RUMANIL TABLET 10'S

How RUMANIL TABLET 10'S Works

• Diclofenac blocks cyclo-oxygenase (COX), the enzyme that makes prostaglandins at the site of injury or inflammation. Prostaglandins cause swelling, redness and pain, so with fewer of them the inflamed tissue settles and hurts less.
• Paracetamol acts mainly in the brain and spinal cord, where it raises the threshold at which pain is felt. It has little anti-inflammatory effect, but it adds pain relief by a separate route.

Diclofenac commonly causes indigestion, nausea, abdominal pain, diarrhoea, headache and dizziness. It can also raise liver enzymes and cause fluid retention and swelling of the ankles. Diclofenac can cause stomach ulcers and bleeding, sometimes without warning. The risk is higher in older adults, with longer use, and with steroids, blood thinners or other NSAIDs. Black or tarry stools, vomiting blood or severe abdominal pain need urgent medical help. Diclofenac raises the risk of heart attack and stroke, particularly at higher doses, with longer use and in people with heart disease. Chest pain, sudden breathlessness, weakness of one side of the body or slurred speech need emergency help. Serious allergic and skin reactions, liver injury and kidney problems are rare. Warning signs include rash with blistering or peeling, swelling of the face, yellowing of the skin or eyes, dark urine or passing much less urine.

• Indigestion or heartburn
• Nausea
• Abdominal pain
• Diarrhoea
• Headache
• Dizziness
• Swelling of the ankles
• Skin rash

• Store the strip in a cool, dry place, away from direct sunlight and moisture, and follow the storage instruction printed on the current pack. Keep it out of the reach of children, and do not use it after the expiry date.

• Take it with or after food
• Do not take any other paracetamol product at the same time
• Do not combine it with ibuprofen, aspirin or other painkillers without advice
• Use it for the shortest time the doctor advises
• Avoid alcohol, which adds to liver and stomach risks
• Seek urgent help for black stools, vomiting blood or chest pain
• Tell the doctor about heart disease, ulcers, kidney or liver problems before starting

• Taking the tablet with or after food reduces stomach irritation.
• Alcohol should be avoided. With paracetamol it increases the risk of liver damage, and with diclofenac it increases the risk of stomach bleeding.