ketoskip tablet - Ketoprofen (50mg) + Thiocolchicoside (4mg) medicine

Ketolice Tablet: Comprehensive Guide to Uses, Side Effects, and Safety

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🏭 Skiptuit Healthcare 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Not established from the available information. NSAIDs like ketoprofen are generally avoided in the third trimester due to risk of premature closure of ductus arteriosus and kidney problems in the fetus. Thiocolchicoside is not recommended during pregnancy. Consult your doctor for safer alternatives. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for the combination in acute musculoskeletal pain.
Reviewed by
SaathiMed Expert Panel | Sep 25, 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

If experiencing severe symptoms, call emergency services immediately.

What is ketoskip tablet used for?

This medicine is a combination of ketoprofen (an NSAID) and thiocolchicoside (a muscle relaxant) used for short-term relief of acute musculoskeletal pain and muscle spasm. It is taken orally with food, usually one tablet once or twice daily, for up to 7 days.

  • Generic Name: Ketoprofen (50mg) + Thiocolchicoside (4mg)
  • Manufacturer: Skiptuit Healthcare
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 ketoskip tablet के बारे में (Hindi Summary)

उपयोग: यह दवा कीटोप्रोफेन और थायोकोल्चिकोसाइड का संयोजन है, जिसका उपयोग तीव्र मस्कुलोस्केलेटल दर्द और मांसपेशियों की ऐंठन के अल्पकालिक उपचार के लिए किया जाता है। यह दर्द, सूजन और ऐंठन को कम करने में मदद करती है। इसे भोजन के साथ मुँह से लिया जाता है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, पेट दर्द, अपच, दस्त, सिरदर्द, चक्कर आना और नींद आना शामिल हैं। गंभीर दुष्प्रभावों में पेट या आंतों में रक्तस्राव, गुर्दे की समस्या, यकृत की समस्या, गंभीर एलर्जी प्रतिक्रिया और हृदय संबंधी घटनाएं शामिल हैं। यदि आपको काला या खूनी मल, खून की उल्टी, गंभीर पेट दर्द, सीने में दर्द, सांस लेने में कठिनाई, चेहरे या गले में सूजन, आंखों या त्वचा का पीलापन, या पेशाब में कमी दिखे तो तुरंत चिकित्सा सहायता लें।

सुरक्षा सलाह: इस दवा को अपने डॉक्टर के निर्देशानुसार ही लें। अनुशंसित खुराक या अवधि से अधिक न लें। पेट की परेशानी कम करने के लिए इसे भोजन या दूध के साथ लें। शराब से बचें क्योंकि इससे पेट में रक्तस्राव का खतरा बढ़ जाता है। यदि आपको चक्कर आते हैं या नींद आती है तो वाहन न चलाएं या भारी मशीनरी न चलाएं। यदि आपको पेट के अल्सर, गुर्दे या यकृत की बीमारी, हृदय की समस्या, या अस्थमा का इतिहास है तो अपने डॉक्टर को बताएं। गर्भावस्था, गर्भावस्था की योजना, या स्तनपान के दौरान इस दवा का उपयोग करने से पहले अपने डॉक्टर से बात करें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 ketoskip 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":"Low back pain","description":"Short-term relief of acute low back pain associated with muscle spasm.","evidence":"Well-established"},{"condition":"Post-traumatic pain","description":"Used for pain and swelling after soft tissue injuries such as sprains and strains.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Tension-type headache","description":"Sometimes used off-label for tension headaches with muscle tightness, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Acute musculoskeletal pain with muscle spasm

Also treats: Low back pain, Neck pain, Sprains and strains, Post-traumatic pain

📋 Drug Information

Generic Name(s)Ketoprofen (50mg) + Thiocolchicoside (4mg)
Brand Nameketoskip tablet
ManufacturerSkiptuit Healthcare
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always take this medicine with food or milk to minimize stomach upset.
2
Do not exceed the prescribed dose or duration; this medicine is for short-term use only.
3
Avoid alcohol and other NSAIDs while taking this medicine to prevent bleeding and kidney problems.
4
If you have a history of stomach ulcers, kidney or liver disease, or heart problems, inform your doctor before taking this medicine.
5
Do not drive or operate heavy machinery if you experience dizziness or drowsiness.
6
Report any unusual bleeding, bruising, or severe abdominal pain immediately.
7
Stay well hydrated throughout the day to support kidney function.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Acute low back pain with muscle spasm
This medicine is commonly prescribed for this.
Likely Use
✅
Neck pain with stiffness
This medicine can help relieve pain and spasm.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
❌
Chronic joint pain without spasm
Other treatments may be more appropriate.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionKetoprofen is rapidly absorbed from the gastrointestinal tract after oral administration. Thiocolchicoside is also absorbed orally. Food may slightly delay absorption but does not significantly reduce overall extent.
DistributionKetoprofen is highly bound to plasma proteins and distributes into synovial fluid, making it useful for joint pain. Thiocolchicoside distributes into tissues, but specific volume of distribution data are not established from the available information.
Protein BindingKetoprofen is approximately 99% bound to plasma proteins, primarily albumin. Protein binding of thiocolchicoside is not established from the available information.
MetabolismKetoprofen is metabolized in the liver primarily by glucuronidation and hydroxylation. Thiocolchicoside undergoes hepatic metabolism, but specific pathways are not fully established from the available information.
Half-LifeThe elimination half-life of ketoprofen is approximately 2 to 4 hours. The elimination half-life of thiocolchicoside is not established from the available information.
ExcretionKetoprofen is excreted mainly in the urine as metabolites and conjugates. Thiocolchicoside is excreted primarily in urine and bile, but exact proportions are not established from the available information.
BioavailabilityThe oral bioavailability of ketoprofen is approximately 90%. The oral bioavailability of thiocolchicoside is not established from the available information.
Onset of ActionPain relief from ketoprofen typically begins within 30 to 60 minutes after oral administration. Muscle relaxant effects of thiocolchicoside may take several hours to become noticeable.
Peak Plasma TimePeak plasma concentration of ketoprofen is reached approximately 1 to 2 hours after oral intake. Peak plasma time for thiocolchicoside is not established from the available information.
Duration of ActionThe analgesic and anti-inflammatory effects of ketoprofen last approximately 4 to 6 hours. The muscle relaxant effect of thiocolchicoside may last longer, but exact duration is not established from the available information.

How It Works

Ketoprofen inhibits cyclooxygenase enzymes (COX-1 and COX-2), reducing prostaglandin synthesis and thereby decreasing inflammation, pain, and fever. Thiocolchicoside acts as a centrally acting muscle relaxant by binding to GABA-A receptors and strychnine-sensitive glycine receptors in the spinal cord and brainstem, reducing muscle tone and spasm.

Mechanism Steps

1
COX enzyme inhibition by ketoprofen: Ketoprofen reversibly inhibits cyclooxygenase enzymes, blocking the conversion of arachidonic acid to prostaglandins.
2
Reduced prostaglandin synthesis: Lower prostaglandin levels decrease inflammation, pain sensitization, and fever.
3
GABA-A receptor activation by thiocolchicoside: Thiocolchicoside binds to GABA-A receptors in the central nervous system, enhancing inhibitory neurotransmission.
4
Muscle relaxation: Enhanced inhibition reduces alpha motor neuron activity, leading to decreased muscle tone and relief of spasm.

💡 How to Take ketoskip tablet

Strength: Each immediate-release tablet contains ketoprofen 50 mg and thiocolchicoside 4 mg.

1Take the tablet with a full glass of water.
2Take it with food or milk to reduce stomach upset.
3Swallow the tablet whole; do not crush or chew.
4Take at the same time each day to maintain consistent levels.
5Do not lie down immediately after taking the tablet; stay upright for 30 minutes.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally one to two times daily, preferably with food. The exact dose and duration depend on the condition being treated and the patient's response. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine, especially gastrointestinal bleeding and kidney problems. Use the lowest effective dose for the shortest duration. Dose must be individualized by a qualified clinician based on renal and hepatic function.
Renal ImpairmentUse with caution in patients with kidney disease. Dose reduction may be necessary. Consult your doctor for individualized dosing.
Hepatic ImpairmentUse with caution in patients with liver disease. Dose reduction may be necessary. Consult your doctor for individualized dosing.
Maximum Daily DoseThe maximum recommended daily dose of ketoprofen is 200 mg, but for this combination, the maximum daily dose is typically 2 tablets (100 mg ketoprofen and 8 mg thiocolchicoside). Do not exceed the dose prescribed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset and risk of gastrointestinal bleeding.
Grapefruit
Avoid
May increase drug levels by affecting liver enzymes.
Alcohol
Avoid
Increases risk of stomach bleeding and liver toxicity.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of ketoskip tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food or milk. If nausea persists, consult your doctor.
Stomach pain or indigestion (Common (5-10%))
Take with meals. Avoid alcohol. If severe, contact your doctor.
Headache (Common (5-10%))
Usually resolves on its own. Stay hydrated. Consult if persistent.
Dizziness or drowsiness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.
Diarrhea (Uncommon (1-5%))
Stay hydrated. Consult if it persists for more than 2 days.

🚨 Serious Side Effects

Gastrointestinal bleeding or perforation (Rare (<0.1%))
Seek immediate medical attention if you notice black or bloody stools, vomiting blood, or severe abdominal pain.
Kidney injury (Rare (<0.1%))
Report decreased urine output, swelling, or fatigue to your doctor immediately.
Liver injury (Rare (<0.1%))
Seek medical help if you notice yellowing of skin or eyes, dark urine, or severe fatigue.
Severe allergic reaction (anaphylaxis) (Very rare (<0.01%))
Call emergency services if you experience swelling of face, lips, or throat, difficulty breathing, or rash.
Cardiovascular events (heart attack, stroke) (Rare (<0.1%))
Seek immediate care for chest pain, shortness of breath, or sudden weakness on one side.

⚠️ Rare Side Effects

Photosensitivity reaction
Avoid excessive sun exposure. Use sunscreen. Consult if rash develops.
Blood disorders (e.g., agranulocytosis, thrombocytopenia)
Report unusual bruising, bleeding, or fever to your doctor immediately.

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
SSRIs Moderate
Corticosteroids Major
Antacids Minor

🚨 Major Interactions

  • Warfarin
  • Other NSAIDs (e.g., aspirin, ibuprofen)
  • Corticosteroids
  • Methotrexate
  • Lithium

⚡ Moderate Interactions

  • ACE inhibitors and ARBs
  • Diuretics
  • SSRIs

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of stomach bleeding, ulcers, and liver problems. It may also worsen dizziness and drowsiness.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Active or history of peptic ulcer or gastrointestinal bleeding","Severe heart failure","Severe kidney disease","Severe liver disease","Asthma triggered by aspirin or other NSAIDs","Third trimester of pregnancy","Breastfeeding","Known allergy to ketoprofen, thiocolchicoside, or any component","Children under 18 years (safety not established)"]

⚠️ Warnings & Precautions

["Take with food to reduce stomach upset.","Avoid alcohol and other NSAIDs.","Use with caution in the elderly due to increased risk of side effects.","Do not drive or operate machinery if you feel dizzy or drowsy.","Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart problems, or asthma.","Do not use for more than 7 days without medical advice.","Stop and consult a doctor if you experience signs of bleeding, allergic reaction, or severe abdominal pain."]

🤱 Lactation Safety

Not established from the available information. Ketoprofen may pass into breast milk and could cause adverse effects in the infant. Thiocolchicoside is not recommended during breastfeeding. Consult your doctor before use.

💊 Overdose Management

Overdose may cause severe nausea, vomiting, abdominal pain, drowsiness, and gastrointestinal bleeding. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Activated charcoal may be considered if within 1-2 hours of ingestion. Monitor vital signs and electrolytes.

⏰ 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

General Safety

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 because it increases the risk of stomach bleeding. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, heart problems, or asthma. Do not take other NSAIDs or pain relievers without consulting your doctor. If you are pregnant, planning pregnancy, or breastfeeding, talk to your doctor before using this medicine. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of gastrointestinal bleeding, kidney injury, and cardiovascular events. Use the lowest effective dose for the shortest duration. Monitor kidney and liver function regularly. Avoid concurrent use of other NSAIDs or anticoagulants.

🤰 Pregnancy Planning (TTC)

This medicine is not recommended during pregnancy, especially in the third trimester, due to risk of premature closure of ductus arteriosus and kidney problems in the fetus. If you are planning pregnancy, consult your doctor for safer alternatives for pain relief.

🏥 Post-Surgery Considerations

This medicine may be used for post-surgical pain and inflammation, but it can increase the risk of bleeding. Consult your surgeon before taking this medicine after surgery, especially if you are on blood thinners or have a bleeding disorder.

🦷 Dental Procedures

This medicine can increase the risk of bleeding during dental procedures. Inform your dentist that you are taking this medicine before any dental work. Your dentist may advise you to stop it temporarily.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on joints and muscles.
🥗
Engage in regular low-impact exercises like swimming or walking.
😴
Practice good posture and ergonomics at work and home.
💧
Include anti-inflammatory foods in your diet, such as fruits, vegetables, and omega-3 rich fish.
🧘
Get adequate sleep to promote muscle recovery.
🌞
Apply heat or cold packs to affected areas as advised by your doctor.

🏋️ Exercise Considerations

Avoid strenuous exercise or activities that may worsen pain while taking this medicine. Gentle stretching and low-impact activities may be beneficial, but consult your doctor or physiotherapist before starting any exercise program.

🥗 Diet Recommendations

Include omega-3 rich foods like salmon, flaxseeds, and walnuts.
Reduce intake of processed foods and refined sugars.
Stay well hydrated by drinking plenty of water.
Eat a balanced diet rich in fruits and vegetables.
Limit caffeine and alcohol consumption.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It may also cause stomach upset, so take it with food. Inform your employer if your job involves operating heavy machinery.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if you experience severe abdominal pain, black or bloody stools, vomiting blood, signs of allergic reaction (rash, swelling, difficulty breathing), yellowing of skin or eyes, decreased urine output, or if your pain does not improve within 7 days. Do not stop abruptly if you have been on long-term therapy without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended due to increased risk of gastrointestinal bleeding, kidney injury, liver problems, and cardiovascular events. If long-term use is necessary, regular monitoring of kidney and liver function, blood counts, and blood pressure is required. Consult your doctor for alternative treatments if pain persists beyond 7 days.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain and improve muscle strength and flexibility.

Evidence: Well-established
Heat or cold therapy

Applying heat or cold packs can help relieve muscle spasm and pain.

Evidence: Moderate
Acupuncture

May help reduce pain in some individuals, but evidence is mixed.

Evidence: Limited

💉 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 receiving any vaccine while 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 times gradually. Check customs regulations for controlled substances; this medicine is generally not controlled but carry documentation. Keep enough supply for your trip and avoid packing in checked luggage to prevent loss.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old office worker with acute low back pain and muscle spasm
Started this medicine as prescribed for low back pain. Within 2 days, noticed significant improvement in pain and mobility. Emphasized taking with food to prevent stomach upset. Completed a 5-day course and recovered fully.
💡 Lesson: Consistency with prescribed dose and taking with food improves both efficacy and tolerability.
👤 A 60-year-old retiree with knee osteoarthritis and muscle tightness
Was prescribed this medicine for short-term relief of knee pain and spasm. Experienced mild nausea initially, which resolved when taken with meals. Advised to use for only 7 days and to follow up with physical therapy.
💡 Lesson: Short-term use with food and follow-up with non-drug therapies leads to better outcomes.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Pain relief typically begins within 30 to 60 minutes after taking the tablet. Muscle relaxant effects may take a few hours to become noticeable.

Q: Can I take this medicine on an empty stomach?

A: No, it should be taken with food or milk to reduce the risk of stomach upset and bleeding.

Q: Is it safe to take this medicine with other pain relievers?

A: Do not take other NSAIDs or pain relievers without consulting your doctor, as it may increase the risk of side effects.

Q: What should I do if I miss a dose?

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.

Q: Can I take this medicine during pregnancy?

A: This medicine is not recommended during the third trimester of pregnancy and should be avoided during breastfeeding. Consult your doctor for safer alternatives.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for ketoskip tablet

View All

Alternative brands with exact same active ingredient:

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. Long-term use increases the risk of serious side effects and should be avoided unless specifically prescribed by a doctor.
  • Myth: It is safe to take this medicine on an empty stomach.
    Fact: Taking this medicine with food reduces the risk of stomach upset and bleeding. It should always be taken with meals.
  • Myth: This medicine is safe during pregnancy.
    Fact: This medicine is not recommended during the third trimester of pregnancy and should be avoided during breastfeeding. Consult your doctor for safer alternatives.

🔄 Alternative Options

Generic Alternatives

  • Ketoprofen 50 mg + Thiocolchicoside 4 mg tablet (generic)

Brand Alternatives

  • Ketolice Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Ketoprofen + Thiocolchicoside","composition":"Ketoprofen 50 mg + Thiocolchicoside 4 mg","onset":"30-60 minutes","duration":"4-6 hours","common_side_effects":"Nausea, stomach pain, dizziness"},{"medicine":"Aceclofenac + Thiocolchicoside","composition":"Aceclofenac 100 mg + Thiocolchicoside 4 mg","onset":"30-60 minutes","duration":"6-8 hours","common_side_effects":"Nausea, stomach pain, diarrhea"},{"medicine":"Diclofenac + Thiocolchicoside","composition":"Diclofenac 50 mg + Thiocolchicoside 4 mg","onset":"30-60 minutes","duration":"4-6 hours","common_side_effects":"Nausea, stomach pain, headache"}]

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