Really Extra

Really Extra is a combination pain medication containing paracetamol, diclofenac sodium, and caffeine as active ingredients.

Each tablet caplet contains:

  • Paracetamol 325mg
  • Diclofenac Sodium 50mg
  • Caffeine 30mg

Paracetamol is a common painkiller used to treat aches and pain. Paracetamol seems to work by blocking chemical messengers in the brain that tell us we have pain. Paracetamol also reduces fever by affecting the chemical messengers in an area of the brain that regulates body temperature.

Diclofenac sodium is a medicine that works by reducing hormones that cause inflammation and pain in the body. It is used to relieve pain and swelling. It is a nonsteroidal anti-inflammatory drug (NSAID).

Caffeine is a central nervous system stimulant of the methylxanthine class. Caffeine could reduce pain sensation through its effects on adenosine receptors. Caffeine seems to express its direct effect via central blocking of adenosine receptors that influence pain signaling or by blocking peripheral adenosine receptors on sensory afferents. Caffeine increases the efficacy of paracetamol by improving its absorption, thereby prolonging analgesic action.

The synergistic effects of these 3 drugs in Really Extra helps to provide pain relief. Really Extra is used for the treatment of mild to moderate pain including, headache, migraine, toothache, period pain, Pain of osteoarthritis, and musculoskeletal pains. Analgesic refers to the action of relieving pain. Pain is caused by the activation of pain receptors due to the release of certain chemicals or enzymes.

Really Extra is available as an over-the-counter medication. However, it is always recommended to use it after consulting a doctor. The dose and duration of the medication depend on your condition and its severity. The common side effects of Really Extra include agitation, nervousness, and insomnia. Everyone need not experience the above side effects as they vary for each person depending on their health, underlying conditions, age, weight, and gender. In case of any discomfort, speak with a doctor.

Before starting Really Extra, please inform your doctor if you have any known allergy to paracetamol or caffeine, heart, kidney, or liver problems, or persistent headaches. And also, if prescribed by your doctor, ask if the medication is safe to use during pregnancy and breastfeeding.


Really Extra Benefits

Really Extra is an analgesic that is used to treat mild to moderate pain associated with various conditions. Paracetamol is effective as an analgesic. However, its efficacy is enhanced when used in combination with caffeine as it can increase the absorption of paracetamol, and also, it has analgesic properties. In addition, caffeine can reduce fatigue, and make you stay awake and alert. It is mostly used to treat headaches. It can also be used to treat mild to moderate pain in conditions such as headache, toothache, backache, period pain, and muscle pain.


How to take Really Extra

Swallow the tablet whole with a glass of water before or after the meals. It is recommended to take a tablet after food to avoid any gastrointestinal irritation. Do not chew, crush, or break it. If you cannot swallow the tablet as a whole, you may break the pill into half and take both halves one at a time. Space the doses evenly, and take it at a fixed time for better results.


What are the side effects of Really Extra?

Really Extra may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

  • anxiety.
  • constipation
  • dehydration.
  • dependency, so you need to take more of it to get the same results.
  • diarrhea
  • dizziness
  • fast heart rate
  • gas or bloating
  • headaches
  • insomnia
  • restlessness and shakiness
  • ringing in the ears

Some side effects can be serious. If you experience any of the following symptoms, call your doctor immediately or get emergency medical help. Do not take any more diclofenac until you speak to your doctor.

  • back pain
  • blisters
  • cloudy, discolored, or bloody urine
  • difficult or painful urination
  • difficulty breathing or swallowing
  • excessive tiredness
  • fast heartbeat
  • fever
  • flu-like symptoms
  • hives
  • hoarseness
  • itching
  • lack of energy
  • loss of appetite
  • nausea
  • pain in the upper right part of the stomach
  • pale skin
  • rash
  • shortness of breath or difficulty breathing
  • swelling of the abdomen, feet, ankles, or lower legs
  • swelling of the eyes, face, tongue, lips, throat, arms, or hands
  • unexplained weight gain
  • yellowing of the skin or eyes


Really Extra may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting program online by phone (1-800-332-1088).

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