Flexiwin D 50mg/4mg/325mg 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 skin rash with blistering
- Persistent nausea or vomiting
If experiencing severe symptoms, call emergency services immediately.
What is inflacure pt tablet used for?
This medicine is a combination of Diclofenac (an NSAID) and Thiocolchicoside (a muscle relaxant) used for short-term relief of musculoskeletal pain and muscle spasm. It reduces inflammation and relaxes muscles, but it carries risks of stomach bleeding, kidney problems, and heart issues. It should be taken with food and only under medical supervision.
- Generic Name: Diclofenac (50mg) + Thiocolchicoside (4mg)
- Manufacturer: Wanbury Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 inflacure pt tablet के बारे में (Hindi Summary)
उपयोग: यह दवा डाइक्लोफेनाक और थायोकोलचिकोसाइड का संयोजन है, जिसका उपयोग मांसपेशियों में दर्द, सूजन और ऐंठन के इलाज के लिए किया जाता है। यह पीठ दर्द, गर्दन दर्द, मोच, और सर्जरी के बाद के दर्द में राहत देती है। यह दवा सूजन को कम करती है और मांसपेशियों को आराम देती है। इसे डॉक्टर की सलाह के बिना नहीं लेना चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, पेट दर्द, अपच, सिरदर्द, चक्कर आना और नींद आना शामिल हैं। गंभीर दुष्प्रभावों में पेट या आंतों में रक्तस्राव, गुर्दे की समस्या, यकृत की क्षति, और हृदय संबंधी घटनाएं शामिल हो सकती हैं। यदि आपको काला मल, खून की उल्टी, तेज पेट दर्द, सीने में दर्द, सांस लेने में कठिनाई, चेहरे या गले में सूजन, या पेशाब कम आना जैसे लक्षण दिखें तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक से अधिक न लें। इसे भोजन या दूध के साथ लें ताकि पेट में जलन न हो। इस दवा के साथ शराब न लें क्योंकि इससे पेट में रक्तस्राव का खतरा बढ़ जाता है। अन्य दर्द निवारक दवाओं के साथ इसका सेवन न करें। यदि आपको पेट अल्सर, गुर्दे या यकृत की बीमारी, हृदय की समस्या, या अस्थमा है तो अपने डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान इसका उपयोग न करें। बच्चों की पहुंच से दूर रखें।
💊 inflacure pt tablet Uses & Benefits
[{"condition":"Acute musculoskeletal pain with muscle spasm","description":"Relieves pain and inflammation while reducing muscle spasm in conditions like back pain, neck pain, and sprains.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"Used for short-term management of pain and muscle spasm after surgery.","evidence":"Moderate"},{"condition":"Osteoarthritis","description":"Provides symptomatic relief of pain and stiffness in osteoarthritis, especially when muscle spasm is a component.","evidence":"Moderate"},{"condition":"Rheumatoid arthritis","description":"May be used for short-term relief of pain and inflammation in rheumatoid arthritis.","evidence":"Limited"},{"condition":"Muscle spasm due to neurological conditions","description":"Thiocolchicoside component helps relieve muscle spasm associated with certain neurological disorders.","evidence":"Limited"}]
Off-label uses: [{"condition":"Tension headache","description":"Sometimes prescribed off-label for tension-type headaches with muscle spasm.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May be used off-label for painful menstrual cramps with associated muscle spasm.","evidence":"Limited"}]
Primary treatment for: Musculoskeletal pain with muscle spasm
Also treats: Osteoarthritis, Rheumatoid arthritis, Post-operative pain, Back pain, Neck pain, Muscle sprains and strains
📋 Drug Information
| Generic Name(s) | Diclofenac (50mg) + Thiocolchicoside (4mg) |
| Brand Name | inflacure pt tablet |
| Manufacturer | Wanbury Ltd |
| 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 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. |
| 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. Diclofenac is a non-steroidal anti-inflammatory drug that reversibly inhibits cyclooxygenase enzymes (COX-1 and COX-2), leading to decreased production of prostaglandins, which are mediators of pain, inflammation, and fever. Thiocolchicoside is a centrally acting muscle relaxant that acts as a GABA-A receptor agonist, enhancing inhibitory neurotransmission in the spinal cord and brainstem, thereby reducing muscle tone and relieving spasm. The combination provides both anti-inflammatory and muscle relaxant effects, making it useful for musculoskeletal conditions where both components contribute to pain and disability.
Mechanism Steps
💡 How to Take inflacure pt tablet
Strength: Each tablet contains Diclofenac 50 mg and Thiocolchicoside 4 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally two to three times daily, preferably after meals. The exact dose and duration depend on the condition being treated, its severity, and the patient's response. The maximum recommended daily dose is typically 3 tablets in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. Use the lowest effective dose for the shortest duration possible. |
| 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, kidney, and cardiovascular side effects. Use the lowest effective dose for the shortest duration. Monitor kidney and liver function closely. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with renal impairment. Diclofenac is not recommended in patients with severe renal impairment (eGFR <30 mL/min). Dose adjustment may be necessary in moderate renal impairment. Thiocolchicoside may require dose reduction. Consult a nephrologist or clinician for individualized dosing. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Diclofenac is contraindicated in severe hepatic impairment. Dose reduction may be necessary in mild to moderate hepatic impairment. Monitor liver function tests. Consult a hepatologist or clinician for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is 3 tablets (Diclofenac 150 mg + Thiocolchicoside 12 mg) in 24 hours. Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of inflacure pt 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 | |
| Ibuprofen | Major | |
| Methotrexate | Major | |
| Lithium | Major | |
| ACE inhibitors | Moderate | |
| Diuretics | Moderate | |
| Corticosteroids | Moderate | |
| SSRIs | Moderate | |
| Cyclosporine | Moderate |
🚨 Major Interactions
- Warfarin
- Other NSAIDs (e.g., aspirin, ibuprofen)
- Corticosteroids
- Methotrexate
- Lithium
- ACE inhibitors and angiotensin receptor blockers
- Diuretics
⚡ Moderate Interactions
- Cyclosporine
- Digoxin
- SSRIs
- Antidiabetic agents
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol increases the risk of gastrointestinal bleeding, ulceration, and liver damage when combined with Diclofenac. It may also enhance the sedative effects of Thiocolchicoside, leading to increased drowsiness and dizziness.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to Diclofenac, Thiocolchicoside, 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, gastrointestinal bleeding, or perforation.","Severe heart failure, ischemic heart disease, peripheral arterial disease, and/or cerebrovascular disease.","Severe hepatic impairment.","Severe renal impairment (eGFR
⚠️ Warnings & Precautions
["Take with food or milk to minimize gastrointestinal irritation.","Avoid alcohol and other NSAIDs during treatment.","Use with caution in elderly patients due to increased risk of adverse effects.","Monitor for signs of gastrointestinal bleeding, especially in patients with a history of ulcers.","Use with caution in patients with cardiovascular risk factors; assess risk-benefit.","May cause drowsiness or dizziness; avoid driving or operating machinery until effects are known.","Do not use for more than 7-10 days without medical advice.","Inform your doctor if you have kidney or liver disease, heart failure, or asthma.","Thiocolchicoside may cause false-positive results in anti-doping tests.","Discontinue and consult a doctor if you experience signs of allergic reaction."]
🤱 Lactation Safety
Diclofenac is excreted in breast milk in small amounts. Thiocolchicoside is also excreted in breast milk. The use of this medicine during breastfeeding is not recommended unless the potential benefit outweighs the risk. Consult your doctor before use.
💊 Overdose Management
Overdose may cause nausea, vomiting, abdominal pain, gastrointestinal bleeding, drowsiness, dizziness, and in severe cases, kidney or liver damage. There is no specific antidote. Treatment is supportive and symptomatic. If overdose is suspected, seek immediate medical attention. Gastric lavage may be considered if within 1-2 hours of ingestion. 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.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration. Take it with food or milk to reduce stomach upset. Avoid alcohol while taking this medicine as it increases the risk of gastrointestinal bleeding. Do not take other NSAIDs or pain relievers without consulting your doctor. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart problems, or asthma. Use the lowest effective dose for the shortest possible time. Do not use this medicine for minor aches and pains without medical advice. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before taking this medicine. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients (above 65 years) are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events with this medicine. Use the lowest effective dose for the shortest duration. Monitor kidney and liver function regularly. Avoid concurrent use with other NSAIDs or anticoagulants. Falls risk may increase due to drowsiness or dizziness.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy or are of childbearing age, consult your doctor before taking this medicine. Diclofenac may affect ovulation and is not recommended during pregnancy, especially in the third trimester. Thiocolchicoside is also not recommended. Discuss safer alternatives for pain management.
🏥 Post-Surgery Considerations
This medicine may be prescribed for short-term post-operative pain and muscle spasm. Use as directed by your surgeon. Monitor for signs of bleeding, especially if you are on anticoagulants. Inform your surgeon if you have kidney or liver disease. Do not use for prolonged periods without medical supervision.
🦷 Dental Procedures
If you are undergoing dental procedures, inform your dentist about this medicine. It may increase bleeding risk during dental surgery. Your dentist may advise stopping it temporarily or taking precautions. Do not stop without consulting your prescribing doctor.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, avoid high-impact exercises or activities that may strain muscles and joints. Gentle stretching and low-impact exercises are generally safe. Listen to your body and stop if pain worsens. Consult your doctor or physiotherapist before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness, dizziness, or blurred vision in some people. Avoid driving, operating heavy machinery, or performing tasks that require mental alertness until you know how it affects you. It may also cause stomach upset, so take it with food. Inform your employer if your work involves physical strain or operating machinery.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor immediately if you experience any serious side effects such as black or bloody stools, severe abdominal pain, chest pain, difficulty breathing, swelling of face or throat, yellowing of eyes or skin, or decreased urine output. Do not stop abruptly if you have been on long-term therapy without medical advice. Usually, this medicine is prescribed for a short duration, and your doctor will advise when to stop.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended due to increased risks of gastrointestinal bleeding, kidney impairment, liver damage, and cardiovascular events. If prolonged therapy is necessary, regular monitoring of kidney and liver function, blood counts, and cardiovascular status is essential. Discuss with your doctor about alternative treatments for chronic conditions.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and muscle spasm, improving strength and flexibility.
Evidence: Well-establishedApplying heat or cold packs can help relieve muscle spasm and pain.
Evidence: ModerateMay provide pain relief for some musculoskeletal conditions.
Evidence: LimitedCreams or gels containing NSAIDs or capsaicin can provide local relief with fewer systemic side effects.
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 medications you are taking. Live vaccines should be avoided if you are on immunosuppressive therapy, but this medicine is not immunosuppressive.
📦 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 a copy of your prescription. Store it at room temperature, away from direct sunlight and moisture. If crossing time zones, continue your regular dosing schedule as prescribed; do not double up on doses. Check customs regulations for carrying prescription medicines in your destination country. 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: Diclofenac starts relieving pain within 30-60 minutes, while the muscle relaxant effect may take 1-2 hours. Full benefits may be felt within a few days of regular use.
A: No, it should be taken with food or milk to reduce the risk of stomach upset and gastrointestinal irritation.
A: No, alcohol increases the risk of gastrointestinal bleeding and may worsen drowsiness. Avoid alcohol completely while taking this medicine.
A: If you remember within half the dosing interval, take it as soon as you remember. If it's almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: This medicine is not recommended during pregnancy, especially in the third trimester, as it may harm the fetus. Consult your doctor for safer alternatives.
A: This medicine is for short-term use only, typically not exceeding 7-10 days. Prolonged use increases the risk of serious side effects. Consult your doctor for reassessment if pain persists.
🤔 Common Patient Concerns
🔄 Substitutes for inflacure pt tablet
View AllAlternative brands with exact same active ingredient:
-
d pain tc 4mg/50mg capsuleHetero Drugs Ltd ₹64.69 48.9% CHEAPER
-
mahagesic-mr 4 capsuleMankind Pharma Ltd ₹81.98 35.2% CHEAPER
-
enzoflex 4mg/50mg tabletAlkem Laboratories Ltd ₹88.17 30.3% CHEAPER
-
exudol th tabletMac Millon Pharmaceuticals Pvt Ltd ₹88.39 30.2% CHEAPER
-
myoside plus 4mg tabletTorrent Pharmaceuticals Ltd ₹91.97 27.3% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is safe for long-term use.
Fact: This medicine is intended for short-term use only. Prolonged use increases the risk of serious side effects. - Myth: It can be taken on an empty stomach.
Fact: It should be taken with food or milk to reduce stomach upset. - Myth: It is safe to take with other pain relievers.
Fact: Taking it with other NSAIDs increases the risk of bleeding and kidney problems. - Myth: It is a general painkiller for all types of pain.
Fact: It is specifically for musculoskeletal pain with muscle spasm, not for all types of pain.
🔄 Alternative Options
Generic Alternatives
- Diclofenac 50 mg + Thiocolchicoside 4 mg tablet (various manufacturers)
Brand Alternatives
- Flexiwin D 50mg/4mg/325mg Tablet