Topzyme D Tablet

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iconPrescription Required

Primarily used for

Pain, Fever, Swelling
Potentiallyunsafewith
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Alcohol
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Pregnancy
176
₹17.6/Tablet
10 tablets in 1 strip
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Medicine Overview of Topzyme D Tablet

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Uses of Trypsin

Trypsin is used in the treatment of Pain and Swelling.
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Side effects of Trypsin

Common

Nausea, Vomiting, Diarrhoea.

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How to use Trypsin

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.

How Topzyme D Tablet works

Trypsin is an enzyme, which breaks down proteins into smaller fragments, thereby making it available for absorption into the blood. Trypsin when applied directly to wounds and ulcers removes dead tissue and improves healing..
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Uses of Bromelain

Bromelain is used in the treatment of Pain and Swelling.
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Side effects of Bromelain

Common

Nausea, Vomiting, Diarrhoea.

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How to use Bromelain

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.

How Topzyme D Tablet works

Bromelain is an enzyme obtained from pineapple juice. It causes the body to produce substances that fight pain and swelling (inflammation). It also contains chemicals that interfere with the growth of tumor cells and slow blood clotting..
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Uses of Rutoside

Rutoside is used in the treatment of Pain.
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Side effects of Rutoside

Common

Restlessness, Nervousness, Pounding in the ears, Blurred vision, Dizziness, Headache, Itching, Limb swelling, Ankle swelling, Rash, Skin redness, Stomach upset, Tachycardia, Irregular heart rate, Heaviness, Weakness.

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How to use Rutoside

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.

How Topzyme D Tablet works

Not known.
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Uses of Diclofenac

Diclofenac is used in fever, Headache, arthralgia, myalgia, dental pain, post operative pain, Pain during menstruation, Osteoarthritis, rheumatoid arthritis, Ankylosing Spondylitis and gout.
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Side effects of Diclofenac

Common

Abdominal pain, Constipation, Diarrhoea, Epigastric pain, Flatulence, Nausea, Vomiting, Indigestion.

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How to use Diclofenac

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.

How Topzyme D Tablet works

Diclofenac is a non-steroidal anti-inflammatory drug (NSAID). It works by blocking the release of certain chemical messengers that cause fever, pain and inflammation (redness and swelling).

In Depth Information on Topzyme D Tablet

Expert advice for Trypsin

  • Notify your doctor if you have a bleeding disorder. Since Trypsin interferes with the blood clotting, so it might worsen the bleeding disorder
  • Stop using the Trypsin at least 2 weeks before a scheduled surgery, since Trypsin interferes with blood clotting.
  • Notify your doctor if you are or planning to become pregnant or are breastfeeding.

Expert advice for Bromelain

  • Notify your doctor if you have a bleeding disorder. Since Bromelain interferes with the blood clotting, so it might worsen the bleeding disorder
  • Stop using the Bromelain at least 2 weeks before a scheduled surgery, since Bromelain interferes with blood clotting.
  • Notify your doctor if you are or planning to become pregnant or are breastfeeding.

Expert advice for Diclofenac

  • It should be taken with food or milk to avoid getting an upset stomach.
  • It can cause serious complications like stomach bleeding and kidney problems if taken for a long time.
  • Diclofenac can raise a risk of blood clots, heart attack, or a stroke.
  • Inform your doctor if you are pregnant or planning to conceive or breastfeeding.
  • Inform your doctor if you have ever been diagnosed with kidney or liver problems.
Warnings
Special precautions for Topzyme D Tablet
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Alcohol
CAUTION
Taking diclofenac with alcohol can increase your risk of stomach bleeding.
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Pregnancy
WEIGH RISKS VS BENEFITS
Topzyme D Tablet is unsafe to use during pregnancy.

There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
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Lactation
CAUTION
Topzyme D Tablet should be used with caution during lactatio
n. Breast feeding should be held until the treatment of the mother is completed and the drug is eliminated from her body.
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Driving
Do not drive unless you are feeling well.

Topzyme D Tablet may cause headaches, blurred vision, dizziness or drowsiness in some patients. This may affect your ability to drive.
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Kidney
CAUTION
Topzyme D Tablet should be used with caution in patients wit
h kidney disease. Dose adjustment of Topzyme D Tablet may be needed. Please consult your doctor.
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Liver
There is no data available. Please consult doctor before consuming the drug.

Patient Concerns

Frequently asked questions for Topzyme D Tablet

Frequently asked questions for Trypsin

Q. Is trypsin an enzyme, hormone, protein, endopeptidase?
Trypsin is an enzyme, a protein, an endopeptidase. Trypsin is not a hormone
Q. Is trypsin acidic or basic?
Trypsin is neither acidic nor basic, it works on optimal operating pH of about 7.5-8.5
Q. Is trypsin a zymogen, lipase?
Trypsin is a zymogen prior to activation. Trypsin is not a lipase
Q. Is trypsin found in the stomach?
Yes,trypsin is found in the stomach
Q. Does trypsin work in the stomach?
Yes, trypsin works in thestomach
Q. Is trypsin harmful?
Trypsin is not harmful if used as recommended
Q. Does trypsin kill cells?
Trypsin can damage the cells. In case, of any side effects, consult your doctor
Q. Does trypsin digest itself?
Trypsin digests itself
Q. Does trypsin digest proteins?
Trypsin digests/breaks down proteins into smaller fragments
Q. Does trypsin break down starch or fats?
Trypsin does not breaks down starch or fats. Trypsin can digest itself
Q. Does trypsin activate pepsinogen?
Trypsin does not activate pepsinogen
Q. Does trypsin cleave histidine?
Trypsin does not cleave histidine
Q. Does trypsin require calcium?
In presence of thecalcium trypsin remains stabilized which possess greater enzyme activity.
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Frequently asked questions for Bromelain

Q. Is Bromelain safe?
This drug is safe if used at prescribed dose and duration as advised by your doctor
Q. Is Bromelain gluten free/ in pineapple?
Yes. Drug is gluten free. However, please refer to package insert of the prescribed brand before use. Yes, pineapple contains some amount of Bromelain in it
Q. Is Bromelain good for gout?
It is not indicated for gout, but may be used in treatment of joint pain. Patients should follow the advice of the doctor regarding its use
Q. Is Bromelain safe to take before surgery?
No, it is not safe to take before surgery. Patients should follow the advice of the doctor regarding its use
Q. How long can I take Bromelain for?
Patient should take Bromelain for prescribed dose and duration as advised by your doctor
Q. Can I take Bromelain with antibiotics/ibuprofen/prednisone/Coumadin?
No, taking other medicines may alter the effects of Bromelain. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required
Q. Does Bromelain help with weight loss/swelling/inflammation?
Yes, it is used to reduce swelling, inflammation and helps with weight loss by getting rid of fat
Q. Does Bromelain work?
Yes, it works at prescribed dose and duration for particular disease condition as advised by your doctor
Q. Does Bromelain increase blood pressure/ thin the blood?
Bromelain causing these side effects is rare or uncommon. Always consult your doctor if you experience these side effects
Q. Does Bromelain aid digestion?
It may aid digestion by contraction of smooth muscles, but is used to treat swelling and ulcers (ulcerative colitis). Patients should follow the advice of the doctor regarding its use.
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Frequently asked questions for Diclofenac

Q. What is the difference between Diclofenac and naproxen?
In research studies, naproxen has been found to have lesser cardiovascular events like stroke and heart attack than Diclofenac. Another key variations naproxen may be more likely to be recommended for the treatment of inflammatory conditions in young patients as compared to Diclofenac.
Q. What is the difference between Diclofenac and ketoprofen?
Although both these agents are non-steroidal anti-inflammatory drugs (NSAIDs), there is a subtle difference in the way they act. Ketoprofen blocks the Cyclo-oxygenase (COX) enzyme without any preference for blocking of any one of this enzyme subtypes. Diclofenac has the preference to block COX-2 subtype of Cyclooxygenase enzyme. Blocking of COX reduces prostaglandins (chemicals naturally produced by the body that is responsible for pain and inflammation).
Q. Can Diclofenac be used along with warfarin?
No. Using Diclofenac together with warfarin can increase the risk of serious bleeding from the stomach (Higher than users of either drug alone). Inform your doctor before starting these medications.
Q. Are Diclofenac and ibuprofen same?
No. Diclofenac and Ibuprofen are different medicines but they both belong to the same class of drugs i.e. Non-Steroidal Anti-inflammatory Drugs (NSAIDs). Both are commonly used as painkillers.
Q. Is Diclofenac a painkiller?
Yes. Diclofenac is a pain killer. In fact, it belongs to the class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). It is commonly used for the treatment of pain in osteoarthritis, rheumatoid arthritis and spondylitis.
Q. Is Diclofenac a narcotic?
No, Diclofenac is not a narcotic. Narcotics are drugs with sleep inducing properties, usual derivatives of Opium like Heroin and Morphine.
Q. Can I use Diclofenac along with vitamins?
Yes, Diclofenac can be taken with vitamins. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can Diclofenac be used for the treatment of hepatitis?
No, Diclofenac is not approved for the treatment of hepatitis. Hepatitis is a condition where the liver is inflamed. Diclofenac can, in fact, cause harm to the liver as a side effect.
Q. Can Diclofenac be used after C-section?
Yes, Diclofenac is a pain killer. C-section is the short name for Cesarean Section which is an operative procedure to deliver the baby through the mother's abdomen and uterus. Diclofenac can be used to treat the pain that may occur after the operation.
Q. What is the difference between Diclofenac and baclofen?
Diclofenac is a pain killer. It belongs to the class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). It is commonly used for the treatment of pain in osteoarthritis, rheumatoid arthritis and spondylitis. Baclofen is a depressant of the nervous system, used to relax the muscles and also used in to reduce pain. Baclofen is used for the treatment of spinal cord injury, cerebral palsy, and multiple sclerosis.
Q. What is the difference between Diclofenac and lidocaine?
Diclofenac is a pain killer. It belongs to the class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). It is commonly used for the treatment of pain in osteoarthritis, rheumatoid arthritis and spondylitis. Lidocaine (also known as xylocaine and lignocaine) is a medication primarily used to numb tissue in a specific area before any surgical procedure and is also used to treat ventricular tachycardia (a condition where the beating rhythm of the heart gets disturbed.
Q. Which is the best choice between Diclofenac and aceclofenac?
The researcher has proved that aceclofenac is a better alternative to Diclofenac with fewer side effects, especially in the treatment of osteoarthritis, ankylosing spondylitis. Both Aceclofenac and Diclofenac are NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) and used as painkillers.
Q. Which is the best choice between Diclofenac and ibuprofen for back pain?
Both Diclofenac and Ibuprofen can be used for back pain. Currently, there are not many studies which can identify the best treatment between the these two agents.
Q. Which is the best choice between Diclofenac and ibuprofen for a toothache?
Both Diclofenac and Ibuprofen can be used for toothache. Currently, there are not many studies which can identify the best treatment between the these two agents. However according to one study, a combination of Diclofenac with paracetamol has been found to be better then a combination of Ibuprofen and paracetamol.
Q. What is the difference between Diclofenac and meloxicam?
Meloxicam has been found to have fewer gastrointestinal side effects than Diclofenac and its use is associated with an increased risk of cardiovascular events such as heart attack and stroke.
Q. Can I take Diclofenac along with misoprostol?
Yes. It can be taken together. Misoprostol protects the stomach from irritating gastric effects of Diclofenac. The combination of medication is used to treat arthritis in patients at high risk of getting stomach/intestinal ulcers and complications from the ulcers (such as bleeding).
Q. Can I take Diclofenac while I am on thyroxine?
Yes, Diclofenac can be taken with thyroxine. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Why Diclofenac should be stopped before surgery?
Since Diclofenac has been shown to have blood thinning effects, it can increase the risk of bleeding. Therefore, it is stopped before surgery to prevent excessive loss of blood.
Q. What are the contraindications for Diclofenac?
Diclofenac should not be used if there is an allergic reaction (hypersensitivity) to it, or other pain killers, active ulcer in the stomach, bleeding from the stomach, history of severe heart failure, liver failure, kidney failure and or heart attack.
Q. Can Diclofenac affect the chance of conceiving?
Yes. Diclofenac can sometime cause reversible infertility. Diclofenac by its mechanism of action, may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women. Consult your doctor before starting this medication.
Q. Why does Diclofenac cause an ulcer?
Diclofenac can cause damage to the lining cells of the stomach by several mechanisms, including the irritant effect on the cells, breaking of the protective barrier properties of lining cells, suppression of prostaglandin production of the stomach, reduction of stomach mucosal blood flow and interference with the repair of superficial injury of the stomach lining.
Q. Why is Diclofenac contraindicated in asthma?
Some patients with asthma are hypersensitive to non-steroidal anti-inflammatory drugs (NSAID) like aspirin which can lead to acute attacks of asthma. Consult your doctor before starting this medication.
Q. Is Diclofenac good for back pain?
Yes, Diclofenac has been found to be effective to reduce back pain. Diclofenac is a pain killer that belongs to the NSAIDs (Non-Steroidal Anti-Inflammatory) class. Other NSAIDs have also been found to be useful in back pain eg. Ibuprofen and Naproxen.
Q. Can I use Diclofenac during my fever treatment?
Yes, Diclofenac can reduce fever. However, commonly used to reduce the pain, particularly that which is seen with Osteoarthritis, Rheumatoid Arthritis and Ankylosing spondylitis.
Q. Can I use Diclofenac to treat a sore throat?
Sore throat is mostly caused by bacteria so antibiotics are given to treat a sore throat whereas Diclofenac is a pain killer so it can be given in cases of throat pain associated with it but only under the prescription of a doctor.
Q. Can I use Diclofenac to treat urinary tract infections (UTI)?
Diclofenac can be used to treat the pain associated with urinary tract infection (UTI) but for complete treatment, a course of antibiotics will be required.
Q. Can Diclofenac cause sedation?
Diclofenac is not known to cause sedation. There have been rare, an isolated case report of sedation with the drug.
Q. Can I take Diclofenac for kidney stones?
Yes,Diclofenac can be used to relieve the pain due to kidney stones. However, there is also a risk of kidney damage with Diclofenac as its side effect. It is advised not to take Diclofenac for a prolonged time for this condition without adequate monitoring.
Q. Can I use Diclofenac for the treatment of arthritis?
Yes, Diclofenac is commonly used for the treatment of pain in osteoarthritis, rheumatoid arthritis, and spondylitis.It belongs to the class of drugs called non-steroidal anti-inflammatory drugs (NSAIDs). .
Q. Can I use Diclofenac with diuretics?
No, Diclofenac should not be used with diuretics. Diclofenac reduces the natriuretic effect of furosemide and thiazides diuretics in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis.
Q. Can I use Diclofenac with mifepristone?
These drugs should not be used together as the effect of mifepristone may be lowered by Diclofenac. Mifepristone is used for medical abortion.
Q. Can I use Diclofenac with lithium?
No.These drugs should not be used together as Diclofenac increases the blood levels of lithium which may further increase the side effects.
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