Hihit P 500mg/4mg Tablet: Complete Information
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
- Yellowing of skin or eyes
- Dark urine
- Difficulty breathing or swelling of face
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is hihit p 500mg/4mg tablet used for?
This medicine is a combination of Paracetamol and Thiocolchicoside used for short-term relief of acute musculoskeletal pain and muscle spasms. It works by reducing pain and relaxing muscles.
- Generic Name: Paracetamol (500mg) + Thiocolchicoside (4mg)
- Manufacturer: Remark Healthcare
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 hihit p 500mg/4mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा पैरासिटामोल और थायोकोलचिकोसाइड का संयोजन है, जिसका उपयोग मांसपेशियों में दर्द और ऐंठन के इलाज के लिए किया जाता है। यह पीठ दर्द, गर्दन दर्द, और चोट के बाद होने वाले दर्द में राहत देती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, पेट दर्द, नींद आना, चक्कर आना और मुंह सूखना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन यकृत क्षति या एलर्जी की प्रतिक्रिया हो सकती है।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। शराब का सेवन न करें। यदि आपको नींद या चक्कर आते हैं तो वाहन न चलाएं। यकृत या गुर्दे की बीमारी हो तो डॉक्टर को बताएं।
💊 hihit p 500mg/4mg tablet Uses & Benefits
[{"condition":"Acute musculoskeletal pain with muscle spasm","description":"Relieves pain and reduces muscle spasm in conditions such as back pain, neck pain, and myofascial pain syndrome.","evidence":"Well-established"},{"condition":"Post-traumatic pain","description":"Used to manage pain and spasm following injuries, sprains, and strains.","evidence":"Moderate"},{"condition":"Post-operative pain","description":"May be used as part of a multimodal approach to manage post-surgical pain and spasm.","evidence":"Limited"}]
Off-label uses: [{"condition":"Tension-type headache","description":"Sometimes prescribed off-label for tension headaches associated with muscle tightness.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"Occasionally used off-label for menstrual cramps with associated muscle spasm.","evidence":"Limited"}]
Primary treatment for: Acute musculoskeletal pain with muscle spasm
Also treats: Post-traumatic pain, Post-operative pain, Tension headache, Dysmenorrhea
📋 Drug Information
| Generic Name(s) | Paracetamol (500mg) + Thiocolchicoside (4mg) |
| Brand Name | hihit p 500mg/4mg tablet |
| Manufacturer | Remark Healthcare |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. |
| 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. Paracetamol acts primarily in the central nervous system to relieve pain and reduce fever, though its exact mechanism is not fully understood. It is thought to inhibit prostaglandin synthesis in the brain and spinal cord. Thiocolchicoside is a centrally acting muscle relaxant that works by activating GABA-A receptors and inhibiting glycine receptors, leading to reduced muscle tone and relief from spasms. Together, they provide both analgesic and muscle relaxant effects.
Mechanism Steps
💡 How to Take hihit p 500mg/4mg tablet
Strength: Tablet containing Paracetamol 500 mg and Thiocolchicoside 4 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally 1-2 times daily, or as directed by your doctor. The dose may vary depending on the condition being treated and your response to therapy. Do not exceed the recommended dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects, especially drowsiness and dizziness. Use with caution and adjust dose as needed under medical supervision. |
| Renal Impairment | Dose adjustment may be required in patients with kidney disease. Consult your doctor. |
| Hepatic Impairment | Dose adjustment may be required in patients with liver disease. Consult your doctor. |
| Maximum Daily Dose | The maximum daily dose of paracetamol should not exceed 4000 mg from all sources. The maximum daily dose of thiocolchicoside is not established from available information. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of hihit p 500mg/4mg 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 | |
| Alcohol | Major | |
| Carbamazepine | Moderate | |
| Phenytoin | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Warfarin
- Alcohol
⚡ Moderate Interactions
- Carbamazepine
- Phenytoin
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol increases the risk of liver damage, especially with paracetamol. It may also enhance the sedative effects of thiocolchicoside.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to paracetamol or thiocolchicoside","Severe liver disease","Severe kidney disease","Pregnancy and breastfeeding (unless advised by doctor)","Children under 12 years (unless prescribed)"]
⚠️ Warnings & Precautions
["Do not exceed the recommended dose.","Avoid alcohol.","May cause drowsiness; avoid driving.","Use with caution in liver or kidney disease.","Do not use for prolonged periods without medical supervision."]
🤱 Lactation Safety
Not established from the available information. Consult your doctor before use.
💊 Overdose Management
Seek immediate medical attention. Overdose can cause severe liver damage. Treatment includes activated charcoal, acetylcysteine, and supportive care.
⏰ 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 dose.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Avoid consuming alcohol while taking this medicine, as it can increase the risk of liver damage. Inform your doctor if you have any liver or kidney problems, or if you are taking other medications, especially blood thinners. Do not drive or operate heavy machinery if you feel drowsy or dizzy after taking this medicine. Keep out of reach of children. Store in a cool, dry place away from direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects, especially drowsiness and dizziness. Use with caution and adjust dose as needed under medical supervision.
🤰 Pregnancy Planning (TTC)
Consult your doctor before planning pregnancy or if you become pregnant while taking this medicine. Safety is not established.
🏥 Post-Surgery Considerations
This medicine may be used for post-operative pain and spasm. Follow your surgeon's instructions regarding dosing and duration.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. It may interact with other medications used during dental work.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or activities that may worsen muscle spasm while taking this medicine. Gentle stretching and low-impact activities may be beneficial. Consult your doctor 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 may also affect your ability to perform tasks requiring mental alertness.
🛑 When to Stop This Medicine
Stop taking this medicine if you experience any serious side effects or allergic reactions. 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 you should stop after the prescribed duration unless advised otherwise.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended without medical supervision. Prolonged use of paracetamol can increase the risk of liver damage, especially with alcohol. Thiocolchicoside may cause dependence or other effects with prolonged use. Regular monitoring of liver and kidney function may be required.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain.
Evidence: Well-establishedMay help relieve muscle spasm and pain.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No known interactions with vaccines. However, consult your doctor before vaccination if you are taking 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 schedule 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: Pain relief typically begins within 30-60 minutes, while muscle relaxant effects may take a few hours.
A: It is best taken with food to reduce stomach upset.
A: Consult your doctor before use. Safety is not established.
🤔 Common Patient Concerns
🔄 Substitutes for hihit p 500mg/4mg tablet
View AllAlternative brands with exact same active ingredient:
-
pam th 500mg/4mg tabletTNT Lifesciences ₹161.25 1.8% COSTLIER
-
xykaa mr 4 tabletTroikaa Pharmaceuticals Ltd ₹226.70 43.1% 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: It is intended for short-term use only. Long-term use requires medical supervision. - Myth: It is safe to take with alcohol.
Fact: Alcohol increases the risk of liver damage and should be avoided.
🔄 Alternative Options
Generic Alternatives
- Paracetamol + Thiocolchicoside combination tablets from other manufacturers.