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Enzoheal-D Tablet
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Enzoheal-D Tablet

Manufactured byMACLEODS PHARMACEUTICALS PVT LTD
ContainsTrypsin (48 mg) + Rutoside (100 mg) + Bromelain (90 mg) + Diclofenac (50 mg)
Description
Enzoheal-D Tablet is a pain-relieving medicine which is a combination of Trypsin, Rutoside, Bromelain and Diclofenac. Enzoheal-D Tablet provides effective relief from pain and swelling associated with ankylosing spondylitis (a type of arthritis where the bones of your spinal cord fuse together), osteoarthritis (painful swelling of your joints) and rheumatoid arthritis (a type of arthritis that affects the small joints of your body). It is also used to provide relief from headaches, toothaches, backaches, menstrual pain, ear pain, throat pain, sprains, and strains. Enzoheal-D Tablet shows some common side effects like nausea, vomiting, heartburn, stomach upset, loss of appetite, and diarrhoea. It may cause dizziness and blurred vision. Do not drive or do anything requiring your concentration after taking this medicine. It may change the colour and odour of your stool. This is not harmful but consult your doctor if it bothers you. Avoid Enzoheal-D Tablet if you are allergic to it. Enzoheal-D Tablet should be taken with food at around the same time every day. If you missed a dose, take your next dose at the scheduled time. Use Enzoheal-D Tablet with extreme caution if you have liver and kidney problems. Enzoheal-D Tablet is not recommended for children under 18 years of age, pregnant and breastfeeding women.
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Side effectsConcernsUsage

Side effects

Major & minor side effects for Enzoheal-D Tablet

  • Nausea or vomiting
  • Heartburn
  • Skin rash
  • Dizziness
  • Diarrhoea
  • Indigestion
  • Stomach upset
  • Loss of appetite

Uses of Enzoheal-D Tablet

What is it prescribed for?

  • Pain and inflammation
Read More
Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    Enzoheal-D Tablet provides relief from pain and swelling within 1 to 2 hours.
  • How long do the effects of this medicine last?
    The effects of Enzoheal-D Tablet lasts for 6 to 8 hours.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol is not recommended while treatment with Enzoheal-D Tablet due to the risk of stomach bleeding.
  • Is this a habit forming medicine?
    No habit-forming tendencies were reported for Enzoheal-D Tablet.
  • Can this medicine be taken during pregnancy?
    Enzoheal-D Tablet is not recommended for use during pregnancy due to the risk of serious side effects for your developing foetus.
  • Can this medicine be taken while breast-feeding?
    Enzoheal-D Tablet is not recommended for use in breastfeeding. Your doctor may prescribe an alternate medicine with the same therapeutic effect if necessary.

Allergy

Avoid taking Enzoheal-D Tablet if you are allergic to it. Allergic reactions to this medicine are rare. Seek immediate medical attention if you notice any symptoms like a skin rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, breathing difficulty, etc.

Gastrointestinal bleeding

Enzoheal-D Tablet may cause stomach and intestinal bleeding and ulcers. Therefore it is not recommended for use in patients with perforation disorders (ex: appendicitis, ulcers, gall bladder disease, etc.) and acidity since it may worsen the condition.

Coronary Artery Bypass Surgery (CABG)

Do not use Enzoheal-D Tablet for relieving pain after heart surgery.
Warnings for special population

Pregnancy

Enzoheal-D Tablet is not recommended for use during pregnancy due to the risk of serious side effects for your developing foetus.

Breast-feeding

Enzoheal-D Tablet is not recommended for use in breastfeeding. Your doctor may prescribe an alternate medicine with the same therapeutic effect if necessary.
General warnings

Skin allergies

Enzoheal-D Tablet may cause serious skin allergies. These events may be severe in rare cases. If you develop signs and symptoms like rashes, hives (painful eruptions that sting and itch) or other allergic symptoms should be reported to your doctor immediately. Do not discontinue the treatment without talking to your doctor.

Change in the colour of stools

Enzoheal-D Tablet may change the colour and odour of your stools. This is normal and does not harm you.

Driving or operating machinery

Enzoheal-D Tablet may rarely cause dizziness, blurred vision, or drowsiness. Do not perform activities such as driving vehicles or operating machines if you experience any of these symptoms.

Use in children

Enzoheal-D Tablet is not recommended for use in children below 18 years of age because safety and efficacy data is not available.

Missed Dose

If you miss to take a scheduled dose of Enzoheal-D Tablet take it as soon as you remember. If it is almost time for your next dose skip the missed one. Do not double your dose to make up for the missed dose.

Overdose

Never take more than the prescribed dose of Enzoheal-D Tablet. Seek emergency medical attention if you suspect that you might have taken an overdose of this medicine.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended while treatment with Enzoheal-D Tablet due to the risk of stomach bleeding.
Interaction with Medicine

Ramipril

Digoxin

Warfarin

Disease interactions

Asthma

Patients with asthma may experience allergic reactions while taking Enzoheal-D Tablet. It is not recommended for use if you have asthma, as it can trigger asthmatic episodes.

Kidney diseases

Long term use of high doses of Enzoheal-D Tablet may cause kidney problems, such as painful urination and proteins or blood in the urine. You should use Enzoheal-D Tablet with caution if you have kidney problems. Your doctor will suggest tests to closely monitor your kidney function.

Heart disease

Long-term use of Enzoheal-D Tablet may increase the risk of a heart attack, especially if you have any pre-existing heart conditions. It is not recommended for treating pain after coronary bypass surgery.

Liver Disease

Enzoheal-D Tablet should be used with caution if you have liver troubles, as it may increase the risk of liver failure.

Gastro-Intestinal toxicity

Long term use of Enzoheal-D Tablet can cause damage to the stomach and intestine. Serious conditions like bleeding, ulceration, and perforation of the stomach or intestinal wall can occur. Any symptom like indigestion, the appearance of coffee coloured dry blood in stools or vomiting of blood should be reported immediately.
Food interactions
Information not available.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.
Take Enzoheal-D Tablet with or without food. Never take more than the prescribed dose of this medicine. Do not give Enzoheal-D Tablet to other people even if their condition appears to be the same as yours. Enzoheal-D Tablet may cause an increase in the symptom severity at the start of treatment. However, continue using it as prescribed by your doctor. Do not drive or do any activity requiring concentration until you know how Enzoheal-D Tablet affects you.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
Trypsin and Bromelain are enzymes that help in the breakdown of proteins involved in swelling and pain. Rutoside is an antioxidant that protects your body from damage by chemicals that cause swelling. Diclofenac stops the release of chemicals (prostaglandins) in your brain, that increase pain and swelling. Thus, Enzoheal-D Tablet provide relief from your aches and swelling.
Legal Status

Unknown

Unknown

Unknown

Unknown

Classification

Category

Nonsteroidal anti-inflammatory agents, Proteolytic enzyme, Analgesics, Anti-inflammatory agents

Schedule

Schedule H

Pubchem.ncbi.nlm.nih.gov. 2021. Bromelain. [online] Available at: < [Accessed 20 April 2021].

https://pubchem.ncbi.nlm.nih.gov/compound/Bromelain>

Pubchem.ncbi.nlm.nih.gov. 2021. Diclofenac. [online] Available at: < [Accessed 17 May 2021].

https://pubchem.ncbi.nlm.nih.gov/compound/Diclofenac>

Pubchem.ncbi.nlm.nih.gov. 2021. Trypsin. [online] Available at: < [Accessed 29 July 2021].

https://pubchem.ncbi.nlm.nih.gov/compound/78383895>

Jcdr.net. 2021. JCDR - Efficacy of Bromelain along with Trypsin, Rutoside Trihydrate enzymes and Diclofenac Sodium Combination Therapy for the treatment of TMJ Osteoarthritis - A Randomised Clinical Trial. [online] Available at: < [Accessed 11 August 2021].

https://www.jcdr.net/article_abstract.asp?id=9964>
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Information on this page was last updated on 31 Aug 2021

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