Aceclofenac is used to relieve pain and inflammation in certain conditions such as ankylosing spondylitis (inflammation of the joints of your spine), osteoarthritis (joint pain and swelling due to bone damage or deterioration), and rheumatoid arthritis (inflammation in joints of fingers, wrist, feet, ankles).
Take Aceclofenac exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
Take this medicine together with food or immediately after a meal. Try to take it at the same time each day.
Aceclofenac is available as a tablet (in conventional and sustained-release form) or as a soft-gel capsule.
Swallow the tablet or capsule whole with a glass of water. Do not divide, chew or crush the tablet or capsule.
The dose of this medicine will be decided by your doctor. Your doctor will advise you on the course of your treatment depending on the type and severity of your condition.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Do not take this medicine if you ever had an allergic reaction (e.g. rashes, breathlessness, swollen eyes) to Aceclofenac, aspirin, or other similar painkillers such as diclofenac and ibuprofen.
Alert your doctor if you have the following conditions:
- current or history of stomach ulcer or bowel bleeding
- bleeding problems
- certain heart diseases
- cerebrovascular disease (disease of the blood vessels supplying the brain)
- severe heart failure
- severe liver disease
- severe kidney disease
as this medicine may not be suitable for you.
Do not take Aceclofenac if you are in your 3rd trimester of pregnancy. If you become pregnant while being treated with this medicine, alert your doctor immediately. Aceclofenac may cause harm to your unborn child.
Inform your doctor if you have the following conditions:
- history of asthma
- stomach or bowel disease
- high blood pressure
- mild to moderate heart failure
- history of heart attack or stroke
- blood clotting disorders
- liver porphyria (an inherited disorder that causes skin or nervous system abnormalities)
- systemic lupus erythematosus (autoimmune disease that causes inflammation)
- mild to moderate liver disease
- mild to moderate kidney disease
Let your doctor know if you are pregnant or breastfeeding.
Be sure to check with your doctor or pharmacist before giving Aceclofenac to the elderly. Elderly people may be more sensitive to the side effects.
Avoid long-term use of any painkillers.
If you are going to have certain laboratory tests, inform your doctor that you are taking this medicine.
Why is it important to keep my appointments with the doctor?
Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly.
- Routine tests (e.g. blood count, liver and kidney function test, eye examination) may be done while you are being treated with Aceclofenac. Your doctor will advise you about how often you need to have these tests.
- Your blood pressure may rise to unsafe levels without you noticing it. Monitor your blood pressure during treatment.
Aceclofenac may cause drowsiness, dizziness, or some problems with your eyesight. If affected, do not drive or take part in any activity in which you need to be alert or need to see clearly.
Other side effects include any of the following: nausea, diarrhoea, indigestion, stomach wind or pain, vomiting, constipation, and mouth sores.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- rashes, breathlessness, swelling of the face, eyes, mouth, or throat
- pass out bloody stools or black as tar; vomiting blood, or ground coffee-like material
- difficulty breathing
- frequent and persistent sore throat with fever, unusual bleeding, or bruising
- yellowing of the skin or eyes, dark coloured urine, tiredness, swelling in the legs and ankles
- headache, high fever, blotchy red rashes, neck stiffness, sensitivity, or intolerance to light
- rashes with peeling of the skin or blistering of the lips, mouth, or eyes accompanied by fever
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking any of these medicines:
- other NSAIDs (medicines for pain and inflammation) e.g. ibuprofen, diclofenac, celecoxib
- blood-thinning medicines e.g. warfarin, aspirin, clopidogrel
- corticosteroids (certain anti-inflammatory medicines) e.g. hydrocortisone, prednisolone
- water pills or medicines for water retention e.g. hydrochlorothiazide, furosemide
- medicines used in organ transplant or certain immune disorders e.g. ciclosporin, tacrolimus
- certain antibiotics e.g. ciprofloxacin, levofloxacin, ofloxacin
- medicines for high blood pressure e.g. enalapril, lisinopril, candesartan, losartan
- medicines to treat depression e.g. escitalopram, fluoxetine, fluvoxamine, sertraline
- digoxin (medicine for heart disease)
- lithium (medicine for mood disorders)
This list does not include all medicines that may interact with Aceclofenac.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics, such as traditional Chinese medicines, supplements, and medicines that you buy without a prescription.
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.