Scudexasain

Adult dose

For adults, it is recommended to take 1 tablet per dose, with additional doses having an interval of at least 8 hours, not exceeding 3 tablets per day. Elderly patients should start with the initial recommended dose of 1 tablet and take additional doses at least 8 hours apart, not exceeding 2 tablets per day. Use with caution for those over 75 years of age. Patients with liver impairment should not exceed 2 tablets per day for mild to moderate cases, while severe liver impairment cases should not receive this medication.

This medication should be discussed with a doctor or pharmacist when taken by individuals who regularly consume more than three alcoholic beverages daily, as gastrointestinal bleeding may occur. It contains non-steroidal anti-inflammatory drug (NSAID) components that may increase the risk of cardiovascular diseases such as myocardial infarction or stroke, so caution is necessary for individuals with cardiovascular disease or risk factors. Serious gastrointestinal problems such as bleeding, ulcers, or perforations may occur; therefore, elderly individuals or those with a history of gastrointestinal disease should take this medication with greater caution. It is advisable to avoid combining this medication with others in the NSAID class if there is a history of allergies. Tramadol, one of the ingredients in this medication, may increase the risk of seizures, so it should be used only when absolutely necessary by individuals with epilepsy or those at risk of seizures. Long-term use of tramadol can lead to physical and psychological dependence, so patients with a history of substance abuse should use it under strict supervision. It can lead to sleep apnea or hypoxemia; if symptoms occur or worsen, consult a doctor to consider dose adjustments or discontinuation. Co-administration with alcohol, benzodiazepines, or other central nervous system depressants can lead to severe sedation, respiratory depression, coma, or death, so it should be avoided. There is a risk of a serious side effect known as serotonin syndrome; therefore, careful monitoring is required when taken with serotonergic agents. The effects and side effects of this medication can vary based on enzymes metabolizing it in the liver, so individual dose adjustments or alternative medications may be necessary. Women who are pregnant, planning to become pregnant, or breastfeeding should not take this medication, and it has not been established as safe for children or adolescents. Elderly individuals have a higher risk of side effects such as gastrointestinal bleeding and should take this medication carefully. Dizziness or drowsiness may occur while driving or operating machinery; therefore, these activities should be avoided if symptoms arise. Individuals with certain conditions such as severe liver, kidney disorders, bleeding disorders, asthma, or severe heart failure should not take this medication and should consult a doctor before use. If any unusual symptoms or severe side effects are suspected while taking this medication, it is crucial to consult healthcare providers immediately.

Serious side effects

Urticaria, angioedema, dyspnea, asthma attacks, Stevens-Johnson syndrome, toxic epidermal necrolysis, anaphylactic reactions, laryngeal edema, hemorrhagic ulcers, perforated ulcers, gastric ulcers, hepatitis, hepatocyte damage, hepatic abnormalities (risk of jaundice), severe edema (including facial and peripheral edema), thrombocytopenia, neutropenia, thrombocytosis, severe allergic reactions, myocardial infarction, stroke, cardiovascular thrombotic reactions,

Mild side effects

• Nausea
• vomiting
• dizziness
• anxiety
• appetite disturbance
• decreased appetite
• hypokalemia
• cognitive impairment
• confusion
• dependence

This medication should be stored in a sealed container to protect it from air and moisture and kept at room temperature between 1 to 30 degrees Celsius. This storage method helps maintain the medication's efficacy for a long time.

Appearance

White to pale yellow oblong film-coated tablets

Package unit

15 tablets (15 tablets/PTP X 1)