Hello, thanks for explaining clearly. I understand this can feel worrying. You took 7 Enzoflam tablets together, which equals approximately: Paracetamol: ~2275 mg Diclofenac: ~350 mg Serratiopeptidase: ~105 mg What this means The paracetamol dose is within safe limits (toxicity usually >7.5–10 g in adults) The diclofenac dose is higher than usual, so the main risk is gastric irritation/acidity Since it has already been >24 hours and you have no major symptoms, serious toxicity is unlikely Your current symptom (mild stomach discomfort) This is most likely due to diclofenac irritation of the stomach lining. What you should do now Start Tab Pantoprazole 40 mg once daily before breakfast for 3–5 days Eat light, non-spicy food Avoid tea/coffee, oily and acidic foods Drink plenty of water Avoid any more painkillers (especially diclofenac/ibuprofen) for a few days Watch for these warning signs (next 48 hours) If any of these occur, seek medical help immediately: Persistent vomiting or severe abdominal pain Black stools or blood in vomit Yellowing of eyes (jaundice) Severe weakness, dizziness Reduced urine output Since: Dose of paracetamol is safe You are asymptomatic after 24 hours This is unlikely to cause serious harm, and most people recover without any issue. If possible, keep someone informed or reachable just for safety, but overall this situation looks under control. Take care
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine
Hi – this is a potential overdose. Even without symptoms, you need immediate medical attention.
🔴 First, call for help NOW – Dial a friend, family, or emergency services (e.g., 108 or local ER). 🚨 Or go to the nearest emergency room – Tell them exactly what you took and when.
Here’s why, despite no symptoms yet:
· Paracetamol (total 2275 mg) – Below typical toxic dose (for 60 kg, toxic threshold ~9000 mg). BUT staggered overdose can still cause liver damage. · Diclofenac (350 mg) – 2–3x daily safe limit. Risk of kidney injury, stomach bleeding. · Serratiopeptidase – Low risk.
At 24+ hours post-overdose:
· Liver injury window is 6–24 hours – you’re just past it, but late effects still possible (nausea, pain, jaundice) over next 2–3 days. · Blood tests needed – Liver enzymes, kidney function, clotting profile.
What to do right now:
1. Do not induce vomiting – Can worsen diclofenac irritation. 2. Do not take any more pills – No other meds including painkillers. 3. Hydrate well – Water or ORS. 4. Watch for – Upper abdominal pain, dark urine, nausea, vomiting, unusual fatigue.
✅ Your mild stomach discomfort is likely from diclofenac – but don’t ignore it.
Go to ER or call a poison control center immediately. This is not a “wait and watch” situation.
Dr Nikhil Chauhan
Hello dear See normal dose of paracetamol poisoning or threshold starts at 9 gm Fortunately it is below so it can be tolerated. Diclofenac sodium medication is higher which can cause nausea or gastric issues but not dizziness I suggest you to please Stop the current medication Note for Fever Nausea Dizziness Pain Dysphagia Palpitations In addition get following tests done for confirmation CBC Esr Rft Lft Serum ferritin Serum rbs Hopefully you recover soon Regards
Hello Thank you for sharing all the details—this is very important. You took a total of 7 Enzoflam pills in one hour, which means you ingested 2,275 mg paracetamol (325 mg x 7) and 350 mg diclofenac (50 mg x 7), plus serratiopeptidase.
Here’s what you need to know:
### 1. Paracetamol (Acetaminophen) Overdose - Paracetamol overdose can be very serious, even if you feel fine at first. Symptoms of liver damage may not appear for 24–48 hours or longer. - The total dose you took (2,275 mg) is below the usual threshold for acute toxicity in adults (which is generally >7,500–10,000 mg in a single dose for a healthy adult), but it is still a high dose for a short period, especially if you have any liver issues or took other paracetamol-containing medicines.
### 2. Diclofenac Overdose - Diclofenac in high doses can cause stomach pain, nausea, vomiting, ulcers, kidney problems, and rarely, more serious complications. - 350 mg is above the usual single dose, but not typically life-threatening in a one-time event for a healthy adult.
### 3. Serratiopeptidase - This enzyme is generally well-tolerated, even in higher doses, but can cause stomach upset.
### 4. What to do now - Monitor for symptoms: Watch for nausea, vomiting, abdominal pain (especially right upper side), yellowing of eyes/skin, dark urine, confusion, or unusual tiredness. - Stay hydrated and avoid alcohol or any other medicines, especially those containing paracetamol or NSAIDs. - If you develop any symptoms (even mild), or if you have any underlying liver or kidney problems, seek medical attention immediately. - If you are still worried or want to be extra safe, you can call a poison control center or visit a doctor for a liver function test and medical advice, even if you feel fine.
### 5. Why symptoms may be delayed - Paracetamol toxicity can be “silent” at first, with symptoms appearing only after liver damage has started. This is why it’s important to be cautious and not ignore any new symptoms.
Summary:
Your dose is below the usual threshold for severe toxicity, but it’s still a significant amount. Most likely, you will be fine, but please monitor yourself closely for the next 2–3 days. If you feel unwell in any way, get medical help right away.
Thank you
Considering you’ve taken 7 Enzoflam pills in an hour, you’ve exceeded the recommended dosage of both Paracetamol and Diclofenac significantly. Although you’re currently asymptomatic, it’s important to understand that both Paracetamol and Diclofenac can have delayed onset of toxicity and you should not dismiss the situation because symptoms might appear later. Paracetamol overdose can lead to serious liver damage, and Diclofenac, a nonsteroidal anti-inflammatory drug, can cause gastrointestinal bleeding or kidney issues. Given this scenario is time-sensitive, I strongly recommend contacting a medical professional or visiting a healthcare facility as soon as possible, even if you’re still feeling okay. The reason for this urgency is that medical professionals can perform necessary tests that assess your liver function and provide treatments like activated charcoal or acetylcysteine, which can mitigate potential liver damage if administered within a certain time window. Meanwhile, avoid any intake of alcohol or additional medications that could exacerbate the situation. Please reach out to local emergency services or a poison control center immediately. Your safety is the priority, even if you currently feel fine, as serious complications can develop without early medical intervention.
Seven tablets would contain about 2275 mg of Paracetamol and 350 mg of diclofenac, which is below the usual toxic paracetamol overdose range for a 60 kg adult, but the diclofenac dose is high enough to irritate the stomach and sometimes affect the kidneys or cause gastritis. Since it has been over 24 hours and you have no major symptoms, severe poisoning is less likely, but you should still avoid alcohol and any additional paracetamol or NSAIDs for the next few days, stay well hydrated, and eat normally if possible. Seek urgent medical care immediately if you develop severe abdominal pain, vomiting, black stools, dizziness, yellowing of the eyes, reduced urine, breathing difficulty, or worsening symptoms, and consider contacting a local poison helpline or doctor for reassurance and possible liver/kidney function testing.
