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Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Bruspaz 4 mg Tablet is used to relieve pain due to muscle spasms. It contains Diclofenac and Thiocolchicoside, which block chemical messengers that cause pain and reduce muscle stiffness. In some cases, this medicine may cause side effects such as nausea, vomiting, loss of appetite, stomach pain, diarrhoea, and heartburn. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.
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Manufacturer/Marketer :

Abbott India Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Bruspaz 4 mg Tablet

Bruspaz 4 mg Tablet is a combination medication primarily used to reduce and relieve pain due to muscle spasms (painful muscular contractions) associated with degenerative vertebral disorders, torticollis (neck muscle contractions), and upper and lower back pain. Pain is a symptom triggered by the nervous system, causing uncomfortable sensations in the body. Muscle spasm is the sudden involuntary contractions of the muscle, which can be painful and uncomfortable.

Bruspaz 4 mg Tablet is a combination of two drugs: Diclofenac and Thiocolchicoside. Diclofenac is a non-steroidal anti-inflammatory drug (pain killer/NSAID) and relieves pain. It inhibits cyclo-oxygenase (COX) enzymes and further prevents the formation of chemical messengers, 'prostaglandins' (PGs), that cause pain and swelling at the injured or damaged site. Thiocolchicoside is a muscle relaxant that works on the centres of the spinal cord and brain. This helps reduce muscle stiffness and improves muscle movements, thereby relieving pain due to muscle spasms.

Your doctor will decide the dose and duration based on the severity of your pain. Common side effects of Bruspaz 4 mg Tablet include nausea, vomiting, loss of appetite, stomach pain, diarrhoea, and heartburn. These side effects are not familiar to everyone and vary individually. However, if the side effects are persistent, please reach out to your doctor.

Before starting Bruspaz 4 mg Tablet , inform your doctor if you have any liver, heart or kidney diseases, high blood pressure, diabetes, stomach ulcers, asthma, muscular hypotonia (decreased muscle tone), flaccid paresis (loose and floppy limbs), autoimmune diseases (systemic lupus erythematosus), and smoking habit. Bruspaz 4 mg Tablet is not recommended for pregnant and breastfeeding women. Bruspaz 4 mg Tablet should not be given to children and adolescents below 18 years of age as safety has not been established. Avoid consuming alcohol while undergoing treatment with Bruspaz 4 mg Tablet . 

Uses of Bruspaz 4 mg Tablet

Treatment of Pain due to muscle spasms.

Directions for Use

• Bruspaz 4 mg Tablet can be taken with food to prevent stomach upset, or as directed by your doctor.• Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.• Swallow Bruspaz 4 mg Tablet as a whole with a glass of water.• Do not chew, crush or break it.

Medicinal Benefits

Bruspaz 4 mg Tablet treats pain due to muscle spasms. It contains Diclofenac and Thiocolchicoside. Diclofenac is a non-steroidal anti-inflammatory drug (NSAIDs) and relieves pain. It inhibits cyclo-oxygenase (COX) enzymes that further prevents the formation of chemical messengers called 'prostaglandins (PGs). These prostaglandins are produced at injury sites and cause pain and swelling. By blocking COX enzymes' effect, lesser PGs are produced, which reduces mild to moderate pain and inflammation at the injured or damaged site. Thiocolchicoside is a muscle relaxant that works on the centres of the spinal cord and brain. This helps reduce muscle stiffness and improves muscle movements, thereby relieving pain due to muscle spasms.

How Bruspaz 4 mg Tablet Works

Bruspaz 4 mg Tablet is a combination of two drugs: Diclofenac and Thiocolchicoside. Diclofenac is a non-steroidal anti-inflammatory drug (pain killer/NSAID) and relieves pain. It inhibits cyclo-oxygenase (COX) enzymes and further prevents the formation of chemical messengers, 'prostaglandins' (PGs), that cause pain and swelling at the injured or damaged site. Thiocolchicoside is a muscle relaxant that works on the centres of the spinal cord and brain. This helps reduce muscle stiffness and improves muscle movements, thereby relieving pain due to muscle spasms.

Storage

Keep out of sight and reach of children.

What if I have taken an overdose of Bruspaz 4 mg Tablet

Take Bruspaz 4 mg Tablet only as prescribed by the physician. Do not exceed the recommended dose, as it might cause an overdose. If you suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

Inform your doctor if you have any liver, heart or kidney diseases, high blood pressure, diabetes, stomach ulcers, asthma, muscular hypotonia (decreased muscle tone), flaccid paresis (loose and floppy limbs), autoimmune diseases (systemic lupus erythematosus), and smoking habit. Please consult your doctor before starting Bruspaz 4 mg Tablet if you have high cholesterol, chickenpox, porphyria (rare inherited disorder), hereditary disorders like Lapp lactase deficiency (lactose intolerance), galactose intolerance, glucose-galactose malabsorption (small intestines not being able to absorb and use glucose and galactose), fits, and blood clotting disorders. Do not take any other NSAIDs for pain relief along with Bruspaz 4 mg Tablet unless prescribed. Stop taking Bruspaz 4 mg Tablet and consult your doctor immediately if you have stomach pain or any signs of bleeding in the intestine or stomach, such as blood in stools. Bruspaz 4 mg Tablet is not recommended for pregnant and breastfeeding women. Bruspaz 4 mg Tablet may cause dizziness and drowsiness, so drive only if you are alert and focused. Avoid consuming alcohol while being treated with Bruspaz 4 mg Tablet . This medicine is not recommended in children and adolescents below 18 years of age as safety and efficacy are not established.

Drug-Drug Interactions

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DiclofenacLomitapide
Severe

Drug-Drug Interactions

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How does the drug interact with Bruspaz 4 mg Tablet:
Co-administration of Bruspaz 4 mg Tablet with Meloxicam can increase the risk or severity of gastrointestinal side effects.

How to manage the interaction:
Taking Meloxicam with Bruspaz 4 mg Tablet is not recommended as it can possibly result in an interaction, it can be taken if your doctor has advised it. However, consult your doctor immediately if you experience symptoms such as dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness. Do not stop any medication without doctor's advise.
DiclofenacLomitapide
Severe
How does the drug interact with Bruspaz 4 mg Tablet:
Taking Bruspaz 4 mg Tablet with Lomitapide will have an additive effect and may cause liver problems.

How to manage the interaction:
There may be a possible interaction between Bruspaz 4 mg Tablet and Lomitapide, but they can be taken together if your doctor has prescribed them. However, consult your doctor immediately if you have fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, abdominal pain, dark colored urine, light colored stools, and/or yellowing of the skin or eyes. Do not stop using any medications without a doctor's advice.
How does the drug interact with Bruspaz 4 mg Tablet:
Coadministration of Bruspaz 4 mg Tablet with Ketoconazole may increase the risk of liver problems.

How to manage the interaction:
There may be a possible interaction between Bruspaz 4 mg Tablet and Ketoconazole, but they can be taken together if a doctor has prescribed them. However, consult a doctor immediately if you have fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, abdominal pain, dark colored urine, light colored stools, and/or yellowing of the skin or eyes. Do not discontinue any medications without consulting a doctor.
DiclofenacSulindac
Severe
How does the drug interact with Bruspaz 4 mg Tablet:
Co-administration of Bruspaz 4 mg Tablet and sulindac can increase the risk of side effects.

How to manage the interaction:
Although there is a interaction between Bruspaz 4 mg Tablet and sulindac, it can be taken if advised by your doctor. However, if you experience any symptoms like unusual bleeding or bruising, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness, consult your doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Bruspaz 4 mg Tablet:
Taking Bruspaz 4 mg Tablet and piroxicam can increase the risk of side effects such as ulcers, inflammation (redness, swelling), bleeding.

How to manage the interaction:
Co-administration of Bruspaz 4 mg Tablet and Piroxicam can lead to an interaction, it can be taken if advised by a doctor. However, if you experience any symptoms like unusual bleeding or bruising, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness, consult a doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Bruspaz 4 mg Tablet:
Taking Bruspaz 4 mg Tablet with Tolmetin may increase the risk of side effects.

How to manage the interaction:
There may be a possible interaction between Bruspaz 4 mg Tablet and Tolmetin but can be taken if prescribed by doctor. However, consult your doctor immediately if you experience any unusual bleeding or bruising, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headache, and weakness. Do not stop any medications without consulting a doctor.
How does the drug interact with Bruspaz 4 mg Tablet:
Taking Bruspaz 4 mg Tablet with Ibrutinib can increase the risk of bleeding tendencies.

How to manage the interaction:
There may be a possible interaction between Bruspaz 4 mg Tablet and Ibrutinib, but they can be taken together if a doctor has prescribed them. However, consult a doctor immediately if you experience any unusual bleeding, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, or severe headaches. Do not discontinue any medications without consulting a doctor.
DiclofenacVorapaxar
Severe
How does the drug interact with Bruspaz 4 mg Tablet:
Taking Bruspaz 4 mg Tablet with Vorapaxar can increase the risk of bleeding complications.

How to manage the interaction:
There may be a possible interaction between Bruspaz 4 mg Tablet and Vorapaxar, but they can be taken together if your doctor has prescribed them. However, consult your doctor immediately if you experience any unusual bleeding, dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that looks like coffee grounds, severe headaches. Do not discontinue any medications without consulting your doctor.
How does the drug interact with Bruspaz 4 mg Tablet:
Co-administration of methotrexate with Bruspaz 4 mg Tablet can increase the levels and effects of methotrexate. This can lead to increased risk of side effects.

How to manage the interaction:
Although there is a possible interaction between methotrexate and Bruspaz 4 mg Tablet, you can take these medicines together if prescribed by your doctor. However, if you experience any symptoms such as mouth sores or ulcers, nausea, vomiting, diarrhea, rash, loss of hunger, joint pain or swelling, yellowing of the skin or eyes, dark urine, shortness of breath, a dry cough, paleness, dizziness or fainting, unusual bruising or bleeding, fits, infection, fever, chills, body aches, sore throat or muscle weakness, consult a doctor immediately. Do not stop using medications without a doctor's advice.
How does the drug interact with Bruspaz 4 mg Tablet:
Co-administration use of Bruspaz 4 mg Tablet with Dalteparin may increase the risk of bleeding complications.

How to manage the interaction:
Although taking Dalteparin with Bruspaz 4 mg Tablet may possibly lead to an interaction, they can be taken if a doctor prescribes it. Consult a doctor if you have any symptoms including dizziness, lightheadedness, red or black, tarry stools, coughing up or vomiting fresh or dried blood that resembles coffee grounds, severe headache, and weakness. Without consulting a doctor, never stop taking any medication.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Exercising regularly helps in muscle stretching, reducing spasm, tear and sprain incidence. Mild exercises, such as jogging and walking are helpful for muscle stretching.
  • Massages can also be helpful to ease the pain.
  • Avoid wearing tight-fitting clothes; wear loose garments for proper blood circulation.
  • Rest well and get plenty of sleep.
  • Hot or cold therapy can help treat muscle spasms. Apply an ice or hot pack on the muscle for 15-20 minutes.
  • Stay hydrated; drink plenty of water.

Habit Forming

No

Therapeutic Class

MUSCLE RELAXANTS
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Alcohol

Caution

You are recommended to avoid alcohol consumption while taking Bruspaz 4 mg Tablet to avoid the risk of adverse effects.

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Pregnancy

Unsafe

Bruspaz 4 mg Tablet is not recommended during pregnancy since it may harm the developing baby. Please consult your doctor for more information.

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Breast Feeding

Unsafe

Bruspaz 4 mg Tablet is not recommended during breastfeeding as it may be excreted in breast milk and cause adverse effects in the baby. Please consult your doctor if you are a nursing mother.

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Driving

Caution

Bruspaz 4 mg Tablet may make you feel dizzy, sleepy and can cause vision problems sometimes. Do not drive or operate machinery if you experience dizziness or drowsiness.

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Liver

Caution

Please consult your doctor since Bruspaz 4 mg Tablet should be used with caution in patients with liver impairment/liver disease.

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Kidney

Caution

Please consult your doctor since Bruspaz 4 mg Tablet should be used with caution in patients with kidney impairment/kidney disease.

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Children

Unsafe

Bruspaz 4 mg Tablet is not recommended in children and adolescents younger than 18 years of age.

Have a query?

FAQs

Bruspaz 4 mg Tablet is used to reduce and relieve pain due to muscle spasms (painful muscular contractions) associated with degenerative vertebral disorders, torticollis (neck muscle contractions), and upper and lower back pain.

Bruspaz 4 mg Tablet contains Diclofenac and Thiocolchicoside. Diclofenac works by blocking the action of certain chemical messengers that cause pain and inflammation at the injured or damaged site. Thiocolchicoside is a muscle relaxant that relieves muscle stiffness due to muscle spasms and improves muscle movements.

Bruspaz 4 mg Tablet is usually prescribed for a short period and can be discontinued if there is no pain. To treat your condition effectually, continue taking Bruspaz 4 mg Tablet for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Bruspaz 4 mg Tablet .

Diarrhoea can be a side-effect of Bruspaz 4 mg Tablet . Drink enough fluids and eat fibre rich food if you experience diarrhoea. If you find blood in stools (tarry stools) or experience excess diarrhoea, consult your doctor. Do not take anti-diarrhoeal medicine on your own.

It is not advised to use other NSAIDs or pain killers while using Bruspaz 4 mg Tablet . Please seek medical advice for further information.

You are not recommended to take Bruspaz 4 mg Tablet with warfarin as simultaneous use of these two medicines may increase the bleeding risk. However, if you are supposed to use these medicines together, please contact your doctor so that the dose may be adjusted or you may be prescribed alternate medicine.

Common side effects of Bruspaz 4 mg Tablet include nausea, vomiting, loss of appetite, stomach pain, diarrhoea, and heartburn. These side effects are not familiar to everyone and vary individually. However, if the side effects are persistent, please reach out to your doctor.

Yes, Bruspaz 4 mg Tablet is a painkiller used to relieve pain due to muscle spasms associated with degenerative vertebral disorders, torticollis (neck muscle contractions), and upper and lower back pain.

Yes, Bruspaz 4 mg Tablet can be used to relieve upper and lower back pain if advised by the doctor. It inhibits chemical messengers that cause pain and reduces muscle stiffness.

Bruspaz 4 mg Tablet is contraindicated in people who are allergic to any of its components. It is also not recommended for people having stomach ulcers and stomach bleeding with NSAID use.

Store Bruspaz 4 mg Tablet at room temperature, in a dry place. Keep it out of sight and reach of children.

Bruspaz 4 mg Tablet may cause dizziness sometimes. Do not drive or operate machinery if you experience dizziness.

Long-term use of Bruspaz 4 mg Tablet may cause kidney damage. Therefore, avoid long-term use and take it only for the duration recommended by the doctor.

No, taking a higher than the recommended dose of Bruspaz 4 mg Tablet would not be more effective but may lead to unpleasant side effects. Therefore, take Bruspaz 4 mg Tablet only as per the dose advised by the doctor.

Country of origin

India

Manufacturer/Marketer address

16th Floor, Godrej BKC, Plot ? C, ?G? Block, Bandra-Kurla Complex, Bandra (East), Mumbai ? 400 051, India.
Other Info - BRU0095

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