Nucoxia MR Tablet

Nucoxia MR Tablet is a combination medicine containing Etoricoxib (60mg) and Thiocolchicoside (4 mg). It provides relief from pain, inflammation, and muscle spasms associated with musculoskeletal conditions. Etoricoxib is used to reduce pain, while Thiocolchicoside relieves muscle spasms.

Uses Nucoxia MR Tablet

Nucoxia MR Tablet is primarily used to manage pain, inflammation, and muscle spasms associated with musculoskeletal conditions. Other uses are - 

• Helps to relieve pain associated with osteoarthritis
• Helps to manage pain and inflammation associated with rheumatoid arthritis
• Helps to reduce muscle cramps, stiffness, and pain 
• Helps to manage acute musculoskeletal pain due to injury

Benefits of Nucoxia MR Tablet

Nucoxia MR Tablet provides pain-relieving, anti-inflammatory, and muscle-relaxing benefits. 

• Helps to reduce pain and inflammation
• Helps to relieve muscle spasms and stiffness
• May improve joint mobility and flexibility
• Provides dual action through pain relief and muscle relaxation

How to Take Nucoxia MR Tablet

• Take Nucoxia MR Tablet exactly as prescribed by your doctor.
• Swallow the tablet whole with a glass of water.
• It can be taken with or without food.
• Do not crush, chew, or break the tablet.
• The usual dosage is one tablet once daily, but your doctor may adjust the dose according to your condition.
• Do not exceed the recommended dose.
• Taking more than the prescribed dose may cause increased side effects. Seek medical attention if you take more than prescribed. 
• If you miss a dose, take it when remembered unless the next dose is near. Do not double the dose.

How Nucoxia MR Tablet Works

Nucoxia MR Tablet contains two active ingredients that work together to provide relief from pain, inflammation, and muscle spasms:

• Etoricoxib: Blocks the action of COX-2 enzymes, which reduces the production of prostaglandins responsible for pain and inflammation.
• Thiocolchicoside: Acts as a muscle relaxant and helps reduce excessive muscle contractions, thereby relieving muscle spasms, stiffness, and associated pain.

Together, these ingredients help reduce pain, inflammation, muscle spasms, and stiffness, making movement more comfortable.

Side Effects of Nucoxia MR Tablet

Common side effects of Nucoxia MR Tablet may include:

• Nausea
• Indigestion
• Stomach discomfort
• Headache
• Dizziness
• Drowsiness
• Fatigue
• Swelling or fluid retention

Serious side effects may include:

• Allergic reactions such as rash, facial swelling, or difficulty breathing
• Severe stomach pain or gastrointestinal bleeding
• Unusual swelling or sudden weight gain
• Signs of liver or kidney problems

Consult your doctor if any side effects persist, worsen, or become severe.

Safety Advice For Nucoxia MR Tablet 

• Alcohol: Avoid alcohol while taking Nucoxia MR Tablet, as it may increase the risk of stomach irritation, ulcers, and dizziness.
• Pregnancy: Use Nucoxia MR Tablet only if prescribed by a doctor and consult your healthcare provider before use.
• Breastfeeding: Consult your doctor before taking Nucoxia MR Tablet while breastfeeding.
• Driving: May cause dizziness or drowsiness; avoid driving or operating machinery if affected.
• Kidney: Use with caution in kidney problems; dose adjustment or medical supervision may be required.
• Liver: Use with caution in liver disorders and inform your doctor about any liver-related condition.

Interactions

Food Interactions With Nucoxia MR Tablet

Nucoxia MR Tablet can generally be taken with or without food. However, certain foods and beverages may increase the risk of side effects or worsen symptoms:

• Very salty foods: May contribute to fluid retention and swelling, which can occur with etoricoxib.
• Very spicy foods: May worsen stomach discomfort or indigestion in some people.
• High-fat meals: May delay the onset of action of some medicines and can sometimes worsen indigestion.

Drug Interactions With Nucoxia MR Tablet

Nucoxia MR Tablet contains Etoricoxib 60mg and Thiocolchicoside 4mg. It may interact with certain medicines and increase the risk of side effects or alter how other medicines work. Inform your doctor about all medicines and supplements you are taking.

• Other NSAIDs: Medicines such as ibuprofen, diclofenac, naproxen, and aspirin in pain-relieving doses should generally not be taken with etoricoxib unless specifically advised by a doctor, as this may increase the risk of stomach and other adverse effects.
• Blood thinners: Warfarin and other oral anticoagulants may increase the risk of bleeding when used with etoricoxib.
• Blood pressure medicines: ACE inhibitors, angiotensin-II receptor blockers (ARBs), and certain other antihypertensive medicines may have reduced effects, and the combination may increase the risk of kidney problems.
• Diuretics: Medicines such as furosemide and hydrochlorothiazide may interact with etoricoxib and may increase the risk of kidney problems, particularly in people with reduced kidney function or dehydration.
• Lithium: Etoricoxib may increase lithium levels in the blood, so monitoring may be required when both medicines are used together.
• Methotrexate: Etoricoxib may affect methotrexate levels and clearance, particularly at higher etoricoxib doses.
• Digoxin: Etoricoxib can increase the maximum concentration of digoxin; patients at risk of digoxin toxicity may require monitoring.
• Cyclosporine or tacrolimus: These medicines may increase the risk of kidney toxicity when combined with NSAIDs such as etoricoxib.
• Rifampicin: Rifampicin can substantially reduce etoricoxib levels and may reduce its effectiveness.
• Oral contraceptives and hormone replacement therapy: Etoricoxib can increase exposure to certain estrogen-containing medicines, which may increase the risk of estrogen-related adverse effects.
• CNS-depressant medicines: Thiocolchicoside may potentially increase drowsiness when used with medicines that cause sedation. Avoid driving or operating machinery if you feel sleepy or dizzy.

Inform your doctor about all medicines, supplements, or herbal products you are taking before starting Nucoxia MR Tablet.