Nabiges P Tablets

• Treatment of pain & swelling of joints (osteoarthritis & rheumatoid arthritis)
• Treatment of pain & inflammation of spinal cord (ankylosing spondylitis)
• Treatment of pain and swelling in ear, nose or throat, lower back pain
• Treatment of lower abdominal pain, uterine cramps and pain related to periods (Gynecological pain)
• Treatment of toothache

• If you are allergic to aceclofenac, paracetamol or any of the ingredients of this medicine
• If you have a history of asthma, skin rashes, swelling & nasal congestion after taking aspirin, ibuprofen or other NSAIDs
• If you have a history of frequent stomach ulcers or bleeding
• If you have severe heart problems like heart failure, high blood pressure
• If you have severe liver or kidney disorder
• If you are pregnant especially in third trimester of pregnancy

• Nausea, vomiting (with or without blood)
• Stomach pain
• Indigestion
• Constipation
• Mouth ulcers
• Black stools
• Loose motions
• Skin rashes
• Dizziness
• Excess sleepiness
• Elevated levels of liver enzymes & creatinine

How Does It Work?

Interactions with other medicines

• No drug interaction reports are available for this combination. However, as this medicine contains aceclofenac & paracetamol, any interactions seen with these two components when taken alone may occur...

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• Other medicines containing paracetamol, as there is increased risk of liver damage
• If you are taking medicines used to treat high blood pressure, this medicine can interfere with their effect
• Medicines like diuretic can lead to kidney damage when taken along with this medicine
• Medicines used to treat heart failure (Cardiac glycosides)
• This medicine can increase the levels of lithium and it's side effects
• Medicines used to treat certain type of cancer like methotrexate
• Medicines used to modify immune response during organ transplant like ciclosporin & tacrolimus can result in kidney damage if taken with this medicine
• Increase the risk of stomach ulcers or bleeding when taken with steroids
• There is risk of bleeding if you are taking medicines to thin the blood like warfarin, coumarin
• Increased risk of fits if you are taking this medicine with antibiotics like levofloxacin, ciprofloxacin (Quinolone )
• Medicines used to treat HIV infections like zidovudine
• If you are taking medicines for treating diabetes, be cautious about symptoms of low glucose levels like sweating, anxiety, fast heartbeat, hunger pangs
• Medicines used to treat fits, seizures & depression-like phenobarbital, carbamazepine, phenytoin
• Medicine used to treat gout-like probenecid
• Medicine used to treat tuberculosis (TB), rifampicin
• Medicine used for pain relief like aspirin
• Medicine used to treat mental problems like depression & the blues (St. John's Wort)

Interactions with food items

• No information is available on interactions of this medicine when taken with food, consult your doctor or pharmacist for further details.

Overdose

• Taking Nabiges P Tab in high doses may result in severe liver damage
• Other symptoms headache, nausea, vomiting, stomach pain, diarrhoea, unconsciousness, excitation, coma, dizziness, low blood pressure, fits, difficulty in breathing & weight loss
• If you think you have taken too much of this medicine contact your doctor immediately or visit the nearest hospital.

Missed a Dose

• If you missed any dose of medicine, take it as soon as you remember
• If it's time for your next dose, then skip the missed dose and continue with your regular dose schedule
• Do not take a double dose of medicine to compensate for the missed one.