Cutodo 600mg Tablet ER (Etodolac): 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 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 weight gain or swelling in ankles
- Severe rash or blistering of skin
- Persistent nausea or vomiting
If experiencing severe symptoms, call emergency services immediately.
What is cutodo 600mg tablet er used for?
This medicine contains Etodolac 600 mg, an NSAID used to relieve pain, swelling, and stiffness in conditions like osteoarthritis and rheumatoid arthritis. It works by blocking COX enzymes and reducing prostaglandins. Take it with food to reduce stomach upset and avoid alcohol.
- Generic Name: Etodolac
- Manufacturer: Cubit Healthcare
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 cutodo 600mg tablet er के बारे में (Hindi Summary)
उपयोग: यह दवा एटोडोलैक 600 मिलीग्राम एक्सटेंडेड-रिलीज़ टैबलेट के रूप में उपलब्ध है और मुख्य रूप से गठिया (ऑस्टियोआर्थराइटिस और रूमेटॉइड आर्थराइटिस) के कारण होने वाले दर्द, सूजन और अकड़न को कम करने के लिए उपयोग की जाती है। यह दर्द निवारक और सूजन कम करने वाली दवा है जो शरीर में प्रोस्टाग्लैंडिन नामक रसायन को कम करके काम करती है। यह दवा गाउट, बर्साइटिस, टेंडोनाइटिस और सर्जरी या चोट के बाद होने वाले दर्द में भी राहत देती है। इसे डॉक्टर के निर्देशानुसार ही लें और खाने के साथ लें ताकि पेट में जलन न हो।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में पेट खराब होना, जी मिचलाना, सिरदर्द, चक्कर आना और नींद आना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें पेट या आंतों में रक्तस्राव, अल्सर, गुर्दे की समस्या, लीवर की क्षति और गंभीर एलर्जी प्रतिक्रिया शामिल हो सकती है। यदि आपको काला या खूनी मल, खून की उल्टी, तेज पेट दर्द, आंखों या त्वचा का पीलापन, पेशाब कम आना, चेहरे या गले में सूजन या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से मात्रा न बढ़ाएं और न ही लंबे समय तक लें। इसे पूरे गिलास पानी के साथ और खाने के साथ लें ताकि पेट में जलन न हो। एक्सटेंडेड-रिलीज़ टैबलेट को चबाएं या तोड़ें नहीं, इसे पूरा निगल लें। इस दवा के साथ शराब न पिएं क्योंकि इससे पेट में रक्तस्राव का खतरा बढ़ जाता है। अन्य दर्द निवारक दवाएं (जैसे इबुप्रोफेन, नेप्रोक्सन या एस्पिरिन) बिना डॉक्टर की सलाह के न लें। यदि आप गर्भवती हैं, स्तनपान करा रही हैं या गर्भधारण की योजना बना रही हैं तो डॉक्टर से सलाह लें।
💊 cutodo 600mg tablet er Uses & Benefits
[{"condition":"Osteoarthritis","description":"Relieves pain, inflammation" class="semantic-link" title="Medicines for swelling">swelling, and stiffness in joints affected by osteoarthritis, improving mobility and daily function.","evidence":"Well-established"},{"condition":"Rheumatoid arthritis","description":"Reduces joint pain, swelling, and inflammation associated with rheumatoid arthritis.","evidence":"Well-established"},{"condition":"Acute gout","description":"Helps relieve acute pain and inflammation during gout attacks.","evidence":"Well-established"},{"condition":"Bursitis and tendonitis","description":"Reduces pain and inflammation in conditions affecting bursae and tendons.","evidence":"Well-established"},{"condition":"Mild to moderate acute pain","description":"Used for short-term relief of pain following surgery, dental procedures, or musculoskeletal injuries.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label to prevent migraines, but evidence is limited and it is not a first-line option.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May be used off-label for menstrual cramps, though other NSAIDs are more commonly used.","evidence":"Limited"}]
Primary treatment for: Osteoarthritis
Also treats: Rheumatoid arthritis, Acute gout, Bursitis, Tendonitis, Mild to moderate acute pain
📋 Drug Information
| Generic Name(s) | Etodolac |
| Brand Name | Arthadol 400mg Tablet |
| Manufacturer | Cubit Healthcare |
| 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 this medicine at room temperature between 15°C and 30°C (59°F to 86°F). Keep it in a tightly closed container, away from moisture, heat, and direct light. Do not store it in the bathroom. Keep out of reach of children and pets. |
| Shelf Life | The shelf life of this medicine is typically 24 months from the date of manufacture. Check the expiry date on the packaging before use. Do not use if expired. |
| 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 works by inhibiting the cyclooxygenase (COX) enzymes, which are responsible for the production of prostaglandins. Prostaglandins are chemicals that promote inflammation, pain, and fever. By blocking COX enzymes, this medicine reduces the levels of prostaglandins, thereby decreasing inflammation, pain, and swelling. Etodolac is considered to have some selectivity for COX-2 over COX-1, which may contribute to a lower risk of gastrointestinal side effects compared to non-selective NSAIDs, although the risk is not eliminated.
Mechanism Steps
💡 How to Take cutodo 600mg tablet er
Strength: This medicine is available as an extended-release tablet containing 600 mg of Etodolac.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine for osteoarthritis and rheumatoid arthritis is 600 mg to 1000 mg per day, given as a single dose or in divided doses. For acute pain, the recommended dose is 200 mg to 400 mg every 6 to 8 hours as needed. The extended-release tablet is usually taken once or twice daily. The maximum recommended daily dose is 1000 mg. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and response to therapy. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients (65 years and older) may be more sensitive to the effects of this medicine, especially gastrointestinal bleeding and kidney impairment. The dose should be individualized by a qualified clinician, and the lowest effective dose should be used for the shortest duration necessary. Monitor kidney function and blood pressure regularly. |
| Renal Impairment | In patients with mild to moderate kidney impairment, no dosage adjustment is usually necessary. However, this medicine should be used with caution. In patients with severe kidney impairment (creatinine clearance <30 mL/min), this medicine is not recommended. Dose must be individualized by a qualified clinician based on renal function. |
| Hepatic Impairment | In patients with mild to moderate liver impairment, no dosage adjustment is usually necessary. However, this medicine should be used with caution. In patients with 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 of this medicine is 1000 mg per day. Do not exceed this dose unless directed by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of cutodo 600mg tablet er
✅ 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 | |
| Other NSAIDs | Major | |
| Corticosteroids | Major | |
| Lithium | Major | |
| Methotrexate | Major | |
| ACE inhibitors | Moderate | |
| Diuretics | Moderate | |
| Beta-blockers | Moderate | |
| Cyclosporine | Moderate |
🚨 Major Interactions
- Warfarin
- Aspirin
- Other NSAIDs
- Corticosteroids
- Lithium
- Methotrexate
⚡ Moderate Interactions
- ACE inhibitors
- Diuretics
- Beta-blockers
- Cyclosporine
- Digoxin
🍷 Alcohol Interaction
Avoid consuming alcohol while taking this medicine. Alcohol can increase the risk of stomach bleeding and ulcers, and may also increase drowsiness and dizziness. If you drink alcohol regularly, discuss it with your doctor before taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to etodolac or any component of the formulation","History of asthma, urticaria, or allergic-type reaction after taking aspirin or other NSAIDs","Active peptic ulcer disease or history of recurrent ulcers","Severe kidney impairment (e.g., creatinine clearance
⚠️ Warnings & Precautions
["This medicine may increase the risk of serious cardiovascular thrombotic events, including heart attack and stroke. The risk may increase with duration of use.","This medicine can cause gastrointestinal bleeding, ulceration, and perforation, which can be fatal. The risk is higher in the elderly and in patients with a history of ulcers.","This medicine can cause kidney injury, especially in patients with pre-existing kidney disease, heart failure, or dehydration.","This medicine can cause liver injury. Monitor liver function tests during long-term use.","This medicine may cause fluid retention and edema. Use with caution in patients with heart failure or hypertension.","This medicine may increase the risk of serious skin reactions such as Stevens-Johnson syndrome. Discontinue at the first sign of rash.","This medicine should not be used in patients with aspirin-sensitive asthma.","This medicine may mask signs of infection, such as fever.","Use with caution in the elderly, who are at higher risk of adverse effects.","Do not use this medicine for more than 10 days for pain unless directed by a doctor."]
🤱 Lactation Safety
This medicine is excreted in human milk in small amounts. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the medicine, taking into account the importance of the medicine to the mother. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose of this medicine may cause symptoms such as severe stomach pain, nausea, vomiting, drowsiness, dizziness, and gastrointestinal bleeding. In case of overdose, seek emergency medical attention immediately. Treatment is supportive and symptomatic. There is no specific antidote. Activated charcoal may be administered if the overdose is recent. Monitor vital signs and provide supportive care as needed.
⏰ Missed Dose
If you miss a dose of this medicine, 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 dosing 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 take more or for longer than recommended. Take each dose with a full glass of water and with food or milk to reduce stomach upset. Do not crush, chew, or break the extended-release tablet; swallow it whole. Avoid drinking alcohol while taking this medicine as it increases the risk of stomach bleeding. Do not take other NSAIDs (such as ibuprofen, naproxen, or aspirin) without consulting your doctor. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, high blood pressure, heart disease, or asthma. If you are pregnant or planning to become pregnant, or if you are breastfeeding, talk to your doctor before using this medicine. Keep all appointments for monitoring, especially if you take this medicine for a long time.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients (65 years and older) are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events when taking this medicine. The lowest effective dose should be used for the shortest duration. Regular monitoring of kidney function, blood pressure, and signs of bleeding is recommended. Avoid concurrent use with other NSAIDs or anticoagulants unless absolutely necessary.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before taking this medicine. NSAIDs like this medicine may interfere with ovulation and conception. It is recommended to avoid this medicine during conception attempts and during pregnancy, especially in the third trimester. Consult your doctor for alternative pain management options.
🏥 Post-Surgery Considerations
This medicine may be used for post-surgical pain, but it should be used with caution as it can increase the risk of bleeding and impair wound healing. Inform your surgeon that you are taking this medicine before any surgery. It is contraindicated immediately before or after coronary artery bypass graft (CABG) surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure, especially if you are scheduled for oral surgery or tooth extraction. This medicine can increase the risk of bleeding. Your dentist may recommend stopping it temporarily or taking precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you can generally exercise, but avoid high-impact activities that may strain your joints. If you experience dizziness or drowsiness, avoid activities that require alertness, such as driving or operating machinery. Listen to your body and stop if you feel pain.
🥗 Diet Recommendations
💼 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. Most people can continue their daily activities, but if you experience side effects, consult your doctor.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor, especially if you have been on long-term therapy. If you experience serious side effects such as gastrointestinal bleeding, severe allergic reaction, or signs of liver or kidney problems, stop the medicine and seek immediate medical attention. Your doctor will advise you on when and how to safely discontinue.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of gastrointestinal bleeding, ulcers, kidney impairment, liver damage, and cardiovascular events. Regular monitoring of kidney and liver function, blood pressure, and complete blood count may be necessary. The lowest effective dose should be used for the shortest duration. Discuss with your doctor if you need to take this medicine for more than a few weeks.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and improve joint function.
Evidence: Well-establishedMay help reduce pain in some patients with osteoarthritis.
Evidence: ModerateReduces stress on weight-bearing joints and improves symptoms.
Evidence: Well-establishedMay provide localized pain relief with fewer systemic side effects.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled for vaccination, inform your healthcare provider that you are taking this medicine. It is generally safe to receive vaccines while on this medicine, but consult your doctor for personalized advice.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after 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 for international travel. Store it in a cool, dry place away from direct sunlight. If crossing time zones, adjust your dosing schedule gradually; consult your doctor for specific advice. Keep it in your carry-on luggage to avoid loss or temperature extremes. Check local customs regulations regarding prescription medicines before you travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts relieving pain within 30 to 60 minutes, but the full anti-inflammatory effect may take several days to weeks of regular use.
A: It is best to take this medicine with food or milk to reduce the risk of stomach upset and bleeding.
A: 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.
A: This medicine is Pregnancy Category C and should be used during pregnancy only if the potential benefit justifies the potential risk. Avoid use in the third trimester. Consult your doctor.
A: No, you should avoid alcohol while taking this medicine as it increases the risk of stomach bleeding and ulcers.
A: Store at room temperature between 15°C and 30°C, away from moisture, heat, and direct light. Keep in the original container.
🤔 Common Patient Concerns
🔄 Substitutes for cutodo 600mg tablet er
View AllAlternative brands with exact same active ingredient:
-
etomax 600 mg tablet erIpca Laboratories Ltd ₹89.06 30.1% CHEAPER
-
etolife 600mg tablet erTorrent Pharmaceuticals Ltd ₹92.81 27.2% CHEAPER
-
freeup 600mg tablet erSanofi India Ltd ₹109.00 14.5% CHEAPER
-
musran er 600mg tabletNovartis India Ltd ₹130.22 2.1% COSTLIER
-
etoridac 600mg tablet3D Healthcare ₹135.94 6.6% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure arthritis.
Fact: This medicine does not cure arthritis; it only helps manage pain and inflammation. It should be used as part of a comprehensive treatment plan. - Myth: This medicine is safe to take without a prescription.
Fact: This medicine is a prescription-only medicine and should only be taken under a doctor's supervision. - Myth: You can stop taking this medicine as soon as you feel better.
Fact: You should follow your doctor's instructions on how long to take this medicine. Stopping abruptly may cause symptoms to return. - Myth: This medicine can be taken on an empty stomach.
Fact: This medicine should be taken with food or milk to reduce the risk of stomach upset and bleeding.
🔄 Alternative Options
Generic Alternatives
- Etodolac
Brand Alternatives
- Cutodo 600mg Tablet ER