Cip-Zox Tablet

• Pain, swelling, and stiffness caused by muscle sprains

• Known allergy to any ingredients in Cip-Zox tablets
• If you have had a heart attack, stroke, heart failure, or narrowed arteries in the legs. Avoid diclofenac in established cardiovascular disease.
• If you have an active or previous stomach or duodenal ulcer, or bleeding from the gut.
• If you have severe liver or kidney disease.
• If asthma, hives, or swelling has ever been triggered by aspirin or another anti-inflammatory painkiller.
• If you are pregnant.
• If you are already taking another anti-inflammatory painkiller, or another product containing paracetamol.

• Nausea, heartburn, or stomach discomfort
• Drowsiness
• Dizziness
• Loose motions or constipation
• Headache

• A rash or itching
• Swelling of the ankles or feet
• Reddish or orange urine from chlorzoxazone, which is harmless
• Raised blood pressure

• Vomiting blood, black tarry stools, or severe stomach pain - possible bleeding from the stomach.
• Chest pain, breathlessness, weakness down one side, or difficulty speaking. Diclofenac carries a higher risk of heart attack and stroke than some other anti-inflammatories.
• Yellowing of the skin or eyes, dark urine, or pain over the upper right side of the tummy.
• Passing much less urine, or swelling that is worsening.
• Wheezing or chest tightness, particularly if you have asthma.
• A spreading rash with blistering or peeling, or swelling of the face, lips, or throat.

Other General Warnings

• You suffer from liver disorders
• You suffer from kidney disease
• You suffer from ulcerative colitis or peptic ulcers
• You have heart problems
• You are lactose intolerant
• You have porphyria
• You have asthma
• You have heart problems
• You have diabetes
• You have bleeding disorders
• You have Systemic Erythematosus Lupus
• You had or are going to undergo surgery of stomach

• Take this medication at the dose and for the duration prescribed by your doctor
• Take it all at once. It should not be chewed, crushed, or broken.
• Cip-Zox Tablet should be consumed with food.

• Keep out of reach from children and pets
• Store below 30°C in the original container
• Cip-Zox tablet should not be used after the expiry date
• If you observe any breakage in the blister, do not take Cip-Zox tablet
• Medicines should never be discarded in wastewater or household garbage

• Check every other medicine for paracetamol before taking it. Cold, flu, and headache remedies often contain it, and taking too much can damage the liver.
• Take it with food for the shortest time needed to control the pain.
• It may make you drowsy. Do not drive or use machinery until you know how it affects you.
• Avoid alcohol while taking it.
• Tell your doctor if you have had a heart attack or stroke, high blood pressure, a stomach ulcer, asthma, or kidney or liver trouble.
• Do not combine it with another anti-inflammatory such as ibuprofen or naproxen.
• Reddish or orange urine is from chlorzoxazone and is harmless.
• Go back to your doctor if the pain doesn't improve after a few days.

Overdose

Missed a Dose

Interactions with other medicines

• Lithium when used with diclofenac may raise lithium blood concentrations
• Digoxin when taken with diclofenac may cause digoxin blood concentrations to rise
• Concomitant treatment with potassium-sparing diuretics, ciclosporin, tacrolimus, or trimethoprim may result in raised serum potassium levels
• Anticoagulants and antiplatelet medicines enhances the risk of bleeding if taken together
• The use of SSRIs together may raise the risk of gastrointestinal bleeding.
• Diclofenac can raise methotrexate levels in the body
• Diclofenac may aggravate ciclosporin toxicity in kidneys
• Concomitant use of tacrolimus raises the risk of toxicity in kidneys
• Concomitant use of quinolone antibiotics can cause seizures
• Concomitant use of phenytoin raises phenytoin levels in blood
• Colestipol and cholestyramine can delay diclofenac absorption
• Concomitant use of cardiac glycosides worsens cardiac failure, lowers GFR, and raises blood glycoside levels
• Concomitant use of mifepristone affects the action of mifepristone
• Concomitant use of warfarin increases bleeding risk
• Alcohol and other central nervous system depressants may increase chlorzoxazone's action on brain
• Isoniazid inhibits chlorzoxazone excretion
• Metoclopramide or domperidone increases the absorption of paracetamol

Interactions with food items

• Take it with or just after food for gentler stomach relief.
• Avoid alcohol. It increases drowsiness, raises the risk of stomach bleeding, and adds to the liver load from paracetamol.
• Drink enough water. Dehydration increases the strain this type of medicine puts on the kidneys.
• Cut down on very spicy or acidic food if you already get heartburn.