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MDS (Oral Pathology & Microbiology), BDS
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MD (Pharmacology), MBBS
Last updated:
02 Apr 2020 | 11:03 AM (IST)
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Overview

Introduction

Btr D Tablet is a pain relieving medicine. It is used to treat pain and inflammation in conditions like rheumatoid arthritis, ankylosing spondylitis, and osteoarthritis. It is also used to relieve muscle pain, back pain, toothache, or pain in the ear and throat.

Btr D Tablet should be taken with food. This will prevent you from getting an upset stomach. The dose will depend on what you are taking it for and how well it helps your symptoms. You should take it as advised by your doctor. Do not take more or use it for longer duration than recommended by the doctor.

The most common side effects of this medicine include nausea, vomiting, heartburn, diarrhea, stomach pain, and loss of appetite. If any of these side effects bother you or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the side effects.

Before taking it, you should let your doctor know if you have a history of ulcer or bleeding in your stomach, high blood pressure, or have any trouble with your heart, kidneys, or liver. Let your doctor also know about all the other medicines you are taking because they may affect, or be affected by, this medicine.

Pregnant or breastfeeding women should consult their doctor before starting treatment. You should also avoid drinking alcohol while you are taking this medicine, as alcohol can cause excessive drowsiness.

Uses of Btr D Tablet

Side effects of Btr D Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Btr D

  • Nausea
  • Vomiting
  • Heartburn
  • Diarrhea
  • Stomach pain
  • Loss of appetite
  • Indigestion

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Vomiting
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Heartburn
    Avoid foods that irritate the stomach such as alcohol, carbonated soft drinks, citrus, coffee, fatty foods or tomatoes. Eat or drink slowly. Eat smaller, more frequent meals. The reason being, large meals fill the stomach and put pressure, causing reflux. Quit smoking if you smoke, lose weight if you are overweight and avoid tight waistbands. Ask your doctor about medicines to treat this condition such as antacids. Do not lie down immediately after eating and wait for at least three hours before lying down after a meal. Raise the head of your bed. Talk to your doctor if your condition does not improve, they may be able to reduce the dosage or switch you to another medicine.
  • Coping with Diarrhea
    Keep up your intake of fluids and electrolytes (sugars and salts) to avoid getting dehydrated. Eat less fiber (avoid raw fruits, fruit juice and vegetables). Talk to your doctor about possible medication to manage diarrhea. Ask about reducing the dosage of your drug or other suitable treatments.
  • Coping with Stomach pain
    Try to get plenty of rest and relax. Putting a heat pad or covered hot water bottle on your stomach may relieve the stomach pain. It may help if you eat and drink slowly and have smaller and more frequent meals. Reduce your intake of coffee, tea and alcohol as these can make the pain worse. If you are in a lot of pain, speak to your doctor about possible medication. Your doctor may be able to prescribe some over-the-counter medicines to help reduce the pain.
  • Coping with Loss of appetite
    It is important to eat, even if you do not feel like it. You might try switching to smaller meals and frequent snacks. Try eating healthy and nutritious snacks that are high in calories and protein, such as dried fruit and nuts. It is important to drink even if you cannot eat. But, do not fill your stomach with liquid before eating. Eat when you are most hungry. Exercise such as a short walk may also increase your appetite. Talk to your doctor about possible medication or supplements if your condition does not improve.
  • Coping with Indigestion
    Try taking your medicine with a meal or snack, or shortly after eating. It might help to eat smaller and more frequent meals, and to eat and drink slowly. Avoid foods which can irritate your stomach such as carbonated soft drinks, caffeine, fatty and spicy foods, mints and citrus fruits. Quit smoking and alcohol because they increase the symptoms. Do not eat for 3 or 4 hours before going to bed. Try raising the head of your bed at night or use extra pillows. Ask your doctor or pharmacist about medicines that may help, such as antacids, if your condition does not improve.

How to use Btr D Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Btr D Tablet is to be taken with food.

How Btr D Tablet works

Btr D Tablet is a combination of four medicines: Bromelain, Diclofenac, Rutoside and Trypsin Chymotrypsin. Bromelain and Trypsin Chymotrypsin are enzymes. They increase blood supply and make the body produce substances that fight pain and swelling. Diclofenac is a non-steroidal antiinflammatory drug (NSAID) which works by blocking the release of certain chemical messengers (prostaglandins) in the brain that cause pain and inflammation (redness and swelling). Rutoside is an antioxidant which protects the body from damage by chemicals (free radicals) and further reduces swelling.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Btr D Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Btr D Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
Information regarding the use of Btr D Tablet during breastfeeding is not available. Please consult your doctor.
Driving
UNSAFE
Btr D Tablet may cause side effects which could affect your ability to drive.
Btr D Tablet may cause headaches, blurred vision, dizziness or drowsiness in some patients. This may affect your ability to drive.
Kidney
SAFE IF PRESCRIBED
Btr D Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Btr D Tablet may not be needed in these patients. Please consult your doctor.
Liver
SAFE IF PRESCRIBED
Btr D Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Btr D Tablet may not be needed in these patients. Please consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
No alternate brands found for this medicine

Patient Concerns

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Ravi site d tablet for back pain ??
Dr. Mehtab Baig
Orthopaedic Physiotherapy
How many days suffered back ache
I have sevior back pain.can i take fluxura D for pain relief?
Dr. Akshat Goel
Orthopaedics
Take Tab Myospas-D thrice daily and Cap Nurokind-Gold twice daily for 5 days
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Do you have any questions related to Btr D Tablet ?

User Feedback


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Disclaimer:

1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. ScienceDirect. Bromelain. [Accessed 18 Apr. 2019] (online) Available from:External Link
  2. Diclofenac. Daventry, Northamptonshire: Dexcel Pharma Ltd.; 1996 [revised 20 Dec. 2017]. [Accessed 18 Apr. 2019] (online) Available from:External Link
  3. Drugs.com. Rutin. [Accessed 18 Apr. 2019] (online) Available from:External Link
  4. Shah D, Mital K. The Role of Trypsin:Chymotrypsin in Tissue Repair. Adv Ther. 2018;35(1):31-42. [Accessed 18 Apr. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

335 KM. MILESTONE, NATIONAL HIGHWAY NO.1, P.O.BOX 25, PHILLAUR , (PUNJAB) INDIA-144 410
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