Robinaxol D Tablet 10'S

Introduction About ROBINAXOL D TABLET

ROBINAXOL D TABLET is a combination of Diclofenac, Methocarbamol, and
Paracetamol which belongs to the group of medicines called Nonsteroidal
Anti-inflammatory agents, Skeletal Muscle Relaxants and Analgesics &
Antipyretics respectively. It is used to relieve pain, reduce swelling, and
muscle spasm associated with conditions affecting the joints, muscles and
tendons like sprains, strains and backache, rheumatoid arthritis,
osteoarthritis, ankylosing spondylitis, dental or minor surgery and other
injuries.

Arthritis is the tenderness or swelling of one or more joints characterized by
pain, stiffness, and reduced movements.

ROBINAXOL D TABLET is not recommended for use in patients with asthma, liver,
kidney, and heart. Consult your doctor for advice.

ROBINAXOL D TABLET is not recommended for use in woman who are pregnant, and it
should be used with caution in breastfeeding woman. Consult your doctor for
advice.

ROBINAXOL D TABLET is not recommended for use in children and adolescents below
12 years of age and it should be used with caution in elderly patients. Consult
your doctor for advice.

The most common side effects of taking ROBINAXOL D TABLET are stomach pain,
indigestion, heart burn and vomiting. Consult your doctor if the symptoms does
not improve.

Uses Of ROBINAXOL D TABLET

Used to relieve pain, reduce swelling, and muscle spasm associated with
conditions such as:

• joints, muscles
• tendons like sprains, strains
• backache
• rheumatoid arthritis
• osteoarthritis
• ankylosing spondylitis
• dental or minor surgery and
• other injuries

How ROBINAXOL D TABLET Works

[GBKEYWORD] act as a painkiller and muscle relaxant where Diclofenac and
Paracetamol works by reducing the effects of prostaglandin (substance produced
during injury and inflammation causing pain) thereby blocking the pain signals
between the brain and nerve endings. Methocarbamol blocks the effects of
acetylcholine (neurotransmitter responsible for muscle contraction.

How to use ROBINAXOL D TABLET

Take ROBINAXOL D TABLET as advised by your physician. Swallow this medicine with
a glass of water and do not crush or chew the medicine. Your doctor will decide
the right dose and duration depending upon your age, body weight and disease
condition.

Side Effects Of ROBINAXOL D TABLET

Common

• stomach pain
• loss of appetite
• indigestion
• vomiting, nausea
• heartburn, pain
• dizziness
• headache
• spots or skin rash

Uncommon

• fast or irregular heartbeat
• chest pain

Rare

• stomach ulcers or bleeding
• gastritis
• vomiting blood
• diarrhoea with blood
• tiredness, drowsiness
• symptoms of fluid retention like swollen ankles
• signs of asthma include coughing, chest tightness, wheezing

Stop taking ROBINAXOL D TABLET and contact your doctor immediately if you
experience any of the following side effects:

• sudden and crushing chest pain
• signs of heart failure like breathlessness, difficulty in breathing when lying down, swelling of hands and feet
• signs of stroke include sudden numbness or weakness in the face, arm, or leg especially on one side of the body, sudden loss or disturbance of vision, difficulty in speaking or ability to understand speech, sudden migraine-like headaches
• signs of bleeding in the stomach or intestine when emptying your bowels, blood in vomit or black, tarry faeces
• skin rash, itching, bruising painful red areas, peeling or blistering
• wheezing or shortness of breath (bronchospasm)
• yellowing of skin or the whites of your eyes
• persistent sore throat or high temperature (fever)
• change in the amount of urine produced and/or its appearance
• mild cramping and tenderness of the abdomen
• Stevens Johnson Syndrome (serious illness with blistering of the skin, mouth, eyes, and genitals)

How To Manage Side Effects

Nausea or Vomiting:

Take this medicine with, or just after meals. Stick to simple meals and try to
avoid oil rich or spicy foods, sugary snacks, and drinks. Take liquid drink
slowly in between meals. Consult your doctor.

Diarrhoea:

Drinking lots of fluids, such as water or fruit juice helps to keep yourself
hydrated. Do not consume any medication on your own without physician
consultation.

Stomach pain:

Try to rest and relax. Try to have smaller and frequent meals. Keep a heat pad
on your stomach. Discuss with your doctor if the symptoms is not improving.

Flatulence:

Eat smaller and frequent meals. Eat and drink slowly, and exercise regularly. If
the symptom does not improve. Contact your doctor for advice.

Constipation:

Eat plenty of fibre rich foods such as fresh fruits, vegetables, and cereals and
drink plenty of water. Exercise more regularly.

Warning & Precautions

!### Pregnancy

ROBINAXOL D TABLET is not recommended for use in woman who are pregnant. Consult
your doctor before taking ROBINAXOL D TABLET.

!### Breastfeeding

ROBINAXOL D TABLET should be used with caution in breastfeeding woman. Consult
your doctor for advice before taking ROBINAXOL D TABLET.

!### Driving and Using Machines

Do not drive or handle any machines while taking ROBINAXOL D TABLET, since it
may cause dizziness, tiredness, and sleepiness.

!### Alcohol

Avoid consum
aggravate the side effects.

!### Kidney

ROBINAXOL D TABLET is not recommended for use in patients having kidney failure.
Consult your doctor before taking ROBINAXOL D TABLET.

!### Liver

ROBINAXOL D TABLET is not recommended for use in patients having liver failure.
Consult your doctor before taking ROBINAXOL D TABLET.

!### Allergy

Do not take ROBINAXOL D TABLET if you are allergic to Diclofenac, Methocarbamol,
and Paracetamol or any other ingredients of this medicine.

!### Lungs

ROBINAXOL D TABLET is not recommended for use in patients with asthma, seasonal
allergic rhinitis, swelling of the nasal mucosa (nasal polyps), chronic
pulmonary diseases or infections of the respiratory tract. Consult your doctor
before taking ROBINAXOL D TABLET.

!### Heart Disease

ROBINAXOL D TABLET is not recommended for use in patients having stablished
heart disease and/or cerebrovascular disease, heart attack, stroke, mini stroke
(TIA) or blockages to blood vessels to the heart or operation to clear or bypass
blockages. It should be used with caution in patients having angina, blood
clots, and high blood pressure. Consult your doctor before taking ROBINAXOL D
TABLET.

Others

ROBINAXOL D TABLET is not recommended for use if you have:

• stomach or duodenal (pe
• bleeding in the digestive tract which may cause blood in vomit, bleeding when emptying bowels, fresh blood in faeces or black, tarry faeces
• problems with your blood circulation (peripheral arterial disease)

Before taking ROBINAXOL D TABLET, inform your doctor if you have:

• stomach or bowel disorders including ulcerative colitis or Crohn’s disease
• porphyria or bleeding disorders
• high cholesterol or raised triglycerides
• diabetes
• Systemic Lupus Erythematosus

Use in pediatrics:

ROBINAXOL D TABLET is not recommended for use in children and adolescents below
12 years of age. Consult your doctor for advice before taking [GBNKRYWORD].

Use in geriatrics:

ROBINAXOL D TABLET should be used with caution in elderly patients. Consult your
doctor for advice.

Interactions

A. Drug-Drug interactions:

Before takingROBINAXOL D TABLET inform your doctor if you are taking any of the
following medicine:

• medicines used to manage diabetes (Ex. metformin, glibenclamide)
• blood thinning agents (Ex. warfarin)
• furosemide, bumet
• lithium (medicine used to manage mental problems)
• methotrexate (medicine used for management of some inflammatory diseases and some cancers)
• ciclosporin and tacrolimus (medicine used to manage some inflammatory diseases and after transplants)
• trimethoprim (medicine used to manage or manage urinary tract infections)
• levofloxacin, ciprofloxacin (medicines used for infections)
• NSAID or COX-2 like aspirin or ibuprofen (medicines used to as painkillers)
• mifepristone (medicine used to terminate pregnancy)
• digoxin (used to manage heart problems)
• citalopram, fluoxetine (medicines used to manage depression)
• steroids like prednisolone (medicine used as an anti-inflammatory agent)
• medicines used to manage heart conditions or high blood pressure (Ex. telmisartan, enalapril)
• voriconazole (medicine used to manage fungal infections)
• phenytoin (medicine used to manage seizures or fits)
• colestipol/cholestyramine (medicine used to lower cholesterol)

Synopsis

Drug	:	Diclofenac, Methocarbamol, Paracetamol
Pharmacological Category	:	Nonsteroidal Anti-inflammatory agents, Skeletal Muscle Relaxants, Analgesics & Antipyretics
Therapeutic Indication	:	Pain associated with muscle spasms
Dosage Forms	:	Tablet

More Information

• Keep ROBINAXOL D TABLET out of reach of children
• Store at room temperature

FAQs About ROBINAXOL D TABLET

Q: What is ROBINAXOL D TABLET used for?

A: ROBINAXOL D TABLET contains Diclofenac, Methocarbamol, Paracetamol which is
used to relieve pain, reduce swelling, and muscle spasm associated with
conditions affecting the joints, muscles and tendons like sprains, strains and
backache, rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, dental
or minor surgery and other injuries.

Q: How does [GBNKWYWORD] work?

A: [GBKEYWORD] act as a painkiller and muscle relaxant where Diclofenac and
Paracetamol works by reducing the effects of prostaglandin (substance produced
during injury and inflammation causing pain) thereby blocking the pain signals
between the brain and nerve endings and Methocarbamol blocks the effects of
acetylcholine neurotransmitter responsible for muscle contraction.

Q: Can ROBINAXOL D TABLET be given to children?

A: ROBINAXOL D TABLET is not recommended for use in children and adolescents
below 12 years of age. Your doctor will recommend you the correct dose and
duration. Consult your doctor for advice before taking [GBNKRYWORD].

Q: Can ROBINAXOL D TABLET be used in heart patients?

A: ROBINAXOL D TABLET is not recommended for use in patients having stablished
heart disease and/or cerebrovascular disease, heart attack, stroke, mini stroke
(TIA) or blockages to blood vessels to the heart or operation to clear or bypass
blockages and should be used with caution in patients having angina, blood
clots, and high blood pressure. Consult your doctor before taking ROBINAXOL D
TABLET.