4-Steps Gel is a pain relieving medicine. It is applied topically to treat moderate to severe pain. It works by blocking the release of certain chemical messengers and helps relieve pain and swelling on the joints and muscles.

4-Steps Gel is only meant for external use and should be used strictly as advised by your doctor. Apply a thin layer of the medicine on the aeefceted area and massage with clean and dry hands. Avoid getting in contact with your eyes, nose, or mouth. In case of accidental contact, rinse it thoroughly with plenty of clean water.

It is usually safe with little or no side effects. However, it may cause allergic reactions such as rashes, itching, redness, increased sensitivity to light, contact dermatitis, and eczema in some people. They are usually temporary and resolve with time. If they do not get better with time or worsen, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the symptoms.

Before using the medicine, it is important to tell your doctor if you are using or have recently used any other medicines for the same disease or other diseases. To make sure the medicine is safe, pregnant and breastfeeding women should consult their doctor before using the medicine.

Uses of 4-Steps Gel

Pain relief

Benefits of 4-Steps Gel

In Pain relief

4-Steps Gel is used for short-term relief of pain, inflammation, and swelling in conditions that affect joints and muscles. It works by blocking chemical messengers in the brain that tell us we have pain. It can help relieve pain in conditions like rheumatoid arthritis and osteoarthritis or even after a dental (tooth-related) surgery.
Take it as it is prescribed to get the most benefit. Do not take more or for longer than needed as that can be dangerous. In general, you should take the lowest dose that works, for the shortest possible time. This will help you to go about your daily activities more easily and have a better, more active, quality of life.

Side effects of 4-Steps Gel

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of 4-Steps

Skin pigmentation
Contact dermatitis
Eczema
Itching
Erythema (skin redness)
Increased sensitivity to light
Skin rash
Allergic reaction

How to use 4-Steps Gel

This medicine is for external use only. Use it in the dose and duration as advised by your doctor. Check the label for directions before use. Clean and dry the affected area and apply the gel. Wash your hands after applying, unless hands are the affected area.

How 4-Steps Gel works

4-Steps Gel is a non-steroidal anti-inflammatory drug (NSAID). It works by blocking the release of certain chemical messengers that are responsible for inflammation (pain and swelling).

Safety advice

Alcohol

No interaction found/established

Pregnancy

CONSULT YOUR DOCTOR

4-Steps Gel may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

4-Steps Gel is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
The baby's skin should not come into direct contact with the treated area of skin. Water-miscible cream/gel is preferred as ointments may expose the baby to harmful effects of 4-Steps Gel via licking.

Driving

No interaction found/established

Kidney

No interaction found/established

Liver

No interaction found/established

What if you forget to take 4-Steps Gel?

If you miss a dose of 4-Steps Gel, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

4-Steps Gel

₹95.23/Gel

Pirox Gel 30gm

Cipla Ltd

₹81.67/gel

14% cheaper

Dolonex Gel

Pfizer Ltd

₹79.75/gel

16% cheaper

Pirox Gel

Cipla Ltd

₹41.31/gel

57% cheaper

Dupox Gel

Bennet Pharmaceuticals Limited

₹40/gel

58% cheaper

Minicam Gel

Blue Cross Laboratories Ltd

₹28.72/gel

70% cheaper

Quick tips

4-Steps Gel helps relieve pain and swelling of various joints and muscles.
Rub it gently over the affected area, until it is absorbed.
Do not apply to broken, diseased, infected or irritated skin, or to open wounds.
Do not cover the area being treated with airtight dressings such as bandages, as these may increase the risk of side effects.
Avoid contact with your eyes, nose or mouth. Rinse it off with water if you accidentally get the gel in these areas.
Stop using 4-Steps Gel and immediately inform your doctor if you notice skin rashes, sores, blisters or ulcers in the mouth, nose, throat or genitals.
Do not use it for longer than four weeks without talking to to your doctor first.

Fact Box

Chemical Class

Enolic acid Derivatives

Habit Forming

Therapeutic Class

PAIN ANALGESICS

Action Class

NSAID's- Non-Selective COX 1&2 Inhibitors (enolic acids)

Interaction with drugs

Taking 4-Steps with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Citalopram (Oral Route) Moderate

Concurrent use may increase the risk of gastrointestinal bleeding. Inform your doctor if you notice any signs of bleeding (bruising, bleeding gums, blood in stool/vomit/urine).

Escitalopram Oxalate (Oral Route) Moderate

Concurrent use may increase the risk of gastrointestinal bleeding. Inform your doctor if you notice any signs of bleeding (bruising, bleeding gums, blood in stool/vomit/urine).

Fluoxetine (Oral Route) Moderate

Concurrent use may increase the risk of gastrointestinal bleeding. Inform your doctor if you notice any signs of bleeding (bruising, bleeding gums, blood in stool/vomit/urine).

Fluvoxamine (Oral Route) Moderate

Concurrent use may increase the risk of gastrointestinal bleeding. Inform your doctor if you notice any signs of bleeding (bruising, bleeding gums, blood in stool/vomit/urine).

Ginkgo Biloba (Oral Route) Moderate

Concurrent use may increase the risk of bleeding. Inform your doctor if you notice any signs of bleeding (bruising, bleeding gums, blood in stool/vomit/urine).

View all drug interactions

Patient concerns

Heart pain slowly pls suggest next steps

Dr. Nabajit Talukdar

Cardiology

Get a tmt done

Knee pain,walking &climbing steps very painful.

Dr. Akshat Goel

Orthopaedics

Get an Xray done of both knees (AP and Lateral views) in standing positionTake Tab Altraday and Tab Flotrip-plus twice daily

User feedback

What are you using 4-Steps Gel for?

Pain relief

100%

How much was the improvement?

Excellent

100%

FAQs

Is 4-Steps Gel a NSAID?

Yes. 4-Steps Gel is a non-steroidal anti-inflammatory drug (NSAID).

Can 4-Steps Gel be used in the treatment of allergy?

No. 4-Steps Gel is not a drug to treat allergy. It is a pain killer.

Can you donate blood when on the medication with 4-Steps Gel?

Yes. You can donate blood when on 4-Steps Gel. Do inform your doctor before donating blood.

Top Rheumatologists

5 ★

4.7 ★

MBBS, DNB, MD, Fellowship, Fellowship

4.7 ★

4.5 ★

4.9 ★

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Disclaimer:

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Furst DE, Ulrich RW, Varkey-Altamirano C. Nonsteroidal Anti-Inflammatory Drugs, Disease Modifying Antirheumatic Drugs, Nonopioids Analgesics, & Drugs Used in Gout. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 628.
Grosser T, Smyth E, FitzGerald GA. Anti-Inflammatory, Antipyretic, and Analgesic Agents; Pharmacotherapy of Gout. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 989-90.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1127-28.
Central Drugs Standard Control Organisation (CDSCO). [Accessed 02 Apr. 2019] (online) Available from:
Piroxicam (Topical Gel) [Product Label]. Pfizer Inc., USA; 2021. [Accessed 30 May 2024] (online) Available from:
MIMS, Indonesia: Piroxicam [Generic Medicine Info]. [Accessed 06 Apr. 2024] (online) Available from:

Marketer details

Name: Aeran Lab India Pvt Ltd

Address: Prathmesh Ashish, A wing,1st Floor, Kanakia Road,Mira Road(E), Thane(Mumbai), Pin :- 401104, Maharashtra, India.

Country of origin: India

The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.