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- Relief of mild to moderate pain
- Fever reduction
- Management of osteoarthritis and rheumatoid arthritis
- Chronic low back pain
- Pain due to kidney stones or neuropathy
- Toothache and migraine
- Postoperative mild to moderate pain
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ফ্রি ডেলিভারিঃ - ৯৯৯ টাকা+ অর্ডারে, ঢাকা
শহরে- ফ্রি ডেলিভারিঃ - ২৯৯৯ টাকা+ অর্ডারে, ঢাকার
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✅ Description:
Xcel ER 665 mg – Extended Release Paracetamol
Therapeutic Class: Non-Opioid Analgesic
Xcel ER 665 mg is a pain-relieving and fever-reducing medicine used for a variety of conditions. It is commonly prescribed to treat headaches, body aches, toothaches, fevers, and symptoms of the common cold. Xcel ER can be taken alone or in combination with other medications as prescribed by your doctor.
It is recommended to take Xcel ER regularly and exactly as directed by your physician. The medication should preferably be taken with food or milk to reduce stomach upset. Avoid taking higher doses or using it for longer than advised. Side effects are uncommon but may include stomach discomfort, nausea, or vomiting.
Inform your doctor if you have liver or kidney issues or are on blood-thinning medications, as this may affect dosing or safety. Always provide a complete list of your current medications to avoid potential interactions.
Relevant Products / প্রাসঙ্গিক পণ্য
✔️ Xcel ER is both an analgesic and antipyretic. It works by:
- Blocking the release of certain chemicals in the body that trigger pain
- Acting on the hypothalamus to reduce fever
- Weakly inhibiting prostaglandin synthesis in the central nervous system
- This allows Xcel ER to relieve pain and reduce elevated body temperature without significant anti-inflammatory effects.
✔️ Quick Tips for Safe Use
- Take with food or milk to avoid stomach upset
- Do not exceed the prescribed dose or duration
- Avoid antacids within 2 hours of administration
- Avoid alcohol during treatment to prevent stomach irritation and liver stress
- Regular monitoring may be required for long-term users
✔️ Side Effects
- Most people tolerate Xcel ER well, but rare side effects may occur:
- Blood-related reactions: thrombocytopenia, leucopenia, pancytopenia, neutropenia, agranulocytosis
Potentially severe/fatal: Stevens-Johnson syndrome, toxic epidermal necrolysis, acute generalised exanthematous pustulosis, acute renal tubular necrosis, hepatotoxicity
✔️ Extended Release Tablet (ER)
Adults: 2 tablets every 6–8 hours, swallowed whole. Maximum 6 tablets per 24 hours.
Children ≥12 years: 2 tablets every 6–8 hours. Maximum 6 tablets/day.
Important: Do not chew, crush, or break ER tablets.
✔️ Drug Interactions
- May reduce serum levels when used with anticonvulsants (phenytoin, carbamazepine, barbiturates)
- May enhance the anticoagulant effects of warfarin with prolonged use
- Accelerates absorption with metoclopramide or domperidone
- Serum levels may increase with probenecid or chloramphenicol
- Reduced absorption if taken with colestyramine within 1 hour
- May cause hypothermia if taken with phenothiazine
✔️ Contraindication
Known hypersensitivity to Paracetamol or any component of Xcel ER
✔️ Precautions & Warnings
- Use caution in patients with chronic alcoholism, severe malnutrition, or hypovolemia
- Dose adjustment may be required for renal or liver impairment
- Consult your doctor during pregnancy and breastfeeding
- Regular monitoring of liver function and blood levels is recommended for long-term therapy
✔️ Storage:
Store in a cool, dry place, away from heat and light
Keep out of reach of children
⚠️Disclaimer:
At ePharma, we’re committed to providing accurate and accessible health information. However, all content is intended for informational purposes only and should not replace medical advice from a qualified physician. Please consult your healthcare provider for personalized guidance. We aim to support, not substitute, the doctor-patient relationship.
