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Introduction About VIVIAN CH TABLET
VIVIAN CH TABLET is used for acute or chronic osteoarthritis, rheumatoid arthritis, spondyloarthritis, spondylosis, and other ortho-degenerative disorders, as well as pain management. This medicine is also used for acute traumatic injury, postoperative wounds, dental abscess, acute suppurative otitis media, caesarean section/episiotomy, sciatica (pain along the path of the sciatica nerve, which runs from the lower back to the legs), and sports injuries.
VIVIAN CH TABLET is a combination of Aceclofenac, Paracetamol, and Trypsin Chymotrypsin, which belongs to a group of medicines called Nonsteroidal Anti-inflammatory Drugs, Analgesic and Antipyretic agents, and Proteolytic enzymes, respectively. It works by blocking the effects of prostaglandin (a substance produced during injury and inflammation that causes pain), thereby inhibiting pain signals between the brain and nerve endings. It also resolves the signs and symptoms of inflammation due to tissue injury and facilitates the repair process through its anti-inflammatory and fibrinolytic properties.
Do not take VIVIAN CH TABLET if you have liver, kidney, or heart problems. VIVIAN CH TABLET is not recommended for use in pregnant and breast-feeding women. Consult your doctor before taking it.
VIVIAN CH TABLET is not recommended for use in children, and it should be used with caution in elderly patients. The common side effects of taking VIVIAN CH TABLET are headache, nausea, constipation, wind, indigestion, diarrhea, and abdominal pain. Consult your doctor if the symptoms do not improve.
Uses Of VIVIAN CH TABLET
It is used to manage pain and inflammation in conditions such as:
- Acute or chronic osteoarthritis
- Rheumatoid arthritis
- Spondylo arthritis
- Spondylosis
- Other Ortho degenerative disorders
- Pain management
- Acute traumatic injury
- Post-operative wounds
- Dental abscess
- Acute suppurative otitis media
- Sciatica and
- Sports injury
How VIVIAN CH TABLET Works
VIVIAN CH TABLET produces analgesic (painkiller) effects. Aceclofenac and paracetamol work by blocking the effects of prostaglandin (a substance produced during injury and inflammation that causes pain), thereby inhibiting pain signals between the brain and nerve endings. Trypsin-chymotrypsin resolves the signs and symptoms of inflammation due to tissue injury and facilitates the repair process through its anti-inflammatory and fibrinolytic properties.
How to use VIVIAN CH TABLET
Always take VIVIAN CH TABLET as directed by your physician. Take this medicine with a glass of water. Do not crush or chew the medicine. Your doctor will advise the appropriate dose and duration depending on your age, body weight, and disease condition.
Side Effects Of VIVIAN CH TABLET
Common
- Dizziness
- Nausea
- Diarrhoea
Uncommon
- Flatulence
- Inflammation or irritation of the lining of the stomach
- Constipation
- Vomiting
- Mouth ulcers
- Inflammation of the skin, circular red rashes, stinging or burning patches on the skin (hives)
- Signs of high blood urea and creatinine levels include fluid retention, weakness, passing a low amount of urine, and an irregular heartbeat
- Inflammation or irritation of the lining of the stomach
- Constipation
- Vomiting
- Mouth ulcers
- Inflammation of the skin, circular red rashes, stinging or burning patches on the skin (hives)
- Signs of high blood urea and creatinine levels include fluid retention, weakness, passing a low amount of urine, and an irregular heartbeat
Rare
- Hypersensitivity (allergic reactions)
- Visual disturbances
- Heart problems
- High blood pressure with shortness of breath
- Bleeding from the stomach or bowel, stomach, or bowel ulceration
Stop taking VIVIAN CH TABLET and contact your doctor immediately if you experience any of the following side effects:
- Allergic reactions that may be severe, such as skin rash, peeling of the skin, itching, unexplained bruising, or bleeding
- Severe allergic reaction (anaphylactic shock) that can be life-threatening if not immediately managed, and symptoms include fever, difficulty breathing, wheezing, abdominal pain, vomiting, and swelling of the face and throat
- Nausea, sudden weight loss, loss of appetite, and yellowing of the eyes and skin
- Severe skin rashes such as Stevens-Johnson syndrome and toxic epidermal necrolysis
- Signs of meningitis include high fever, headache, vomiting, blotchy red rashes, neck stiffness, sensitivity, and intolerance to light
- Passing blood in faeces (stools or motions) or passing black tarry stools, vomiting any blood, or dark particles that look like coffee grounds
- Signs of kidney failure, such as loss of appetite, decreased urinary output, and fatigue
How To Manage Side Effects
Diarrhea
Drink plenty of clear fluids, like water, diluted fruit juices, or oral rehydration solutions, to stay hydrated. Avoid caffeinated or alcoholic beverages, as they can worsen dehydration. Gradually take bland, low-fiber foods like bananas, rice, applesauce, and toast to help firm up stools. Probiotics, found in yogurt or supplements, may help restore the balance of gut bacteria. Practice good hand hygiene to prevent the spread of infection. Consult your doctor if diarrhea worsens.
Headache
Ensure adequate fluid intake, as dehydration can cause headaches. Maintain a consistent sleep schedule, aiming for 7-9 hours of quality sleep per night. Eat balanced meals at regular intervals to avoid blood sugar fluctuations that can trigger headaches. Practice relaxation techniques such as meditation, yoga, or deep breathing exercises to reduce stress levels. Engage in regular physical exercise, which can help reduce the frequency and severity of headaches. Apply a cold pack or warm compress to the forehead or neck to alleviate pain.
Nausea And Vomiting
Stay hydrated with small sips of clear fluids like water, ginger ale, or electrolyte solutions. Avoid consuming large meals; instead, opt for bland, easy-to-digest foods. Ginger, peppermint, or chamomile tea may help soothe the stomach. Rest in a comfortable position, preferably with your head elevated, to ease symptoms. Consult your doctor if nausea and vomiting persist.
Skin rash Or Itching
Keep the affected area clean and dry and avoid scratching to prevent further irritation or infection. Apply calamine lotion to help reduce itching and inflammation. Applying cool compresses and wearing loose, breathable clothing can also provide relief. If the rash persists, consult your doctor.
Warning & Precautions
Pregnancy
ContraindicatedVIVIAN CH TABLET is not recommended for use by pregnant women or if you think you may be pregnant. Consult your doctor before taking it.
Breastfeeding
ContraindicatedVIVIAN CH TABLET is not recommended for use by breastfeeding women. Consult your doctor before taking it.
Driving and Using Machines
Use with CautionDo not drive or operate machines while taking VIVIAN CH TABLET, as it may cause dizziness, drowsiness, vertigo (the feeling of spinning), tiredness, or visual disturbances. Consult your physician for advice.
Alcohol
Consult your doctorAvoid consuming alcohol while taking VIVIAN CH TABLET because it can aggravate the side effects.
Kidney
ContraindicatedVIVIAN CH TABLET is not recommended for use in patients with severe kidney disease. Consult your doctor before taking VIVIAN CH TABLET.
Liver
ContraindicatedVIVIAN CH TABLET is not recommended for use in patients with severe liver failure. Consult your doctor before taking VIVIAN CH TABLET.
Allergy
ContraindicatedDo not take VIVIAN CH TABLET if you are allergic to aceclofenac, paracetamol, trypsin, chymotrypsin, or any other ingredients of this medicine.
Lungs
Use with CautionVIVIAN CH TABLET should be used with caution in patients with asthma or any other breathing problem. Consult your doctor before taking VIVIAN CH TABLET.
Heart Disease
Consult your doctorVIVIAN CH TABLET is not recommended for use in patients with heart disease, heart attack, have or had problems with blood circulation (peripheral arterial disease), block in blood vessels, or bypass surgery. VIVIAN CH TABLET should be used with caution in patients with angina, blood clots, or high blood pressure. Consult your doctor before taking VIVIAN CH TABLET.
Use In Pediatrics
ContraindicatedVIVIAN CH TABLET is not recommended for use with children. Consult your doctor for advice before taking VIVIAN CH TABLET.
Use In Geriatrics
Use with CautionVIVIAN CH TABLET should be used with caution with elderly patients. Consult your doctor for advice.
Others
VIVIAN CH TABLET is not recommended for use if you:
- Have a stomach ulcer, have vomited blood, or have passed blood in faeces (black tarry stools)
- Have bleeding or any type of blood clotting disorders
- Have cerebrovascular disease
Before taking VIVIAN CH TABLET, inform your doctor if you:
- Have malnourishment or are underweight
- Have a severe infection
- Have disorders of the stomach or gut/bowel, inflammatory bowel disease (ulcerative colitis), chronic inflammatory bowel disease (Crohn’s disease), ulceration, bleeding, or perforation of the stomach or bowel
- Have porphyria
- Have diabetes
- Have raised cholesterol or other raised body fats, such as triglycerides
- Have an autoimmune condition known as systemic lupus erythematosus or other connective tissue disorders
- Have an infection with chicken pox
- Have ever had undergone major surgery
- Have a severe infection
- Have disorders of the stomach or gut/bowel, inflammatory bowel disease (ulcerative colitis), chronic inflammatory bowel disease (Crohn’s disease), ulceration, bleeding, or perforation of the stomach or bowel
- Have porphyria
- Have diabetes
- Have raised cholesterol or other raised body fats, such as triglycerides
- Have an autoimmune condition known as systemic lupus erythematosus or other connective tissue disorders
- Have an infection with chicken pox
- Have ever had undergone major surgery
Interactions
A. Drug-Drug interactions:
- Antidepressants (Ex. citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, and sertraline)
- Anti-manic (Ex. lithium)
- Cardiovascular agents (Ex. digoxin, enalapril, lisinopril, losartan, candesartan, hydralazine, methyldopa, clonidine, moxonidine, and propranolol)
- Anti-infectives (Ex. ciprofloxacin, ofloxacin, levofloxacin, and moxifloxacin)
- Diuretics (such as thiazides, furosemide, and amiloride)
- Anticoagulants (Ex. warfarin, heparin, and clopidogrel)
- Antimetabolites (Ex. methotrexate)
- Anti-progestational steroids (Ex. mifepristone)
- Corticosteroids (Ex. hydrocortisone, prednisolone)
- Immunosuppressants (Ex. ciclosporin or tacrolimus)
- Anti-retroviral (Ex. zidovudine)
- Antidiabetics (Ex. glibenclamide, gliclazide, and tolbutamide)
- Non-steroidal anti-inflammatory drugs (such as aspirin, ibuprofen, naproxen, celecoxib, and etoricoxib)
Overdosage:
If you accidentally took too much of VIVIAN CH TABLET, consult your doctor immediately or visit any nearby hospital.
Synopsis
| Drug | : | Aceclofenac, Paracetamol, and Trypsin Chymotrypsin |
| Pharmacological Category | : | Nonsteroidal Anti-inflammatory Drugs, Analgesic and Antipyretic agents, Proteolytic enzymes |
| Therapeutic Indication | : | Pain management |
| Dosage Forms | : | Tablet |
More Information
Storage
- Keep VIVIAN CH TABLET out of reach of children
- Store at room temperature
FAQs About VIVIAN CH TABLET
Q: What is VIVIAN CH TABLET used for?
A: VIVIAN CH TABLET contains Aceclofenac, Paracetamol, and Trypsin Chymotrypsin. It is used for acute or chronic osteoarthritis, rheumatoid arthritis, spondyloarthritis, spondylosis, and other ortho-degenerative disorders, as well as pain management. This medicine is also used for acute traumatic injury, postoperative wounds, dental abscess, acute suppurative otitis media, caesarean section/episiotomy, sciatica (pain along the path of the sciatica nerve, which runs from the lower back to the legs), and sports injuries.
Q: Can VIVIAN CH TABLET be used for pregnant women?
A: VIVIAN CH TABLET is not recommended for use in pregnant women or if you think you may be pregnant. Consult your doctor before taking it.
Q: Can VIVIAN CH TABLET be used in patients with kidney and liver problems?
A: No, VIVIAN CH TABLET is not recommended for use in patients with severe liver failure and severe kidney disease. Consult your doctor for advice before taking VIVIAN CH TABLET.
Q: Can VIVIAN CH TABLET be given to children?
A: No, VIVIAN CH TABLET is not recommended for use with children. Your doctor may prescribe you any other suitable medicine for you. Consult your doctor for advice.
Q: Does VIVIAN CH TABLET cause nausea or vomiting?
A: Yes, VIVIAN CH TABLET may cause nausea or vomiting. Take this medicine with, or just after, meals. Stick to simple meals. Avoid eating oil-rich or spicy foods, sugary snacks, and drinks. Avoid drinking too much liquid along with your meals, drink slowly in between meals. Consult your doctor if your symptom does not improve.
Q: What should I avoid while taking VIVIAN CH TABLET?
A: Avoid the consumption of alcohol while taking VIVIAN CH TABLET because it can aggravate the side effects.
Q: What are the side effects of taking VIVIAN CH TABLET?
A: The common side effects of taking VIVIAN CH TABLET are headache, nausea, constipation, wind, indigestion, diarrhea, and abdominal pain. Consult your doctor if the symptoms do not improve.
Q: How does VIVIAN CH TABLET work?
A: VIVIAN CH TABLET produces analgesic (painkiller) effects, where aceclofenac and paracetamol work by blocking the effects of prostaglandin (a substance produced during injury and inflammation causing pain), thereby inhibiting pain signals between the brain and nerve endings. Trypsin-chymotrypsin resolves the signs and symptoms of inflammation due to tissue injury and facilitates the repair process through its anti-inflammatory and fibrinolytic properties.
Q: Who should not take VIVIAN CH TABLET?
A: Do not take VIVIAN CH TABLET if you are allergic to Aceclofenac, Paracetamol, and Trypsin Chymotrypsin or have severe kidney disease, severe liver failure, heart disease, heart attack, have or had problems with blood circulation (peripheral arterial disease), block in blood vessels or bypass surgery, have a stomach ulcer or have vomited or passed blood in faeces (black tarry stools), bleeding or any type of blood clotting disorders, or have cerebrovascular disease. Consult your doctor before taking VIVIAN CH TABLET.
Q: Can I take other medicines while using VIVIAN CH TABLET?
A: Before taking VIVIAN CH TABLET, inform your doctor if you are taking prescription, non-prescription, or herbal medicines.
References
1. KD. Tripathi. Nonsteroidal Anti-inflammatory Drugs. Essentials of Medical Pharmacology. Eighth Edition. 2019. Page-221.
2. A Review of Aceclofenac: Analgesic and Anti-Inflammatory Effects on Musculoskeletal Disorders. Giovanni Iolascon, Sergio Giménez, and Dorottya Mogyorósi. A Review of Aceclofenac: Analgesic and Anti-Inflammatory Effects on Musculoskeletal Disorders. National Library of Medicine, National Center for Biotechnology Information. PubMed Central. Revised in November 2021. [Accessed on 6th June 2024] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8643213/
3. J. C. McCrae, E. E. Morrison, I. M. MacIntyre, J. W. Dear, and D. J. Webb. Long-term adverse effects of paracetamol – a review. National Library of Medicine, National Center for Biotechnology Information. PubMed Central. Revised in July 2018. [Accessed on 6th June 2024] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138494/
4. Torrent Pharmaceuticals Ltd. [Revised in August 2020] [Accessed on 6th June 2024] https://www.torrentian.com/pisheet/Upload/PI_Sheet/2617.pdf
5. Oaknet Healthcare Pvt. Ltd. [Accessed on 6th June 2024] https://oaknethealthcare.com/product/aceron-tc-tablets/
6. Willcare Lifesciences Pvt. Ltd. [Accessed on 6th June 2024] https://willcarelifesciences.com/formulations/
7. Torrent Pharmaceuticals Ltd. [Revised in August 2015] [Accessed on 6th June 2024] https://www.torrentian.com/pisheet/Upload/PI_Sheet/2621.pdf
Useful Diagnostic Tests
- Basic Arthritis Care
- Extended Arthritis Care
- Comprehensive Arthritis Care
- Complete Blood Count (CBC)/ Hemogram
- Esr Automated
- Calcium
- Rheumatoid Factor (RF)/RA Test Rheumatoid Arthritis Factor, Qualitative
- Advanced Arthritis Care
- Autoimmune Arthritis Panel
- Frequent Pain Check Package
Author Details
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