Alock E TH 60mg/4mg Tablet: Complete Information
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is alcoxib th 60mg/4mg tablet used for?
This medicine is a combination of Etoricoxib (60 mg) and Thiocolchicoside (4 mg) used to treat acute musculoskeletal pain and muscle spasms. It works by reducing inflammation and relaxing muscles. It is taken orally once daily with food, usually for short-term use. It should be avoided in pregnancy, breastfeeding, and in patients with severe kidney or liver disease.
- Generic Name: Etoricoxib + Thiocolchicoside
- Manufacturer: Trireme Life Sciences Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 alcoxib th 60mg/4mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एटोरिकॉक्सिब 60 मिलीग्राम और थायोकोलचिकोसाइड 4 मिलीग्राम का संयोजन है। इसका उपयोग तीव्र मस्कुलोस्केलेटल दर्द और मांसपेशियों की ऐंठन के इलाज के लिए किया जाता है, जैसे कि कमर दर्द, गर्दन दर्द, और मोच। यह दर्द और सूजन को कम करने और मांसपेशियों को आराम देने में मदद करती है। यह दवा मुंह से ली जाती है और आमतौर पर भोजन के साथ दिन में एक बार लेने की सलाह दी जाती है। इसका उपयोग केवल डॉक्टर की सलाह पर ही करें और निर्धारित अवधि से अधिक न लें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में पेट दर्द, मतली, अपच, दस्त, सिरदर्द, चक्कर आना और नींद आना शामिल हैं। गंभीर दुष्प्रभावों में पेट या आंतों में रक्तस्राव, गुर्दे की समस्या, दिल का दौरा या स्ट्रोक, गंभीर एलर्जी प्रतिक्रिया और लीवर की क्षति शामिल हो सकती है। यदि आपको कोई गंभीर या लगातार लक्षण महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। निर्धारित खुराक से अधिक न लें। पेट की परेशानी से बचने के लिए इसे भोजन या दूध के साथ लें। इस दवा के साथ शराब का सेवन न करें। यदि आपको पेट के अल्सर, हृदय रोग, उच्च रक्तचाप, गुर्दे या लीवर की समस्या, या अस्थमा है, तो अपने डॉक्टर को बताएं। गर्भावस्था, स्तनपान या गर्भधारण की योजना बनाते समय डॉक्टर से सलाह लें। यदि आपको नींद या चक्कर आते हैं, तो वाहन न चलाएं।
💊 alcoxib th 60mg/4mg tablet Uses & Benefits
[{"condition":"Acute musculoskeletal pain","description":"Relieves pain and inflammation associated with acute musculoskeletal conditions such as back pain, neck pain, and sprains.","evidence":"Well-established"},{"condition":"Muscle spasms","description":"Helps reduce painful muscle spasms by relaxing skeletal muscles through central action.","evidence":"Well-established"},{"condition":"Osteoarthritis","description":"Etoricoxib component provides symptomatic relief of pain and inflammation in osteoarthritis.","evidence":"Well-established"},{"condition":"Rheumatoid arthritis","description":"Etoricoxib component may be used for symptomatic relief in rheumatoid arthritis.","evidence":"Well-established"},{"condition":"Ankylosing spondylitis","description":"Etoricoxib component helps reduce pain and stiffness in ankylosing spondylitis.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Acute gouty arthritis","description":"Etoricoxib may be used off-label for short-term relief of acute gout attacks.","evidence":"Limited"},{"condition":"Postoperative pain","description":"Etoricoxib has been studied for postoperative pain management, but combination with thiocolchicoside is not standard.","evidence":"Limited"}]
Primary treatment for: Acute musculoskeletal pain with muscle spasm
Also treats: Osteoarthritis, Rheumatoid arthritis, Ankylosing spondylitis, Low back pain, Neck pain
📋 Drug Information
| Generic Name(s) | Etoricoxib + Thiocolchicoside |
| Brand Name | Alock E TH 60mg/4mg Tablet |
| Manufacturer | Trireme Life Sciences Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | NSAID + Muscle Relaxant |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a cool, dry place. Protect from direct sunlight and moisture. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary mechanisms. Etoricoxib selectively inhibits cyclooxygenase-2 (COX-2), reducing the production of prostaglandins that cause pain and inflammation. Thiocolchicoside acts as a centrally acting muscle relaxant, likely by modulating GABA-A receptors and strychnine-sensitive glycine receptors in the central nervous system, thereby reducing muscle spasms.
Mechanism Steps
💡 How to Take alcoxib th 60mg/4mg tablet
Strength: Etoricoxib 60 mg + Thiocolchicoside 4 mg immediate-release tablet.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once daily, preferably with food. The dose may be adjusted by your doctor based on your condition, response to treatment, and kidney/liver function. Do not exceed the recommended dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, especially gastrointestinal bleeding and kidney problems. Use with caution and monitor closely. Dose adjustment may be necessary based on kidney and liver function. |
| Renal Impairment | Use with caution in patients with mild to moderate renal impairment. Not recommended in severe renal impairment. Dose adjustment may be needed. Consult your doctor. |
| Hepatic Impairment | Use with caution in patients with mild to moderate hepatic impairment. Not recommended in severe hepatic impairment. Dose adjustment may be needed. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose of etoricoxib is 90 mg. The maximum daily dose of thiocolchicoside is 8 mg. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of alcoxib th 60mg/4mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| ACE inhibitors | Major | |
| Diuretics | Major | |
| Lithium | Major | |
| Methotrexate | Major | |
| Corticosteroids | Moderate | |
| SSRIs | Moderate | |
| CYP3A4 inhibitors | Moderate | |
| CYP3A4 inducers | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Warfarin
- ACE inhibitors
- Diuretics
- Lithium
- Methotrexate
⚡ Moderate Interactions
- Corticosteroids
- SSRIs
- CYP3A4 inhibitors (e.g., ketoconazole)
- CYP3A4 inducers (e.g., rifampicin)
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can increase the risk of gastrointestinal bleeding, ulcers, and liver damage. It may also enhance the drowsiness caused by thiocolchicoside.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to etoricoxib, thiocolchicoside, or any component of the formulation","Active peptic ulcer or gastrointestinal bleeding","Severe heart failure","Uncontrolled hypertension","Severe hepatic impairment","Severe renal impairment","Pregnancy (especially third trimester)","Breastfeeding","History of asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs"]
⚠️ Warnings & Precautions
["Take with food to reduce stomach upset.","Avoid alcohol while taking this medicine.","Do not drive or operate machinery if you feel drowsy.","Inform your doctor if you have a history of stomach ulcers, heart disease, high blood pressure, kidney or liver problems, or asthma.","Do not take other NSAIDs or pain relievers without consulting your doctor.","Use the lowest effective dose for the shortest duration possible.","Report any signs of bleeding, such as black stools or vomiting blood, immediately.","Monitor blood pressure regularly, especially if you have hypertension.","Consult your doctor if symptoms persist or worsen."]
🤱 Lactation Safety
Not established from the available information. It is not known whether etoricoxib or thiocolchicoside are excreted in human milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. Consult your doctor.
💊 Overdose Management
Overdose of this medicine may cause severe gastrointestinal, cardiovascular, or neurological symptoms. Seek immediate medical attention. Treatment is symptomatic and supportive. There is no specific antidote. Gastric lavage may be considered if overdose is recent. Monitor vital signs and provide supportive care.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Take the tablet with food or milk to reduce stomach upset. Avoid alcohol while taking this medicine, as it can increase the risk of stomach bleeding and liver problems. Do not take other NSAIDs or pain relievers without consulting your doctor. Inform your doctor if you have a history of stomach ulcers, heart disease, high blood pressure, kidney or liver problems, or asthma. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Do not drive or operate heavy machinery if you feel drowsy or dizzy after taking this medicine. Store the tablets in a cool, dry place away from direct sunlight and out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of gastrointestinal bleeding, kidney problems, and cardiovascular events when taking this medicine. Use with caution and monitor closely. Dose adjustment may be necessary based on kidney and liver function.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy or when planning pregnancy. If you are trying to conceive, consult your doctor for safer alternatives for pain management.
🏥 Post-Surgery Considerations
This medicine may be used for postoperative pain management, but it should be prescribed by a surgeon or anesthesiologist. It may increase the risk of bleeding, so inform your surgeon if you are taking it before surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure, as it may increase the risk of bleeding. Your dentist may advise you to stop it temporarily before surgery.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, avoid strenuous exercise or activities that could cause injury, especially if you experience drowsiness or dizziness. Gentle stretching and low-impact exercises may be beneficial, but consult your doctor or physiotherapist before starting any exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It may also cause stomach upset, so take it with food. Inform your employer if your job requires alertness.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor immediately if you experience any serious side effects such as gastrointestinal bleeding, severe allergic reactions, chest pain, or signs of liver or kidney problems. Do not stop taking this medicine abruptly without consulting your doctor, especially if you have been on long-term therapy.
📅 Long-Term Use Effects
Long-term use of this medicine can increase the risk of serious gastrointestinal, cardiovascular, and kidney side effects. It is generally recommended for short-term use only. Regular monitoring of liver and kidney function, blood pressure, and cardiovascular health may be necessary if prolonged use is required. Consult your doctor for alternative treatments if long-term pain management is needed.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain.
Evidence: Well-establishedMay help relieve muscle spasms and pain.
Evidence: LimitedSome evidence for chronic pain relief.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled to receive a live vaccine, inform your doctor about all medications you are taking.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If crossing time zones, consult your doctor about adjusting the dosing schedule. Check local customs regulations regarding prescription medicines. Always keep it in your carry-on luggage to avoid loss or temperature extremes.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Etoricoxib typically provides pain relief within 1 to 2 hours after oral administration. The muscle relaxant effect of thiocolchicoside may take longer to manifest.
A: It is recommended to take this medicine with food or milk to reduce the risk of stomach upset.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose.
A: Do not take other NSAIDs or pain relievers without consulting your doctor, as it may increase the risk of side effects.
A: Do not stop taking this medicine without consulting your doctor. Your doctor will advise you on the appropriate duration of treatment.
🤔 Common Patient Concerns
🔄 Substitutes for alcoxib th 60mg/4mg tablet
View AllAlternative brands with exact same active ingredient:
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z cox th 60mg/4mg tabletArlak Biotech Pvt Ltd ₹42.19 78.4% CHEAPER
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etovero t 60mg/4mg tabletBiorika Healthcare ₹70.31 63.9% CHEAPER
-
davaindia etoricoxib+thiocolchicoside 60mg/4mg tabletDavaindia Generic Pharmacy ₹75.00 61.5% CHEAPER
-
etodose th 60mg/4mg tabletBioshine Healthcare Pvt Ltd ₹84.38 56.7% CHEAPER
-
yaxoflex 60mg/4mg tabletYaxon BioCare Pvt Ltd ₹89.06 54.3% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken for any type of pain.
Fact: This medicine is specifically for musculoskeletal pain with muscle spasm. It is not effective for all types of pain and should only be used as prescribed. - Myth: It is safe to take this medicine for a long time.
Fact: Long-term use of this medicine can increase the risk of serious side effects such as gastrointestinal bleeding, kidney problems, and heart issues. It is usually prescribed for short-term use only. - Myth: This medicine is safe during pregnancy.
Fact: This medicine is not recommended during pregnancy, especially in the third trimester, as it may harm the fetus. Consult your doctor for safer alternatives. - Myth: You can drink alcohol while taking this medicine.
Fact: Alcohol should be avoided while taking this medicine as it increases the risk of stomach bleeding and liver problems.
🔄 Alternative Options
Generic Alternatives
- Etoricoxib + Thiocolchicoside
Brand Alternatives
- Alock E TH 60mg/4mg Tablet