Shanzen Tablet is a combination of four medicines: Trypsin, Bromelain, Rutoside and Diclofenac. Trypsin and Bromelain are enzymes. They increase blood supply and make the body produce substances that fight pain and swelling. Rutoside is an antioxidant which protects the body from damage by chemicals (free radicals) and further reduces 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).
Taking diclofenac with alcohol can increase your risk of stomach bleeding.
WEIGH RISKS VS BENEFITS
Shanzen Tablet is unsafe to use during pregnancy. There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
No information is available on the use of Shanzen Tablet during lactation. Please consult your doctor.
Do not drive unless you are feeling well. Shanzen Tablet may cause headaches, blurred vision, dizziness or drowsiness in some patients. This may affect your ability to drive.
Shanzen Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Shanzen Tablet may not be needed in these patients. Please consult your doctor.
Shanzen Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Shanzen Tablet may not be needed in these patients. Please consult your doctor.
Yes, the use of Shanzen can cause dizziness (feeling faint, weak, unsteady or lightheaded) in some patients. If you feel dizzy or lightheaded, stop what you are doing and sit or lie down for sometime or until you feel better and do not drive or use any machines.
Q. Are there any specific contraindications associated with the use of Shanzen?
The use of Shanzen is contraindicated in patients with known allergy to any of the component or excipients of this medicine or in patients with known allergy to other pain killers (NSAIDs). The use of this medicine should preferably be avoided in patients with a history of or active, recurrent stomach ulcer / bleeding and in patients with history of heart failure, high blood pressure, and liver or kidney disease.
Q. Can I take a higher dose of this medicine than recommended?
No, taking higher than recommended dose of Shanzen can lead to increased chances of side effects like nausea, vomiting, heartburn, indigestion, diarrhea and can also damage your kidneys on long term use. If you are experiencing increased severity of pain and swelling which is not relieved by the recommended doses of this medicine, please consult your doctor for re-evaluation.
Q. Does Shanzen expire?
Yes, Shanzen does expire. Please check the expiry date written on the pack of this medicine. Do not use Shanzen after the expiry date.
Q. What is Shanzen?
Shanzen is a combination of four medicines: Trypsin, Bromelain, Rutoside and Diclofenac. This medication helps in relieving pain and swelling (inflammation). It works by lowering the levels of chemical substances in the body that causes pain and swelling (inflammation).
Q. Can the Shanzen be stopped when my pain and swelling(inflammation) are relieved?
Shanzen is usually used for short term and can be discontinued when pain and swelling are relieved. However, Shanzen should be continued if the doctor has advised to do so.
Q. Can the use of Shanzen cause nausea and vomiting?
Yes, the use of Shanzen can cause nausea and vomiting. In case, you experience nausea while taking this medicine, take it with milk, food or with antacids. Avoid taking fatty or fried foods. If you start to experience vomiting, drink plenty of water or other fluids. Try small frequent sips of the liquid. Talk to your doctor if you have persistent vomiting and signs of dehydration like dark colored and strong-smelling urine and a low frequency of urination. Do not take any other medicines without speaking to a doctor.
Information last updated by Dr. Varun Gupta, MD Pharmacology on 22nd Jun 2018.