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Last updated:
18 Feb 2020 | 05:25 PM (IST)
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Tolagin 4 Tablet

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Overview

Introduction

Tolagin 4 Tablet is a combination medicine which helps in relieving muscular pain. It works by blocking the release of certain chemical messengers that cause pain, inflammation, and fever. This improves the movement of muscles and provides relief from pain and discomfort.

Tolagin 4 Tablet should be taken with food. This will prevent you from getting an upset stomach. The dose and duration will depend on the severity of your condition. You should keep taking the medicine even if you feel better until the doctor says it is alright to stop using it.

Using of this medicine may cause few common side effects such as nausea, vomiting, heartburn, stomach pain, diarrhea, loss of appetite, and dryness in mouth. If any of these side effects do not resolve with time or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the side effects. In general, you should try to use the smallest amount necessary to control your symptoms.

Before using the medicine, you should tell your doctor if you have any other medical conditions or disorders. To make sure it is safe, you should let your doctor know all the other medicines you are taking. Also, tell your doctor if you have any problems with liver or kidneys. You should avoid the consumption of alcohol while on treatment with this medicine. Pregnant and breastfeeding women should consult their doctors first before using the medicine.

Uses of Tolagin Tablet

  • Muscular pain

Side effects of Tolagin Tablet

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 Tolagin

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

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.

How to use Tolagin 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. Tolagin 4 Tablet is to be taken with food.

How Tolagin Tablet works

Tolagin 4 Tablet is a combination of a muscle relaxant (Thiocolchicoside) and two pain relievers (Aceclofenac, Paracetamol). The muscle relaxant works on the centers in the brain and spinal cord to relieve muscle stiffness or spasm and improve movement of muscles. The pain relievers 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 Tolagin 4 Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Tolagin 4 Tablet 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.
Breastfeeding
CONSULT YOUR DOCTOR
Information regarding the use of Tolagin 4 Tablet during breastfeeding is not available. Please consult your doctor.
Driving
UNSAFE
Tolagin 4 Tablet may cause side effects which could affect your ability to drive.
Kidney
CAUTION
Tolagin 4 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Tolagin 4 Tablet may be needed. Please consult your doctor.
Use of Tolagin 4 Tablet is not recommended in patients with severe kidney disease.
Liver
CAUTION
Tolagin 4 Tablet should be used with caution in patients with liver disease. Dose adjustment of Tolagin 4 Tablet may be needed. Please consult your doctor.
However, the use of Tolagin 4 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.
Tolagin 4 Tablet
₹18.8/Tablet
Anaflam TH 4 Tablet
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Trizulu Tablet
Torrent Pharmaceuticals Ltd
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Acenac-MR Tablet
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₹18.8/Tablet
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Neorelax MR Tablet
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Quick Tips

  • You have been prescribed Tolagin 4 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 Tolagin 4 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 Tolagin 4 Tablet.
  • Do not take it with any other medicine containing acetaminophen (drugs for pain/fever or cough-and-cold) without asking your doctor first. 

Fact Box

Habit Forming
No

Patient Concerns

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Lower back ache on RT side of v col. Have been taking Chymoral forte+feldex as per phy advice. Some relief. But pain remains.
Dr. Gajanan Pandit
Orthopaedics
need muscle relaxant like T Acenac MR C Omez 20 twice daily for a week also can try local Tolagin Gel
Thigh pain after having intercourse
Dr. Pranay Gandhi
Sexology
its most likely muscular pain. take analgesics tablet emanzen d twice daily for 5 days
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User Feedback


FAQs

Q. Can the use of Tolagin be stopped when my pain is relieved?

Tolagin is usually used for short term and can be discontinued when the pain is relieved. However, Tolagin should be continued if advised by the doctor.

Q. Are there any specific contraindications associated with the use of Tolagin?

The use of Tolagin is considered to be harmful for patients with known allergy to painkillers or any of the components or excipients of this medicine. The use of this medicine should preferably be avoided in patients with a history of stomach ulcers or in patients with active, recurrent stomach ulcer/bleeding. It should also be avoided in patients with a history of heart failure, high blood pressure, and liver or kidney disease.

Q. Can Tolagin be taken with vitamin B-complex?

Yes, Tolagin can be taken with vitamin B-complex preparations. While Tolagin helps to relieve pain, vitamin B-complex can help to correct the vitamin deficiency that might be causing your symptoms.

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

Yes, the long-term use of Tolagin can cause damage to the kidneys. Normal kidneys produce a chemical called prostaglandins that protects 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. Will Tolagin be more effective if taken in higher doses?

No, taking more of this medicine will not make it more effective, rather it can lead to increased side effects. If the symptoms are getting severe, please consult the doctor for re-evaluation.

Q. Can the use of Tolagin cause damage to liver?

Tolagin contains Paracetamol. These medicines are known to cause harm to the liver especially in the doses above the recommended level. Also, avoid drinking alcohol while taking this medicine, as it may further increase your risk of liver damage. Use of this medicine should preferably be avoided in patients with underlying liver disease. Contact your doctor immediately if you notice any early signs and symptoms of liver damage. These symptoms may include fever, rash, loss of appetite, nausea, vomiting, fatigue, stomach pain, dark urine, yellow skin or eyes and abnormal liver enzymes.

Q. What are the instructions for storage and disposal of Tolagin?

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.

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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. European Medicine Agency. Thiocolchicoside; 2014. [Accessed 02 Apr. 2019] (online) Available from:External Link
  2. Aceclofenac. North Harrow, Middlesex: Accord Healthcare Limited; 2011 [revised 29 Jun. 2015]. [Accessed 02 Apr. 2019] (online) Available from:External Link
  3. Paracetamol. Barnstaple, Devon: Actavis UK Ltd.; 1980 [revised 23 Dec. 2016]. [Accessed 02 Apr. 2019] (online) Available from:External Link
  4. Drugs.com. Thiocolchicoside. [Accessed 02 Apr. 2019] (online) Available from:External Link
  5. ScienceDirect. Paracetamol. [Accessed 02 Apr. 2019] (online) Available from:External Link
  6. DailyMed. Aceclofenac. [Accessed 23 Apr. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

PHARMED LIMITED,Pharmed Gardens, Whitefield Road, Bangalore-560048, India.
A licensed vendor partner from your nearest location will deliver Tolagin 4 Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
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