Ruto Wel D Tablet 10'S

Introduction About RUTO WEL D

RUTO WEL D is a combination of Bromelain, Rutoside, Trypsin and Diclofenac which
belongs to the group of medicines called Proteases, Flavonoids, Proteolytic
enzymes and Analgesics respectively. It is used in the management of pain and
inflammation associated with rheumatoid arthritis, osteoarthritis, sports
injuries, tooth extraction. RUTO WEL D is also used to manage post-surgical
inflammation and helps in wound healing and has an anti-scarring effect.

Prior to starting the management with RUTO WEL D, your doctor might want you to
take up several diagnostic tests to understand the existing condition.

RUTO WEL D is not recommended for use in patients having kidney or liver
disorders, high blood pressure, bleeding or clotting disorders, blood in
vomiting or urine and infection. It should be taken with caution in patients who
have heart disease.

RUTO WEL D is not recommended for use in pregnant and breast-feeding women.
There is no data on the use of RUTO WEL D in children and elderly patients
hence, caution must be exercised while taking this medicine. Always, consult
with your doctor before taking it.

The most common side effects of taking RUTO WEL D are nausea, loss of appetite,
headache, diarrhoea and flatulence. Consult with your doctor if any of these
worsen or doesn’t improve.

Uses Of RUTO WEL D

• Provides relief from pain and inflammation

How RUTO WEL D Works

RUTO WEL D helps in managing pain and inflammation associated with various
conditions where bromelain is a protease enzyme which decreases inflammation by
inhibiting the substances that are responsible for it called proinflammatory
prostaglandins. It also influences blood clotting by increasing the activity of
a protein called fibrinogen. Rutoside is a flavonoid that works by enhancing the
strength of blood vessels and decreases their ability to break down. Diclofenac
is a non-steroidal anti-inflammatory drug which acts by stopping the release of
certain chemicals called prostaglandins which is responsible for the occurrence
of pain and inflammation.

How to use RUTO WEL D

Take RUTO WEL D as advised by your physician. Swallow the medicine as a whole
with a glass of water. Do not crush or chew the medicine. Your doctor will
decide the correct dose and duration of RUTO WEL D for you depending upon your
age, body weight and disease condition.

Side Effects Of RUTO WEL D

Common

• headache, dizziness
• vertigo, sickness
• nausea
• flatulence, diarrhoea
• loss of appetite
• skin rash

Rare

• sleepiness
• skin spots
• oedema (swelling due to fluid build up)

Stop taking RUTO WEL D and consult your doctor immediately if you experience the
following side effects:

• mild cramping and tenderness of the abdomen followed by rectal bleeding or bloody diarrhoea
• stomach or duodenal ulcer, bleeding from the stomach or intestine, stomach pain or other abnormal stomach symptoms
• passing blood in your faeces, vomiting blood or dark particles that look like coffee grounds
• indigestion or heartburn
• allergic reactions (signs include sudden wheeziness, difficulty in breathing, swelling of the face, lips, hands or fingers, skin rash, itching, bruising, painful red areas, peeling or blistering)
• chest pain (sign of a potentially serious allergic reaction called Kounis syndrome)

How To Manage Side Effects

!### Diarrhea

Drink lot of fluids such as water or fruit juices to keep yourself hydrated.
Avoid taking any medicine on your own for managing diarrhea. Consult your doctor
if the symptom does not improve.

Headache

Rest and relax. Drink plenty of fluids such as water or electrolytes. Apply a
pain-relieving balm on the forehead if required. Do not consume too much of
alcohol. Consult your doctor if the symptom does not improve.

!### Nausea And Vomiting

Try to take RUTO WEL D with or just after a meal or a snack. Stick to simple
meals. Avoid eating oil rich, fried or spicy foods. Do not lie down or sleep
immediately after eating. Consult your doctor if the symptom does not improve.

Warning & Precautions

!### Pregnancy

ContraindicatedRUTO WEL D is not recommended for use in pregnant women. Consult your doctor
before taking it.

!### Breastfeeding

ContraindicatedRUTO WEL D is not recommended for use in breastfeeding women. Consult your
doctor before taking it.

!### Driving and Using Machines

Use with CautionDo not drive or operate any machines if you experience dizziness or sleepiness.
Consult your doctor before taking it.

!### Alcohol

ContraindicatedAvoid the use of alcohol with RUTO WEL D as it can increase the risk of gastric
irritation.

!### Kidney

ContraindicatedRUTO WEL D is not recommended for use in patients having kidney disorders.
Consult your doctor before taking it.

!### Liver

ContraindicatedRUTO WEL D is not recommended for use in patients having liver disorders.
Consult your doctor before taking it.

!### Allergy

ContraindicatedDo not take RUTO WEL D if you are allergic to Bromelain, Rutoside, Trypsin and
Diclofenac.

!### Heart Disease

Use with CautionRUTO WEL D should be used with caution in patients having heart disease. Consult
your doctor before taking it.

!### Use In Geriatrics

Consult your doctorYour doctor will decide the correct dose and duration of the management with
RUTO WEL D depending upon your age, disease condition and body weight. Consult
your doctor for advice.

Others

RUTO WEL D is not recommended for use if you:

• have high blood pressure
• have bleeding or clotting disorders
• have blood in vomiting or urine
• have infection

Interactions

A. Drug – Drug Interactions:

Before taking RUTO WEL D inform to your doctor, if you are taking any of these
medicines:

• cardiac glycosides such as digoxin (used to manage heart problems), antihypertensives such as ramipril (used to manage high blood pressure)
• lithium (used to manage bipolar disorder)

Overdosage:

If you or anyone else accidentally take too much of RUTO WEL D, consult your
doctor immediately or visit the nearby hospital.

Synopsis

Drug	:	Bromelain, Rutoside, Trypsin, Diclofenac
Pharmacological Category	:	Proteas, Flavonoids, Proteolytic enzymes, Analgesics
Therapeutic Indication	:	Pain and Inflammation
Dosage Forms	:	Tablet

More Information

• Keep RUTO WEL D out of reach of children
• Store at room temperature

FAQs About RUTO WEL D

Q: What is RUTO WEL D and why is it prescribed?

A: RUTO WEL D is a combination of Bromelain, Rutoside, Trypsin and Diclofenac
which belongs to the group of medicines called Proteases, Flavonoids,
Proteolytic enzymes and Analgesics respectively. It is used in management of
pain and inflammation associated with rheumatoid arthritis, osteoarthritis,
sports injuries, tooth extraction. RUTO WEL D is also used to manage
post-surgical inflammation and helps in wound healing and has an anti-scarring
effect.

Q: Can RUTO WEL D cause stomach disturbances?

A: Yes, RUTO WEL D may cause side effects like nausea, diarrhoea, indigestion
and flatulence. Keep a check on your food habits while taking RUTO WEL D,
consume less spicy and healthy food and drink plenty of liquid. Do not take any
medication on your own. Ask for your doctor’s advice if these doesn’t improve.

Q: What should I tell my doctor before taking RUTO WEL D?

A: Before taking RUTO WEL D tell your doctor if you have any heart, kidney or
liver disorders, high blood pressure, bleeding or clotting disorders, blood in
vomiting or urine and infection.

Q: Is RUTO WEL D safe for pregnant and breast-feeding women?

A: RUTO WEL D is not recommended for use in pregnant and breast-feeding women.
Consult your doctor for advice to select a suitable alternative medicine to
manage pain and inflammation.

Q: Can RUTO WEL D be given to children?

A: There is no information regarding the use of RUTO WEL D in children. Your
child’s doctor will select a alternative or decide the correct dose and duration
of the management with RUTO WEL D depending upon your child’s age, disease
condition and body weight.

Useful Diagnostic Tests

• Complete blood count