Avoflex 50mg/750mg Tablet: Complete Guide to Uses, Dosage, and Safety
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
- Severe diarrhea with dehydration
- Unusual bruising or bleeding
- Persistent nausea and vomiting
If experiencing severe symptoms, call emergency services immediately.
What is divelt gm 50mg/750mg/250mg tablet used for?
This medicine is a combination of Diacerein 50 mg and Glucosamine Sulfate 750 mg used to treat osteoarthritis. It works by reducing inflammation and supporting cartilage repair. It is taken orally with meals, usually once or twice daily, and its benefits appear gradually over 4 to 8 weeks. It is not recommended during pregnancy, breastfeeding, or in severe liver or kidney disease.
- Generic Name: Diacerein (50mg) + Glucosamine Sulfate Potassium Chloride (750mg)
- Manufacturer: Rosswelt Biosciences
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 divelt gm 50mg/750mg/250mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा डायसेरिन 50 मिलीग्राम और ग्लूकोसामाइन सल्फेट 750 मिलीग्राम का संयोजन है, जिसका उपयोग ऑस्टियोआर्थराइटिस (जोड़ों की घिसाई) के इलाज में किया जाता है। यह जोड़ों के दर्द, अकड़न और सूजन को कम करने में मदद करती है। यह दवा कार्टिलेज (उपास्थि) को नुकसान से बचाने और उसकी मरम्मत में सहायता करती है। इसका असर धीरे-धीरे होता है, इसलिए इसे नियमित रूप से कई हफ्तों तक लेना पड़ता है। यह दवा घुटने, कूल्हे और हाथ के जोड़ों के ऑस्टियोआर्थराइटिस के लिए उपयोगी है। इसे भोजन के साथ लेना चाहिए ताकि पेट की परेशानी कम हो। गर्भवती महिलाओं, स्तनपान कराने वाली माताओं और गंभीर लीवर या किडनी रोग वाले मरीजों को यह दवा बिना डॉक्टर की सलाह के नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सबसे आम दुष्प्रभाव पेट से जुड़े होते हैं, जैसे दस्त, पेट दर्द, जी मिचलाना, उल्टी और सीने में जलन। ये आमतौर पर हल्के होते हैं और कुछ हफ्तों में ठीक हो जाते हैं। दवा को भोजन के साथ लेने से ये परेशानियां कम हो सकती हैं। कभी-कभी त्वचा पर चकत्ते, खुजली, सिरदर्द या थकान हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको गंभीर दस्त, आंखों या त्वचा का पीला पड़ना, गहरे रंग का पेशाब, या सांस लेने में कठिनाई हो, तो तुरंत डॉक्टर से संपर्क करें। लंबे समय तक इस दवा का सेवन करने पर लीवर की जांच करानी चाहिए।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से खुराक न बढ़ाएं या घटाएं। गोली को पानी के साथ पूरा निगलें, चबाएं नहीं। इसे भोजन के साथ लें ताकि पेट की परेशानी कम हो। अगर आपको लीवर या किडनी की बीमारी है, तो डॉक्टर को बताएं। इस दवा के साथ शराब न लें, क्योंकि इससे लीवर और पेट की समस्या बढ़ सकती है। गर्भावस्था, स्तनपान या गर्भधारण की योजना बनाते समय डॉक्टर से सलाह लें। दवा को बच्चों से दूर रखें। इसे कमरे के तापमान पर, नमी और धूप से बचाकर रखें। एक्सपायरी डेट के बाद दवा का सेवन न करें। नियमित रूप से डॉक्टर से जांच कराते रहें।
💊 divelt gm 50mg/750mg/250mg tablet Uses & Benefits
[{"condition":"Osteoarthritis of the knee","description":"Reduces pain, improves joint function, and may slow cartilage degradation in knee osteoarthritis.","evidence":"Well-established"},{"condition":"Osteoarthritis of the hip","description":"Helps alleviate pain and stiffness associated with hip osteoarthritis.","evidence":"Moderate"},{"condition":"Osteoarthritis of the hand","description":"May provide symptomatic relief in hand osteoarthritis, though evidence is less robust.","evidence":"Limited"},{"condition":"General joint pain and stiffness","description":"Sometimes used for chronic joint pain, but only after a proper diagnosis of osteoarthritis.","evidence":"Limited"}]
Off-label uses: [{"condition":"Low back pain","description":"Occasionally prescribed off-label for chronic low back pain with degenerative changes, but evidence is insufficient.","evidence":"Limited"},{"condition":"Temporomandibular joint disorders","description":"Rarely used off-label for TMJ pain, but no robust clinical trials support this use.","evidence":"Insufficient"}]
Primary treatment for: Osteoarthritis
Also treats: Knee osteoarthritis, Hip osteoarthritis, Hand osteoarthritis, Degenerative joint disease
📋 Drug Information
| Generic Name(s) | Diacerein (50mg) + Glucosamine Sulfate Potassium Chloride (750mg) |
| Brand Name | divelt gm 50mg/750mg/250mg tablet |
| Manufacturer | Rosswelt Biosciences |
| 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 moisture and direct sunlight. Keep in the original container, tightly closed. Do not refrigerate unless specified by the manufacturer. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the packaging. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. The World Health Organization does not have specific guidelines for this fixed-dose combination. Management of osteoarthritis should follow national and international guidelines, which may include symptomatic slow-acting drugs like diacerein and glucosamine, but recommendations vary. |
| ICMR Guideline | Not established from the available information. The Indian Council of Medical Research has not published specific guidelines for this combination. Consult a qualified clinician for evidence-based management of osteoarthritis. |
👨⚕️ 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. Diacerein is a slow-acting anti-osteoarthritic agent that inhibits the production and activity of interleukin-1 beta (IL-1β), a cytokine that promotes cartilage breakdown and joint inflammation. By blocking IL-1β, diacerein reduces the expression of matrix metalloproteinases and other catabolic factors, thereby protecting cartilage. Glucosamine sulfate provides a substrate for the synthesis of glycosaminoglycans and proteoglycans, which are essential components of the cartilage extracellular matrix. It may also stimulate chondrocyte metabolism and have mild anti-inflammatory effects. Together, these agents aim to relieve symptoms and potentially modify the disease process in osteoarthritis.
Mechanism Steps
💡 How to Take divelt gm 50mg/750mg/250mg tablet
Strength: Each immediate-release tablet contains Diacerein 50 mg and Glucosamine Sulfate Potassium Chloride 750 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once or twice daily, preferably with meals. The exact dose and frequency must be individualized by a qualified clinician based on the indication, severity of osteoarthritis, age, weight, renal and hepatic function, and response to therapy. Do not self-adjust the dose. Follow your doctor's prescription exactly. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. This medicine is not recommended for children and adolescents under 18 years of age. |
| Elderly Dosage | Elderly patients (above 65 years) may be more sensitive to the side effects of this medicine, especially gastrointestinal and renal effects. Dose adjustment may be necessary based on renal and hepatic function. Close monitoring is advised. Consult your doctor for appropriate dosing. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose reduction may be required in patients with mild to moderate renal impairment. This medicine is contraindicated in severe renal impairment (creatinine clearance <30 mL/min). Consult your doctor for dose adjustment. |
| Hepatic Impairment | Use with caution in patients with mild to moderate hepatic impairment. This medicine is contraindicated in severe hepatic impairment. Regular monitoring of liver function tests is recommended. Consult your doctor for dose adjustment. |
| Maximum Daily Dose | The maximum recommended daily dose is 2 tablets per day (Diacerein 100 mg + Glucosamine Sulfate 1500 mg), but this must be confirmed by your prescribing clinician. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of divelt gm 50mg/750mg/250mg 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 | |
| Methotrexate | Major | |
| Ibuprofen | Moderate | |
| Diclofenac | Moderate | |
| Furosemide | Moderate | |
| Metformin | Moderate | |
| Insulin | Moderate | |
| Antacids | Minor | |
| Tetracycline | Minor | |
| Paracetamol | Minor |
🚨 Major Interactions
- Warfarin
- Hepatotoxic drugs (e.g., methotrexate, isoniazid)
⚡ Moderate Interactions
- NSAIDs (e.g., ibuprofen, diclofenac)
- Diuretics
- Antidiabetic drugs
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can increase the risk of liver toxicity from diacerein and may worsen gastrointestinal side effects such as stomach bleeding. It can also reduce the effectiveness of osteoarthritis treatment and increase the risk of falls and joint injuries.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity or allergy to diacerein, glucosamine, or any component of the formulation.","Severe liver disease or active liver disease.","Severe kidney impairment (e.g., creatinine clearance
⚠️ Warnings & Precautions
["Take this medicine with food to reduce gastrointestinal side effects.","Diarrhea is a common side effect; if severe or persistent, consult your doctor as it may lead to dehydration.","Avoid alcohol consumption as it increases the risk of liver toxicity and gastrointestinal bleeding.","Inform your doctor if you have a history of liver or kidney disease before starting this medicine.","Monitor blood glucose regularly if you have diabetes, as glucosamine may increase blood sugar levels.","This medicine may interact with warfarin and other anticoagulants; inform your doctor if you are on blood thinners.","Do not use this medicine for acute pain; it is intended for chronic osteoarthritis management.","Keep out of reach of children.","Do not exceed the prescribed dose.","Regular follow-up with your doctor is recommended to assess efficacy and monitor for side effects."]
🤱 Lactation Safety
It is not known whether diacerein or glucosamine passes into breast milk. Because of the potential for serious adverse reactions in nursing infants, this medicine should be used with caution in breastfeeding mothers. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose of this medicine may cause severe diarrhea, nausea, vomiting, and abdominal pain. There is no specific antidote. Treatment is supportive and symptomatic. If you suspect an overdose, contact your doctor or a poison control center immediately. Seek emergency medical attention if you experience severe symptoms such as persistent vomiting, dehydration, or altered consciousness.
⏰ 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. Do not increase or decrease the dose on your own. Swallow the tablet whole with a glass of water; do not crush or chew it unless your doctor approves. Take it with meals to minimize stomach upset. If you have a history of liver disease, kidney disease, or inflammatory bowel disease, inform your doctor before starting this medicine. Avoid alcohol while taking this medicine because it can increase the risk of stomach bleeding and liver problems. Do not take this medicine if you are pregnant, planning to become pregnant, or breastfeeding without consulting your doctor. If you miss a dose, follow the missed dose instructions provided by your doctor. Keep this medicine out of reach of children. Store it at room temperature, away from moisture and direct sunlight. Do not use it after the expiry date printed on the pack. Regular follow-up with your doctor is important to monitor your response and check for any side effects. Do not use this medicine for any condition other than the one for which it was prescribed.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients above 65 years may be more susceptible to gastrointestinal and renal side effects. Dose adjustment may be necessary based on kidney and liver function. Close monitoring is advised. Falls risk may be increased if dizziness occurs. Ensure adequate hydration and nutrition.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy or when planning to conceive. If you are trying to become pregnant, consult your doctor to discuss alternative treatments for osteoarthritis. Use effective contraception while taking this medicine unless otherwise advised.
🏥 Post-Surgery Considerations
If you are undergoing surgery, inform your surgeon and anesthesiologist about this medicine. It may need to be stopped before surgery due to potential effects on bleeding and liver function. Follow your doctor's instructions regarding when to resume.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. There is no specific contraindication, but your dentist should be aware of all medicines you take to avoid interactions with anesthetics or antibiotics.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you can continue with low-impact exercises, but avoid high-impact activities that stress your joints. If you experience increased pain or swelling after exercise, rest and consult your doctor. Physical therapy can be beneficial. Do not start a new exercise regimen without consulting your doctor.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue in some people. If you experience these effects, avoid driving or operating heavy machinery until you know how the medicine affects you. Most people can continue their daily activities, but take breaks if you have joint pain. Inform your employer if you need accommodations for your condition.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects such as persistent diarrhea, signs of liver injury, or allergic reactions, stop the medicine and seek immediate medical attention. Your doctor may advise stopping if no improvement is seen after a reasonable trial period or if your condition changes.
📅 Long-Term Use Effects
Long-term use of this medicine may require periodic monitoring of liver and kidney function. Diacerein has been rarely associated with liver injury, and glucosamine may affect blood sugar levels. Some patients may experience persistent gastrointestinal symptoms. Regular follow-up with your doctor is important to assess the benefit-risk balance. If no improvement is seen after 6 months, your doctor may reconsider the treatment plan.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Strengthens muscles around joints, improves flexibility, and reduces pain.
Evidence: Well-establishedLosing excess weight reduces stress on weight-bearing joints like knees and hips.
Evidence: Well-establishedMay provide pain relief in some patients with osteoarthritis.
Evidence: ModerateCan provide local pain relief with fewer systemic side effects.
Evidence: Well-establishedMay improve joint lubrication and reduce pain in knee osteoarthritis.
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. No specific timing adjustments are required.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription or a letter from your doctor, especially for international travel. Store it in a cool, dry place away from direct sunlight. If crossing time zones, adjust your dosing schedule gradually in consultation with your doctor. Keep enough supply for the entire trip and carry it in your hand luggage to avoid loss. Check customs regulations for carrying prescription medicines in your destination country.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine is slow-acting. You may start noticing improvement in 2 to 4 weeks, but maximum benefits usually take 4 to 8 weeks of consistent use.
A: Yes, it should be taken with meals to reduce the risk of stomach upset and diarrhea.
A: Common side effects include diarrhea, loose stools, stomach pain, heartburn, and nausea. These are usually mild and settle with continued use.
A: Long-term use may be prescribed for chronic osteoarthritis, but regular monitoring of liver and kidney function is advised. Consult your doctor.
A: This medicine is not recommended during pregnancy, especially in the first trimester, unless clearly advised by your doctor.
A: Glucosamine may increase blood sugar levels. If you have diabetes, monitor your blood glucose closely and inform your doctor.
A: If you remember within half the dosing interval, take it. Otherwise, skip the missed dose and continue with your regular schedule. Do not double dose.
A: Avoid alcohol as it increases the risk of liver toxicity and gastrointestinal bleeding.
A: Yes, it can interact with blood thinners, NSAIDs, antidiabetics, and some antibiotics. Always inform your doctor about all medicines you take.
A: Do not stop without consulting your doctor. Abrupt discontinuation may lead to return of symptoms.
🤔 Common Patient Concerns
🔄 Substitutes for divelt gm 50mg/750mg/250mg tablet
View AllAlternative brands with exact same active ingredient:
-
oridia gm 50mg/750mg/250mg tabletOrion Biotech Pvt Ltd ₹37.50 75.8% CHEAPER
-
davacerin gm 50mg/750mg/250mg tabletDavaindia Generic Pharmacy ₹70.00 54.7% CHEAPER
-
glucoswell plus 50mg/750mg/250mg tabletZeelab Pharmacy Pvt Ltd ₹75.00 51.5% CHEAPER
-
microcerin-gm tabletMicro Labs Ltd ₹75.00 51.5% CHEAPER
-
orthic 50mg/750mg/250mg/750mcg tabletSanes Pharmaceuticals ₹92.81 40% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine provides instant pain relief.
Fact: This medicine is a slow-acting drug. It may take 2 to 4 weeks to notice initial improvement and up to 8 weeks for maximum benefit. - Myth: This medicine can cure osteoarthritis completely.
Fact: Osteoarthritis is a chronic condition. This medicine helps manage symptoms and may slow progression, but it does not cure the disease. - Myth: It is safe to take this medicine without a prescription.
Fact: This is a prescription medicine. It should only be taken under the supervision of a qualified clinician. - Myth: This medicine can be taken on an empty stomach.
Fact: It should be taken with meals to reduce the risk of stomach upset and diarrhea. - Myth: This medicine is safe during pregnancy.
Fact: This medicine is not recommended during pregnancy, especially in the first trimester, unless clearly advised by a doctor.
🔄 Alternative Options
Generic Alternatives
- Diacerein 50 mg + Glucosamine Sulfate 750 mg tablet (various manufacturers)
Brand Alternatives
- Avoflex 50mg/750mg/250mg tablet