Diclofenac + dicyclomine + paracetamol (acetaminophen) is primarily used to manage various painful conditions, including intestinal, biliary, and renal colic, as well as spasmodic dysmenorrhea (menstrual cramps), osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, back pain, and muscle strains and sprains. This combination belongs to the classes of nonsteroidal anti-inflammatory drugs (NSAIDs), anticholinergics, antispasmodics, and analgesics.
Nausea and vomiting
Abdominal discomfort
Dizziness or lightheadedness
Drowsiness or fatigue
Dry mouth
Diclofenac is a Non-Steroidal Anti-Inflammatory Drug (NSAID). It works by blocking the production of certain chemicals in the body that cause pain and swelling.
Dicyclomine is an anticholinergic and antispasmodic agent. It works by relaxing the muscles in the stomach and intestines, thereby relieving spasms.
Paracetamol/Acetaminophen is an analgesic and antipyretic. It works by reducing the production of chemicals called prostaglandins in the brain that trigger pain and fever.
Doctor of Medicine
BMS, FMC, MD Resident
Diclofenac + Dicyclomine + Paracetamol/Acetaminophen is available in tablet or capsule form for oral administration.
This medicine is intended for use by adults and children.
The medicine is not recommended for individuals with known hypersensitivity to any of its components.
Patients with active gastrointestinal bleeding or peptic ulcers should avoid this medication.
Individuals who have experienced asthma, urticaria, or allergic reactions after taking aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) should not use this combination.
It is also contraindicated in cases of severe renal or hepatic impairment, myasthenia gravis, glaucoma, and obstructive uropathy.
This combination may interact with other NSAIDs (eg., ibuprofen, naproxen), corticosteroids (eg., prednisone), liver enzyme-inducing medications (eg., carbamazepine, rifampin), and other anticholinergic drugs (eg., atropine, scopolamine).
Overdosing on this medication may result in symptoms such as nausea, vomiting, abdominal pain, drowsiness, dizziness, headache, blurred vision, and in severe cases - coma, convulsions, cardiovascular collapse. If you suspect an overdose, it is important to seek immediate medical attention.
If you miss a dose of this medicine, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule.
Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
To manage common side effects such as nausea and abdominal pain, it could be helpful to take the medication with food or milk.
Dizziness and drowsiness may be managed by adjusting the timing of the medication to bedtime.
Maintaining good hydration can also help in managing some side effects.
This medicine may cause drowsiness or dizziness which can affect the ability to drive or operate heavy machinery. It is advised not to engage in such activities until you know how this medicine affects you.
This medicine is not recommended during pregnancy and breastfeeding unless specifically advised by a healthcare professional due to the lack of specific data. Consult a doctor before taking this medicine during these periods.
Caution should be exercised while using this medicine in elderly patients and those with renal, cardiac or hepatic impairment. It may require dose adjustment under these conditions.
Maintaining a balanced diet with adequate fruits, vegetables, lean proteins, and whole grains can help improve overall health.
Regular physical activity such as walking, swimming, or cycling can help manage pain related to osteoarthritis or rheumatoid arthritis.
Avoiding caffeine and spicy foods can potentially reduce stomach upset associated with NSAIDs intake.
Regular intake of water as per individual body requirements can help maintain proper kidney function while using this medication.
Patients with digestive disorders should avoid lying down immediately after meals to decrease acid reflux symptoms.
Frequently asked questions
No, Diclofenac + Dicyclomine + Paracetamol/Acetaminophen is not a steroid. It is a combination medication that includes an NSAID (Diclofenac), an anticholinergic and antispasmodic agent (Dicyclomine), and an analgesic and antipyretic (Paracetamol).
There is no direct evidence suggesting that this combination medication causes weight gain. However, if you perceive any significant changes in your weight, consult your doctor for advice.
While it is used to manage menstrual cramps, there is no evidence suggesting that this medicine interferes with the menstrual cycle itself. Always consult your doctor if you notice any changes in your menstrual cycle while using this medicine.
No, this medicine is contraindicated in patients with glaucoma due to the presence of Dicyclomine, an anticholinergic agent that may increase ocular pressure.
This combination medication does not directly affect blood sugar levels. However, if you are a diabetic patient, always consult your doctor before starting any new medication.
Generally, this combination medication can be taken with a multivitamin. However, certain vitamins might interact with the medication. Therefore, always consult your doctor before adding any new supplements to your regimen.
While uncommon, some people might experience mood changes such as restlessness, nervousness, or confusion due to Dicyclomine. If you experience any such changes while taking this medicine, it is important to inform your doctor.
Diclofenac + Dicyclomine + Paracetamol/acetaminophen in other salts
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