powerflam xp  50 mg/325 mg tablet - Diclofenac (50mg) + Paracetamol (325mg) medicine

Enzoflam Tablet: Complete Medicine Guide

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🏭 Alkem Laboratories Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Not established from the available information. Use is not recommended during the third trimester due to risk of premature closure of the ductus arteriosus. Consult your doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for short-term pain relief.
Reviewed by
SaathiMed Expert Panel | Sep 23, 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 powerflam xp 50 mg/325 mg tablet used for?

This medicine is a combination of Diclofenac 50 mg and Paracetamol 325 mg used for short-term relief of pain and inflammation. It is taken orally with food, usually two to three times daily, and should not be used for more than a few days without medical advice.

  • Generic Name: Diclofenac (50mg) + Paracetamol (325mg)
  • Manufacturer: Alkem Laboratories Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 powerflam xp 50 mg/325 mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा डाइक्लोफेनाक 50 मिलीग्राम और पैरासिटामोल 325 मिलीग्राम का संयोजन है, जिसका उपयोग दर्द और सूजन से राहत के लिए किया जाता है। यह जोड़ों के दर्द, मांसपेशियों के दर्द, दांत दर्द, मासिक धर्म के दर्द और बुखार में प्रभावी है। इसे भोजन के साथ लेना चाहिए और डॉक्टर की सलाह के बिना लंबे समय तक नहीं लेना चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट दर्द, अपच, सिरदर्द और चक्कर आना शामिल हैं। गंभीर दुष्प्रभावों में पेट में रक्तस्राव, गुर्दे की समस्या, यकृत विषाक्तता और एलर्जी प्रतिक्रियाएं शामिल हो सकती हैं। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे भोजन के साथ लें ताकि पेट में जलन न हो। शराब का सेवन न करें क्योंकि इससे पेट में रक्तस्राव और यकृत की समस्या हो सकती है। अन्य दर्द निवारक दवाओं के साथ इसका सेवन न करें। यदि आपको पेट अल्सर, गुर्दे या यकृत की बीमारी, हृदय रोग या अस्थमा है तो डॉक्टर को बताएं। गर्भावस्था के तीसरे तिमाही में इसका उपयोग न करें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 powerflam xp 50 mg/325 mg tablet 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 in rheumatoid arthritis.","evidence":"Well-established"},{"condition":"Acute musculoskeletal pain","description":"Provides short-term relief for strains, sprains, and back pain.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Manages mild to moderate pain following surgical procedures.","evidence":"Well-established"},{"condition":"Dental pain","description":"Relieves pain associated with toothache, extraction, or dental procedures.","evidence":"Well-established"},{"condition":"Dysmenorrhea","description":"Reduces 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":"Bursitis","description":"May be used off-label for pain relief in bursitis.","evidence":"Limited"}]

Primary treatment for: Pain and inflammation

Also treats: Osteoarthritis, Rheumatoid arthritis, Musculoskeletal pain, Dental pain, Dysmenorrhea

📋 Drug Information

Generic Name(s)Diclofenac (50mg) + Paracetamol (325mg)
Brand Namepowerflam xp 50 mg/325 mg tablet
ManufacturerAlkem Laboratories Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a cool, dry place away from direct sunlight.
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 or milk 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.
7
Do not take other NSAIDs or paracetamol-containing products simultaneously.

🔍 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
Paracetamol in this medicine helps reduce fever.
Likely Use
Headache
This medicine is not a primary headache reliever.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDiclofenac is rapidly absorbed from the gastrointestinal tract after oral administration. Paracetamol is also rapidly and completely absorbed. Food may delay the absorption of diclofenac but does not significantly reduce the extent of absorption.
DistributionDiclofenac is highly bound to plasma proteins and distributes into synovial fluid. Paracetamol distributes widely into most body tissues, with a volume of distribution of about 0.9 L/kg.
Protein BindingDiclofenac: >99% bound to plasma proteins, primarily albumin. Paracetamol: Approximately 10-25% bound to plasma proteins.
MetabolismDiclofenac is metabolized in the liver by CYP2C9 to 4'-hydroxydiclofenac and other metabolites. Paracetamol is metabolized in the liver primarily by glucuronidation and sulfation, with a small fraction via CYP2E1 to N-acetyl-p-benzoquinone imine (NAPQI), which is detoxified by glutathione.
Half-LifeDiclofenac: Approximately 1-2 hours. Paracetamol: Approximately 2-3 hours.
ExcretionDiclofenac is excreted mainly in urine (about 65%) and bile/feces (about 35%) as metabolites. Paracetamol is excreted in urine as glucuronide and sulfate conjugates.
BioavailabilityDiclofenac: Approximately 50-60% due to first-pass metabolism. Paracetamol: Approximately 80-90%.
Onset of ActionPain relief typically begins within 30-60 minutes after oral administration.
Peak Plasma TimeDiclofenac: 1-2 hours. Paracetamol: 0.5-1 hour.
Duration of ActionPain relief lasts approximately 4-6 hours.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Diclofenac, an NSAID, reversibly inhibits cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2) enzymes, leading to decreased synthesis of prostaglandins, prostacyclin, and thromboxane. This results in reduced inflammation, pain, and fever. Paracetamol acts primarily in the central nervous system by inhibiting prostaglandin synthesis and possibly activating descending serotonergic pathways, producing analgesia and antipyresis with minimal anti-inflammatory effects. Together, they provide enhanced pain relief through different pathways.

Mechanism Steps

1
Diclofenac inhibits COX enzymes: Diclofenac binds reversibly to COX-1 and COX-2, blocking the conversion of arachidonic acid to prostaglandin H2.
2
Reduced prostaglandin synthesis: Decreased prostaglandins lead to less inflammation, pain, and fever.
3
Paracetamol acts centrally: Paracetamol inhibits central prostaglandin synthesis and modulates pain perception in the brain.
4
Combined analgesic effect: The two mechanisms complement each other, providing stronger pain relief than either alone.

💡 How to Take powerflam xp 50 mg/325 mg tablet

Strength: Tablet containing Diclofenac 50 mg and Paracetamol 325 mg.

1Take the tablet orally 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.
4Do not lie down immediately after taking the tablet.
5Follow the prescribed schedule and do not exceed the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet two to three times daily, depending on the severity of pain and the prescribing doctor's advice. The maximum daily dose should not exceed three tablets in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate or exceed the recommended dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients are at higher risk of side effects, especially gastrointestinal bleeding and kidney impairment. Use the lowest effective dose for the shortest duration. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with kidney impairment. Dose reduction or avoidance may be necessary. Consult your doctor for individualized dosing.
Hepatic ImpairmentUse with caution in patients with liver impairment. Dose reduction or avoidance may be necessary. Consult your doctor for individualized dosing.
Maximum Daily DoseMaximum daily dose: Diclofenac 150 mg and Paracetamol 975 mg (three tablets) in 24 hours. Do not exceed.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases risk of stomach bleeding and liver damage.

⏰ 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 powerflam xp 50 mg/325 mg tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food or milk. If persistent, consult your doctor.
Stomach pain (Common (5-10%))
Take with food. Avoid alcohol. Consult doctor if severe.
Indigestion (Common (5-10%))
Take with food. Antacids may help but consult doctor.
Headache (Common (5-10%))
Usually resolves. Consult doctor if persistent.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.

🚨 Serious Side Effects

Gastrointestinal bleeding (Rare (<0.1%))
Seek immediate medical attention if you notice black stool, vomiting blood, or severe abdominal pain.
Kidney impairment (Rare (<0.1%))
Report decreased urine output, swelling, or fatigue to your doctor immediately.
Liver toxicity (Rare (<0.1%))
Seek medical attention if you experience yellowing of skin or eyes, dark urine, or severe fatigue.
Severe allergic reaction (Rare (<0.1%))
Seek emergency care if you experience swelling of face, lips, or throat, or difficulty breathing.
Cardiovascular events (Rare (<0.1%))
Seek immediate medical attention if you experience chest pain, shortness of breath, or weakness.

⚠️ Rare Side Effects

Blood disorders
Report unusual bruising or bleeding to your doctor.
Pancreatitis
Seek immediate care for severe abdominal pain radiating to the back.
Severe skin reactions
Seek emergency care for rash, blisters, or peeling skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Other NSAIDs Major
Methotrexate Major
ACE inhibitors Major
Diuretics Moderate
Corticosteroids Moderate
SSRIs Moderate
Antacids Minor
Cholestyramine Minor
Alcohol Major

🚨 Major Interactions

  • Warfarin
  • Other NSAIDs
  • Methotrexate
  • ACE inhibitors

⚡ Moderate Interactions

  • Diuretics
  • Corticosteroids
  • SSRIs

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of gastrointestinal bleeding, ulceration, and liver toxicity, especially with paracetamol.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to diclofenac, paracetamol, 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, ischemic heart disease, or peripheral arterial disease.","Severe kidney impairment (eGFR

⚠️ Warnings & Precautions

["Take with food or milk to reduce stomach upset.","Avoid alcohol while taking this medicine.","Do not exceed the recommended dose or duration.","Use with caution in the elderly.","Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart problems, or asthma.","Do not take other NSAIDs or paracetamol-containing products simultaneously.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Consult your 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 before 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, N-acetylcysteine for paracetamol toxicity, and supportive care.

⏰ 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 to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration. Always take it with food or milk to reduce stomach upset. Avoid alcohol while taking this medicine as it can increase the risk of stomach bleeding and liver damage. Do not take other NSAIDs or paracetamol-containing products simultaneously to prevent overdose. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart problems, or asthma. Use with caution in the elderly. Do not use during the third trimester of pregnancy. 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 in a cool, dry place away from direct sunlight and 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 the lowest effective dose for the shortest duration and monitor closely.

🤰 Pregnancy Planning (TTC)

Consult your doctor before planning pregnancy if you are taking this medicine. It is not recommended during the third trimester.

🏥 Post-Surgery Considerations

This medicine may be used for post-operative pain, but consult your surgeon before use as it may increase bleeding risk.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine 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.

🏋️ Exercise Considerations

Avoid strenuous exercise while taking this medicine as it may increase the risk of bleeding or injury. Consult your doctor before starting any exercise program.

🥗 Diet Recommendations

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

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness. 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

Stop taking this medicine and consult your doctor if you experience severe side effects such as stomach bleeding, kidney problems, or allergic reactions. Do not stop abruptly without consulting your doctor if you have been on long-term therapy.

📅 Long-Term Use Effects

Long-term use of this medicine can increase the risk of gastrointestinal bleeding, kidney impairment, liver toxicity, and cardiovascular events. Regular monitoring of kidney and liver function is recommended. Use the lowest effective dose for the shortest duration.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain.

Evidence: Well-established
Hot and cold compresses

May help relieve localized pain and inflammation.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are established. Consult your doctor before vaccination if 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

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and avoid exposure to extreme heat or moisture. If traveling across time zones, adjust dosing intervals 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 with acute back pain
Took this medicine for 5 days and experienced relief from severe back pain. He was advised to avoid alcohol and monitor for stomach discomfort.
💡 Lesson: Short-term use with proper precautions can provide effective pain relief.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Pain relief typically begins within 30-60 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 stomach upset.

Q: Is it safe for long-term use?

A: Long-term use should be under medical supervision due to risks of kidney, liver, and gastrointestinal side effects.

🤔 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 powerflam xp 50 mg/325 mg 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 can be taken on an empty stomach.
    Fact: It should be taken with food to reduce stomach upset.
  • Myth: It is safe to take this medicine for long periods without monitoring.
    Fact: Long-term use requires monitoring of kidney and liver function.
  • Myth: This medicine is safe for everyone.
    Fact: It is contraindicated in certain conditions like peptic ulcer and severe kidney disease.

🔄 Alternative Options

Generic Alternatives

  • Diclofenac 50 mg + Paracetamol 325 mg tablet

Brand Alternatives

  • Enzoflam Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Diclofenac + Paracetamol","composition":"Diclofenac 50 mg + Paracetamol 325 mg","onset":"30-60 minutes","duration":"4-6 hours"},{"medicine":"Aceclofenac + Paracetamol","composition":"Aceclofenac 100 mg + Paracetamol 325 mg","onset":"30-60 minutes","duration":"4-6 hours"},{"medicine":"Ibuprofen + Paracetamol","composition":"Ibuprofen 400 mg + Paracetamol 325 mg","onset":"30-60 minutes","duration":"4-6 hours"}]

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