Hifenac Mr Tablet

• If you are allergic to aceclofenac, paracetamol, chlorzoxazone or any ingredient of Hifenac-MR tablet.
• If you are experiencing bleeding from the stomach and intestine or have an active peptic ulcer.
• If you are allergic to other painkillers such as aspirin and have experienced severe asthma, rashes or any other allergy.
• If you are suffering from any heart disease like heart failure and high blood pressure.
• If you have problems with kidney and liver function.
• If you are pregnant or elderly (65 or older).

• Dizziness
• Lightheadedness
• Nausea
• Vomiting
• Weakness
• Fatigue
• Liver problem

Other General Warnings

• You have kidney or liver problems.
• You have heart problems like high blood pressure and heart failure.
• You are an elderly patient taking diuretics or have a kidney disorder.
• Your doctor may ask you to do renal function tests for the same.
• You are suffering from gastrointestinal problems like bleeding, ulcers in the intestine (perforation) or Crohn's disease or you are passing black tarry stools.
• You have asthma.
• You have Systemic lupus erththramoses (an autoimmune disorder).
• You are an alcoholic.
• You have disorders related to blood, like clotting problems and anaemia.
• You have skin rashes & lesions after taking Hifenac-MR tablet.

• Store Hifenac-MR tablet in a cool and dry place, protected from direct sunlight, moisture and heat.
• Keep it out of the reach of children and pets.

• Hifenac MR tablet is not recommended for use in children less than 10 years of age.
• Inform your doctor if you are pregnant, planning on becoming pregnant or breastfeeding before taking this medicine. Also, inform about your medical history, especially if you have heart or blood vessel-related disorders or gastrointestinal bleeding.
• Do not take any other paracetamol-containing products while taking Hifenac MR tablet.
• Dizziness, fatigue, weakness and nausea/vomiting may occur in some individuals with the use of this medicine. Inform your doctor if these effects bother you or do not go away.
• Tell your doctor if you have a history or have an alcohol addiction.

Overdose

Missed a Dose

How Does It Work?

• Hifenac-MR tablet works by the combined action of its three components. Aceclofenac and Paracetamol inhibit the synthesis of prostaglandins, which are responsible for causing pain, swelling and inflammation thus offers anti-inflammatory property.
• Chlorzoxazone is a muscle relaxant which works by blocking the signals of painful sensation through the nerve to the brain and reduces pain and stiffness.

Interactions with other medicines

• Do not take any other medicines containing Paracetamol or Aceclofenac, as there is a risk of liver damage.
• If you are taking medicines for high blood pressure, this medicine can interfere with their effect.
• Medicines like water pills can lead to kidney damage when taken along with it
• Caution is needed if you are taking medicines to treat heart failure
• This medicine can increase the levels of lithium and methotrexate
• Medicines used to modify immune response during organ transplant like ciclosporin & tacrolimus, can result in kidney damage if taken with this medicine
• Increased risk of stomach ulcers or bleeding when taken with steroids or other pain relief medicines like Aspirin
• There is a risk of bleeding if you are taking blood-thinning medicines like Warfarin and Coumarin
• Increased risk of fits if you are taking this medicine with antibiotics like Levofloxacin and Ciprofloxacin
• If you are taking medicines to treat diabetes, be cautious about symptoms of low glucose levels like sweating, anxiety, fast heartbeat and hunger pangs
• Medicines used to treat fits, seizures & depression-like Phenobarbital, Carbamazepine, Phenytoin and Clonazepam
• Medicine used to treat gout-like Probenecid
• Medicines used to treat bacterial infections like Chloramphenicol, Rifampicin and HIV infections like Zidovudine

Interactions with food items