What is diclozak sp 100mg/325mg/15mg tablet used for?

This medicine is a combination of diclofenac (100 mg) and paracetamol (325 mg) used for short-term relief of moderate to severe pain and inflammation. It works by reducing prostaglandins that cause pain and swelling. Take it with food, avoid alcohol, and do not exceed the prescribed dose.

Generic Name: Diclofenac (100mg) + Paracetamol (325mg)
Manufacturer: Luziac Life Sciences
Form: Allopathy
Pregnancy Category: Consult doctor
Prescription Required: Yes

🇮🇳 diclozak sp 100mg/325mg/15mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा डाइक्लोफेनाक और पैरासिटामोल का संयोजन है, जिसका उपयोग मध्यम से गंभीर दर्द और सूजन के अल्पकालिक उपचार के लिए किया जाता है। यह जोड़ों के दर्द, मांसपेशियों के दर्द, दांत दर्द, मासिक धर्म के दर्द, और सर्जरी के बाद के दर्द में राहत देती है। यह दवा सूजन और दर्द पैदा करने वाले प्रोस्टाग्लैंडिन को कम करके काम करती है। इसे भोजन के साथ लें और शराब से बचें।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, पेट दर्द, सिरदर्द, चक्कर आना और दस्त शामिल हैं। गंभीर दुष्प्रभावों में पेट या आंतों में रक्तस्राव, गुर्दे की समस्या, यकृत की क्षति, और एलर्जी प्रतिक्रियाएं शामिल हो सकती हैं। यदि आपको काला मल, खून की उल्टी, गंभीर पेट दर्द, या सांस लेने में कठिनाई हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के निर्देशानुसार ही लें। खुराक से अधिक न लें। इसे भोजन या दूध के साथ लें ताकि पेट की जलन कम हो। शराब का सेवन बिल्कुल न करें। अन्य दर्द निवारक दवाओं के साथ इसका सेवन न करें। यदि आप गर्भवती हैं, स्तनपान करा रही हैं, या आपको गुर्दे या यकृत की बीमारी है, तो डॉक्टर से परामर्श लें।

💊 diclozak sp 100mg/325mg/15mg tablet Uses & Benefits

[{"condition":"Osteoarthritis flare-up","description":"Provides short-term relief of pain and inflammation in joints affected by osteoarthritis.","evidence":"Well-established"},{"condition":"Rheumatoid arthritis","description":"Used for symptomatic relief of pain and swelling in rheumatoid arthritis during acute exacerbations.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Manages moderate to severe pain following surgical procedures.","evidence":"Well-established"},{"condition":"Dental pain","description":"Relieves pain after dental extraction or other dental procedures.","evidence":"Well-established"},{"condition":"Musculoskeletal injuries","description":"Reduces pain and inflammation in sprains, strains, and sports injuries.","evidence":"Well-established"},{"condition":"Dysmenorrhea","description":"Relieves menstrual cramps and associated pain.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Migraine","description":"Sometimes used off-label for acute migraine attacks, but not first-line.","evidence":"Limited"},{"condition":"Renal colic","description":"May be used off-label for pain relief in kidney stones, but NSAIDs can affect kidney function.","evidence":"Limited"}]

Primary treatment for: Pain and inflammation

Also treats: Osteoarthritis, Rheumatoid arthritis, Post-operative pain, Dental pain, Musculoskeletal injuries, Dysmenorrhea

📋 Drug Information

Generic Name(s)	Diclofenac (100mg) + Paracetamol (325mg)
Brand Name	diclozak sp 100mg/325mg/15mg tablet
Manufacturer	Luziac Life Sciences
Packaging / Form	Varies by brand (Allopathy)
Therapeutic Class	PAIN ANALGESICS
Action Class
Route of Administration	Oral
Storage	Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container.
Shelf Life	24 months from the date of manufacture.
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

1

Always take this medicine with food or milk to minimize stomach irritation.

2

Avoid alcohol completely while taking this medicine to prevent liver damage and stomach bleeding.

3

Do not exceed the prescribed dose or duration without consulting your doctor.

4

Stay well hydrated throughout the day to support kidney function.

5

Report any signs of bleeding, such as black stools or easy bruising, immediately.

6

Do not take other NSAIDs or paracetamol-containing products concurrently.

7

If you have a history of ulcers, kidney disease, or heart disease, inform your doctor before starting this medicine.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅

Chronic joint pain

This medicine is commonly prescribed for this.

Likely Use

❌

Fever

This medicine is not a primary fever reducer.

Not Primary

✅

Dental pain

This medicine can relieve dental pain.

Likely Use

✅

Menstrual cramps

This medicine can relieve menstrual cramps.

Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDiclofenac is rapidly and completely absorbed from the gastrointestinal tract after oral administration, with peak plasma concentrations occurring within 1 to 2 hours. Paracetamol is also rapidly absorbed, with peak levels within 30 to 60 minutes. Food may delay absorption but does not significantly reduce the extent of absorption.

DistributionDiclofenac is highly bound to plasma proteins (over 99%) and distributes extensively into synovial fluid, where it can persist longer than in plasma. Paracetamol distributes widely into most body tissues, with a volume of distribution of approximately 0.9 L/kg. Both drugs cross the placenta and are excreted in breast milk in small amounts.

Protein BindingDiclofenac is approximately 99.7% bound to plasma proteins, primarily albumin. Paracetamol is only about 10-25% bound to plasma proteins.

MetabolismDiclofenac is metabolized in the liver by cytochrome P450 enzymes, mainly CYP2C9, to several metabolites including 4'-hydroxydiclofenac. Paracetamol is metabolized primarily by glucuronidation and sulfation, with a small fraction oxidized by CYP2E1 to the toxic metabolite N-acetyl-p-benzoquinone imine (NAPQI), which is detoxified by glutathione.

Half-LifeThe elimination half-life of diclofenac is approximately 1 to 2 hours. Paracetamol has a half-life of about 2 to 3 hours. In patients with hepatic or renal impairment, half-lives may be prolonged.

ExcretionDiclofenac is excreted mainly in urine (about 65%) and bile (about 35%) as metabolites. Paracetamol is excreted in urine primarily as glucuronide and sulfate conjugates, with less than 5% excreted unchanged.

BioavailabilityThe oral bioavailability of diclofenac is approximately 50-60% due to first-pass metabolism. Paracetamol has a high oral bioavailability of about 80-90%.

Onset of ActionPain relief typically begins within 30 to 60 minutes after oral administration.

Peak Plasma TimeDiclofenac reaches peak plasma concentration in about 1 to 2 hours; paracetamol peaks in about 30 to 60 minutes.

Duration of ActionThe analgesic effect lasts approximately 4 to 6 hours, and the anti-inflammatory effect may last longer.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Diclofenac is a non-selective non-steroidal anti-inflammatory drug that reversibly inhibits both cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2) enzymes. This inhibition reduces the synthesis of prostaglandins, prostacyclin, and thromboxane from arachidonic acid, leading to decreased inflammation, pain, and fever. Paracetamol (acetaminophen) acts primarily in the central nervous system by inhibiting prostaglandin synthesis, possibly through COX-3 or other central pathways, and may also modulate descending serotonergic pathways. The combination provides enhanced analgesic and anti-inflammatory effects compared to either agent alone.

Mechanism Steps

1

Inhibition of cyclooxygenase enzymes: Diclofenac binds reversibly to the active site of COX-1 and COX-2 enzymes, blocking the conversion of arachidonic acid to prostaglandin H2.

2

Reduced prostaglandin synthesis: This blockade decreases the production of prostaglandins, prostacyclin, and thromboxane, which are mediators of pain, inflammation, and fever.

3

Central analgesic action of paracetamol: Paracetamol acts on central nervous system pathways, possibly by inhibiting a central cyclooxygenase isoform or modulating descending inhibitory pathways, raising the pain threshold.

4

Antipyretic effect: Paracetamol acts on the hypothalamus to reduce fever by promoting heat loss and inhibiting prostaglandin-mediated temperature elevation.

5

Combined analgesic and anti-inflammatory effect: The dual action provides greater pain relief and anti-inflammatory activity than either drug alone, useful for moderate to severe pain.

💡 How to Take diclozak sp 100mg/325mg/15mg tablet

Strength: Each tablet contains diclofenac 100 mg and paracetamol 325 mg.

1Take the tablet by mouth with a full glass of water.

2Take it with food or milk to reduce stomach upset.

3Swallow the tablet whole; do not crush or chew.

4Follow your doctor's prescribed schedule exactly.

5Do not take more than the recommended dose.

Dosage Information

Adult Dosage	The usual adult dose is one tablet taken orally two to three times daily, depending on the severity of pain and the prescribing doctor's instructions. The maximum daily dose should not exceed three tablets in 24 hours. This medicine should be taken with food or milk to reduce stomach upset. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate or adjust the dose without medical advice.
Pediatric Dosage	Pediatric dosing is not established from available information. Consult a pediatrician.
Elderly Dosage	Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events. Use the lowest effective dose for the shortest duration. Monitor kidney and liver function closely.
Renal Impairment	Use with caution in patients with kidney impairment. Dose reduction may be necessary. Avoid in severe kidney disease. Consult your doctor.
Hepatic Impairment	Use with caution in patients with liver impairment. Dose reduction may be necessary. Avoid in severe liver disease. Monitor liver function.
Maximum Daily Dose	The maximum daily dose is three tablets in 24 hours. Do not exceed this dose.

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 stomach bleeding.

Caffeine

Limit

May increase nervousness or insomnia.

⏰ 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 diclozak sp 100mg/325mg/15mg tablet

✅ Common Side Effects

Nausea (Common (5-10%))

Take with food or milk. If persistent, consult your doctor.

Stomach pain or heartburn (Common (5-10%))

Take with food. Avoid alcohol. If severe, contact your doctor.

Headache (Common (5-10%))

Usually resolves on its own. Stay hydrated. Consult if persistent.

Dizziness (Common (5-10%))

Avoid driving or operating machinery until you know how it affects you.

Diarrhea or constipation (Common (5-10%))

Maintain hydration. Consult if severe or persistent.

🚨 Serious Side Effects

Gastrointestinal bleeding or ulceration (Uncommon (0.1-1%))

Seek immediate medical attention if you notice black or tarry stools, vomiting blood, or severe abdominal pain.

Kidney impairment (Rare (<0.1%))

Report decreased urine output, swelling, or fatigue to your doctor immediately.

Liver damage (Rare (<0.1%))

Seek medical help if you develop yellowing of skin or eyes, dark urine, or severe fatigue.

Severe allergic reaction (Rare (<0.1%))

Call emergency services if you experience swelling of face, lips, or throat, or difficulty breathing.

Cardiovascular events (Uncommon (0.1-1%))

Seek immediate care for chest pain, shortness of breath, or weakness in one side of the body.

⚠️ Rare Side Effects

Aseptic meningitis

Seek immediate medical attention for severe headache, stiff neck, and fever.

Pancreatitis

Report severe upper abdominal pain radiating to the back.

Blood dyscrasias

Report unusual bruising, bleeding, or signs of infection.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug	Severity	Effect
Warfarin	Major
Other NSAIDs	Major
ACE inhibitors	Major
Diuretics	Major
Lithium	Major
Methotrexate	Major
Corticosteroids	Moderate
SSRIs	Moderate
Cyclosporine	Moderate
Digoxin	Moderate

🚨 Major Interactions

Warfarin
Other NSAIDs
ACE inhibitors and ARBs
Diuretics
Lithium
Methotrexate

⚡ Moderate Interactions

Corticosteroids
Antidepressants (SSRIs, SNRIs)
Anticoagulants (heparin, LMWH)
Cyclosporine
Digoxin

🍷 Alcohol Interaction

Alcohol should be completely avoided while taking this medicine. Both diclofenac and paracetamol can cause liver damage, and alcohol increases this risk. Additionally, alcohol combined with diclofenac significantly increases the risk of stomach bleeding and ulcers. Even moderate alcohol consumption can be dangerous.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to diclofenac, paracetamol, or any component","History of asthma, urticaria, or allergic reaction to aspirin or other NSAIDs","Active or history of peptic ulcer or gastrointestinal bleeding","Severe heart failure","Severe kidney impairment","Severe liver impairment","Third trimester of pregnancy","Coronary artery bypass graft surgery (peri-operative period)"]

⚠️ Warnings & Precautions

["Take with food to reduce stomach upset.","Avoid alcohol completely.","Do not exceed recommended dose or duration.","Use with caution in elderly patients.","Monitor for signs of bleeding.","May cause dizziness; avoid driving until you know how it affects you.","Do not use with other NSAIDs or paracetamol-containing products.","Consult doctor if symptoms persist beyond 7 days."]

🤱 Lactation Safety

Diclofenac and paracetamol are excreted in breast milk in small amounts. Short-term use is generally considered compatible with breastfeeding, but consult your doctor. Avoid prolonged use.

💊 Overdose Management

Overdose can cause severe liver damage from paracetamol and gastrointestinal bleeding, kidney failure, and central nervous system effects from diclofenac. Seek immediate medical attention. Treatment includes activated charcoal if within 1-2 hours, N-acetylcysteine for paracetamol toxicity, and supportive care. Monitor liver and kidney function.

⏰ 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 dose.

Additional Safety Advice

General Safety

Always 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 completely while on this medicine, as it increases the risk of stomach bleeding and liver damage. Do not take other pain relievers or NSAIDs without consulting your doctor. Inform your doctor if you have a history of ulcers, kidney or liver disease, heart problems, or asthma. Use the lowest effective dose for the shortest possible time. Do not use this medicine for minor aches that can be managed with simpler pain relievers. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before use. Keep out of reach of children. Store at room temperature away from moisture and heat.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events. Use the lowest effective dose for the shortest duration. Monitor kidney and liver function closely. Avoid long-term use.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. Diclofenac may affect ovulation and is generally avoided during pregnancy, especially in the third trimester. Paracetamol is considered relatively safe but should be used at the lowest effective dose for the shortest time.

🏥 Post-Surgery Considerations

This medicine may be used for post-operative pain management. However, it can increase the risk of bleeding and should be used with caution after surgery. Follow your surgeon's instructions carefully.

🦷 Dental Procedures

This medicine can be used for dental pain, but inform your dentist that you are taking it 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 well hydrated.

🏋️ Exercise Considerations

Avoid strenuous exercise or activities that could cause injury while taking this medicine, as it may mask pain and lead to overexertion. Consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Include omega-3 rich foods

Reduce processed food intake

Stay well hydrated

Avoid alcohol

Eat a balanced diet rich in fruits and vegetables

💼 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. Inform your employer if your job involves operating machinery.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if you experience any serious side effects, such as stomach bleeding, severe abdominal pain, signs of liver or kidney problems, or allergic reactions. Do not stop abruptly if you have been taking it for a long time without consulting your doctor.

📅 Long-Term Use Effects

Long-term use of this medicine can increase the risk of gastrointestinal bleeding, kidney impairment, liver damage, and cardiovascular events. It should only be used for short periods unless specifically directed by a doctor. Regular monitoring of kidney and liver function is recommended for prolonged use.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain.

Evidence: Well-established

Topical NSAIDs

May provide localized pain relief with fewer systemic side effects.

Evidence: Well-established

Heat or cold therapy

Can help reduce pain and inflammation.

Evidence: Limited

💉 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.

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

💰 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 60-year-old man with post-operative pain after knee replacement

Used this medicine for short-term pain management after surgery. Reported good pain relief but experienced mild nausea, which was managed by taking it with meals. He was advised to avoid alcohol and monitor for any signs of bleeding.

💡 Lesson: Short-term use under medical supervision can provide effective pain relief, but monitoring for side effects is essential.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Pain relief typically begins within 30 to 60 minutes after taking the tablet.

Q: Can I take it on an empty stomach?

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

Q: Is it safe to take with other painkillers?

A: Do not take other NSAIDs or paracetamol-containing products without consulting your doctor, as this can increase the risk of side effects.

Q: What should I do if I miss a dose?

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.

🤔 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 diclozak sp 100mg/325mg/15mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

Myth: This medicine is safe to take for any pain without a prescription.
Fact: This is a prescription medicine and should only be taken under medical supervision due to risks of serious side effects.
Myth: Taking more than the recommended dose will relieve pain faster.
Fact: Taking more than the recommended dose increases the risk of severe liver and stomach damage without providing better pain relief.
Myth: It is safe to drink alcohol while taking this medicine.
Fact: Alcohol significantly increases the risk of stomach bleeding and liver damage when combined with this medicine.

🔄 Alternative Options

Generic Alternatives

Diclofenac 100 mg + Paracetamol 325 mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Diclofenac 100 mg + Paracetamol 325 mg","strength":"100 mg + 325 mg","release_type":"Immediate release"},{"medicine":"Diclofenac 50 mg + Paracetamol 325 mg","composition":"Diclofenac 50 mg + Paracetamol 325 mg","strength":"50 mg + 325 mg","release_type":"Immediate release"}]

Diclofenac 100mg + Paracetamol 325mg Tablet: Complete Guide

When to Call Your Doctor IMMEDIATELY

What is diclozak sp 100mg/325mg/15mg tablet used for?

🇮🇳 diclozak sp 100mg/325mg/15mg tablet के बारे में (Hindi Summary)

💊 diclozak sp 100mg/325mg/15mg tablet Uses & Benefits

📋 Drug Information

👨‍⚕️ Doctor's Practical Tips

🔍 Is This Medicine Right for Your Symptom?

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

How It Works

Mechanism Steps

💡 How to Take diclozak sp 100mg/325mg/15mg tablet

Dosage Information

Dosage Timeline

🍽️ Food Timing Guide

⏰ What to Do If You Miss a Dose

⚠️ Side Effects of diclozak sp 100mg/325mg/15mg tablet

✅ Common Side Effects

🚨 Serious Side Effects

⚠️ Rare Side Effects

🔬 Drug Interactions

🚨 Major Interactions

⚡ Moderate Interactions

🍷 Alcohol Interaction

🔎 Check Your Other Medicines

🛡️ Safety & Warnings

🚫 Contraindications

⚠️ Warnings & Precautions

🤱 Lactation Safety

💊 Overdose Management

⏰ Missed Dose

Additional Safety Advice

👴 Special Considerations for Elderly

💡 For Patients Above 65

🤰 Pregnancy Planning (TTC)

🏥 Post-Surgery Considerations

🦷 Dental Procedures

💚 Lifestyle Tips for Better Results

🏋️ Exercise Considerations

🥗 Diet Recommendations

💼 Impact on Daily Work & Life

🛑 When to Stop This Medicine

📅 Long-Term Use Effects

🌿 Non-Medicine Approaches

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

📦 Storage Guide

✅ DO

❌ DON'T

✅ DO

❌ DON'T

✅ DO

❌ DON'T

✈️ Traveling with This Medicine

💰 Cost Analysis & Savings

👥 Real Patient Stories

💬 Questions Patients Often Ask

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

🔄 Substitutes for diclozak sp 100mg/325mg/15mg tablet

🛑 Myths vs. Facts

🔄 Alternative Options

Generic Alternatives

📊 Comparison with Similar Medicines

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