- Vitamins & Supplements
- Multivitamins
- Vitamin D3
- Vitamin C
- Minerals
- Calcium
- Vitamin B12 & B Complex
- Other Vitamins
- Nutritional Drinks
- Adult Daily Nutrition
- Kids Nutrition (2-15 Yrs)
- Women Nutrition
- Global supplements
- Now Foods
- Solgar
- Nordic naturals
- Nutritional Supplements
- Dr. Morepen
- Power Gummies
- Tata 1mg
- HealthKart
- Carbamide Forte
- Swisse
- Zingavita
- Protein Supplements
- Whey Protein
- Amino Acids
- Mass Gainers
- Workout Essential
- Fat Burners
- Skin Care
- Sunscreen
- Cleanser
- Body Wash
- Face Cream
- Soaps
- Face Moisturisers
- Facewash
- Skin Care Wipes
- Talcum Powder
- Hair Removal Cream
- Baby Care
- Baby Diapers, wipes & more
- Baby Bath Essentials
- Baby Oral Health
- Nursing & Feeding
- Baby & Infant Food
- Baby Healthcare
- Baby Skin Care
- Hair Care
- Shampoo
- Hair Serum
- Hair Conditioners
- Hair Oils
- Hair Creams, Masks, Gels
- Hair Growth Supplements
- Hair Growth Products
- Elderly Care
- Adult Diapers
- Bone & Joint Health
- Orthopaedic Supports
- Underpads
- Sexual Wellness
- Condoms
- Lubricants & Massage Gels
- Personal body massagers
- Men Performance Enhancers
- Sexual Health Supplements
- Top Selling Categories
- BP Monitors
- Nebulizers & Vaporizers
- Smart Wearables
- Weighing Scales
- Thermometers
- Respiratory & Surgical Mask
- Pulse Oximeter
- Stethoscopes
- Diabetes Devices
- Blood Glucose Monitors
- Test Strips & Lancets
- Syringes & Pens
- Continuous glucose monitors
- Insulin Coolers
- Diabetic Footwear
- Pain Management
- Electric heating pads
- Hot Water Bottles
- Hot & Cold packs
- Body Massager
- Wound Care & Dressings
- Adhesive bandage
- Crepe Bandage
- Surgical tapes
- Supports, Splints & Braces
- Knee Support
- Back & Abdomen Support
- Arm & Elbow Support
- Ankle, Foot & Leg Support
- Hand & Wrist Braces
- Neck & Shoulder Support
- Cervical Pillows & Mattress
- Compression support & socks
- Popular categories
- Herbal Juice
- Chyawanparash
- Ayurvedic Immunity Boosters
- Unani Medicines
- Herbal Supplements
- Ayurveda Personal Care
- Ayurveda Oral Care
- Ayurveda Baby Care
- Ayurveda Skin Care
- Ayurveda Hair Care
- Stomach Care
- Constipation
- General Digestion/Indigestion
- Loose motion/Diarrhoea
- Heart Care
- Bone, Joint & Muscle Care
- Pain Relief
- Omnigel products
- Volini
- Iodex
- Moov
- Eye Care
- Eye Lubricants
- Homeopathy Top Brands
- SBL Homoeopathy
- Dr Reckeweg
- Dr Willmar Schwabe India
- Adel Pekana
- BJAIN Homeopathy
- Bakson's
- Allen
- Wheezal
- Dr Willmar Schwabe Germany
- Haslab
- Medisynth
- Boiron
- Bhandari
- Dr Bakshi Bakson
- Dr Batra's
- Homeopathy Wellness Combos
- Homeopathy Popular Categories
- Homeopathic Care for Cold & Cough
- Homeopathic Respiratory Care
- Homeopathy Covid Essentials
- Sexual Health
- Hair Care Products
- Skin Care Products
- Children's Health
- Women's Health
- Homeopathy Medicines
- Homeopathic Drops
- Dilutions
- Mother Tinctures
- Triturations
- Bio Combinations
- Millesimal LM Potencies
- Biochemics
- Bach Flower Remedies
Nishflam-XL Tablet
Prescription Required
Product introduction
Nishflam-XL Tablet is a pain relieving medicine. It is used to treat pain and inflammation in conditions like rheumatoid arthritis, ankylosing spondylitis, and osteoarthritis. It may also be used to relieve muscle pain, back pain, toothache, or pain in the ear and throat.
Nishflam-XL Tablet should be taken with food. This will prevent you from getting an upset stomach. The dose and duration 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, stomach pain, and indigestion. If any of these side effects do not resolve with time or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing them.
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 problems with your heart, kidneys, or liver. Let your doctor also know about all the other medicines you are taking to make sure it is safe for you.
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.
Nishflam-XL Tablet should be taken with food. This will prevent you from getting an upset stomach. The dose and duration 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, stomach pain, and indigestion. If any of these side effects do not resolve with time or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing them.
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 problems with your heart, kidneys, or liver. Let your doctor also know about all the other medicines you are taking to make sure it is safe for you.
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 Nishflam-XL Tablet
Benefits of Nishflam-XL Tablet
In Pain relief
Nishflam-XL Tablet relieves pain, reduce swelling and ease inflammation in conditions like rheumatoid arthritis, osteoarthritis and ankylosing spondolytis. It also helps to manage short term symptoms such as muscle and back pain, toothache, or pain in the ear and throat if taken when the first sign of pain occurs. It works by reducing substances in the body that causes pain and swelling. Nishflam-XL Tablet also reduces fever associated with various painful conditions within 1-2 hour of taking a dose.
Side effects of Nishflam-XL 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 Nishflam-XL
- Nausea
- Vomiting
- Heartburn
- Stomach pain
- Indigestion
- Loss of appetite
- Diarrhea
How to use Nishflam-XL 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. Nishflam-XL Tablet is to be taken with food.
How Nishflam-XL Tablet works
Nishflam-XL Tablet is a combination of three medicines: Aceclofenac, Paracetamol and Trypsin Chymotrypsin, which relieves pain. Aceclofenac is a non-steroidal anti-inflammatory drug (NSAID) and Paracetamol is an antipyretic (fever reducer). They work by blocking the release of certain chemical messengers in the brain that cause pain and fever. Trypsin Chymotrypsin is a combination of enzymes which break down proteins into smaller fragments, thereby making them available for absorption into the blood. Once absorbed, they increase blood supply in the affected area and reduce swelling.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Nishflam-XL Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Nishflam-XL Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Information regarding the use of Nishflam-XL Tablet during breastfeeding is not available. Please consult your doctor.
Driving
UNSAFE
Nishflam-XL Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Nishflam-XL Tablet should be used with caution in patients with kidney disease. Dose adjustment of Nishflam-XL Tablet may be needed. Please consult your doctor.
Use of Nishflam-XL Tablet is not recommended in patients with severe kidney disease.
Use of Nishflam-XL Tablet is not recommended in patients with severe kidney disease.
Liver
CAUTION
Nishflam-XL Tablet should be used with caution in patients with liver disease. Dose adjustment of Nishflam-XL Tablet may be needed. Please consult your doctor.
However, the use of Nishflam-XL Tablet is not recommended in patients with severe liver disease and active liver disease.
However, the use of Nishflam-XL Tablet is not recommended in patients with severe liver disease and active liver disease.
What if you forget to take Nishflam-XL Tablet?
If you miss a dose of Nishflam-XL Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Nishflam-XL Tablet
₹9.6/Tablet
Chymonet AP Tablet
Leeford Healthcare Ltd
₹7.9/tablet
18% cheaper
Chymoral-AP Tablet
Torrent Pharmaceuticals Ltd
₹17.4/tablet
81% costlier
Chymocad Tablet
Cadila Pharmaceuticals Ltd
₹13.5/tablet
41% costlier
New Zixflam Tablet
Jenburkt Pharmaceuticals Ltd
₹12.5/tablet
30% costlier
Chymozip Plus 100mg/325mg Tablet
Nask Pharmaceuticals Private Limited
₹16.4/tablet
71% costlier
Quick tips
- You have been prescribed this combination medicine for relieving pain and inflammation.
- Take it with food to avoid getting an upset stomach.
- It may cause dizziness and sleepiness. Don't drive or do anything that requires mental focus until you know how it affects you.
- Avoid consuming alcohol when taking Nishflam-XL Tablet as it may cause excessive drowsiness and increase the risk of liver damage.
- Do not take it with any other medicine containing acetaminophen (drugs for pain/fever or cough-and-cold) without asking your doctor first.
Fact Box
Habit Forming
No
Therapeutic Class
PAIN ANALGESICS
Patient concerns
FAQs
Q. What is Nishflam-XL Tablet?
Nishflam-XL Tablet is a combination of four medicines: Aceclofenac, Paracetamol, Trypsin and Chymotrypsin. This medicine helps in decreasing pain and swelling. It lowers the levels of chemical substances in the body that causes pain and swelling.
Q. Can I get addicted to Nishflam-XL Tablet?
No, there is no report of any patient getting addicted to Nishflam-XL Tablet.
Q. Can I stop taking Nishflam-XL Tablet when my pain is relieved?
Nishflam-XL Tablet is usually used for short term and can be discontinued when your pain is relieved. However, Nishflam-XL Tablet should be continued if your doctor has advised you to do so.
Q. Can the use of Nishflam-XL Tablet cause dizziness?
Yes, the use of Nishflam-XL Tablet can cause dizziness (feeling faint, weak, unsteady or lightheaded) in some patients. If you feel dizzy or lightheaded, it is better to rest for some time and resume once you feel better.
Q. Can the use of Nishflam-XL Tablet cause damage to kidneys?
Yes, long-term use of Nishflam-XL Tablet can cause damage to the kidneys. Normal kidneys produce a chemical called prostaglandins that protects them from damage. Use of painkillers lowers the levels of prostaglandins in the body leading to kidney damage due to long-term use. Use of painkillers is not recommended to patients with underlying kidney disease.
Q. Can the use of Nishflam-XL Tablet cause damage to liver?
Nishflam-XL Tablet contains Paracetamol. This medicine is known to cause harm to the liver especially in the doses above the recommended level. Also, avoid drinking alcohol while taking this medicine, as it may further increase your risk of liver damage. Use of this medicine should preferably be avoided in patients with underlying liver disease. Contact your doctor immediately if you notice any early signs and symptoms of liver damage. These symptoms may include fever, rash, loss of appetite, nausea, vomiting, fatigue, stomach pain, dark urine, yellow skin or eyes and abnormal liver enzymes.
Q. How long will Nishflam-XL Tablet take to act?
It may take about an hour to see the initial benefit of pain relief after taking Nishflam-XL Tablet.
Q. What if I forget to take Nishflam-XL Tablet?
If you forget to take the scheduled dose of Nishflam-XL Tablet and it is almost time for your next dose, skip the dose you missed and take your next dose at the scheduled time. Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally. Do not take a double dose to make up for the dose you missed because this may increase the risk of unwanted side effect. If you are not sure what to do, consult your doctor about how to manage a situation like this.
Q. Will a higher than the recommended dose of Nishflam-XL Tablet be more effective?
No, taking a higher than the recommended dose may not be more effective, rather it may increase the chances of having some serious side effects and toxicity. If you experience increased severity of your symptoms, that are not relieved by the recommended doses, please consult your doctor for re-evaluation.
Q. Are there any specific contraindications associated with the use of Nishflam-XL Tablet?
The use of Nishflam-XL Tablet is considered to be harmful for patients with known allergy to any of the component or excipients of this medicine. The use of this medicine should preferably be avoided in patients with a history of stomach ulcers or in patients with active, recurrent stomach ulcer / bleeding. It should also be avoided in patients with history of heart failure, high blood pressure, and liver or kidney disease.
Want to share the information?
Disclaimer:
Tata 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 everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. 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
- Shah D, Mital K. The Role of Trypsin: Chymotrypsin in Tissue Repair. Adv Ther. 2018;35(1):31-42. [Accessed 22 Apr. 2019] (online) Available from:
Marketer details
Name: Ronish Bioceuticals
Address: Ronish House, Nanhera Link Road, Kuldeep Nagar, Ambala Cantt
Country of origin: India
The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.
The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.
Lab tests offered by us
Related/Popular tests
53 people viewed this recently₹96
Inclusive of all taxes
MRP₹99 3% OFF
10.0 tablets in 1 strip
SOLD OUT
Notify me
Available options
Available options
Same salt composition:Aceclofenac (100mg), Paracetamol (325mg), Trypsin Chymotrypsin (50000AU)
Same salt composition
Verified by doctors
Popularly bought
Trusted quality
Why buy these from 1mg?