Diclogesic TH 4 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
- Unusual bruising or bleeding
- Severe dizziness or fainting
If experiencing severe symptoms, call emergency services immediately.
What is d pain tc 4mg/50mg capsule used for?
This medicine is a combination of thiocolchicoside (a muscle relaxant) and diclofenac (an NSAID) used for short-term relief of painful muscle spasms and inflammation in conditions like acute back pain and neck pain. It is taken orally with food, usually 2-3 times daily as prescribed.
- Generic Name: Thiocolchicoside (4mg) + Diclofenac (50mg)
- Manufacturer: Hetero Drugs Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 d pain tc 4mg/50mg capsule के बारे में (Hindi Summary)
उपयोग: यह दवा थायोकोल्चिकोसाइड 4 मिलीग्राम और डाइक्लोफेनाक 50 मिलीग्राम का संयोजन है। इसका उपयोग मांसपेशियों में ऐंठन और सूजन से होने वाले दर्द के इलाज के लिए किया जाता है, जैसे कि गर्दन में दर्द, कमर दर्द, और चोट के बाद होने वाली मांसपेशियों की समस्याएं। यह दवा मांसपेशियों को आराम देती है और दर्द व सूजन को कम करती है। इसे डॉक्टर के निर्देशानुसार भोजन के साथ लेना चाहिए। यह दवा केवल अल्पकालिक उपयोग के लिए है और इसे बिना डॉक्टर की सलाह के लंबे समय तक नहीं लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट दर्द, जलन, चक्कर आना, नींद आना और सिरदर्द शामिल हैं। कुछ लोगों को एलर्जी, त्वचा पर चकत्ते, या सूजन भी हो सकती है। गंभीर दुष्प्रभावों में पेट या आंतों में रक्तस्राव, गुर्दे की समस्या, और यकृत की क्षति शामिल हैं। यदि आपको काला मल, खून की उल्टी, गंभीर पेट दर्द, या सांस लेने में कठिनाई हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे भोजन या दूध के साथ लें ताकि पेट में जलन न हो। दवा लेते समय शराब का सेवन न करें। यदि आपको नींद या चक्कर आते हैं, तो वाहन चलाने या मशीनरी चलाने से बचें। गर्भवती महिलाएं, स्तनपान कराने वाली महिलाएं, और गुर्दे या यकृत की बीमारी वाले मरीज डॉक्टर से सलाह लें। बिना डॉक्टर की सलाह के अन्य दर्द निवारक दवाएं न लें।
💊 d pain tc 4mg/50mg capsule Uses & Benefits
[{"condition":"Acute musculoskeletal pain with muscle spasm","description":"Relieves pain and reduces muscle spasm in conditions such as acute neck pain (torticollis) and lower back pain.","evidence":"Well-established"},{"condition":"Post-traumatic muscle injury","description":"Used to manage pain and spasm following sprains, strains, and sports injuries.","evidence":"Moderate"},{"condition":"Post-operative pain and spasm","description":"May be prescribed short-term after certain surgeries to alleviate muscle spasm and inflammatory pain.","evidence":"Limited"},{"condition":"Osteoarthritis flare-up","description":"Can provide symptomatic relief during acute painful episodes of osteoarthritis, though not for long-term management.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Tension-type headache","description":"Sometimes used off-label for tension headaches associated with muscle spasm, but evidence is limited.","evidence":"Limited"},{"condition":"Fibromyalgia","description":"Occasionally prescribed for muscle pain in fibromyalgia, but not routinely recommended.","evidence":"Insufficient"}]
Primary treatment for: Acute musculoskeletal pain with muscle spasm
Also treats: Osteoarthritis, Post-traumatic muscle injury, Post-operative pain
📋 Drug Information
| Generic Name(s) | Thiocolchicoside (4mg) + Diclofenac (50mg) |
| Brand Name | d pain tc 4mg/50mg capsule |
| Manufacturer | Hetero Drugs Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container, tightly closed. Do not refrigerate unless specified. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture, or as indicated on the packaging. |
| 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. Thiocolchicoside is a centrally acting muscle relaxant that binds to GABA-A receptors and strychnine-sensitive glycine receptors in the spinal cord and brainstem, enhancing inhibitory neurotransmission and reducing muscle tone. Diclofenac is a nonsteroidal anti-inflammatory drug that reversibly inhibits cyclooxygenase enzymes (COX-1 and COX-2), thereby decreasing the synthesis of prostaglandins, which are mediators of pain, inflammation, and fever. The combination provides both muscle relaxation and anti-inflammatory analgesia.
Mechanism Steps
💡 How to Take d pain tc 4mg/50mg capsule
Strength: Each tablet contains Thiocolchicoside 4 mg and Diclofenac 50 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally two to three times daily, preferably with food. The exact dose and duration depend on the condition being treated, its severity, and the patient's response. The maximum recommended daily dose should not be exceeded. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. Follow your doctor's instructions exactly. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients (above 65 years) are at higher risk of gastrointestinal, renal, and cardiovascular side effects from NSAIDs. The lowest effective dose should be used for the shortest possible duration. Dose adjustment may be necessary based on kidney and liver function. Close monitoring is recommended. |
| Renal Impairment | Use with caution in patients with mild to moderate renal impairment. In severe renal impairment (creatinine clearance <30 mL/min), this medicine is contraindicated. Dose reduction or alternative therapy may be required. Consult a doctor for individualized dosing. |
| Hepatic Impairment | Use with caution in patients with mild to moderate hepatic impairment. In severe hepatic impairment, this medicine is contraindicated. Dose reduction may be necessary. Regular monitoring of liver function is advised. |
| Maximum Daily Dose | The maximum daily dose of this medicine is generally 3 tablets (providing 12 mg thiocolchicoside and 150 mg diclofenac) per day, but this must be confirmed by your prescribing doctor. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of d pain tc 4mg/50mg capsule
✅ 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 | |
| Other NSAIDs | Major | |
| Corticosteroids | Major | |
| Methotrexate | Major | |
| Lithium | Major | |
| ACE inhibitors/ARBs | Moderate | |
| SSRIs | Moderate | |
| Cyclosporine | Moderate | |
| Digoxin | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Warfarin
- Other NSAIDs (e.g., ibuprofen, naproxen)
- Corticosteroids
- Methotrexate
- Lithium
⚡ Moderate Interactions
- Antihypertensives (e.g., ACE inhibitors, ARBs, diuretics)
- SSRIs
- Cyclosporine
- Digoxin
🍷 Alcohol Interaction
Alcohol should be strictly avoided while taking this medicine. Both diclofenac and alcohol can irritate the stomach lining and increase the risk of gastrointestinal bleeding and ulcers. Alcohol may also increase the risk of liver toxicity. If you consume alcohol regularly, discuss this with your doctor before starting this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to thiocolchicoside, diclofenac, or any component of the formulation","History of asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs","Active or history of recurrent peptic ulcer or gastrointestinal bleeding","Severe heart failure, ischemic heart disease, peripheral arterial disease, or cerebrovascular disease","Severe hepatic impairment or active liver disease","Severe renal impairment (e.g., creatinine clearance
⚠️ Warnings & Precautions
["Use with caution in elderly patients due to increased risk of gastrointestinal, renal, and cardiovascular side effects.","Avoid in patients with dehydration or hypovolemia as it may precipitate kidney injury.","May cause drowsiness; avoid driving or operating machinery until effects are known.","Do not use for more than the recommended duration without medical advice.","Monitor for signs of gastrointestinal bleeding, especially in patients with a history of ulcers.","Use with caution in patients with hypertension, as NSAIDs can increase blood pressure.","May mask signs of infection by reducing fever and inflammation.","Consult your doctor if you have a history of blood clotting disorders or are taking anticoagulants."]
🤱 Lactation Safety
It is not known whether thiocolchicoside or diclofenac are excreted in human breast milk. Diclofenac is present in breast milk in small amounts. Due to potential risks to the infant, this medicine is not recommended during breastfeeding unless clearly needed and advised by a doctor.
💊 Overdose Management
Overdose of this medicine may cause symptoms such as severe nausea, vomiting, abdominal pain, drowsiness, dizziness, and in severe cases, gastrointestinal bleeding, kidney failure, or liver damage. If you suspect an overdose, seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Activated charcoal may be administered if the patient presents early. Monitor vital signs, kidney and liver function, and manage complications accordingly.
⏰ 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. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, usually with food or milk to reduce stomach irritation. Do not exceed the recommended dose or duration of treatment. 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 drowsy or dizzy. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart failure, or asthma. Do not take other NSAIDs or pain relievers without consulting your doctor, as this can increase the risk of side effects. If you are pregnant, planning pregnancy, or breastfeeding, discuss with your doctor before using this medicine. Keep this medicine out of reach of children and store it in a cool, dry place.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events from NSAIDs. Use the lowest effective dose for the shortest duration. Monitor kidney function, blood pressure, and signs of bleeding. Avoid concurrent use of other NSAIDs or anticoagulants. Consider gastroprotective agents if indicated.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended for use during pregnancy, especially in the third trimester, due to the risk of premature closure of the ductus arteriosus and other fetal complications. If you are planning pregnancy or are pregnant, consult your doctor for alternative treatments. Effective contraception should be discussed if you are of childbearing age and taking this medicine.
🏥 Post-Surgery Considerations
This medicine may be prescribed after certain surgeries to manage pain and muscle spasm. However, it should be used with caution due to the risk of bleeding and kidney impairment. Follow your surgeon's instructions regarding dose and duration. Inform your surgeon if you have a history of ulcers or kidney disease.
🦷 Dental Procedures
If you are scheduled for dental procedures, inform your dentist that you are taking this medicine. It may increase the risk of bleeding during dental work. Your dentist may advise you to stop the medicine temporarily before the procedure. Do not stop without consulting your doctor.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, avoid strenuous exercise or activities that could exacerbate muscle injury. Gentle stretching and low-impact exercises may be beneficial once acute pain subsides. Always 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 is advisable to take rest and avoid heavy lifting or strenuous activities while on this medicine. Inform your employer if your work involves operating heavy machinery.
🛑 When to Stop This Medicine
Stop taking this medicine if you experience any serious side effects such as severe abdominal pain, black stools, vomiting blood, allergic reactions, or signs of liver or kidney problems. Do not stop abruptly without consulting your doctor if you have been on prolonged therapy. Always follow your doctor's advice regarding the duration of treatment.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended due to the risk of serious side effects such as gastrointestinal bleeding, kidney impairment, liver toxicity, and increased cardiovascular risk. If prolonged use is necessary, regular monitoring of kidney and liver function, blood counts, and blood pressure is advised. Always use the lowest effective dose for the shortest duration.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and improve muscle strength and flexibility.
Evidence: Well-establishedApplying heat or cold packs can help reduce muscle spasm and pain.
Evidence: ModerateMay provide pain relief for some musculoskeletal conditions.
Evidence: LimitedCreams or gels containing NSAIDs or capsaicin can be used for localized pain.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled for vaccination, inform your healthcare provider about all medicines you are taking. It is generally safe to receive vaccines while on this medicine, but consult your doctor for personalized advice.
📦 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, continue taking the medicine at the same intervals as prescribed, but consult your doctor for specific advice. Check customs regulations for carrying prescription medicines in your destination country. 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: This medicine usually starts relieving pain within 30-60 minutes, with muscle relaxant effects noticeable within 1-2 hours.
A: It is best taken with food or milk to reduce the risk of stomach upset and gastrointestinal irritation.
A: You should avoid taking 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 is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
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 d pain tc 4mg/50mg capsule
View AllAlternative brands with exact same active ingredient:
-
mahagesic-mr 4 capsuleMankind Pharma Ltd ₹81.98 26.7% COSTLIER
-
enzoflex 4mg/50mg tabletAlkem Laboratories Ltd ₹88.17 36.3% COSTLIER
-
exudol th tabletMac Millon Pharmaceuticals Pvt Ltd ₹88.39 36.6% COSTLIER
-
myoside plus 4mg tabletTorrent Pharmaceuticals Ltd ₹91.97 42.2% COSTLIER
-
exudaseth 4 mg/50 mg tabletRavenbhel Pharmaceuticals Pvt Ltd ₹100.00 54.6% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken long-term for chronic pain.
Fact: This medicine is intended for short-term use only. Prolonged use increases the risk of serious side effects. - Myth: It is safe to take this medicine on an empty stomach.
Fact: Taking it with food reduces the risk of stomach upset and bleeding. - Myth: This medicine is safe during pregnancy.
Fact: It is not recommended during pregnancy, especially in the third trimester, due to potential risks to the fetus. - Myth: You can drink alcohol while taking this medicine.
Fact: Alcohol should be avoided as it increases the risk of gastrointestinal bleeding and liver toxicity.
🔄 Alternative Options
Generic Alternatives
- Thiocolchicoside + Diclofenac combination generics
Brand Alternatives
- Diclogesic TH 4 Tablet
- Myoril Plus
- Nucoxia SP
- Zerodol TH
- Hifenac TH