Description

 

Composition

• Aceclofenac 100 mg – A non‑steroidal anti‑inflammatory drug (NSAID) that reduces inflammation and pain
• Paracetamol 325 mg – Pain reliever and fever reducer
• Chlorzoxazone (MR) / Serratiopeptidase (SP) 250–500 mg / 10 mg – A muscle relaxant (MR) or anti-inflammatory enzyme (SP variant) (GetOMeds, Medcart)

Uses

• Relief of muscle pain, spasms, joint pain, and post-operative discomfort
• Treatment of rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, soft-tissue injuries, and post-surgical soreness (Aum Pharmacy)
• Alcecost SP variant (with serratiopeptidase) focuses on reducing pain & inflammation in similar conditions (GetOMeds)

Common Side Effects

Includes typical NSAID and muscle-relaxant symptoms:

• Gastrointestinal: nausea, vomiting, heartburn, stomach pain, indigestion, diarrhea, loss of appetite (GetOMeds)
• CNS effects: dizziness, headache, drowsiness/sleepiness (MedicinesFAQ)
• Skin reactions: rash, itching, pruritus, urticaria
• Liver/kidney: raised liver enzymes, potential liver or renal impairment with long-term or high-dose use (MedicinesFAQ)

Warnings & Precautions

Area	Advice
Stomach	Avoid if history of ulcers or bleeding; risk of GI bleeding with long-term use (GetOMeds)
Kidney/Liver	Use cautiously; monitor function if ongoing use. Avoid in severe disease
Alcohol	Avoid – increases liver toxicity risk and GI irritation
Pregnancy & Breastfeeding	Not recommended unless specifically advised by a doctor
Driving/Operating Machinery	Avoid if feeling dizzy or drowsy
Drug Interactions	NSAIDs may interact with anticoagulants, diuretics, lithium, digoxin, methotrexate, and certain antibiotics

Additional Info from Alcecost MR (Chlorzoxazone variant)

• Onset within ~1 hour; effects last up to 12–16 hours (Practo)
• Overdose concerns: potential for liver/kidney damage, severe GI symptoms, headache, vomiting (PharmEasy)

Summary of Side Effects

Frequent (usually mild):
Nausea · Heartburn · Stomach pain · Diarrhea · Headache · Dizziness · Drowsiness · Rash

Serious (rare, with prolonged or high-dose use):
Raised liver enzymes · Kidney issues · GI bleeding · Severe allergic reactions

What You Should Do

• Follow doctor’s instructions — only use for prescribed period and dosage.
• Take after meals to reduce stomach irritation.
• Avoid alcohol and be cautious if pregnant or breastfeeding.
• Monitor symptoms — seek medical help if you notice dark urine, jaundice, GI bleeding, or severe reactions.
• Alert your doctor about any other medications you’re taking or pre-existing conditions.

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Bottom Line

Alcecost MR/SP offers effective multi-action relief for pain, inflammation, and muscle spasm. It’s generally well-tolerated short-term, but long-term use needs medical oversight due to possible GI, liver, and kidney risks.