Reviewed by
SaathiMed Expert Panel | Sep 23, 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 azeclo oral suspension used for?

This medicine is a combination of aceclofenac and paracetamol used for short-term relief of pain and fever. It works by reducing inflammation and pain. Take it with food and avoid alcohol.

  • Generic Name: Aceclofenac + Paracetamol
  • Manufacturer: Ozenius Pharmaceuticals
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

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

उपयोग: यह दवा एसिटोक्लोफेनाक और पैरासिटामोल का संयोजन है, जिसका उपयोग दर्द और बुखार से राहत के लिए किया जाता है। यह मांसपेशियों के दर्द, दांत दर्द, सर्जरी के बाद के दर्द और ऑस्टियोआर्थराइटिस में प्रभावी है।

साइड इफेक्ट्स: आम 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 की समस्या, यकृत की क्षति और गंभीर एलर्जी प्रतिक्रिया शामिल हो सकती है।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे भोजन के साथ लें ताकि पेट की जलन कम हो। शराब का सेवन न करें। अन्य दर्द निवारक दवाओं के साथ लेने से पहले डॉक्टर से सलाह लें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से परामर्श करें।

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

💊 azeclo oral suspension Uses & Benefits

[{"condition":"Acute musculoskeletal pain","description":"Relieves pain and inflammation in conditions such as sprains, strains, and back pain.","evidence":"Well-established"},{"condition":"Dental pain","description":"Provides relief from toothache and pain following dental procedures.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Used for short-term management of pain after surgery.","evidence":"Well-established"},{"condition":"Fever","description":"Reduces fever associated with various conditions.","evidence":"Well-established"},{"condition":"Osteoarthritis","description":"May be used for short-term relief of pain and stiffness in osteoarthritis.","evidence":"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: Acute pain and fever

Also treats: Musculoskeletal pain, Dental pain, Post-operative pain, Osteoarthritis

📋 Drug Information

Generic Name(s)Aceclofenac + Paracetamol
Brand NameAldigesic P
ManufacturerOzenius Pharmaceuticals
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassNSAID + Analgesic/Antipyretic
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Do not refrigerate. Keep the bottle tightly closed.
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
Limit treatment duration to the shortest time necessary to control symptoms.
3
Assess renal and hepatic function before starting and during prolonged therapy.
4
Warn patients about the risk of bleeding, especially if on anticoagulants.
5
Advise patients to avoid alcohol and other NSAIDs while taking this medicine.
6
Monitor for signs of gastrointestinal bleeding, especially in elderly patients.
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.

Acute pain
This medicine is commonly prescribed for this.
Likely Use
Fever
This medicine helps reduce fever.
Likely Use
Chronic pain
Not for long-term use without medical supervision.
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 absorbed, with peak levels occurring within 0.5 to 2 hours. Food may delay absorption but does not significantly affect the extent of absorption.
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 about 10-25% bound to plasma proteins.
MetabolismAceclofenac is metabolized in the liver primarily by cytochrome P450 2C9 to inactive metabolites. Paracetamol is metabolized in the liver via glucuronidation and sulfation, with a small fraction metabolized by CYP2E1 to a toxic intermediate (NAPQI) that is normally detoxified by glutathione.
Half-LifeThe elimination half-life of aceclofenac is approximately 3 to 4 hours. Paracetamol has a half-life of about 2 to 3 hours.
ExcretionAceclofenac and its metabolites are excreted primarily in the urine. Paracetamol metabolites are excreted in the urine, with about 90% excreted within 24 hours.
BioavailabilityThe oral bioavailability of aceclofenac is approximately 80-100%. Paracetamol has an oral bioavailability of about 80-90%.
Onset of ActionPain relief typically begins within 30 to 60 minutes after oral administration.
Peak Plasma TimeAceclofenac reaches peak plasma concentration in about 1.5 to 3 hours. Paracetamol peaks in about 0.5 to 2 hours.
Duration of ActionThe analgesic and antipyretic effects last for approximately 4 to 6 hours.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Aceclofenac is a nonsteroidal anti-inflammatory drug that inhibits the cyclooxygenase (COX) enzymes, particularly COX-2, thereby reducing the 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 effective analgesia and antipyresis.

Mechanism Steps

1
Inhibition of cyclooxygenase enzymes: Aceclofenac inhibits the COX-1 and COX-2 enzymes, reducing the production of prostaglandins from arachidonic acid.
2
Reduction of prostaglandin synthesis: Decreased prostaglandin levels lead to reduced inflammation, pain, and fever.
3
Central analgesic action of paracetamol: Paracetamol acts on the central nervous system to inhibit prostaglandin synthesis and modulate pain perception.
4
Combined analgesic and antipyretic effect: The two ingredients work together to provide enhanced pain relief and fever reduction compared to either alone.

💡 How to Take azeclo oral suspension

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

1Shake the bottle well before each use.
2Use the measuring cup or syringe provided to measure the correct dose.
3Take the medicine with food or milk to reduce stomach upset.
4Swallow the suspension directly; do not mix with other liquids unless advised.
5Wash the measuring cup after each use.
6Take at the same times each day to maintain consistent levels.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 10 ml (providing 50 mg aceclofenac and 125 mg paracetamol) taken orally two to three times daily, or as directed by your doctor. The dose may be adjusted based on the severity of pain and the patient's 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.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine, especially gastrointestinal and renal side effects. Use with caution and at 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.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose reduction may be necessary. Consult your doctor for appropriate dosing.
Maximum Daily DoseThe maximum daily dose should not exceed 30 ml (150 mg aceclofenac and 375 mg paracetamol) in divided doses, unless otherwise prescribed by a doctor.

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 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 azeclo oral suspension

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Vomiting (Common (5-10%))
Stay hydrated and take with food. Consult doctor if severe.
Stomach pain (Common (5-10%))
Take with food or milk. If pain is severe or persistent, seek medical advice.
Indigestion (Common (5-10%))
Avoid spicy foods. Consult doctor if it continues.
Headache (Common (5-10%))
Rest and stay hydrated. Consult doctor if severe.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.
Drowsiness (Common (5-10%))
Avoid driving or operating machinery. Consult doctor if persistent.

🚨 Serious Side Effects

Gastrointestinal bleeding (Rare (<0.1%))
Seek immediate medical attention if you notice black or bloody stools, vomiting blood, or severe abdominal pain.
Peptic ulcer (Rare (<0.1%))
Seek medical attention if you experience severe stomach pain or indigestion.
Kidney impairment (Rare (<0.1%))
Report decreased urine output or swelling to your doctor immediately.
Liver damage (Rare (<0.1%))
Seek immediate care if you notice yellowing of skin or eyes, dark urine, or severe fatigue.
Severe allergic reaction (Rare (<0.1%))
Seek emergency help if you experience swelling of face, lips, throat, or difficulty breathing.

⚠️ Rare Side Effects

Blood disorders
Report unusual bruising or bleeding to your doctor.
Stevens-Johnson syndrome
Seek immediate medical attention if you develop a rash with blisters or peeling skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Other NSAIDs Major
Corticosteroids Major
Methotrexate Major
Antihypertensives Moderate
Diuretics Moderate
Lithium Moderate
Antacids Minor
Cholestyramine Minor

🚨 Major Interactions

  • Warfarin
  • Other NSAIDs
  • Corticosteroids
  • Methotrexate

⚡ Moderate Interactions

  • Antihypertensives
  • Diuretics
  • Lithium

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol can increase the risk of gastrointestinal bleeding and liver damage, especially with paracetamol.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to aceclofenac, paracetamol, or any component of the formulation","Active peptic ulcer or history of recurrent ulcers","Severe renal impairment","Severe hepatic impairment","History of asthma, urticaria, or allergic reaction to aspirin or other NSAIDs","Third trimester of pregnancy","Children under 12 years (unless specifically prescribed)"]

⚠️ Warnings & Precautions

["Take with food to reduce gastrointestinal irritation.","Avoid alcohol during treatment.","Do not exceed the recommended dose or duration.","Use with caution in elderly patients and those with kidney or liver disease.","May cause dizziness or drowsiness; avoid driving or operating machinery until you know how it affects you.","Do not use for more than 7 days without medical advice.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","May interact with other medications; inform your doctor about all medicines you are taking."]

🤱 Lactation Safety

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

💊 Overdose Management

Overdose can cause severe liver damage, especially from paracetamol. Symptoms of overdose may include nausea, vomiting, abdominal pain, and confusion. Seek immediate medical attention. Treatment may include activated charcoal, N-acetylcysteine for paracetamol toxicity, and supportive care.

⏰ 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 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 stomach bleeding and liver damage. Do not take other pain relievers or fever reducers containing paracetamol or NSAIDs without consulting your doctor. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, asthma, or bleeding disorders. If you are pregnant or breastfeeding, consult your doctor before using this medicine. Do not use this medicine for more than 7 days without medical advice. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events. Use with caution and at the lowest effective dose for the shortest duration.

🤰 Pregnancy Planning (TTC)

Consult your doctor before taking this medicine if you are planning pregnancy. NSAIDs may affect ovulation and are not recommended during pregnancy, especially in the third trimester.

🏥 Post-Surgery Considerations

This medicine may be used for post-operative pain, but consult your surgeon before use, especially if you are on blood thinners or have kidney problems.

🦷 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 joint stress.
🥗
Regular low-impact exercise like swimming.
😴
Practice good posture.
💧
Include anti-inflammatory foods in your diet.
🧘
Get adequate sleep.
🌞
Stay hydrated.

🏋️ Exercise Considerations

Avoid strenuous exercise while taking this medicine, especially if you have pain or inflammation. Consult your doctor before starting any exercise program.

🥗 Diet Recommendations

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

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how it affects you. It may also cause stomach upset, so take with food.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if symptoms persist beyond 7 days, if you experience severe side effects, or if you develop signs of gastrointestinal bleeding, liver problems, or allergic reactions.

📅 Long-Term Use Effects

Long-term use of this medicine may increase the risk of gastrointestinal bleeding, kidney impairment, and liver damage. Regular monitoring of liver and kidney function is advised. Use the lowest effective dose for the shortest duration.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain.

Evidence: Well-established
Hot/cold therapy

May help reduce pain and inflammation.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are established. However, if you have a fever, consult your doctor before vaccination.

📦 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 a sufficient supply for your trip.

💰 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 30-year-old woman with acute dental pain
Took this medicine for severe toothache before a dental procedure. Experienced relief within 30 minutes. Reminded to avoid alcohol and not exceed the recommended dose.
💡 Lesson: This medicine provides rapid relief for acute pain but should be used short-term.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Pain relief typically begins within 30 to 60 minutes after taking this medicine.

Q: Can I take it on an empty stomach?

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

Q: Is it safe for children?

A: Pediatric dosing is not established. Consult a pediatrician.

🤔 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 azeclo 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 long-term for chronic pain.
    Fact: It is intended for short-term use only. Long-term use requires medical supervision.
  • Myth: It is safe to take with alcohol.
    Fact: Alcohol increases the risk of liver damage and stomach bleeding.
  • Myth: More medicine means faster relief.
    Fact: Exceeding the dose can cause serious harm. Always follow the prescribed dose.

🔄 Alternative Options

Generic Alternatives

  • Aceclofenac + Paracetamol oral suspension (generic)

Brand Alternatives

  • Aldigesic P 50mg/125mg Oral Suspension

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Aceclofenac 50mg/5ml + Paracetamol 125mg/5ml","uses":"Pain and fever","notes":"Take with food."},{"medicine":"Ibuprofen + Paracetamol","composition":"Ibuprofen 100mg/5ml + Paracetamol 125mg/5ml","uses":"Pain and fever","notes":"Also take with food."}]

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