TOLKEM D Tablet

Uses and Benefits of TOLKEM D Tablet (Tolperisone 150mg + Diclofenac 50mg)

This combination is mainly prescribed for painful muscle spasm associated with musculoskeletal disorders such as low back pain, neck pain, spondylosis and muscle injuries.

WHAT THIS MEDICINE IS USED FOR

• Relief of muscle spasm and stiffness
• Pain due to musculoskeletal conditions like back pain and neck pain
• Post-injury or post-strain muscle pain accompanied by spasm
• Pain associated with degenerative spine conditions

HOW IT WORKS

• Tolperisone acts on the central nervous system to relax tight, spasming muscles
• Diclofenac blocks chemicals (prostaglandins) that cause pain, swelling and inflammation
• Together they reduce pain and loosen stiff muscles, improving movement

WHAT IT IS NOT USED FOR

• Not for general fever or common cold
• Not a first-choice treatment for chronic long-term pain without medical supervision
• Not meant for headaches unrelated to muscle spasm
• Not for use as a routine painkiller without doctor's advice

Side Effects of TOLKEM D Tablet (Tolperisone 150mg + Diclofenac 50mg)

COMMON SIDE EFFECTS

• Nausea
• Stomach discomfort or pain
• Weakness or tiredness
• Dizziness
• Headache

LESS COMMON SIDE EFFECTS

• Vomiting
• Diarrhoea or constipation
• Dry mouth
• Skin rash or itching
• Low blood pressure

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Signs of severe allergic reaction such as swelling of face/lips/throat, breathing difficulty
• Black stools, vomiting blood, or severe stomach pain (sign of stomach bleeding)
• Yellowing of skin or eyes (jaundice)
• Reduced urine output or swelling of feet (kidney problems)
• Chest pain, palpitations, or sudden weakness (heart or stroke-related symptoms)
• Severe skin reaction with blistering or peeling

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use TOLKEM D Tablet (Tolperisone 150mg + Diclofenac 50mg)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually with or after food to reduce stomach upset
• Swallow the tablet whole with water; do not crush or chew unless advised
• Do not increase the dose or take it for longer than prescribed
• Avoid taking with alcohol

IF YOU MISS A DOSE

• Take it as soon as you remember
• If it is almost time for your next dose, skip the missed one and continue your regular schedule
• Do not take a double dose to make up for a missed one

STORAGE

• Store at room temperature, away from direct heat, light and moisture
• Keep in the original strip/pack until ready to use
• Keep out of reach and sight of children
• Do not use after the expiry date printed on the pack

Safety Information and Precautions for TOLKEM D Tablet (Tolperisone 150mg + Diclofenac 50mg)

This is a prescription-only medicine in India and should be used only under a doctor's guidance.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to Tolperisone, Diclofenac, or other NSAIDs
• Have a history of stomach ulcers or gastrointestinal bleeding
• Have severe heart, liver or kidney disease
• Are in the last trimester of pregnancy
• Have asthma triggered by aspirin or other NSAIDs

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have a history of stomach problems, ulcers or acidity
• Have high blood pressure, heart disease, or are on blood thinners
• Have kidney or liver impairment
• Are pregnant, planning pregnancy, or breastfeeding
• Are elderly, as side effects may be more pronounced

MEDICINES THAT CAN INTERACT

• Blood thinners like warfarin (increased bleeding risk)
• Other painkillers or NSAIDs (increased side effect risk)
• Blood pressure medicines (reduced effectiveness)
• Diuretics or lithium
• Other muscle relaxants or sedatives (increased drowsiness)

FREQUENTLY ASKED QUESTIONS

Can I take this medicine daily for a long time?

No, it should be used only for the duration prescribed by your doctor, as long-term use can increase side-effect risk.

Can I drink alcohol while taking this medicine?

It is best to avoid alcohol as it can increase the risk of stomach irritation and drowsiness.

Will this medicine make me feel sleepy?

• It may cause mild drowsiness or dizziness in some people, so avoid driving until you know how it affects you.
• Doctor ya pharmacist se salah lein.