What should I do after accidentally taking 7 Enzoflam pills in an hour without any symptoms?

Question #29804

7 days ago

What should I do after accidentally taking 7 Enzoflam pills in an hour without any symptoms? - #29804

Client_0614e4

18 F 60 kgs i took 7 Enzoflam pills in an hour by accident 24 hours ago i have no symptoms of overdose. Pills contents are (per pill) 325 mg Paracetamol IP 50 mg Diclofenac Sodium IP 15 mg Serratiopeptidase IP I don't have anyone at home right now and no symptoms of overdose are showing up but I heard people can be asymptomatic for a while

Have you experienced any symptoms since taking the pills?:

- Mild stomach discomfort

What time did you take the pills?:

- More than 12 hours ago

Do you have any pre-existing medical conditions?:

- No, I'm generally healthy

Have you taken any other medications or supplements recently?:

- No, only Enzoflam

How is your hydration level?:

- I have not noticed any change

Are you currently experiencing any unusual fatigue or weakness?:

- No, I feel normal

Do you have anyone you can call for assistance?:

- No, I'm alone at home

300 INR (~3.53 USD)

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

6 days ago

Hello
You likely took about 2275 mg of Paracetamol + 350 mg of Diclofenac + serratiopeptidase in one hour.
The important point: this is above normal dosing, but not usually in the dangerous overdose range for paracetamol (serious toxicity is typically >7,500 mg at once). Since it has already been 24 hours and you have no significant symptoms, the risk of severe toxicity is low, which is reassuring.
However, diclofenac can irritate the stomach, which explains your mild discomfort.
What you should do now:
* Do not take any more painkillers (especially paracetamol or NSAIDs) for at least 24–48 hours
* Drink plenty of water and eat light, non-spicy food
* Avoid alcohol completely for a few days (important for liver safety)
* You can take an antacid if stomach discomfort continues
Still, there is a small possibility of delayed effects on the liver with paracetamol, even if you feel fine. So if possible, it’s reasonable to get a liver function test once for reassurance.
Go to urgent care immediately if you notice:
* Nausea/vomiting that starts later
* Upper abdominal pain (especially right side)
* Yellowing of eyes/skin
* Severe weakness or dizziness
* Black stools or severe stomach pain (diclofenac irritation)
Right now, based on your dose and no symptoms after 24 hours, you are most likely safe, but stay alert for the next 1–2 days.
If you feel anxious being alone, you could call a local doctor or poison helpline just for reassurance—they handle these cases routinely.
Thank you

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

6 days ago

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

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

6 days ago

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

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

6 days ago

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

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

6 days ago

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

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

5 days ago

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.

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

4 days ago

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.

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