Actis 20mg Tablet: Complete Information
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 nudic 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: Modgal Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nudic 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।
💊 nudic 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 Name | nudic 20mg tablet |
| Manufacturer | Modgal Pharmaceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | Proteolytic Enzymes |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) away from moisture and heat. Keep in 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
🔍 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 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
💡 How to Take nudic 20mg tablet
Strength: Tablet, 20mg
Dosage Information
| Adult Dosage | The 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 Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may require dose adjustment based on renal and hepatic function. Consult your doctor. |
| Renal Impairment | Dose adjustment may be needed in patients with renal impairment. Consult your doctor. |
| Hepatic Impairment | Dose adjustment may be needed in patients with hepatic impairment. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is 60mg, but this must be confirmed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nudic 20mg tablet
✅ 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 | |
| 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
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
🏋️ Exercise Considerations
Avoid strenuous exercise if you have swelling or pain. Consult your doctor before starting any exercise regimen.
🥗 Diet Recommendations
💼 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.
Can complement medicine for chronic pain.
Evidence: Well-establishedRest, 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.
💬 Questions Patients Often Ask
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.
A: Inform your doctor about all medicines you are taking, especially blood thinners, as interactions may occur.
🤔 Common Patient Concerns
🔄 Substitutes for nudic 20mg tablet
View AllAlternative brands with exact same active ingredient:
-
mucozen forte 20mg tabletZenith Healthcare Ltd ₹33.53 28.5% CHEAPER
-
mucotrip 20mg tabletBonsai Pharma ₹40.59 13.4% CHEAPER
-
exudase 20mg tabletRavenbhel Pharmaceuticals Pvt Ltd ₹47.98 2.3% COSTLIER
-
akser 20mg tabletAknil Biotech ₹50.00 6.7% COSTLIER
-
dranzen 20mg tabletDrakt Pharmaceutical Pvt Ltd ₹56.25 20% COSTLIER
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