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Acute musculoskeletal pain with spasm and inflammation
Contraindications:
Hypersensitivity to aceclofenac, paracetamol, or thiocolchicosidePeptic ulcer, GI bleeding, or severe gastritisSevere hepatic or renal impairmentHeart failure or uncontrolled hypertension (NSAID risk)Pregnancy – especially 2nd and 3rd trimesters (thiocolchicoside and aceclofenac are unsafe)
Use with caution in:Elderly patients (higher GI and renal risks); Mild hepatic/renal impairment; Patients on anticoagulants, steroids, or other NSAIDs; Avoid driving or operating machinery (thiocolchicoside may cause drowsiness).; Avoid combining with other paracetamol-containing drugs.; Do not exceed prescribed duration — prolonged thiocolchicoside use may have genotoxic risk.; Monitor liver and kidney function for prolonged therapy.
Dietary Restrictions:
Take after meals to reduce gastric irritation.Avoid alcohol – increases risk of liver damage (paracetamol) and GI bleeding (NSAID).Avoid smoking and excessive caffeine (aggravates gastritis).Maintain hydration to support renal function.Prefer light, non-spicy diet if gastric upset occurs.
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