arkox mr 60mg/4mg tablet - Etoricoxib (60mg) + Thiocolchicoside (4mg) medicine

Arkox MR 60mg/4mg Tablet - Uses, Price, Side Effects

4.7 (16 reviews)
๐Ÿญ Raddison Health Care Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Aug 21, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Aug 21, 2026

What is arkox mr 60mg/4mg tablet used for?

Arkox MR 60mg/4mg Tablet is a combination of Etoricoxib (a COX-2 inhibitor) and Thiocolchicoside (a muscle relaxant). It is used to relieve pain and muscle spasms associated with musculoskeletal conditions such as back pain, neck pain, and joint pain. Etoricoxib reduces inflammation and pain, while Thiocolchicoside relaxes muscles, providing effective relief.

  • Generic Name: Etoricoxib + Thiocolchicoside
  • Manufacturer: Raddison Health Care Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

๐Ÿ’Š arkox mr 60mg/4mg tablet Uses & Benefits

Acute musculoskeletal pain, osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, muscle spasms.

Off-label uses: Chronic low back pain, fibromyalgia (limited evidence).

๐Ÿ“‹ Drug Information

Generic Name(s)Etoricoxib + Thiocolchicoside
Brand NameAlock E TH 60mg/4mg Tablet
ManufacturerRaddison Health Care Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassNSAID + Muscle Relaxant
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from moisture and light.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionEtoricoxib: Well absorbed orally; Thiocolchicoside: Rapidly absorbed after oral administration.
DistributionEtoricoxib: Extensively distributed; Thiocolchicoside: Distributed widely, crosses blood-brain barrier.
Protein BindingEtoricoxib: >99% bound to plasma proteins; Thiocolchicoside: ~13% bound.
MetabolismEtoricoxib: Hepatic via CYP3A4; Thiocolchicoside: Hepatic, primarily glucuronidation.
Half-LifeEtoricoxib: ~22 hours; Thiocolchicoside: ~7 hours.
ExcretionEtoricoxib: Renal and fecal; Thiocolchicoside: Renal (70-80% as metabolites).
BioavailabilityEtoricoxib: ~100%; Thiocolchicoside: ~25%.
Onset of ActionEtoricoxib: 1 hour; Thiocolchicoside: 30 minutes.
Peak Plasma TimeEtoricoxib: 1 hour; Thiocolchicoside: 0.5-1 hour.
Duration of ActionEtoricoxib: 24 hours; Thiocolchicoside: 6-8 hours.

How It Works

Etoricoxib selectively inhibits COX-2, reducing prostaglandin synthesis; Thiocolchicoside acts as a GABA-A receptor agonist and glycine receptor agonist, producing muscle relaxation.

Mechanism Steps

1Etoricoxib selectively inhibits COX-2, reducing prostaglandin synthesis from arachidonic acid.
2Decreased prostaglandins lead to reduced inflammation, pain, and fever.
3Thiocolchicoside binds to GABA-A receptors, enhancing chloride ion influx and neuronal inhibition.

๐Ÿ’ก How to Take arkox mr 60mg/4mg tablet

Follow your doctor's prescription exactly.

Dosage Timeline

๐ŸŒ… Morning โœ… โ˜€๏ธ Afternoon โŒ ๐ŸŒ† Evening โœ… ๐ŸŒ™ Night โŒ

โš ๏ธ Side Effects of arkox mr 60mg/4mg tablet

โœ… Common Side Effects

  • Nausea
  • Dyspepsia
  • Diarrhea
  • Headache
  • Dizziness
  • Somnolence

๐Ÿšจ Serious Side Effects

  • GI bleeding
  • Cardiovascular events (MI, stroke)
  • Hepatotoxicity
  • Renal failure
  • Anaphylaxis

โš ๏ธ Rare Side Effects

  • Stevens-Johnson syndrome
  • Toxic epidermal necrolysis
  • Aplastic anemia
  • Seizures

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased bleeding risk
Lithium Moderate Increased lithium toxicity
Methotrexate Moderate Increased methotrexate toxicity
ACE Inhibitors Minor Reduced antihypertensive effect
Diuretics Minor Reduced diuretic effect

๐Ÿšจ Major Interactions

  • Warfarin
  • Methotrexate
  • Lithium
  • ACE inhibitors
  • Diuretics
  • Aspirin

โšก Moderate Interactions

  • CYP3A4 inhibitors (e.g., ketoconazole)
  • CYP3A4 inducers (e.g., rifampin)
  • Anticoagulants
  • Antiplatelets

โ„น๏ธ Minor Interactions

  • Antacids
  • Corticosteroids

๐Ÿฝ๏ธ Food Interactions

Food may delay absorption of etoricoxib but does not affect extent; thiocolchicoside absorption unaffected.

๐Ÿท Alcohol Interaction

Increased risk of gastrointestinal bleeding and hepatotoxicity.

๐Ÿ›ก๏ธ Safety & Warnings

Liver
Moderate
Kidney
Moderate
Heart
Moderate
Pregnancy
Category A

๐Ÿšซ Contraindications

Hypersensitivity, pregnancy, breastfeeding, severe hepatic/renal impairment, active peptic ulcer, history of asthma, CV disease (etoricoxib), myasthenia gravis (thiocolchicoside).

๐Ÿ“Š Monitoring Parameters

Liver function, renal function, blood pressure, signs of GI bleeding, cardiovascular status.

๐Ÿคฑ Lactation Safety

Not recommended; both drugs excreted in breast milk.

๐Ÿ’Š Overdose Management

Symptomatic and supportive; no specific antidote. Induce emesis or gastric lavage if recent.

โฐ Missed Dose

Take as soon as remembered; skip if almost time for next dose. Do not double dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Last reviewed on: Aug 21, 2026

๐Ÿ”— View Profile

โญ User Reviews

Happy Patient Jul 10, 2026

Effective and reliable. Worked as expected.

Happy Patient Jul 10, 2026

Helpful and effective medicine as per my experience. Always consult a doctor.

Happy Patient Jul 10, 2026

Helpful and effective medicine as per my experience. Always consult a doctor.

Trusted Reviewer Jul 10, 2026

Good quality medicine. Satisfied with the outcome.

Verified User Jul 10, 2026

This medicine was effective for me. I followed the doctor's advice.

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