Arflur LBP 200 mg/8 mg Capsule: Comprehensive Medicine Guide
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
- Severe skin rash or blistering
If experiencing severe symptoms, call emergency services immediately.
What is canace-th od tablet sr used for?
This medicine is a combination of Aceclofenac 200 mg and Thiocolchicoside 8 mg used for short-term relief of acute musculoskeletal pain and muscle spasm. It works by reducing inflammation and relaxing muscles. It should be taken with food, usually twice daily, and must be prescribed by a doctor.
- Generic Name: Aceclofenac + Thiocolchicoside
- Manufacturer: Maverick Pharma Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 canace-th od tablet sr के बारे में (Hindi Summary)
उपयोग: यह दवा एसिफ्लोफेनाक 200 मिलीग्राम और थायोकोल्चिकोसाइड 8 मिलीग्राम का संयोजन है। इसका उपयोग मांसपेशियों में ऐंठन और दर्द के इलाज के लिए किया जाता है, जैसे कमर दर्द, गर्दन दर्द, चोट या सर्जरी के बाद होने वाला दर्द। यह सूजन को कम करने और मांसपेशियों को आराम देने में मदद करती है। इसे डॉक्टर के परामर्श के बिना नहीं लेना चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, पेट दर्द, अपच, सिरदर्द, चक्कर आना और नींद आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन पेट में रक्तस्राव, एलर्जी, गुर्दे या यकृत की समस्या हो सकती है। यदि मल में खून आए, उल्टी में खून आए, त्वचा या आंखें पीली हों, या पेशाब कम आए, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे भोजन के साथ लें ताकि पेट में जलन न हो। शराब का सेवन न करें। यदि आपको चक्कर आते हैं या नींद आती है, तो वाहन न चलाएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। बिना डॉक्टर की सलाह के अन्य दर्द निवारक दवाएं न लें।
💊 canace-th od tablet sr Uses & Benefits
[{"condition":"Acute low back pain with muscle spasm","description":"This medicine helps reduce pain and inflammation while relieving muscle spasm, improving mobility.","evidence":"Well-established"},{"condition":"Neck pain (cervical spondylosis) with muscle spasm","description":"It provides symptomatic relief from pain and stiffness associated with cervical muscle spasm.","evidence":"Moderate"},{"condition":"Post-traumatic pain and swelling","description":"Used after injuries like sprains or strains to reduce pain, swelling, and muscle spasm.","evidence":"Moderate"},{"condition":"Post-operative pain and muscle spasm","description":"May be prescribed short-term after surgery to manage pain and spasm.","evidence":"Limited"},{"condition":"Osteoarthritis flare-up","description":"Can be used short-term for painful osteoarthritis exacerbations with muscle spasm.","evidence":"Limited"}]
Off-label uses: [{"condition":"Tension-type headache","description":"Sometimes prescribed off-label for tension headaches with muscle tightness.","evidence":"Limited"},{"condition":"Fibromyalgia pain","description":"Rarely used off-label for short-term relief of fibromyalgia pain and spasm.","evidence":"Limited"}]
Primary treatment for: Acute musculoskeletal pain with muscle spasm
Also treats: Low back pain, Neck pain, Post-traumatic pain, Post-operative pain, Osteoarthritis flare-up
📋 Drug Information
| Generic Name(s) | Aceclofenac + Thiocolchicoside |
| Brand Name | Aldigesic TH 100mg/4mg Tablet |
| Manufacturer | Maverick Pharma 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 dry place, away from direct sunlight and moisture. Keep in the original container. |
| 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. Aceclofenac is a non-steroidal anti-inflammatory drug that inhibits cyclooxygenase (COX) enzymes, leading to decreased production of prostaglandins, which are mediators of pain and inflammation. Thiocolchicoside is a centrally acting muscle relaxant that acts as a GABA-A receptor agonist, enhancing inhibitory neurotransmission in the spinal cord and brain, thereby reducing muscle spasm and stiffness. Together, they provide both anti-inflammatory and muscle relaxant effects.
Mechanism Steps
💡 How to Take canace-th od tablet sr
Strength: Each capsule contains Aceclofenac 200 mg and Thiocolchicoside 8 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one capsule taken orally twice daily, preferably with food. However, the exact dose and duration must be individualized by a qualified clinician based on the indication, severity of symptoms, age, weight, renal and hepatic function, and response to treatment. Do not self-adjust the dose. Do not exceed the recommended dose or duration. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients (above 65 years) may be more sensitive to the effects of this medicine, especially gastrointestinal, renal, and cardiovascular side effects. Use with caution, at the lowest effective dose for the shortest duration. Monitor renal and hepatic function regularly. |
| Renal Impairment | Use with caution in patients with mild to moderate renal impairment. Dose adjustment may be necessary. Avoid in severe renal impairment (eGFR <30 mL/min). Consult a doctor for individualized dosing. |
| Hepatic Impairment | Use with caution in patients with mild to moderate hepatic impairment. Dose adjustment may be necessary. Avoid in severe hepatic impairment. Consult a doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is one capsule twice daily (i.e., aceclofenac 400 mg and thiocolchicoside 16 mg per day). Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of canace-th od tablet sr
✅ 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 | |
| Ibuprofen | Major | |
| Corticosteroids | Major | |
| Methotrexate | Major | |
| Lithium | Major | |
| ACE inhibitors | Moderate | |
| SSRIs | Moderate | |
| Cyclosporine | Moderate | |
| Digoxin | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Warfarin and other anticoagulants
- Other NSAIDs (e.g., ibuprofen, naproxen)
- Corticosteroids
- Methotrexate
- Lithium
⚡ Moderate Interactions
- Antihypertensives (e.g., ACE inhibitors, ARBs, diuretics)
- SSRIs
- Cyclosporine
- Digoxin
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol increases the risk of gastrointestinal bleeding, ulceration, and liver damage. It may also worsen drowsiness and dizziness.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to aceclofenac, thiocolchicoside, or any component","History of asthma, urticaria, or allergic reactions to NSAIDs","Active or history of peptic ulcer or gastrointestinal bleeding","Severe heart failure","Severe kidney impairment (eGFR
⚠️ Warnings & Precautions
["Take with food to minimize stomach upset.","Avoid alcohol consumption.","Do not drive or operate machinery if you feel dizzy or drowsy.","Use with caution in elderly patients due to increased risk of side effects.","Monitor for signs of gastrointestinal bleeding.","Inform your doctor if you have a history of kidney or liver disease.","Do not use for longer than prescribed without medical advice.","Avoid in patients with cardiovascular risk factors unless clearly needed.","Do not take other pain relievers without consulting your doctor.","Keep out of reach of children."]
🤱 Lactation Safety
Not established from the available information. It is not known whether aceclofenac and thiocolchicoside pass into breast milk. Due to potential risks to the infant, this medicine is generally not recommended during breastfeeding. Consult your doctor for alternative treatments.
💊 Overdose Management
Overdose may cause severe nausea, vomiting, abdominal pain, gastrointestinal bleeding, drowsiness, and kidney or liver damage. If you suspect an overdose, seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if taken recently. Monitor vital signs, renal and hepatic function, and manage complications.
⏰ 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 double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration. Always take it with food or milk to reduce stomach irritation. Avoid alcohol while taking this medicine, as it can increase the risk of stomach bleeding and liver problems. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart problems, or asthma. Do not take other pain relievers or NSAIDs without consulting your doctor. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before taking this medicine. Keep out of reach of children. Store at room temperature away from moisture and sunlight. Do not use after the expiry date.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular side effects. Use the lowest effective dose for the shortest duration. Monitor renal and hepatic function regularly. Avoid in frail elderly with multiple comorbidities.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy or when planning pregnancy. NSAIDs like aceclofenac may affect ovulation and increase the risk of miscarriage. Consult your doctor for safer alternatives if you are trying to conceive.
🏥 Post-Surgery Considerations
This medicine may be prescribed after surgery for short-term pain and muscle spasm relief. However, it may increase bleeding risk and interfere with bone healing. Use only under medical supervision. Inform your surgeon if you are taking this medicine before any surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure, as it may increase bleeding risk. Your dentist may advise stopping it temporarily before surgery.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or heavy lifting while taking this medicine, especially if you have muscle spasm or pain. Gentle stretching and low-impact activities 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 dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It may also cause stomach upset, so take it with food. Inform your employer if your job involves operating machinery.
🛑 When to Stop This Medicine
Stop taking this medicine if you experience severe side effects such as gastrointestinal bleeding, allergic reactions, or kidney problems. Do not stop abruptly if you have been taking it for a long time without consulting your doctor. Usually, it is prescribed for short-term use, and your doctor will advise when to stop.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of gastrointestinal bleeding, kidney impairment, liver damage, and cardiovascular events. It is intended for short-term use only. Regular monitoring of kidney and liver function, blood pressure, and complete blood count is advised if prolonged use is necessary. Consult your doctor for alternative treatments if pain persists.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and improve muscle strength.
Evidence: Well-establishedApplying heat or cold packs can help relieve muscle spasm and pain.
Evidence: ModerateMay provide pain relief for some individuals.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Not established from the available information. There are no known interactions between this medicine and vaccines. However, consult your doctor before receiving any vaccine while on this medicine.
📦 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
Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature, away from direct sunlight and moisture. If traveling across time zones, adjust dosing times gradually as advised by your doctor. Keep it in your carry-on luggage. Check customs regulations for prescription medicines in your destination country.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Pain relief typically begins within 30-60 minutes after taking the capsule.
A: It is best taken with food to reduce stomach upset.
A: Do not take other NSAIDs or painkillers without consulting your doctor, as it may increase the risk of side effects.
A: If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
🤔 Common Patient Concerns
🔄 Substitutes for canace-th od tablet sr
View AllAlternative brands with exact same active ingredient:
-
vocifenac 200 mg/8 mg tabletOrchid Chemicals & Pharmaceuticals Ltd ₹105.00 64% CHEAPER
-
delupa th 200 mg/8 mg capsule srPanacea Biotec Ltd ₹117.19 59.8% CHEAPER
-
arflur lbp 200 mg/8 mg capsuleFDC Ltd ₹144.00 50.6% CHEAPER
-
nuflam-th 8mg capsule srCadila Pharmaceuticals Ltd ₹201.56 30.9% CHEAPER
-
instaflex at capsule srInnovcare Lifesciences Pvt Ltd ₹207.10 29% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a steroid.
Fact: No, it contains an NSAID (aceclofenac) and a muscle relaxant (thiocolchicoside). It is not a steroid. - Myth: This medicine can be taken for any type of pain.
Fact: It is specifically for musculoskeletal pain with muscle spasm. It is not for all types of pain. - Myth: It is safe to take this medicine without a prescription.
Fact: It is a prescription medicine and should only be taken under medical supervision. - Myth: This medicine can be taken long-term for chronic pain.
Fact: It is intended for short-term use. Long-term use requires medical evaluation and monitoring.
🔄 Alternative Options
Generic Alternatives
- Aceclofenac 200 mg + Thiocolchicoside 8 mg capsule (generic)
Brand Alternatives
- Arflur LBP 200 mg/8 mg capsule