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MRP 153

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TOLPA D TAB

Tolpa D tablet
Uses and Benefits

Uses and Benefits

Tolpa D tablet is a pain killer used for the treatment of pain, swelling and inflammation associated with muscle spasm. It is used in moderate to severe pain relief, treatment of rheumatoid arthritis (auto immune joint disorder in which the immune system of the body targets small joints and damages them), osteoarthritis (tender and painful joints due to wear down of protective cartilage between the ends of the bones), ankylosing spondylitis (pain and stiffness of bones of the spine), dysmenorrhea, migraine attacks, gout (excess uric acid crystallises) and in conditions such as headaches, lower back pain, body aches, tooth aches, menstrual pain and common cold. The tablet effectively relieves muscle stiffness, thereby improving muscle movement. This medicine is also used in the relief of post operative pain. However, the uses mentioned here are not comprehensive, there may be other conditions for which the medication may be used upon your doctor’s discretion.

Composition

Composition

The active ingredients of Tolpa D tablet are Diclofenac (50Mg) and Serratiopeptidase (10Mg)

Mechanism of Action of Drugs

Mechanism of Action of Drugs

Diclofenac works by blocking clyclooxygenase-2 (COX-2) enzyme in your body. When this enzyme is blocked, your body decreases the amount of inflammatory chemicals (prostaglandins) it makes thereby reducing inflammation and pain. Serratiopeptidase reduces swelling and inflammation through the breakdown of proteins.

Contraindications and Cautions

Contraindications and Caution

Patients with following conditions are suggested to seek advice from their healthcare professionals before using Tolpa D tablet:

  • Hypersensitivity to the ingredients used in the tablet
  • Allergy to other non-steroidal anti-inflammatory drugs
  • Severe hepatic or renal impairment
  • Peptic ulcer
  • NSAID-induced asthma
  • Pregnancy (third trimester)
  • Severe heart failure
  • Caution:
  • Asthma or allergic disorders
  • Cardiovascular disorders
  • Porphyria
  • Gastro-intestinal disease
  • Haemorrhagic disorders
  • Renal and hepatic impairment
  • Children and elderly
  • Pregnancy and lactation
Side Effects

Side and Adverse Effects

Tolpa D tablet is usually well tolerated when used in the prescribed dosage guidelines. Most side effects are temporary and usually subsides on their own. However, consult your doctor if they persist for a longer duration. You may experience one or more of the following symptoms:

  • Oedema (swelling)
  • Flatulence
  • Drowsiness
  • Headache
  • Heartburn
  • Indigestion
  • Nausea
  • Vomiting
  • Erythema
  • Pain in extremity
  • Pruritis
  • Abdominal pain

Rare but more serious adverse effects may include:

  • Liver function abnormalities
  • Dark or clay-coloured stools
  • Thrombocytopenia
  • Yellowing of skin and eyes
  • Bronchospasm
  • Toxic epidermal necrolysis
How to Use

How to Use

Take Tolpa D tablet as instructed by your doctor. Swallow the tablet whole with water, immediately after opening it from the strip. Do not break or crush or chew the tablet.
Avoid missing or forgetting the dose. If you do, take it as soon as you remember; but if it’s almost time for your next dose, skip it and take it according to your normal schedule. Don’t swallow two doses at the same time which is dangerous to your health.
The tablet should be taken with food. The tablet is usually taken not more than twice a day. Take the tablet at the same time every day as it helps to maintain a consistent level of medicine in the body.
Do not change the dose or stop taking the medicine before completion of the course or without consulting your doctor. Continue to use this drug until completion of the maximum amount suggested.

Overdosage

Avoid taking medicine more than the prescribed dosage. If you notice any unusual or abnormal reactions after taking the tablet, promptly seek medical attention. Depending on the dosage of Tolpa D tablet, symptoms vary in individuals, you may experience one or more of the following symptoms:

  • Headache
  • Drowsiness
  • Gastrointestinal bleeding
  • Convulsions
  • Acute renal failure
  • Hypertension
  • Diarrhea
Warnings and Precautions

Warnings and Precautions

Use this tablet on the advice of medical practitioner. Dose adjustments or complete avoidance of the Tolpa D tablet may be required in the following conditions:

Kidney:

Caution is advised among people with kidney problems. Adjustments of dose of the medicine may be needed. If you have any renal problems, it is highly recommended that you consult doctor before the consuming this medicine. However, use of this tablet is not suggested in patients with severe kidney diseases.

Liver:

Extreme caution is advised among people with liver problems. Dose adjustments of the medicine may be needed. If you have any hepatic problems, it is highly recommended that you consult doctor before the consuming this medicine. Any symptoms such as nausea, fever, dark urine etc should be reported to your doctor immediately. However, use of this tablet is not suggested in patients with severe liver diseases.

Pregnancy:

It is not considered safe to use in pregnant women unless the potential benefits outweigh the risks involved. Despite the fact that there are limited studies in humans, animal studies have shown adverse effects on the developing baby. It is recommended that you consult your doctor before consuming this medicine.

Lactation:

This medicine is not considered safe to use in nursing mothers unless the potential benefits outweigh the risks involved. Since limited information is available about the safety of taking this tablet, consult your doctor if you are nursing mother and stay on the safe side.

Alcohol:

Consumption of alcohol with this tablet is not recommended as it increases side effects such as risk of liver injuries, gastrointestinal bleeding, dizziness, light headedness. If you notice any unusual or abnormal reactions after taking the tablet, report to your doctor immediately.

Driving:

The tablet may decrease alertness, cause impaired judgement, affect your vision and make you feel dizzy. Do not drive, operate heavy machinery or involve in any works which may demand your attention or physical strength.

Food:

Avoid grape fruit juice and alcohol as it may alter serum levels.

Drug Interactions:

Inform your doctor or pharmacist if you are taking any other medicines which includes over-the-counter drugs, herbal tonics, supplements and medicines that you buy without a prescription. Alert your doctor if you are taking Tolpa D tablet with aspirin, digoxin, ciclosporin, disulfiram, isoniazid, cholestyramine, rifampicin, phenytoin, carbamazepine, warfarin, metoclopramide, probenecid, chloramphenicol, tacrolimus.

Precautions
  • Do not use this tablet post the expiry date
  • Do not use this medication for durations longer than suggested by your doctor
  • Store at room temperature (20-30 degree Celsius)
FDA Pregnancy Category

FDA Pregnancy Category

Category C: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.


Drug Composition information
What is Diclofenac for:

This medication is an NSAID, prescribed for severe pain. This medication decreases the hormones that cause inflammation and pain in the body.

How does Diclofenac work:

Diclofenac blocks chemicals that cause pain and swelling.

How should Diclofenac be used:

PO- The recommended dosage is 100-200 mgday in divided doses.Topical- Apply the gel (4 g) to the affected area, 4 times daily. It comes as a tablet to take by mouth, with food.It also comes as a gel to apply topically.

Common side effects of Diclofenac :

Headache. Belly pain. Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help. Hard stools (constipation). Drinking more liquids, working out, or adding fiber to your diet may help. Talk with your doctor about a stool softener or laxative. Loose stools (diarrhea). Harm to the liver may rarely happen.

What do I do if I miss a dose

Take a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not take 2 doses at the same time or extra doses. Many times this drug is taken on an as needed basis

What precautions should I take when taking Diclofenac :

If you have an allergy to diclofenac or any other part of this drug. Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs. If you are more than 24 weeks pregnant.

When do I need to seek medical help

If you think there was an overdose, call your local poison control center or ER right away. Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat. Chest pain or pressure. Change in strength on 1 side is greater than the other, trouble speaking or thinking, change in balance, or blurred eyesight. Very upset stomach or throwing up. Very bad belly pain. Very bad swelling or pain of hands or feet. A big weight gain. Black, tarry, or bloody stools. Blood in the urine. Very loose stools (diarrhea). Not able to eat. Any bruising or bleeding. Yellow skin or eyes. Any rash. Side effect or health problem is not better or you are feeling worse.

Can I take Diclofenac with other medicines:

Sometimes drugs are not safe when you take them with certain other drugs and food. - Taking them together can cause bad side effects. - Be sure to talk to your doctor about all the drugs you take.

Are there any food restrictions

Avoid Alcohol

How do I store Diclofenac :

Store it at room temperature and in an airtight container. Keep away from excess heat and moisture.

Pregnancy Category

Category D : There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Therapeutic Classification

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), Non-Opioid Analgesics & Antipyretics


Frequently Asked Questions

Frequently Asked Questions
Q1. What is the use of the Tolpa D tablet?

It is a pain killer used for the treatment of pain, swelling and inflammation associated with muscle spasm. It is used in moderate to severe pain relief, treatment of rheumatoid arthritis (auto immune joint disorder in which the immune system of the body targets small joints and damages them), osteoarthritis (tender and painful joints due to wear down of protective cartilage between the ends of the bones), ankylosing spondylitis (pain and stiffness of bones of the spine), dysmenorrhea, migraine attacks, gout (excess uric acid crystallises) and in conditions such as headaches, lower back pain, body aches, tooth aches, menstrual pain and common cold. The tablet effectively relieves muscle stiffness, thereby improving muscle movement. This medicine is also used in the relief of post operative pain.

Q2. What are the side effects of the Tolpa D tablet?

The tablet is well tolerated when taken in prescribed dosage guidelines. Most common side effects include oedema (swelling), flatulence, drowsiness, headache, heartburn, indigestion, nausea, vomiting, erythema, pain in extremity, pruritis, abdominal pain. Its use may also lead to extreme but uncommon side effects such as liver function abnormalities, dark or clay-coloured stools, thrombocytopenia, yellowing of skin and eyes, bronchospasm, toxic epidermal necrolysis.

Q3. Should we take Tolpa D tablet with food or without food?

The tablet should be taken with food.

Q4. What are the precautions to be followed while taking the Tolpa D tablet?

If you ever had impaired kidney function, severe liver impairment or heart disease, let your doctor know before taking this medicine. Inform your doctor about all the medicines you take to ensure that you are healthy. This medicine is contraindicated in patients with hypersensitivity to the ingredients used in the tablet, allergy to other non-steroidal anti-inflammatory drugs, severe hepatic or renal impairment, peptic ulcer, NSAID-induced asthma, pregnancy (third trimester), severe heart failure. Caution is advised among patients with asthma or allergic disorders, cardiovascular disorders, porphyria, gastro-intestinal disease, haemorrhagic disorders, renal and hepatic impairment, children and elderly, pregnancy and lactation.

Q5. Does Tolpa D tablet make you sleepy?

The tablet may decrease alertness, cause impaired judgement, affect your vision and make you feel dizzy. Do not drive, operate heavy machinery or involve in any works which may demand your attention or physical strength.

Q6. Is Tolpa D tablet harmful? What does an overdose of Tolpa D tablet lead to?

The tablet is usually well tolerated when taken in the recommended dosage guidelines. Over dose of the medicine may lead to headache, drowsiness, gastrointestinal bleeding, convulsions, acute renal failure, hypertension, diarrhea.

Q7. Can I take Tolpa D tablet during pregnancy?

It is not considered safe to use in pregnant women unless the potential benefits outweigh the risks involved. Despite the fact that there are limited studies in humans, animal studies have shown adverse effects on the developing baby. It is recommended that you consult your doctor before consuming this medicine.

Q8. Can Tolpa D tablet be taken without a doctor’s prescription?

No, do not take the medicine without doctor’s prescription.

Q9. Is it okay to drink alcohol while I am on the Tolpa D tablet?

Consumption of alcohol with this medicine is not recommended as it increases side effects such as gastrointestinal bleeding, dizziness, liver injuries. If you notice any unusual or abnormal reactions after taking the medicine, report to your doctor immediately. If you consume alcohol on regular basis, relevant dose adjustments of the medicine may be necessary depending on your clinical condition.

Q10. How to store Tolpa D tablet?

Store the medicine at room temperature (20-30 degree Celsius) in a cool and dry place. Keep the tablet according to the instructions mentioned on the pack or label. Store the medicine in the container or the pack it came in, tightly closed.

Q11. If I have trouble swallowing Tolpa D tablet, can I mix it in water and drink it?

This tablet is designed to be swallowed with water. If you take them in a way they weren’t intended to be used, you could experience an overdose if the active constituent enters the blood stream too quickly. Alternatively, if it enters your body too slowly, it may never achieve a high enough concentration to be completely functional.

Q12. Can we give Tolpa D tablet to children?

If used according to the directions given by your doctor, it is safe to be used in children.

Q13. By when should I start seeing the results of the Tolpa D tablet?

The amount of time required for this medicine to show its action in the body is within 30 minutes of administration.

Q14. How long does the effect of Tolpa D tablet last?

The amount of time for which this medicine remains active in the body is for about 8 hours.

Q15. Can we take Tolpa D tablet daily? If yes, how many tablets can we take everyday?

Medicines should always be taken under medical supervision. Take the medicine exactly as prescribed by your doctor: for dosage and duration. Most recommended dose is two tablets a day.

Q16. For how many days should I take the Tolpa D tablet?

The number of days that any medicine must be taken varies from patient to patient; and case to case. So always stick to your doctor’s suggestion about how many days to take this medicine.

Q17. When should I take Tolpa D tablet?

Use the medicine exactly as prescribed by your doctor for the dosage and duration.

Note: All of the above information is for reference purpose only. It is always recommended that you consult a medical professional.

Seller Information
Manufactured By

MICRO LABS LIMITED

31, race course road,bangalore-560 001, india

Packed By

MICRO LABS LIMITED

31, race course road,bangalore-560 001, india

Applicable Offers

  • 20% Discount
    On prescription medicines, orders above Rs 1000 T & C
  • 10% Discount
    On prescription medicines, orders above Rs 200 T & C

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