Cipzen D

Cipzen D is a prescription medication containing diclofenac and serratiopeptidase as active ingredients. It belongs to a class of medical products known as NSAIDs (non-steroidal anti-inflammatory drugs) and is prescribed for acute and chronic pain. Individuals with active intestinal or gastric ulcers should not use this medication. Inform the doctor of any significant medical history before using Cipzen D tablets.

What are Cipzen D Tablets?

Cipzen D is a fixed-combination oral tablet containing diclofenac potassium and serratiopeptidase. Diclofenac belongs to a class of medicines known as NSAIDs, while serratiopeptidase is a proteolytic enzyme. Thus, Cipzen D is an NSAID-proteolytic enzyme agent.

How Does Cipzen D Work?

Cipzen D contains two active ingredients that work differently to bring the drug’s beneficial effects. Diclofenac potassium inhibits the release of certain body chemicals known as prostaglandins, which are responsible for inflammation and swelling. On the other hand, serratiopeptidase breaks down the abnormal proteins present at the sites of inflammation to encourage healing and reduce swelling. Thus, Cipzen blocks inflammatory mediators and promotes healing. This medication has many beneficial properties, including antipyretic, analgesic, and anti-inflammatory effects, implying it treats fever, pain, and inflammation.

What Are the Uses of Cipzen D Tablets?

• Cipzen D relieves pain and swelling in inflammatory conditions such as rheumatoid arthritis, ankylosing spondylitis, and osteoarthritis.
• It also treats migraine headaches and other mild-moderate pains, including backache, menstrual pain, and muscle pain.

How to Use Cipzen D Tablets

Before taking this medication, carefully read the patient information leaflet that comes with the package. If anything is unclear, consult the doctor. Otherwise, take Cipzen D tablets as directed by the healthcare provider.

Take this medicine preferably before meals, swallowing the tablets with a glass of water. Do not crush, chew or break the tablets. Try to take this medication at regular intervals, at the same time each day, for optimal results.

Do not use more than the prescribed dose of Cipzen D or take the medication beyond the indicated duration.

If you miss a dose, take it as soon as you remember. However, if the time is near the next dose, skip the missed one and continue with the regular dosing schedule. Do not take a double dose to compensate for the missed one.

Contact the doctor immediately or visit the nearest hospital in case of an overdose. Cipzen D overdose symptoms include nausea, headache, stomach pain, vomiting, diarrhea, and drowsiness. Keep the medicine out of reach of children to avoid accidental ingestion and overdose.

Store Cipzen D tablets in a cool, dry place away from direct sunlight.

Possible Cipzen D Side Effects

Side effects refer to the undesired reactions that occur when taking a medication in the recommended doses. Every drug has side effects, but the severity varies from person to person. Those taking Cipzen D for different indications might experience unwanted effects such as:

• headache
• dizziness
• sleepiness and drowsiness
• ringing or buzzing in the ears
• indigestion
• nausea
• diarrhea
• flatulence
• abdominal pain
• skin rash
• heartburn

Most of these side effects are mild and resolve as the body gets used to the medication. When they persist or become bothersome, contact the doctor. On the other hand, some adverse reactions are rare but potentially severe, requiring prompt medical intervention. For example;

• Hypersensitivity reaction
• Worsening of ulcerative colitis
• Vomiting blood
• Low blood pressure
• Paresthesia (pins and needles sensation)
• Menstrual abnormalities, including heavy bleeding (in women)

Cipzen D users might experience other unwanted effects besides those listed above. Confirm if the adverse reactions are described in the patient information leaflet. Report any unfamiliar symptom that arises when taking Cipzen D to the doctor.

Precautions and Warnings

• Since Cipzen D contains diclofenac, an NSAID, it might increase the risk of cardiovascular diseases such as stroke and heart attack. The likelihood increases with the duration of use and other risk factors for cardiovascular problems.
• Patients who have undergone coronary artery bypass graft, a particular type of heart surgery, should not take Cipzen D for postoperative pain.
• Users of Cipzen D have a significant potential of developing serious stomach and intestinal adverse reactions, including bleeding, perforation, and ulceration. These symptoms often occur without warning signs and are more common in the elderly.
• Avoid combining this medication with other NSAIDs, as this might increase the risk of adverse effects. Use the lowest effective dose of Cipzen D for the shortest possible period to avoid serious issues.
• Due to its anti-inflammatory properties, this drug can mask infections with signs and symptoms appearing milder than the actual disease severity.
• People with systemic lupus erythematosus (SLE) taking Cipzen D can develop aseptic meningitis.
• Diclofenac potassium might impair female fertility and, therefore, should not be used by women trying to conceive.
• Children below ten should not take Cipzen because its safety and efficacy in this population are unknown. 
• Cipzen D might cause drowsiness. For that reason, do not drive or operate other machinery until you have a good understanding of how the drug affects you.

How Does Cipzen D Interact With Other Medicines

Before taking Cipzen D, inform the doctor of any significant health history, including medical conditions and the current medications or those used recently. Cipzen D interacts with several drugs and diseases, leading to more severe adverse effects or changes in efficacy.

Potential drug interactions exist between Cipzen D and:

• Other NSAIDs (COX-2 inhibitors) with increased risk of gastrointestinal bleeding
• Diuretics and hypertension medications (enalapril)
• Cardiac glycosides (Digoxin)
• Mifepristone
• Phenytoin

Keep a list of all the current medications and present it to the doctor to evaluate the safety of combining them with Cipzen D and advise appropriately.

Contraindications

Individuals with the following conditions should not use Cipzen D tablets

• Allergy to diclofenac, serratiopeptidase, inactive ingredients of the medication, or other NSAIDs.
• Active bleeding, including stroke and intestinal perforation. Generally, those with peptic ulcer disease should not take NSAID medications
• Women planning to conceive or those already pregnant as the drug can interfere with the development of the fetus leading to congenital disabilities.
• Perioperative pain treatment after coronary artery bypass graft surgery
• Those with severe kidney and liver failure
• Established cardiovascular disease, including congestive heart failure, peripheral artery disease, and acute coronary syndrome

Alternatives to Cipzen D

Consult the doctor before taking any of the following Cipzen D alternatives:

• Lupisera D tablets
• Diclomol
• Maxigesic
• Rosomol
• Aldase D tablets
• Diser tablet

Buying Cipzen D Tablets from a Trusted Online Store

Kiwi Drug offers affordable access to all medications to people on all continents. Subject to industry regulations, Kiwi uses professional pharmacists to ensure the clients receive the best services and maintain optimum quality of life. You require a prescription to purchase Cipzen D tablets. But this doesn’t mean you must come with a prescription from your doctor’s clinic. At Kiwi Drug store, a certified online doctor will review your medical profile and write you a prescription through the online doctor service, which you can use to buy the drug. Thus, purchasing Cipzen D tablets from Kiwi Drug, with or without a prescription, is straightforward and quick. It involves:

• Signing up and adding the drug to the cart
• Clicking the “Checkout Now” button
• Answering the questions presented on the next page
• Entering payment details and waiting for your order to arrive