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Tolmist-D Tablet is a combination of two drugs: Diclofenac (Nonsteroidal Anti-Inflammatory Drug) and metaxalone (skeletal muscle relaxant). Diclofenac works by blocking the action of certain chemical messengers that cause pain. Tolperisone works on the spinal cord and centres in the brain to relieve contraction or muscle stiffness without decreasing strength.
Tolmist-D Tablet may impair mental and/or physical abilities required for the performance of heavy tasks like operating machinery or driving a motor vehicle, especially when used with alcohol.
Do not take Tolmist-D Tablet for longer durations as it might increase the risk of heart problems, liver problems and stomach bleeding/ulcer. Please consult a doctor before its use.
There are no recognized reports of any patient getting addicted to Tolmist-D Tablet .
If you are suffering from muscle pain due to overuse or muscle injury, you should take rest. Taking rest will help you to prevent any further injury and help you improve effectively. Make sure that you take enough sleep and try to decrease stress. Applying an ice pack to the altered area may help in reducing inflammation and pain. If your muscle pain is due to some other illness, follow the guidance of your doctor.
Take a missed dose as soon as you remember it. If it is close to the time for your next dose, skip the missed dose and go back to your regular time. Do not take 2 doses at the same time or extra doses.
Alcohol
Unsafe
Avoid consumption of alcohol while taking Tolmist-D Tablet as it may increase dizziness. It can also increase the risk of stomach bleeding.
Pregnancy
Caution
Avoid taking Tolmist-D Tablet if you are pregnant unless prescribed by a doctor. Please consult your doctor if you have any concerns regarding this, your doctor will prescribe only if the benefits outweigh the risks.
Breast Feeding
Unsafe
Tolmist-D Tablet must not be used during breastfeeding.
Driving
Caution
Tolmist-D Tablet may cause sleepiness or dizziness. Do not drive or do anything needing concentration until you know how it affects you.
Liver
Unsafe
Those who have severe liver problems should not take this Tolmist-D Tablet because Tolmist-D Tablet contains Tolperisone, which causes the most dangerous adverse in patients with liver disease.
Kidney
Unsafe
Those who have severe kidney problems should not take this Tolmist-D Tablet because Tolmist-D Tablet contains Tolperisone, which causes the most dangerous adverse in patients with kidney disease.
Children
Unsafe
Tolmist-D Tablet should not be given to children as the safety and effectiveness were not established.
Product Substitutes
About Tolmist-D Tablet
Tolmist-D Tablet belongs to a class of medications called Non-steroidal anti-inflammatory drugs (NSAIDs) or pain killer. Tolmist-D Tablet is used to reduce and relieve pain due to the muscle spasms (excessive tension in the muscles). Muscle spasm is the sudden involuntary contractions of the muscle, which can be painful and uncomfortable. When the nerve impulses that control the muscle movements are damaged or interrupted, it could lead to muscle spasms.
Tolmist-D Tablet is a combination of two drugs, namely: Diclofenac and Tolperisone. Diclofenac is a pain killer (NSAIDs) while Tolperisone is a skeletal muscle relaxant. Diclofenac works by blocking the effect of a chemical messenger in your body, known as cyclo-oxygenase (COX) enzymes that make another chemical 'prostaglandins' (PG). These prostaglandins are produced at injury sites and cause pain and swelling. By blocking COX enzyme's effect, lesser PGs are produced, which reduces mild to moderate pain and inflammation at the injured or damaged site. On the other hand, Tolperisone works on the brain and spinal cord centres to relieve muscle stiffness or spasm and relieve pain and improve muscle's movement.
Take Tolmist-D Tablet as prescribed by your doctor. You are advised to take Tolmist-D Tablet for as long as your doctor has prescribed it for you depending on your medical conditions. You may experience nausea, diarrhoea, vomiting, heartburn, weakness, stomach pain/epigastric pain, sleepiness, dizziness, and appetite loss. Most of these side effects of Tolmist-D Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.
Tolmist-D Tablet can increase your risk of fatal heart attack or stroke. So, if you have had any recent heart surgery, do not use Tolmist-D Tablet . Tolmist-D Tablet increases the chances of stomach ulcers and bleeding. Before taking this Tolmist-D Tablet , inform your doctor if you have any allergies, myasthenia gravis (weakness in muscles), asthma, and hay fever. To treat your condition effectually, continue taking Tolmist-D Tablet for as long as your doctor has prescribed. Do not take Tolmist-D Tablet if you are pregnant or breastfeeding unless prescribed. Tolmist-D Tablet causes drowsiness and dizziness, so drive with caution. Tolmist-D Tablet should not be given to children as safety and efficacy have not been established. Avoid consuming alcohol along with Tolmist-D Tablet as it could lead to increased drowsiness and 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.
Uses of Tolmist-D Tablet
Medicinal Benefits
Tolmist-D Tablet belongs to a class of medications called Non-steroidal anti-inflammatory drugs (NSAIDs) or pain killers. Tolmist-D Tablet is a combination of two drugs, namely: Diclofenac and Tolperisone. Diclofenac is a pain killer (NSAIDs) while Tolperisone is a skeletal muscle relaxant. Diclofenac works by blocking the effect of a chemical messenger in your body, known as cyclo-oxygenase (COX) enzymes that make another chemical 'prostaglandins' (PG). These prostaglandins are produced at injury sites and cause pain and swelling. By blocking COX enzyme's effects, lesser PGs are produced, which reduces mild to moderate pain and inflammation at the injured or damaged site. On the other hand, Tolperisone works on the brain and spinal cord centres to relieve muscle stiffness or spasm and relieve pain and improve muscle's movement. Altogether Tolmist-D Tablet relieves pain and relaxes the muscles.
Directions for Use
Side Effects of Tolmist-D Tablet
Drug Warnings
Tolmist-D Tablet can increase your risk of fatal heart attack or stroke. So, if you have had any recent heart surgery, do not use Tolmist-D Tablet . Do not take Tolmist-D Tablet if you are allergic to Tolmist-D Tablet , have severe heart failure, have suffered bleeding problems such as bleeding from stomach or bowels while taking any pain killers or you have liver or kidney problems. Inform your doctor before taking Tolmist-D Tablet if you have or had high blood pressure, heart problems, high cholesterol, diabetes, asthma, liver and kidney problems. Do not take Tolmist-D Tablet if you are pregnant or breastfeeding unless prescribed. Tolmist-D Tablet causes drowsiness and dizziness, so drive only if you are alert. Tolmist-D Tablet should not be given to children as the safety have not been established. Avoid consuming alcohol and Tolmist-D Tablet as it could lead to increased drowsiness and increase the risk of stomach bleeding. Stop taking Tolmist-D Tablet and consult your doctor immediately if you have stomach pain or any signs of bleeding in intestine or stomach such as blood in stools. Do not take any other NSAID's for pain relief along with Tolmist-D Tablet unless prescribed. Keep your doctor informed about your health condition and medicines to rule out any side-effects.
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