Nobel-Plus Tablet is a combination medicine which helps in relieving pain. It is used to relieve pain and inflammation in conditions like rheumatoid arthritis, ankylosing spondylitis, and osteoarthritis. It is also used to relieve fever, muscle pain, back pain, toothache, or pain in the ear and throat.
Nobel-Plus 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 a longer duration than recommended by the doctor.
The most common side effects of this medicine include nausea, vomiting, diarrhea, and increased liver enzymes. If any of these side effects bother you or get worse, you should speak to your doctor. 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 NOBEL-PLUS TABLET
Pain relief
SIDE EFFECTS OF NOBEL-PLUS TABLET
Common
Nausea
Vomiting
Diarrhea
Increased liver enzymes
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 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 Increased liver enzymes
There may be no symptoms, so your doctor should carry out a blood test and give you advice. Some lifestyle changes can bring down levels of liver enzymes. In general, you will need to stop drinking alcohol or limit the amount you drink, lose weight and keep active. Drink plenty of fluids to avoid dehydration. Eat a healthy diet. Some particular foods like nuts, fatty fish, coffee, tea, olive oil, sprouts and bananas may be beneficial. Try to control stress as this can make your symptoms worse.
HOW TO USE NOBEL-PLUS 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. Nobel-Plus Tablet is to be taken with food.
HOW NOBEL-PLUS TABLET WORKS
Nobel-Plus Tablet is a combination of two medicines: Nimesulide and Paracetamol/Acetaminophen. It works by blocking the release of certain chemical messengers that cause fever, pain and inflammation (redness and swelling).
SAFETY ADVICE
warnings
Alcohol
UNSAFE
It is unsafe to consume alcohol with Nobel-Plus Tablet.
warnings
Pregnancy
CONSULT YOUR DOCTOR
Nobel-Plus 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.
warnings
Breastfeeding
CONSULT YOUR DOCTOR
Information regarding the use of Nobel-Plus Tablet during breastfeeding is unavailable. Please consult your doctor.
warnings
Driving
CONSULT YOUR DOCTOR
It is not known whether Nobel-Plus Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.
warnings
Kidney
CAUTION
Nobel-Plus Tablet should be used with caution in patients with kidney disease. Dose adjustment of Nobel-Plus Tablet may be needed. Please consult your doctor.
Use of Nobel-Plus Tablet is not recommended in patients with severe kidney disease.
warnings
Liver
UNSAFE
Nobel-Plus Tablet is probably unsafe to use in patients with liver disease and should be avoided. Please consult your doctor.