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Nusam 200 Tablet is an amino acid used in the treatment of mild to moderate alcoholic liver disease, osteoarthritis, fibromyalgia, and depression. This medicine helps regulate important physiological functions in living cells, increases glutathione concentration, metabolism of the liver, increases chondrocyte proteoglycan synthesis, and maintains optimal cellular functioning. Common side effects nausea, diarrhoea, stomach pain, and flatulence.

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Written By Dr. Lakshmithulasi Yarragunta , PharmD (PB)
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

S ADENOSYL L METHIONINE ION-200MG

Manufacturer/Marketer :

Sun Pharmaceutical Industries Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Nusam 200 Tablet

Nusam 200 Tablet is an oral supportive therapy primarily used to treat chronic liver diseases, such as intrahepatic cholestasis, hepatitis, and liver cirrhosis. It is also used to relieve symptoms of joint discomfort caused by osteoarthritis and to help manage certain depressive disorders.

For the best results, Nusam 200 Tablet must be taken consistently every day exactly as suggested by your doctor. It is typically taken on an empty stomach, either one hour before or two hours after meals, to ensure optimal absorption. Incorporating a balanced, low-fat diet and staying hydrated can further support your liver and joint health during treatment.

While taking Nusam 200 Tablet , you may experience mild side effects such as nausea, bloating, headache, or difficulty sleeping. These are usually temporary and often improve as your body adjusts to the medicine. However, if you develop severe abdominal pain, persistent vomiting, difficulty breathing, swelling of the face or throat, or sudden changes in mood or behavior, seek medical attention immediately.

Before starting Nusam 200 Tablet , tell your doctor if you have bipolar disorder, as this medication can trigger manic episodes. Do not take this if you have a genetic condition called homocystinuria, or if you have a known allergy to any of its ingredients.

Nusam 200 Tablet can interact with certain antidepressants, potentially causing a serious condition called serotonin syndrome, so always share your full medication list with your doctor. If you are pregnant, breastfeeding, or an older adult, consult your healthcare provider before taking Nusam 200 Tablet to ensure it is safe for your specific situation.

Uses of Nusam 200 Tablet

Nusam 200 Tablet is used in the treatment of Liver disease, osteoarthritis, fibromyalgia, and depression. The detailed uses of Nusam 200 Tablet are as follows:

  • Intrahepatic cholestasis: Nusam 200 Tablet helps improve bile flow and protect liver cells from damage caused by bile buildup.
  • Osteoarthritis: Nusam 200 Tablet helps reduce joint pain and stiffness by supporting cartilage production and reducing inflammation.
  • Depressive disorders: Nusam 200 Tablet supports brain health by helping produce key chemical messengers like serotonin and dopamine, which regulate mood.

Key Benefits

  • Improved Joint Mobility: By supporting cartilage health, Nusam 200 Tablet helps reduce joint stiffness. This makes daily movements like walking, climbing stairs, and bending much more comfortable.
  • Liver Protection and Support: Nusam 200 Tablet helps restore the liver's natural antioxidant levels, which aids in repairing liver cells and improving overall liver function.
  • Mood Support: Nusam 200 Tablet helps maintain healthy levels of important brain chemicals, such as serotonin and dopamine. This may help improve mood and reduce symptoms of mild-to-moderate depression when used as advised by your doctor.
Side effects of Nusam 200 Tablet
Managing Medication-Related Skin Allergies: A Step-by-Step Guide
  • If you experience signs of skin allergies such as redness, itching, or irritation after taking medication, contact your doctor right away.
  • To alleviate skin allergy symptoms, your doctor may change your medication regimen or offer tailored medication management advice.
  • Your doctor may recommend or prescribe drugs to relieve discomfort.
  • Cool compresses or calamine lotion can help relieve redness and itching on the afflicted skin area.
  • Staying hydrated by consuming plenty of water can help relieve discomfort.
  • Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.
Here are the steps to manage the medication-triggered Tachycardia (Fast Heart Rate):
  • Contact your doctor immediately if you're experiencing a fast heart rate, palpitations, or other heart-related symptoms. This is crucial to determine whether the symptoms are related to your medication.
  • Your doctor may need to adjust your medication regimen to alleviate the fast heart rate symptoms. This could involve changing the medication, reducing the dosage, or adding new medications to counteract the side effects.
  • Follow your doctor's advice on monitoring your heart rate and blood pressure. This will help track any changes and ensure your heart rate returns normal.
  • If you experience severe symptoms such as chest pain, dizziness, or shortness of breath, seek immediate medical attention. These symptoms can indicate a more serious condition that requires prompt treatment.
  • Exercising regularly helps lower the risk of heart problems.
  • Maintain a healthy diet, including vegetables and fruits.
  • Rest well; get enough sleep.
  • Manage stress with yoga and meditation.
  • Limit alcohol and smoking.
  • Swelling of the throat can worsen if there is no proper rest for your throat.
  • Drink plenty of warm fluids and frequently gargle with salt water.
  • Humidify the surrounding air using a humidifier, as dry air may increase dryness and throat pain.
  • Talk to your doctor if the swelling bothers you while swallowing food.
  • Take enough rest and stay in warm places to reduce pain quickly.
Here are the seven steps to manage medication-triggered Dyspnea (Difficulty Breathing or Shortness of Breath):
  • Tell your doctor immediately if you experience shortness of breath after taking medication.
  • Your doctor may adjust the medication regimen or dosage or give alternative medical procedures to minimize the symptoms of shortness of breath.
  • Monitor your oxygen levels and breathing rate regularly to track changes and potential side effects.
  • For controlling stress and anxiety, try relaxation techniques like deep breathing exercises, meditation, or yoga.
  • Make lifestyle changes, such as quitting smoking, exercising regularly, and maintaining a healthy weight.
  • Seek emergency medical attention if you experience severe shortness of breath, chest pain, or difficulty speaking.
  • Follow up regularly with your doctor to monitor progress, adjust treatment plans, and address any concerns or questions.
Managing back pain as a side effect of medication requires a combination of self-care techniques, lifestyle modifications, and medical interventions. Here are the steps:
  • Talk to your doctor about your back pain and potential medication substitutes or dose changes.
  • Try yoga or Pilates and other mild stretching exercises to increase flexibility and strengthen your back muscles.
  • To lessen the tension on your back, sit and stand upright and maintain proper posture.
  • To alleviate discomfort and minimize inflammation, apply heat or cold packs to the afflicted area.
  • Under your doctor's supervision, think about taking over-the-counter painkillers like acetaminophen or ibuprofen.
  • Make ergonomic adjustments to your workspace and daily activities to reduce strain on your back.
  • To handle tension that could make back pain worse, try stress-reduction methods like deep breathing or meditation.
  • Use pillows and a supportive mattress to keep your spine in the right posture as you sleep.
  • Back discomfort can worsen by bending, twisting, and heavy lifting.
  • Speak with a physical therapist to create a customized training regimen to increase back strength and flexibility.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.

Directions for Use

  • Recommended to take Nusam 200 Tablet with food to enhance its absorption.
  • Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.
  • Swallow the medicine as a whole with glass of water.
  • Do not crush, break, or chew it.

How Nusam 200 Tablet Works

Nusam 200 Tablet is a natural substance that helps keep your liver, joints, and brain healthy. It protects liver cells, improves bile flow, and supports healthy cartilage to make joint movement easier. It also helps produce important brain chemicals like serotonin and dopamine, which help regulate mood and emotional well-being.
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Alcohol

Caution

It is not known whether it is safe to consume alcohol with Nusam 200 Tablet . Please consult your doctor if you have any concerns.

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Pregnancy

Caution

Please consult your doctor before taking Nusam 200 Tablet if you are pregnant.

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Breast Feeding

Caution

Please consult your doctor before taking Nusam 200 Tablet if you are breastfeeding.

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Driving

Caution

Nusam 200 Tablet may rarely cause drowsiness and dizziness. Exercise caution while driving, in case you experience such side effects.

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Liver

Consult your doctor

Nusam 200 Tablet is possibly safe on the liver. Please consult your doctor in case of any concerns.

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Kidney

Consult your doctor

Nusam 200 Tablet is possibly safe on the kidney. Please consult your doctor in case of any concerns.

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Children

Caution

It is not established if Nusam 200 Tablet is safe to use in children. Please consult the treating doctor in case of any concerns.

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Heart

Consult your doctor

Please inform your doctor if you have a history of heart disease before taking Nusam 200 Tablet . Your doctor will prescribe it only if the benefits outweigh the risks.

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Geriatrics

Consult your doctor

Nusam 200 Tablet should be given to elderly patients only if suggested by a doctor. If you have any concerns, please consult your doctor.

What if I have taken an overdose of Nusam 200 Tablet

If you suspect an overdose or experience severe side effects after taking too much Nusam 200 Tablet , seek immediate medical attention or contact a poison control center right away.

Diet & Lifestyle Advise

  • Eat a liver-friendly diet rich in fresh vegetables, whole grains, and lean proteins, while avoiding fried foods, processed sugars, and excess saturated fats.
  • Avoid alcohol completely, as it puts additional stress on the liver and can worsen liver conditions.
  • Engage in low-impact physical activities, such as swimming, cycling, or walking, to keep your joints moving and maintain a healthy weight without putting excess strain on your cartilage.
  • Practice stress-reduction techniques like deep breathing, meditation, or light yoga to support both physical joint health and emotional well-being.
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How Soon It Starts Working

The time required for Nusam 200 Tablet to start to work: Nusam 200 Tablet shows its action within 1 to 2 hours of administration. The time for which the effects of Nusam 200 Tablet last: Nusam 200 Tablet effect lasts for 12 to 24 hours.

Storage

• Store Nusam 200 Tablet tablets at controlled room temperature, ideally between 15°C and 25°C (59°F to 77°F).

What if you forget to take Nusam 200 Tablet

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule. Do not take a double dose to make up for a missed one.

Drug Warnings

  • Inspect the blister packaging before each use; do not take the tablet if the foil is torn, punctured, or showing signs of dampness.
  • Check the expiration date printed on the pack before every use, and do not take expired tablets.
  • Monitor your mood closely and ask a family member or close friend to help watch for sudden mood swings, anxiety, or unusual restlessness.
  • If you are scheduled for any surgery, inform your surgeon that you are taking Nusam 200 Tablet , as you may need to stop taking it temporarily.
  • Avoid taking Nusam 200 Tablet late in the evening if you find that it causes mild insomnia or difficulty sleeping.

Drug-Drug Interactions

verifiedApollotooltip
  • Antidepressants (e.g., SSRIs, MAOIs, or tricyclic antidepressants): Combining Nusam 200 Tablet with these medications may increase the risk of a rare but serious condition called serotonin syndrome, which can cause high fever, muscle stiffness, confusion, and a rapid heart rate.
  • Cough medicines containing dextromethorphan: Taking these medicines together with Nusam 200 Tablet may increase the risk of high serotonin levels and serotonin syndrome.
  • Levodopa: Nusam 200 Tablet may reduce the effectiveness of levodopa by increasing its methylation (breakdown through a natural metabolic process), which may reduce the amount of active levodopa available in the body. Tell your doctor if you are taking levodopa.
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

verifiedApollotooltip

  • No clinically significant food interactions are known with Nusam 200 Tablet when used as directed.

No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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FAQs

Nusam 200 Tablet is used in the treatment of mild to moderate alcoholic liver disease, osteoarthritis, fibromyalgia, and depression.
Nusam 200 Tablet works by synthesis of methionine, which is an essential amino acid required for cellular energy.
Please see an orthopaedic doctor if you have had a fracture. Nusam 200 Tablet is used in the case of osteoarthritis and has limited use in the treatment of fractures as a fracture is more of surgical concern.
Nusam 200 Tablet finds a lot of benefit in treating depression. However, consult your doctor before taking Nusam 200 Tablet .
In case you miss a dose of Nusam 200 Tablet , take it as soon as possible. However, if it is too close to the next dose, revert to the original schedule.
Nusam 200 Tablet is probably safe on the kidney, however, in case of CKD, it is best to consult your treating doctor before using Nusam 200 Tablet .
You should use Nusam 200 Tablet for as long as your doctor has recommended, depending on the specific condition being treated. To maximize benefits, it is usually taken regularly for several months, even if your symptoms improve. However, do not exceed the suggested duration to avoid potential side effects.
Nusam 200 Tablet has shown potential in reducing pain and inflammation and having cartilage-protecting effects, which could improve joint function in people with Osteoarthritis. However, it's crucial to consult with a healthcare provider before using Nusam 200 Tablet , as they can help determine the appropriate dosage and ensure it's safe for you to use, especially if you're already taking other medications or have underlying medical conditions.
Before starting Nusam 200 Tablet treatment, sharing some key information with your doctor is important. This includes your medical history, such as any underlying health conditions or previous surgeries. You should also disclose any ongoing medications, including suggested drugs, supplements, or over-the-counter medications. Additionally, if you're planning a pregnancy or are currently pregnant or breastfeeding, be sure to let your doctor know. Finally, inform your doctor of any allergies or sensitivities you may have. By sharing this information, you can help your doctor create a personalized treatment plan that's safe and effective for you.
Nusam 200 Tablet is not suitable for everyone. Individuals who are allergic to any of its ingredients should avoid using it. Additionally, those with a history of bipolar disorder or anxiety should exercise caution and consult their doctor before using Nusam 200 Tablet . It's also important to note that people taking antidepressants, especially MAO inhibitors, within the past 14 days should not use Nusam 200 Tablet . This medication should only be used under the guidance of a doctor. If your doctor has suggested Nusam 200 Tablet , then and only then can you use this medication, following their instructions carefully.
The common side effects of Nusam 200 Tablet include nausea, diarrhoea, stomach pain, and flatulence. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if these side effects persist.
The safety of using Nusam 200 Tablet for long-term use has yet to be fully established. While some studies suggest that Nusam 200 Tablet is generally well-tolerated, more research is needed to understand its long-term effects. However, it's essential to consult with your doctor before taking Nusam 200 Tablet , especially if you plan to use it for an extended period. Your doctor can help you weigh the benefits and risks and monitor you for any side effects.
It is highly recommended to take Nusam 200 Tablet on an empty stomach, either one hour before or two hours after a meal. Taking it with food can significantly reduce how much of the medicine your body absorbs. If you experience mild stomach upset, talk to your doctor.
It is best to avoid alcohol while taking Nusam 200 Tablet . Alcohol can place extra stress on your liver, worsening the conditions Nusam 200 Tablet is suggested to treat, and may also increase the risk of stomach upset. Talk to your doctor about your alcohol intake.
While Nusam 200 Tablet is sometimes used under medical supervision for specific liver issues during pregnancy, you should never start taking it without professional advice. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor first.
Yes, some people experience mild insomnia or difficulty sleeping when taking Nusam 200 Tablet . To prevent this, try taking your dose earlier in the day, preferably in the morning. If sleep problems persist, talk to your doctor.
If you notice sudden mood changes, such as feeling unusually energetic, irritable, anxious, or having racing thoughts, contact your healthcare provider as soon as possible. These symptoms may need medical evaluation, especially if you have a history of bipolar disorder. Do not stop taking Nusam 200 Tablet or change your dose unless your doctor advises you to do so. If your symptoms are severe or you feel unsafe, seek immediate medical attention.
No, you should not combine Nusam 200 Tablet with suggested antidepressants unless your doctor specifically instructs you to do so. Combining them can lead to a dangerous buildup of serotonin in your body. Talk to your doctor about all the medications you are taking.

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While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Sun Pharmaceutical Industries Ltd., SUN HOUSE, CTS No. 201 B/1, Western Express Highway, Goregaon (E), Mumbai 400063
Other Info - NUS0051

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