XTRAGESIC 400MG/500MG TABLET contains two painkiller medicines. They work together to reduce pain, fever, and inflammation. It is used to treat many conditions such as headache, muscle pain, pain during periods, toothache, and joint pain. XTRAGESIC 400MG/500MG TABLET is best taken with food to reduce side effects. The dose and how often you need it will be decided by your doctor. You should take it regularly as advised by your doctor. Medicines used to treat pain are usually best taken at the first sign of pain. It is meant for short-term use only. Consult your doctor if the symptoms persist or worsen or if the medicine is required for use beyond 3 days. Side effects are rare if this medicine is used correctly but it may cause heartburn, indigestion, nausea, and stomach pain. Consult your doctor if any of these bother you or do not go away. This medicine is widely prescribed and considered safe but may not be suitable for everybody. Before taking it, let your doctor know if you drink a lot of alcohol, are using blood-thinning medicines, or have asthma or any liver or kidney problems. It may affect the dose or suitability of this medicine. Pregnant or breastfeeding women should also consult their doctor before using it. Let your doctor know about all the other medicines you are taking because they may affect, or be affected by, this medicine. It is best to avoid drinking alcohol while using this medicine.

• Indigestion
• Nausea
• Stomach pain

If you miss a dose of XTRAGESIC 400MG/500MG TABLET, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

• Q. Q. Is it safe to use XTRAGESIC 400MG/500MG TABLET??
  Ans: XTRAGESIC 400MG/500MG TABLET is safe for most patients. However, in some patients, it may cause some unwanted side effects like nausea, vomiting, stomach pain, heartburn and diarrhea. Inform your doctor if you experience any persistent problem due to this medication.
• Q. Q. Can I stop taking XTRAGESIC 400MG/500MG TABLET when my pain is relieved??
  Ans: XTRAGESIC 400MG/500MG TABLET should be continued as advised by your doctor, if you are using the medicine for a condition associated with long-term pain. It can be discontinued if you are using it for short-term pain relief.
• Q. Q. Can the use of XTRAGESIC 400MG/500MG TABLET cause nausea and vomiting??
  Ans: Yes, the use of XTRAGESIC 400MG/500MG TABLET may cause nausea and vomiting. Taking it with milk, food or antacids can prevent nausea. Avoid taking fatty or fried foods along with this medication. In case of vomiting, drink plenty of water or other fluids by taking small frequent sips. Talk to your doctor if vomiting persists and you notice signs of dehydration, like dark colored and strong-smelling urine or a low frequency of urination. Do not take any other medicines without speaking to your doctor.
• Q. Q. Can the use of XTRAGESIC 400MG/500MG TABLET cause dizziness??
  Ans: Yes, the use of XTRAGESIC 400MG/500MG TABLET can cause dizziness (feeling faint, weak, unsteady or lightheaded) in some patients. If you feel dizzy or lightheaded, do not drive or use any machines. It is better to rest for sometime and resume once you feel better.
• Q. Q. Are there any specific contraindications associated with the use of XTRAGESIC 400MG/500MG TABLET??
  Ans: The use of XTRAGESIC 400MG/500MG TABLET is considered to be harmful for patients with known allergy to any of the components of this medicine. It should be avoided in patients with known allergy to other painkillers (NSAIDs). The use of this medicine should preferably be avoided in patients with a history of stomach ulcers or in patients with active or recurrent stomach ulcer/bleeding. It should also be avoided in patients with history of heart failure, high blood pressure, and liver or kidney disease.
• Q. Q. Is XTRAGESIC 400MG/500MG TABLET helpful in relieving stomach pain??
  Ans: No, XTRAGESIC 400MG/500MG TABLET should not be taken for stomach pain without consulting a physician. This drug can increase stomach acid secretion which may aggravate an unknown underlying condition.
• Q. Q. Can the use of XTRAGESIC 400MG/500MG TABLET cause damage to kidneys??
  Ans: Yes, the long-term use of XTRAGESIC 400MG/500MG TABLET can cause damage to the kidneys. Normal kidneys produce a chemical called prostaglandins that protect the kidneys from damage. Use of painkillers lowers the levels of prostaglandins in the body, leading to kidney damage because of long-term use. Therefore, the use of painkillers is not recommended in patients with underlying kidney disease.
• Q. Q. Is it safe to take a higher than the recommended dose of XTRAGESIC 400MG/500MG TABLET ??
  Ans: No, taking a higher than the recommended dose of XTRAGESIC 400MG/500MG TABLET can increase the risks of side effects like nausea, vomiting, heartburn, indigestion and diarrhea. In fact, using this medicine for a long-term can also damage your kidneys on long-term use. If you are experiencing increased severity of pain or if the pain is not relieved by the recommended doses of this medicine, please consult your doctor for re-evaluation.

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