CHYMORAL AP TABLET

💊 Aceclofenac 100mg + Paracetamol 325mg + Trypsin-Chymotrypsin 50,000 AU Tablet

(Pain Relief + Anti-Inflammatory + Enzyme Therapy)

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🧪 Composition & Therapeutic Use

This triple-action tablet is widely used to treat pain, inflammation, swelling, and tissue injuries in conditions such as arthritis, dental procedures, sports injuries, post-operative recovery, and trauma.

• Aceclofenac (100 mg): A potent NSAID (Non-Steroidal Anti-Inflammatory Drug) that inhibits COX enzymes, reducing prostaglandin production—thereby relieving pain and inflammation.

• Paracetamol (325 mg): Also known as acetaminophen, it provides central pain relief and antipyretic (fever-reducing) action.

• Trypsin-Chymotrypsin (50,000 AU): A combination of proteolytic enzymes that help reduce edema, improve circulation at the injury site, and speed up tissue repair. Derived from pancreatic enzymes, they assist in breaking down proteins involved in inflammation and promote healing.

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💡 How to Use

• Typical Dose: 1 tablet twice daily (or as prescribed)

• Administration: Take orally with a glass of water, after meals to reduce gastric irritation.

• Do not crush or chew. Swallow whole.

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🤕 Common Side Effects

Most side effects are mild and short-lived:

• Gastric discomfort

• Nausea, indigestion

• Diarrhea or bloating

• Mild headache or dizziness

• Increased bowel movements due to enzymatic action

Taking the tablet with food often reduces digestive side effects.

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⚠️ Serious Side Effects (Seek Immediate Medical Attention)

Though rare, serious adverse effects may include:

• Gastrointestinal bleeding or ulcers (blood in stool or vomit, severe abdominal pain)

• Liver toxicity (jaundice, dark urine, fatigue – due to paracetamol overdose or chronic use)

• Allergic reactions (rash, itching, facial swelling, difficulty breathing)

• Kidney impairment (decreased urine output, swelling in feet)

• Severe skin reactions such as Stevens-Johnson syndrome (rare)

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🩺 Monitoring & Follow-Up

Recommended especially during long-term or high-dose use:

• Liver Function Tests (LFTs): Monitor for hepatotoxicity (especially due to paracetamol).

• Renal Function Tests (RFTs): NSAIDs can reduce kidney filtration in vulnerable patients.

• Complete Blood Count (CBC): For signs of hidden GI bleeding.

• Follow-up visits: Especially for elderly or those with pre-existing medical conditions.

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⚠️ Warnings & Precautions

• Avoid alcohol: Increases risk of liver damage.

• Pregnancy & breastfeeding: Use only if clearly necessary and prescribed.

• Children & elderly: Use with caution and under strict medical guidance.

• Pre-existing conditions: Caution in liver, kidney, or GI disorders.

• Drug interactions: Avoid with other NSAIDs, anticoagulants, methotrexate, or high-dose antibiotics.

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📌 Summary

Aceclofenac + Paracetamol + Trypsin-Chymotrypsin is a synergistic triple-action therapy offering effective relief from pain, swelling, and tissue inflammation. While Aceclofenac and Paracetamol address pain and inflammation, Trypsin-Chymotrypsin accelerates healing and edema reduction. This combination is especially useful for musculoskeletal injuries, post-surgical recovery, and sports trauma. Though generally well-tolerated, it requires caution in patients with liver, kidney, or GI conditions, and should be used under a doctor’s supervision with appropriate monitoring.

Note: This information is intended for educational purposes and should not replace professional medical advice. Always consult a healthcare provider for personalized guidance.