The drug "Panoxen" instructions for use belongs to the group of combined agents with analgesic, anti-inflammatory, antiplatelet and antipyretic properties. The mechanism of action of this drug is based on the inhibition of cyclooxygenase 1 and 2, a decrease in the number of Pg in the area of ββinflammation and a violation of the metabolism of arachidonic acid. In addition, the use of the Panoxen preparation (the instructions for use explains this with its composition) has a positive effect on the gastrointestinal mucosa and water-salt metabolism. In addition, there is a suppression of the proliferative and exudative phases of inflammation.
This anti-inflammatory drug is produced exclusively in the form of tablets, which contain fifty milligrams of diclofenac sodium and fifty milligrams of paracetamol as active elements. Additional substances are diethyl phthalate, corn starch, povidone K30, cellulose acetate, titanium dioxide, methyl parahydroxybenzoate, talc, MCC, propyl paraben and magnesium stearate. The composition of the shell includes such components as hypromellose and propylene glycol. In addition, talc and titanium dioxide are contained in small quantities.
Taking Panoxen tablets (the instructions for use emphasizes this especially) is permitted only with the aim of eliminating pain symptoms and signs of inflammation in the acute form of gouty arthritis, rheumatoid, psoriatic or juvenile arthritis. In addition, it is allowed to take this medication by people suffering from ankylosing spondylitis or diseases of the musculoskeletal system.
With sciatica, lumbago, myalgia and neuralgia, the anti-inflammatory drug Panoxen should also be taken. Reviews about this medicine indicate the positive results of its use in osteochondrosis and deforming osteoarthrosis. In addition, doctors recommend taking it to people with a diagnosis of bursitis or tenosynovitis. Also, taking Panoxen tablets, the instructions for use advise all those who suffer from post-traumatic pain syndromes, accompanied by severe inflammation. And finally, the list of indications for use includes such a fairly common phenomenon as toothache.

Prescribing this medicine is strictly prohibited for patients with individual intolerance to diclofenac sodium or paracetamol, as well as with an allergic reaction to any derivatives of aniline or phenylacetic acid. In the presence of inflammatory bowel diseases, stomach ulcers, severe liver or kidney failure, sensitivity to acetylsalicylic acid, it is also worth abandoning the use of the Panoxen drug. These pills should not be taken with hyperkalemia, pregnancy, Crohn's disease, viral hepatitis, diabetes mellitus, arterial hypertension, hyperbilirubinemia, alcoholism, hyperlipidemia and bronchial asthma.