Aceclofenac Tablet is used to relieve pain and reduce redness and swelling (inflammation) in patients suffering from: 

• arthritis of the joints (osteoarthritis). This commonly occurs in patients over the age of 50 and causes the loss of the cartilage and bone tissue next to the joint. 
• autoimmune disease that causes chronic inflammation of the joints (rheumatoid arthritis). 
• arthritis of the spine which can lead to the fusion of the vertebrae (ankylosing spondylitis). 

Always take this medicine exactly as your doctor or pharmacist has told you. You will be prescribed the lowest effective dose over the shortest duration to reduce side effects. Check with your doctor or pharmacist if you are not sure.
The recommended dose in adults is 200 mg a day. One 100mg tablet should be taken in the morning and one in the evening.

Children: 

Aceclofenac Tablet is not recommended for use in children under the age of 18. 

Tablets should be swallowed whole with plenty of water and should be taken with or after food. 

Do not crush or chew the tablets. 

Do not exceed the stated daily dose.

Elderly: If you are elderly, you are more likely to experience serious side effects If your doctor prescribes Aceclofenac Tablets for you, you will be given the lowest effective dose over the shortest duration of treatment. 

Method and route of administration: Swallow the tablet whole with a glass of water. Do not crush or chew the tablets. Never change the dose of your medicine without talking to your doctor first. Continue to take your tablets for as long as your doctor recommends.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. 

• medicines such as citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine and sertraline) or lithium, mifepristone 
• medicines such as Digoxin, enalopril, lisinopril; losartan, candesartan; also hydralazine, methyldopa, clonidine, moxonidine, propranalol), diuretics such as thiazides,furosemide amiloride hydrochloride), clopidogrel. 
• medicines to treat infection such as ciprofloxacin, ofloxacin, levofloxacin moxifloxacin 
• medicines such as warfarin, heparin, methotrexate any steroids for the treatment of swelling and inflammation 
• medicines used to suppress the immune system after organ transplant (ciclosporin or tacrolimus) 
• medicines used to treat HIV (zidovudine) 
• medicines used to lower blood sugar levels in diabetes any other painkiller NSAID drugs (aspirin, ibuprofen, naproxen, COX-2 inhibitors such as celecoxib and etoricoxib)

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Stop taking the medicine and seek medical advice IMMEDIATELY, If you experience any of the following side effects: 

• severe allergic reaction (anaphylactic shock). Symptoms may develop quickly and can be life threatening if not immediately treated and include fever, difficulty breathing, wheezing, abdominal pain, vomiting, swelling of the face and throat. 
• severe skin rashes such as Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis. These are potentially life-threatening and develop quickly forming large blisters and the skin to peel away. The rash can also appear in the mouth, throat or eyes. Fever, headache and aching of the joints usually occur at the same time. 
• meningitis. The symptoms include high fever, headache, vomiting, blotchy red rashes, neck stiffness, sensitivity and intolerance to light. 
• passing blood in your faeces (stools/motions). 
• passing black tarry stools. Vomit any blood or dark particles that look like coffee grounds. 
• kidney failure.

Stop taking the medicine and seek medical advice if you experience: 

• indigestion or heartburn 
• abdominal pain (pains in your stomach) or other abnormal stomach symptoms. 
• blood disorders such as reduced production of blood cells, abnormal breakdown of red blood cells known as haemolytic anemia, low content of iron in the blood, low level of white blood cells, low number of platelet cells, increased blood potassium levels which can irritate the blood vessels causing inflammation known as vasculitis. These disorders can cause you to feel extremely tired, breathless, aching of the joints and be prone to repeated infections and bruising.

Common ( may affect up to 1 in 10 people): 

Dizziness, nausea (feeling sick),, diarrhea,increased liver enzymes in the blood.

Uncommon side effects 

wind, inflammation or irritation of the lining of the stomach, constipation, vomiting, mouth ulcers, itching, rash, inflammation of the skin, raised circular red itchy, stinging or burning patches on the skin (hives), increase in blood urea levels, increase in blood creatinine levels. 

Rare side effects (may affect 1 to 10 patients in 10,000) include hypersensitivity (allergic reaction), problems with eyesight, heart failure, high blood pressure, shortness of breath, bleeding from the stomach or bowel, stomach or bowel ulceration.

Very rare side effects (may affect up to 1 in 10,000 patients) 

include depression, strange dreams, inability to sleep, tingling, pricking or numbness of skin, uncontrollable shaking, drowsiness, headaches, abnormal taste in the mouth, sensation of spinning when standing still, ringing in the ears, heart pounding or racing hot flushes, difficulty breathing, high pitched noise when breathing, inflammation of the mouth, perforation of either the stomach, large intestine or bowel wall.

Do not take Aceclofenac if: 

• you are allergic to aceclofenac or if you are allergic to aspirin or any other NSAIDs (such as ibuprofen, naproxen or diclofenac). 
• you have taken aspirin or any other NSAIDs and experienced one of the following: 
  • asthma attack causing tightness in the chest wheezing and difficulty breathing. 
  • runny nose, itching and/or sneezing (irritation of the nose). 
  • raised red circular patchy rash on the skin which may have felt itchy or like a sting or burn . 
  • a severe allergic reaction known as anaphylactic shock. The symptoms may be life threatening and include difficulty breathing, wheezing, abdominal pain and vomiting . 
  • if you have a history of, suffer from, or suspect that you have a stomach ulcer or have vomited blood or passed blood in your faeces (black tarry stools). 
  • if you have severe kidney disease. 
  • if you have established heart disease and /or cerebrovascular disease e.g. if you have had a heart attack, stroke, mini-stroke (TIA) or blockages to blood vessels to the heart or brain or an operation to clear or bypass blockages. 
  • if you have or have had problems with your blood circulation (peripheral arterial disease). if you suffer from, or suspect that you have severe liver failure. 
  • if you suffer from bleeding or any type of blood clotting disorders. 
  • if you are pregnant (unless your doctor considers it essential for you to continue to take this medicine) 

Aceclofenac Tablets is not recommended for use in children

Before you start taking Aceclofenac Tablets , tell your doctor: 

• if you suffer from any other form of kidney or liver disease. 
• if you have any of the following disorders, as they may worsen: 
• 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 
• if you have, or have ever had problems with the circulation of the blood to your brain. 
• if you suffer from asthma or any other breathing problems. 
• if you suffer from a rare inherited disorder known as porphyria. 
• if you smoke or have diabetes 
• if you have angina, blood clots, high blood pressure, raised cholesterol or other raised body fats such as triglycerides 
• if you suffer from an autoimmune condition known as systemic lupus erythematosus or other connective tissue disorders. 
• if you are infected with chickenpox or are recovering from major surgery 

 Pregnancy and breast-feeding:

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

You should inform your doctor if you have problems becoming pregnant. NSAIDs may make it more difficult to become pregnant. Do not take Aceclofenac Tablets if you are pregnant or think you are pregnant. The safety of this medicine for use during pregnancy is not known. It is not recommended for use in pregnancy unless considered essential by your doctor. (it must not be used during the last three months of pregnancy).

Aceclofenac Tablets should not be used if you are breast-feeding. It is not known if this medicine passes into breast milk. It is not recommended for use during breast-feeding unless considered essential by your doctor.

Driving and using machines: If you are taking Aceclofenac Tablets and you experience dizziness, drowsiness, vertigo, tiredness or any difficulty with your eyesight, you must not drive or use machinery.