exudase 20mg tablet - Serratiopeptidase (20mg) medicine

Actis 20mg Tablet: Complete Information

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🏭 Ravenbhel Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Not established from the available information. Consult your doctor before use. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for some uses; limited for others.
Reviewed by
SaathiMed Expert Panel | Oct 21, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
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

If experiencing severe symptoms, call emergency services immediately.

What is exudase 20mg tablet used for?

This medicine contains Serratiopeptidase 20mg, an enzyme that reduces inflammation and swelling. It is used for conditions like sinusitis, bronchitis, and post-surgical edema. It works by breaking down proteins involved in inflammation. It is taken orally, usually once or twice daily, with food. Common side effects include nausea and diarrhea. Consult your doctor before use.

  • Generic Name: Serratiopeptidase (20mg)
  • Manufacturer: Ravenbhel Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 exudase 20mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा सूजन और inflammation को कम करने के लिए इस्तेमाल की जाती है। यह सर्जरी के बाद की सूजन, साइनसाइटिस, ब्रोंकाइटिस और चोट लगने पर होने वाली सूजन में फायदेमंद है। यह बलगम को पतला करके निकालने में मदद करती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में जी मिचलाना, उल्टी, दस्त, पेट में असहजता और भूख न लगना शामिल हैं। कभी-कभी त्वचा पर चकत्ते या खुजली हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर सांस लेने में तकलीफ, चेहरे या गले में सूजन हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं और दवाओं के बारे में बताएं। अगर आपको खून से संबंधित विकार, पेट के अल्सर, लीवर या किडनी की बीमारी है तो सावधानी बरतें। गर्भावस्था या स्तनपान के दौरान डॉक्टर की सलाह के बिना न लें। शराब का सेवन न करें। दवा को डॉक्टर के बताए अनुसार ही लें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 exudase 20mg tablet Uses & Benefits

[{"condition":"Post-surgical edema","description":"Reduces inflammation" class="semantic-link" title="Medicines for swelling">swelling and inflammation after surgical procedures, aiding in faster recovery.","evidence":"Moderate"},{"condition":"Sinusitis","description":"Helps in thinning mucus and reducing inflammation in sinus cavities, relieving congestion.","evidence":"Moderate"},{"condition":"Bronchitis","description":"Used as an adjunct to reduce inflammation and mucus viscosity in bronchitis.","evidence":"Limited"},{"condition":"Soft tissue injuries","description":"May help reduce swelling and pain associated with sprains, strains, and contusions.","evidence":"Limited"},{"condition":"Osteoarthritis","description":"Sometimes used to alleviate joint pain and inflammation, though evidence is not robust.","evidence":"Limited"}]

Off-label uses: [{"condition":"Atherosclerosis","description":"Investigated for its potential to reduce plaque formation, but not established.","evidence":"Limited"},{"condition":"Chronic pain","description":"Occasionally used for chronic inflammatory pain, but evidence is insufficient.","evidence":"Limited"}]

Primary treatment for: Inflammation and edema

Also treats: Sinusitis, Bronchitis, Post-surgical swelling, Soft tissue injuries

📋 Drug Information

Generic Name(s)Serratiopeptidase (20mg)
Brand Nameexudase 20mg tablet
ManufacturerRavenbhel Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassProteolytic Enzymes
Route of AdministrationOral
StorageStore at room temperature (15-30°C) away from moisture and heat. Keep in original container.
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
Take this medicine with food to reduce stomach upset.
2
Stay well hydrated throughout the day.
3
Avoid alcohol while taking this medicine.
4
Do not take more than the prescribed dose.
5
Consult your doctor if symptoms persist beyond 7 days.
6
Report any unusual bleeding or bruising immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Swelling after surgery
This medicine is commonly prescribed for this.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
✅
Sinus congestion
May help reduce inflammation and thin mucus.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNot established from the available information.
DistributionNot established from the available information.
Protein BindingNot established from the available information.
MetabolismNot established from the available information.
Half-LifeNot established from the available information.
ExcretionNot established from the available information.
BioavailabilityNot established from the available information.
Onset of ActionNot established from the available information.
Peak Plasma TimeNot established from the available information.
Duration of ActionNot established from the available information.

How It Works

This medicine works by breaking down proteins that are involved in inflammation and swelling. Serratiopeptidase is a proteolytic enzyme that hydrolyzes peptide bonds in proteins, leading to reduced viscosity of mucus and decreased edema. It also helps in the breakdown of fibrin, a protein involved in blood clotting and inflammation, thereby improving blood flow and reducing swelling. Additionally, it may inhibit the production of inflammatory mediators.

Mechanism Steps

1
Enzymatic breakdown of proteins: Serratiopeptidase hydrolyzes peptide bonds in proteins, reducing inflammation.
2
Fibrin degradation: It breaks down fibrin, a protein that contributes to swelling and clotting.
3
Mucus viscosity reduction: It thins mucus by breaking down mucoproteins, aiding in drainage.
4
Anti-inflammatory effect: By reducing protein mediators, it decreases inflammation and pain.

💡 How to Take exudase 20mg tablet

Strength: Tablet, 20mg

1Take this medicine with a full glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take with food to reduce stomach upset.
4Take at the same time each day for best results.
5Do not take more than the prescribed dose.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 20mg taken orally once or twice daily, depending on the condition being treated. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require dose adjustment based on renal and hepatic function. Consult your doctor.
Renal ImpairmentDose adjustment may be needed in patients with renal impairment. Consult your doctor.
Hepatic ImpairmentDose adjustment may be needed in patients with hepatic impairment. Consult your doctor.
Maximum Daily DoseThe maximum recommended daily dose is 60mg, but this must be confirmed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
May increase risk of stomach irritation 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 exudase 20mg tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Diarrhea (Common (5-10%))
Stay hydrated. If diarrhea is severe or persistent, contact your doctor.
Abdominal discomfort (Common (5-10%))
Take with meals. If pain is severe, seek medical advice.
Loss of appetite (Common (5-10%))
Eat small, frequent meals. Consult doctor if it continues.

🚨 Serious Side Effects

Severe allergic reaction (Rare (<0.1%))
Seek immediate medical attention if you experience difficulty breathing, swelling of face, lips, or throat.
Bleeding (Rare (<0.1%))
Report any unusual bleeding or bruising to your doctor immediately.
Liver enzyme elevation (Rare (<0.1%))
Regular monitoring may be needed. Consult doctor if you notice yellowing of eyes or skin.

⚠️ Rare Side Effects

Anaphylaxis
Call emergency services immediately.
Pneumonitis
Seek medical attention if you develop cough, fever, or difficulty breathing.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Clopidogrel Major
Ibuprofen Moderate
Tetracycline Moderate
Antacids Minor

🚨 Major Interactions

  • Anticoagulants (e.g., warfarin)
  • Antiplatelet drugs (e.g., clopidogrel)

⚡ Moderate Interactions

  • NSAIDs (e.g., ibuprofen)
  • Antibiotics (e.g., tetracycline)

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine as it may increase the risk of gastrointestinal irritation and bleeding.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known allergy to serratiopeptidase","Active bleeding disorders","Peptic ulcer disease","Severe liver disease","Pregnancy and breastfeeding (unless advised by doctor)"]

⚠️ Warnings & Precautions

["Use with caution in patients with bleeding disorders.","Avoid in patients with active peptic ulcer.","Consult doctor before use in pregnancy and lactation.","May interact with anticoagulants and antiplatelet drugs.","Do not exceed recommended dose."]

🤱 Lactation Safety

Not established from the available information. Consult your doctor before use.

💊 Overdose Management

Overdose may cause increased side effects such as nausea, vomiting, and diarrhea. Seek immediate medical attention if you suspect an overdose. Treatment is symptomatic and supportive.

⏰ 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.

Additional Safety Advice

General Safety

Before taking this medicine, inform your doctor if you have a history of bleeding disorders, stomach ulcers, liver disease, kidney disease, or any allergies. Do not use this medicine if you are pregnant or planning to become pregnant without consulting your doctor. Avoid alcohol while taking this medicine as it may increase the risk of stomach irritation. Do not take this medicine with other anti-inflammatory drugs or blood thinners unless prescribed. Take this medicine exactly as directed by your doctor. Do not crush or chew the tablet; swallow it whole with water. If you miss a dose, take it as soon as you remember, but skip it if it is almost time for the next dose. Do not double the dose. Store this medicine at room temperature away from moisture and heat. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects. Dose adjustment may be needed based on kidney and liver function.

🤰 Pregnancy Planning (TTC)

Consult your doctor before planning pregnancy if you are taking this medicine. It is not recommended during pregnancy unless clearly needed.

🏥 Post-Surgery Considerations

This medicine is often used to reduce post-surgical swelling. Follow your surgeon's instructions regarding dosage and duration.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may increase bleeding risk during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce inflammation.
🥗
Regular low-impact exercise like swimming.
😴
Practice good posture.
💧
Include anti-inflammatory foods in your diet.
🧘
Get adequate sleep.

🏋️ Exercise Considerations

Avoid strenuous exercise if you have swelling or pain. Consult your doctor before starting any exercise regimen.

🥗 Diet Recommendations

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

💼 Impact on Daily Work & Life

This medicine may cause dizziness in some people. Avoid driving or operating heavy machinery if you feel dizzy.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if you experience severe side effects or if your symptoms worsen. Do not stop without consulting your doctor if you are on a prescribed course.

📅 Long-Term Use Effects

Long-term use of this medicine is generally not recommended without medical supervision. Prolonged use may rarely affect liver enzymes or increase bleeding risk. Regular monitoring may be advised by your doctor.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain.

Evidence: Well-established
RICE method

Rest, Ice, Compression, Elevation for injuries.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. 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

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for carrying prescription medicines.

💰 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 recovering from knee surgery
Was prescribed this medicine to reduce post-surgical swelling. Noticed reduced swelling and improved mobility within a few days. Experienced mild nausea initially, which subsided when taken with meals.
💡 Lesson: Taking the medicine with food can minimize gastrointestinal side effects and enhance recovery.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start noticing improvement in swelling within a few days, but full effects may take up to a week. Consult your doctor if no improvement.

Q: Can I take it with other medicines?

A: Inform your doctor about all medicines you are taking, especially blood thinners, as interactions may occur.

🤔 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 exudase 20mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Serratiopeptidase is a painkiller.
    Fact: It is an anti-inflammatory enzyme, not a painkiller. It reduces swelling and inflammation, which may indirectly relieve pain.
  • Myth: It can be taken without a prescription.
    Fact: In many countries, it is a prescription drug. Always consult a doctor before use.

🔄 Alternative Options

Generic Alternatives

  • Serratiopeptidase 20mg tablet

Brand Alternatives

  • Actis 20mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"Serratiopeptidase","class":"Proteolytic enzyme","main_use":"Anti-inflammatory","route":"Oral"},{"medicine":"Trypsin-Chymotrypsin","class":"Proteolytic enzymes","main_use":"Anti-inflammatory","route":"Oral"}]

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