Tromanil Plus Tablet

• If you are allergic to paracetamol, nimesulide, other anti-inflammatory medicines (aspirin) or any of the ingredient of Tromanil Plus Tablet.
• If you have a history of liver damage induced by anti-inflammatory medicines like (Nimesulide).
• If you have or had a history of stomach bleeding, ulcer and inflammation of stomach lining.
• If you have problems related to blood clotting and bleeding disorders.
• If you have impaired liver or kidney function.
• If you have a serious heart failure problem.
• If you are an alcoholic or drug addict.
• If you are suffering from symptoms of flu-like fever, chills, shivering.
• If you are pregnant or breastfeeding.

• Nausea
• Vomiting
• Loose stools
• Stomach or intestine ulcers
• Redness of skin
• Allergic symptoms like breathlessness, swelling of face and lips, eyes
• Increased liver enzymes

Other General Warnings

• You experience loss of appetite, nausea, stomach pain and weakness. These could be signs of serious liver damage.
• You develop black tarry stools or vomit blood, immediately stop the medicine.
• You are elderly, the chances of side effects increases.
• You are suffering from any liver or kidney or heart disease.
• You have a history of stomach or intestine ulcers.
• You are expected to go through any upcoming surgery.
• Taking Tromanil Plus Tablet for long is not advised as it can increase the risk of heart disease or stomach bleeds.
• Tromanil Plus Tablet should not be used in children below 12 years of age.

• Store Tromanil Plus Tablet in a cool and dry place and protected from moisture and light.
• Keep it out of reach of the children and pets.

Overdose

• Overdose of Tromanil Plus Tablet may result in serious liver damage.
• Other symptoms include nausea, vomiting, stomach discomforts, stomach bleed, skin rash, fever and chills.
• In case of an overdose, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

• If you missed any dose of Tromanil Plus Tablet, take it as soon as you remember.
• If it's time for your next dose, 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.

How Does It Work?

• Natural chemical substance prostaglandins, causes pain, swelling and fever.
• Tromanil Plus Tablet blocks the production of these prostaglandins, thus temporarily controlling fever or pain.
• It acts on the area of the brain which is responsible for controlling temperature. Thus it helps in controlling the fever.

Interactions with other medicines

• No drug interaction reports are available for this combination. However, as Tromanil Plus Tablet contains Paracetamol & Nimesulide, any interactions are seen with these two components when taken alone may occur with this combination.
• You may experience stomach bleeding and ulcers if used along with steroids.
• This medicine may interfere with the working of blood thinners like Warfarin.
• Do not take this medicine along with vomiting medicines like Domperidone and Metoclopramide.
• Medicines used to treat high blood pressure like water pill and ‎captopril.
• Medicines used for mental problems like Lithium, Phenytoin and Phenobarbital.
• Medicine used to treat a certain type of cancer or arthritis-like Methotrexate.
• Medicine used to modify the immune system during organ transplant like cyclosporine.
• Medicine used to treat gout-like probenecid.
• Medicines used to treat infections like Chloramphenicol and Rifampicin.
• Discuss with your doctor about any other medicine, herbal preparation and supplements you are taking currently to avoid any possible interactions.