Nura Ac 200mg/20mg Capsule Sr: 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 fatigue or weakness
If experiencing severe symptoms, call emergency services immediately.
What is nura ac 200mg/20mg capsule sr used for?
This medicine is a combination of aceclofenac (an NSAID) and rabeprazole (a proton pump inhibitor) used to treat pain and inflammation in conditions like arthritis while protecting the stomach from ulcers. It is taken once daily with food.
- Generic Name: Information coming soon
- Manufacturer: Multiple manufacturers
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nura ac 200mg/20mg capsule sr के बारे में (Hindi Summary)
उपयोग: यह दवा एसिफेनाक और रेबेप्राजोल का संयोजन है, जिसका उपयोग गठिया, जोड़ों के दर्द, सूजन और अन्य सूजन संबंधी स्थितियों के इलाज के लिए किया जाता है। यह पेट की परत की रक्षा करने में मदद करती है और दर्द व सूजन को कम करती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, दस्त, सिरदर्द, पेट दर्द, अपच और गैस शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें पेट में रक्तस्राव, अल्सर, गुर्दे की समस्या, यकृत विषाक्तता और गंभीर एलर्जी प्रतिक्रिया शामिल हो सकती है। यदि आपको काला मल, उल्टी में खून, या गंभीर पेट दर्द हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे भोजन के साथ लें ताकि पेट की जलन कम हो। कैप्सूल को चबाएं या तोड़ें नहीं। शराब का सेवन न करें क्योंकि इससे पेट में रक्तस्राव का खतरा बढ़ सकता है। गुर्दे और यकृत की कार्यप्रणाली की नियमित जांच कराएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।
💊 nura ac 200mg/20mg capsule sr Uses & Benefits
[{"condition":"Osteoarthritis","description":"Relieves pain and improves joint mobility in knee, hip, and hand osteoarthritis.","evidence":"Well-established"},{"condition":"Rheumatoid arthritis","description":"Reduces joint pain, inflammation" class="semantic-link" title="Medicines for swelling">swelling, and stiffness associated with rheumatoid arthritis.","evidence":"Well-established"},{"condition":"Ankylosing spondylitis","description":"Helps alleviate pain and inflammation in the spine and sacroiliac joints.","evidence":"Well-established"},{"condition":"Acute gouty arthritis","description":"May be used to relieve acute pain and inflammation in gout attacks.","evidence":"Moderate"},{"condition":"Dysmenorrhea","description":"Can be used for relief of menstrual cramps and associated pain.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Migraine prophylaxis","description":"Sometimes prescribed off-label for preventing migraines, but evidence is limited.","evidence":"Limited"},{"condition":"Postoperative pain","description":"May be used off-label for short-term management of postoperative pain, but not routinely recommended.","evidence":"Limited"}]
Primary treatment for: Osteoarthritis
Also treats: Rheumatoid arthritis, Ankylosing spondylitis, Acute gouty arthritis, Dysmenorrhea
📋 Drug Information
| Generic Name(s) | Information coming soon |
| Brand Name | nura ac 200mg/20mg capsule sr |
| Manufacturer | Multiple manufacturers |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. 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
🔍 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 combines aceclofenac, a nonsteroidal anti-inflammatory drug (NSAID), and rabeprazole, a proton pump inhibitor (PPI). Aceclofenac works by inhibiting the cyclooxygenase (COX) enzymes, particularly COX-2, which are involved in the production of prostaglandins that mediate pain, inflammation, and fever. By blocking these enzymes, aceclofenac reduces pain and swelling. Rabeprazole suppresses gastric acid secretion by irreversibly inhibiting the H+/K+-ATPase (proton pump) in the parietal cells of the stomach. This reduces the risk of aceclofenac-induced gastrointestinal irritation and ulceration. The sustained-release formulation allows for gradual release of both drugs, potentially providing prolonged effect and improved tolerability.
Mechanism Steps
💡 How to Take nura ac 200mg/20mg capsule sr
Strength: Sustained-release capsule containing aceclofenac 200 mg and rabeprazole 20 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one capsule (aceclofenac 200 mg and rabeprazole 20 mg) taken orally once daily with food, or as directed by your doctor. The dose may be adjusted based on your condition and response to treatment. Do not exceed the recommended dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine. Use with caution and monitor kidney and liver function. Dose adjustment may be necessary. |
| Renal Impairment | Use with caution in patients with kidney impairment. Dose reduction may be required. Consult your doctor for individualized dosing. |
| Hepatic Impairment | Use with caution in patients with liver impairment. Dose reduction may be required. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | One capsule per day. Do not exceed the recommended dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nura ac 200mg/20mg capsule sr
✅ 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 | |
| Methotrexate | Major | |
| Other NSAIDs | Major | |
| Corticosteroids | Major | |
| ACE inhibitors | Moderate | |
| Diuretics | Moderate | |
| Ketoconazole | Moderate | |
| Antacids | Minor | |
| Sucralfate | Minor |
🚨 Major Interactions
- Warfarin
- Methotrexate
- Other NSAIDs
- Corticosteroids
⚡ Moderate Interactions
- Antihypertensives (e.g., ACE inhibitors, ARBs)
- Diuretics
- Ketoconazole
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can increase the risk of stomach bleeding and ulcers, and may worsen side effects such as dizziness and drowsiness.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to aceclofenac, rabeprazole, or any component of the formulation","History of asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs","Active peptic ulcer or gastrointestinal bleeding","Severe heart failure","Severe kidney impairment","Severe liver impairment","Pregnancy (third trimester)","Breastfeeding"]
⚠️ Warnings & Precautions
["Take with food to reduce stomach upset.","Do not crush, chew, or break the sustained-release capsule.","Avoid alcohol while taking this medicine.","Use with caution in elderly patients due to increased risk of side effects.","Monitor kidney and liver function during long-term use.","May increase risk of cardiovascular events; use with caution in patients with heart disease.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Do not use for more than the recommended duration without medical advice."]
🤱 Lactation Safety
Not established from the available information. Consult a doctor before use while breastfeeding.
💊 Overdose Management
Overdose may cause severe stomach pain, vomiting, drowsiness, and kidney problems. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote.
⏰ 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
Take this medicine exactly as prescribed by your doctor. Do not crush, chew, or break the sustained-release capsule; swallow it whole with a glass of water. It is best taken with food to reduce stomach upset. Avoid alcohol while taking this medicine as it can increase the risk of stomach bleeding. Do not take other NSAIDs or pain relievers without consulting your doctor. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart problems, or asthma. Regular monitoring of kidney function, liver function, and blood counts may be needed during long-term therapy. Do not use this medicine for more than the recommended duration unless advised by your doctor. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Keep this medicine out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events. Use with caution and monitor closely.
🤰 Pregnancy Planning (TTC)
Consult your doctor if you are planning pregnancy. This medicine may not be safe during pregnancy, especially in the third trimester.
🏥 Post-Surgery Considerations
Use with caution after surgery due to increased risk of bleeding and kidney problems. Consult your surgeon before taking this medicine.
🦷 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 high-impact activities that may worsen joint pain. Consult a physiotherapist for safe exercises. If you experience dizziness, avoid activities requiring balance.
🥗 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.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects, seek medical advice immediately. Your doctor may adjust the dose or switch to another medicine.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of gastrointestinal bleeding, ulcers, kidney impairment, and liver toxicity. Regular monitoring of kidney and liver function, as well as blood counts, is recommended. Cardiovascular risk may also be elevated. Use the lowest effective dose for the shortest duration possible.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain.
Evidence: Well-establishedReduces stress on joints and improves symptoms.
Evidence: Well-establishedMay help with pain relief in some patients.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established. However, consult your doctor before receiving any vaccine while on 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
Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from direct sunlight. If traveling across time zones, consult your doctor about adjusting the dosing schedule. Keep enough supply for the entire trip. 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: Pain relief may begin within 30 to 60 minutes, but full anti-inflammatory effects may take several days to weeks.
A: It is best taken with food to reduce stomach upset.
A: Long-term use requires regular monitoring of kidney and liver function. Consult your doctor.
A: Take it as soon as you remember, but if it's almost time for the next dose, skip the missed dose. Do not double dose.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can be taken for any type of pain.
Fact: It is specifically for inflammatory pain and should not be used for all pain types without medical advice. - Myth: It is safe to take without food.
Fact: Taking it with food reduces the risk of stomach upset and ulcers. - Myth: It can be taken long-term without monitoring.
Fact: Long-term use requires regular monitoring of kidney and liver function.
🔄 Alternative Options
Generic Alternatives
- Aceclofenac 200 mg + Rabeprazole 20 mg sustained-release capsules