gag pr gel - Aceclofenac (1.5% w/w) medicine

Acrub Gel: Comprehensive Medicine Guide

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🏭 Moraceae Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for topical aceclofenac in musculoskeletal pain.
Reviewed by
SaathiMed Expert Panel | Oct 22, 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

  • Severe allergic reaction (swelling of face, lips, throat, difficulty breathing)
  • Severe skin rash or blistering
  • Signs of systemic NSAID effects (black stools, vomiting blood, severe abdominal pain)
  • Decreased urine output or swelling in legs
  • Chest pain or shortness of breath
  • Yellowing of skin or eyes (jaundice)

If experiencing severe symptoms, call emergency services immediately.

What is gag pr gel used for?

This medicine is a topical gel containing aceclofenac 1.5% w/w, an NSAID used to relieve pain and inflammation in conditions like osteoarthritis, rheumatoid arthritis, and soft tissue injuries. It works by inhibiting COX enzymes and reducing prostaglandins. Apply a thin layer to the affected area 2-3 times daily, or as directed by your doctor.

  • Generic Name: Aceclofenac (1.5% w/w)
  • Manufacturer: Moraceae Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 gag pr gel के बारे में (Hindi Summary)

उपयोग: यह दवा एसिटोक्लोफेनाक 1.5% w/w जेल है, जिसका उपयोग जोड़ों के दर्द, सूजन और मांसपेशियों की समस्याओं जैसे ऑस्टियोआर्थराइटिस, रूमेटॉइड आर्थराइटिस, और मोच में आराम के लिए किया जाता है। यह जेल त्वचा पर लगाने से प्रभावित हिस्से में दर्द और सूजन कम करती है। इसे दिन में 2-3 बार पतली परत में लगाएं या डॉक्टर के निर्देशानुसार।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में त्वचा पर जलन, लालिमा, खुजली या हल्की जलन शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको सांस लेने में कठिनाई, चेहरे या गले में सूजन, या त्वचा पर गंभीर रैश हो तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को केवल त्वचा पर लगाएं, आंखों, म्यूकस मेम्ब्रेन या खुले घावों पर न लगाएं। लगाने के बाद हाथ धो लें, जब तक कि हाथ ही इलाज वाला हिस्सा न हो। इलाज वाले हिस्से को पट्टी या गर्म पैड से न ढकें। धूप में जाने से बचें क्योंकि इससे त्वचा में जलन हो सकती है। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 gag pr gel Uses & Benefits

[{"condition":"Osteoarthritis","description":"Relieves pain and improves joint mobility in knee, hip, and hand osteoarthritis when applied topically over the affected joint.","evidence":"Well-established"},{"condition":"Rheumatoid arthritis","description":"Provides local symptomatic relief of pain and inflammation" class="semantic-link" title="Medicines for swelling">swelling in joints affected by rheumatoid arthritis, as an adjunct to systemic therapy.","evidence":"Moderate"},{"condition":"Ankylosing spondylitis","description":"Helps reduce pain and stiffness in the spine and sacroiliac joints when applied over the affected areas.","evidence":"Limited"},{"condition":"Soft tissue injuries","description":"Used for symptomatic relief of pain and inflammation in sprains, strains, and sports injuries.","evidence":"Moderate"},{"condition":"Localized musculoskeletal pain","description":"Provides targeted relief for conditions such as tendinitis, bursitis, and low back pain.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label for prevention of migraines, but evidence is limited and not recommended as first-line.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"Topical application over the lower abdomen may be used off-label for menstrual pain, but oral NSAIDs are preferred.","evidence":"Limited"}]

Primary treatment for: Osteoarthritis

Also treats: Rheumatoid arthritis, Ankylosing spondylitis, Soft tissue injuries, Localized musculoskeletal pain

📋 Drug Information

Generic Name(s)Aceclofenac (1.5% w/w)
Brand Namegag pr gel
ManufacturerMoraceae Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassNSAID's- Non-Selective COX 1&2 Inhibitors (acetic acid)
Route of AdministrationTopical
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the tube tightly closed when not in use.
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
Apply this medicine only to intact skin and avoid open wounds.
2
Wash your hands after application unless the hands are the treated area.
3
Do not use airtight dressings over the treated area as it may increase absorption.
4
Avoid sun exposure to treated skin to prevent photosensitivity reactions.
5
If symptoms persist beyond 7 days, consult your doctor for further evaluation.
6
Do not use this medicine on children under 14 years without medical advice.
7
Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.

🔍 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
❌
Headache
This medicine is not intended for headaches.
Not Primary
✅
Muscle sprain
This medicine can help relieve pain and swelling.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAceclofenac is absorbed through the skin when applied topically. The extent of absorption depends on the area of application, duration of contact, and skin condition. Systemic absorption is generally low, typically less than 10% of the applied dose, but may increase with prolonged use or application to large areas.
DistributionAfter absorption, aceclofenac is highly bound to plasma proteins and distributes into synovial fluid, which is beneficial for joint pain relief. It also crosses the placenta and is excreted in breast milk to a small extent.
Protein BindingAceclofenac is approximately 99% bound to plasma proteins, primarily albumin.
MetabolismAceclofenac is metabolized in the liver, mainly by cytochrome P450 enzymes, particularly CYP2C9. The main metabolite is 4'-hydroxyaceclofenac, which is inactive.
Half-LifeThe elimination half-life of aceclofenac is approximately 3 to 4 hours after oral administration. For topical application, systemic half-life is similar but systemic levels are much lower.
ExcretionAceclofenac and its metabolites are excreted primarily in the urine (about 70-80%) and feces (about 20%).
BioavailabilityThe systemic bioavailability of topical aceclofenac is significantly lower than oral administration, estimated to be less than 10% of the applied dose. This low systemic exposure reduces the risk of systemic side effects.
Onset of ActionPain relief typically begins within 30 to 60 minutes after application of this medicine.
Peak Plasma TimePeak plasma concentrations after topical application are generally low and occur around 2 to 4 hours after application.
Duration of ActionThe analgesic and anti-inflammatory effects of this medicine last for approximately 4 to 6 hours, so it is usually applied 2 to 3 times daily.

How It Works

This medicine works by inhibiting the cyclooxygenase (COX) enzymes, primarily COX-2, which are responsible for converting arachidonic acid into prostaglandins. Prostaglandins are mediators of pain, inflammation, and fever. By blocking their production in the applied area, aceclofenac reduces local pain and swelling. Aceclofenac also inhibits the release of lysosomal enzymes and may affect other inflammatory mediators, contributing to its anti-inflammatory and analgesic effects. When applied topically, it penetrates the skin and reaches the underlying inflamed tissues, providing localized relief with minimal systemic absorption.

Mechanism Steps

1
Skin penetration: After application, aceclofenac penetrates the stratum corneum and reaches the underlying inflamed tissues.
2
COX enzyme inhibition: Aceclofenac inhibits the COX-1 and COX-2 enzymes, blocking the conversion of arachidonic acid to prostaglandins.
3
Reduced prostaglandin synthesis: Decreased prostaglandin levels lead to reduced pain, swelling, and inflammation at the site of application.
4
Local analgesic and anti-inflammatory effect: The overall result is relief from pain and improvement in mobility in the affected area.

💡 How to Take gag pr gel

Strength: Aceclofenac 1.5% w/w gel

1Wash and dry the affected area thoroughly.
2Apply a thin layer of the gel to the affected area.
3Gently massage the gel into the skin until it is absorbed.
4Wash your hands immediately after application unless the hands are the treated area.
5Do not cover the area with a bandage or dressing unless instructed by your doctor.
6Use the gel exactly as prescribed by your doctor.

Dosage Information

Adult DosageApply a thin layer of this medicine to the affected area 2 to 3 times daily, or as directed by your doctor. The dose and frequency may vary depending on the condition being treated and your response to therapy. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose or duration without medical advice.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more susceptible to the side effects of NSAIDs. Use with caution and follow the doctor's advice. No specific dose adjustment is required for topical use, but prolonged use should be monitored.
Renal ImpairmentNo dose adjustment is required for topical aceclofenac in mild to moderate renal impairment. However, use with caution in severe renal impairment and consult a doctor.
Hepatic ImpairmentNo dose adjustment is required for topical aceclofenac in mild to moderate hepatic impairment. Use with caution in severe hepatic impairment and consult a doctor.
Maximum Daily DoseThe maximum recommended daily dose for topical aceclofenac is not established from available information. Follow your doctor's prescription. Do not exceed the recommended application frequency.

Dosage Timeline

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

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Apply 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 apply a double dose to catch up.

⚠️ Side Effects of gag pr gel

✅ Common Side Effects

Application site irritation (Common (1-10%))
Usually resolves on its own. If persistent or severe, discontinue and consult a doctor.
Redness or rash (Common (1-10%))
Stop using the gel and consult a doctor if it worsens.
Itching (Common (1-10%))
Avoid scratching. Consult a doctor if itching is severe.
Burning sensation (Common (1-10%))
Usually temporary. If it persists, consult a doctor.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of face, lips, throat, or difficulty breathing.
Photosensitivity reaction (Rare (<0.1%))
Avoid sun exposure. If severe sunburn occurs, consult a doctor.
Systemic NSAID effects (e.g., gastrointestinal bleeding, renal impairment) (Rare (<0.1%))
Seek medical attention if you notice black stools, severe abdominal pain, or decreased urine output.

⚠️ Rare Side Effects

Contact dermatitis
Discontinue use and consult a dermatologist.
Angioedema
Seek emergency medical help immediately.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Ibuprofen Major
Methotrexate Major
ACE inhibitors Moderate
Diuretics Moderate
Corticosteroids Moderate
Lithium Moderate
Aspirin Moderate
Clopidogrel Moderate
Topical corticosteroids Minor

🚨 Major Interactions

  • Oral NSAIDs (e.g., ibuprofen, naproxen)
  • Anticoagulants (e.g., warfarin)
  • Methotrexate

⚡ Moderate Interactions

  • Antihypertensives (e.g., ACE inhibitors, diuretics)
  • Corticosteroids
  • Lithium

🍷 Alcohol Interaction

No specific interaction between alcohol and topical aceclofenac has been established. However, alcohol may increase the risk of gastrointestinal bleeding if aceclofenac is absorbed systemically. It is advisable to limit alcohol consumption while using this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to aceclofenac or any component of the gel","History of asthma, urticaria, or allergic reactions after taking aspirin or other NSAIDs","Application to broken, infected, or inflamed skin","Use in children under 14 years (unless prescribed)","Third trimester of pregnancy","Severe renal or hepatic impairment"]

⚠️ Warnings & Precautions

["For external use only. Do not ingest.","Avoid contact with eyes, mucous membranes, and open wounds.","Do not apply to large areas of skin or use for prolonged periods without medical advice.","Avoid sun exposure to treated areas due to risk of photosensitivity.","Wash hands after application unless hands are the treated area.","Do not use airtight dressings over the treated area.","Consult a doctor if symptoms persist or worsen after 7 days.","Use with caution in elderly patients and those with renal or hepatic impairment.","Keep out of reach of children."]

🤱 Lactation Safety

It is not known whether aceclofenac is excreted in human milk after topical application. However, systemic absorption is low. Consult a doctor before using this medicine while breastfeeding. Avoid applying to the breast area to prevent infant exposure.

💊 Overdose Management

Overdose with topical aceclofenac is unlikely due to low systemic absorption. If accidental ingestion occurs, seek medical attention immediately. Symptoms of overdose may include nausea, vomiting, abdominal pain, and drowsiness. Treatment is supportive and symptomatic.

⏰ Missed Dose

If you miss a dose, apply 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 apply a double dose to make up for a missed one.

Additional Safety Advice

General Safety

For safe use of this medicine, apply it only to intact skin and avoid contact with eyes, mucous membranes, or open wounds. Wash your hands thoroughly after application unless the hands are the treated area. Do not cover the treated area with airtight dressings or heat pads, as this may increase absorption and the risk of side effects. Avoid sun exposure to treated skin, as aceclofenac can cause photosensitivity. Do not use this medicine for more than the recommended duration without medical advice. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine. Keep this medicine out of reach of children. Do not use it on children under 14 years of age unless prescribed by a doctor. If symptoms persist or worsen after 7 days of use, stop and consult a healthcare professional.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to the side effects of NSAIDs, including skin reactions and systemic effects if absorbed. Use with caution and follow the doctor's advice. Regular monitoring of renal and hepatic function may be advisable if used long-term.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. Topical aceclofenac should be used during pregnancy only if clearly needed. Avoid use in the third trimester due to potential risk of premature closure of the ductus arteriosus.

🏥 Post-Surgery Considerations

After surgery, use this medicine only if prescribed by your surgeon. It may help with post-operative pain and inflammation, but ensure the surgical wound is fully closed before applying. Avoid applying to broken skin or incisions.

🦷 Dental Procedures

This medicine is not typically used for dental pain. If you have dental procedures, inform your dentist about all medications you are using. For dental pain, consult your dentist for appropriate treatment.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce joint stress.
🥗
Regular low-impact exercise like swimming or cycling.
😴
Practice good posture and ergonomics.
💧
Include anti-inflammatory foods in your diet.
🧘
Get adequate sleep to aid recovery.
🌞
Apply hot or cold packs as advised for additional relief.

🏋️ Exercise Considerations

While using this medicine, you can continue with your regular exercise routine as tolerated. However, avoid strenuous activities that may worsen your condition. If you experience increased pain or swelling, rest the affected area and consult your doctor. Low-impact exercises like walking, swimming, and stretching are generally safe.

🥗 Diet Recommendations

Include omega-3 rich foods like fish, flaxseeds, and walnuts.
Reduce processed and fried foods.
Stay well hydrated.
Eat plenty of fruits and vegetables rich in antioxidants.
Limit sugar and refined carbohydrates.

💼 Impact on Daily Work & Life

This medicine is applied topically and is unlikely to affect your ability to drive or operate machinery. However, if you experience dizziness or drowsiness (rare), avoid these activities. You can continue your normal work routine, but take breaks to rest the affected area if needed.

🛑 When to Stop This Medicine

Stop using this medicine and consult your doctor if your symptoms do not improve after 7 days, if they worsen, or if you experience any severe side effects such as skin rash, allergic reactions, or signs of systemic NSAID effects. Do not stop prescribed treatment without consulting your doctor.

📅 Long-Term Use Effects

Long-term use of this medicine is generally not recommended without medical supervision. Prolonged application over large areas may increase systemic absorption and the risk of NSAID-related side effects such as gastrointestinal, renal, or cardiovascular issues. Regular monitoring by a doctor is advised if long-term use is necessary. Skin reactions may also occur with prolonged use.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain and improve joint function.

Evidence: Well-established
Hot/cold therapy

Applying heat or cold packs can help reduce pain and inflammation.

Evidence: Moderate
Acupuncture

May provide pain relief for some individuals with musculoskeletal pain.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. You can receive vaccinations while using this medicine. However, consult your doctor if you have any concerns.

📦 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 with this medicine, carry it in its original packaging with the prescription label intact. Bring a copy of your prescription to avoid issues at customs. Store it in a cool, dry place away from direct sunlight. If traveling to a hot climate, keep it in a cool bag. There are no specific time zone adjustments needed for topical application, but maintain your regular schedule as much as possible.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old woman with knee osteoarthritis
She was prescribed this medicine for her knee pain. She applied it twice daily and noticed significant relief within a week. She also started physiotherapy, which improved her mobility further. She emphasized that applying the gel consistently and avoiding sun exposure helped her avoid side effects.
💡 Lesson: Consistent use and following safety precautions can lead to good pain relief with minimal side effects.
👤 A 40-year-old man with a sports injury
He sprained his ankle while playing football. His doctor recommended this medicine along with rest and ice. He applied the gel three times a day and used crutches initially. The pain and swelling reduced considerably in 5 days. He returned to light activity within a week.
💡 Lesson: Topical NSAIDs can be effective for acute soft tissue injuries when combined with rest and physical measures.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine typically starts relieving pain within 30 to 60 minutes after application. However, the full anti-inflammatory effect may take a few days of regular use.

Q: Can I use this medicine on my face?

A: This medicine is not recommended for use on the face unless specifically prescribed by a doctor. Avoid contact with eyes and mucous membranes.

Q: Is this medicine safe for children?

A: This medicine is not recommended for children under 14 years of age unless prescribed by a doctor. Consult a pediatrician for appropriate pain relief options.

Q: Can I use this medicine with oral painkillers?

A: Using this medicine with oral NSAIDs may increase the risk of side effects. Consult your doctor before combining them.

Q: What should I do if I get a rash?

A: If you develop a rash or severe skin irritation, stop using this medicine and consult a doctor. Mild irritation may resolve on its own, but persistent symptoms need medical attention.

🤔 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 gag pr gel

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 used for any type of pain.
    Fact: This medicine is specifically for localized musculoskeletal pain and inflammation. It is not effective for headaches, fever, or internal pain.
  • Myth: More gel means faster relief.
    Fact: Applying more than the recommended amount does not speed up relief and may increase the risk of side effects. Use a thin layer as directed.
  • Myth: This medicine is completely safe because it is topical.
    Fact: While topical NSAIDs have fewer systemic side effects, they can still cause skin reactions and, rarely, systemic effects if used excessively.

🔄 Alternative Options

Generic Alternatives

  • Aceclofenac 1.5% w/w gel

Brand Alternatives

  • Acrub Gel
  • Aceclo Gel
  • Hifenac Gel
  • Zerodol Gel
  • Aceproxyvon Gel

📊 Comparison with Similar Medicines

[{"medicine":"Aceclofenac gel","class":"NSAID","route":"Topical","common_use":"Musculoskeletal pain","onset":"30-60 minutes"},{"medicine":"Diclofenac gel","class":"NSAID","route":"Topical","common_use":"Musculoskeletal pain","onset":"30-60 minutes"},{"medicine":"Ketoprofen gel","class":"NSAID","route":"Topical","common_use":"Musculoskeletal pain","onset":"30-60 minutes"}]

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