Sanogesic-MR Tablet belongs to a group of medicines called Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) indicated for the treatment of osteoarthritis, rheumatoid arthritis, gouty arthritis and ankylosing spondylitis, acute pain, chronic low back pain and muscle spasms. Pain is a symptom triggered by the nervous system, causing uncomfortable sensations in the body. Muscle spasm is the sudden involuntary contractions of the muscle, which can be painful and uncomfortable.

Sanogesic-MR Tablet is a combination of two drugs: Etoricoxib (NSAID) and Thiocolchicoside (Muscle relaxant). Etoricoxib blocks the effect of chemical messengers, which cause pain and inflammation. Thiocolchicoside works on the centres of the spinal cord and brain. This helps relieve muscle stiffness and improves muscle movements, thereby helping relieve pain due to muscle spasms.

You are advised to take Sanogesic-MR Tablet for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side-effects such as flatulence, nausea, diarrhoea, indigestion, and swelling of hands and feet. 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 you experience these side-effects persistently.

Consult your doctor if you are pregnant or breastfeeding. Sanogesic-MR Tablet may cause sleepiness and dizziness, so drive only if you are alert. Sanogesic-MR Tablet should not be given to children as safety and efficacy have not been established. Avoid consuming alcohol along with Sanogesic-MR Tablet as it could lead to increased dizziness; it might also increase the risk of stomach bleeding. Keep your doctor informed about your health condition and medicines to rule out any side-effects.

Sanogesic-MR Tablet is a combination of two drugs: Etoricoxib (Non-Steroidal Anti-Inflammatory Drugs) and Thiocolchicoside (Muscle relaxant). Sanogesic-MR Tablet is used for the treatment of osteoarthritis, rheumatoid arthritis, gout, ankylosing spondylitis, acute pain, chronic low back pain and muscle spasms. Etoricoxib blocks the effect of a chemical messenger known as cyclo-oxygenase (COX) enzyme that makes another chemical, prostaglandins, which are produced at injury sites and cause pain and swelling. By blocking the effect of COX enzymes, lesser prostaglandins are produced. This helps in reducing mild to moderate pain and inflammation at the injured or damaged site. Thiocolchicoside works on the centres of the spinal cord and brain. This helps relieve muscle stiffness and improves muscle movements, thereby helping relieve pain due to muscle spasms.

Do not take Sanogesic-MR Tablet if you are allergic to any of its contents, if you have stomach ulcers, have suffered bleeding problems, clotting problems, inflammatory bowel disease, severe heart, liver or kidney problems, galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption. If you have had any recent heart surgery, do not take Sanogesic-MR Tablet as it may increase the risk of fatal heart attack or stroke. Inform your doctor before taking Sanogesic-MR Tablet if you have/had stomach bleeding or ulcers, heart failure, high blood pressure, diabetes, high cholesterol, kidney or liver impairment. Consult your doctor if you are pregnant or breastfeeding. Sanogesic-MR Tablet may cause sleepiness and dizziness, so drive only if you are alert. Sanogesic-MR Tablet should not be given to children as safety have not been established. Avoid consuming alcohol along with Sanogesic-MR Tablet as it could lead to increased drowsiness and can increase the risk of stomach bleeding. Stop taking Sanogesic-MR Tablet and consult your doctor immediately if you have stomach pain or any signs of bleeding in the intestine or stomach, such as blood in stools. Do not take any other NSAIDs for pain relief along with Sanogesic-MR Tablet unless prescribed.

• Sanogesic-MR Tablet is not recommended for use in patients with a history of gastrointestinal ulcers or bleeding since it may worsen the patient's condition.
• Sanogesic-MR Tablet  should be used with caution in patients suffering from high blood pressure and receiving high blood pressure medicines due to the increased risk of altered blood pressure. Close monitoring of blood pressure levels is recommended for such patients.
• Drink plenty of water and fluids. Give proper rest to your body and avoid straining of muscles or tendons.