Neofortan D Tablet
Clinical Background: Balrampur Hospital, Lucknow (Emergency Medicine) & SCPM Hospital | Standards: CDSCO, Indian Pharmacopoeia (IP) & WHO
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 dizziness or fainting
If experiencing severe symptoms, call emergency services immediately.
What is neofortan d tablet used for?
This medicine is a combination of Camylofin 50 mg and Diclofenac 50 mg used for short-term relief of pain associated with smooth muscle spasm and inflammation, such as abdominal cramps, renal colic, and painful periods. It works by relaxing smooth muscles and reducing inflammation. It should be taken with food and not exceed three tablets in 24 hours.
- Generic Name: Camylofin (50mg) + Diclofenac (50mg)
- Manufacturer: Zuventus Healthcare Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 neofortan d tablet के बारे में (Hindi Summary)
उपयोग: यह दवा कैमिलोफिन 50 मिलीग्राम और डाइक्लोफेनाक 50 मिलीग्राम का संयोजन है। इसका उपयोग पेट की ऐंठन, गुर्दे की पथरी के दर्द, पित्त की थैली के दर्द, और मासिक धर्म के दर्द जैसी स्थितियों में किया जाता है। यह मांसपेशियों की ऐंठन को कम करके और सूजन को कम करके दर्द से राहत देती है। इसे भोजन के साथ लेना चाहिए और 24 घंटे में तीन गोलियों से अधिक नहीं लेना चाहिए। यह दवा केवल अल्पकालिक उपयोग के लिए है और डॉक्टर की सलाह के बिना लंबे समय तक नहीं लेनी चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, पेट दर्द, सिरदर्द, चक्कर आना, मुंह सूखना और कब्ज शामिल हैं। गंभीर दुष्प्रभावों में पेट या आंतों में रक्तस्राव, दिल का दौरा, स्ट्रोक, गुर्दे की समस्या और लीवर की क्षति शामिल हो सकती है। यदि आपको काला मल, खून की उल्टी, तेज पेट दर्द, सीने में दर्द, सांस लेने में कठिनाई, या चेहरे पर सूजन हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही 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 और लीवर की समस्या का खतरा बढ़ सकता है। यदि आपको चक्कर आते हैं तो वाहन न चलाएं। यदि आप गर्भवती हैं, गर्भधारण की योजना बना रही हैं, या स्तनपान करा रही हैं तो डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें। कमरे के तापमान पर सूखी जगह पर रखें।
neofortan d tablet Uses & Benefits
Relieves painful cramping in the gastrointestinal tract by relaxing smooth muscle and reducing inflammation.
Helps relieve pain from kidney stones by reducing spasm in the urinary tract and providing anti-inflammatory pain relief.
Reduces pain and spasm in the biliary tract associated with gallstones.
Relieves menstrual cramps by reducing uterine spasm and prostaglandin-mediated inflammation.
Used for short-term relief of pain and spasm after certain surgical procedures.
Off-Label & Investigational Uses:
Sometimes prescribed off-label for short-term relief of severe cramping in IBS, though long-term use is not recommended.
Occasionally used off-label for muscle spasm associated with musculoskeletal conditions, but other treatments are preferred.
📋 Drug Information
| Generic Name(s) | Camylofin (50mg) + Diclofenac (50mg) |
| Brand Name | neofortan d tablet |
| Manufacturer | Zuventus Healthcare Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C. Protect from moisture and direct sunlight. Keep in the original container. |
| 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. Camylofin is an antispasmodic that acts directly on smooth muscle cells, likely by inhibiting phosphodiesterase and reducing intracellular calcium, leading to relaxation of smooth muscle in the gastrointestinal, biliary, and genitourinary tracts. Diclofenac is a nonsteroidal anti-inflammatory drug that reversibly inhibits cyclooxygenase-1 and cyclooxygenase-2 enzymes, thereby reducing the synthesis of prostaglandins, which are mediators of pain, inflammation, and fever. The combination provides both smooth muscle relaxation and anti-inflammatory analgesia, targeting pain that involves a spasm component.
Mechanism Steps
💡 How to Take neofortan d tablet
Strength: Each tablet contains Camylofin 50 mg and Diclofenac 50 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally one to three times daily, depending on the severity of pain and the condition being treated. The dose should not exceed three tablets in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Take with food or milk to reduce stomach upset. Use for the shortest duration necessary. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events. Use the lowest effective dose for the shortest duration. Dose must be individualized by a qualified clinician based on renal and hepatic function. |
| Renal Impairment | Use with caution in patients with kidney impairment. Dose reduction may be necessary. Consult a doctor for individualized dosing. Avoid in severe renal impairment. |
| Hepatic Impairment | Use with caution in patients with liver impairment. Dose reduction may be necessary. Consult a doctor for individualized dosing. Avoid in severe hepatic impairment. |
| Maximum Daily Dose | The maximum recommended daily dose is three tablets in 24 hours. Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of neofortan d 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 | |
| Other NSAIDs | Major | |
| Corticosteroids | Major | |
| Methotrexate | Major | |
| Lithium | Major | |
| ACE inhibitors/ARBs/Diuretics | Moderate | |
| SSRIs | Moderate | |
| Cyclosporine | Moderate | |
| Digoxin | Moderate | |
| Anticholinergics | Moderate |
🚨 Major Interactions
- Warfarin and other anticoagulants
- Other NSAIDs (e.g., ibuprofen, naproxen)
- Corticosteroids
- Methotrexate
- Lithium
⚡ Moderate Interactions
- Antihypertensives (e.g., ACE inhibitors, ARBs, diuretics)
- Selective serotonin reuptake inhibitors (SSRIs)
- Cyclosporine
- Digoxin
- Anticholinergic drugs (e.g., antihistamines, tricyclic antidepressants)
🍷 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 worsen dizziness and drowsiness.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Active peptic ulcer or history of recurrent ulcers","Severe heart failure","Severe kidney impairment","Severe liver impairment","Known allergy to diclofenac, camylofin, or other NSAIDs","Asthma, urticaria, or allergic reactions triggered by aspirin or other NSAIDs","Third trimester of pregnancy","Coronary artery bypass graft surgery (perioperative period)","Active bleeding or bleeding disorders"]
⚠️ Warnings & Precautions
["Take with food to minimize stomach irritation.","Avoid alcohol and other NSAIDs.","Use with caution in elderly patients due to increased risk of GI bleeding and kidney problems.","Do not use for longer than prescribed without medical advice.","Inform your doctor if you have a history of heart disease, hypertension, or stroke.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Camylofin may cause anticholinergic effects; use with caution in patients with glaucoma, urinary retention, or benign prostatic hyperplasia.","Do not use in children unless prescribed by a pediatrician."]
🤱 Lactation Safety
Diclofenac is excreted in breast milk in small amounts. Camylofin excretion in breast milk is not established from the available information. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose may cause severe nausea, vomiting, abdominal pain, gastrointestinal bleeding, drowsiness, dizziness, and kidney or liver damage. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Activated charcoal may be considered if the patient presents early. Monitor vital signs, kidney and liver function, and manage complications.
⏰ 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 irritation. Avoid alcohol while taking this medicine because it can increase the risk of stomach bleeding and liver problems. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Inform your doctor if you have a history of stomach ulcers, heart disease, kidney or liver problems, asthma, or bleeding disorders. 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. Store at room temperature away from moisture and direct sunlight. Do not use after the expiry date.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, 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 unless prescribed.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Diclofenac may affect ovulation and is generally avoided during pregnancy, especially in the third trimester. Camylofin safety in pregnancy is not well established.
🏥 Post-Surgery Considerations
This medicine may be used for short-term pain relief after certain surgeries, but it should be used with caution due to the risk of bleeding and kidney problems. Follow your surgeon's instructions carefully. Do not use it if you are at high risk of bleeding or have kidney impairment.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. It may increase the risk of bleeding during and after dental work. Your dentist may advise you to stop it temporarily or take precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or heavy lifting while taking this medicine, especially if you are experiencing pain or dizziness. Gentle stretching and low-impact activities like walking or swimming may be beneficial, but consult your doctor before starting any exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It may also cause stomach upset, so take it with food. Most people can continue their normal daily activities, but listen to your body and rest if needed.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your pain does not improve within 7 days, if it worsens, or if you experience any serious side effects such as black stools, vomiting blood, severe abdominal pain, chest pain, or signs of an allergic reaction. Do not stop abruptly if you have been taking it for a long time without consulting your doctor.
📅 Long-Term Use Effects
Long-term use of this medicine can increase the risk of gastrointestinal bleeding, ulcers, kidney impairment, liver injury, and cardiovascular events such as heart attack and stroke. Regular monitoring of kidney and liver function, blood pressure, and complete blood count may be required. Use the lowest effective dose for the shortest duration possible. Consult your doctor if you need to use this medicine for more than a few days.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help manage chronic pain and improve muscle function.
Evidence: Well-establishedApplying heat or cold packs can help relieve muscle spasms and pain.
Evidence: ModerateDeep breathing, meditation, and yoga can help reduce stress and muscle tension.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled to receive a live vaccine, inform your doctor that 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 moisture and direct sunlight. If traveling across time zones, continue your regular dosing schedule as prescribed; consult your doctor for specific advice. Declare the medicine at customs if required. Do not leave it in a hot car or checked luggage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts relieving pain within 30 to 60 minutes after taking it orally.
A: It is best taken with food or milk to reduce the risk of stomach upset and bleeding.
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.
A: No, this medicine is intended for short-term use only. Long-term use increases the risk of serious side effects such as gastrointestinal bleeding, kidney problems, and cardiovascular events.
A: No, alcohol should be avoided while taking this medicine as it increases the risk of gastrointestinal bleeding and liver problems.
🤔 Common Patient Concerns
🔄 Substitutes for neofortan d tablet
View AllAlternative brands with exact same active ingredient:
-
dicloran spas tabletJ B Chemicals and Pharmaceuticals Ltd ₹39.38 1.4% COSTLIER
-
avapar tabletKhandelwal Laboratories Pvt Ltd ₹60.58 56% COSTLIER
-
spasmonorm tabletKhandelwal Laboratories Pvt Ltd ₹75.93 95.5% COSTLIER
-
anaspas tabletAbbott ₹92.49 138.2% 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: This medicine is intended for short-term use only. Long-term use increases the risk of serious side effects. - Myth: It is safe to take this medicine on an empty stomach.
Fact: Taking it with food reduces the risk of stomach upset and bleeding. - Myth: This medicine is safe during pregnancy.
Fact: It is generally avoided during pregnancy, especially in the third trimester, due to potential risks to the fetus.
🔄 Alternative Options
Generic Alternatives
- Camylofin 50 mg + Diclofenac 50 mg tablet
Brand Alternatives
- Dicloran Spas Tablet