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INTRODUCTION
SITCOM FORTE TABLET is a combination of Euphorbia prostrata extract and Calcium dobesilate which belongs to the group of medicines called Anorectal preparations and Vasoprotectives respectively. It is used to treat hemorrhoids and provides symptomatic relief from grade 3 & 4 hemorrhoids following hemorrhoidectomy.
Hemorrhoids also called piles, are swollen veins in the anus and lower rectum with symptoms of itching or irritation in anal region, pain or discomfort, swelling around anus and bleeding.
Before taking SITCOM FORTE TABLET, inform your doctor if you have bleeding disorder, kidney or liver problems, diabetes related eye disorder and venous disorder (especially varicose veins).
SITCOM FORTE TABLET is not recommended for use in pregnant and breastfeeding women. Safety and effectiveness of SITCOM FORTE TABLET in children and adolescents have not been established yet.
The side effects of taking SITCOM FORTE TABLET are nausea, vomiting, diarrhea, itching and joint pain. Consult your doctor if any of the side effects worsen.
USES OF SITCOM FORTE TABLET
- Treats hemorrhoids (piles)
HOW SITCOM FORTE TABLET WORKS
SITCOM FORTE TABLET works by reducing bleeding in which euphorbia prostrata extract exerts an anti-inflammatory and antioxidant action which stops the bleeding by reducing the blood vessels leakage and fragility and improves the blood flow. Calcium dobesilate works by improving the blood flow in veins by decreasing the thickness of blood and relaxes the muscles of the affected part of the body (anus) by reducing the leakage and platelet aggregation.
DIRECTIONS FOR USE
Take SITCOM FORTE TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the right dose and duration depending upon your age, body weight and disease condition.
SIDE EFFECTS OF SITCOM FORTE TABLET
UNCOMMON
- fast heartbeat
RARE
- nausea, vomiting
- diarrhea
- itching, rash
- fever, chills
- joint pain
Stop taking SITCOM FORTE TABLET and contact your doctor immediately if you experience any of the following side effects:
- throat, intestine and other mucosal ulcers besides ulcers of skin, due to low white blood cell count
- skin rash, joint pain
- fever, infection of the oral cavity, sore throat, inflammation of the genital area or related symptoms
HOW TO MANAGE SIDE EFFECTS
Nausea or vomiting:
Stick to simple meals. Avoid eating oily, fried and spicy foods. Do not perform any strenuous activities immediately after eating. Consult your doctor if the symptom does not improve.
Diarrhea:
Drink lot of fluids such as water, squash or fruit juice to keep yourself hydrated. Do not take any medicine on your own for treating diarrhea without consulting your doctor.
Skin rash:
Do not scratch the affected area. Wear protective clothing while going outdoors. Regularly moisturize your skin. Consult your doctor if the symptom does not improve.
WARNING & PRECAUTIONS
PREGNANCY
SITCOM FORTE TABLET is not recommended for use in pregnant women or women planning to have a baby. Consult your doctor before taking it.
BREASTFEEDING
SITCOM FORTE TABLET is not recommended for use in breastfeeding women as it is excreted in the breast milk. Consult your doctor before taking it.
DRIVING AND USING MACHINES
SITCOM FORTE TABLET does not affect your ability to drive or use machines.
KIDNEY
SITCOM FORTE TABLET is not recommended for use in patients with impaired kidney function. Consult your doctor before taking it.
LIVER
SITCOM FORTE TABLET is not recommended for use in patients with impaired liver function. Consult your doctor before taking it.
ALLERGY
Do not take SITCOM FORTE TABLET if you are allergic to Euphorbia prostrata extract or Calcium dobesilate or any other ingredients of this medicine.
OTHERS
SITCOM FORTE TABLET is not recommended for use if you:
- have bleeding disorder
Before taking SITCOM FORTE TABLET, inform your doctor if you:
- diabetes related eye disorder
- venous disorder (especially varicose veins)
Use in pediatrics:
Safety and effectiveness of SITCOM FORTE TABLET in children and adolescents below 18 years of age has not been established yet. Consult your child’s doctor for advice.
INTERACTIONS
A. Drug - Drug interactions:
Before taking SITCOM FORTE TABLET, inform your doctor if you are taking any of the medicines including prescription, non-prescription, herbals or vitamin supplements.
Overdosage:
If you or anyone else accidentally take too much of SITCOM FORTE TABLET, consult your doctor immediately or visit the nearby hospital.
SYNOPSIS
| Drug | : | Euphorbia prostrata extract, Calcium dobesilate |
| Pharmacological Category | : | Anorectal preparation, Vasoprotective |
| Therapeutic Indication | : | Hemorrhoids |
| Dosage Forms | : | Tablet |
MORE INFORMATION
- Keep SITCOM FORTE TABLET out of reach of children
- Store at room temperature
FAQs ABOUT SITCOM FORTE TABLET
Q: What is SITCOM FORTE TABLET used for?
A: SITCOM FORTE TABLET is used to treat hemorrhoids (piles) and provides symptomatic relief from grade 3 & 4 hemorrhoids following hemorrhoidectomy. Hemorrhoids are swollen veins in the anus and lower rectum.
Q: Can SITCOM FORTE TABLET be used in children?
A: Safety and effectiveness of SITCOM FORTE TABLET in children and adolescents below 18 years of age has not been established yet. Consult your child’s doctor for advice.
Q: Who should avoid taking SITCOM FORTE TABLET?
A: SITCOM FORTE TABLET is not recommended for use in patients with impaired liver or kidney function, bleeding disorder and those who are allergic to euphorbia prostrata extract or calcium dobesilate.
Q: Can SITCOM FORTE TABLET be used in pregnant and breast-feeding women?
A: SITCOM FORTE TABLET is not recommended for use in pregnant and breast-feeding women. Your doctor may prescribe safer alternative medicine to treat the specific condition. Consult your doctor if you are planning to get pregnant or wish to breast-feed if your baby is born prematurely.
Q: How does SITCOM FORTE TABLET work?
A: SITCOM FORTE TABLET works by reducing bleeding in which euphorbia prostrata extract exerts an anti-inflammatory and antioxidant action which stops the bleeding by reducing the blood vessels leakage and fragility and improves the blood flow. Calcium dobesilate works by improving the blood flow in veins by decreasing the thickness of blood and relaxes the muscles of the affected part of the body (anus) by reducing the leakage and platelet aggregation.
REFERENCES
1. Goodman & Gilman. Treatment of Disorders of Bowel Motility and Water Flux; Anti- Emetics. The pharmacological basics of therapeutics. Twelfth Edition. 2011. Page –1333
2. P J Gupta. The efficacy of Euphorbia prostrata in early grades of symptomatic hemorrhoids--a pilot study. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. February 2011. [Accessed on 6th August 2022] https://pubmed.ncbi.nlm.nih.gov/21434487/
3. Shabbar H Changazi,corresponding author Samiullah Bhatti, Ayesha Choudary, Muhammad Naeem Afzal Rajput, Zahid Iqbal, and Qamar A Ahmed. Calcium Dobesilate Versus Flavonoids for the Treatment of Early Hemorrhoidal Disease: A Randomized Controlled Trial. NIH National Library of Medicine, National center for biotechnology information. Pubmed Central [Accessed on 6th August 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7497765/
4. Berko Ilac ve Kimya Sanayi A.S. Calcium Dobesilate. [Revised in November 2017] [Accessed on 6th August 2022] https://berkoilac.com.tr/wp-content/uploads/2019/05/x-ven-PIL-revD.pdf
5. Panacea Biotic Ltd. Euphorbia prostrata extract. [Revised in May 2016] [Accessed on 6th August 2022] https://media.panaceabiotec.com/documents/2018/4/3/SitcomTabPIApr2018.pdf
6. OM Pharma. Doxium 500 (Calcium dobesilate monohydrate). [Accessed on 6th August 2022] https://www.e-lactancia.org/media/papers/Dobesilate-DS-OMPharma2018.pdf
AUTHOR DETAILS
Written By Dr. R. Dinesh John Rajkumar, Pharm.D
Last updated on 10 Jan 2023 | 05:19 PM(IST)
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