Asonac Forte Tablet 10'S

Introduction About ASONAC FORTE TABLET

ASONAC FORTE TABLET is a combination of Aceclofenac, Chlorzoxazone and
Paracetamol which belongs to the group of medicines called Analgesics and Muscle
relaxants respectively. It is used to manage muscular pains and spasms. It can
also be used to provide relief from joint pain (Ex. osteoarthritis, rheumatoid
arthritis) and back pain (Ex. ankylosing spondylitis).

Take ASONAC FORTE TABLET preferably with meals to avoid gut irritation. Avoid
consum
not take ASONAC FORTE TABLET if you have any ulcers, bleeding or perforations in
the gut.

Before taking ASONAC FORTE TABLET inform your doctor if you have any liver,
kidney or heart problems. You must also inform your doctor if you have diabetes,
hypertension, high blood cholesterol, any inflammation in the bowel or
intestines, blood clots, bleeding problems or a previous history of stomach
ulcers as a precaution.

ASONAC FORTE TABLET is not recommended for use in patients with liver failure or
stroke. It is also not suitable for use in pregnant or breastfeeding women. The
most common side effects of taking ASONAC FORTE TABLET are nausea, vomiting,
indigestion, heartburn and stomach pain. Consult your doctor if any of these
side effect worsens.

Uses Of ASONAC FORTE TABLET

It is used to manage:

• Muscle pain and spasms
• Joint pain and back pain

How ASONAC FORTE TABLET Works

ASONAC FORTE TABLET contains three medicines namely Chlorzoxazone, Aceclofenac
and paracetamol. Chlorzoxazone is a muscle relaxant. It acts by increasing the
effects of certain chemical messengers (such as GABA) in the brain and in spinal
cord that induces muscle relaxation. As a result, it manages muscle twitching,
relieves pain caused due to muscle spasms and improves muscle movement.

Aceclofenac and paracetamol are analgesic agents. They provide pain relief by
blocking the release of certain chemicals (such as prostaglandins) in the body
that causes pain, inflammation and swelling. Collectively, these action helps in
reducing muscle spasms, joint pain and inflammation.

How to use ASONAC FORTE TABLET

Take ASONAC FORTE TABLET as advised by your physician. Swallow the medicine with
a glass of water. Do not crush or chew the medicine. It is preferably taken with
meals to avoid gastric irritation.

Your doctor will decide the correct dose and duration of therapy for you
depending upon your age, body weight and disease condition.

Side Effects Of ASONAC FORTE TABLET

Common

• nausea, vomiting
• heartburn, stomach pain, diarrhea, constipation
• loss of appetite, indigestion
• tiredness, sleepiness
• dizziness, spinning sensation

Uncommon

• mouth ulcers
• skin rash or itching
• bloating

Rare

Stop taking ASONAC FORTE TABLET and consult your doctor immediately if you
experience any of the following:

• signs of severe allergic reactions (such as skin rash, itching, swelling of the face, lips, throat or tongue causing difficulty in breathing or swallowing, chest tightness, fever, ulcers on the mucous membrane, oral sores)
• signs of liver problem (such as fever, skin rash, lack of appetite, nausea, vomiting, fatigue, upper abdominal pain, dark urine, yellowing of skin and whites of the eye)
• severe skin reactions (such as skin rash with itching and redness, blistering and peeling of skin, skin swelling and inflammation of mucous membrane, joint pain with fever)
• bloody stools, vomits or urine
• difficulty in passing urine, painful urination
• bleeding or bruising

How To Manage Side Effects

Nausea and Vomiting:

Take ASONAC FORTE TABLET with or just after a meal or a snack. Stick to simple
meals. Avoid eating rich or spicy food. Consult your doctor if your nausea
worsens.

Dizziness:

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or
machines completely while you are feeling dizzy. Do not consume excessive
alcohol, as it could aggravate your dizziness. Consult your doctor if your
dizziness worsens.

Constipation:

Eat plenty of fiber rich foods such as fresh fruits, vegetables and cereals and
drink plenty of water. Exercise more regularly. Consult your doctor if the
symptom did not improve.

Mouth ulcers:

Avoid eating spicy foods. Drink plenty of water. Apply a pain-relieving gel on
the affected areas of the mouth if required. Consult your doctor if the symptom
did not improve.

Diarrhea:

Drink lots of fluids, such as water to keep yourself hydrated. Try to avoid
taking any medicine on your own to manage diarrhea and consult your doctor if
the symptom gets worse.

Skin rash:

Avoid hot showers because hot water can irritate your skin further. Do not
scratch the affected area. Use protective clothing when going outdoors.
Regularly moisturize your skin. Consult your doctor if your skin rash worsens.

Warning & Precautions

!### Pregnancy

ASONAC FORTE TABLET is not recommended for use in pregnant women. Therefore,
consult your doctor before taking it.

!### Breastfeeding

ASONAC FORTE TABLET is not recommended for use in breastfeeding women.
Therefore, consult your doctor before taking it.

!### Driving and Using Machines

Do not drive or operate any heavy tools or machines if you experience dizziness,
drowsiness or vision problems after taking ASONAC FORTE TABLET.

!### Alcohol

Avoid consum
feel dizzier or drowsier.

!### Kidney

ASONAC FORTE TABLET is not recommended for use in patients with moderate to
severe kidney diseases. It should be used with caution in patients with mild
kidney problems. Therefore, consult your doctor before taking it.

!### Liver

ASONAC FORTE TABLET is not recommended in patients with severe liver problems
(such as liver failure). It should be used with caution in patients with mild
liver problems. Therefore, consult your doctor before taking it.

!### Allergy

Do not take ASONAC FORTE TABLET if you are allergic to Aceclofenac,
Chlorzoxazone or Paracetamol.

!### Lungs

ASONAC FORTE TABLET is not recommended for use in patients who previous
experienced asthma attack or breathing difficulties after taking any
pain-relieving medicine.

!### Heart Disease

ASONAC FORTE TABLET is not recommended for use in patients with severe heart
problems (such as heart attack). It should be used with caution in patients with
other heart problems (such as angina). Therefore, consult your doctor before
taking it.

Others

ASONAC FORTE TABLET is not recommended for use if you:

• have GI bleeding (bloody stools or vomits)
• have ulcers in the stomach or intestines
• have stroke or any problems in blood circulation
• have any blood clotting disorders

Before taking ASONAC FORTE TABLET inform your doctor if you:

• have porphyria
• have diabetes
• have high blood pressure
• have blood cholesterol levels
• have inflammation of the bowel (Ex. Ulcerative colitis, Crohn’s Disease)
• have holes or blockage in the gut
• have a history of stomach ulcers
• have any autoimmune disorders that affects the skin (Systemic lupus erythematosus)
• smoke
• have blood clots in the body
• have bleeding problems
• recently had any surgery
• have chickenpox

Use in Pediatrics:

ASONAC FORTE TABLET is not recommended for use in children and adolescents (aged
below 18 years) unless considered necessary by the physician. Therefore, consult
your doctor for advice before taking it.

Use in Geriatrics:

ASONAC FORTE TABLET should be used with caution in elderly patients. Therefore,
consult your doctor for advice before taking it.

Interactions

A. Drug-Drug Interactions:

Before taking ASONAC FORTE TABLET, inform your doctor if you are taking any of
the following medicines such as:

• other medicines used to manage pain (Ex. aspirin, ibuprofen, naproxen, celecoxib, etoricoxib)
• medicines used to manage increased blood pressure (Ex. enalapril, lisinopril, losartan, candesartan, methyldopa, clonidine, propranolol)
• diuretics (used to reduce edema and blood pressure) Ex. furosemide, hydrochlorothiazide
• cardiac glycosides (used to correct heart rhythm (Ex. digoxin)
• medicines used to suppress immune system after organ transplantation (Ex. ciclosporin or tacrolimus)
• medicines used to stop blood clotting (Ex. warfarin, heparin, clopidogrel)
• cholestyramine (a medicine used to control blood cholesterol levels)
• corticosteroids (used to manage pain and inflammation) Ex. hydrocortisone, prednisolone
• medicines used to manage nausea and vomiting (Ex. domperidone, metoclopramide)
• chloramphenicol (a medicine used to manage bacterial infections)
• medicines used to manage infections (Ex. ciprofloxacin, ofloxacin, levofloxacin, moxifloxacin)
• medicines used to manage depression (Ex. citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine and sertraline)
• medicines used to manage cancer and autoimmune disorders such as arthritis and skin conditions (Ex. methotrexate)
• medicines used to manage HIV infection (Ex. zidovudine)
• medicines used to manage diabetes (Ex. glibenclamide, gliclazide, tolbutamide)

Overdosage:

If you or anyone else accidentally took more ASONAC FORTE TABLET, visit the
nearby hospital or consult your doctor immediately.

Synopsis

Drug	:	Aceclofenac, Chlorzoxazone, Paracetamol
Pharmacological Category	:	COX-2 inhibitor, Mephensin Congeners, Analgesics and Antipyretics
Therapeutic Indication	:	Muscle Pain, Joint Pain
Dosage Forms	:	Tablet

More Information

• Keep ASONAC FORTE TABLET out of reach of children
• Store ASONAC FORTE TABLET below 25°C

FAQs About ASONAC FORTE TABLET

What is the use of ASONAC FORTE TABLET?

ASONAC FORTE TABLET is used to manage muscular pains and spasms. It can also be
used to provide relief from joint pain (Ex. osteoarthritis, rheumatoid
arthritis) and back pain (Ex. ankylosing spondylitis).

How ASONAC FORTE TABLET works?

ASONAC FORTE TABLET works by reducing pain and inflammation in the muscles and
bones. It increases the effects of certain chemical messengers (such as GABA) in
the brain and in spinal cord that induces muscle relaxation and blocks the
release of certain chemicals (such as prostaglandins) in the body that causes
pain, inflammation and swelling. Collectively, these action helps in reducing
muscle spasms, joint pain and inflammation.

How to take ASONAC FORTE TABLET?

Take ASONAC FORTE TABLET as advised by your physician. Swallow the medicine with
a glass of water. Do not chew or crush the medicine. It is preferably taken with
meals to avoid gastric irritation.

What is the best time to take ASONAC FORTE TABLET?

ASONAC FORTE TABLET can be taken at any time of the day. However, your doctor
will decide the best time to take ASONAC FORTE TABLET.

Can I stop taking ASONAC FORTE TABLET once I started feeling better?

No. Do not stop taking ASONAC FORTE TABLET without consulting your doctor as it
may make your symptoms re-appear once again. If you feel better during the
midway of therapy, consult your doctor for advice.

Can I take ASONAC FORTE TABLET daily?

Take ASONAC FORTE TABLET as advised by your physician. Your doctor will evaluate
your health condition and suggests whether can you take ASONAC FORTE TABLET
every day or not.

Will taking a higher dose of ASONAC FORTE TABLET be more effective?

No. Taking a higher dose of ASONAC FORTE TABLET will not be effective rather it
would be making you drowsier. Always take the dose prescribed by your doctor. If
the prescribed dose is not effective for you, consult your doctor for advice.
Your doctor might increase the dose or suggest an alternative therapy.

What to do if I forgot to take a dose of ASONAC FORTE TABLET?

If you forgot to take a dose of ASONAC FORTE TABLET, take it as soon as you
remember. However, if it is time for the next dose of ASONAC FORTE TABLET, skip
the missed dose and take the next one regularly. Do not take a double dose of
ASONAC FORTE TABLET to compensate the missed ones. Consult your doctor for
advice.

What are the side effects of ASONAC FORTE TABLET?

The most common side effects of taking ASONAC FORTE TABLET are nausea, vomiting,
indigestion, heartburn and stomach pain. Consult your doctor if any of these
side effect worsens.

Does ASONAC FORTE TABLET make me feel sleepy?

ASONAC FORTE TABLET may causes sleepiness in some individuals. Therefore,
restrict yourself from engaging into hazardous activities that requires complete
alertness. Do not drive or handle any heavy tools or machines. Also, avoid
consum
if sleepiness worsens.

Can I consume alcohol while taking ASONAC FORTE TABLET?

Avoid consum
you feel dizzier and drowsier.

Is ASONAC FORTE TABLET safe to use in diabetic patients?

ASONAC FORTE TABLET may alter the blood sugar levels in your body. Therefore, it
is necessary to inform your doctor if you have diabetes before taking ASONAC
FORTE TABLET as a precaution. Your doctor will closely monitor you blood sugar
levels to avoid the risk of side effects.

Can ASONAC FORTE TABLET be taken during pregnancy?

ASONAC FORTE TABLET is not recommended for use in pregnant women. Therefore,
consult your doctor before taking it.

Can the use of ASONAC FORTE TABLET affect the liver?

Yes. ASONAC FORTE TABLET may affect the way your liver work. It can elevate the
levels of certain liver enzymes in your body. Therefore, it is not recommended
for use in patients with liver failure. It should be used with caution in
patients with other mild liver problems. Consult your doctor before taking it.