CECLO-200 XR (DJPL)

# Aceclofenac 200 mg ## SHORT DESCRIPTION Aceclofenac 200 mg is a **non-steroidal anti-inflammatory drug (NSAID)** used to reduce pain and inflammation associated with various musculoskeletal and joint conditions. It may help relieve pain, swelling and stiffness in conditions such as osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. Aceclofenac works mainly by reducing the production of **prostaglandins**, substances involved in pain, inflammation and fever. > **Important:** Aceclofenac is commonly available as a 100 mg tablet. If your product is labeled **200 mg**, verify the exact formulation, strength and prescribed dosing with a pharmacist or healthcare professional before use. ## KEY BENEFITS * Helps relieve mild to moderate pain * Reduces inflammation and swelling * Helps relieve joint pain and stiffness * May improve mobility affected by inflammatory joint conditions * Useful for pain associated with certain musculoskeletal disorders * Provides both analgesic and anti-inflammatory effects ## USES / INDICATIONS Aceclofenac may be prescribed for: * **Osteoarthritis** * **Rheumatoid arthritis** * **Ankylosing spondylitis** * Musculoskeletal pain * Joint pain and inflammation * Other painful inflammatory conditions as determined by a healthcare professional Aceclofenac is generally intended for **short-term or carefully monitored treatment**, depending on the condition. ## HOW IT WORKS Aceclofenac is an NSAID that reduces the activity of enzymes involved in prostaglandin production. Prostaglandins contribute to **pain, inflammation and swelling**. By reducing their production, aceclofenac helps decrease pain and inflammation and may improve joint stiffness. ## DOSAGE & ADMINISTRATION * Take aceclofenac **exactly as prescribed**. * The commonly used adult dose of aceclofenac is **100 mg twice daily**, depending on the indication and formulation. * Because **200 mg is not a standard single-tablet strength in many markets**, verify the exact product and dosing instructions before taking it. * Take the medicine with or after food if recommended, particularly if it causes stomach discomfort. * Swallow tablets with water and do not crush or chew modified-release formulations unless instructed. * Use the **lowest effective dose for the shortest appropriate duration**. * Do not take more than the prescribed amount. ### Missed Dose Take the missed dose when remembered unless it is nearly time for the next dose. Do not take a double dose to compensate for a missed dose. ## SIDE EFFECTS Common side effects may include: * Indigestion * Stomach pain or discomfort * Nausea * Diarrhea * Dizziness * Headache * Increased liver enzymes * Heartburn ### Serious Side Effects Seek immediate medical attention if you experience: * Black or bloody stools * Vomiting blood * Severe or persistent stomach pain * Difficulty breathing * Swelling of the face, lips or throat * Severe skin rash or blistering * Chest pain * Sudden weakness or speech difficulties * Significant reduction in urine output * Yellowing of the skin or eyes NSAIDs can rarely cause serious **gastrointestinal bleeding, kidney problems, liver injury, cardiovascular events or severe allergic reactions**. ## PRECAUTIONS & WARNINGS * Use aceclofenac only as directed by a healthcare professional. * Avoid taking it if you have a history of **NSAID-induced asthma, severe allergy to aspirin/NSAIDs, active stomach ulcer or gastrointestinal bleeding**. * Tell your doctor if you have kidney, liver or heart disease. * Use caution if you have high blood pressure. * Long-term or high-dose NSAID treatment can increase the risk of cardiovascular events such as heart attack or stroke. * NSAIDs can cause stomach ulcers and gastrointestinal bleeding, particularly in older adults and people taking other medicines that increase bleeding risk. * Avoid combining aceclofenac with other NSAIDs unless specifically prescribed. * Use the lowest effective dose for the shortest duration necessary. * Tell your doctor if you are pregnant or planning pregnancy. * NSAIDs should generally be avoided during the **third trimester of pregnancy**. * Tell your doctor if you are breastfeeding. * Elderly patients may have a greater risk of gastrointestinal, kidney and cardiovascular adverse effects. * Stop the medicine and seek medical advice if you develop a severe skin reaction. * Aceclofenac may cause dizziness in some people; use caution when driving if affected. ## DRUG INTERACTIONS Aceclofenac may interact with: * **Other NSAIDs** such as ibuprofen, naproxen or diclofenac — increases the risk of gastrointestinal and kidney-related adverse effects. * **Aspirin** — may increase gastrointestinal bleeding risk. * **Anticoagulants** such as warfarin — may increase bleeding risk. * **Antiplatelet medicines** such as clopidogrel — may increase bleeding risk. * **Corticosteroids** such as prednisolone — may increase the risk of stomach ulcers and gastrointestinal bleeding. * **ACE inhibitors and ARBs** — NSAIDs may reduce their blood-pressure-lowering effects and increase the risk of kidney problems. * **Diuretics** — may increase the risk of kidney impairment and reduce diuretic effects. * **Lithium** — NSAIDs may increase lithium concentrations. * **Methotrexate** — may increase methotrexate toxicity. * **Cyclosporine or tacrolimus** — may increase the risk of kidney toxicity. * **Certain diabetes medicines** — NSAIDs may affect glucose control in some patients. Always inform your doctor or pharmacist about all prescription medicines, over-the-counter medicines, vitamins and herbal supplements you use. ## STORAGE INFORMATION * Store according to the manufacturer's instructions. * Keep tablets in their original packaging. * Store at the recommended room temperature. * Protect from excessive heat, moisture and direct sunlight. * Keep the container tightly closed where applicable. * Keep out of reach of children. * Do not use after the expiry date. * Do not use tablets if the packaging is damaged or the tablets appear abnormal. ## PRESCRIPTION STATUS **Prescription medicine.** Aceclofenac should be used according to the advice of a qualified healthcare professional. Prescription requirements may vary according to country and formulation. ## GENUINE MEDICINE ASSURANCE For safe and genuine medicine use: * Purchase Aceclofenac only from a licensed and reputable pharmacy. * Check the medicine name, strength and dosage form. * **Verify the 200 mg strength carefully**, as aceclofenac is commonly supplied in other strengths. * Check the batch number and expiry date. * Ensure the packaging and seal are intact. * Check the manufacturer's details. * Avoid medicines with damaged, altered or suspicious packaging. * Purchase medicines only from authorized sources. * Consult a pharmacist if you have concerns about the authenticity or strength of the medicine. ## FAQ ### What is Aceclofenac 200 mg used for? Aceclofenac is an NSAID used to relieve **pain and inflammation**, particularly in conditions such as osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. ### Is Aceclofenac a painkiller? Yes. Aceclofenac is a non-steroidal anti-inflammatory medicine with **pain-relieving and anti-inflammatory properties**. ### How does Aceclofenac work? Aceclofenac reduces the production of prostaglandins, which are involved in pain and inflammation. This helps reduce pain, swelling and stiffness. ### Is Aceclofenac a steroid? No. Aceclofenac is an **NSAID**, not a corticosteroid. ### Is Aceclofenac used for arthritis? Yes. It may be prescribed for osteoarthritis, rheumatoid arthritis and ankylosing spondylitis to reduce pain, inflammation and stiffness. ### Can Aceclofenac be taken for back pain? It may be prescribed for certain types of back or musculoskeletal pain when inflammation contributes to the symptoms. The underlying cause of back pain should be evaluated when symptoms are persistent or severe. ### What is the usual dose of Aceclofenac? A commonly used adult regimen is **100 mg twice daily**, but dosing depends on the specific product and medical condition. Because you have specified **200 mg**, confirm the exact formulation and prescribed dose before use. ### Is Aceclofenac 200 mg a normal strength? Aceclofenac is commonly marketed as **100 mg tablets** in many markets. A 200 mg product may refer to a particular formulation or product presentation, so the label should be verified before use. ### Should Aceclofenac be taken after food? Taking aceclofenac with or after food may help reduce stomach discomfort. Follow the instructions supplied with your specific medicine. ### Can Aceclofenac cause stomach problems? Yes. Indigestion, stomach pain, nausea and heartburn can occur. More serious complications such as ulcers or gastrointestinal bleeding are possible, particularly with prolonged use or in people at increased risk. ### Can Aceclofenac cause kidney problems? Yes. NSAIDs can reduce kidney blood flow and may cause kidney problems, particularly in people with kidney disease, dehydration, heart failure or those taking certain other medicines. ### Can Aceclofenac increase blood pressure? NSAIDs can cause fluid retention and may increase blood pressure in some people. Patients with hypertension should use aceclofenac under medical supervision. ### Can I take Aceclofenac with Ibuprofen? Generally, **do not combine aceclofenac with ibuprofen** unless specifically instructed by a healthcare professional. Both are NSAIDs, and combining them can increase the risk of stomach bleeding, kidney problems and other adverse effects. ### Can Aceclofenac be taken with Paracetamol? Paracetamol and aceclofenac may sometimes be used together under medical advice because they work differently. Follow recommended doses and consult a healthcare professional if you regularly need both. ### Can Aceclofenac be taken with Diclofenac? Both are NSAIDs, so they should generally **not be taken together** unless specifically prescribed. Combining them can increase the risk of adverse effects without necessarily providing additional benefit. ### Can Aceclofenac be taken during pregnancy? Aceclofenac should be used during pregnancy only when specifically advised by a healthcare professional. NSAIDs are generally avoided during the **third trimester** because of potential risks to the fetus and complications during delivery. ### Can Aceclofenac be used while breastfeeding? Consult your healthcare professional before using aceclofenac while breastfeeding. They can assess whether another pain-relief option would be more appropriate. ### Does Aceclofenac cause sleepiness? Dizziness can occur and some people may feel less alert. Avoid driving or operating machinery if you experience dizziness or impaired alertness. ### What are the signs of Aceclofenac overdose? An overdose may cause nausea, vomiting, stomach pain, dizziness, drowsiness or gastrointestinal bleeding. Seek urgent medical attention if you have taken significantly more than prescribed. ### What should I do if I miss an Aceclofenac dose? Take the missed dose when you remember unless it is almost time for the next dose. Do not take two doses together. ### How long can Aceclofenac be taken? The duration depends on the condition and response to treatment. Long-term use should be regularly reviewed because NSAIDs can increase the risk of gastrointestinal, kidney and cardiovascular complications. ### How should Aceclofenac 200 mg be stored? Store it according to the manufacturer's instructions, away from excessive heat, moisture and direct sunlight. Keep it in its original packaging and out of reach of children. ## MEDICAL DISCLAIMER This information is provided for educational and informational purposes only and should not replace professional medical advice, diagnosis or treatment. Aceclofenac is an NSAID that can cause gastrointestinal, kidney, liver and cardiovascular adverse effects, particularly with prolonged use or higher doses. **The stated 200 mg strength should be verified because aceclofenac is commonly available as 100 mg tablets.** Do not combine it with other NSAIDs unless directed by a healthcare professional. Use the lowest effective dose for the shortest appropriate duration. Seek urgent medical attention for severe stomach pain, black stools, vomiting blood, chest pain, breathing difficulty, severe allergic reactions or other serious symptoms.