Flexaid D Tablet: Complete Guide to Uses, Dosage, Side Effects, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Yellowing of skin or eyes (jaundice)
- Dark urine or pale stools
- Severe abdominal pain or persistent vomiting
- Blood in stool or vomit
- Severe diarrhea with dehydration (dizziness, reduced urination)
- Sudden swelling of face, lips, or throat
- Difficulty breathing or chest pain
- Unusual bruising or bleeding
If experiencing severe symptoms, call emergency services immediately.
What is inta-gm 750mg/50mg/250mg tablet used for?
This medicine is a combination of Glucosamine (750 mg) and Diacerein (50 mg) used to treat osteoarthritis. It helps reduce joint pain and stiffness and may slow cartilage damage. It is taken orally with meals, usually once or twice daily, and benefits may take 4–8 weeks to appear. It is not recommended during pregnancy, breastfeeding, or in children.
- Generic Name: Glucosamine (750mg) + Diacerein (50mg)
- Manufacturer: Mepfarma India Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 inta-gm 750mg/50mg/250mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा ग्लूकोसामाइन (750 मि.ग्रा.) और डायसेरिन (50 मि.ग्रा.) 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 और कार्टिलेज (उपास्थि) को होने वाले नुकसान को धीमा कर सकती है। यह दवा तुरंत दर्द निवारक नहीं है; इसका असर दिखने में कई सप्ताह लग सकते हैं। इसे भोजन के साथ लेना चाहिए। गर्भवती महिलाओं, स्तनपान कराने वाली माताओं, बच्चों और गंभीर लीवर या किडनी रोग वाले मरीजों को यह दवा नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, पेट में जलन, दस्त, कब्ज, सिरदर्द और त्वचा पर चकत्ते शामिल हैं। डायसेरिन के कारण दस्त हो सकते हैं, जो आमतौर पर कुछ सप्ताह में ठीक हो जाते हैं। दुर्लभ मामलों में लीवर की समस्या, पीलिया या गंभीर एलर्जी हो सकती है। यदि आपको लगातार दस्त, आंखों या त्वचा का पीलापन, गहरे रंग का पेशाब, या सांस लेने में कठिनाई हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें, आमतौर पर भोजन के साथ। टैबलेट को चबाएं या तोड़ें नहीं। पर्याप्त पानी पिएं। शराब का सेवन न करें क्योंकि इससे लीवर और पेट की समस्याएं बढ़ सकती हैं। यदि आप गर्भवती हैं, स्तनपान करा रही हैं, या आपको लीवर/किडनी की बीमारी है, तो डॉक्टर को बताएं। नियमित जांच कराएं। दवा को कमरे के तापमान पर, नमी और धूप से दूर रखें। खुराक छूट जाने पर, याद आते ही ले लें, लेकिन अगली खुराक का समय नजदीक हो तो छोड़ दें। दोहरी खुराक न लें।
💊 inta-gm 750mg/50mg/250mg tablet Uses & Benefits
[{"condition":"Knee osteoarthritis","description":"Reduces pain, improves joint function, and may slow cartilage degradation in mild to moderate knee osteoarthritis.","evidence":"Moderate"},{"condition":"Hip osteoarthritis","description":"Helps alleviate pain and stiffness associated with hip osteoarthritis, though evidence is less robust than for knee osteoarthritis.","evidence":"Limited"},{"condition":"Hand osteoarthritis","description":"May provide symptomatic relief in hand osteoarthritis, but studies show variable results.","evidence":"Limited"},{"condition":"General joint pain and stiffness","description":"Sometimes used for non-specific joint discomfort, but evidence is insufficient to recommend routine use.","evidence":"Insufficient"}]
Off-label uses: [{"condition":"Inflammatory bowel disease-associated arthritis","description":"Diacerein's interleukin-1 inhibition has been explored in some inflammatory conditions, but this is not an approved use.","evidence":"Limited"},{"condition":"Epidermolysis bullosa","description":"Diacerein has been studied in rare skin blistering disorders, but this is not a standard use for this combination.","evidence":"Limited"}]
Primary treatment for: Osteoarthritis
Also treats: Joint pain, Joint stiffness, Reduced joint mobility
📋 Drug Information
| Generic Name(s) | Glucosamine (750mg) + Diacerein (50mg) |
| Brand Name | inta-gm 750mg/50mg/250mg tablet |
| Manufacturer | Mepfarma India Pvt 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 moisture and direct sunlight. Keep in the original container, tightly closed. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the packaging. |
| WHO Guideline | Not established from the available information. The World Health Organization does not have specific recommendations for this fixed-dose combination. Osteoarthritis management guidelines generally recommend a multimodal approach including exercise, weight management, and symptomatic medications. |
| ICMR Guideline | Not established from the available information. The Indian Council of Medical Research has not published specific guidelines for this combination. Indian guidelines for osteoarthritis generally follow international recommendations. |
👨⚕️ 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. Glucosamine provides substrate for glycosaminoglycan and proteoglycan synthesis in cartilage, potentially stimulating chondrocyte activity and reducing cartilage breakdown. Diacerein is metabolized to rhein, which inhibits interleukin-1 beta (IL-1β) and its converting enzyme, thereby reducing production of matrix metalloproteinases and nitric oxide that degrade cartilage. Together, they aim to reduce inflammation, relieve pain, and slow structural progression of osteoarthritis.
Mechanism Steps
💡 How to Take inta-gm 750mg/50mg/250mg tablet
Strength: Each tablet contains Glucosamine 750 mg and Diacerein 50 mg. Immediate-release oral tablet.
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 duration must be individualized by a qualified clinician based on the indication, severity of symptoms, age, weight, renal and hepatic function, and response to treatment. Do not self-adjust the dose. Typically, it may take 4–8 weeks to see full benefits. Regular follow-up is advised. |
| Pediatric Dosage | Pediatric dosing is not established from available information. This medicine is not recommended for children and adolescents under 18 years. Consult a pediatrician for alternative treatments. |
| Elderly Dosage | Elderly patients (above 65 years) may be more sensitive to the side effects of this medicine, particularly gastrointestinal and hepatic effects. Dose adjustment may be necessary based on renal and hepatic function. Close monitoring is advised. |
| Renal Impairment | In patients with mild to moderate renal impairment, dose adjustment may be required. This medicine is contraindicated in severe renal impairment (eGFR <30 mL/min). Consult a nephrologist or clinician for individualized dosing. |
| Hepatic Impairment | In patients with mild to moderate hepatic impairment, use with caution and consider dose reduction. This medicine is contraindicated in severe hepatic impairment. Regular monitoring of liver function is recommended. |
| Maximum Daily Dose | The maximum recommended daily dose is typically one tablet twice daily, providing 1500 mg glucosamine and 100 mg diacerein. However, the exact maximum dose must be determined by a qualified clinician based on individual patient factors. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of inta-gm 750mg/50mg/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 | |
| Metformin | Moderate | |
| Furosemide | Moderate | |
| Antacids | Minor | |
| Laxatives | Minor | |
| Insulin | Moderate | |
| Paracetamol | Minor | |
| Corticosteroids | Moderate |
🚨 Major Interactions
- Warfarin
- Hepatotoxic drugs (e.g., methotrexate, isoniazid)
⚡ Moderate Interactions
- NSAIDs (e.g., ibuprofen, diclofenac)
- Antidiabetic drugs
- Diuretics
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Both diacerein and alcohol can stress the liver, and alcohol may worsen gastrointestinal side effects such as diarrhea and stomach upset. Chronic alcohol use increases the risk of liver injury.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to glucosamine, diacerein, or any component of the formulation.","Severe hepatic impairment or active liver disease.","Severe renal impairment (eGFR
⚠️ Warnings & Precautions
["Diacerein may cause diarrhea; if severe, stop the medicine and consult a doctor.","Monitor liver function during prolonged therapy, especially in patients with liver disease.","Use with caution in patients with renal impairment; dose adjustment may be required.","Glucosamine may affect blood glucose; diabetic patients should monitor levels.","Avoid alcohol consumption to reduce risk of liver toxicity.","Not recommended for children or adolescents.","Inform your doctor if you are taking blood thinners or other medications.","Do not exceed the recommended dose."]
🤱 Lactation Safety
Not established from the available information. It is not known whether glucosamine or diacerein metabolites are excreted in human breast milk. Breastfeeding women should consult their doctor before using this medicine.
💊 Overdose Management
Overdose of this medicine may cause severe diarrhea, nausea, abdominal pain, and potential liver or kidney injury. There is no specific antidote. Treatment is supportive and symptomatic. If overdose is suspected, contact a poison control center or seek immediate medical attention. Do not induce vomiting unless instructed by a healthcare professional.
⏰ 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 two doses at the same time to make up for a missed dose.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, usually with meals to reduce stomach upset. Do not crush, chew, or break the tablet unless your doctor advises otherwise. Swallow it whole with a full glass of water. Avoid alcohol while taking this medicine, as it may increase the risk of liver problems and gastrointestinal side effects. Inform your doctor if you have a history of liver disease, kidney disease, diabetes, or asthma. Do not take this medicine if you are pregnant, planning pregnancy, or breastfeeding without medical advice. Keep all follow-up appointments and laboratory tests as recommended. Do not share this medicine with others, even if they have similar symptoms. Store it at room temperature, away from moisture and direct sunlight. If you miss a dose, take it as soon as you remember, but skip it if it is almost time for the next dose; never double the dose. Seek immediate medical help if you notice signs of liver injury, severe diarrhea, or allergic reactions.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to gastrointestinal, liver, and kidney side effects. Dose adjustment may be needed based on renal and hepatic function. Regular monitoring is advised. Falls risk may increase if dizziness occurs.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy or when planning pregnancy. If you are trying to conceive, consult your doctor to discuss alternative treatments for osteoarthritis. Both glucosamine and diacerein have limited safety data in pregnancy.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon about this medicine. It may need to be stopped before surgery due to potential effects on bleeding and liver function. Follow your surgeon's instructions.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, especially if you are undergoing dental surgery or procedures that may cause bleeding. Diacerein may increase bleeding risk when combined with other blood thinners.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you can continue most physical activities, but avoid high-impact exercises that may worsen joint pain. If you experience increased pain, swelling, or instability, stop the activity and consult your doctor. Low-impact exercises are generally safe and beneficial.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness in some individuals. If you experience these effects, avoid driving or operating heavy machinery until you know how the medicine affects you. Otherwise, it generally does not interfere with daily activities. Take it with meals to minimize stomach upset.
🛑 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 adjust the dose or switch to an alternative treatment based on your response and tolerance.
📅 Long-Term Use Effects
Long-term use of this medicine may require periodic monitoring of liver and kidney function. Diacerein has been associated with rare but serious liver injury, so liver enzymes should be checked if therapy is prolonged. Glucosamine may affect glucose metabolism in diabetic patients. The benefits may continue as long as the medicine is taken, but it does not cure osteoarthritis. Regular follow-up with your doctor is essential to assess efficacy and safety.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Strengthening exercises and joint mobilization can complement medicine for chronic pain.
Evidence: Well-establishedLosing excess weight reduces load on weight-bearing joints and improves symptoms.
Evidence: Well-establishedMay provide pain relief in some patients with osteoarthritis.
Evidence: ModerateCreams or gels containing NSAIDs or capsaicin can provide local pain relief.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Not established from the available information. There are no known interactions between this medicine and vaccines. However, consult your doctor before any vaccination if you are on long-term therapy.
📦 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. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or moisture. If crossing time zones, continue taking it at your usual times; no specific adjustment is needed. Check customs regulations for carrying prescription medicines. Carry enough supply for your entire trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine is a slow-acting treatment. It may take 4–8 weeks of consistent use before you notice significant improvement in pain and stiffness.
A: You should consult your doctor before combining with other painkillers, especially NSAIDs, as it may increase the risk of gastrointestinal side effects.
A: Long-term use may be prescribed, but it requires periodic monitoring of liver and kidney function. Follow your doctor's advice.
A: It is best to avoid alcohol as it can increase the risk of liver problems and gastrointestinal 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 the dose.
🤔 Common Patient Concerns
🔄 Substitutes for inta-gm 750mg/50mg/250mg tablet
View AllAlternative brands with exact same active ingredient:
-
mericartrin 50mg/750mg tabletMerion Care ₹35.16 72.7% CHEAPER
-
gencos d 50mg/750mg tabletMedlife Genetics ₹39.00 69.8% CHEAPER
-
keyrin plus 50mg/750mg tabletKlokter Life Sciences ₹45.00 65.1% CHEAPER
-
natcos-d tabletNovogen Captab ₹56.25 56.4% CHEAPER
-
stayhappi glucosamine+diacerein+methyl sulfonyl methane 750mg/50mg/250mg tabletSarvagunaushdhi Pvt Ltd ₹65.63 49.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine provides immediate pain relief like NSAIDs.
Fact: This medicine is a slow-acting symptomatic treatment; it may take several weeks to show benefits. - Myth: This medicine can cure osteoarthritis completely.
Fact: It helps manage symptoms and may slow progression but does not cure osteoarthritis. - Myth: It is safe to take this medicine without a prescription.
Fact: This is a prescription medicine and should only be taken under medical supervision. - Myth: This medicine is safe for everyone.
Fact: It is not recommended for pregnant women, breastfeeding mothers, children, and those with severe liver or kidney disease.
🔄 Alternative Options
Generic Alternatives
- Glucosamine 750 mg + Diacerein 50 mg tablet (various manufacturers)
Brand Alternatives
- Flexaid D Tablet (this medicine)
- Other brands containing Glucosamine + Diacerein: Not established from the available information.