Rumaflam Tablets

• Treatment of pain & swelling of joints (osteoarthritis & rheumatoid arthritis)
• To relieve pain due to migraine, headache, backache, menstruation, dental conditions and muscle sprain
• To relieve pain after operation and surgical procedures and sports injuries
• To relieve pain and swelling in the spinal cord & due to throat and airways infections

• If you are allergic to Ibuprofen, Paracetamol or other ingredients of this medicine
• If you have a history of allergic reaction due to pain killers like aspirin, etc.
• If you are taking medicines containing Paracetamol or Ibuprofen or other pain medicine
• If you have a history of ulcers or bleeding in the digestive tract
• If you have an active clotting disorder or disorder related to blood supply to the brain
• If you are experiencing fluid loss (due to vomiting, diarrhoea or not drinking enough fluids)
• If you have kidney or liver function problem
• If you are pregnant (last trimester), should not be given to children under 12 years of age (<40kgs)

• Stomach pain
• Diarrhoea
• Vomiting
• Dizziness
• Bloating
• Constipation
• Headache
• Excessive sweating
• Skin rashes & itching
• Serious allergic reactions (in rare cases)

Other General Warnings

• If you are an elderly person
• If you have high blood pressure or heart, kidney or liver diseases
• If you may experience stomach bleeding and ulcers after taking this medicine
• If you have a history of or suffering from asthma & nasal allergy
• If you are suffering from an immune disorder, where your immune system acts against the body tissues
• If you have a hereditary disorder like G6PD deficiency or porphyria (blood disorders)
• If you are an alcoholic or recently had a major surgery
• If you are trying to conceive, you should discontinue this medicine
• If you develop skin allergies like rashes, itching, papules, blisters, etc.

• Keep this medicine out of the reach of children
• Store this medicine below 30°C

Overdose

• Taking this medicine in high doses may result in serious liver damage, coma and even death
• Other symptoms are headache, nausea, vomiting, stomach pain, diarrhoea, unconsciousness, excitement, 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

How Does It Work?

Interactions with other medicines

• Other medicines containing paracetamol as there is an 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
• This medicine can increase the levels of lithium and it's side effects
• Medicines used to modify immune response like Ciclosporin & Tacrolimus can result in kidney damage
• Increase the risk of stomach ulcers or bleeding when taken with steroids
• There is a risk of bleeding if you are taking medicines to thin the blood 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 for treating diabetes, be cautious about symptoms of low glucose levels like sweating, anxiety, fast heartbeat and hunger pangs
• Medicine used to treat obstruction in gall bladder like cholestyramine should not be consumed before taking this medicine
• Medicines used to treat fits, seizures & depression-like Phenobarbital, Carbamazepine and Phenytoin
• Other medicines like Probenecid, Rifampicin, St. John's Wort, Methotrexate, Aspirin, Digoxin and Zidovudine