beware of Myospaz Forte Tablet

Myospaz Forte Tablet - Chlorzoxazone (500mg) + Diclofenac (50mg) + Paracetamol / Acetaminophen (325mg)
https://docprime.com/myospaz-forte-tablet-mddp

I went to the ENT near lokhandwala andheri west for pain while swallowing , He wrote myospaz forte.

The trouble with indian doctors they are not transparent with their patients. they just write medicines without knowing the sideeffects never ask the patient if they have adverse reactions with anti inflammatory

He asked me do you i have acidity . I said yes.
so he wrote nexpro with myospaz forte


After taking it i had severe burning in the stomach . The next day i got up and couldn't breathe .

• Loss of appetite
• Abdominal pain
• Flatulence
• Constipation
• Heartburn
• Diarrhoea
• Dry mouth
• Skin rash
• Dry skin
• Headache

for some reasons this plays havoc with your gut bacteria which causes sleep problems and also motion /stool problems . 

so the whole night i could not sleep and also my motion was in pellets which are very very serious 

so i googled  

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Diclofenac

In red there is a huge warning 

People who take nonsteroidal anti-inflammatory drugs (NSAIDs) (other than aspirin) such as diclofenac may have a higher risk of having a heart attack or a stroke than people who do not take these medications. 

NSAIDs such as diclofenac may cause ulcers, bleeding, or holes in the stomach or intestine

https://medlineplus.gov/druginfo/meds/a689002.html

FDA Drug Safety Communication: FDA strengthens warning that non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) can cause heart attacks or strokes

https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-strengthens-warning-non-aspirin-nonsteroidal-anti-inflammatory

you have breathlessness, tiredness and swollen legs or ankles - these can be signs of heart failure

you have chest pain, shortness of breath, feeling weak or lightheaded, or an overwhelming feeling of anxiety - these can be signs of a heart attack

https://www.nhs.uk/medicines/diclofenac/

Prescription NSAID labels will be revised to reflect the following information:

The risk of heart attack or stroke can occur as early as the first weeks of using an NSAID. The risk may increase with longer use of the NSAID.

https://www.drugs.com/fda-alerts/869-0.html

Based on our review and the advisory committees’ recommendations, the prescription NSAID labels will be revised to reflect the following information:

The risk of heart attack or stroke can occur as early as the first weeks of using an NSAID. The risk may increase with longer use of the NSAID.

The risk appears greater at higher doses.

It was previously thought that all NSAIDs may have a similar risk. Newer information makes it less clear that the risk for heart attack or stroke is similar for all NSAIDs; however, this newer information is not sufficient for us to determine that the risk of any particular NSAID is definitely higher or lower than that of any other particular NSAID.

NSAIDs can increase the risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. A large number of studies support this finding, with varying estimates of how much the risk is increased, depending on the drugs and the doses studied.

In general, patients with heart disease or risk factors for it have a greater likelihood of heart attack or stroke following NSAID use than patients without these risk factors because they have a higher risk at baseline.

Patients treated with NSAIDs following a first heart attack were more likely to die in the first year after the heart attack compared to patients who were not treated with NSAIDs after their first heart attack.

There is an increased risk of heart failure with NSAID use.

https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-strengthens-warning-non-aspirin-nonsteroidal-anti-inflammatory

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it was so scary . I did a 2d echo , ecg ,had to see a cardiologist.