BROMOSIDE D Tablet 10's

Introduction About BROMOSIDE D TABLET

BROMOSIDE D TABLET is a combination of Bromelain, Rutoside, Trypsin and
Diclofenac which belongs to the group of medicines called Proteases, Flavonoids,
Proteolytic enzymes and Analgesics respectively. It is used in the management of
pain and inflammation associated with rheumatoid arthritis, osteoarthritis,
sports injuries, tooth extraction. BROMOSIDE D TABLET is also used to manage
post-surgical inflammation and helps in wound healing and has an anti-scarring
effect.

Prior to starting the management with BROMOSIDE D TABLET, your doctor might want
you to take up several diagnostic tests to understand the existing condition.

BROMOSIDE D TABLET is not recommended for use in patients having kidney or liver
disorders, high blood pressure, bleeding or clotting disorders, blood in
vomiting or urine and infection. It should be taken with caution in patients who
have heart disease.

BROMOSIDE D TABLET is not recommended for use in pregnant and breast-feeding
women. There is no data on the use of BROMOSIDE D TABLET in children and elderly
patients hence, caution must be exercised while taking this medicine. Always,
consult with your doctor before taking it.

The most common side effects of taking BROMOSIDE D TABLET are nausea, loss of
appetite, headache, diarrhoea and flatulence. Consult with your doctor if any of
these worsen or doesn’t improve.

Uses Of BROMOSIDE D TABLET

• Provides relief from pain and inflammation

How BROMOSIDE D TABLET Works

BROMOSIDE D TABLET helps in managing pain and inflammation associated with
various conditions where bromelain is a protease enzyme which decreases
inflammation by inhibiting the substances that are responsible for it called
proinflammatory prostaglandins. It also influences blood clotting by increasing
the activity of a protein called fibrinogen. Rutoside is a flavonoid that works
by enhancing the strength of blood vessels and decreases their ability to break
down. Diclofenac is a non-steroidal anti-inflammatory drug which acts by
stopping the release of certain chemicals called prostaglandins which is
responsible for the occurrence of pain and inflammation.

How to use BROMOSIDE D TABLET

Take BROMOSIDE D TABLET as advised by your physician. Swallow the medicine as a
whole with a glass of water. Do not crush or chew the medicine. Your doctor will
decide the correct dose and duration of BROMOSIDE D TABLET for you depending
upon your age, body weight and disease condition.

Side Effects Of BROMOSIDE D TABLET

Common

• headache, dizziness
• vertigo, sickness
• nausea
• flatulence, diarrhoea
• loss of appetite
• skin rash

Rare

• sleepiness
• skin spots
• oedema (swelling due to fluid build up)

Stop taking BROMOSIDE D TABLET and consult your doctor immediately if you
experience the following side effects:

• mild cramping and tenderness of the abdomen followed by rectal bleeding or bloody diarrhoea
• stomach or duodenal ulcer, bleeding from the stomach or intestine, stomach pain or other abnormal stomach symptoms
• passing blood in your faeces, vomiting blood or dark particles that look like coffee grounds
• indigestion or heartburn
• allergic reactions (signs include sudden wheeziness, difficulty in breathing, swelling of the face, lips, hands or fingers, skin rash, itching, bruising, painful red areas, peeling or blistering)
• chest pain (sign of a potentially serious allergic reaction called Kounis syndrome)

How To Manage Side Effects

!### Diarrhea

Drink lot of fluids such as water or fruit juices to keep yourself hydrated.
Avoid taking any medicine on your own for managing diarrhea. Consult your doctor
if the symptom does not improve.

Headache

Rest and relax. Drink plenty of fluids such as water or electrolytes. Apply a
pain-relieving balm on the forehead if required. Do not consume too much of
alcohol. Consult your doctor if the symptom does not improve.

!### Nausea And Vomiting

Try to take BROMOSIDE D TABLET with or just after a meal or a snack. Stick to
simple meals. Avoid eating oil rich, fried or spicy foods. Do not lie down or
sleep immediately after eating. Consult your doctor if the symptom does not
improve.

Warning & Precautions

!### Pregnancy

ContraindicatedBROMOSIDE D TABLET is not recommended for use in pregnant women. Consult your
doctor before taking it.

!### Breastfeeding

ContraindicatedBROMOSIDE D TABLET is not recommended for use in breastfeeding women. Consult
your doctor before taking it.

!### Driving and Using Machines

Use with CautionDo not drive or operate any machines if you experience dizziness or sleepiness.
Consult your doctor before taking it.

!### Alcohol

ContraindicatedAvoid the use of alcohol with BROMOSIDE D TABLET as it can increase the risk of
gastric irritation.

!### Kidney

ContraindicatedBROMOSIDE D TABLET is not recommended for use in patients having kidney
disorders. Consult your doctor before taking it.

!### Liver

ContraindicatedBROMOSIDE D TABLET is not recommended for use in patients having liver
disorders. Consult your doctor before taking it.

!### Allergy

ContraindicatedDo not take BROMOSIDE D TABLET if you are allergic to Bromelain, Rutoside,
Trypsin and Diclofenac.

!### Heart Disease

Use with CautionBROMOSIDE D TABLET should be used with caution in patients having heart disease.
Consult your doctor before taking it.

!### Use In Geriatrics

Consult your doctorYour doctor will decide the correct dose and duration of the management with
BROMOSIDE D TABLET depending upon your age, disease condition and body weight.
Consult your doctor for advice.

Others

BROMOSIDE D TABLET is not recommended for use if you:

• have high blood pressure
• have bleeding or clotting disorders
• have blood in vomiting or urine
• have infection

Interactions

A. Drug – Drug Interactions:

Before taking BROMOSIDE D TABLET inform to your doctor, if you are taking any of
these medicines:

• cardiac glycosides such as digoxin (used to manage heart problems), antihypertensives such as ramipril (used to manage high blood pressure)
• lithium (used to manage bipolar disorder)

Overdosage:

If you or anyone else accidentally take too much of BROMOSIDE D TABLET, consult
your doctor immediately or visit the nearby hospital.

Synopsis

Drug	:	Bromelain, Rutoside, Trypsin, Diclofenac
Pharmacological Category	:	Proteas, Flavonoids, Proteolytic enzymes, Analgesics
Therapeutic Indication	:	Pain and Inflammation
Dosage Forms	:	Tablet

More Information

• Keep BROMOSIDE D TABLET out of reach of children
• Store at room temperature

FAQs About BROMOSIDE D TABLET

Q: What is BROMOSIDE D TABLET and why is it prescribed?

A: BROMOSIDE D TABLET is a combination of Bromelain, Rutoside, Trypsin and
Diclofenac which belongs to the group of medicines called Proteases, Flavonoids,
Proteolytic enzymes and Analgesics respectively. It is used in management of
pain and inflammation associated with rheumatoid arthritis, osteoarthritis,
sports injuries, tooth extraction. BROMOSIDE D TABLET is also used to manage
post-surgical inflammation and helps in wound healing and has an anti-scarring
effect.

Q: Can BROMOSIDE D TABLET cause stomach disturbances?

A: Yes, BROMOSIDE D TABLET may cause side effects like nausea, diarrhoea,
indigestion and flatulence. Keep a check on your food habits while taking
BROMOSIDE D TABLET, consume less spicy and healthy food and drink plenty of
liquid. Do not take any medication on your own. Ask for your doctor’s advice if
these doesn’t improve.

Q: What should I tell my doctor before taking BROMOSIDE D TABLET?

A: Before taking BROMOSIDE D TABLET tell your doctor if you have any heart,
kidney or liver disorders, high blood pressure, bleeding or clotting disorders,
blood in vomiting or urine and infection.

Q: Is BROMOSIDE D TABLET safe for pregnant and breast-feeding women?

A: BROMOSIDE D TABLET is not recommended for use in pregnant and breast-feeding
women. Consult your doctor for advice to select a suitable alternative medicine
to manage pain and inflammation.

Q: Can BROMOSIDE D TABLET be given to children?

A: There is no information regarding the use of BROMOSIDE D TABLET in children.
Your child’s doctor will select a alternative or decide the correct dose and
duration of the management with BROMOSIDE D TABLET depending upon your child’s
age, disease condition and body weight.

Useful Diagnostic Tests

• Complete blood count