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Last updated:
18 Feb 2020 | 05:25 PM (IST)
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Overview

Introduction

Orthodex MR Tablet is a combination medicine used in the treatment of pain due to muscle spasm. It improves the movement of muscles and provides relief from pain and discomfort associated with muscle spasms.

Orthodex MR Tablet should be taken with food. This will prevent you from getting an upset stomach. You should take it regularly as advised by your doctor. Do not take more or use it for longer duration than recommended by your doctor.

Using of this medicine can cause some common side effects such as nausea, vomiting, heartburn, stomach pain, diarrhea, loss of appetite, and dryness in mouth. If any of these side effects bother you or do not go away with time, you should let your doctor know. Your doctor may help with ways to reduce or prevent these side effects.

The medicine may not be suitable for everybody. Before taking it, let your doctor know if you have any problems with your heart, kidneys, or liver. To make sure it is safe for you, let your doctor also know all the other medicines you are taking. Pregnant and breastfeeding mothers should first consult their doctors before using the medicine.

Uses of Orthodex Tablet

Side effects of Orthodex Tablet

Common
  • Nausea
  • Vomiting
  • Heartburn
  • Stomach pain
  • Diarrhea
  • Loss of appetite
  • Dryness in mouth
  • Weakness
  • Sleepiness

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Vomiting
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Heartburn
    Avoid foods that irritate the stomach such as alcohol, carbonated soft drinks, citrus, coffee, fatty foods or tomatoes. Eat or drink slowly. Eat smaller, more frequent meals. The reason being, large meals fill the stomach and put pressure, causing reflux. Quit smoking if you smoke, lose weight if you are overweight and avoid tight waistbands. Ask your doctor about medicines to treat this condition such as antacids. Do not lie down immediately after eating and wait for at least three hours before lying down after a meal. Raise the head of your bed. Talk to your doctor if your condition does not improve, they may be able to reduce the dosage or switch you to another medicine.
  • Coping with Stomach pain
    Try to get plenty of rest and relax. Putting a heat pad or covered hot water bottle on your stomach may relieve the stomach pain. It may help if you eat and drink slowly and have smaller and more frequent meals. Reduce your intake of coffee, tea and alcohol as these can make the pain worse. If you are in a lot of pain, speak to your doctor about possible medication. Your doctor may be able to prescribe some over-the-counter medicines to help reduce the pain.
  • Coping with Diarrhea
    Keep up your intake of fluids and electrolytes (sugars and salts) to avoid getting dehydrated. Eat less fiber (avoid raw fruits, fruit juice and vegetables). Talk to your doctor about possible medication to manage diarrhea. Ask about reducing the dosage of your drug or other suitable treatments.
  • Coping with Loss of appetite
    It is important to eat, even if you do not feel like it. You might try switching to smaller meals and frequent snacks. Try eating healthy and nutritious snacks that are high in calories and protein, such as dried fruit and nuts. It is important to drink even if you cannot eat. But, do not fill your stomach with liquid before eating. Eat when you are most hungry. Exercise such as a short walk may also increase your appetite. Talk to your doctor about possible medication or supplements if your condition does not improve.
  • Coping with Dryness in mouth
    Keep a drink available that you can sip through the day. Rinse your mouth with warm salted water and chew sugarless gum or hard candy. Try breathing through your nose more often than your mouth. Avoid caffeinated beverages, smoking and alcohol because they can make your condition worse. Use lip balm if your lips are also dry. Try to avoid foods that are acidic (like lemons), spicy, salty or sugary. If this side effect bothers you or does not go away, talk to your doctor about artificial saliva products or other suitable treatments.
  • Coping with Weakness
    Make sure you rest and drink plenty of fluids. Eat a well-balanced diet to keep your energy levels up. Do not drink too much alcohol. Do not drive or use tools or machinery until you feel better. Other things that can help include doing some gentle exercise every day, prioritizing and pacing your activities and having a short nap if you need to. If you are still having problems after a week, speak to your doctor, as they may want to change you to a different type of medicine.
  • Coping with Sleepiness
    If the medicine is making you drowsy during the day, stop what you are doing and sit or lie down until you feel better. You can also consider taking a nap. Physical exercises such as walking may be helpful. Do not drink alcohol, as it will make you feel more tired. Avoid driving or operating heavy equipment when you are feeling drowsy. This problem usually goes away as your body gets used to the medicine. However, if it does not, ask your doctor if you can take your medicine at bedtime or whether the dose can be reduced.

How to use Orthodex Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Orthodex MR Tablet is to be taken with food.

How Orthodex Tablet works

Orthodex MR Tablet is a combination of a muscle relaxant (Chlorzoxazone) and two pain relieving medicines (Diclofenac and Paracetamol/Acetaminophen). The muscle relaxant works on the centers in the brain and spinal cord to relieve muscle stiffness or spasm, thereby improving movement of muscles. The pain relieving medicines work by blocking the release of certain chemical messengers in the brain that cause pain and inflammation (redness and swelling).

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Orthodex MR Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Orthodex MR Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
Information regarding the use of Orthodex MR Tablet during breastfeeding is not available. Please consult your doctor.
Driving
CONSULT YOUR DOCTOR
It is not known whether Orthodex MR Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.
Kidney
CAUTION
Orthodex MR Tablet should be used with caution in patients with kidney disease. Dose adjustment of Orthodex MR Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Orthodex MR Tablet should be used with caution in patients with liver disease. Dose adjustment of Orthodex MR Tablet may be needed. Please consult your doctor.
However, the use of Orthodex MR Tablet is not recommended in patients with severe liver disease and active liver disease.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Orthodex MR Tablet
₹8.5/Tablet
Diclotal-MR Tablet
Blue Cross Laboratories Ltd
₹4/Tablet
save 53%
₹10.17/Tablet
20% costlier
Powergesic MR Tablet
Jenburkt Pharmaceuticals Ltd
₹14.68/Tablet
73% costlier
Mobizox Tablet
Sun Pharmaceutical Industries Ltd
₹18/Tablet
112% costlier
Myospaz Forte Tablet
Win-Medicare Pvt Ltd
₹23.4/Tablet
175% costlier

Quick Tips

  • You have been prescribed Orthodex MR Tablet to relieve pain due to muscle spasm.
  • This medicine is most effective when taken along with proper rest and physical therapy.
  • Avoid consuming alcohol when taking Orthodex MR Tablet as it may cause excessive drowsiness and increase the risk of liver damage.
  • Older adults may have increased drowsiness, confusion, and higher risk of falling as a result of taking Orthodex MR Tablet.
  • Do not take it with any other medicine containing acetaminophen (drugs for pain/fever or cough-and-cold) without asking your doctor first. 

Patient Concerns

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Severe neck n shoulder pain due to spasm . Spasm increases when i move neck. Pain was suddenly increased Also i have taken flexon mr tablet I cannot lift my neck when i lie on the bed
Vipul Aggarwal
Very common problem with ppl who sit for long time and use lot of mobile or laptop and when vitamin d level are lowMost commin in ppl working in IT sectorGet vitamin d checkedAnd start with cervical isometric exercisesU will be fine in a weekDont take pain killersFor more than 3-4 days
Neck pain when I move my neck a bit. I think it's due to exercise and gyming .
Dr. Sunil Tripathi
Physiotherapy
It might be muscle soreness or muscle spasm due to improper Posture or overuse of musclesConsult a Physiotherapist in your area
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Do you have any questions related to Orthodex MR Tablet ?

User Feedback


FAQs

Q. What is Orthodex?

Orthodex is a combination of three medicines: Diclofenac, Paracetamol, and Chlorzoxazone. This medication helps in relieving muscle pain. Chlorzoxazone is a muscle relaxant which works by acting on the central nervous system. Diclofenac and Paracetamol work by lowering the chemical substance (prostaglandins) in the body that causes pain and inflammation.

Q. Is it safe to use Orthodex?

Orthodex is safe for most of the patients. However, in some patients it may cause common side effects like nausea, vomiting, heartburn, stomach pain, diarrhea, loss of appetite, dryness in the mouth, weakness, sleepiness and other uncommon or rare side effects. Inform your doctor as soon as possible if you experience any persistent problem due to the medication.

Q. Can I stop taking Orthodex when my pain is relieved?

Orthodex should be continued if advised for a specific time duration by your doctor. However, it can be discontinued if you are using it for short-term pain relief.

Q. Can the use of Orthodex cause nausea and vomiting?

Yes, the use of Orthodex can cause nausea and vomiting. In case, you experience nausea while taking this medicine, take it with milk, food or with antacids. Avoid taking fatty or fried foods along with this medication. In case of vomiting, drink plenty of water or other fluids by taking small frequent sips. Talk to your doctor if vomiting persists and you notice signs of dehydration, like dark colored and strong-smelling urine and a low frequency of urination. Do not take any other medicine without speaking to your doctor.

Q. Can the use of Orthodex cause dizziness?

Yes, the use of Orthodex can cause dizziness (feeling faint, weak, unsteady or lightheaded) in some patients. If you feel dizzy or lightheaded, it is better to rest for sometime and resume once you feel better.

Q. Can the use of Orthodex cause damage to kidneys?

Yes, the long-term use of Orthodex can cause damage to the kidneys. Normal kidneys produce a chemical called prostaglandins that protect them from damage. Use of painkillers lowers the levels of prostaglandins in the body leading to kidney damage on long-term use. Use of painkillers is not recommended to patients with underlying kidney disease.

Q. Can I take a higher than the recommended dose of this medicine?

No, taking a higher than the recommended dose of Orthodex can increase the risks of side effects. If you are experiencing increased severity of pain or if the pain is not relieved by the recommended doses, please consult your doctor for re-evaluation.

Q. What are the recommended storage conditions for Orthodex?

Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
Disclaimer: 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 all possible side effects, drug interactions or warnings or alerts. 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
  1. Drugs.com. Chlorzoxazone. [Accessed 02 Apr. 2019] (online) Available from:External Link
  2. Diclofenac. Rouse Boulevard, Philadelphia: Iroko Pharmaceuticals; 1998 [revised Oct. 2013]. [Accessed 02 Apr. 2019] (online) Available from:External Link
  3. Paracetamol. Barnstaple, Devon: Actavis UK Limited; 1980 [revised 23 Dec. 2016]. [Accessed 02 Apr. 2019] (online) Available from:External Link
  4. ScienceDirect. Chlorzoxazone. [Accessed 02 Apr. 2019] (online) Available from:External Link
  5. Diclofenac. Daventry, Northamptonshire: Dexcel Pharma Ltd.; 1996 [revised 20 Dec. 2017]. [Accessed 02 Apr. 2019] (online) Available from:External Link
  6. ScienceDirect. Paracetamol. [Accessed 02 Apr. 2019] (online) Available from:External Link
Manufacturer/Marketer Address
Plot No -17, Sector – 20A, Faridabad, Haryana – 121001, India
MRP
85
10 tablets in 1 strip
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