Actiheal Tablet: Complete Medicine Guide
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
If experiencing severe symptoms, call emergency services immediately.
What is chymogress tbr 90mg/48mg/100mg tablet used for?
This medicine is a combination of bromelain and trypsin, enzymes that help reduce inflammation and swelling. It is commonly used after surgery or injury to speed up healing and relieve pain.
- Generic Name: Bromelain + Trypsin
- Manufacturer: Netprime Pharma Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 chymogress tbr 90mg/48mg/100mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा ब्रोमेलेन और ट्रिप्सिन नामक एंजाइमों का संयोजन है, जो सूजन और दर्द को कम करने में मदद करती है। यह आमतौर पर सर्जरी, चोट, या मोच के बाद सूजन कम करने के लिए दी जाती है। यह शरीर में सूजन पैदा करने वाले प्रोटीन को तोड़कर राहत पहुंचाती है। इसे डॉक्टर की सलाह के अनुसार ही लें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में मतली, उल्टी, दस्त, पेट में असहजता और भूख में कमी शामिल हैं। कुछ लोगों को त्वचा पर चकत्ते या खुजली हो सकती है। गंभीर एलर्जी प्रतिक्रिया में चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई हो सकती है। ऐसा होने पर तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को बताएं कि आप गर्भवती हैं, स्तनपान करा रही हैं, या कोई अन्य दवा ले रही हैं। अगर आपको खून से जुड़ी कोई बीमारी है या आप खून पतला करने वाली दवा लेते हैं, तो इस दवा का सेवन न करें। इसे भोजन के साथ लें। निर्धारित मात्रा से अधिक न लें। किसी भी असामान्य लक्षण पर डॉक्टर से संपर्क करें।
💊 chymogress tbr 90mg/48mg/100mg tablet Uses & Benefits
[{"condition":"Post-operative inflammation" class="semantic-link" title="Medicines for swelling">swelling and inflammation","description":"This medicine is used to reduce swelling, pain, and inflammation after surgical procedures such as dental surgery, orthopedic surgery, or plastic surgery.","evidence":"Moderate"},{"condition":"Traumatic edema","description":"It helps in the resolution of swelling and bruising caused by physical injuries, sprains, and sports injuries.","evidence":"Moderate"},{"condition":"Inflammatory conditions of the respiratory tract","description":"It may be used as an adjunct in inflammatory conditions like sinusitis, bronchitis, and rhinitis to reduce mucosal swelling.","evidence":"Limited"},{"condition":"Osteoarthritis","description":"Some studies suggest that bromelain and trypsin combination may help reduce pain and improve joint function in osteoarthritis, but evidence is not robust.","evidence":"Limited"},{"condition":"Post-surgical dental edema","description":"Commonly prescribed after tooth extraction or other dental procedures to reduce swelling and pain.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Chronic pain syndromes","description":"Occasionally used off-label for chronic pain conditions like fibromyalgia, but evidence is insufficient.","evidence":"Limited"},{"condition":"Inflammatory bowel disease","description":"Some practitioners may use it as an adjunct in inflammatory bowel disease, but this is not standard.","evidence":"Limited"}]
Primary treatment for: Post-operative swelling and inflammation
Also treats: Traumatic edema, Sinusitis, Osteoarthritis, Dental edema
📋 Drug Information
| Generic Name(s) | Bromelain + Trypsin |
| Brand Name | Allenza Tablet |
| Manufacturer | Netprime Pharma Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | Proteolytic Enzymes |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a cool, dry place away from direct sunlight. 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 works through the combined proteolytic action of bromelain and trypsin. Bromelain, a mixture of cysteine proteases from pineapple, breaks down fibrin and other inflammatory proteins, reduces edema, and modulates inflammatory mediators like prostaglandins and bradykinin. Trypsin, a serine protease from the pancreas, hydrolyzes proteins and peptides, helping to break down fibrin clots and reduce inflammation. Together, they promote the breakdown of inflammatory exudates, improve blood flow, and accelerate tissue repair. They do not act on a specific receptor but rather on extracellular proteins and inflammatory pathways.
Mechanism Steps
💡 How to Take chymogress tbr 90mg/48mg/100mg tablet
Strength: Bromelain 90 mg + Trypsin 48 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once or twice daily, or as directed by your physician. The dose may vary depending on the condition being treated, such as post-operative swelling or injury. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. Use with caution and under medical supervision. Dose adjustment may be needed based on renal and hepatic function. |
| Renal Impairment | Not established from the available information. Consult your doctor for dose adjustment in renal impairment. |
| Hepatic Impairment | Not established from the available information. Consult your doctor for dose adjustment in hepatic impairment. |
| Maximum Daily Dose | The maximum recommended daily dose is not established from available information. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of chymogress tbr 90mg/48mg/100mg 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 | |
| Aspirin | Major | |
| Clopidogrel | Major | |
| Ibuprofen | Moderate | |
| Tetracycline | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Warfarin
- Aspirin
- Clopidogrel
⚡ Moderate Interactions
- NSAIDs (e.g., ibuprofen)
- Antibiotics (e.g., tetracycline)
🍷 Alcohol Interaction
Alcohol may increase the risk of gastrointestinal bleeding and irritation when taken with this medicine. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to bromelain, trypsin, or pineapple","Active bleeding disorders or hemorrhagic conditions","Concurrent use of anticoagulants without medical supervision","Severe liver or kidney disease","Pregnancy and breastfeeding (unless advised by doctor)"]
⚠️ Warnings & Precautions
["Use with caution in patients with bleeding disorders or on anticoagulants.","May cause allergic reactions in sensitive individuals.","Not recommended for children without medical advice.","Avoid alcohol while taking this medicine.","Do not exceed the recommended dose.","Consult your doctor if symptoms persist or worsen."]
🤱 Lactation Safety
Not established from the available information. Consult your doctor before use.
💊 Overdose Management
Overdose of this medicine may cause increased side effects such as nausea, vomiting, diarrhea, and bleeding. If you suspect an overdose, seek immediate medical attention. Treatment is symptomatic and supportive. There is no specific antidote.
⏰ 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
Before taking this medicine, inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not use this medicine if you are allergic to bromelain, trypsin, pineapple, or any other ingredients. Avoid taking this medicine with blood-thinning medications such as warfarin, aspirin, or clopidogrel without medical supervision, as it may increase the risk of bleeding. If you have a bleeding disorder, liver disease, kidney disease, or an active infection, consult your doctor before use. Do not exceed the recommended dose. Take this medicine with food to reduce stomach upset. If you miss a dose, take it as soon as you remember, but skip it if it is almost time for the next dose. Do not double the dose. Store this medicine in a cool, dry place away from direct sunlight and out of reach of children. If you experience any signs of an allergic reaction, stop the medicine and seek immediate medical help.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more prone to bleeding and gastrointestinal side effects. Use with caution and under medical supervision.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before taking this medicine. Safety is not established.
🏥 Post-Surgery Considerations
This medicine is often prescribed after surgery to reduce swelling and inflammation. Take it exactly as directed by your surgeon.
🦷 Dental Procedures
It may be prescribed after dental procedures to reduce swelling. Inform your dentist if you are on blood thinners.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or activities that may increase the risk of bleeding or injury while taking this medicine. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine generally does not affect your ability to drive or operate machinery. However, if you experience dizziness or drowsiness, avoid these activities until you feel better.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or allergic reactions, stop immediately and seek medical help.
📅 Long-Term Use Effects
Long-term use of this medicine is not well studied. Prolonged use may increase the risk of bleeding and allergic reactions. Regular monitoring by a doctor is advised if used for more than a few weeks.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain.
Evidence: Well-establishedEffective for acute injuries and swelling.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No known interactions with vaccines. However, consult your doctor before any vaccination 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 and protect from direct sunlight. If traveling across time zones, adjust dosing times gradually as advised by your doctor. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine may start showing effects within a few days of regular use, but the full benefit may take up to a week or more depending on the condition.
A: It is best taken with food to reduce the risk of stomach upset.
A: Consult your doctor before taking this medicine during pregnancy. Safety is not well established.
🤔 Common Patient Concerns
🔄 Substitutes for chymogress tbr 90mg/48mg/100mg tablet
View AllAlternative brands with exact same active ingredient:
-
daxter brt tabletRedyns Remedies ₹15.00 92.5% CHEAPER
-
dixaid-br tabletDokcare Life Sciences ₹52.00 74% CHEAPER
-
kaimosin d tabletKaiser Drugs Pvt Ltd ₹53.63 73.2% CHEAPER
-
lortryp d tabletLoremchem Pharmaceutical ₹58.13 70.9% CHEAPER
-
zymbit 90mg/48mg/100mg tabletCubit Healthcare ₹70.00 65% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Actiheal Tablet is a painkiller.
Fact: It is not a painkiller but an anti-inflammatory enzyme combination that reduces swelling and indirectly relieves pain. - Myth: It can be taken on an empty stomach.
Fact: It should be taken with food to reduce stomach upset and improve tolerability. - Myth: It is safe for everyone.
Fact: It is not safe for people with bleeding disorders or those on blood thinners without medical supervision.
🔄 Alternative Options
Generic Alternatives
- Bromelain + Trypsin combination tablets
Brand Alternatives
- Actiheal Tablet