Nise D Spray 35gm
⦁ Medicinal Benefits
⦁ Nise D Spray 55 gm contains Diclofenac and Methyl salicylate (as a pain killer), Linseed oil (as an anti-inflammatory), and Menthol (as a cooling agent). Nise D Spray 55 gm works by first cooling the skin and warming it up, interfering with the pain signal transmission through nerves. Together Nise D Spray 55 gm works by blocking the release of chemical messengers that causes pain and inflammation with redness and swelling.
INTRODUCTION ABOUT NISE D SPRAY
NISE D SPRAY is a combination of Diclofenac, Linseed Oil, Menthol and Methyl Salicylate which belongs to the group of medicines called Analgesics, Flaxseed oil, Cooling agents and Organic esters. It is indicated to provide relief from acute musculoskeletal disorders such as sprains, strains, tendonitis, shoulder pain, bursitis, hand, neck, sciatica, muscle stiffness, joint pain, backache and pain of osteoarthritis of joints which is manageable by topical medicines.
NISE D SPRAY is not recommended for use in patients who have advanced kidney disease, had asthma, urticaria (allergic reaction) after use of NSAIDs such as aspirin, setting of coronary artery bypass graft surgery, broken or irritated skin.
NISE D SPRAY should not be used in pregnant women especially in the late pregnancy and it should be used with caution in breast-feeding women. It should not be used in children below 2 years of age and children having flu, chickenpox or fever.
Caution must be exercised while using NISE D SPRAY in elderly patients. The most common side effects of using NISE D SPRAY are skin rash, oedema, wheals, papules (tender bump), scaly skin, reddening of the skin, itching or prickling sensation may occur at the site of application. Ask for your doctor’s advise if any of these doesn’t improve or worsens.
USES OF NISE D SPRAY
Manages pain, swelling and inflammation associated with:
- Sprains, strains, tendonitis, shoulder pain, bursitis, hand, neck, sciatica, muscle stiffness, joint pain and backache
HOW NISE D SPRAY WORKS
NISE D SPRAY helps in relieving aches and pain, where diclofenac is a non-steroidal anti-inflammatory drug which causes relief in pain and inflammation by inhibiting the factors that cause inflammation and pain called prostaglandins. Linseed oil helps in minimizing the skin irritation and soothes and calms the skin. Methyl salicylate is an organic ester, which is derived from plants acts by dilating the blood vessels and increasing the blood flow. It causes irritation of the skin and as a result of counter irritation, there is a sensation of warmth and relief in musculoskeletal pain. Menthol acts by imparting coolness to the skin and then warmth.
DIRECTIONS FOR USE
Apply NISE D SPRAY as advised by your physician. It is for topical use only. Wash your hands before and after use. Gently rub NISE D SPRAY on the affected area till it disappears. Do not cover the applied areas with a bandage and do not apply on cuts and open wounds. Bathing should be avoided for at least 1 hour after the application of NISE D SPRAY. Avoid the contact of this medicine in your eyes, ears or nose and mouth.
Your doctor will decide the duration and frequency of the management depending upon your age and disease condition.
SIDE EFFECTS OF NISE D SPRAY
COMMON
- Skin rash
- Oedema (swelling)
- Wheals (red, swollen skin)
- Papules (tender bump)
- Scaly skin
- Reddening of the skin
- Itching or prickling
UNCOMMON
- Oedema of face (angioedema)
- Apnoea (breathing problems during sleeping)
- Photosensitivity
RARE
Stop using NISE D SPRAY and inform your doctor immediately if you experience any of the following side effects:
- Heart failure and oedema
- Gastrointestinal bleeding, ulceration or perforation
- Signs of hepatotoxicity such as pruritus, diarrhoea, jaundice, nausea, fatigue, lethargy, stomach-ache and flu-like symptoms
- Signs of anaphylactic reactions such as difficulty breathing, swelling of the face or throat
- Serious skin reactions
- Raised blood pressure
- Renal toxicity (altered urine output, swelling of legs and ankles and shortness of breath)
- Signs of haematologic toxicity such as chills, fever, weakness, rapid breathing, paleness of the skin
- Convulsions (fits)
HOW TO MANAGE SIDE EFFECTS
Skin Rash Or Itching
Avoid hot showers because hot water can irritate your skin further. Do not scratch the affected area. Avoid sun exposure or UV rays as it may sensitize your skin. Use sunscreen and protective clothing when going outdoor. Regularly moisturize your skin after consulting the doctor. Consult your doctor if the symptom does not improve.
WARNING & PRECAUTIONS
PREGNANCY
CONTRAINDICATEDNISE D SPRAY should not be used in pregnant women especially in the late pregnancy. Consult your doctor before using it.
BREASTFEEDING
MONITORING REQUIREDNISE D SPRAY should be used with caution in breastfeeding women only if considered clearly necessary. Consult your doctor before using it.
DRIVING AND USING MACHINES
USE WITH CAUTIONEffects of NISE D SPRAY on driving and using machines is not known. Consult with your doctor.
ALCOHOL
CONSULT YOUR DOCTORAvoid consumption of alcohol while using NISE D SPRAY.
KIDNEY
CONSULT YOUR DOCTORNISE D SPRAY is not recommended for use in patients having advanced renal disease. It should be used with caution in patients with impaired kidney function. Consult your doctor before using it.
LIVER
USE WITH CAUTIONNISE D SPRAY should be used with caution in patients having liver diseases. Consult your doctor before using it.
ALLERGY
CONTRAINDICATEDDo not use NISE D SPRAY if you are allergic to Diclofenac, Linseed Oil, Menthol, Methyl Salicylate or other NSAIDs (such as aspirin).
LUNGS
CONTRAINDICATEDNISE D SPRAY is not recommended for use in patients who had an asthmatic attack after the use of NSAIDs such as aspirin or indomethacin. Consult your doctor before using it.
HEART DISEASE
CONTRAINDICATEDNISE D SPRAY is not recommended for use in patients in the setting of coronary artery bypass graft surgery. Consult your doctor before using it.
OTHERS
NISE D SPRAY is not recommended for use if you:
- Have broken or irritated skin
Before using NISE D SPRAY, inform your doctor if you:
- Had allergic reaction or urticaria after the use of an NSAID like aspirin
Use in paediatrics:
NISE D SPRAY is not recommended for use in children below 2 years of age. It should not be used in children having flu, chickenpox or fever. NISE D SPRAY should be used with caution in children above 2 years of age. Consult your child’s doctor for advice.
Use in geriatrics:
NISE D SPRAY should be used with caution in elderly patients. Consult your doctor before using it.
INTERACTIONS
A. Drug–Drug Interactions:
Before using NISE D SPRAY, inform your doctor if you are taking any of the following medicines:
- NSAIDs such as aspirin, ibuprofen (used to manage pain and inflammation), cyclo-oxygenase-2 (COX2) inhibitors such as celecoxib, valdecoxib (used to manage osteoarthritis or rheumatoid arthritis)
- Diuretics such as spironolactone, furosemide (used to manage excess fluid in the body)
- Cyclosporine, tacrolimus (used to supress immune system such as after transplants)
- Lithium, selective serotonin-re-uptake inhibitors (SSRIs) such as citalopram, sertraline (used to manage anxiety and depression)
- Digoxin, amiodarone (medicine used in managing an irregular heartbeat or heart failure), antihypertensives such as ramipril, azilsartan (used to lower down the blood pressure)
- Warfarin (used as a blood-thinning agents that reduce blood clotting)
- Oral hypoglycaemics such as metformin, sitagliptin (used to control blood sugar)
- Corticosteroids such as prednisolone (used as anti-inflammatory medicines)
- Antacids such as magnesium sulphate (used to manage heartburn, indigestion)
- Chloramphenicol, quinolone antibiotics such as ciprofloxacin, moxifloxacin (used to manage some infections)
- Ketoconazole, fluconazole, miconazole, voriconazole (used to manage fungal infections)
- Sulfinpyrazone (used to manage gout)
- Mifepristone (used to terminate pregnancy)
- Metoclopramide, domperidone (medicines used to control nausea)
- Cholestyramine (used to manage high cholesterol or high blood fats)
- Imatinib, methotrexate (used to manage certain cancers)
- Sunscreens, cosmetics, lotions, moisturizers, insect repellents
Overdosage:
In case of accidental ingestion or too much application of NISE D SPRAY, consult your doctor immediately or visit the nearby hospital.
Perfect if you have dry, acne-prone or sensitive skin.
87% of customers with similar profiles saw visible results within 2-3 weeks. Best paired with a gentle cleanser and daily SPF.