Introduction About TOPNAC TH TABLET

TOPNAC TH TABLET is used in adults to manage painful inflammatory conditions associated with muscle spasms. It can also be used to manage pain associated with musculoskeletal (bone) disorders such as osteoarthritis, rheumatoid arthritis (inflammation of joints), or ankylosing spondylitis (back pain caused by inflammation of bones in the spine).

TOPNAC TH TABLET is a combination of aceclofenac and thiocolchicoside, which belong to the group of medicines called Non-Steroidal Anti-inflammatory Drugs and Muscle relaxants, respectively. It works by blocking the production of certain chemicals that cause pain and inflammation in the body. It also relaxes the muscles by blocking the action of certain chemical messengers (GABA) in the brain that cause muscle spasm. As a result, TOPNAC TH TABLET relieves painful muscle spasms associated with inflammatory disease conditions.

Before taking TOPNAC TH TABLET, inform your doctor if you have any problems in your liver, liver, kidney, heart, or stomach. You should also inform your doctor if you have diabetes, high blood cholesterol, or fits.

Do not take TOPNAC TH TABLET if you have asthma or varicella infection. Consult your doctor before taking TOPNAC TH TABLET if you are pregnant, think you may be pregnant, or are breastfeeding.

Take TOPNAC TH TABLET only as advised by your doctor. Do not take TOPNAC TH TABLET longer than recommended by your doctor, as it may cause serious side effects. Avoid smoking and consumption of alcohol while undergoing therapy with TOPNAC TH TABLET to achieve better results.

The most common side effects of taking TOPNAC TH TABLET are dizziness, drowsiness, nausea, and stomach pain. Consult your doctor if any of these side effects worsen.

Uses Of TOPNAC TH TABLET

It is used in adults to manage:

• Painful muscle spasms
• Pain associated with musculoskeletal disorders (such as osteoarthritis, rheumatoid arthritis, or ankylosing spondylitis)

How TOPNAC TH TABLET Works

TOPNAC TH TABLET is a muscle relaxant with anti-inflammatory and analgesic properties. It effectively reduces pain caused by muscle spasms and inflammatory bone disorders, where aceclofenac acts by blocking the release of certain chemicals (prostaglandins) that cause pain and inflammation in the body and thiocolchicoside acts by blocking the effects of certain chemical messengers (GABA) in the brain that cause painful muscle spasms. Collectively, TOPNAC TH TABLET relieves painful muscle spasms associated with inflammatory disease conditions.

How to use TOPNAC TH TABLET

Take TOPNAC TH TABLET as directed by your physician. Swallow the medicine with a glass of water and do not crush or chew the medicine. TOPNAC TH TABLET can be taken 1 hour before or 2 hours after meals. Your doctor will decide the correct dose for you depending upon your health condition.

Side Effects Of TOPNAC TH TABLET

How To Manage Side Effects

Diarrhea

Drink plenty of clear fluids like water, diluted fruit juices, or oral rehydration solutions to stay hydrated. Avoid caffeinated or alcoholic beverages, as they can worsen dehydration. Gradually take bland, low-fiber foods like bananas, rice, applesauce, and toast to help firm up stools. Probiotics, found in yogurt or supplements, may help restore the balance of gut bacteria. Practice good hand hygiene to prevent the spread of infection. Consult your doctor if diarrhea worsens.

Dizziness Or Drowsiness

Ensure proper hydration, as dehydration can cause dizziness. Avoid excessive caffeine, alcohol, and high-sodium foods, which can exacerbate symptoms. Engage in physical therapy or vestibular rehabilitation exercises designed to improve balance and reduce dizziness. Move slowly when changing positions, such as standing up or lying down, to avoid triggering dizziness. Practice relaxation techniques such as deep breathing, meditation, or yoga to manage stress, which can contribute to dizziness. Consult your doctor if dizziness persists.

Indigestion

Avoid trigger foods such as fatty, spicy, or acidic items. Eating slowly, chewing food thoroughly, and avoiding lying down immediately after meals can improve digestion. Reduce stress through relaxation techniques like meditation, yoga, or deep breathing, which can alleviate symptoms. Maintaining a healthy weight, quitting smoking, and limiting alcohol consumption are also beneficial. Drinking plenty of water helps digestion. Engaging in regular physical activity can help keep the digestive system active and reduce stress, which may improve symptoms. Consult your doctor if indigestion persists.

Nausea And Vomiting

Stay hydrated with small sips of clear fluids like water, ginger ale, or electrolyte solutions. Avoid consuming large meals; instead, opt for bland, easy-to-digest foods. Ginger, peppermint, or chamomile tea may help soothe the stomach. Rest in a comfortable position, preferably with your head elevated, to ease symptoms. Consult your doctor if nausea and vomiting persist.

Warning & Precautions

Pregnancy

Contraindicated

TOPNAC TH TABLET is not recommended for use in pregnant women, as it may cause harm to an unborn baby. Therefore, consult your doctor before taking it. Women of childbearing age must use a suitable contraceptive method to avoid pregnancy while undergoing therapy with TOPNAC TH TABLET.

Breastfeeding

Contraindicated

TOPNAC TH TABLET is not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it.

Driving and Using Machines

Contraindicated

Do not drive or handle heavy tools or machines if you feel dizzy or drowsy after taking TOPNAC TH TABLET.

Alcohol

Contraindicated

Avoid consumption of alcohol while taking TOPNAC TH TABLET to avoid the risk of side effects.

Kidney

Use with Caution

TOPNAC TH TABLET should be used with caution in patients with kidney diseases. Therefore, consult your doctor before taking it.

Liver

Use with Caution

TOPNAC TH TABLET should be used with caution in patients with liver diseases. Therefore, consult your doctor before taking it.

Allergy

Contraindicated

Do not take TOPNAC TH TABLET if you are allergic to aceclofenac or thiocolchicoside.

Lungs

Contraindicated

TOPNAC TH TABLET is not recommended for use in patients with asthma. Therefore, consult your doctor before taking it.

Heart Disease

Use with Caution

TOPNAC TH TABLET should be used with caution in patients with heart diseases (such as heart failure or high blood pressure). Therefore, consult your doctor before taking it.

Use In Pediatrics

Contraindicated

TOPNAC TH TABLET is not recommended for use in children and adolescents (below 16 years) of age. Therefore, consult your doctor before taking it.

Use In Geriatrics

Use with Caution

TOPNAC TH TABLET should be used with caution in elderly patients. Therefore, consult your doctor before taking it.

Interactions

A. Drug-Drug interactions:

• Anti-emetics (Ex. metoclopramide or domperidone)
• Anticoagulant (Ex. warfarin)
• Cardiovascular agents (Ex. enalapril, olmesartan, losartan, digoxin, digitoxin)
• Antibacterials (such as ciprofloxacin, ofloxacin, levofloxacin, or moxifloxacin)
• Anti-retroviral (such as zidovudine)
• Antidiabetics (such as glibenclamide, glycoside, and tolbutamide)
• Analgesics (such as aspirin or ibuprofen)
• Oral corticosteroids (Ex. dexamethasone)
• Proton-pump inhibitors (Ex. omeprazole)
• Antidepressants (Ex. citalopram, fluoxetine, sertraline)
• Gastrointestinal agents (Ex. misoprostol)
• Immunosuppressants (Ex. cyclosporin, tacrolimus)
• Anti-lipidemic (Ex. cholestyramine)
• Diuretics (Ex. furosemide)
• Anti-manic (Ex. lithium)
• Antineoplastic (Ex. methotrexate)
• Anti-progestational steroids (Ex. mifepristone)

Overdosage:

If you or anyone else accidentally took more TOPNAC TH TABLET, contact your doctor immediately. Symptoms of overdosage might include nausea, vomiting, upper stomach pain, headache, gastrointestinal bleeding, diarrhea, disorientation, excitation, coma, drowsiness, dizziness, tinnitus, hypotension, respiratory depression, fainting, and convulsions.

Synopsis

More Information

FAQs About TOPNAC TH TABLET

Q: Can a higher dose of TOPNAC TH TABLET improve my disease condition?

A: No. Do not take a higher dose of TOPNAC TH TABLET without consulting your doctor, as it may lead to an increased risk of unwanted side effects. Only use the dose prescribed to you by your doctor. Your doctor will decide the correct dose for you depending upon your age, body weight, and disease condition. If the prescribed dose does not result in effective pain relief, consult your doctor for advice.

Q: Can TOPNAC TH TABLET cure arthritis?

A: No. TOPNAC TH TABLET can only be used to relieve pain caused by arthritis and cannot cure arthritis. Your doctor may prescribe you other medicines along with TOPNAC TH TABLET to help manage your disease condition.

Q: How long should I need to take TOPNAC TH TABLET?

A: It is not advisable to take TOPNAC TH TABLET for more than 7 days, especially while taking at higher doses. This is because TOPNAC TH TABLET may cause chromosomal changes in the body, which might lead to unwanted side effects. Strictly follow the instructions given by your doctor regarding the duration of the therapy.

Q: Can I stop taking TOPNAC TH TABLET once my pain is relieved?

A: Yes. TOPNAC TH TABLET can be discontinued from use once pain is relieved. However, consult your doctor before doing so, as stopping TOPNAC TH TABLET too early may cause the pain to come back.

Q: Who should take TOPNAC TH TABLET?

A: TOPNAC TH TABLET should be used under medical supervision. Do not take TOPNAC TH TABLET if you are allergic to aceclofenac or thiocolchicoside or if you have asthma or a varicella infection (a viral infection). Therefore, consult your doctor before taking it.

Q: What precautions must be taken while using TOPNAC TH TABLET?

A: TOPNAC TH TABLET should be used with caution in patients with kidney diseases, liver diseases, heart diseases (such as heart failure or high blood pressure), high blood cholesterol levels, diabetes mellitus, a history of bleeding inside the brain, a history of stomach ulcers or inflammation (ulcerative colitis or Crohn's disease), or epilepsy (or convulsions). Therefore, consult your doctor before taking it.

Q: Can TOPNAC TH TABLET be taken with vitamin B12 supplements?

A: TOPNAC TH TABLET can be taken together with vitamin supplements, as vitamins tend to improve healing of inflammation and reduce pain. However, consult your doctor before taking.

Q: For what conditions TOPNAC TH TABLET is prescribed?

A: TOPNAC TH TABLET is given for reliving musculoskeletal pain associated with muscle spasms.

Q: Is TOPNAC TH TABLET safe for pregnant women?

A: TOPNAC TH TABLET is not recommended for use in pregnant women, as it may cause harm to an unborn baby. Therefore, consult your doctor before taking it. Women of childbearing age must use a suitable contraceptive method to avoid pregnancy while undergoing therapy with TOPNAC TH TABLET.

Q: Can I take TOPNAC TH TABLET with antibiotics?

A: TOPNAC TH TABLET may interact with certain antibiotics (such as ciprofloxacin, ofloxacin, levofloxacin, or moxifloxacin) and may produce an altered response. Inform your doctor about the medicines that you use currently.

Q: Is TOPNAC TH TABLET a painkiller?

A: TOPNAC TH TABLET is an anti-inflammatory medicine with pain-relieving properties. It helps in reducing pain and swelling while relaxing the muscles. It can be used for reducing pain caused by muscle contractions or inflammatory bone conditions.

Q: Does TOPNAC TH TABLET make you feel sleepy?

A: TOPNAC TH TABLET may make you feel sleepy because of its sedative property. Therefore, be cautious while you drive or operate any heavy tools or machines. Do not consume alcohol or other medicine that can seduce your brain further, such as antidepressants (Ex. citalopram, sertraline). Consult your doctor if you continue to feel sleepy that interferes with your day-to-day activities.

Q: Is TOPNAC TH TABLET addictive?

A: TOPNAC TH TABLET is not a habit-forming medicine. However, you might feel better that only if you take TOPNAC TH TABLET. This is because TOPNAC TH TABLET can only reduce pain caused by inflammatory conditions. It cannot manage the actual cause of the pain. And so, if you stop taking TOPNAC TH TABLET, your pain may reappear once again. To avoid this, take TOPNAC TH TABLET only as advised by the physician for the stipulated duration.

Q: Is TOPNAC TH TABLET a steroid?

A: No. TOPNAC TH TABLET is not a steroid. It contains aceclofenac, which is a non-steroidal anti-inflammatory drug, and thiocolchicoside, which is a muscle relaxant. They act by blocking the production of certain chemicals in the body that cause pain, inflammation, and muscle spasms. As a result, it relaxes skeletal muscles and reduces pain associated with musculoskeletal disorders such as muscle spasm, arthritis, etc.

Q: Can TOPNAC TH TABLET be used in children?

A: No. TOPNAC TH TABLET is strictly not recommended for use in children aged below 16 years. Children above this age group must also consult their doctor before taking TOPNAC TH TABLET.

References

1. K.D. Tripathi. Nonsteroidal Anti-inflammatory Drugs and Antipyretic-Analgesics. Skeletal muscle relaxants. Essentials of Medical Pharmacology. Seventh edition. Page- 204 & 368.

2. Manish N. Maladkar, Chitra M. Tekchandani, Ashok S. Yadhav. National Library of Medicine. Targeting the Therapeutic Need in Musculoskeletal Inflammatory Pain with Thiocolchicoside and Aceclofenac Sustained Release with Combination Therapy. Aristo Pharmaceuticals Private Limited. ResearchGate. January 2019. [Accessed on 5th August 2024] https://www.researchgate.net/publication/335020828_Targeting_the_therapeutic_need_in_musculoskeletal_inflammatory_pain_with_thiocolchicoside_and_aceclofenac_sustained-release_combination_therapy

3. TORRENT PHARMACEUTICALS LTD. ZULU AT. Torrent.com. [Revised in April 2021]. [Accessed on 5th August 2024] https://www.torrentian.com/pisheet/Upload/PI_Sheet/3026.pdf

4. Cipla Ltd. IBUGESIC TH Tablets (Aceclofenac + Thiocolchicoside). Ciplamed.com. [Revised in June 2018]. [Accessed on 5th August 2024] https://ciplamed.com/content/ibugesic-th-tablets

5. Thichoren-AC. La Renon Healthcare Pvt Ltd. [Accessed on 5th August 2024] https://www.larenon.com/wp-content/uploads/2020/01/THICHOREN-2-page1.pdf

6. Novel formulations of thiocolchicoside. Patents.google.com. March 2015. [Accessed on 5th August 2024] https://patents.google.com/patent/EP2848260A1/en

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Author Details

Written By Dr. N. Sai Swaroop - Pharm.D

Reviewed By Dr. Sankara Babu Gorle - MBBS, MD(Pharmacology) View profile

Last updated on 06 Aug 2024 | 05:38 PM(IST)