Arthrotec should be taken as directed by a doctor. It is available in the form of a tablet which is taken orally after food to minimize stomach irritation. Most often taken in the following doses:

• Standard dosage: One tablet of 50 mg of diclofenac and 200 micrograms of misoprostol, two to three times daily based on the severity of the symptoms and the condition of the patient.
• Adjustment: Your healthcare provider may adjust the dose according to your arthritis control, any side effects and your response to the medication.

Critical points of use:

• Don’t chew or break the tablets.
• Eat or drink something like milk to reduce upset stomach.

Arthrotec is a mixture of diclofenac’s anti-inflammatory action which is rendered effective by misoprostol, which protects the gut from adverse reactions to the former.

• Diclofenac: This medication belongs to the class of NSAIDs and inhibits cyclooxygenase (COX) enzymes. There are COX enzymes of different types; COX-1 and COX-2. They are responsible for the synthesis of prostaglandins which are inflammatory chemicals that lead to pain and fever. 
• Misoprostol: Misoprostol, on the other hand, is protects the stomach lining because it is an analogue of a prostaglandin E1 synthesis. It achieves this effect by stimulating secretion of mucus and bicarbonate in the stomach to prevent damage by the acid contents of the stomach.

Medicines can have side effects and Arthrotec is no exception as it may cause some. These potential side effects are not experienced by all individuals but include the following: 

• GIT disturbances: Even though misoprostol has been added to prevent stomach ulcers, some patients still will have symptoms such as nausea, diarrhea, abdominal pain, dyspepsia, and even vomiting.
• Headache or dizziness: There are reports of lightheadedness as well as headaches in some individuals.
• Increased blood pressure: As with other non-steroidal anti-inflammatory drugs, the use of diclofenac may result to elevated blood pressure hence such patients should be closely monitored, particularly in those with a history of high blood pressure.

• Pregnancy: It is generally contraindicated to take Arthrotec during pregnancy especially in the last trimester as misoprostol may elicit contractions and as such cause an abortion or premature birth. Therefore, Arthrotec should not be used in pregnancy or when a woman is intending to conceive.
• Breastfeeding: Misoprostol is likely to be excreted in breast milk, hence the need to take caution in breastfeeding mothers.
• Cardiovascular issues: Use of NSAIDs such as diclofenac may pose a risk of heart attack, stroke, or blood clots, especially in individuals who have a history of cardiovascular diseases. Hence, patients with cardiovascular risk factors should be cautious while undertaking treatment with Arthrotec.
• Gastrointestinal bleeding: Misoprostol is effective in minimizing the ulcer risk, yet overdosing on NSAIDs can still cause perforation or internal bleeding of the digestive tract, particularly in the elderly and those with prior gastrointestinal complications.

• Other NSAIDs: Using Arthrotec with other NSAIDs (e.g., ibuprofen, naproxen) may increase the risk of gastrointestinal side effects such as ulcers, bleeding, or perforation.
• Anticoagulants (Blood thinners): Combining Arthrotec with blood thinners (e.g., warfarin) may increase the risk of bleeding. Monitoring of clotting parameters is recommended.
• Diuretics and ACE inhibitors: Combining Arthrotec with diuretics or ACE inhibitors may increase the risk of kidney issues. Regular kidney function tests are advised.
• Corticosteroids: Concurrent use of corticosteroids (e.g., prednisone) with Arthrotec can increase the risk of gastrointestinal complications like ulcers.

It is crucial to avoid combining Arthrotec with other medications that may increase the risk of gastric ulcers, such as aspirin or other anti-inflammatory drugs.

Arthrotec for adults is typically one 50 mg Enteric coated diclofenac sodium and 200 mcg of misoprostol thrice daily. However, the exact dosage may be tailored to the severity of the patient’s arthritis and the drug tolerance. To minimize adverse effects, the lowest possible dose required for relief of symptoms should be used.

Arthrotec is a prescription only medicine. That means that it can be bought only with a doctor’s prescription. Your healthcare provider will assess your medical history and any current medications to decide whether Arthrotec is appropriate for you.

Arthrotec for adults is typically one 50 mg Enteric coated diclofenac sodium and 200 mcg of misoprostol thrice daily. However, the exact dosage may be tailored to the severity of the patient’s arthritis and the drug tolerance. To minimize adverse effects, the lowest effective dose of the medication required for symptom relief should be used. 9. Prescription Requirements. 

Arthrotec is a prescription only medicine. That means that it can be bought only with a doctor’s prescription. Your healthcare provider will assess your medical history and any current medications to decide whether Arthrotec is appropriate for you.

1. What is Arthrotec?
   Arthrotec is a prescription medication that combines the anti-inflammatory drug diclofenac with misoprostol, which reduces the risk of gastrointestinal side effects.

2. How does Arthrotec work?
   It works by reducing pain and inflammation while also protecting the stomach lining from damage caused by NSAIDs.

3. What conditions is Arthrotec used to treat?
   It is primarily prescribed for osteoarthritis and rheumatoid arthritis.

4. Can I take Arthrotec if I have a history of gastrointestinal issues?
   Arthrotec is designed to minimize GI risks, but it’s essential to discuss your medical history with your doctor before starting the medication.

5. What are the common side effects of Arthrotec?
   Common side effects can include diarrhea, nausea, abdominal pain, and headache.

6. Is Arthrotec safe during pregnancy?
   Arthrotec is not recommended during pregnancy due to the risk of uterine contractions and potential harm to the fetus. Always consult your doctor.

7. Can Arthrotec cause gastrointestinal bleeding?
   While it is formulated to protect the stomach lining, NSAIDs can still pose a risk, particularly in certain populations. Monitor for any signs of bleeding.

8. How should Arthrotec be taken?
   Arthrotec should be taken exactly as prescribed, usually with food to minimize stomach upset.

9. Can I drink alcohol while taking Arthrotec?
   It is advisable to limit alcohol consumption as it can increase the risk of gastrointestinal side effects.

10. What should I do if I miss a dose of Arthrotec?
    If you miss a dose, take it as soon as you remember. If it’s close to the next dose, skip the missed dose and continue your regular schedule.

11. Is Arthrotec addictive?
    Arthrotec is not known to be addictive, as it is not classified as a controlled substance.

12. How long does it take for Arthrotec to work?
    Pain relief may begin within hours of taking the medication, but it can take several days for full effects.

13. Are there any drug interactions with Arthrotec?
    Yes, Arthrotec can interact with other medications, including blood thinners and other NSAIDs. Always inform your doctor about all medications you’re taking.

14. Can I stop taking Arthrotec abruptly?
    It is essential to consult your doctor before stopping Arthrotec, as they may recommend tapering the dose.

15. Is there a risk of kidney problems with Arthrotec?
    Yes, prolonged use of NSAIDs like Arthrotec can affect kidney function, especially in individuals with pre-existing kidney conditions.

16. Can I use Arthrotec for headaches or migraines?
    While Arthrotec can assist with pain relief, it is not specifically indicated for headaches or migraines.

17. What should I do if I experience severe side effects?
    Seek immediate medical attention if you experience severe side effects, such as chest pain, difficulty breathing, or severe abdominal pain.

18. Can Arthrotec be taken by children?
    Arthrotec is not approved for use in children. Consult your doctor for alternative treatment options.

19. How should Arthrotec be stored?
    Store Arthrotec at room temperature, away from moisture and heat, and keep out of reach of children.

20. When should I contact my doctor while taking Arthrotec?
    Contact your doctor if you experience unusual symptoms, such as severe stomach pain, signs of an allergic reaction, or if your condition does not improve.